Astanga Hrudaya

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शुद्धवातहतः पक्षः कृच्छ्रसाध्यतमो मतः । कृच्छ्रस्त्वन्येन संसृष्टो विवर्ज्यः क्षयहेतुकः ॥ ४१ ॥

Paksavadha caused by vata alone- without the association of pitta or kapha, is most difficult to cure, difficult when associated with others-doshas. The disease caused due to depletion of tissues is reject worthy, incurable.

english translation

zuddhavAtahataH pakSaH kRcchrasAdhyatamo mataH । kRcchrastvanyena saMsRSTo vivarjyaH kSayahetukaH ॥ 41 ॥

hk transliteration by Sanscript