द्वन्द्वजानि द्वितीयायां वलौ यान्याश्रितानि च। कृच्छ्रसाध्यानि तान्याहुः परिसंवत्सराणि च॥३०॥
If the hemorrhoids are caused by vitiation of two doshas, and are located in the second anal- sphincter and if these are more than one year old, then these are difficult of cure.
english translation
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