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लक्षणानां तु मिश्रत्वं पित्तस्य च कफस्य च ||२३१||  

लक्षणानां तु मिश्रत्वं पित्तस्य च कफस्य च ||२३१||  

उपलक्ष्य भिषग्विद्वान् मिश्रमावरणं वदेत् |  

उपलक्ष्य भिषग्विद्वान् मिश्रमावरणं वदेत् |  

यद्यस्य वायोर्निर्दिष्टं स्थानं तत्रेतरौ स्थितौ ||२३२||  

यद्यस्य वायोर्निर्दिष्टं स्थानं तत्रेतरौ स्थितौ ||२३२||  

दोषौ बहुविधान् व्याधीन् दर्शयेतां यथानिजान् |  

दोषौ बहुविधान् व्याधीन् दर्शयेतां यथानिजान् |  

आवृतं श्लेष्मपित्ताभ्यां प्राणं चोदानमेव च ||२३३||  

आवृतं श्लेष्मपित्ताभ्यां प्राणं चोदानमेव च ||२३३||  

गरीयस्त्वेन पश्यन्ति भिषजः शास्त्रचक्षुषः |  

गरीयस्त्वेन पश्यन्ति भिषजः शास्त्रचक्षुषः |  

विशेषाज्जीवितं प्राणे उदाने संश्रितं बलम् ||२३४||  

विशेषाज्जीवितं प्राणे उदाने संश्रितं बलम् ||२३४||  

स्यात्तयोः पीडनाद्धानिरायुषश्च बलस्य च |  

स्यात्तयोः पीडनाद्धानिरायुषश्च बलस्य च |  

सर्वेऽप्येतेऽपरिज्ञाताः परिसंवत्सरास्तथा ||२३५||  

सर्वेऽप्येतेऽपरिज्ञाताः परिसंवत्सरास्तथा ||२३५||  

उपेक्षणादसाध्याः स्युरथवा दुरुपक्रमाः [१] |२३६|

उपेक्षणादसाध्याः स्युरथवा दुरुपक्रमाः [१] |२३६|

lakShaNAnAM tu mishratvaM pittasya ca kaphasya ca ||231||  

lakShaNAnAM tu mishratvaM pittasya ca kaphasya ca ||231||  

upalakShya bhiShagvidvAn mishramĀvaranaM vadet |  

upalakShya bhiShagvidvAn mishramĀvaranaM vadet |  

yadyasya vAyornirdiShTaM sthānaM tatretarau sthitau ||232||  

yadyasya vAyornirdiShTaM sthānaM tatretarau sthitau ||232||  

dōṣau bahuvidhAn vyAdhIn darshayetAM yathAnijAn |  

dōṣau bahuvidhAn vyAdhIn darshayetAM yathAnijAn |  

AvRutaM shleShmapittAbhyAM prānaM codAnameva ca ||233||  

AvRutaM shleShmapittAbhyAM prānaM codAnameva ca ||233||  

garIyastvena pashyanti bhiShajaH shAstracakShuShaH |  

garIyastvena pashyanti bhiShajaH shAstracakShuShaH |  

visheShAjjIvitaM prānae udānae saMshritaM balam ||234||  

visheShAjjIvitaM prānae udānae saMshritaM balam ||234||  

syAttayoH pIDanAddhAnirAyuShashca balasya ca |  

syAttayoH pIDanAddhAnirAyuShashca balasya ca |  

sarve~apyete~aparij~jAtAH parisaMvatsarAstathA ||235||  

sarve~apyete~aparij~jAtAH parisaMvatsarAstathA ||235||  

upekShaNAdasAdhyAH syurathavA durupakramAH [1] |236|  

upekShaNAdasAdhyAH syurathavA durupakramAH [1] |236|  

lakṣaṇānāṁ tu miśratvaṁ pittasya ca kaphasya ca||231||  

lakṣaṇānāṁ tu miśratvaṁ pittasya ca kaphasya ca||231||  

upalakṣya bhiṣagvidvān miśramāvaraṇaṁ vadēt|  

upalakṣya bhiṣagvidvān miśramāvaraṇaṁ vadēt|  

yadyasya vāyōrnirdiṣṭaṁ sthānaṁ tatrētarau sthitau||232||  

yadyasya vāyōrnirdiṣṭaṁ sthānaṁ tatrētarau sthitau||232||  

dōṣau bahuvidhān vyādhīn darśayētāṁ yathānijān|  

dōṣau bahuvidhān vyādhīn darśayētāṁ yathānijān|  

āvr̥taṁ ślēṣmapittābhyāṁ prāṇaṁ cōdānamēva ca||233||  

āvr̥taṁ ślēṣmapittābhyāṁ prāṇaṁ cōdānamēva ca||233||  

garīyastvēna paśyanti bhiṣajaḥ śāstracakṣuṣaḥ|  

garīyastvēna paśyanti bhiṣajaḥ śāstracakṣuṣaḥ|  

viśēṣājjīvitaṁ prāṇē udānē saṁśritaṁ balam||234||  

viśēṣājjīvitaṁ prāṇē udānē saṁśritaṁ balam||234||  

syāttayōḥ pīḍanāddhānirāyuṣaśca balasya ca|  

syāttayōḥ pīḍanāddhānirāyuṣaśca balasya ca|  

sarvē'pyētē'parijñātāḥ parisaṁvatsarāstathā||235||  

sarvē'pyētē'parijñātāḥ parisaṁvatsarāstathā||235||  

upēkṣaṇādasādhyāḥ syurathavā durupakramāḥ [13] |236|  

upēkṣaṇādasādhyāḥ syurathavā durupakramāḥ [13] |236|  

lakṣaṇānāṁ tu miśratvaṁ pittasya ca kaphasya ca||231||  

lakṣaṇānāṁ tu miśratvaṁ pittasya ca kaphasya ca||231||  

upalakṣya bhiṣagvidvān miśramāvaraṇaṁ vadēt|  

upalakṣya bhiṣagvidvān miśramāvaraṇaṁ vadēt|  

yadyasya vāyōrnirdiṣṭaṁ sthānaṁ tatrētarau sthitau||232||  

yadyasya vāyōrnirdiṣṭaṁ sthānaṁ tatrētarau sthitau||232||  

dōṣau bahuvidhān vyādhīn darśayētāṁ yathānijān|  

dōṣau bahuvidhān vyādhīn darśayētāṁ yathānijān|  

āvr̥taṁ ślēṣmapittābhyāṁ prāṇaṁ cōdānamēva ca||233||  

āvr̥taṁ ślēṣmapittābhyāṁ prāṇaṁ cōdānamēva ca||233||  

garīyastvēna paśyanti bhiṣajaḥ śāstracakṣuṣaḥ|  

garīyastvēna paśyanti bhiṣajaḥ śāstracakṣuṣaḥ|  

viśēṣājjīvitaṁ prāṇē udānē saṁśritaṁ balam||234||  

viśēṣājjīvitaṁ prāṇē udānē saṁśritaṁ balam||234||  

syāttayōḥ pīḍanāddhānirāyuṣaśca balasya ca|  

syāttayōḥ pīḍanāddhānirāyuṣaśca balasya ca|  

sarvē'pyētē'parijñātāḥ parisaṁvatsarāstathā||235||  

sarvē'pyētē'parijñātāḥ parisaṁvatsarāstathā||235||  

upēkṣaṇādasādhyāḥ syurathavā durupakramāḥ [1] |236|  

upēkṣaṇādasādhyāḥ syurathavā durupakramāḥ [1] |236|  

On observing the mixed symptoms of pitta and kapha, the learned physician should diagnose it as a condition of combined occlusion. (231-231½)

On observing the mixed symptoms of pitta and kapha, the learned physician should diagnose it as a condition of combined occlusion. (231-231½)

If the two other doshas get located in the places described as the habitat of vāta, they manifest various symptoms of disorders characteristic to each of them. (232-232½)

If the two other doshas get located in the places described as the habitat of vāta, they manifest various symptoms of disorders characteristic to each of them. (232-232½)

Medical authorities regard, as most serious, the condition of occlusion of prāna or udāna by kapha and pitta combined,  because life is particularly dependent on prāna, and strength on udāna; and occlusion of them, will result in loss of life and vitality. (233-234½)

Medical authorities regard, as most serious, the condition of occlusion of prāna or udāna by kapha and pitta combined,  because life is particularly dependent on prāna, and strength on udāna; and occlusion of them, will result in loss of life and vitality. (233-234½)

If all these conditions are either undiagnosed or neglected for longer than a year, they become either incurable or extreme difficult to cure. (235-235½)

If all these conditions are either undiagnosed or neglected for longer than a year, they become either incurable or extreme difficult to cure. (235-235½)