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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 mahā-srotas (gastro-intestinal 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 characterised 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. 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:  

1. Pain in the cardiac region and flanks;   

#Pain in the cardiac region and flanks;   

2. Dryness of the mouth;   

#Dryness of the mouth;   

3. Pain in the head and umbilical region;  

#Pain in the head and umbilical region;  

4. Cough, hoarseness of voice and pricking pain;  

#Cough, hoarseness of voice and pricking pain;  

5. Eructation with loud noise;   

#Eructation with loud noise;   

6. Vomiting of material which is frothy, scattered, black in colour, thin and astringent;   

#Vomiting of material which is frothy, scattered, black in color, thin and astringent;   

7. The urge for vomiting is forceful, but patient vomits only in small quantities with pain;  

#The urge for vomiting is forceful, but patient vomits only in small quantities with pain;  

8. The patient feels miserable (7-9).

#The patient feels miserable [7-9]

==== ''Paittika chhardi'' ====

==== ''Paittika chhardi'' ====