Astanga Hrudaya

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सन्धिच्युतिः पक्षवधो मेदोमज्जास्थिगा गदाः । एते स्थानस्य गाम्भीर्यात् सिध्येयुर्यत्नतो नवाः ॥ ५२ ॥

joint dislocation (sandhi-chyuti), hemiplegia (pakshavadha), and diseases localized in the fat (medas), bone marrow (majja), and bones (asthi)—these conditions, because of the deep-seated nature of their anatomical location (sthana-gambhirya), can be cured only with intense effort, and that too, only when they are freshly manifested (nava).

english translation

sandhicyutiH pakSavadho medomajjAsthigA gadAH । ete sthAnasya gAmbhIryAt sidhyeyuryatnato navAH ॥ 52 ॥

hk transliteration by Sanscript