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Charak Samhita

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विरेचनं चैषणपाटनं च विशुद्धमार्गस्य च तैलदाहः। स्यात् क्षारसूत्रेण सुपाचितेन छिन्नस्य चास्य व्रणवच्चिकित्सा ॥९७॥

Its treatment is virechana, probing, cutting and after cleansing cauterization with hot oil. If surgery is contraindicated then kshara-sutra should be applied and during and after cutting the track, routine line of management of ulcer is adopted

english translation