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तस्मिन् काले पचत्यग्निर्यदन्नं कोष्ठसंश्रितम्| मलीभवति तत् प्रायः कल्पते किञ्चिदोजसे ||४१||

Once, however, there is any obstruction to srotas or if there is diminution of stable tissue elements like rakta or if there is diminution of dhatu-ushmas or dhatvagnis then rajayakshma is manifested.

english translation

tasmin kAle pacatyagniryadannaM koSThasaMzritam| malIbhavati tat prAyaH kalpate kiJcidojase ||41||

hk transliteration by Sanscript