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Astanga Hrudaya

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हृष्टः शान्तश्च दुःसाध्यो रतिकामेन पीडितः । दीनः परिमृशन् वक्त्रं शुष्कौष्ठगलतालुकः ॥ ३८ ॥

cheerful yet calm, the patient afflicted with a desire for pleasure (Ratikama) is difficult to cure. The one who looks miserable, frequently rubs or touches his face, and has dry lips, throat, and palate;

english translation