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dInaH prashvasitaM cAsya dUrAdvij~jAyate bhRusham |  
 
dInaH prashvasitaM cAsya dUrAdvij~jAyate bhRusham |  
 
mahAshvAsopasRuShTaH sa kShiprameva vipadyate ||48||  
 
mahAshvAsopasRuShTaH sa kShiprameva vipadyate ||48||  
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iti mahAshvAsaH |
 
iti mahAshvAsaH |
The patient breathes with a loud noise during the night due to the upward movement of aggravated vayu like intoxicated bull. The vayu gets obstructed and the person becomes unconscious. The eyes get distorted and he cannot visualise properly. The eyes and face become abnormal and the elimination of urine and faeces is obstructed and the voice becomes feeble and the person looks tired and respiration could be heard from distance, such person suffering from mahashwasa succumbs to death very fast. (46-48)
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Urdhva shwasa:
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The patient breathes with a loud noise during the night due to the upward movement of aggravated ''vayu'' like intoxicated bull. The ''vayu'' gets obstructed and the person becomes unconscious. The eyes get distorted and he cannot visualize properly. The eyes and face become abnormal and the elimination of urine and feces is obstructed and the voice becomes feeble and the person looks tired and respiration could be heard from distance, such person suffering from ''mahashwasa'' succumbs to death very fast. [46-48]
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==== ''Urdhva Shwasa'' ====
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दीर्घं श्वसिति यस्तूर्ध्वं न च प्रत्याहरत्यधः |  
 
दीर्घं श्वसिति यस्तूर्ध्वं न च प्रत्याहरत्यधः |  
 
श्लेष्मावृतमुखस्रोताः क्रुद्धगन्धवहार्दितः ||४९||  
 
श्लेष्मावृतमुखस्रोताः क्रुद्धगन्धवहार्दितः ||४९||  
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ऊर्ध्वदृष्टिर्विपश्यंश्च विभ्रान्ताक्ष इतस्ततः |  
 
ऊर्ध्वदृष्टिर्विपश्यंश्च विभ्रान्ताक्ष इतस्ततः |  
 
प्रमुह्यन् वेदनार्तश्च शुष्कास्योऽरतिपीडितः ||५०||  
 
प्रमुह्यन् वेदनार्तश्च शुष्कास्योऽरतिपीडितः ||५०||  
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ऊर्ध्वश्वासे प्रकुपिते  ह्यधःश्वासो निरुध्यते |  
 
ऊर्ध्वश्वासे प्रकुपिते  ह्यधःश्वासो निरुध्यते |  
 
मुह्यतस्ताम्यतश्चोर्ध्वं श्वासस्तस्यैव हन्त्यसून् ||५१||  
 
मुह्यतस्ताम्यतश्चोर्ध्वं श्वासस्तस्यैव हन्त्यसून् ||५१||  

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