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श्लेष्मणा संवृतेऽपाने कफमेहस्य चागमः । लक्षणानां तु मिश्रत्वं पित्तस्य च कफस्य च ॥२३१॥
heavy and mixed with undigested matter and mucus and kapha dominated prameha. [Guidelines for diagnosis of conditions] On observing the mixed symptoms of pitta and kapha,
english translation
उपलक्ष्य भिषग्विद्वान् मिश्रमावरणं वदेत् । यद्यस्य वायोर्निर्दिष्टं स्थानं तत्रेतरौ स्थितौ ॥२३२॥
the learned physician should diagnose it as a condition of combined occlusion. If the two other dosha get located in the places described as the habitat of vata,
english translation
दोषौ बहुविधान् व्याधीन् दर्शयेतां यथानिजान् । आवृतं श्लेष्मपित्ताभ्यां प्राणं चोदानमेव च ॥२३३॥
they manifest various symptoms of disorders characteristic to each of them. Medical authorities regard, as most serious,
english translation
गरीयस्त्वेन पश्यन्ति भिषजः शास्त्रचक्षुषः । विशेषाज्जीवितं प्राणे उदाने संश्रितं बलम् ॥२३४॥
the condition of occlusion of prana or udana by kapha and pitta combined, because life is particularly dependent on prana, and strength on udana;
english translation
स्यात्तयोः पीडनाद्धानिरायुषश्च बलस्य च । सर्वेऽप्येतेऽपरिज्ञाताः परिसंवत्सरास्तथा ॥२३५॥
and occlusion of them, will result in loss of life and vitality. If all these conditions are either undiagnosed or neglected for longer than a year,
english translation