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kRucchreNa cAlpaM mahatA ca vegenArto~anilAcchardayatIha duHkham||9||

kRucchreNa cAlpaM mahatA ca vegenArto~anilAcchardayatIha duHkham||9||

In a person extremely emaciated because of disease, excessive intake of medicines having ''tikshna'' (sharply acting) attributes and indulging in grief, fear, fasting, etc. vāta gets excessively aggravated in the ''maha-srotas'' (gastrointestinal tract), vitiates the local ''doshas'' and pushes them upwards. These ''doshas'' cause agitation in the amāsaya (stomach), and after afflicting the ''marma'' (vital organs-heart) gives rise to ''chhardi'' (vomiting). This vātika type of vomiting is characterized by the following signs and symptoms:  

In a person extremely emaciated because of disease, excessive intake of medicines having ''tikshna'' (sharply acting) attributes and indulging in grief, fear, fasting, etc. ''vata'' gets excessively aggravated in the ''maha-srotas'' (gastrointestinal tract), vitiates the local ''doshas'' and pushes them upwards. These ''doshas'' cause agitation in the ''amashaya'' (stomach), and after afflicting the ''marma'' (vital organs-heart) gives rise to ''chhardi'' (vomiting). This ''vatika'' type of vomiting is characterized by the following signs and symptoms:  

#Pain in the cardiac region and flanks;   

#Pain in the cardiac region and flanks;   

#Dryness of the mouth;   

#Dryness of the mouth;