Ashtangasamgraha 34.23

34.23

viśeṣatastu dantalekhanaṃ suprabandhavaccaturasramekadhāraṃ dantaśarkarālekhane |

maṇḍalāgraṃ pradeśinyantarnakhavistṛtaphalaṃ tallekhanacchedanayorvartmarogotsannadantamāṃsadurniviṣṭavraṇagalaśuṇḍikādiṣu prayojyam ||

ślīpadaṃ jāyate tacca deśe 'nūpe bhṛśaṃ bhramāt ||

In particular, the tooth-scraper, having a good grip, being four-sided, and single-edged, is for scraping tartar from the teeth.

The maṇḍalāgra, whose blade is as wide as the fingernail of the index finger, is to be employed for scraping and excising in eye-lid diseases, hypertrophied gum flesh, ill-positioned ulcers, uvulitis, and the like.

And elephantiasis (ślīpada) arises in marshy areas, especially from wandering [there].