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The Compendium of Caraka 6.17.20

Carakasaṃhitā 6.17.20

Language
Sanskrit

6.17.20

ānāhaḥ pārśvaśūlaṃ ca pīḍanaṃ hṛdayasya ca/
prāṇasya ca vilomatvaṃ śvāsānāṃ pūrvalakṣaṇam//

Abdominal distension, pain in the flanks, constriction of the heart,
and upward diversion of breath are the prodromal signs of dyspnea.

English (machine translation) (machine translation)

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