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देशाद्देशं व्रजत् स्राव्यं सिराभिः प्रच्छनेन वा | अङ्गग्लानौ न तु स्राव्यं रूक्षे वातोत्तरे च यत् [४] ||३८ ||

If the symptoms and complications in vatashonita are not localised to a specific part rather are of fleeting nature, the blood should be let out with siravyadha (venesection) or by pracchana. In case if there are angaglani (anga shosha i.e.atrophy), dryness, and other symptoms of vata dominance, the bloodletting should not be done.

english translation

dezAddezaM vrajat srAvyaM sirAbhiH pracchanena vA | aGgaglAnau na tu srAvyaM rUkSe vAtottare ca yat [4] ||38 ||

hk transliteration by Sanscript