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Bastivyapat Siddhi (view source)

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|title=Bastivyapat Siddhi

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|titlemode=append

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|keywords=Basti vyapat, ayoga, atiyoga, mithyayoga, klama, adhamana, hikka, hritprapti, urdhvata, pravahika, siroarti, angaarti, parikartika, parisrava, complications of basti

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|description=Siddhi Sthana Chapter 7. Management of complications of Basti (therapeutic enema)

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}}

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<big>'''[[Siddhi Sthana]] Chapter 7. Management of complications of ''Basti'' (therapeutic enema)'''</big>

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===Sanskrit text, Transliteration and English Translation===

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अथातो बस्तिव्यापत्सिद्धिं व्याख्यास्यामः||१||

इति ह स्माह भगवानात्रेयः||२||

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athātobastivyāpatsiddhiṃvyākhyāsyāmaḥ||1||

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iti ha smAha bhagavAnAtreyaH||2||

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</div></div>

Now I will expound the management of complications of faulty administration of ''basti'' (trans-rectal drug administration in the form of enema). Thus said Lord Atreya [1-2]

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धीधैर्यौदार्यगाम्भीर्यक्षमादमतपोनिधिम्|

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काचिकित्साइतिप्रश्नाञ्छ्रुत्वातानब्रवीद्गुरुः||४||

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dhīdhairyaudāryagāmbhīryakṣamādamatapōnidhim|

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kA cikitsA iti prashnA~jchrutvA tAnabravIdguruH||4||

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</div></div>

The disciples obediently requested Punarvasu (who is) endowed with ''dhi'' (intelligence), ''dhairya'' (courage), ''audarya'' (generosity), ''gambhirya'' (dignity), ''kshama'' (forgiveness), ''dama'' (self-discpline) and ''tapas'' (dedicated learning) to explain

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==== Complications of ''basti'' ====

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नातियोगौक्लमाध्मानेहिक्काहृत्प्राप्तिरूर्ध्वता|

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आसामेकैकशोरूपंचिकित्सांचनिबोधत||६||

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nātiyōgauklamādhmānēhikkāhr̥tprāptirūrdhvatā|

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AsAmekaikasho rUpaM cikitsAM ca nibodhata||6||

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</div></div>

There are twelve complications of ''basti'' administration viz. ''ayoga, atiyoga, klama, adhamana, hikka, hritprapti, urdhvata, pravahika, siroarti, angaarti, parikartika, parisrava''. ''Atiyoga, ayoga'' and ''mithyayoga'' are the mechanisims of manifestations of these complications. The clinical manifestation and the management of each condition will be explained to you: [5-6]

==== Complication of ''ayoga'' (insufficience effect) ====

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गुरुकोष्ठेऽनिलप्रायेरूक्षेवातोल्बणेऽपिवा|

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सुरादिमूत्रवान्बस्तिःसप्राक्पेष्यस्तमानयेत्||११||

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gurukōṣṭhē:'nilaprāyērūkṣēvātōlbaṇē:'pivā|

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surAdimUtravAn bastiH saprAkpeShyastamAnayet||11||

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</div></div>

===== Etiology, clinical manifestation and management of ''basti'' complication-''ayoga'' =====

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==== Complication of ''atiyoga'' (excess effect) ====

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स्निग्धस्विन्नेऽतितीक्ष्णोष्णोमृदुकोष्ठेऽतियुज्यते|

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विनीयसघृतंबस्तिंदद्याद्दाहेऽतियोगजे ||१४||

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snigdhasvinnē:'titīkṣṇōṣṇōmr̥dukōṣṭhē:'tiyujyatē|

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vinIya saghRutaM bastiM dadyAddAhe~atiyogaje ||14||

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</div></div>

===== Etiology, clinical manifestation and management of ''basti'' complication-''atiyoga'' =====

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==== Complication of fatigue without exertion ====

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आमशेषेनिरूहेणमृदुनादोषईरितः|

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समूत्रमथवाव्यक्तलवणंमाधुतैलिकम्||२०||

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āmaśēṣēnirūhēṇamr̥dunādōṣaīritaḥ|

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samUtramathavA vyaktalavaNaM mAdhutailikam||20||

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</div></div>

Etiology clinical manifestation and management of ''basti'' complication - ''klama'' (fatigue): In ''amashesha'' (remnant of ''ama''- undigested material) condition, ''mridu'' type of ''niruha basti'' (transrectal administration of non-unctuous formulation) is administered, ''doshas'' (''pitta, kapha'' along with ''ama'') gets vitiated and leads to obstruction of ''marga'' (''srotas''), resulting in ''vata'' aggravation and ''agni'' impairement.

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==== Complication of ''adhmana''(distension of abdomen) ====

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अल्पवीर्योमहादोषेरूक्षेक्रूराशयेकृतः|

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सरलामरदारुभ्यासिद्धंचैवानुवासनम्||२६||

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alpavīryōmahādōṣērūkṣēkrūrāśayēkr̥taḥ|

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saralAmaradArubhyAM siddhaM caivAnuvAsanam||26||

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</div></div>

===== Etiology, clinical manifestation and management of ''basti'' complication - ''adhmana'' (distension of abdomen) =====

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==== Complication of ''hikka'' (hiccups) ====

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मृदुकोष्ठेऽबलेबस्तिरतितीक्ष्णोऽतिनिर्हरन्|

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धूमलेहरसक्षीरस्वेदाश्चान्नंचवातनुत्||२९||

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mr̥dukōṣṭhē:'balēbastiratitīkṣṇō:'tinirharan|

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dhUmaleharasakShIrasvedAshcAnnaM ca vAtanut||29||

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</div></div>

===== Etiology, clinical manifestation and management of ''basti vyapat - hikka'' =====

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==== Complication due to ''basti'' afflicting the heart ====

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अतितीक्ष्णःसवातोवानवासम्यक्प्रपीडितः|

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शृतैर्बस्तिर्हितःसिद्धंवातघ्नैश्चानुवासनम्||३१||

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atitīkṣṇaḥ savātō vā navā samyakprapīḍitaḥ|

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shRutairbastirhitaH siddhaM vAtaghnaishcAnuvAsanam||31||

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</div></div>

===== Etiology, clinical manifestation and management of ''basti'' complication - ''hritprapti'' =====

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==== Complications due to ''basti'' reaching oesophagus ====

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वातमूत्रपुरीषाणांदत्तेवेगान्निगृह्णतः|

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शिरःस्थेनावनंधूमःप्रच्छाद्यंसर्षपैःशिरः||३९||

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vātamūtrapurīṣāṇāṁdattēvēgānnigr̥hṇataḥ|

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shiraHsthe nAvanaM dhUmaH pracchAdyaM sarShapaiH shiraH||39||

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</div></div>

===== Etiology, clinical manifestation and management of ''basti'' complication - ''urdhvagamana'' =====

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==== Complication of ''pravahika'' (dysentery) due to ''basti'' ====

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स्निग्धस्विन्नेमहादोषेबस्तिर्मृद्वल्पभेषजः|

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विदध्याल्लङ्घयित्वातुवृत्तिंकुर्याद्विरिक्तवत्||४२||

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snigdhasvinnēmahādōṣēbastirmr̥dvalpabhēṣajaḥ|

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vidadhyAlla~gghayitvA tu vRuttiM kuryAdviriktavat||42||

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</div></div>

===== Etiology, clinical manifestation and management of ''pravahika'', a ''basti'' complication =====

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==== Complication of ''shiro-arti'' (headache) ====

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दुर्बलेक्रूरकोष्ठेचतीव्रदोषेतनुर्मृदुः|

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तीक्ष्णानुलोमिकेनाथस्निग्धंभुक्तेऽनुवासयेत् ||४६||

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durbalēkrūrakōṣṭhēcatīvradōṣē tanurmr̥duḥ|

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tIkShNAnulomikenAtha snigdhaM bhukte~anuvAsayet ||46||

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</div></div>

===== Etiology, clinical manifestation and management of ''shiro-arti basti'' complication =====

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==== Complication of ''anga-arti'' (body-ache) ====

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अङ्गार्तिबस्ति व्यापत् हेतु-लक्षण-चिकित्सा

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यष्टीमधुकतैलेनबिल्वतैलेनवाभिषक्||५३||

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snēhasvēdairanāpādyagurustīkṣṇō:'timātrayā|

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yaShTImadhukatailena bilvatailena vA bhiShak ||53||

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</div></div>

===== Etiology, clinical manifestation and management of ''angarti basti'' complication =====

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==== Complication of ''parikartika'' (fissure in ano) ====

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मृदुकोष्ठाल्पदोषस्य रूक्षस्तीक्ष्णोऽतिमात्रवान्|

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विनीय दुग्धे बस्तिः स्यात् व्यक्ताम्लमृदुभोजिनः||५७||

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mṛdukoṣṭhālpadoṣasyarūkṣastīkṣṇo:'timātravān|

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vinIya dugdhe bastiH syAt vyaktAmlamRudubhojinaH||57||

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</div></div>

===== Etiology, clinical manifestation and management of ''parikartika basti'' complication =====

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''

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Parikartika'' (anal pain due to proctitis) manifested when the patients of ''mridu koshtha, alpa dosha'' are administered with ''niruha basti'' of qualities -''ruksha, tikshna'' or in higher dose.

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''Parikartika'' (anal pain due to proctitis) manifested when the patients of ''mridu koshtha, alpa dosha'' are administered with ''niruha basti'' of qualities -''ruksha, tikshna'' or in higher dose.

====== Clinical manifestations ======

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==== Complication of ''paristrava'' (oozing through anus) ====

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पित्तरोगेऽम्ल उष्णो वा तीक्ष्णो वा लवणोऽथवा|

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रक्तपित्तातिसारघ्नी क्रिया चात्र प्रशस्यते||६२||

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pittaroge:'mlauṣṇovātīkṣṇovālavaṇo:'thavā|

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raktapittAtisAraghnI kriyA cAtra prashasyate||62||

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</div></div>

===== Etiology, clinical manifestation and management of ''parisrava'' (rectal oozing), a ''basti'' complication =====

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*''Sheka'' (sprinkling) or ''pradeha'' (application of paste) on anal region is also indicated with the drugs of ''madhura rasa'' (sweet taste) and ''shita guna'' (cold property).

*Therapies indicated in ''raktapitta'' and ''atisara'' are also beneficial.[58-62]

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तीक्ष्णत्वं मूत्रपील्वग्निलवणक्षारसर्षपैः|

प्राप्तकालं विधातव्यं क्षीराद्यैर्मार्दवं तथा||६३||

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tīkṣṇatvaṃmūtrapīlvagnilavaṇakṣārasarṣapaiḥ|

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prAptakAlaM vidhAtavyaM kShIrAdyairmArdavaM tathA||63||

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</div></div>

The ''tikshnata'' (strong sharp action) of ''bastidravya'' may be increased by adding ''gomutra'' (cow urine), ''pilu'' (Salvadora persica Linn.), ''agni'' (Chitraka-Plumbago zeylanica Linn.), ''lavana'' (salt), ''kshara'' (alkali), ''sarshapa'' (Brassica campestris Var.sarson Prain) and to improve ''mridutva'' of ''bastidravya, ksheera'' (milk) etc. is to be added.[63]

==== Overall cleansing effect of ''basti'' ====

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आपादतलमूर्धस्थान् दोषान् पक्वाशये स्थितः|

वीर्येण बस्तिरादत्ते खस्थोऽर्को भूरसानिव||६४||

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āpādatalamūrdhasthāndoṣānpakvāśayesthitaḥ|

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vIryeNa bastirAdatte khastho~arko bhUrasAniva||64||

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</div></div>

As sun located high in the sky dries up moisture of earth, in the same fashion ''basti'' situated in the ''pakvashaya'' due to its potency draws the ''doshas'' present entire in the body (head to toe).[64]

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यद्वत् कुसुम्भसम्मिश्रात्तोयाद्रागं हरेत् पटः|

तद्वद्द्रवीकृताद्देहान्निरूहो निर्हरेन्मलान्||६५||

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yadvatkusumbhasammiśrāttoyādrāgaṃharetpaṭaḥ|

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tadvaddravIkRutAddehAnnirUho nirharenmalAn||65||

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</div></div>

''Purvakarma'' in the form of ''sneha'' and ''sweda'' commonly dissolves the ''doshas'' as well as body nutrients. However ''basti dravya'' eliminates only ''doshas'' as a piece of cloth soaked in a mixture of ''kusumbha'' (Carthamus tinctorius Linn.) (dye) and water get only dye.

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==== Summary ====

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तत्र श्लोकः

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बुद्ध्वा कार्त्स्न्येन तान् बस्तीन्नियुञ्जन्नापराध्यति||६६||

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tatraślokaḥ

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buddhvA kArtsnyena tAn bastInniyu~jjannAparAdhyati||66||

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</div></div>

To summarize, complications of ''basti'' along with their causes, signs, symptoms and management are described. If a physician administers ''basti'' with proper knowledge and understanding of all these will never commit a mistake.[66]

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इत्यग्निवेशकृते तन्त्रे चरकप्रतिसंस्कृतेऽप्राप्ते दृढबलसम्पूरिते

सिद्धिस्थाने बस्तिव्यापत्सिद्धिर्नाम सप्तमोऽध्यायः||७||

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ityagniveśakṛtetantrecarakapratisaṃskṛte:'prāptedṛḍhabalasampūrite

siddhisthānebastivyāpatsiddhirnāmasaptamo:'dhyāyaḥ||7||

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</div></div>

In this way seventh chapter namely successful treatment of complications of ''basti'' of [[Siddhi Sthana]] of [[Charaka Samhita]] written by Agnivesha, edited by Charaka and redacted by Dridhabala is completed.[7]

Agnivesha

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