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श्लेष्मरुद्धबिलो बस्तिः पित्तोदीर्णो न सिध्यति| अविभ्रान्तबिलः साध्यो न तु यः कुण्डलीकृतः||४८||

When kapha obstructs the bladder neck or when pitta is severely aggravated it is incurable. If bladder neck is unobstructed, it is curable but not when there is circumgyration.

english translation

zleSmaruddhabilo bastiH pittodIrNo na sidhyati| avibhrAntabilaH sAdhyo na tu yaH kuNDalIkRtaH||48||

hk transliteration by Sanscript