[Etiological factors and pathogenesis of three dosha-dominant heart diseases (tridoshaja hridroga)] In tridoshaja hridroga, the etiological factors and symptoms of all the three dosha dominant types of the heart diseases are present. (tridoshaja hridroga is considered a most troublesome disease by great sages) [Etiological factors and pathogenesis of krimija hridroga] An unfortunate person already suffering from tridoshaja hridroga,
if further indulges in excessive intake of sesame, milk, and molasses, then he develops swelling (granthi) in the channels carrying nutrient fluid (rasavaha srotas) of the heart, leading to softening of the affected area and making it vulnerable to worm infestations.
तुद्यमानं स हृदयं सूचीभिरिव मन्यते| छिद्यमानं यथा शस्त्रैर्जातकण्डूं महारुजम् ||३९||
[Symptoms of krimija hridroga] The patient of krimija hridroga feels severe pain in the precordial region and complains of itching, as if the heart is being pricked and pierced with needles or cut open by weapons.