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Charak Samhita

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ओजोभ्रंशश्च सादश्चाप्युदाने पित्तसंवृते । आवृते श्लेष्मणोदाने वैवर्ण्यं वाक्स्वरग्रहः ॥२२४॥

burning in the umbilical region and chest, exhaustion, loss of vital essence and asthenia. In occlusion of udana by kapha, there occur discolorations,

english translation