साहसं वेगसंरोधः शुक्रौजःस्नेहसङ्क्षयः । अन्नपानविधित्यागश्चत्वारस्तस्य हेतवः ॥ ४ ॥
Exertion, suppression of the urges (of urine, feces, flatus etc.) loss of Shukra, (semen), ojas, (essence of the tissues) and Sneha (unctuousness, lubricating material of the tissues) and avoidance of proper regimen of food and drink – these four are its causes. Samprapti (pathogenesis)
साहसं वेगसंरोधः शुक्रौजःस्नेहसङ्क्षयः । अन्नपानविधित्यागश्चत्वारस्तस्य हेतवः ॥ ४ ॥
Exertion, suppression of the urges (of urine, feces, flatus etc.) loss of Shukra, (semen), ojas, (essence of the tissues) and Sneha (unctuousness, lubricating material of the tissues) and avoidance of proper regimen of food and drink – these four are its causes. Samprapti (pathogenesis)