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Astanga Hrudaya

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कृशो भृशं हतोत्साहो दीनः क्षामोऽतिनिष्प्रभः । असारो विगतच्छायो जन्तुजुष्ट इव द्रुमः ॥ २३ ॥

Rupa (clinical features): Profound emaciation, loss of enthusiasm, feeling of helplessness, feeble voice, profound loss of complexion, absence of excellence (health) of the tissue, loss of ability of giving shelter like a worm-eaten tree (unable to help or support others),

english translation