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Astanga Hrudaya

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वर्त्मनोऽन्तः खरा रूक्षाः पिटिकाः सिकतोपमाः । सिकतावर्त्म कृष्णं तु कर्दमं कर्दमोपमम् ॥ १८ ॥

Pitaka (eruptions) which are hard / rough, dry, resembling sand appearing inside the lids, is Sikatavartma. The lid is black inside and has the features of slush, known as Kardamavartma.

english translation

Chapter 8

Verse 19