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gAtradeshe bhavatyasya shramo daurbalyameva ca||46||  
 
gAtradeshe bhavatyasya shramo daurbalyameva ca||46||  
   −
In a condition where kapha is decreased, vata that takes out normal pitta from its site and spreads it within the body. Wherever this pitta is placed, there is intermittent breaking pain and burning sensation as well as fatigue and weakness (46).
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In a condition where ''kapha'' is decreased, ''vata'' that takes out normal ''pitta'' from its site and spreads it within the body. Wherever this ''pitta'' is placed, there is intermittent breaking pain and burning sensation as well as fatigue and weakness [46]
2. Normal kapha, increased vata and decreased pitta sannipata:
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 +
===== 2.Normal ''kapha'', increased ''vata'' and decreased ''pitta sannipata'' =====
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प्रकृतिस्थं  कफं वायुः क्षीणे पित्ते यदा बली|  
 
प्रकृतिस्थं  कफं वायुः क्षीणे पित्ते यदा बली|  
कर्षेत् कुर्यात्तदा शूलं सशैत्यस्तम्भगौरवम्||४७||                                                                               prakr̥tisthaṁ  kaphaṁ vāyuḥ kṣīṇē pittē yadā balī|  
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कर्षेत् कुर्यात्तदा शूलं सशैत्यस्तम्भगौरवम्||४७||
 +
                                                                           
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prakr̥tisthaṁ  kaphaṁ vāyuḥ kṣīṇē pittē yadā balī|  
 
karṣēt kuryāttadā śūlaṁ saśaityastambhagauravam||47||
 
karṣēt kuryāttadā śūlaṁ saśaityastambhagauravam||47||
 +
 
prakRutisthaM [1] kaphaM vAyuH kShINe pitte yadA balI|  
 
prakRutisthaM [1] kaphaM vAyuH kShINe pitte yadA balI|  
 
karShet kuryAttadA shUlaM sashaityastambhagauravam||47||  
 
karShet kuryAttadA shUlaM sashaityastambhagauravam||47||  
   −
In a condition of decreased pitta, the increased vata that takes out normal kapha from its site and spreads it within the body. Wherever this kapha is placed, there is coliky pain, coldness, stiffness and heaviness (47).
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In a condition of decreased ''pitta'', the increased ''vata'' that takes out normal ''kapha'' from its site and spreads it within the body. Wherever this ''kapha'' is placed, there is coliky pain, coldness, stiffness and heaviness [47]
3. Normal vata decreased kapha and increased pitta sannipata:
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यदाऽनिलं  प्रकृतिगं पित्तं कफपरिक्षये|                                                                                            संरुणद्धि तदा दाहः शूलं चास्योपजायते||४८||  
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===== 3. Normal ''vata'', decreased ''kapha'', and increased ''pitta sannipata'' =====
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 +
यदाऽनिलं  प्रकृतिगं पित्तं कफपरिक्षये|                                                                                             
 +
संरुणद्धि तदा दाहः शूलं चास्योपजायते||४८||  
 +
 
 
yadā'nilaṁ  prakr̥tigaṁ pittaṁ kaphaparikṣayē|  
 
yadā'nilaṁ  prakr̥tigaṁ pittaṁ kaphaparikṣayē|  
 
saṁruṇaddhi tadā dāhaḥ śūlaṁ cāsyōpajāyatē||48||  
 
saṁruṇaddhi tadā dāhaḥ śūlaṁ cāsyōpajāyatē||48||  
 +
 
yadA~anilaM [2] prakRutigaM pittaM kaphaparikShaye|  
 
yadA~anilaM [2] prakRutigaM pittaM kaphaparikShaye|  
 
saMruNaddhi tadA dAhaH shUlaM cAsyopajAyate||48||  
 
saMruNaddhi tadA dAhaH shUlaM cAsyopajAyate||48||  
    +
In a condition of grossly decreased ''kapha'', when increased ''pitta'' obstructs the pathway of normal ''vata'', causing burning sensation and coliky pain (''shula'') [48]
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===== 4. Normal ''kapha'', decreased ''vata'', and increased ''pitta sannipata'' =====
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In a condition of grossly decreased kapha, when increased pitta obstructs the pathway of normal vata, causing  burning sensation and coliky pain (shula) (48).
  −
4. Normal kapha, decreased vata and increased pitta sannipata:
   
श्लेष्माणं  हि समं पित्तं यदा वातपरिक्षये|  
 
श्लेष्माणं  हि समं पित्तं यदा वातपरिक्षये|  
 
सन्निरुन्ध्यात्तदा कुर्यात् सतन्द्रागौरवं ज्वरम्||४९||  
 
सन्निरुन्ध्यात्तदा कुर्यात् सतन्द्रागौरवं ज्वरम्||४९||  
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ślēṣmāṇaṁ  hi samaṁ pittaṁ yadā vātaparikṣayē|  
 
ślēṣmāṇaṁ  hi samaṁ pittaṁ yadā vātaparikṣayē|  
 
sannirundhyāttadā kuryāt satandrāgauravaṁ jvaram||49||  
 
sannirundhyāttadā kuryāt satandrāgauravaṁ jvaram||49||  
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shleShmANaM [3] hi samaM pittaM yadA vAtaparikShaye|  
 
shleShmANaM [3] hi samaM pittaM yadA vAtaparikShaye|  
 
sannirundhyAttadA kuryAt satandrAgauravaM jvaram||49||  
 
sannirundhyAttadA kuryAt satandrAgauravaM jvaram||49||  
   −
In case of  a grossly decreased vata, increased pitta obstructs the normal kapha, causing fever accompanied with a feeling of heaviness and drowsiness (49).
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In case of  a grossly decreased ''vata'', increased ''pitta'' obstructs the normal ''kapha'', causing fever accompanied with a feeling of heaviness and drowsiness [49]
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5. Normal vata, decreased pitta and increased kapha sannipata:  
 
5. Normal vata, decreased pitta and increased kapha sannipata:  
 
प्रवृद्धो हि यदा श्लेष्मा पित्ते क्षीणे समीरणम्|  
 
प्रवृद्धो हि यदा श्लेष्मा पित्ते क्षीणे समीरणम्|