Astanga Hrudaya

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धूमायतीव चात्यर्थं मेदसा श्लेष्मलक्षणः । कृच्छ्रलक्ष्याक्षरश्चात्र सर्वैरन्त्यं च वर्जयेत् ॥ २७ ॥

That caused by meda (fat) as symptoms of Kaphaja, the patient producing only some known words with difficulty – is due to Medas (increase of fat). Among these, that caused by all the Doshas and the last one (Medaja) should be refused treatment (as these are incurable). Thus ends the diagnosis of Svarabheda (hoarseness).

english translation

dhUmAyatIva cAtyarthaM medasA zleSmalakSaNaH । kRcchralakSyAkSarazcAtra sarvairantyaM ca varjayet ॥ 27 ॥

hk transliteration by Sanscript