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Astanga Hrudaya

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सोऽवमन्थः कफासृग्भ्यां वेदनारोमहर्षवान् । कुम्भीका रक्तपित्तोत्था जाम्बवास्थिनिभाशुजा ॥१३॥

accompanied with pain and horripilation is Avamantha. Kumbhika is born from Rakta and Pitta, resembles the Kernel of Syzygium cumini fruit and develops rapidly.

english translation

Chapter 33

Verse 14