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तीव्रार्तिमूत्रेणसहाश्मरीत्वमायातितस्मिन्नतिसञ्चितेच| आध्माततांविन्दतिगौरवंचबस्तेर्लघुत्वंचविनिःसृतेऽस्मिन्||४४||

it causes obstruction and severe pain in the bladder. Vitiated blood when associate with urine forms the calculus, which causes the distention of abdomen and heaviness in the region of urinary bladder however the patient feels lightness when the calculus passes out. Thus, ends the diagnosis of dysuria (mootra krucchrara).

english translation

tIvrArtimUtreNasahAzmarItvamAyAtitasminnatisaJciteca| AdhmAtatAMvindatigauravaMcabasterlaghutvaMcaviniHsRte'smin||44||

hk transliteration by Sanscript