Ashtangasamgraha 34.22

34.22

tatra trayamādyaṃ lekhane |

vṛddhipatrādīni trīṇi pāṭane |

catvāri bhedane |

maṇḍalāgrādīnyaṣṭau chedane |

kuśapatrādīni pañca pracchāne |

kuṭhārikādīni ṣaṭ vyadhane |

teṣāmārāvrīhimukhe bhedane chedane ca |

sūcyaḥ sīvane |

sūcīkūrcaḥ kuṭṭane |

khajo mathane |

eṣiṇyeṣaṇe bhedane ca |

baḍiśo grahaṇe |

nakhaśastramuddharaṇe |

chedyabhedyalekhyapracchāneṣu ca |

iti dvādaśāvidhe śastrakarmaṇyupayogaḥ ||

Among them, the first three are for scraping (lekhana);

the three beginning with the vṛddhipatra are for slitting open (pāṭana);

four are for incising (bhedana);

the eight beginning with the maṇḍalāgra are for excising (chedana);

the five beginning with the kuśapatra are for scarifying (pracchāna);

the six beginning with the kuṭhārikā are for puncturing (vyadhana);

among these, the awl (ārā) and the vrīhimukha are also for incising and excising;

needles are for suturing (sīvana);

the needle-brush is for pricking (kuṭṭana);

the churning probe is for churning (mathana);

the director is for probing (eṣaṇa) and incising;

the hook is for grasping (grahaṇa);

the nail-instrument is for extraction (uddharaṇa),

and also for excising, incising, scraping, and scarifying.

Thus is their application in the twelvefold surgical operation.