Astanga Hrudaya

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दोषे विबद्धे नष्टेऽग्नौ सर्वसम्पूर्णलक्षणः । असाध्यः सोऽन्यथा कृच्छ्रो भवेद्वैकल्यदोऽपि वा ॥ ३४ ॥

Sannipata Jvara in which the doshas are obstructed (prevented from ripening / undergoing processing by heat), the fire (digestive agency in the gastro-intestinal tract) is lost completely and in which all the signs and symptoms are manifest, is incurable,or if otherwise (the symptoms being less and mild, ripening of the doshas taking place and digestive activity going on, though poorly), it is difficult to cure or it gives rise to deformities.

english translation

doSe vibaddhe naSTe'gnau sarvasampUrNalakSaNaH । asAdhyaH so'nyathA kRcchro bhavedvaikalyado'pi vA ॥ 34 ॥

hk transliteration by Sanscript