यदाऽनिलं प्रकृतिगं पित्तं कफपरिक्षये। संरुणद्धि तदा दाहः शूलं चास्योपजायते ॥४८॥
[3. Normal vata, decreased kapha, and increased pitta sannipata] In a condition of grossly decreased kapha, when increased pitta obstructs the pathway of normal vata, causing burning sensation and coliky pain (shula)
english translation
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