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Astanga Hrudaya

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मारुतः प्रचुरो मूढः प्रायो नाभेरधश्चरन् । सरुक् सपरिकर्तश्च कृच्छ्रान्निर्गच्छति स्वनम् ॥ १७ ॥

Maruta (Vayu, here refers to flatus) accumulates in large quantity moving downwards below the umbilicus, accompanied with pain (in the lower abdomen) and cutting pain in the anus, comes out with difficulty and great noise,

english translation