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Cover the brim of ''gulma'' with a piece of cloth and on the inner portion of the brim put an earthen lid containing ignited ''balvaja'' or small sacrificial grass (''kusha''). Then place the mouth of an inverted empty pot on it in such a way so that it covers and fit on the brim. Due to negative pressure produced inside the pot by the fire, the mouth of the pot will strongly adhere to the brim and the lump will be pulled into the pot. Then remove the pot and tightly tie the bottom of this bulged portion of the ''gulma'' and then puncture it. Thereafter, with the help of any available instruments such as ''vimarga, ajapada'' and ''adarsha'', only the ''gulma'' part is squeezed or compressed, without touching the intestines and heart. This operation should be done only by the expert surgeon in the technique [137-140]
 
Cover the brim of ''gulma'' with a piece of cloth and on the inner portion of the brim put an earthen lid containing ignited ''balvaja'' or small sacrificial grass (''kusha''). Then place the mouth of an inverted empty pot on it in such a way so that it covers and fit on the brim. Due to negative pressure produced inside the pot by the fire, the mouth of the pot will strongly adhere to the brim and the lump will be pulled into the pot. Then remove the pot and tightly tie the bottom of this bulged portion of the ''gulma'' and then puncture it. Thereafter, with the help of any available instruments such as ''vimarga, ajapada'' and ''adarsha'', only the ''gulma'' part is squeezed or compressed, without touching the intestines and heart. This operation should be done only by the expert surgeon in the technique [137-140]
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==== Post operative measures ====
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==== Post-operative measures ====
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तिलैरण्डातसीबीजसर्षपैः परिलिप्य च|          
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तिलैरण्डातसीबीजसर्षपैः परिलिप्य च|  
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श्लेष्मगुल्ममयःपात्रैः सुखोष्णैः स्वेदयेद्भिषक्||१४१||   
 
श्लेष्मगुल्ममयःपात्रैः सुखोष्णैः स्वेदयेद्भिषक्||१४१||   
 
              
 
              
 
tilairaṇḍātasībījasarṣapaiḥ parilipya ca|  
 
tilairaṇḍātasībījasarṣapaiḥ parilipya ca|  
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ślēṣmagulmamayaḥpātraiḥ sukhōṣṇaiḥ svēdayēdbhiṣak||141||
 
ślēṣmagulmamayaḥpātraiḥ sukhōṣṇaiḥ svēdayēdbhiṣak||141||
    
tilairaNDAtasIbIjasarShapaiH parilipya ca|  
 
tilairaNDAtasIbIjasarShapaiH parilipya ca|  
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shleShmagulmamayaHpAtraiH sukhoShNaiH svedayedbhiShak||141||
 
shleShmagulmamayaHpAtraiH sukhoShNaiH svedayedbhiShak||141||
    
After the above operation apply the paste made from sesame, castor seed, linseeds and mustard seeds on the ''gulma'' and do its sudation through bearable hot iron pot [141]
 
After the above operation apply the paste made from sesame, castor seed, linseeds and mustard seeds on the ''gulma'' and do its sudation through bearable hot iron pot [141]
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==== ''Dashamuli ghrita'' ====
 
==== ''Dashamuli ghrita'' ====
  

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