The Compendium of Suśruta 6.41.24

Suśrutasaṃhitā 6.41.24

vyāyāmabhārādhyayanairabhighātātimaithunaiḥ/
karmaṇā †cāpyurasyena vakṣo yasya vidāritam/
tasyorasi kṣate raktaṃ pūyaḥ śleṣmā ca gacchati//