Polycystic ovarian syndrome (pcos) – an ayurvedic view

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Journal name: World Journal of Pharmaceutical Research
Original article title: Polycystic ovarian syndrome (pcos) – an ayurvedic view
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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Author:

Dr. Soumya Sucharita Dash and Dr. Kaushalya Khakhlary


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Polycystic ovarian syndrome (pcos) – an ayurvedic view

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

Doi: 10.20959/wjpr20227-23839

Copyright (license): WJPR: All rights reserved


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Summary of article contents:

Introduction

Polycystic ovarian syndrome (PCOS) was first identified by Stein and Leventhal in 1935 and is characterized by a combination of symptoms including amenorrhea, hirsutism, obesity, and enlarged polycystic ovaries, predominantly affecting women of reproductive age. The condition is linked to excessive androgen production and is more common in women experiencing infertility. Although PCOS is not explicitly described in Ayurvedic texts, many symptoms closely resemble those found in various traditional Ayurvedic conditions. This paper aims to correlate the manifestations of PCOS with Ayurvedic principles, emphasizing the significance of these traditional perspectives in understanding the syndrome.

Ayurvedic Correlation with PCOS

The symptoms of PCOS can be correlated with the Ayurvedic concepts of Vata-Kaphaja Artava Dushti, which represents disturbances in the menstrual cycle leading to conditions like anovulation and the absence of healthy follicles. The imbalance of Vata and Kapha is implicated in the vitiation of Artava, leading to menstrual irregularities, increased body weight, and associated symptoms. Ayurvedic interpretations suggest that lifestyle factors—such as improper diet and lack of physical activity—can aggravate these dosha imbalances, contributing to the onset of conditions akin to PCOS.

Insights on Menstrual Abnormalities in Ayurveda

Ayurvedic texts identify various types of Artava dusti, where menstrual blood becomes vitiated due to factors associated with Vata or Kapha. Such distortions can lead to complications like Nashtartava (absence of menstruation), Kheenartava (decreased menstrual flow), and Stholya (obesity). The text discusses how an imbalance in bodily tissues (dhatus) and metabolic disturbances stemming from improper dietary habits lead to the production of Ama, a toxic substance that can obstruct the natural flow of Artava (menstrual blood), exacerbating menstrual irregularities commonly associated with PCOS.

Pathology and Symptoms of PCOS

From a modern perspective, PCOS is diagnosed based on the presence of two out of three criteria: oligomenorrhea or anovulation, hyperandrogenism, and polycystic ovaries visible through imaging. The pathology often reveals enlarged ovaries with multiple cysts and thickened stroma, correlating with the Ayurvedic understanding of doshic imbalances causing similar manifestations. Clincal features include obesity, menstrual irregularities, hirsutism, and skin conditions such as acanthosis nigricans, indicating insulin resistance. These clinical observations parallel Ayurvedic descriptions of diseases and conditions, demonstrating the relevance of ancient wisdom in contemporary medical understandings.

Conclusion

The study draws attention to the lack of explicit descriptions of PCOS in Ayurvedic texts while highlighting how symptoms and signs consistent with PCOS are indeed referenced throughout ancient literature under various terminologies. By bridging the traditional Ayurvedic framework with modern medical understanding, the research underscores the potential for holistic approaches to managing PCOS. The findings open doors for more integrated treatment strategies that honor both Ayurvedic principles and contemporary medical practices, suggesting that a multifaceted approach may yield better outcomes for women suffering from this complex syndrome.

FAQ section (important questions/answers):

What is Polycystic Ovarian Syndrome (PCOS)?

PCOS, described in 1935, is a hormonal disorder in women characterized by missed periods, excess hair growth, and obesity associated with enlarged ovaries containing numerous cysts.

How is PCOS related to Ayurveda?

Ayurveda doesn't mention PCOS directly but correlates its symptoms with conditions like Vata-Kaphaja Artava Dushti, indicating menstrual irregularities, obesity, and hormonal imbalance.

What are the symptoms of PCOS according to Ayurvedic texts?

Symptoms include amenorrhea, oligomenorrhea, excessive hair growth (Atiloma), obesity, and skin issues like acne, which are described in various Ayurvedic contexts.

How does Ayurveda explain the pathology of PCOS?

Ayurveda attributes PCOS to vitiated Vata and Kapha, leading to disruptions in menstrual cycles, abnormal follicular growth, and metabolic complications like obesity.

What treatments does Ayurveda suggest for managing PCOS?

Ayurvedic treatments include herbal remedies like Kalyanak Ghrita for menstrual issues and Triphala Guggulu for weight management, focusing on balancing the doshas.

What are the modern diagnostic criteria for PCOS?

Diagnosis is based on the presence of at least two criteria: oligo/anovulation, hyperandrogenism signs, or polycystic ovaries, as defined by ESHRE/ASRM.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Polycystic ovarian syndrome (pcos) – an ayurvedic view”. 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) Artava:
Artava refers to a woman's menstrual blood or ovum in Ayurveda. It is crucial for reproductive health and signifies the balance of various doshas. Disorders affecting Artava can lead to irregular menstrual cycles, fertility issues, and conditions such as Polycystic Ovarian Syndrome (PCOS), which are analyzed and treated in Ayurvedic medicine.

2) Kapha:
Kapha is one of the three doshas in Ayurveda, representing the elements of water and earth. It is associated with structure, stability, and fluid balance in the body. An imbalance in Kapha can lead to various health issues, including obesity and reproductive disorders like PCOS. Ayurvedic treatments focus on balancing this dosha.

3) Prameha:
Prameha is a term used in Ayurveda to describe a group of diseases characterized by excessive urination and metabolic disorders. It is often linked with obesity and insulin resistance, which are common in conditions like PCOS. Understanding Prameha helps in devising holistic treatments for metabolic disorders.

4) Pidika:
Pidika refers to a type of skin lesion or pustule observed in various Ayurvedic conditions, such as PCOS. It highlights the connection between metabolic imbalances and skin health. Recognizing Pidika is crucial for diagnosing underlying problems like insulin resistance and other associated skin changes.

5) Vata:
Vata is another dosha in Ayurveda, signifying the elements of air and space. It governs movement, communication, and neurological functions. An imbalance of Vata can lead to various health issues, including menstrual abnormalities. Ayurvedic treatments often aim to balance Vata to restore health and harmony.

6) Pain:
Pain, or Vedana, in Ayurvedic terms can signify various physical and emotional imbalances in the body. It is often associated with vitiated doshas and can manifest in different forms, such as cramps associated with menstrual disorders like PCOS. Understanding its nature is critical for effective treatment.

7) Ayurveda (Ayus-veda):
Ayurveda is an ancient system of medicine originating from India, focusing on holistic health and the balance of body, mind, and spirit. Its principles guide the understanding of health conditions such as PCOS, exploring both symptoms and underlying causes, and providing natural treatment methodologies.

8) Varanasi (Varanashi):
Varanasi is a significant cultural and academic center in India known for its rich traditions, including Ayurveda. Many Ayurvedic texts and teachings have been historically preserved and taught in Varanasi, making it an essential location for the study and practice of Ayurvedic medicine.

9) Samhita:
Samhita refers to a collection of texts or scriptures in Ayurveda that outline medical knowledge, diagnostics, and treatment methodologies. Key Samhitas like Charaka Samhita serve as foundational texts for understanding disorders like PCOS and their Ayurvedic interpretations.

10) Blood:
In Ayurveda, blood is considered a vital fluid responsible for nourishment and health. Vitiation of blood can lead to various disorders, including menstrual irregularities and skin problems. The qualities and characteristics of blood are crucial for diagnosing and treating conditions in Ayurvedic terms.

11) Medadhatu (Meda-dhatu):
Meda-dhatu represents the fatty tissue in Ayurveda, influencing overall health and metabolic function. Understanding its role is vital in addressing conditions like PCOS, where excess Meda-dhatu often contributes to various reproductive and metabolic complications.

12) Vitiation (Vitiated):
Vitiation describes the disruption of balance within doshas, dhatus, and bodily systems in Ayurveda. It leads to diseases and health issues, such as PCOS. Recognizing vitiation patterns is key for effective diagnosis and treatment planning.

13) Atiloma:
Atiloma in Ayurveda denotes excessive hair growth or hirsutism often seen in conditions like PCOS. Understanding Atiloma helps practitioners recognize hormonal imbalances and provide targeted treatments to restore health and balance for affected individuals.

14) Disease:
Diseases in Ayurveda signify imbalances in the body caused by vitiated doshas or dhatus. The holistic perspective guides practitioners to treat not just symptoms but also the underlying causes of diseases, promoting overall health and well-being.

15) Shamanacikitsa (Samanacikitsa, Shamana-cikitsa):
Samana-chikitsa refers to the symptomatic treatment in Ayurveda aimed at alleviating discomfort and managing symptoms of a disease. This approach is essential for providing relief in conditions like PCOS while addressing the root causes of imbalances.

16) Gorakshanatha (Goraksanatha, Gorakhanatha, Gorakhnath, Goraksha-natha, Gorakha-natha):
Gorakhnath was a prominent figure in Indian spiritual and medical traditions, known for his contributions to Ayurveda and yogic practices. His teachings may provide insights into holistic approaches for addressing health issues, including hormonal disorders like PCOS.

17) Vidyotini:
Vidyotini refers to the commentary or elucidation of texts in the field of Ayurveda, providing clarity and interpretation of ancient Ayurvedic principles. This is important for practitioners and scholars to understand complex concepts in alignment with modern medical understanding.

18) Guggulu:
Guggulu is a gum resin used in Ayurveda for its medicinal properties, particularly in managing metabolic disorders. It is often included in formulations for treating obesity and hormonal imbalances, making it relevant in the context of PCOS and other related conditions.

19) Prasuti:
Prasuti refers to the field of obstetrics in Ayurveda, focusing on women's health, reproductive cycles, and childbirth. Its principles are significant for understanding conditions like PCOS and developing holistic treatment plans that address women’s specific health needs.

20) Padmini:
Padmini is used as an Ayurvedic term potentially associated with skin conditions like acne appearing in women with hormone imbalances or PCOS. Understanding the Padmini aspect helps practitioners to identify and treat related skin issues effectively.

21) Tantra (Tantrism, Tamtra):
Tantra in Ayurveda encompasses the study of techniques and methodologies in the practice of healing and medicine. It is crucial for blending traditional knowledge with practical applications in treating various health conditions, including those affecting women’s reproductive health.

22) Ghrita (Ghrta):
Ghrita refers to clarified butter used in Ayurveda, known for its health benefits and nourishing properties. It is often included in Ayurvedic remedies to balance doshas and improve overall health, especially in treatments addressing reproductive and hormonal health.

23) Samana (Shamana):
Samana signifies balance and equanimity in Ayurvedic practice. Achieving Samana is crucial for maintaining health and preventing disease. Treatment protocols focus on restoring Samana to address imbalances in doshas and Dhatus, particularly relevant in conditions like PCOS.

24) Hindi (Himdi):
Hindi is the language in which many Ayurvedic texts have been translated and commented upon. Knowledge of Hindi can help modern practitioners and scholars access traditional Ayurvedic literature, facilitating deeper understanding and application of Ayurveda in contemporary settings.

25) Roga:
Roga refers to diseases or disorders in Ayurveda, with a focus on understanding their root causes and symptoms. The context of Rogas extends to conditions such as PCOS, embodying holistic treatment strategies to alleviate symptoms while addressing underlying imbalances.

26) Medas (Meda, Medash):
Meda refers to body fat in Ayurveda, playing a significant role in energy balance and metabolism. An increase in Meda is often associated with conditions like obesity and PCOS, making its regulation vital in Ayurvedic treatment plans.

27) Shri (Sri, Sr):
Shri is a term of respect often used in Hindu and Indian culture, frequently preceding names to denote reverence. In Ayurveda, it may refer to esteemed authors or scholars whose texts and knowledge are foundational to the practice.

28) Sign:
In Ayurvedic diagnosis, signs refer to observable symptoms and clues that guide practitioners in identifying imbalances. Recognizing these signs is essential for accurate diagnosis and effective management of conditions like PCOS.

29) Hair:
Hairs in Ayurveda are often seen as manifestations of internal health, particularly in terms of hormonal balance. Conditions like hirsutism (Atiloma) in women reflect underlying hormonal disturbances, making hair growth patterns significant in diagnosing and treating PCOS.

30) Burning sensation:
A burning sensation, referred to in Ayurveda, can indicate underlying heat-related imbalances, often associated with conditions like skin disorders or metabolic syndromes. In PCOS patients, such symptoms may arise from vitiated doshas, guiding treatment choices.

31) Menstrual blood:
Menstrual blood (Artava) is significant in Ayurveda for assessing reproductive health. Characteristics of menstrual blood, such as color and consistency, provide insights into imbalances like those seen in PCOS, facilitating tailored treatments for women's health issues.

32) Sushruta-samhita (Susruta-samhita):
Sushruta-samhita is one of the foundational texts of Ayurveda authored by Sushruta, focusing on surgical techniques and medical knowledge. Its insights are essential for understanding various health conditions and their therapeutic approaches, including those relating to women's reproductive health.

33) Triphalaguggulu (Triphala-guggulu):
Triphala-guggulu is an Ayurvedic formulation combining Triphala and Guggulu, known for its detoxifying and metabolic regulating properties. It is often used to address obesity and hormonal disturbances in conditions like PCOS, making it a relevant treatment option.

34) Samprapti:
Samprapti refers to the process of disease pathogenesis in Ayurveda, outlining how health imbalances develop. Understanding Samprapti is crucial for devising effective treatment strategies for conditions like PCOS by addressing root causes rather than just symptoms.

35) Rasadhatu (Rasa-dhatu):
Rasadhatu refers to the plasma or the essential fluid in Ayurvedic terminology, playing a vital role in nourishment and health. Rasadhatu influences the production of Artava and various bodily functions, thus being essential in managing menstrual and reproductive health issues.

36) Triphala (Tri-phala):
Triphala is a traditional Ayurvedic herbal formulation known for its detoxifying and digestive properties. It is commonly used to balance doshas, particularly in individuals facing metabolic disorders, including those with symptoms of PCOS.

37) Kaviraja (Kavi-raja):
Kaviraja refers to an esteemed Ayurvedic physician or scholar. Their contributions to Ayurvedic texts and teachings form the backbone of the discipline. Understanding their works is essential for interpreting Ayurvedic practices and treatments accurately.

38) Channel:
Channel in Ayurvedic context pertains to the systemic pathways through which vital substances travel. Ensuring these channels are clear and functioning optimally is important for preventing and recovering from imbalances, including those seen in conditions like PCOS.

39) Madhura:
Madhura denotes sweetness in Ayurveda, which can refer to tastes, properties, and effects of certain substances. Madhura qualities can influence bodily functions and their imbalance may contribute to conditions such as PCOS, thus guiding dietary recommendations.

40) Granthi (Gramthi):
Granthi refers to uncomfortable lumps or blocks in the body, often indicating underlying imbalances. In Ayurveda, recognition of Granthi is critical for diagnosing conditions like PCOS where blockages and hormonal imbalances may be prevalent.

41) Burning (Burn, Burned, Burnt):
Burning sensations in Ayurveda often indicate a heat imbalance resulting from vitiated doshas. This symptom can arise in various conditions, including skin ailments and metabolic syndromes like PCOS, guiding treatment protocols aimed at cooling and pacifying the system.

42) Tattva:
Tattva signifies elemental principles or truths in Ayurveda. Understanding Tattva is vital for discerning the interactions within the body, aiding practitioners in diagnosing and treating conditions holistically by aligning treatments with the innate balance of elements.

43) Vedana:
Vedana stands for sensory perception associated with pain and discomfort in Ayurveda. It is vital to gauge the severity and type of pain in conditions like PCOS, guiding practitioners to tailor interventions that alleviate suffering and address root causes.

44) Dushya (Dusya):
Dusya refers to the underlying substance affected by imbalances in Ayurveda. It is essential for understanding how diseases manifest and developing treatments that target specific tissues or systems, particularly relevant in conditions such as PCOS.

45) Srotas (Shrotas):
Srotas are the channels in the body through which bodily fluids and energies flow. In Ayurveda, ensuring the functioning integrity of Srotas is crucial for maintaining health and preventing diseases such as PCOS, where obstructions can lead to various symptoms.

46) Dosha (Dosa):
Dosa typically stands for the imbalance of doshas in Ayurveda, which can lead to disease. The understanding of Dosa is crucial in diagnosing and treating health conditions, as it highlights areas of imbalance requiring correction for restoring health.

47) Pitta:
Pitta is one of the three doshas in Ayurveda, embodying the elements of fire and water. It governs metabolism, digestion, and transformation in the body. An imbalance of Pitta can lead to conditions such as skin disorders and hormonal imbalance, often seen in PCOS.

48) Ahara:
Ahara refers to the nutritional aspects of diet in Ayurveda. Proper Ahara is vital for maintaining dosha balance and overall well-being. In the context of PCOS, dietary choices significantly influence metabolism and hormonal health, thus impacting treatment outcomes.

49) Dhatu:
Dhatu represents the body's tissues or fundamental biological structures in Ayurveda. Proper nourishment and maintenance of Dhatus are crucial for health, and imbalances or deficiencies can lead to conditions like PCOS, guiding dietary and therapeutic recommendations.

50) Varna:
Varna denotes the quality or color of excretions, such as menstrual blood, in Ayurveda. The characteristics of Varna can provide insights into health conditions, including hormonal imbalances like PCOS, allowing for tailored treatment strategies.

51) Bhuta:
Bhuta refers to the five great elements (earth, water, fire, air, ether) that form the basis of existence in Ayurveda. Understanding the elemental composition of the body and mind is essential for diagnosis and treatment of various conditions, including metabolic disorders like PCOS.

52) Rasa (Rasha):
Rasa denotes the essence or flavor of food and substances in Ayurveda, impacting taste, digestion, and health. Rasa plays a role in maintaining bodily functions and imbalances in Rasa can contribute to metabolic disorders such as those seen in PCOS.

53) Vati:
Vati refers to medicinal tablets or pills formed from Ayurvedic herbs, used for therapeutic interventions. Vati formulations are critical in managing conditions like PCOS, facilitating balanced dosha and dhatu levels to promote overall health.

54) Sharirasthana (Sarirasthana, Sharira-sthana):
Sharira-sthana refers to the anatomical aspects of the body in Ayurveda, underscoring the importance of structural health in maintaining overall well-being. Understanding the positions and functions of Sharira-sthana aids practitioners in diagnosing and treating conditions like PCOS.

55) Candraprabha (Candra-prabha):
Chandraprabha is an Ayurvedic formulation used for treating various ailments associated with metabolic disorders. Its inclusion in treatment plans can help address symptoms related to PCOS, highlighting the significance of herbal medicinal approaches in Ayurvedic practice.

56) Kaphadosha (Kaphadosa, Kapha-dosha):
Kapha-dosha refers to the specific imbalance of the Kapha dosha, which may present with symptoms such as obesity, lethargy, and fluid retention. Addressing Kapha-dosha imbalances is crucial in treating conditions like PCOS through dietary and lifestyle modifications.

57) Discussion:
Discussion in an academic or clinical context involves the exploration and analysis of health topics, synthesizing both ancient Ayurvedic concepts and modern medical perspectives. Effective discussion facilitates a deeper understanding of diseases like PCOS, guiding appropriate and holistic treatment strategies.

58) Kacchapa (Kaccha-pa):
Kacchapa refers to a specific type of skin lesion in Ayurveda, often highlighting metabolic disturbances in health. Recognizing Kacchapa is vital in diagnosing conditions related to skin and internal health, such as those observed in women with PCOS.

59) Vidradhi:
Vidradhi is an Ayurvedic term that denotes swelling, possibly indicative of underlying conditions. Understanding its manifestations, particularly in relation to metabolic disorders like PCOS, aids practitioners in developing comprehensive treatment plans that address multiple symptoms.

60) Kashyapa (Kasyapa, Kashya-pa):
Kashyapa is a revered figure in Ayurveda known for his contributions to the understanding of women's health, including reproductive disorders. His teachings may offer insights into diagnosing and treating conditions like PCOS effectively within Ayurvedic frameworks.

61) Avarana:
Avarana refers to blockage or obstruction in the body’s channels or pathways in Ayurveda. It often leads to symptoms like pain and discomfort, making it crucial in diagnosing conditions like PCOS where such obstructions may disrupt normal functions.

62) Kaphaja:
Kaphaja refers to conditions or symptoms caused by imbalances in the Kapha dosha. Recognizing Kaphaja aspects is important in diagnosing and managing diseases such as PCOS, guiding treatment options focused on balancing this specific dosha.

63) Trikatu (Tri-katu):
Trikatu is an Ayurvedic formulation consisting of three pungent herbs, often used to enhance digestion and metabolism. Its use is relevant in treating obesity and associated metabolic issues in conditions like PCOS, promoting the balance of doshas.

64) Utpatti:
Utpatti refers to the process of creation or manifestation in Ayurveda. Understanding Utpatti is important for diagnosing how diseases develop, allowing practitioners to provide interventions that target the root causes of conditions such as PCOS.

65) Kantaka (Kamtaka):
Kantaka refers to challenges or obstacles in the Ayurvedic understanding of women's health, particularly concerning symptoms like hirsutism in PCOS. It emphasizes the need for targeted treatments that address both physical and hormonal imbalances.

66) Shilajit (Shila-jit, Silajit):
Silajit is a potent Ayurvedic herb known for its adaptogenic and restorative properties. It is often used to rejuvenate bodily functions and balance metabolic issues, making it beneficial in treating conditions like PCOS.

67) Dusita (Dushita):
Dushita refers to impurities or vitiated substances that affect the body's systems in Ayurveda. Understanding Dushita is essential for diagnosing health conditions, as they can delineate how imbalances contribute to diseases like PCOS.

68) Sharira (Sarira):
Sharira refers to the physical body in Ayurveda, underscoring the holistic view of health encompassing not just physiology but also mind and spirit. Understanding the Sharira aids in formulating comprehensive treatment plans for conditions like PCOS.

69) Tearing:
Tearing pain is a symptom associated with imbalances in Ayurveda, often indicating acute discomfort or tissue stress. Recognizing tearing sensations in patients can aid practitioners in diagnosing underlying issues, including those related to menstrual health.

70) Itching:
Itching is a discomfort that can signify various skin and metabolic issues in Ayurveda. It may be linked with hormonal disturbances in conditions such as PCOS, guiding treatment approaches designed to alleviate skin symptoms effectively.

71) Anxiety:
Anxiety in Ayurveda is viewed as a manifestation of mental and emotional imbalance, which can influence physical health. Addressing anxiety is significant, particularly in conditions like PCOS, where stress can exacerbate hormonal fluctuations.

72) Science (Scientific):
Science denotes the systematic study of natural phenomena. Integrating scientific principles with Ayurvedic traditions enhances understanding of health conditions and therapeutic approaches, offering evidence-based solutions for conditions like PCOS.

73) Surface:
Surface refers to the outer layer of the body, often reflecting internal health. Skin conditions in Ayurveda, such as those observed in PCOS, can provide clues to underlying imbalances, guiding practitioners in their diagnostic and therapeutic strategies.

74) Jalini:
Jalini refers to a specific type of skin lesion or manifestation in Ayurveda, often associated with metabolic disturbances. Recognizing Jalini becomes important for identifying conditions linked to PCOS and guiding appropriate treatment interventions.

75) Bhasma (Bhasman):
Bhasma refers to calcined herbal preparations in Ayurveda, known for their potent healing properties. These formulations are often used to enhance metabolic functions and treat various diseases, including those related to hormonal imbalances like PCOS.

[Note: The above list is limited to 75. Total glossary definitions available: 101]

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Discover the significance of concepts within the article: ‘Polycystic ovarian syndrome (pcos) – an ayurvedic view’. Further sources in the context of Science might help you critically compare this page with similair documents:

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