Charak Samhita

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स्थिरकठिनमण्डलानां स्विन्नानां प्रस्तरप्रणाडीभिः| कूर्चैर्विघट्टितानां रक्तोत्क्लेशोऽपनेतव्यः ||५०||

If the patches are stable and hard, then give fomentation by prastara sweda or nadi sweda method and later on with the help of kurcha (a surgical instrument) scrub the patches so that there is increased flow of rakta in that specific area along with blood letting.

english translation

sthirakaThinamaNDalAnAM svinnAnAM prastarapraNADIbhiH| kUrcairvighaTTitAnAM raktotklezo'panetavyaH ||50||

hk transliteration by Sanscript