Nadi Pariksha: An Essential Diagnostic Tool in Ayurveda

a important diagnostic tool for diagnosis of diseases in ayurveda

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Journal name: World Journal of Pharmaceutical Research
Original article title: Nadi pariksha
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 important diagnostic tool for diagnosis of diseases in ayurveda

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Author:

Dr. Nisha Yadav, Dr. Pankaj Marolia and Dr. Man Mohan Sharma


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Nadi pariksha

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

Doi: 10.20959/wjpr20217-20838

Copyright (license): WJPR: All rights reserved


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Summary of article contents:

Introduction

Nadi Pariksha, an ancient diagnostic tool in Ayurveda, holds significant importance in assessing the health status of individuals. According to the principles laid out by Yogratnakar, nadi pariksha is prioritized within the asthvidha pariksha, which encompasses eight diagnostic methods. It emphasizes the analysis of the tridoshaVata, Pitta, and Kapha—through the examination of the pulse at the wrist. Traditionally performed by skilled Ayurvedic practitioners, this technique provides insights into the person's health by interpreting the characteristics of their pulse.

The Significance of Nadi Pariksha

Nadi pariksha is viewed as an essential technique for determining the presence of vitiated doshas in the body, which are believed to contribute to various diseases. Through pulse examination, practitioners can gain a comprehensive overview of a patient's health. The classic texts dictate that the pulse should be checked at the right wrist for men and the left for women, ideally in the morning and on an empty stomach. The ability to discern the subtle variations in pulse provides vital information about the body's condition and underlying imbalances.

Nadi Examination Techniques

To effectively examine the pulse, practitioners must guide the patient into a calm, comfortable position. The examination technique involves gently placing three fingertips over the radial artery and observing the nature of the pulse. The practitioner assesses various characteristics, including strength and rhythm, which correspond to the different doshas. For instance, the pulse felt in different fingers indicates specific doshic imbalances: Vata in the index finger, Pitta in the middle, and Kapha in the ring finger. The accuracy of the diagnosis relies on the practitioner’s experience and familiarity with pulse interpretation.

Categories of Nadi and Health Conditions

Nadi characteristics can indicate various health conditions. For example, changes in pulse might be described as fast or slow, steady or erratic, depending on the patient's health status. Specific conditions like fever (jwara) produce distinct pulse patterns—such as a fast, hot pulse in specific types of fever. Nadi readings can signal poor prognosis if the pulse is weak or presents characteristics of all three doshas, suggesting a more severe health issue that could be indicative of a critical condition.

Conclusion

The traditional practice of nadi pariksha has seen a decline in modern times, primarily due to the rise of advanced diagnostic technologies and methodologies. Despite its historical significance and non-invasive nature, which can be especially beneficial for economically disadvantaged patients, it is often overshadowed by contemporary medical practices. Reestablishing the importance of nadi pariksha could reinvigorate interest in Ayurveda as a comprehensive system for health assessment and diagnosis, ensuring that this invaluable technique can continue to offer insights into health conditions without the barriers posed by modern diagnostics.

FAQ section (important questions/answers):

What is Nadi Pariksha in Ayurveda?

Nadi Pariksha is a traditional method for diagnosing diseases by examining the pulse. It assesses the balance of the three doshas (Vata, Pitta, Kapha) through palpation at specific pulse points on the body.

How is Nadi Pariksha performed?

To perform Nadi Pariksha, the physician uses three fingers placed on the radial artery at the wrist. It is recommended to conduct this examination in the early morning and on an empty stomach for best results.

What does the pulse indicate in Nadi Pariksha?

The pulse reflects the state of the body's doshas. Variations in the pulse can indicate imbalances in Vata, Pitta, and Kapha, helping to identify underlying health issues and diagnostic outcomes.

What historical texts reference Nadi Pariksha?

Nadi Pariksha is discussed in several ancient Ayurvedic texts including Yogratnakara, Goraksha Samhita, and Bhavaprakasha. These texts emphasize the importance and methodology of pulse examination in traditional diagnosis.

Why is Nadi Pariksha becoming less common today?

The decline of Nadi Pariksha is due to a lack of research, modern diagnostic tools overshadowing traditional methods, and the commercialization of healthcare which makes some patients unable to access these non-invasive techniques.

What are some conditions that affect pulse quality?

Conditions such as fever, anxiety, hunger, and fatigue can influence the quality and characteristics of the pulse. Each condition alters the pulse's characteristics, signaling distinct health implications.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Nadi Pariksha: An Essential Diagnostic Tool in Ayurveda”. 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) Nadi (Nadin):
Nadi refers to the channels in the body through which life energy, or 'prana', circulates. In Ayurveda, nadi is significant in diagnosing health conditions, as changes in their pulsation correspond to physical and emotional states. Understanding these channels helps practitioners assess overall well-being.

2) Pariksha (Pariksa):
Pariksha means examination or assessment in the context of Ayurvedic practices. It denotes the systematic approach to evaluating a person's health, incorporating various diagnostic techniques. This term emphasizes the importance of thorough and careful health evaluations to understand imbalances in the body.

3) Nadipariksha (Nadipariksa, Nadi-pariksha):
Nadi-pariksha is a specific diagnostic method that involves assessing the pulse to determine an individual's health status. Practitioners evaluate the pulse's characteristics to identify various doshic imbalances. This ancient practice provides insights into the individual's physical and mental health based on pulse variations.

4) Pulse:
Pulse refers to the rhythmic expansion and contraction of blood vessels that can be felt at various points in the body, commonly at the wrist. In Ayurveda, pulse diagnosis or nadi-pariksha reveals vital information about a person's health, including dosha imbalances and overall vitality.

5) Ayurveda (Ayus-veda):
Ayurveda is a traditional system of medicine originating from India, focusing on balance among body, mind, and spirit. It emphasizes prevention, holistic health, and natural remedies to promote well-being. Ayurvedic practices include diet, herbal treatments, and lifestyle changes tailored to individual constitutional types.

6) Disease:
Diseases in Ayurveda are viewed as disorders arising from imbalances in the body's doshas. They are treated through lifestyle modifications, dietary changes, and herbal remedies. Recognizing the connection between doshas and diseases is central to Ayurvedic diagnostic and therapeutic approaches.

7) Pitta:
Pitta is one of the three primary doshas in Ayurveda, representing the fire element. It governs metabolism, digestion, and transformation in the body. Imbalances in pitta can lead to conditions like inflammation or acidity, whereas balancing pitta promotes health and vitality.

8) Kapha:
Kapha is another of the three doshas in Ayurveda, characterized by the earth and water elements. It provides structure, stability, and lubrication to the body. Imbalances in kapha can cause ailments like obesity or congestion, while balanced kapha supports immunity and resilience.

9) Gati:
Gati means movement or flow in Sanskrit. In Ayurveda, it refers to the dynamics of doshas and their manifestations in the body. Understanding gati helps practitioners evaluate the nature of health conditions and the appropriate treatments needed to restore balance.

10) Samhita:
Samhitas are ancient Ayurvedic texts that gather collective knowledge on various aspects of health, healing, and medical practices. These texts serve as the foundation for understanding traditional methods, providing comprehensive guidelines on diagnosing, treating, and maintaining health in accordance with Ayurvedic principles.

11) Vata:
Vata is the third dosha in Ayurveda, representing the air and ether elements. It governs movement, communication, and bodily functions. Imbalances in vata can lead to neurological issues and dry conditions, whereas balanced vata fosters creativity and dynamism.

12) Dosha (Dosa):
Doshas are fundamental biological energies in Ayurveda, comprising Vata, Pitta, and Kapha. Each dosha reflects unique physical and psychological characteristics. Understanding one's dosha is essential for personalized treatment plans, dietary recommendations, and lifestyle adjustments to achieve optimal health and prevent disease.

13) Tridosha (Tridosa, Tri-dosha):
Tridosha refers to the three doshas—Vata, Pitta, and Kapha—that govern physiological processes in the body. The balance among these doshas is critical for maintaining health. Diseases are typically viewed in terms of tridoshic imbalances, guiding diagnostic and therapeutic approaches in Ayurveda.

14) Vikriti (Vikrti):
Vikriti signifies the current state of an individual's doshas and health status, considering their imbalances or diseases. It contrasts with prakriti, which refers to one's inherent constitution. Assessing vikriti helps practitioners identify conditions needing correction and treatment strategies to restore balance.

15) Udaipur (Udaypur):
Udaipur is a city in India known for its rich cultural heritage and significance in Ayurveda. It houses institutions like the MMM Government Ayurveda College, where traditional practices, including nadi pariksha, are taught and researched, promoting the integration of classical Ayurvedic knowledge in modern health care.

16) Manda (Mamda):
Manda refers to a condition characterized by sluggishness or weakness in the context of pulse diagnosis. In Ayurveda, a manda pulse indicates low vitality or health issues that may require attention. Recognizing this aspect of the pulse aids practitioners in crafting effective treatment plans.

17) Indradeva:
Indradeva is a name associated with Ayurvedic texts, specifically referencing authors or scholars who contributed to the field. The name emphasizes the fusion of cultural heritage and ancient knowledge that underpins the traditional practices and teachings evident in modern Ayurvedic education.

18) Varanasi (Varanashi):
Varanasi is a city in India renowned for its spiritual significance and ancient traditions, including Ayurveda. As a pivotal location for Ayurvedic education and practice, Varanasi is often referenced in classical texts and continues to attract scholars, practitioners, and students of Ayurveda across generations.

19) Vitiation (Vitiated):
Vitiated refers to the state of being impaired or disturbed, particularly concerning doshas in Ayurveda. When doshas are vitiated, they lead to disease conditions. Recognizing vitiated doshas allows practitioners to implement corrective measures aimed at restoring health and balance in the individual.

20) Manduka (Mamduka):
Manduka, meaning frog in Sanskrit, is used metaphorically in Ayurvedic pulse diagnosis to describe specific pulse characteristics. Certain animals are associated with particular dosha qualities, enabling practitioners to intuitively assess and categorize various physical and emotional states reflected in the patient's health.

21) Sarpa:
Sarpa, meaning snake in Sanskrit, is used in Ayurvedic contexts to describe certain qualities of the pulse. Similar to Manduka, it represents characteristics that help practitioners identify doshic imbalances. Using animal references allows for analogical thinking in understanding complex physiological conditions.

22) Hand:
The hand is a pivotal part of the body used for pulse diagnosis in Ayurveda. During nadi-pariksha, practitioners carefully examine the pulse using their fingers on the patient's wrist, evaluating subtle changes that provide insights into the individual's health and dosha status.

23) Pur:
Poor in the context of Ayurveda often refers to low economic status or lack of resources for conventional medical treatments. Nadi pariksha, being a non-invasive and cost-effective method, offers an invaluable alternative for underprivileged populations to access health assessments and traditional diagnostic methods.

24) Srivastava (Sri-vastava, Shrivastava, Shri-vastava):
Shrivastava is a surname associated with authors or scholars contributing to Ayurvedic literature. Mentioning such names highlights the lineage of knowledge and expertise in the field, reflecting the continuity and evolution of Ayurvedic practices through generations of dedicated practitioners and researchers.

25) Purana:
Purana refers to ancient Hindu texts containing vast cosmological, religious, and historical knowledge. In the Ayurvedic context, Puranas enrich the understanding of health and healing practices, providing context and background to various techniques, including nadi pariksha, found in classical literature.

26) Nature:
Nature refers to the inherent qualities or characteristics of doshas, body systems, or health conditions in Ayurveda. By understanding the nature of each aspect, practitioners can form a comprehensive picture of health, guiding them in diagnosis and the selection of appropriate treatments.

27) Ushna (Usna):
Ushna translates to hot or warm in Sanskrit. In Ayurvedic diagnosis, the term ushna describes specific conditions of pulse temperature and quality. Recognizing ushna characteristics assists practitioners in identifying vitiation in doshas and can guide treatment choices around heating or cooling therapies.

28) Hamsa (Hansa, Hamsha):
Hansa, or swan, is another animal symbol associated with pulse characteristics in Ayurveda. The qualities perceived from the hansa pulse provide insights into an individual's emotional and physical states. This symbolic approach helps practitioners interpret health conditions based on descriptive analogies.

29) Vakra:
Vakra means twisted or irregular in pulse diagnostics. In Ayurveda, a vakra pulse may indicate disturbances or vitiations in the body, reflecting potential health issues. Understanding these irregularities allows practitioners to identify and treat the underlying conditions more effectively.

30) Hindi (Himdi):
Hindi denotes the language spoken widely in India, where Ayurveda is practiced. Effective communication in Hindi facilitates the dissemination of Ayurvedic knowledge and texts, making them accessible to a broader audience and fostering understanding among practitioners and patients alike.

31) Blood:
Blood is the vital fluid circulating in the body, carrying oxygen and nutrients. In Ayurveda, the state of blood can indicate overall health and balance. Its properties are assessed during nadi pariksha to determine doshic imbalances and guide treatment choices for restoring health.

32) Nish (Nisa, Nis, Nishe, Nisha):
Nisha is a common Indian name, notably belonging to Dr. Nisha Yadav, one of the authors of the article on nadi pariksha. It emphasizes the contribution of individuals in promoting Ayurvedic practices and research, showcasing modern applications of traditional methods in contemporary healthcare.

33) Sira (Shira):
Sira refers to veins or channels in the body's circulatory system. In Ayurveda, understanding the state of sira is crucial to assessing health. Sira is often evaluated alongside nadi during pulse diagnosis to gain holistic insights into an individual's physiological and energetic status.

34) Kala:
Kala means time or period and is significant in Ayurveda regarding diagnosis and treatment. The time of pulse examination must be optimal to obtain accurate results. Different doshic conditions can manifest over time, making timely intervention crucial for effective Ayurvedic therapies.

35) Male:
Male specifies gender, which is relevant for Ayurvedic practice, particularly in pulse examination. According to traditional guidelines, the pulse is assessed differently for males and females, acknowledging physiological variations and ensuring accurate diagnostic results aligned with patient-specific needs.

36) Tailabhyanga (Taila-abhyanga):
Tail-abhyanga refers to an oil massage therapy commonly practiced in Ayurveda. It is crucial to avoid pulse examination immediately following this practice, as the effects may alter the pulse characteristics, leading to misinterpretation of health status during nadi pariksha.

37) Atharvaveda (Atharva-Veda):
Atharvaveda is one of the four Vedas in Hindu scripture focusing on everyday life, including health and healing. Its teachings and references are fundamental to Ayurveda, providing philosophical context and elucidating practices beneficial to maintaining balance and health.

38) Performance:
Performance in Ayurveda refers to the body's functional effectiveness and how well physiological processes operate. Evaluating performance often involves assessing doshic balance and overall health, guiding practitioners in treatment options that enhance physiological efficiency and well-being.

39) Vatapitta (Vata-pitta):
Vatapitta is a combined dosha condition characterized by elements of vata and pitta doshas. Individuals with this constitution may exhibit symptoms related to both air and fire imbalances, where therapeutic approaches must be integrated to effectively address and balance the two opposing qualities.

40) Kaphavata (Kapha-vata):
Kapha-vata refers to a dual dosha constitution involving the qualities of both kapha and vata. Such combinations are crucial in identifying patient-specific health issues, as each individual’s unique doshic blend guides the selection of appropriate Ayurvedic therapies for optimization of health.

41) Practising (Practicing):
Practicing pertains to the active application of Ayurvedic principles and techniques, including nadi pariksha. Mastery often requires extensive experience and commitment. Skilled practitioners evolve their understanding through consistent application, ensuring effective assessments and treatments tailored to individual patient needs.

42) Abhyanga (Abhyamga):
Abhyanga refers to the practice of Ayurvedic oil massage, promoting relaxation and health. This technique can influence pulse diagnosis, making it vital to consider timing while assessing nadi. Abhyanga enhances circulation and rejuvenates energy, contributing to overall well-being.

43) Narayana (Nara-ayana, Nara-yana):
Narayana is a revered deity in Hinduism, often associated with preservation and protection in cosmic order. In Ayurveda, divine qualities of Narayana can symbolize balance and harmony. His referencing reflects the spiritual dimensions integral to holistic healing philosophies present in Ayurvedic practices.

44) Mandagni (Manda-agni, Mamdagni):
Mandagni describes a weak digestive fire in Ayurveda, which affects metabolism and overall health. Recognizing mandagni is critical for practitioners, indicating that dietary and lifestyle modifications are necessary to restore digestive capacity and balance within the body’s systems.

45) Goraksha (Goraksa, Gorksha, Go-raksha):
Goraksha refers to ancient texts and traditions, contributing to Ayurveda's historical foundation. Notable for its teachings on ethics, healthcare, and vital skills, Goraksha represents the wisdom passed down through generations, connecting modern practitioners with profound foundational knowledge in Ayurvedic practices.

46) Vegavati (Vega-vati):
Vegavati refers to a fast pulse, typically associated with heightened states of emotion or physical exertion. In Ayurvedic diagnosis, recognizing vegavati characteristics provides insights into current stressors or health conditions, allowing for targeted treatments focused on calming and restoring balance.

47) Elephant:
Elephant is often used as a metaphor in Ayurvedic pulse diagnosis, embodying strong and stable qualities. Its pulsation characteristics can provide insights into the health status of individuals, reflecting strength or challenges dependent on the observed pulse patterns.

48) Tittira:
Tittira refers to the partridge, used in Ayurvedic pulse diagnosis to symbolize specific pulse characteristics. By associating specific animals with dosha qualities, practitioners gain insights into health issues, utilizing analogies to enhance their understanding of an individual's overall health status.

49) Snigdha:
Snigdha means oily or unctuous in Ayurveda. It often describes the quality of tissues or bodily secretions, indicating hydration and nourishment. Recognizing snigdha characteristics in the pulse or bodily functions helps practitioners assess overall health and the presence of adequate nutrition and hydration.

50) Channel:
Channel refers to pathways in the body's circulatory and energetic systems. Understanding these channels is crucial in Ayurveda, as they influence the flow of prana and the balance of doshas. Effective treatments aim to open or balance these channels for optimal health.

51) Anxiety:
Anxiety represents a state of emotional distress that can manifest physically. In Ayurveda, anxiety is seen as an imbalance in doshas, often linked to vata. Treatment focuses on restoring balance through dietary and lifestyle practices, promoting mental and physical well-being.

52) Sthana:
Sthana means location or place in the human body where specific imbalances may manifest. Recognizing sthana assists Ayurvedic practitioners in pinpointing areas needing attention, directing effective treatment strategies tailored to address localized issues within the broader context of overall health.

53) Brahma:
Brahma represents the creator in Hindu cosmology. In Ayurveda, the concept symbolizes the foundational essence of life and health. Aligning treatments with cosmic principles, practitioners recognize the interplay between the divine, natural elements, and human health, guiding their approaches to healing.

54) Vishnu (Visnu):
Vishnu is regarded as the preserver in Hinduism, embodying stability and balance. In Ayurvedic philosophy, references to Vishnu symbolize the importance of maintaining equilibrium among the doshas and overall health. This spiritual aspect enriches the practice of healing within the Ayurvedic context.

55) Srotas (Shrotas):
Srotas refers to the channels or pathways in the body responsible for transportation of vital substances, including fluids and nutrients. In Ayurveda, understanding srotas is essential for diagnosing diseases based on blockages or imbalances affecting overall health and metabolism.

56) Vadiya:
Vadiya denotes the practitioner or physician in Ayurvedic medicine. This term emphasizes the vital role of skilled practitioners in assessing, diagnosing, and applying Ayurvedic treatments. Their expertise greatly influences patient outcomes and the effectiveness of holistic healing practices.

57) Sharman (Sarma, Sharma, Sarman):
Sharma is a common surname in India, reflecting cultural heritage and often associated with scholars and practitioners in fields like Ayurveda. Mentioning figures like Dr. Man Mohan Sharma highlights the contributions of individuals in advancing Ayurvedic education and research.

58) Reason:
Reason pertains to the rationale behind diagnostic approaches and treatment methodologies in Ayurveda. Each technique, including nadi pariksha, is grounded in theoretical foundations and traditional practices, ensuring that practitioners approach healthcare with informed, evidence-based strategies aimed at restoring balance.

59) Filling (Filled):
Filled refers to the pulse's sensation when it is engorged with blood. In Ayurvedic diagnostics, a filled pulse indicates vitality or health. Evaluating the pulse's fullness helps practitioners assess the overall strength and energy present in the individual's physiological state.

60) Dhatu:
Dhatu refers to the seven fundamental tissues in the body, including muscle, fat, and bone. Proper balance of dhatu is essential for maintaining health. Understanding dhatu conditions in pulse readings allows Ayurvedic practitioners to identify and address underlying tissue imbalances or deficiencies.

61) Shiva (Siva):
Shiva represents the destroyer in Hindu cosmology, embodying transformation and regeneration. In Ayurveda, references to Shiva reinforce the understanding of the cyclical nature of health and disease. This spiritual context encourages holistic healing practices that promote renewal and restoration.

62) Delhi:
Delhi is the capital city of India, serving as a cultural and political hub. Many Ayurvedic practitioners and institutions are based in Delhi, contributing to the promotion and study of traditional medicine, catering to diverse populations seeking holistic health solutions.

63) Surya (Shurya):
Surya represents the sun in Hinduism, symbolizing vitality and health. In Ayurveda, the concept of Surya is associated with the synthesis of energy and life-giving properties, underlining the importance of harmony with natural cycles for wellness and balance within individuals.

64) Ashta (Ashtan, Asta, Astan):
Ashta means eight in Sanskrit, often used in various Ayurvedic contexts to refer to eight diagnostic methods or signs. This term emphasizes the holistic approach within Ayurveda, highlighting the importance of assessing multiple aspects of health to arrive at a comprehensive diagnosis.

65) Anger (Angry):
Anger is an emotional state identified as a potential disruptor of dosha balance, particularly affecting pitta. In Ayurveda, recognizing anger's influence on health is essential for practitioners in guiding lifestyle modifications and treatments that promote emotional regulation and physical well-being.

66) Vina:
Veena is a classical Indian musical instrument symbolizing harmony and balance. In Ayurvedic texts, comparisons of nadi to the strings of a veena highlight the importance of maintaining equilibrium in health. This metaphor emphasizes the intricacies of balance in both music and well-being.

67) Raga:
Raga denotes a specific melody or musical mode in Indian classical music. The reference to raga in Ayurvedic contexts illustrates the parallels between music and health, encouraging practitioners to explore how sound can impact emotional well-being and overall health.

68) Agni:
Agni represents the digestive fire in Ayurveda, essential for proper digestion and metabolism. A balanced agni is crucial for health, as it governs the transformation of food into energy. Slow or weak agni affects overall health, highlighting the importance of digestive strength in wellness.

69) Lava:
Lava refers to the sparrow, often used metaphorically in Ayurvedic pulse diagnosis. Similar to other animal references, observing the qualities of the lava pulse allows practitioners to interpret specific physical and emotional states, enriching their understanding of individual health conditions.

70) Vayu:
Vayu refers to the air element in Ayurveda, linked to the vata dosha. It governs movement and communication in the body. Understanding vayu's role emphasizes the significance of breath and air quality in maintaining health, guiding practices that enhance vitality and balance.

71) Food:
Food is a central aspect of health in Ayurveda, where dietary choices influence one's doshic balance and overall well-being. Proper nutrition forms the foundation for maintaining health, with personalized dietary guidelines tailored to an individual's constitution essential for optimal health.

72) Fear:
Fear is an emotional response with physiological implications, often associated with vata dosha imbalances. Recognizing fear's impact in Ayurveda is essential for practitioners, who may implement strategies to alleviate anxiety and restore balance through dietary and lifestyle recommendations.

73) Sign:
Sign refers to observable characteristics indicating an individual's health status. In Ayurveda, signs of health and disease present through diagnostics like nadi pariksha, providing valuable insights into a patient's condition. Understanding these signs is critical for accurate assessments and treatment planning.

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