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Astanga Hrudaya

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मेदसः श्लेष्मवद्धानिवृद्ध्योः सोऽनुविधीयते । देहं वृद्धश्च कुरुते गले शब्दं स्वरेऽल्पताम् ॥ ५६ ॥

If medas (fat) is predominant, the tumor has features similar to that of Kapha origin, so imitates the body in its regression and development; when it grows fully gives rise to abnormal sound in the throat and less sound of the voice.

english translation