प्लीहाभिवृद्ध्या जठरं जठराच्छोथ एव च । अर्शोभ्यो जठरं दुःखं गुल्मश्चाप्युपजायते ॥१८॥
Pleeha (enlargement of spleen) causes jathara (abdominal diseases including ascitis), which leads to shotha (generalized edema). Arsha (hemorrhoids) causes jathara (abdominal diseases including ascitis) that leads to gulma (abdominal lumps).
english translation
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