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Charak Samhita

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क्रियाविशेष एषोऽस्य मतो हेतुविशेषतः। तिलपिष्टनिभं यस्तु वर्चः सृजति कामली॥१२४॥

However, due to the specific type of etiological factor involved (clay eating), this type of pandu needs special type of treatment [Shakhashrita kamala (kamala in body tissue with obstructive pathology)] A patient of kamala if passes stools of the color of sesame paste (tila pishta nibhama), then it denotes obstruction in the passage of pitta by the kapha.

english translation