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Charak Samhita

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स पाण्डुरोग इत्युक्तः तस्य लिङ्गं भविष्यतः। हृदयस्पन्दनं रौक्ष्यं स्वेदाभावः श्रमस्तथा॥१२॥

[Premonitory symptoms] This is called as pandu roga The premonitory symptoms of the disease are palpitations, ununctuousness, absence of sweating and fatigue

english translation