क्षोभादशुद्धकोष्ठत्वात्सौहित्यादतिकर्शनात् । मद्यपानाद्दिवास्वप्नाद्व्यवायाद्रात्रिजागरात् ॥ २१ ॥
due to physical strain/irritation (kṣobhāt), unpurified/impure alimentary tract (aśuddha-koṣṭhatvāt), overeating (sauhityāt), extreme emaciation/debility (ati-karśanāt), drinking alcohol (madyapānāt), sleeping during the day (divāsvapnāt), sexual intercourse (vyavāyāt), or staying awake at night (rātri-jāgarāt);
क्षोभादशुद्धकोष्ठत्वात्सौहित्यादतिकर्शनात् । मद्यपानाद्दिवास्वप्नाद्व्यवायाद्रात्रिजागरात् ॥ २१ ॥
due to physical strain/irritation (kṣobhāt), unpurified/impure alimentary tract (aśuddha-koṣṭhatvāt), overeating (sauhityāt), extreme emaciation/debility (ati-karśanāt), drinking alcohol (madyapānāt), sleeping during the day (divāsvapnāt), sexual intercourse (vyavāyāt), or staying awake at night (rātri-jāgarāt);