Management of gridhrasi, with special reference to sciatica, through panchakarma

a case study

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Journal name: World Journal of Pharmaceutical Research
Original article title: Management of gridhrasi, with special reference to sciatica, through panchakarma
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Subtitle: a case study

Original source:

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Author:

Dr. Rinal A. Patel, Dr. Dinesh Patil, Dr. Mahesh M.P. and Dr. Kritika Thakur


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Management of gridhrasi, with special reference to sciatica, through panchakarma

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr20218-21050

Copyright (license): WJPR: All rights reserved


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Summary of article contents:

Introduction

The study presented in the "World Journal of Pharmaceutical Research" focuses on the management of Gridhrasi, a condition linked to sciatica, through Ayurvedic treatments specifically utilizing Panchakarma techniques. This condition is recognized in Ayurveda as one of the 80 types of Nanatmaja disorders, characterized by severe pain that affects daily activities such as sitting and walking. The modern lifestyle has contributed to a rise in sciatica cases, with prevalence rates varying significantly among different populations. Current conventional treatments often involve analgesics or surgical procedures, which can lead to adverse side effects, thereby highlighting the need for effective alternative therapies.

The Importance of Basti Treatment

One of the vital aspects of treating Gridhrasi is the Basti therapy, an Ayurvedic procedure considered essential in managing Vata disorders. Basti is believed to rejuvenate and purify the body by administering medicinal oils or decoctions through the rectum, allowing for a concentrated effect on the affected areas. In this case study, the patient underwent a regimen of Niruha Basti (decoction enema) to help alleviate the symptoms of sciatica. This method is highly regarded for its ability to reduce vitiated Doshas, thereby restoring balance and promoting health.

Case Study Overview

The case study documented the treatment of a 53-year-old male patient who exhibited symptoms including low back pain and knee joint pain. Upon examination, the patient was diagnosed with Gridhrasi and was subjected to a series of Basti treatments over eight days. The assessment indicated a clear improvement in his symptoms, with reduced pain, improved mobility, and overall enhanced quality of life post-treatment. This highlights the efficacy of Ayurvedic methods in managing chronic ailments that lack permanent solutions in conventional medicine.

The Pharmacological Basis of Basti

The pharmacological rationale behind Basti treatment lies in its ingredients, such as Erandamula, which possess therapeutic properties aimed at alleviating inflammation and pain. The Basti's formulation aims to address the root cause of Vata imbalances, a primary factor in the manifestation of Gridhrasi. Additionally, the combination of different herbal ingredients alongside oil-based substances enhances absorption and provides systemic benefits, allowing for comprehensive treatment of the condition.

Conclusion

The findings from this case study suggest that Ayurvedic interventions, particularly the application of Basti therapy, can be effective in treating conditions associated with Gridhrasi or sciatica. The absence of adverse effects during the treatment further reinforces the suitability of Ayurvedic practices in managing such health issues without the dangers associated with conventional medical options. Overall, this case emphasizes the potential of integrated treatment approaches that draw from both traditional and modern medicinal practices to improve patient outcomes.

FAQ section (important questions/answers):

What is Gridhrasi and its common symptoms?

Gridhrasi, similar to sciatica, causes pain in the lower back and leg, along with symptoms like stiffness, tingling sensations, and limited mobility. It is one of the eighty types of Nanatmaja disorders in Ayurveda.

How is Gridhrasi diagnosed in modern medicine?

Diagnosis of Gridhrasi, or sciatica, typically includes a physical examination, medical history review, and imaging tests like X-rays. Common signs include leg pain greater than back pain, numbness, and positive straight leg raising tests.

What are the treatment options for Gridhrasi?

Treatment options for Gridhrasi include Ayurvedic therapies like Basti karma, which balances Vata dosha, and modern approaches like analgesics and NSAIDs. Ayurvedic treatments focus on restoring equilibrium and alleviating pain.

What is the significance of Basti in Ayurvedic treatment?

Basti is crucial in treating Vata disorders like Gridhrasi. It involves administering herbal mixtures rectally to detoxify, nourish, and balance doshas, thereby reducing pain and restoring mobility.

What were the results from the case study on Gridhrasi?

The case study indicated significant improvement in pain, stiffness, and mobility after Basti treatment. Patients reported reduced symptoms and a better quality of life following the therapy.

Are there any reported side effects from the Basti treatment?

No adverse effects were observed during the Basti treatment in the case study. The treatment effectively managed symptoms without causing discomfort or complications for the patient.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Management of gridhrasi, with special reference to sciatica, through panchakarma”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Basti:
Basti refers to a therapeutic enema in Ayurveda, used for detoxifying the body and managing disorders associated with vitiated Vata dosha. It is an essential treatment modality designed to restore balance and improve physical health by administering herbal oils or decoctions through the rectum, influencing the entire body energetically.

2) Vata:
Vata is one of the three doshas in Ayurveda, representing the principle of movement and the elements of air and space. An imbalance in Vata can lead to various health issues, particularly those related to nervous and skeletal systems. Treatments aim to pacify and balance Vata through diet, lifestyle changes, and therapies.

3) Anuvasanabasti (Anuvasana-basti):
Anuvasana-basti is a type of enema in Ayurveda that uses oil-based preparations to nourish and pacify Vata dosha. It’s typically administered to achieve long-lasting benefits by providing deep hydration to tissues and targeting chronic conditions, enhancing overall wellness through its lubricating and nourishing properties.

4) Anuvasana:
Anuvasana refers to the process of administering oil or fat through a therapeutic enema. It focuses on the rectal route for delivering medicated substances, which allows for systemic absorption and helps in restoring balance to the Vata dosha while alleviating associated ailments, promoting digestive and overall health.

5) Pain:
Pain signifies discomfort or distress in the body and can stem from various physical or emotional sources. In the context of Gridhrasi or sciatica, pain manifests as shooting discomfort radiating down the legs due to nerve involvement. Understanding the nature and source of pain is crucial for effective treatment.

6) Gridhrasi (Gridhrashi, Grdhrasi):
Gridhrasi is the Ayurvedic term for sciatica, categorized as one of the eight major neuromuscular disorders. It presents with symptoms similar to those of sciatica in modern medicine, including pain and mobility issues. Treatment focuses on balancing Vata through detoxifying therapies like Basti to alleviate discomfort and improve function.

7) Laghu:
Laghu, meaning light or subtle in Ayurveda, is a quality associated with food and herbs that aids digestion and promotes ease of movement in the body. Foods with Laghu properties are often recommended for individuals with Kapha imbalances, as they prevent heaviness and support metabolic processes.

8) Taila (Thaila):
Taila refers to oil in Ayurveda, typically employed in therapeutic treatments for its lubricating and nourishing qualities. Oils are crucial in therapies like Abhyanga (oil massage) and Basti for balancing Vata dosha, providing hydration to tissues, and enhancing overall health through their warming and soothing properties.

9) Kala:
Kala signifies time, season, or specific stages in the context of Ayurvedic treatments and diet. Recognizing Kala is essential for determining the timing of therapies, dietary changes, and understanding the body's rhythms, thus enhancing the effectiveness of treatments by aligning them with natural cycles.

10) Tila:
Tila refers to sesame seeds in Ayurveda, valued for their nutritional properties and medicinal benefits. Sesame oil, derived from Tila, is often used in therapeutic practices to balance Vata and Kapha doshas, enriching diets and enhancing beauty due to its high content of antioxidants and healthy fats.

11) Niruhabasti (Niruha-basti):
Niruha-basti is a type of therapeutic enema aimed at cleansing the body by using a medicated decoction. It primarily acts to detoxify the gastrointestinal tract and alleviate Vata imbalances. This procedure is fundamental in Ayurvedic detoxification regimens to remove accumulated doshas and promote health.

12) Tilataila (Tila-taila):
Tilataila, or sesame oil, is a valuable oil in Ayurveda known for its multiple health benefits, including nourishing and hydrating properties. It's commonly used in treatments for Vata disorders, facilitating tissue healing and enhancing therapeutic action.

13) Murcchita:
Murcchita is a term referring to oil that has been heated or processed in a specific way to enhance its therapeutic properties. This preparation is critical in enhancing the effectiveness of oils used in Panchakarma therapies, improving absorption and synergy with the body's natural rhythms.

14) Niruha:
Niruha refers to the process of administering a cleansing herbal enema designed to expel accumulated doshas and toxins from the body. It is a crucial aspect of Ayurvedic detoxification therapies that promotes digestive health and restores balance to Vata dosha.

15) Madhura:
Madhura translates to sweet in Ayurveda, representing a flavor that enhances taste and provides nourishment. Sweetness is vital for balancing Pitta and Kapha doshas, promoting overall health. Foods with Madhura quality are often sought for their comforting and satisfying effects on the body and mind.

16) Ushna (Usna):
Usna signifies heat or a warming quality in Ayurvedic treatments. It is associated with stimulating digestion and metabolism, often incorporated into therapies to help balance Vata and Kapha doshas, providing therapeutic benefits in specific health conditions.

17) Patel:
Patel in this context refers to Dr. Rinal A. Patel, one of the authors of the study. The work contributed by Dr. Patel and co-authors focuses on integrating Ayurvedic approaches to manage conditions like Gridhrasi, reflecting the significance of their research within the scope of Ayurvedic medicine.

18) Katu:
Katu signifies spiciness in Ayurveda, enhancing digestion and stimulating appetite. Spicy flavors are known for their Pitta-pacifying qualities, as they increase digestion and metabolism. They are beneficial for Kapha imbalances, contributing to the overall balance of doshas and enhancing physical vitality.

19) Ayurveda (Ayus-veda):
Ayurveda is an ancient Indian system of medicine that emphasizes balance within the body and harmony with nature. It involves comprehensive practices, including herbal remedies, dietary recommendations, and lifestyle adjustments, aimed at promoting holistic well-being and preventing diseases through understanding individual constitution and dosha invocations.

20) Nadi (Nadin):
Nadi refers to the channels or pathways through which energy flows in the body. Understanding Nadi is crucial in Ayurveda for determining the health of the body's energetic and physical systems, influencing treatment strategies and personalized therapies in restoring balance and health.

21) Dosha (Dosa):
Dosha represents the fundamental forces or energies in Ayurveda that govern physiological processes and personality traits. There are three primary doshas: Vata, Pitta, and Kapha. The balance of these doshas is vital for health; imbalances can lead to various physical and mental health issues.

22) Kapha:
Kapha is one of the three doshas representing earth and water elements, characterized by qualities of stability, heaviness, coldness, and moisture. An imbalance in Kapha can lead to issues like congestion and lethargy. Ayurvedic treatments often focus on reducing Kapha through dietary adjustments and appropriate therapies.

23) Guna:
Guna refers to the qualities or attributes that describe substances, food, and herbs in Ayurveda. Understanding Guna is essential for tailoring treatments and diets to balance the doshas, as different qualities can have diverse effects on physical and mental health outcomes.

24) Dana:
Dana generally refers to a donation or offering. In the Ayurvedic context, it can symbolize the importance of selfless actions and their benefits to health and well-being, especially regarding the ethics of benevolence in healthcare practices and the holistic approach to patient treatment.

25) Stiffness:
Stiffness indicates a reduced ability to move freely, often associated with pain, tension, and discomfort. In Ayurvedic conditions like Gridhrasi, stiffness can significantly limit mobility. Addressing stiffness is crucial in therapeutic strategies to restore flexibility and enhance the quality of life.

26) Prakrita (Prakrta):
Prakrita refers to the natural or normal state of the body and mind in Ayurveda. It signifies balance and wellness, where the doshas function harmoniously. Understanding Prakrita is vital for establishing health goals and identifying imbalances that require therapeutic intervention.

27) Samana (Shamana):
Shamana is a healing process in Ayurveda focused on alleviating symptoms of disease. It aims to reduce doshic imbalances and restore harmony within the body, chiefly through dietary changes, herbal treatments, and lifestyle modifications, rather than deep detoxification.

28) Dravya:
Dravyas signifies substances or remedies used in Ayurveda for treatment purposes. Understanding the characteristics of various Dravyas is essential for selecting appropriate herbal medicines that adequately address specific health issues based on doshic analysis.

29) Karma (Karman):
Karma refers to action or treatment in Ayurveda, encompassing all therapeutic practices and interventions carried out to restore health and balance. Each Karma is tailored to target specific dosha imbalances, aiming to promote the healing process and enhance well-being.

30) Tikta:
Tikta represents bitterness in Ayurveda, a flavor known for its detoxifying and cleansing properties. Tikta foods are essential for balancing Pitta and Kapha doshas, and are often used in treatments aimed at addressing digestive disorders and promoting metabolic health.

31) Guru:
Guru means heavy or substantial in Ayurveda, describing qualities associated with certain foods or substances. Understanding Guru is important for identifying conditions that require lighter diets to avoid aggravating Kapha or for addressing specific health needs in individuals.

32) Food:
Food plays a central role in Ayurveda, representing both nourishment and medicine. Dietary choices are crucial for maintaining balance among the doshas, as they directly influence health, digestion, and overall well-being. A personalized approach to food is integral to Ayurvedic treatment.

33) Erandamuladi:
Erandamuladi refers to a specific herbal preparation involving the use of castor root, which is known for its purging and detoxifying properties. It forms a key component in the Niruha-basti treatments, especially effective in managing Vata disorders closely associated with pain.

34) Tridosha (Tridosa, Tri-dosha):
Tridoshas represent the three doshas—Vata, Pitta, and Kapha—crucial for understanding individual health constitutions and their relationship with disease. Balancing the Tridoshas is central to Ayurvedic treatments, guiding dietary choices, herbal medications, and lifestyle interventions.

35) Swelling:
Swelling, or edema, is characterized by an increase in the size of tissues or organs due to excess fluid accumulation. In Ayurveda, it's often associated with Kapha imbalance. Addressing swelling requires appropriate dietary and therapeutic interventions to restore fluid balance.

36) Snigdha:
Snigdha refers to the property of being oily or unctuous in Ayurvedic terms. It is beneficial, particularly for pacifying Vata dosha, aiding in nourishment, lubrication, and enhancing the effectiveness of treatments aimed at restoring balance and health.

37) India:
India is the birthplace of Ayurveda, a traditional healing system that has evolved over thousands of years. The rich cultural and scientific heritage of India contributes to the holistic understanding of health and wellness, emphasizing harmony between body, mind, and spirit.

38) Study (Studying):
In this context, 'study' refers to the research and analysis presented in the document regarding the management of Gridhrasi through Ayurvedic methods. The systematic investigation highlights the efficacy of traditional practices in modern healthcare settings.

39) Vatadosha (Vatadosa, Vata-dosha):
Vata-dosha is characterized by qualities of movement, dryness, and coldness. It governs bodily functions like circulation, nerve impulses, and breath. In Ayurveda, maintaining Vata within its normal limits is crucial for preventing various disorders, particularly those related to the nervous system and musculoskeletal health.

40) Activity:
Activity generally refers to physical movement or tasks performed by an individual. In Ayurveda, physical activity is essential for balancing doshas, improving digestion, and enhancing overall health. Lifestyle recommendations often include appropriate levels of physical activity for optimal well-being.

41) Madhu:
Madhu refers to honey in Ayurveda, revered for its medicinal properties and sweetness. Honey is often used as a natural sweetener that balances doshas and provides energy while possessing health benefits like antimicrobial properties and enhancing digestion in various preparations.

42) Sneha:
Sneha translates to oil or fat in Ayurveda, crucial for nourishing the body and promoting healthy digestive functions. Sneha's properties aid in lubricating tissues and alleviating Vata imbalances, and it’s essential in various treatments and dietary practices.

43) Sign:
Sign indicates specific symptoms or indicators of a health condition in Ayurveda. Recognizing signs is essential for diagnosis and guiding treatment plans, as it helps practitioners understand the underlying dosha imbalances and their manifestations in the body.

44) Erandamula (Eranda-mula):
Erandamula refers specifically to the root of the castor oil plant, known for its purgative and detoxifying effects. It is commonly used in Ayurvedic treatments, particularly as a key ingredient in Niruha basti for managing Vata-related disorders.

45) Shodhana (Sodhana):
Sodhana refers to the purification or detoxification process in Ayurveda aimed at cleansing the body of excessive doshas and impurities. This practice lays the groundwork for effective therapeutic interventions, enhancing overall well-being and health.

46) Medicine:
Medicines in Ayurveda refer to herbal preparations, treatments, and remedies utilized for restoring health. Borrowing from extensive knowledge of plant properties and energetic qualities, Ayurvedic medicines cater to diverse health concerns, emphasizing personalized and holistic healing.

47) Vitiation (Vitiated):
Vitiated describes a condition where doshas have become imbalanced or pathological, leading to illness or discomfort. In Ayurveda, identifying vitiated doshas is critical for devising appropriate treatment plans to restore balance and health through dietary and lifestyle interventions.

48) Samaka (Shamaka):
Shamaka refers to qualities or actions that pacify or balance doshas. In Ayurvedic treatments, Shamaka properties are sought in herbs and interventions aimed at alleviating disorders associated with Vata, Pitta, or Kapha imbalances, enhancing healing outcomes.

49) Eranda (Eramda):
Eranda refers to the castor oil plant, commonly used in Ayurveda for its medicinal properties, particularly for its ability to detoxify and promote bowel movements. Its oil is utilized in therapies like Niruha basti to manage Vata disorders effectively.

50) Lavana:
Lavana denotes salt within the Ayurvedic context, valued for its ability to enhance flavor and digestion. Salt is also recognized for its balancing properties concerning doshas, though its usage must be moderated to prevent aggravating Pitta and Kapha imbalances.

51) Kalka:
Kalka refers to a paste made from herbal ingredients, utilized in various Ayurvedic recipes and treatments. It is often applied in Niruha basti preparations for its therapeutic properties, enhancing the efficacy of treatments through direct contact with bodily tissues.

52) Mala:
Malas refer to waste products generated in the body as a byproduct of metabolic processes. Proper elimination of Malas is crucial in Ayurveda since their accumulation can lead to health issues, emphasizing the need for detoxification strategies in treatment.

53) Kati:
Kati refers to the lower back or lumbar region of the body in Ayurveda. It is significant in diagnosing ailments such as Gridhrasi, as many Vata disorders manifest with pain or discomfort in this area, necessitating targeted therapies for relief.

54) Drug:
Drugs in Ayurveda encompass various herbal and natural substances used for therapeutic purposes. Understanding the properties and actions of different Ayurvedic drugs is essential for prescribing appropriate treatments that address individual health concerns effectively.

55) Life:
Life refers to holistic well-being encompassing physical health, mental clarity, and spiritual balance in Ayurveda. The ultimate goal of Ayurvedic practices is to improve the quality of life by harmonizing bodily systems and enhancing the individual's overall vitality.

56) Vatahara (Vata-ahara):
Vatahara denotes substances and therapeutic actions that pacify Vata dosha. In Ayurvedic practice, Vatahara treatments are crucial for alleviating conditions associated with Vata imbalances, such as pain, anxiety, and dryness, thereby restoring health and balance.

57) Sukshma (Suksma, Shukshma):
Sukshma refers to the subtle or fine aspects within Ayurveda, highlighting the importance of understanding the micro-level interactions of doshas, tissues, and bodily systems. It emphasizes a tailored approach to treatment, addressing the nuanced needs of an individual.

58) Kashaya (Kasaya):
Kashaya signifies astringency or bitterness in Ayurvedic terminology, which is closely associated with the detoxifying effects of certain herbs. Kashaya-type flavors can aid digestion, balance Pitta, and support overall metabolic processes essential to maintaining health.

59) Disease:
Disease refers to any disruption of normal physiological function within the body. In Ayurveda, understanding the nature of disease involves assessing doshic imbalances and their manifestations, enabling practitioners to design effective holistic treatments tailored to each individual's needs.

60) Ruksha (Ruksa):
Ruksha denotes dryness in Ayurveda, generally associated with an increase in Vata dosha. Recognizing Ruksha qualities in individuals is crucial, as they can lead to various health issues, particularly dryness in skin and mucous membranes, necessitating appropriate hydration-based treatments.

61) Jangha (Jana-ogha, Jamgha):
Jangha refers to the thighs in Ayurveda, a significant area for assessing mobility and pain in conditions like Gridhrasi. Understanding the condition of Jangha helps practitioners target treatments effectively, addressing specific sites of discomfort and enhancing overall leg function.

62) Srotas (Shrotas):
Srotas are the channel systems in the body responsible for the circulation of nutrients, waste, and vital energy. A proper understanding of Srotas is essential in Ayurveda, as they are instrumental in diagnosing disorders and promoting overall health through effective treatments aimed at restoring flow.

63) Khara:
Khara translates to being rough or coarse in Ayurvedic terminology. This quality can denote certain food properties or conditions in the body that require attention, particularly if excessive roughness correlates with Vata imbalances or digestive disturbances.

64) Pitta:
Pitta is one of the three doshas in Ayurveda representing fire and water elements. It governs metabolism, transformation, and digestion. An imbalance in Pitta can lead to inflammation and heat-related issues. Treatments often focus on pacifying Pitta through cooling therapies and dietary choices.

65) Rasna (Rashna, Rasona, Rasa-una):
Rasna refers to a medicinal herb known for its anti-inflammatory and analgesic properties. It is employed in various Ayurvedic formulations targeting Vata disorders to relieve pain and enhance mobility through its therapeutic actions on the nervous system.

66) Blood:
Blood is a vital fluid in the body, responsible for transporting nutrients and oxygen while removing wastes. In Ayurveda, the health and quality of blood are closely tied to the balance of doshas, making it essential to maintain harmony for overall well-being.

67) Hara:
Hara translates to 'remover' in Ayurveda, often used in terms associated with conditions that seek purification or alleviation of ailments. This quality emphasizes the healing aspect of treatments that aim to cleanse and restore balance to the body's systems.

68) Agni:
Agni signifies digestion and metabolic fire in Ayurveda, essential for converting food into energy and maintaining overall health. Proper Agni is crucial for good health; imbalances can lead to diseases. Strengthening Agni is often a primary focus of Ayurvedic treatments.

69) Yoga:
Yoga encompasses a range of practices that include physical postures, breathing exercises, and meditation, intended to promote physical, mental, and spiritual well-being. In Ayurveda, yoga is considered complimentary therapy that aligns with principles of balance within the body's doshas.

70) Pada:
Pada refers to the feet in Ayurveda, considered significant in assessing overall alignment and health. The condition of Pada can reflect various doshic imbalances and is often targeted in therapies aimed at improving mobility and relieving discomfort in the lower extremities.

71) Tinospora cordifolia:
Tinospora cordifolia, commonly known as Guduchi, is an important herb in Ayurveda known for its immune-boosting and adaptogenic properties. Its usage is significant in treatments aimed at balancing doshas and enhancing overall health due to its restorative effects on bodily systems.

72) Solanum xanthocarpum:
Solanum xanthocarpum, often referred to as Kantakari, is an Ayurvedic herb known for its anti-inflammatory and analgesic properties. It is utilized in therapeutic formulations to alleviate pain and support respiratory and digestive health, contributing to holistic wellness.

73) Withania somnifera:
Withania somnifera, commonly known as Ashwagandha, is valued in Ayurveda for its adaptogenic properties. It helps in managing stress and anxiety, promoting vitality, and balancing Vata and Kapha doshas, making it a key herb for improving resilience and overall health.

74) Butea monosperma:
Butea monosperma, known as Palasha, is an herbal plant used in Ayurvedic medicine for various therapeutic benefits, including anti-inflammatory and analgesic effects. Its applications are significant for addressing joint pain and balancing the doshic energies within the body.

75) Solanum indicum:
Solanum indicum, referred to as Bruhati, holds a place in Ayurvedic medicine for its potential benefits in treating inflammatory conditions and pain management. It is often included in formulations aimed at alleviating discomfort and supporting digestive health.

[Note: The above list is limited to 75. Total glossary definitions available: 167]

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