वामपार्श्वाश्रितः प्लीहा च्युतः स्थानात् प्रवर्धते। शोणितं वा रसादिभ्यो विवृद्धं तं विवर्धयेत् ॥३६॥
[Samprapti of plihodara] Afflicted by the jerky movements of the body etc, the spleen located in the left side(flank or left hypochondriac region) enlarges and descends to cause enlargement of the abdomen; or else, a variety of dietary factors leading to increment and morbidity of rasa, rakta etc. which in turn causes enlargement of the spleen. Enlarged spleen distends the abdomen causing plihodara
english translation
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