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Charak Samhita

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जलौकोभिस्तथा शस्त्रैः सूचीभिर्वा पुनः पुनः। अवर्तमानं रुधिरं रक्तार्शोभ्यः प्रवाहयेत्॥६१॥

Bloodletting with the help of application of leeches or sharp instruments or needles should be done in raktaja arsha, if blood doesn't come out on its own.

english translation