Ashtangasamgraha 35.6

35.6

tatra yogādīn sirāvyadhavadupalakṣayet |

pratikurvīta ca |

duṣṭaraktāpagamāt śvayathuśaithilyaṃ dāharāgaśūlopaśamaśca |

raktapittena duṣṭamalābughaṭikābhyāṃ na nirharedagnisaṃyogādvātakaphābhyāṃ ca duṣṭaṃ nirharet |

tathā kaphena na śṛṅgeṇa skannatvāt |

vātapittābhyāṃ tu duṣṭaṃ nirharet |

atha pracchādyāṅgaṃ tanuvastrapaṭalāvanaddhaprāntena śṛṅgeṇācūṣet |

tathā pradīptāpicugarbhābhyāmalābughaṭikābhyāmiti |

bhavanti cātra ślokāḥ ||

amṛtānimbabījabhārṅgīsyonākabāṇatālapatrīkṛṣṇagandhāgarubhiḥ kṣīrapiṣṭaiḥ sukhoṣṇairlepaḥ |

vividhāśca vātavyādhivihitāḥ snehasvedopanāhāḥ |

tathānupaśame sirāvyadhaḥ ||

In that context, one should observe the proper application and other signs just as in venesection, / and apply counter-measures. / From the evacuation of vitiated blood, there is relief of swelling and alleviation of burning, redness, and pain. / One should not extract [blood] vitiated by raktapitta with a bottle-gourd or a cupping glass on account of the contact with fire; but one may extract that vitiated by vāta and kapha. / Likewise, [one should not extract blood vitiated] by kapha with a horn because it is clotted; / but one should extract that vitiated by vāta and pitta. / Then, having scarified the body part, one should suck [the blood] out with a horn whose edge is wrapped with a fine cloth layer; / similarly with a bottle-gourd or a cupping glass containing a burning wick inside. / And here are verses: / A warm paste should be applied consisting of amṛtā, neem seeds, bhārṅgī, śyonāka, bāṇa, tālapatrī, kṛṣṇagandhā, and agaru pounded with milk; / and various unctuous, sudorific, and poultice applications prescribed for diseases of vāta. / If it does not subside in this way, then venesection [should be performed].