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Astanga Hrudaya

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कुरुते विवृतां स्रस्तां वातिकीमिव दुःखिताम् । उत्सन्नमांसां तामाहुर्महायोनिं महारुजाम् ॥४१॥

the mouth and cavity of the uterus, causes them to dilate, droop down and pain like that of Vatiki (described earlier) muscles protrude out and cause severe pain. This is known as Mahayoni.

english translation