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Astanga Hrudaya

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कम्पते गमनारम्भे खञ्जन्निव च याति यः । कलायखञ्जं तं विद्यान्मुक्तसन्धिप्रबन्धनम् ॥ ४६ ॥

The legs tremble at the commencement of walking, the patient walks by limping and the binding of the joints are loosened this condition is to be known as Kalayakhanja.

english translation