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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
शीतोष्णद्रवसंशुष्कगुरुस्निग्धैर्निषेवितैः । जीर्णाजीर्णे तथायाससङ्क्षोभस्वप्नजागरैः ॥ ४७ ॥
Over indulgence in foods which are cold, hot, liquid, dry, heavy, unctuous, either cooked or uncooked; exertion, debility, irritation, excessive sleep or avoidance of sleep, etc.,
english translation
सश्लेष्ममेदःपवनमाममत्यर्थसञ्चितम् । अभिभूयेतरं दोषमूरू चेत्प्रतिपद्यते ॥ ४८ ॥
these causative factors bring about aggravation of vata associated with slesma (kapha), medas (fat tissue), and severe accumulation of Ama (undigested food metabolites), gets associated with other dosha (pitta) moves towards the thighs
english translation
सक्थ्यस्थीनि प्रपूर्यान्तः श्लेष्मणा स्तिमितेन तत् । तदा स्कभ्नाति तेनोरू स्तब्धौ शीतावचेतनौ ॥ ४९ ॥
which fill up (accumulated in) the thigh bones which are made wet by the kapha, making the thigh stiff it becomes cold, numb and inactive.
english translation
परकीयाविव गुरू स्यातामतिभृशव्यथौ । ध्यानाङ्गमर्दस्तैमित्यतन्द्राछर्द्यरुचिज्वरैः ॥ ५० ॥
The patient feels as if the thigh belongs to someone else, the thigh becomes heavy, and is associated with severe pain, is greatly worried, has pain in body parts, feels as if his body is covered by a wet cloth, drowsiness, vomiting, tastelessness (anorexia), fever,
english translation