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पार्श्वशूलं त्वनियतं सङ्कोचायामलक्षणम्| शिरःशूलं ससन्तापं यक्ष्मिणः स्यात्सगौरवम्||५६||

The rajayakshma patient is afflicted with pain in the sides of the chest (flanks) which is inconsistent and manifests during constriction and expansion of chest during breathing, with headache, burning and heaviness.

english translation

pArzvazUlaM tvaniyataM saGkocAyAmalakSaNam| ziraHzUlaM sasantApaM yakSmiNaH syAtsagauravam||56||

hk transliteration by Sanscript