kshata ksheena detail description. kshata ksheena nidana, roopa, poorva roopa, upashaya, anupashaya, samprapti, chikitsa sootra, chikitsa.

1. PRAYOGIKA SIDDHANTA
PRESENTER
DR. SHRUTHI PANAMBUR
FINAL YEAR PG SCHOLAR
DEPT OF PG STUDIES IN AYURVEDA SAMHITA AND SIDDHANTA
SRI SRI COLLEGE OF AYURVEDIC SCIENCE & RESEARCH HOSPITAL
GUIDED BY
DR. SRI NAGESH K.A
PROFESSOR & HOD
DEPT OF PG STUDIES IN AYURVEDA SAMHITA AND SIDDHANTA
SRI SRI COLLEGE OF AYURVEDIC SCIENCE & RESEARCH HOSPITAL
CRITICAL ANALYSIS OF
SAMPRAPTI AND CHIKITSA OF
KSHATA KSHEENA

2. CONTENT
1. INTRODUCTION
2. REVIEW OF LITERATURE
3. DISCUSSION
4. CONCLUSION
2

3. INTRODUCTION
•Kshataksheena is a condition with kshaya due to injury or trauma.
•Kshataksheena is explained in 11th chapter of charaka samhita
•The disease shows close resemblance with rajayakshma as both involves kshaya
but due to specific nidana in kshataksheena and due to chikitsa pradhanyata it is
explained as separate chapter in chikitsa stana of charaka samhita
•So here critical analysis of samprapthi and chikitsa is done.
3

4. REVIEW OF LITERATURE
REFERENCES
निरुक्ति
निदाि
रूप
पूर्वरूप
संप्राक्ति
साध्यासाध्यता
निनित्सा
पथ्य
4

5. REFERENCES
संहिता स्थान अध्याय
िरि संनिता निनित्सा स्थाि 11
5
हनरुक्ति
क्षत • क्षणु निंसायाम्
क्षीण • नक्ष क्षये

6. निदाि
नर्क्षते र्क्षनस व्यानिर्वलर्ाि् समुदीयवते| स्त्रीषु िानतप्रसिस्य रूक्षा्पपप्रनमताननि ||(ch.chi.11/8)
NIDANA NIDANA
ििुषाऽऽयस्यतोऽत्यथं अिीयािस्य, उच्च
भारमुद्वितो गुरुम् दू रं र्ा व्रजतो द्रुतम्
पततो नर्षमोच्ेभ्यो मिािदीं र्ा तरतो
र्नलनभ सि युध्यत ियचर्ाव सि िार्त
र्ृषं ियं र्ा िार्न्तं दम्यं र्ाऽ
न्यं निगृह्णत
सिसोत्पततो दू रं
ननलािाष्ठाश्मनिर्ावताि् नक्षप
तो निघ्नत पराि्
तूणं िानतप्रिृत्यत
तथाऽन्यच िमवनभ क्र
ू रचभृवनम
भ्याितस्य
स्त्रीषु िानतप्रसिस्य
रूक्षा आिार
अ्पप आिार
प्रनमताननि
6

7. संप्राक्ति
•उरो नर्रुज्यते तस्य नभद्यतेऽथ नर्भज्यते| प्रपीड्येते तत पार्श्वे नुष्यत्यग
ं प्रर्ेपते||(CH.CHI.11/9)
Nidana
उरो नर्रुज्यते, नभद्यते, नर्भज्यते, प्रपीड्येते
पार्श्वे नुष्यत्यग
ं प्रर्ेपते, lakshana
7

8. रूप
•क्रमाद्वीयं र्लं र्णो रुनिरनिश्च िीयते|
ज्वरो व्यथा मिोदचन्यं नर्ड्भेदोऽनिर्िादनप||
दुष्ट श्यार् सुदुगवन्ध पीतो नर्ग्रनथतो र्ह |
िासमािस्य ि श्लेष्मा सरि सम्प्रर्तवते|
स क्षत क्षीयतेऽत्यथं तथा नुक्रौजसो क्षयात्|(CH.CHI.11/10-11)
•क्रमात् – िीयते - वीयय, बलं, वर्य, रुहि अहि
•ज्वर, व्यथा, मनोदैन्यं, हवड्भेदो, अहि वध
•कासमानस्य ि श्लेष्मा – दुष्टः, श्यावः, सुदुर्यन्धः, पीतो, हवग्रहथतो, बहः, सरिः
•शुक्रौजसोः क्षयात्
8

9. पूर्वरूप
•अव्यिं लक्षणं तस्य पूर्वरूपनमनत स्मृतम्||
उरोरुक्शोनणतच्छनदव िासो र्चनेनषि क्षते|
क्षीणे सरिमूत्रत्वं पार्श्ववपृष्ठिनिग्रि ||(CH.CHI.10/12-13)
•अव्यिं लक्षणं
•क्षते- उरोरुि
् नोनणतच्छनदव िासो
•क्षीणे- सरिमूत्रत्वं पार्श्ववपृष्ठिनिग्रि
9

10. साध्यासाध्यता
• अ्पपनलगस्य दीिािे साध्यो र्लर्तो िर् |
पररसंर्त्सरो याप्य सर्वनलग
ं तु र्जवयेत्||(CH.CHI.11/14)
सर्वनलग
ं
असाध्य
पररसंर्त्सरो
याप्य
अ्पपनलगस्य
दीिािे
र्लर्तो
िर्
साध्य
10

11. निनित्सा
• लाक्षा प्रयोर्
• एलाहद र्ुहिक
• रि अहतप्रवृहि हिहकत्सा
• आवक्तिक हिहकत्सा
• अमृतप्राश घृत
• श्वदंष्टराहद घृत
• समसिु घृत
• प्रथम सहपयर्ुयड
11
• हितीय सहपयर्ुयड
• तृतीय सहपयर्ुयड
• ितुथय सहपयर्ुयड
• पञ्चम सहपयर्ुयड
• क्षीर् योर्ा
• सैन्धव िूर्य
• षाडव
• नार्बल कल्प

12. लाक्षा प्रयोग
AVASTHA PRAYOGA
NAVA URA KSHATA Laksha, madhu. Ksheera- after it is digested anna with
ksheera and sharkara is given
PAARSHVA & BASTHI VEDANA, ALPA
PITTAAND AGNI
Laksha with sura is given
ATISARA Laksha with musta, ativisha, pata, vatsaka churna
DIPTANALA Laksha sarpi, madhuchishta, jivaniya gana aushada, sita,
tvaksheera with ksheera
12

13. AVASTHA PRAYOGA
IN KSHATA FOR SANDANARTHA Ksheera, ikshu mula, bisa granti,Padma kesara, chandana
with madhu
JWARAAND DAHA Yava churna with ksheera, gritha or sita, kshaudra, yava saktu
or with ksheera
KAASA, ASTI SHULA, PAARSHVA
SHULA
Maduka, maduuka, draksha, tvaksheera, pippali, bala churna
licked with gritha and madhu.
13

14. एलानद गुनिि
INGRIDIENTS INDICATION
Twak, ela, patra- ½ aksha
Pippali- ½ pala
Sita- 1pala
Madhuka- 1 pala
Karjura - 1 pala
Mrudvika – 1pala
With madhu 1 karsha gutika is prepared
Kala – daily prata and sayam 1 each
Kasa
Shwasa
Jwara
Hikka
chardi
Murcha
Mada
Brahmana
Rakta shtivana
Trushna
Paarshava shula
Arochaka
Shosha
Pliha
Adyavata
Swara beda
Ksata
Kshaya
raktapitta
14

15. रि अनतप्रर्ृनि निनित्सा
1. Daksha Anda With Yusha Or Jala
2. Chataka Anda Rasa Yusha Or Jala
3. Chaga Or Jangala Mamsa Rakta Yusha Or With Jala
4. Punarnava Churna With Rakta Shali Sharkara Draksha Gritha Ksheera
15

16. आर्क्तिि निनित्सा
AVASTHA PRAYOGA
Rakta shtivana Madooka, maduka, ksheera sidda tandula
Muuda vata Aja meda cooked in sura, saindava is added to it.
Kshama, ksheena, ura kshata,
anidrata, vata vrudha
Aja meda cooked in ksheera sara added with gritha kshaudra and
sharkara
Ksheena, kshata, krusha
For mamsa raktha vardana
Yava, godhuma, sharkara, jeevaka, rushabaka, madhu. With anupana
ksheera or mamsa bhakshi prani mamsa with gritha , pipali, madhu
Ura kshata, shukra ksheena Nyagroda, udumbara, ashwata, plaksha, shala, pushpa priyangu, tala
mastaka, jambu twak, priyala, ashwa karna with ksheera it is made
ksheera paka and gritha is extracted and it is taken with shali
16

17. AVASTHA PRAYOGA
Ura kshata Yashti madhu, naga bala kwatha is made, equal quantity ksheera and gritha are added.
Kalka- payasya, pippali, vamshalochana
Gritha is made
Kshata rogi laksha rasa – 4bhaga
Ksheera- 8bhaga
Gritha- 1 bhaga
Kalka- katvanga, darvi twak, vatsaka twak, indrayava sama pramana(1/4 bhaga)
17

18. अमृतप्रान र्ृत
INGRIDIENTS INDICATION
Jeevaniya gana dravya
Punarnava
Bala
Bharangi
Atmagupta
Shati
Tamalaki
Kana
Shringataka
Payasya
Shalaparni
Prishnaparni
Brihati
Gritha is prepared, taken with mamsa rasa
Nashta shukra
Kshata ksheena
Durbala
Vyadi karshita
Stree prasakta
Krusha
Varna swara heena
Brumhana
Kasa
Shwasa
Jwara
Hikka
Daha
Trushna
Rakta pitta
Putra prada
Kantakari
Gokshura
Draksha
Akshoda
Sarpi
Ksheera
Dhatri rasa
Vidari rasa
Ikshurasa
Changa mamsa
Madhu
Sharkara
Maricha
Twak
Ela
Patra
keshara
Vamana
Murcha
Hridaya roga
Yoni roga
Mutra vikara
18

19. र्श्वदंष्टर ानद र्ृत
INGRIDIENTS INDICATION
Kwatha- gokshura, usheera, manjishta, bala,
kashmarya, katuna, darba mula, pruthak parni,
palasha, rushabaka, stira each 1 pala
Kalka – swagupta, jeevanti, meda, rushabaka,
jeevaka, shatavari, vriddi, mrudvika, sharkara,
sravani, bisa, sama pramana
Gritha- 1 prasta
Ksheera – 4 prasta
Vata pitta hridrava
Shula
Mutra kruchra
Prameha
Arsha
Kaasa
Shosha
Kshaya
Who does ati maituna, danus prayoga, madya,
bhara, adva,
19

20. समसिु र्ृत
INGRIDIENTS INDICATION
Kwatha- yashti madhu- 8 pala, draksha- 1
prashta, jala
Kalka – pippali- 8 pala,
Gritha- 1 prasta
Madhu- 8 pala
Sharkara- 8 pala
Saktu- 1 prasta
Kshata ksheena
Rakta gulma
20

21. प्रथम सनपवगुवड
INGRIDIENTS INDICATION
Gritha – 2prastha
2 prastha of each amalaki, vidari, ikshu.
Kashaya of jeevaniya dravya
Go Ksheera
Aja ksheera
After cooling 1 prastha sita
2 prastha of madhu is added.
Disease more of
pitta- lehana is done
vata- pana, should drink with tvak ksheera, sharkara,
laja
Anupana- ksheera
Yakshma
Apasmaara
Raktapitta
Prameha
Kshaya
And also it is vayastapana, ayushya, maamsa
prada, shukra prada, bala prada.
21

22. नद्वतीय सनपवगुवड
INGRIDIENTS INDICATION
1 pala of bala, vidari, hrusva panchamula, punarnava,
shrunga of pancha ksheeri vriksha
2 parts ksheera
1 part vidari swarasa
1 part of aja maamsa rasa
1 adaka gritha
1 aksha of jeevaniya dravya added and cooked
32 pala sita is added
1 kudava of godhuma, pippali, vamsha lochana,
sringataka added
Madhu
1 pala matra is taken and tied in bhurja patra.
Anupana – ksheera or madhya
Kapha
Shosha
Kaasa
Kshataksheena
Shrama
Stree karshita
Bhara karshita
Rakta shtivana
Taapa
Pinasa
Parshva shula
Shira shula
Svara bheda
Varna nashi
22

23. तृतीय सनपवगुवड
INGRIDIENTS INDICATION
1 pala tavaksheeri, sravani, draksha, murva, jivaka,
vira kanda, ksheerakoli, brihati, kapikacchu, karjura,
Meda triturated with ksheera
2 prastha of dhatri swaras, Vidari swarasa, ikshu rasa
Gritha
After cooling ½ tula sita, 1 prastha madhu
Kasa
Hikka
Jwara
Yakshma
Shwasa
Rakta pitta
Halimaka
Shukra kshaya
Nidranasha
Trushna
Karshya
Kamala
23

24. ितुथव सनपवगुवड
INGRIDIENTS INDICATION
10pala dried amalaki, draksha, atmagupta, punarnava,
shatavari, vidari,samanga, pippali,
8pala nagara
1 pala madhuyashti
1 pala sauvarchala
2 pala maricha
2 adhaka ksheera
Tila taila
Gritha
100 pala sita
Kshata ksheena
Shushka
For pushtyartha
24

25. पञ्चम सनपवगुवड
INGRIDIENTS INDICATION
1 adaka go ksheera
2 prastha gritha
2 adaka ikshu rasa
2 prastha vidari swarasa
2 prastha mamsa rasa of tithira
1 kudava madhuka pushpa
Priyala
½ kudava tugakshiri
20 fruits karjura
20 vibhithaki
1 pala pippali
30 pala sita
1 karsha madhuka
½ pala jeevaniya dravya
Triturated with ikshu rasa
Modaka is prepared out of it.
Vataraktha
Pitta roga
Kshata kasa
Kshayaja kasa
Ksheena shukra
Ura raktha
Krusha
Durbala
Vrudha
varna., bala pushti
Yoni dosha who suffer from miscarriages or death
of featus in womb
25

26. क्षीण योगा
INGRIDIENTS INDICATION
Sharkara
Pippali
Madhu
Gritha
Ksheera
Due to ati maituna the prakupita vayu goes to
bashti pradesha and causes different diseases.
For brumhanartha
Vata nashaka
Vrushya
Kasa jwara
Vidari kanda swarasa, ikshu rasa sadita mudga yusha
added with gritha and amla phala
Good for the person who have kshaya because of
ati maithuna
Jeevaniya
brumhaniya
Yava saktu, madhu, gritha Kshataksheena person who has good jataragni
Jeevaniya gana dravya sidda jangala pashu pakshi
mamsa rasa added with gritha and sharkara
Ura kshata
Go, mahisha, ashwa, aja ksheera or mamsa rasa or
yusha with amla rasa , gritha
When kshata ksheena patient good jataragni,
If person is suffering from atisara he has give grahi
medicine as mentioned in rajayakshma
26

27. सचन्धर् िूणव
INGRIDIENTS INDICATION
Saindava lavana- 1 pala
Shunti – 2 pala
Sauvarchala – 1 pala
Vrikshamla – 1 kudava
Amla dadima- 1 kudava
Arjaka patra- 1 kudava
Maricha- 1 pala
Jeera – 1 pala
Dhanyaka- 2 pala
Sharkara – 12 pala
Taken with food
Rochana
Deeepana
Balya
Parshva arthi
Shwasa
Kasa
27

28. षाडर्
INGRIDIENTS INDICATION
Dhanyaka – 1 shodashika
Ajaji – 2 pala
Ajamoda – 2 pala
Amla dadima- 4 pala
Vrikshamla – 4 pala
Sauvarchala lavana – 1 pala
Shunti – 1 karsha
Daditta madya bhaga- 5 pala
churna of all above dravyas
Sharkara – sixteen pala
It is given as ahara only.
Atisara
Mandagni
In yakshma also it is given
28

29. िागर्ल ि्पप
INGRIDIENTS INDICATION
Kwatha- nagabala twak – ½ karsha with ksheera
increased till 1 pala and decreased to ½ karsha
Kala – 1 month
Ahara – ksheera
Pushti
Ayu
bala
Arogya kara
Mandukaparni, shunti, yashtimadhu also can be taken like nagabala kalpa
29

30. पथ्या
• यद्यत् सन्तपवणं नीतमनर्दानि नितं लर्ु|
अन्नपािं निषेव्यं तत्क्षतक्षीणच सुखानथवनभ ||
यच्ोिं यक्तिणां पथ्यं िानसिां रिनपनििाम्|
तच् ि
ु यावदर्ेक्ष्यानिं व्यानिं सात्म्यं र्लं तथा||(CH.CHI.11/93-94)
•Santarpana, sheeta, avidahi, hitam, laghu annapaana
30

31. DISCUSSION
•WHY KSHATAKSHEENA IS EXPLAINED IN DIFFERENT CHAPTER
•Kshata Ksheena Has Different Nidana That Is Majorly External injury And Has
Different Chikitsa
31

32. DISCUSSION
•WHY NOT KSHEENA KSHATA
•If So Then Hetu Will Be Ksheena For Kshata Where As There Will Be Kshata
First Then Ksheena
32

33. DISCUSSION
•NIDANA IN PRESENT DAYS- OCCUPATINAL HAZARD
•Labor Workers who carries heavy things
•Athletes
•Weight lifters
•Swimmers
•Announcers
•Construction workers
•Wrestlers etc..
33

34. DISCUSSION
•WHAT IS URAS? WHY URAS?
•HRUDAYOPARIKANTAAT ADHO BHAGA
34

35. DISCUSSION
•FIRST RUPA IS EXPLAINED BEFORE PURVA RUPA
•TVARITA CHIKITSA
•PURVA RUPA WILL BE ISHAT VYAKTA
35

36. DISCUSSION
•DOSHA & DHATU INVOLVED IN KSHATA KSHEENA
•PRANA VATA
•UDANA VATA
•AVALAMBAKA KAPHA
•SADAKA PITTA
•MARMA STANA
•RAKTHA
36
क्रमाद्वीयं र्लं र्णो रुनिरनिश्च िीयते|
ज्वरो व्यथा मिोदचन्यं नर्ड्भेदोऽनिर्िादनप||
दुष्ट श्यार् सुदुगवन्ध पीतो नर्ग्रनथतो र्ह |
िासमािस्य ि श्लेष्मा सरि सम्प्रर्तवते|
स क्षत क्षीयतेऽत्यथं तथा नुक्रौजसो क्षयात्|(ch.chi.11/10-11)

37. DISCUSSION
37
Kshataksheena Rajayakshma Raktapitta Kshataja Kasa
Nidana – abhighataja Nidana – ayatabala
arambha, vegadharana,
kshaya, vishamashana
Lakshana –
parakupitha vayu
resides in shiras causes
shiroruk, in parshva
parshav ruk, in uras uro
ruk and causes injury
then raktha steevana
Nidana – pitta prakopa
ahara vihara
Nidana – abhighata.
Lakshana – first there
will shushka kasa there
after kapha with
shonita appears.

38. DISCUSSION
•WHY NO SPECIFIC CHIKITSA SUTRA MENTIONED KSHATA KSHEENA?
•There is no pattern of occurrence of vyadhi samprathi. Its an
emergency condition.
38

39. DISCUSSION
•IMPORTANCE OF LAKSHA IN KSHATA KSHEENA
•नतिा िषायोष्णा निग्धा नोनणतनपििुत्।
ि
ृ नमश्लेष्मव्रणान्हक्तन्त भूतज्वरानतविाननिी॥ Dhanvantari Nighantu
•लाक्षा र्र्ण्ाव निमा र्ल्या निग्धा ि तुर्रा लर्ु ।
अिुष्णा िफनपिास्रनिक्कािासज्वरप्रणुत्॥
व्रणोर क्षतर्ीसपवि
ृ नमि
ु ष्ठगदापिा॥Bhava Prakasha
39

40. DISCUSSION
•IMPORTANCE OF ANUPANA IN LAKSHA PRAYOGA
•Agni Manda – Sura (Deepana Hrudya)
•Atisara – musta (grahi, deepana, sheeta)
•Deepthanala – gritha, ksheera (guru, brimhana)
•Sandhanartha – madhu (madhura, Kashaya, sandhana, ropana)
40

41. DISCUSSION
•IMPORTANCE OF LEHANA IN KSHATA KSHEENA
•Pruthvi and jala mahabhuta pradhana which is jeevan, tarpana,
sandhana, bhrumhana.
•Mainly given in pittavata vridha condition.
41

42. DISCUSSION
•IMPORTANCE OF AJA MAMSA IN KSHATA KSHEENA
िानतनीतगुरुनिग्धं मांसमाजमदोषलम्||
नरीरिातुसामान्यादिनभष्यक्ति र्ृंिणम्| CH.SU.27/1)
42

43. DISCUSSION
•IMPORTANCE OF SATKU IN KSHATA KSHEENA
•निर्ो र्ृंिणा र्ृष्यािृष्णानपििफापिा |
पीता सद्योर्लिरा भेनदि पर्िापिा ||
गुर्ी नपण्डी खराऽत्यथं लघ्र्ी सचर् नर्पयवयात् |
निूिामानु जीयेत मृदुत्वादर्लेनििा ||(SU.SU.4.411-412)
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44. DISCUSSION
•IMPORTANCE OF KSHEERA AND GRITHA IN KSHATA KSHEENA
•भक्ष्या क्षीरि
ृ ता र्ल्या र्ृष्या हृद्या सुगक्तन्धि ||
अदानिि पुनष्टिरा दीपिा नपििानिा |(SU.SU.4.392)
•तेषां प्राणिरा हृद्या र्ृतपूरा िफार्िा ||
र्ातनपििरा र्ृष्या गुरर्ो रिमांसला | (SU.SU.4.393)
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45. DISCUSSION
•IMPORTANCE OF SHADAVA IN KSHATA KSHEENA
•लर्र्ो र्ृंिणा र्ृष्या हृद्या रोििदीपिा |
तृष्णामूच्छावभ्रमच्छनदवश्रमघ्ना रागषाडर्ा ||(SU.SU.46)
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46. DISCUSSION
•WHY NOT TAILA GUDA PRAYOGA IN KSHATA KSHEENA
•Though Taila Is Madhura Rasa
•Taila Has Ushna, Tikshna, Pittala, Lekhana.
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47. DISCUSSION
•SARPI GUDA PRAYOGA IN KSHATA KSHEENA
•Gritha Has madhura rasa, sheeta, sandhaniya, mrudu.
•Sharkara - र्ृष्या क्षीणक्षतनिता सिेिा गुडनि
व रा|(CH.SU.27/241)
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48. DISCUSSION
•AUSHADHA SEVANA KALA IMPORTANCE
•Sabhaktha is advised which is helpful in ksheena, bala vardaka.
•Muhur muhur is advised in prana vata.
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49. DISCUSSION
•PATTERN OF NOMENCLATURE IN SAINDAVADI CHURNA
•यक्ति येि प्रिािेि द्रव्यं समुपसृज्यते|
तत्सञ्ज्ञि स योगो र्च भर्तीनत नर्निश्चय ||
फलादीिां प्रिािािां गुणभूता सुरादय |
ते नि तान्यिुर्तवन्ते मिुजेन्द्रनमर्ेतरे||(CH.KA.12/43-44)
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50. DISCUSSION
•AUSHADHA GUNA FOR CHIKITSA BY THE END OF REVIEW
•रोपणं जीर्िं सन्धािीय र्ृंिणं तपवणं र्ातिर नपििर रिप्रसादि औषि
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51. CONCLUSION
•Kshanta ksheena is a condition where kshaya happened due to kshata.
•Kshata ksheena nidana can be seen in few occupational hazard.
•Due to tvarita chikitsa, rupa is explained first and then purva rupa.
•Though it seems similar to rajayakshma, kshataja kasa, raktapitta due to its
difference in the manifestation and chikitsa it is explained in different chapter.
•Importance of chikitsa, aushadha yoga, aushadha kala, anupana is understood
from the pattern of chikitsa in kshata ksheena.
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