गुटिकाचूर्णनिर्यूहाः प्रयोज्याः कफगुल्मिनाम्। कृतमूलं महावास्तुं कठिनं स्तिमितं गुरुम् ॥५५॥
If kapha-gulma has a deep root and is large in size, hard in consistency and heavy, then the patient should be treated with alkali preparation-kshara, arishta and agni karma (cauterization)
english translation
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