Charak Samhita

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विमार्गाजपदादर्शैर्यथालाभं प्रपीडयेत्| मृद्नीयाद्गुल्ममेवैकं न त्वन्त्रहृदयं स्पृशेत् ||१४०||

sanskrit

Thereafter, with the help of any available instruments such as vimarga, ajapada and adarsha, only the gulma part is squeezed or compressed, without touching the intestines and heart. This operation should be done only by the expert surgeon in the technique

english translation

vimArgAjapadAdarzairyathAlAbhaM prapIDayet| mRdnIyAdgulmamevaikaM na tvantrahRdayaM spRzet ||140||

hk transliteration