ग्राहयेद्वा जलौकोभिः पयसेक्षुरसेन वा । वमनं नावनं सर्पिः शृतं मधुरशीतलैः ॥ १९ ॥
Alternatively, bloodletting should be carried out by applying leeches (jalaukas) after smearing the area with milk or sugarcane juice. Emesis therapy (vamana) should then be administered, followed by nasal drop therapy (nāvana/nasya) using ghee processed with herbs that possess sweet (madhura) taste and cold (shītala) potency.
ग्राहयेद्वा जलौकोभिः पयसेक्षुरसेन वा । वमनं नावनं सर्पिः शृतं मधुरशीतलैः ॥ १९ ॥
Alternatively, bloodletting should be carried out by applying leeches (jalaukas) after smearing the area with milk or sugarcane juice. Emesis therapy (vamana) should then be administered, followed by nasal drop therapy (nāvana/nasya) using ghee processed with herbs that possess sweet (madhura) taste and cold (shītala) potency.