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Astanga Hrudaya

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प्रवर्तते सवक्त्रेण भिन्नकांस्योपमध्वनिः। हेतुभेदात्प्रतीघात भेदोवायोः सरंहसः॥२१॥

producing noise resembling the sound of a broken bell-metal. From the difference in the causes (causative Dosha) there is difference in the nature of obstruction of the forceful Vata.

english translation