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Charak Samhita

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स मारुतस्य पित्तस्य कफस्य च मुहुर्मुहुः। दर्शयत्याकृतिं गत्वा क्षयमाप्यायते पुनः ॥८१॥

[Symptoms of avrita madhumeha] In this condition of madhumeha, the symptoms of vata, pitta and kapha are frequently manifested. The symptoms subside for some time, but again reappear later

english translation