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j~jAnapUrvakaM hi karmaNAM samArambhaM prashaMsanti kushalAH|  
 
j~jAnapUrvakaM hi karmaNAM samArambhaM prashaMsanti kushalAH|  
 
j~jAtvA hi kAraNa-karaNa-kAryayoni-kArya-kAryaphalAnubandha-desha-kAla-pravRuttyupAyAnsamyagabhinirvartamAnaH kAryAbhinirvRuttAviShTaphalAnubandhaM kAryamabhinirvartayatyanatimahatAyatnena kartA||68||  
 
j~jAtvA hi kAraNa-karaNa-kAryayoni-kArya-kAryaphalAnubandha-desha-kAla-pravRuttyupAyAnsamyagabhinirvartamAnaH kAryAbhinirvRuttAviShTaphalAnubandhaM kAryamabhinirvartayatyanatimahatAyatnena kartA||68||  
 
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Now I shall explain some topics for the knowledge of physicians because the wise commend initiation of all actions with prior knowledge. If after knowing well ''karana, karana, karyayoni, karya, karyaphala, anubandha, desha, kala, pravritti'' and ''upaya'' one proceeds for some action, he obtains the desired fruit and subsequent benefit in that without any great effort.[68]
 
Now I shall explain some topics for the knowledge of physicians because the wise commend initiation of all actions with prior knowledge. If after knowing well ''karana, karana, karyayoni, karya, karyaphala, anubandha, desha, kala, pravritti'' and ''upaya'' one proceeds for some action, he obtains the desired fruit and subsequent benefit in that without any great effort.[68]
 
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===== ''Karana'' (cause or doer) =====
 
===== ''Karana'' (cause or doer) =====
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upAyaH punastrayANAM kAraNAdInAM sauShThavamabhividhAnaM [1] ca samyakkAryakAryaphalAnubandhavarjyAnAM, kAryANAmabhinirvartaka ityatastUpAyaH [2] ; kRutenopAyArtho~asti, na ca vidyate tadAtve, kRutAccottarakAlaM phalaM, phalAccAnubandha iti||78||  
 
upAyaH punastrayANAM kAraNAdInAM sauShThavamabhividhAnaM [1] ca samyakkAryakAryaphalAnubandhavarjyAnAM, kAryANAmabhinirvartaka ityatastUpAyaH [2] ; kRutenopAyArtho~asti, na ca vidyate tadAtve, kRutAccottarakAlaM phalaM, phalAccAnubandha iti||78||  
 
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''Upaya'' is excellence of the first three factors, ''karana'' etc., and their proper management leaving aside the ''karya, karyaphala'' and ''anubandha''. Procedure leads to performance of an action and thus it is said as ''upaya''. After the action is performed there is no function of procedure nor is it at the time of performance, after action is the result and thereafter consequence.[78]
 
''Upaya'' is excellence of the first three factors, ''karana'' etc., and their proper management leaving aside the ''karya, karyaphala'' and ''anubandha''. Procedure leads to performance of an action and thus it is said as ''upaya''. After the action is performed there is no function of procedure nor is it at the time of performance, after action is the result and thereafter consequence.[78]
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==== Importance of ten fold examinations ====
 
==== Importance of ten fold examinations ====