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तानेव जनयेद्रोगानयोगः सर्व एव सः| विज्ञाय मतिमांस्तत्र यथोक्तां कारयेत् क्रियाम्||४१||

Because of the above mentioned causes, the earlier mentioned conditions like vibhramsha will happen. These come under ayoga. The intelligent physician must understand the same and treat accordingly.

english translation

tAneva janayedrogAnayogaH sarva eva saH| vijJAya matimAMstatra yathoktAM kArayet kriyAm||41||

hk transliteration by Sanscript