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Astanga Hrudaya

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निवर्तमानोऽपानो हि तैरधोमार्गरोधतः । क्षोभयन्ननिलानन्यान् सर्वेन्द्रियशरीरगान् ॥ २१ ॥

Samprapti (pathogenesis): Apana Vayu, moving in the upward direction, due to obstruction of the lower passage (rectum), aggravates all the other divisions of Vata, present in the entire body,

english translation