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Astanga Hrudaya

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ततः कष्टतराः स्फोटा विस्फोटाख्या महारुजाः। या पद्मकर्णिकाकारा पिटिका पिटिकाचिता ॥ ९ ॥

tataḥ sphoṭā – Vesicles/Blebs more difficult to bear (than Masurika), having severe pain is known as Visphota. Eruptions with shape resembling the bulbs of the lotus flowers – Nelumbo nucifera, studded with small eruptions all around

english translation