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*''Mahahikka'': ''Vata'' along with ''kapha'' affects the throat of an individual whose ''mamsa'' (muscles), strength, ''prana'' and ''agni'' are depleted. It further produces remarkably loud and resonant hiccups occurring in bouts of two or three constantly. The blockage of ''pranavaha srotas'' (channels carrying ''prana'').
 
*''Mahahikka'': ''Vata'' along with ''kapha'' affects the throat of an individual whose ''mamsa'' (muscles), strength, ''prana'' and ''agni'' are depleted. It further produces remarkably loud and resonant hiccups occurring in bouts of two or three constantly. The blockage of ''pranavaha srotas'' (channels carrying ''prana'').
*''Vayu'' along with aggravated ''kapha'' obstructs the ''pranavaha srotas'' and ''marma jatharagni'' resulting in loss of consciousness, stiffness in the body and also obstructs the channels of food and drinks. There is impairment of memory, tears in the eyes and stiffness in the temples and displacement of eyebrows. He suffers from delirium along with obstruction of speech, which does not get relief by any means. ''Maha hikka'' is mahamula (deep rooted), mahavega (massive attack), mahashabda (very loud sound), maha bala (very strong). This can lead to death immediately, hence named as mahahikka. (21-26)
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*''Vayu'' along with aggravated ''kapha'' obstructs the ''pranavaha srotas'' and ''marma jatharagni'' resulting in loss of consciousness, stiffness in the body and also obstructs the channels of food and drinks. There is impairment of memory, tears in the eyes and stiffness in the temples and displacement of eyebrows. He suffers from delirium along with obstruction of speech, which does not get relief by any means. ''Maha hikka'' is ''mahamula'' (deep rooted), ''mahavega'' (massive attack), ''mahashabda'' (very loud sound), ''maha bala'' (very strong). This can lead to death immediately, hence named as ''mahahikka''. [21-26]
    
==== Gambhira hikka ====
 
==== Gambhira hikka ====

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