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Astanga Hrudaya

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क्षिणोति तिर्यङ्निर्गच्छन्नुन्मार्गं क्षततो गतिः । स्यात्ततः पूयदीर्णायां मांसकोथेन तत्र च ॥ १९ ॥

abnormal course, causes tear and this injury gives rise to sinuses in its passage. Later there is discharge of pus and decaying of muscles in the passage of the rectum.

english translation