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Astanga Hrudaya

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असम्यग्वमनोदीर्णपित्तश्लेष्मान्ननिग्रहैः । मण्डलान्यतिकण्डूनि रागवन्ति बहूनि च ॥ ३२ ॥

Pitta and Kapha, aggravated by inadequate bouts of emesis therapy and suppression of (avoidance) of food, produce multiple patches (rashes) of red color, greatly itching on the skin. This is known as Utkotha.

english translation

Chapter 31

Verse 33