लोष्टं महीं वा दशनैश्छित्त्वा चानु ससम्भ्रमम् । निष्ठीवेन समालिम्पेद्दंशं कर्णमलेन वा ॥ ४१ ॥
tear the site and smear the dribbling saliva (spittle), the site of the bite should be smeared with or it with the excretion of the ears (cerumen, earwax).
Tourniquet should be tied four angula (fingers breadth) above the bite with the rope of flax etc. and then fortified by potent hymns by those skilled in it;
by this (tourniquet) the poison stops spreading just as the flow of water by the dam; blood vessels do not transport the poison, being subjected to pressure by the binding.
निष्पीड्यानूद्धरेद्दंशं मर्मसन्ध्यगतं तथा । न जायते विषाद्वेगो बीजनाशादिवाङ्कुरः ॥ ४४ ॥
Next, the site of the bite should be massaged and the teeth (fangs of the snakes) removed from places, other than the vital spots and joints. By doing so, further stages by poisoning do not develop just as the sprout (does not develop) from the destruction of the seed.
दंशं मण्डलिनां मुक्त्वा पित्तलत्वादथापरम् । प्रतप्तैर्हेमलोहाद्यैर्दहेदाशूल्मुकेन वा ॥ ४५ ॥
Except in the bite of Mandali snakes because of possessing qualities of Pitta, in the bites of all others the site of the bite should be burnt quickly with heated rods of gold, iron etc. or even by burning charcoal.