Ashtangasamgraha 37.22

37.22

atha hastaprāpyaṃ śalyaṃ hastenāharet |

tadaśakyaṃ yathāyathaṃ yantreṇa |

tathāpyaśakyaṃ śastreṇa viśasya tato nirlohitaṃ vraṇaṃ kṛtvāgnighṛtamadhuprabhṛtibhiḥ svedayitvāvadahya tarpayitvā sarpirmadhubhyāṃ badhvācārikamādiśet |

sirāsnāvalagnaṃ śalākāgreṇābhimocyāharet |

hṛdaye 'bhivartamānaṃ śalyaṃ śītajalādibhirudvejitasyāharet |

yathāmārgaṃ durāharamanyato 'pyevamāharet ||

carmakaliṃ jatumaṇiṃ ca tadvacchastreṇotkṛtya ||

Now, a foreign body accessible by hand one should extract by hand.
When that is impossible, [one should extract it] by an instrument as appropriate.
When it is still impossible, having made an incision with a surgical instrument, then having made the wound free of blood, having sudated it, cauterized it with fire, ghee, honey, and the like, nourished it, and bandaged it with ghee and honey, one should prescribe the regimen.
That which is attached to a vein or a ligament, having released it with the tip of a probe, one should extract.
A foreign body approaching the heart one should extract from him when startled by cold water and the like.
That which is difficult to extract along its path, one should extract even from another direction in this manner.
Excising a carmakīla and a jatumaṇi likewise with a surgical instrument—