The Compendium of Caraka 6.24.102

6.24.102

śiraḥpārśvāsthisandhīnāṃ &vidyuttulyā ca vedanā/
jāyate 'atibalā jṛmbhā sphuraṇaṃ vepanaṃ śramaḥ//

lightning-like pain in the head, flanks, bones, and joints, / excessive yawning, twitching, trembling, and fatigue occur;