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Charak Samhita

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शुष्कस्फिगुदरग्रीवो धमनीजालसन्ततः। त्वगस्थिशेषोऽतिकृशः स्थूलपर्वा नरो मतः ॥१५॥

The excessively lean person has dried up buttocks, abdomen and neck, the prominent vascular network is mostly “skin and bones” with thickened nodes.

english translation