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Astanga Hrudaya

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पक्वाशयाद्वा नाभेर्वा पूर्ववद्या प्रवर्तते। तद्रूपा सा मुहुः कुर्याज्जृम्भामङ्गप्रसारणम्॥२८॥

Gambhira Hikka: That which starts either from Pakvasaya (large intestine) or Nabhi (umbilicus), similar to the previous type (Maha Hikka) in its features producing more yawnings and

english translation