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If a patient of ''pandu roga'' excessively follows pitta vitiating diet and regimen, the ''pitta'' so aggravated by involving the ''rakta'' and the ''mamsa'' causes ''kamala''. Its clinical features are the eyes, skin, nails and face of the patient become exceedingly yellow; stool and urine become reddish-yellow in color; complexion develops a color similar to that of a frog (found in rainy season); the senses get impaired; has burning sensation, indigestion, weakness, prostration and anorexia. This ''kamala'' is caused by excess of ''pitta'' is known as ''koshthashakhashrita'' [34-36]
 
If a patient of ''pandu roga'' excessively follows pitta vitiating diet and regimen, the ''pitta'' so aggravated by involving the ''rakta'' and the ''mamsa'' causes ''kamala''. Its clinical features are the eyes, skin, nails and face of the patient become exceedingly yellow; stool and urine become reddish-yellow in color; complexion develops a color similar to that of a frog (found in rainy season); the senses get impaired; has burning sensation, indigestion, weakness, prostration and anorexia. This ''kamala'' is caused by excess of ''pitta'' is known as ''koshthashakhashrita'' [34-36]
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==== Kumbha kāmalā ====
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==== ''Kumbha kamala'' ====
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कालान्तरात् खरीभूता कृच्छ्रा स्यात् कुम्भकामला| 36½  
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कालान्तरात् खरीभूता कृच्छ्रा स्यात् कुम्भकामला| 36½ |
kālāntarāt kharībhūtā kr̥cchrā syāt kumbhakāmalā| 36½
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kAlAntarAt kharIbhUtA kRucchrA syAt kumbhakAmalA|  
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kālāntarāt kharībhūtā kr̥cchrā syāt kumbhakāmalā| 36½|
With the due course of time the disease (kāmalā) becomes deep seated (kharibhūta) resulting in excessive dryness of the body or afflicted tissue and thus becomes difficult to cure. This condition is called kumbha kāmalā (36½).
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kAlAntarAt kharIbhUtA kRucchrA syAt kumbhakAmalA| 36½|
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With the due course of time the disease (''kamala'') becomes deep seated (''kharibhuta'') resulting in excessive dryness of the body or afflicted tissue and thus becomes difficult to cure. This condition is called ''kumbha kamala'' [36½]
    
==== Bad prognostic symptoms of kāmalā ====
 
==== Bad prognostic symptoms of kāmalā ====