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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]
 
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:
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===== 5. Normal ''vata'', decreased ''pitta'', and increased ''kapha sannipata'' =====
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प्रवृद्धो हि यदा श्लेष्मा पित्ते क्षीणे समीरणम्|  
 
प्रवृद्धो हि यदा श्लेष्मा पित्ते क्षीणे समीरणम्|  
 
रुन्ध्यात्तदा प्रकुर्वीत शीतकं गौरवं रुजम्  ||५०||  
 
रुन्ध्यात्तदा प्रकुर्वीत शीतकं गौरवं रुजम्  ||५०||  
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pravr̥ddhō hi yadā ślēṣmā pittē kṣīṇē samīraṇam|  
 
pravr̥ddhō hi yadā ślēṣmā pittē kṣīṇē samīraṇam|  
 
rundhyāttadā prakurvīta śītakaṁ gauravaṁ rujam  ||50||  
 
rundhyāttadā prakurvīta śītakaṁ gauravaṁ rujam  ||50||  
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pravRuddho hi yadA shleShmA pitte kShINe samIraNam|  
 
pravRuddho hi yadA shleShmA pitte kShINe samIraNam|  
 
rundhyAttadA prakurvIta shItakaM gauravaM rujam [4] ||50||  
 
rundhyAttadA prakurvIta shItakaM gauravaM rujam [4] ||50||  
In the case of decreased pitta, if increased kapha obstructs the normal vata leading to a sensation of cold, heaviness and pain (50).
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6. Increased kapha, normal pitta and decreased vata sannipata:
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In the case of decreased ''pitta'', if increased ''kapha'' obstructs the normal ''vata'' leading to a sensation of cold, heaviness and pain [50]
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 +
===== 6. Increased ''kapha'', normal ''pitta'', and decreased ''vata sannipata'' =====
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समीरणे परिक्षीणे कफः पित्तं समत्वगम्|  
 
समीरणे परिक्षीणे कफः पित्तं समत्वगम्|  
 
कुर्वीत सन्निरुन्धानो मृद्वग्नित्वं शिरोग्रहम्  ||५१||  
 
कुर्वीत सन्निरुन्धानो मृद्वग्नित्वं शिरोग्रहम्  ||५१||  
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निद्रां तन्द्रां प्रलापं च हृद्रोगं गात्रगौरवम्|  
 
निद्रां तन्द्रां प्रलापं च हृद्रोगं गात्रगौरवम्|  
 
नखादीनां च पीतत्वं ष्ठीवनं कफपित्तयोः||५२||  
 
नखादीनां च पीतत्वं ष्ठीवनं कफपित्तयोः||५२||  
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samīraṇē parikṣīṇē kaphaḥ pittaṁ samatvagam|  
 
samīraṇē parikṣīṇē kaphaḥ pittaṁ samatvagam|  
 
kurvīta sannirundhānō mr̥dvagnitvaṁ śirōgraham  ||51||  
 
kurvīta sannirundhānō mr̥dvagnitvaṁ śirōgraham  ||51||  
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nidrāṁ tandrāṁ pralāpaṁ ca hr̥drōgaṁ gātragauravam|  
 
nidrāṁ tandrāṁ pralāpaṁ ca hr̥drōgaṁ gātragauravam|  
 
nakhādīnāṁ ca pītatvaṁ ṣṭhīvanaṁ kaphapittayōḥ||52||  
 
nakhādīnāṁ ca pītatvaṁ ṣṭhīvanaṁ kaphapittayōḥ||52||  
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samIraNe parikShINe kaphaH pittaM samatvagam|  
 
samIraNe parikShINe kaphaH pittaM samatvagam|  
 
kurvIta sannirundhAno mRudvagnitvaM shirograham [5] ||51||  
 
kurvIta sannirundhAno mRudvagnitvaM shirograham [5] ||51||  
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nidrAM tandrAM pralApaM ca hRudrogaM gAtragauravam|  
 
nidrAM tandrAM pralApaM ca hRudrogaM gAtragauravam|  
 
nakhAdInAM ca pItatvaM ShThIvanaM kaphapittayoH||52||  
 
nakhAdInAM ca pItatvaM ShThIvanaM kaphapittayoH||52||