Review of Charak Samhita's role in Kaumarbhritya and Balroga.

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Journal name: World Journal of Pharmaceutical Research
Original article title: A review of contribution of charak samhita in kaumarbhritya paricharya and balroga
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. Damini Shaligram Mali, Dr. Sachin Prakash Gwalani and Dr. Geeta Raju Gujar


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Full text available for: A review of contribution of charak samhita in kaumarbhritya paricharya and balroga

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

Doi: 10.20959/wjpr20222-22822

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Summary of article contents:

Introduction

Kaumarbhritya is a significant branch of Ashtang Ayurveda, dedicated to the well-being and healthcare of children from prenatal stages until the age of sixteen. Although Kashyap Samhita is considered a primary reference, its incomplete nature has led researchers to explore the contributions of Acharya Charak in the field of Kaumarbhritya. Charak Samhita, divided into eight sections, provides essential insights into various pediatric topics such as Garbha Vigyaan (Embryology), Bala Roga (childhood diseases), and the care of newborns, thereby establishing a foundation for child healthcare within Ayurveda.

Garbha Vigyaan: Understanding Embryology

Garbha Vigyaan, or Embryology, is meticulously detailed in the Charak Samhita. Charak describes the fetal development process over nine months, detailing changes in the embryo’s shape, structure, and overall stability. For instance, he notes that a knot-shaped embryo typically indicates a male fetus, while a tendon shape suggests a female. The month-by-month account encompasses key developments, such as the emergence of sense organs and limbs by the third month, and considerations during the crucial eighth month, emphasizing that complications may arise if delivery occurs after the ninth month. This reflective understanding of fetal health underlines the intricate connection between maternal care and fetal development.

Bala Roga: Principles of Treatment

The approach to Bala Roga, or childhood diseases, is prominently discussed in Charak Samhita, placing significant importance on assessing and maintaining the health of children. Charak emphasizes the critical aspects of diagnosing and treating pediatric patients, highlighting that although children exhibit similar dosha characteristics as adults, their treatment must be milder and adapted to their developing constitution. The text discusses Balak Lakshana (examination criteria for longevity), indicating specific physical traits associated with healthy, long-lived children. Understanding these principles aids practitioners in identifying warning signs and effectively addressing the nuanced health issues of children.

Shishu Paricharya: Care for the Newborn

The section on Shishu Paricharya in Charak Samhita outlines comprehensive care practices for newborns. It includes guidelines for immediate postnatal care, such as resuscitation techniques and hygiene protocols, as well as nutritional guidance. The importance of rituals, such as Jatakarma (birth ceremonies) and Namkaran (naming ceremonies), is also emphasized, showcasing a cultural approach intertwined with healthcare. The emphasis on protective measures, including the constructs of a well-designed nursery free from hazards, illustrates the holistic approach that Ayurveda advocates for ensuring the well-being of new infants.

Conclusion

Acharya Charak's contributions to Kaumarbhritya, as illustrated in the Charak Samhita, provide a rich tapestry of knowledge that intertwines pediatric care with the principles of Ayurveda. His work emphasizes the importance of understanding embryonic development, managing childhood diseases, and ensuring proper newborn care through a multifaceted and preventive approach. By consolidating these teachings, practitioners can implement effective healthcare strategies, thereby ensuring the holistic growth and development of children within the framework of Ayurvedic principles.

FAQ section (important questions/answers):

What is Kaumarbhritya in Ayurveda?

Kaumarbhritya is a branch of Ashtang Ayurveda that focuses on child care from prenatal stages until the child is 16 years old, encompassing various aspects of health and nutrition.

What contributions did Acharya Charak make to Kaumarbhritya?

Acharya Charak provided valuable insights into child care principles, including treatment, nutrition, childhood rituals, and the examination criteria for determining a child's longevity.

How is Garbha Vigyaan defined in Charak Samhita?

Garbha Vigyaan is discussed in Charak Samhita, describing embryological development month by month and emphasizing factors affecting fetal health and pregnancy management.

What is the significance of Jatakarma Vidhi?

Jatakarma Vidhi refers to the birth ceremony procedures, including rituals for welcoming the newborn and ensuring their well-being through specific practices, mantras, and offerings.

What dietary guidelines does Charak provide for infants?

Charak Samhita recommends starting an infant's diet with a mixture of honey and ghee, followed by exclusive breastfeeding to ensure proper nourishment and growth.

What factors are considered for selecting a Dhatri (wet nurse)?

A suitable Dhatri must possess pure milk, be free from deformities, and have a nurturing disposition, ensuring she can provide the best care for the child.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Review of Charak Samhita's role in Kaumarbhritya and Balroga.”. 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) Stanya:
Stanya refers to breast milk in Ayurvedic medicine. It is considered essential for the growth and nourishment of infants, emphasizing the importance of quality and characteristics of milk in ensuring the health and longevity of newborns. Proper Stanya promotes strong and healthy offspring, highlighting the role of maternal nutrition.

2) Milk:
Milk in the context of Ayurveda is crucial for infants, encapsulating nourishment derived from the mother. It is believed that the quality of milk directly affects the child's development, stamina, and overall health. The balance of doshas, whether Vata, Pitta, or Kapha, is influenced by the maternal diet, affecting the milk's attributes.

3) Samhita:
Samhita refers to a collection or compilation of ancient texts, particularly in Ayurveda, where it encompasses foundational knowledge. Renowned texts like Charak Samhita provide insights into various aspects of health, treatment, and the principles governing medical practices. Each Samhita serves as a guiding manuscript for practitioners seeking holistic health solutions.

4) Bala:
Bala translates to 'child' in Sanskrit, encompassing the stage of life from birth to adolescence. In Ayurvedic texts, it's associated with the proper care and treatment of children, focusing on ensuring optimal development, health, and the prevention of diseases that may affect their growth and vitality.

5) Dosha (Dosa):
Dosha refers to the three fundamental energies—Vata, Pitta, and Kapha—that govern physiological functions in Ayurveda. Each dosha embodies different qualities and characteristics, impacting an individual's health. Understanding dosha balance is essential for diagnosing ailments and creating personalized treatments ensuring holistic wellness.

6) Kshira (Ksira):
Kshira means milk in Sanskrit, specifically denoting its use in Ayurvedic practices. It is regarded for its nourishing properties and is often utilized in formulations to rejuvenate and strengthen the body, particularly in treatments for children, where it serves as a primary food source during infancy.

7) Dhatu:
Dhatus refer to the seven essential tissues in Ayurveda that are fundamental for life and health. Each dhatu plays a specific role in nourishing and sustaining the body; maintaining their balance is crucial for achieving overall wellness.

8) Drug:
Drugs in the Ayurvedic context refer to various herbal and mineral formulations utilized for treatment and health maintenance. The selection of specific drugs is based on their properties, effects on doshas, and suitability for an individual's health condition, emphasizing personalized treatment plans.

9) Matra:
Matra denotes the dosage of substances in Ayurvedic practices. It highlights the importance of administering the correct amount of herbs or medicines to achieve therapeutic effects while minimizing risks or side effects, particularly crucial in pediatric care where dosing must be adjusted for body size.

10) Lepa:
Lepa refers to medicinal pastes applied externally in Ayurveda. These formulations utilize various herbs and substances, tailored for treating skin conditions, promoting healing, or providing nourishment. Lepa emphasizes topical application as a means to restore balance, alleviate discomfort, and support overall health.

11) Disease:
Diseases in Ayurveda are viewed as imbalances of doshas, dhatus, or mala that disrupt the body’s natural harmony. Treatment focuses on identifying these imbalances, understanding their roots, and employing natural remedies to restore health, reflecting Ayurveda's holistic approach to wellness.

12) Dravya:
Dravyas encompasses various substances, particularly in Ayurveda, referring to all forms of herbs, minerals, and animal products used in treatments. Each dravya is characterized by specific properties and effects, crucial for crafting personalized remedies that align with an individual's constitution and health needs.

13) Ghrita (Ghrta):
Ghrita refers to clarified butter, particularly ghee, in Ayurvedic medicine. It is revered for its nourishing properties and ability to balance the doshas. Ghrita serves as a carrier for herbs, enhancing their effectiveness, offering benefits such as improved digestion and serving as a base for various medicinal formulations.

14) Shishu (Sisu, Sishu):
Shishu means 'infant' in Sanskrit, encompassing early childhood from birth until one year old. In Ayurveda, special emphasis is placed on the care, nutrition, and overall well-being of shishu. Proper attention during this critical developmental stage promotes robust health and prevents childhood diseases.

15) Pitta:
Pitta, one of the three main doshas, embodies qualities of heat, metabolism, and transformation in the body. It governs digestive processes and bodily temperature. Imbalances in Pitta may lead to inflammatory conditions, digestive disorders, and skin issues, requiring dietary and lifestyle adjustments for restoration.

16) Water:
Water is considered a vital element in Ayurveda, essential for life and health. It is referred to in treatments for hydration, detoxification, and balance among the doshas. The quality and temperature of water also influence digestion and metabolic function, highlighting its role in maintaining wellness.

17) Rasa (Rasha):
Rasa refers to taste in Ayurveda and plays a crucial role in the selection of foods and medicines. Each rasas impacts the body differently, influencing digestion, metabolism, and even emotions. Understanding the qualities of rasa assists practitioners in creating balanced dietary plans and treatments.

18) Vata:
Vata is the dosha representing air and space. It governs movement, circulation, and communication in the body. An imbalance in Vata can lead to conditions like anxiety, dryness, and irregular digestion. Restoration typically involves grounding and nurturing practices to balance its qualities.

19) Vitiation (Vitiated):
Vitiation refers to the process of impurity or imbalance within the body in Ayurveda, signifying the departure from a healthy state. Recognizing vitiated conditions is essential for identifying the appropriate treatments to restore balance and wellness.

20) Mantra (Mamtra):
A mantra in Ayurveda refers to a sacred syllable or phrase recited during healing practices. It serves to invoke divine energy and support the mind-body connection, enhancing the efficacy of treatments. The use of mantras reflects the holistic approach embodied in Ayurveda.

21) Dhatri (Dhatr):
Dhatri means 'wet nurse' in Ayurveda, signifying the importance of breastfeeding for infants. A qualified dhatri provides essential nutrition and care for the child, ensuring that milk quality supports health and development while also highlighting the role of maternal health in this process.

22) Basti:
Basti is a therapeutic enema used in Ayurveda to cleanse the body and restore balance among the doshas. This practice involves administering herbal solutions, targeted for specific ailments, promoting detoxification, and enhancing overall wellness, particularly beneficial in panchakarma treatments.

23) Varna:
Varna refers to color or complexion in Ayurvedic terminology. It plays a role in diagnostics, as various colors can indicate health states or imbalances within the body. The assessment of varna helps in understanding individual health conditions and guiding treatment approaches.

24) Stana:
Stana denotes breasts in Ayurveda, emphasizing their significance in lactation and infant nourishment. The quality of stana influences the health of the child and is therefore essential for pediatric care, addressing concerns related to lactation, breastfeeding types, and milk supply.

25) Ayurveda (Ayus-veda):
Ayurveda is a traditional Indian medical system focusing on holistic health, emphasizing the balance of body, mind, and spirit. It utilizes natural remedies, dietary practices, and lifestyle modifications to treat ailments, improve well-being, and promote longevity. Its principles are rooted in ancient texts and practices.

26) Vamana:
Vamana is a therapeutic vomiting procedure in Ayurveda intended to expel excess doshas from the body, mainly Pitta. This cleansing method is employed for treating various conditions, promoting detoxification, and restoring balance. It highlights Ayurveda's approach to managing health through purgation and detoxification techniques.

27) Niruha:
Niruha refers to a specific type of basti or enema treatment in Ayurveda that uses herbal decoctions to cleanse and restore balance. It typically targets the colon for detoxification purposes and is integral for panchakarma therapies aimed at promoting overall health and healing.

28) Roga:
Roga means disease or illness in Ayurveda. It encompasses various health conditions caused by imbalances in doshas, dhatus, or mala. Analyzing roga involves understanding its origin, manifestation, and effects, serving as the foundation for diagnosis and personalized treatment regimens.

29) Niruhabasti (Niruha-basti):
Niruha-basti, a specialized enema treatment in Ayurveda, utilizes herbal decoctions for detoxification. Administered rectally, it effectively targets the digestive tract to alleviate disorders rooted in imbalances of doshas. This approach is essential in panchakarma for cleansing and rejuvenating the body.

30) Madhura:
Madhura represents sweetness, one of the rasa (taste) categories in Ayurveda. It plays a vital role in nutrition and healing, promoting nourishment and harmonizing the physical and emotional states. Foods with a madhura taste are often recommended for overall wellness and vitality.

31) Samanya:
Samanya translates to 'general' or 'common' in Sanskrit. It denotes principles or characteristics that are typically applicable to a group, serving as guidelines in Ayurveda for treatment strategies and dietary recommendations, ensuring that approaches are tailored to shared qualities while considering individual uniqueness.

32) Sayana (Shayana):
Shayana means 'bed' or 'place to rest' in Sanskrit. In the context of Ayurveda, it refers to the importance of proper sleeping arrangements and conditions for children and adults, emphasizing hygiene, comfort, and suitability for promoting restful sleep and overall health.

33) Avastha:
Avastha denotes a state or condition, often referring to the stages of development or health status in Ayurveda. Understanding different avasthas is crucial for determining appropriate treatments and interventions based on the individual's physical, mental, and spiritual conditions, ensuring holistic healing.

34) Ruksha (Ruksa):
Ruksha translates to 'dry' in Sanskrit and represents one of the qualities evaluated in Ayurvedic treatments. It pertains to specific conditions influenced by dryness, which can cause imbalance in the body. The emphasis on ruksha influences dietary and therapeutic choices aimed at grounding and nourishing.

35) Garbha:
Garbha means 'fetus' or 'embryo' in Sanskrit, highlighting the importance of prenatal care in Ayurveda. Focus on garbha encompasses nurturing the unborn child through maternal health practices, diet, and emotional well-being, ensuring optimal growth and development from conception through delivery.

36) Kapha:
Kapha is one of the three doshas characterized by the elements of earth and water. It embodies qualities of stability, structure, and moisture, playing a vital role in bodily functions. Imbalances in kapha may result in lethargy and weight gain, necessitating specific dietary and lifestyle adjustments for balance.

37) Mamsa (Mamsha):
Mamsa translates to 'meat' in Ayurveda, denoting an important food category recognized for its nourishing qualities. It is believed to have a warming effect and can enhance strength and vigor, particularly valued in pediatric care due to the growth needs of children.

38) Yukta:
Yukta translates to 'appropriate' or 'proper' in Sanskrit, emphasizing the significance of balanced choices in dietary and therapeutic practices within Ayurveda. It suggests that choices should align with individual constitution, health needs, and environmental factors to achieve optimal health outcomes.

39) Mala:
Mala refers to bodily wastes or impurities in Ayurveda, including stool, urine, and sweat. Understanding mala is essential for assessing health status and diagnosing imbalances. Elimination practices in Ayurveda focus on maintaining proper mala balance for overall health and wellness.

40) Sama (Shama):
Sama indicates balance or equality in Ayurvedic terminology. It represents the ideal state of harmonized health where doshas, dhatus, and other bodily functions are in sync. Achieving sama is key in preventive medicine, promoting wellbeing and longevity.

41) Maharashtra (Maharastra, Maha-rashtra):
Maharashtra is a state in India known for its rich cultural heritage and contributions to Ayurveda. Its traditional practices, herbal knowledge, and healing methods play a significant role in preserving and promoting Ayurvedic medicine, making it a focal point for holistic health initiatives.

42) Jatakarman (Jatakarma, Jata-karman, Jata-karma):
Jatakarma refers to the birth ceremony in Ayurveda, highlighting postpartum practices essential for newborn welfare. This tradition includes rituals, blessings, and dietary considerations aimed at ensuring the infant's health, emotional bonding with the mother, and protecting against negative influences immediately after birth.

43) Swelling:
Swelling in Ayurveda pertains to the abnormal enlargement of body parts, often resulting from imbalances in doshas, particularly Vata and Kapha. Understanding the root cause of swelling guides treatment approaches that aim to reduce inflammation, promote circulation, and restore balance.

44) Sevana:
Sevana means 'to serve or provide care' in Sanskrit. In Ayurveda, it involves nurturing practices that enhance health and well-being, particularly emphasizing the importance of proper care during childhood and adolescence to ensure long-term vitality and mitigate potential health issues.

45) Sthira:
Sthira translates to 'firm' or 'stable' in Ayurvedic literature, describing a quality that is desirable for both physical and mental health. Achieving sthira is vital for promoting endurance, resilience, and steady progress in therapeutic practices and overall wellness.

46) Sthana:
Sthana means 'place' or 'position,' referring to the site of action or influence in Ayurvedic treatments. Understanding sthana is vital for targeting specific bodily locations in therapy or interventions, ensuring more effective and holistic healing results.

47) Mahata:
Mahata translates to 'large' or 'big' in Ayurveda, often describing characteristics or entities that possess considerable volume or importance. This descriptor is commonly used in reference to qualities that signify strength, stability, and vitality in Ayurvedic philosophy and practice.

48) Nashik:
Nashik is a city in Maharashtra, India, rich in cultural and Ayurvedic heritage. Known for its traditional healing practices and educational institutions, Nashik serves as a hub for promoting Ayurveda and holistic health approaches, bridging ancient wisdom with modern practices.

49) Bitter:
Bitter, or Tikta in Ayurveda, is one of the rasas (tastes) that play a role in digestion and health improvement. Stimulating digestive functions, bitter taste also helps detoxify the body, making it essential in formulations intended for cleansing and rejuvenation.

50) Karma (Karman):
Karma refers to 'action' or 'deed' in Sanskrit, and in Ayurveda, it denotes the actions taken to promote health, healing, and spiritual well-being. Understanding the concept of karma guides individuals in making lifestyle choices that influence their health outcomes positively.

51) Apara:
Apara indicates the placenta in Ayurvedic context, underscoring its significance during pregnancy. It firmly connects the fetus to the mother's nourishment, playing a critical role in fetal development and delivering essential nutrients required for optimal growth before birth.

52) Vidhi:
Vidhi translates to 'procedure' or 'method' in Ayurveda, outlining standard practices or rituals to be followed in therapeutic applications. Adhering to proper vidhi ensures the effectiveness of treatments while also reinforcing traditional practices and rituals essential for holistic healing.

53) Rakta:
Rakta means 'blood' in Ayurveda, representing one of the dhatus that contribute to nourishment and vitality in the body. Its quality and balance are crucial for health, impacting energy levels and overall bodily functions, making its assessment key in evaluating health.

54) Ushna (Usna):
Ushna translates to 'hot' in Ayurvedic terms, referring to temperature and energy qualities. Ushna qualities are considered when balancing doshas and addressing conditions that require warming treatments to alleviate coldness or stagnation within the body.

55) Mutra:
Mutra means 'urine' in Ayurveda and is a key determinant in health assessment. Its characteristics reveal vital information about health, hydration, and dosha balance, making urinalysis a crucial practice for practitioners in diagnosing ailments and promoting wellness.

56) Desha (Desa):
Desha translates to 'region' or 'place' in Sanskrit, emphasizing the contextual nature of health in Ayurveda. The geographical and cultural characteristics of a desha impact individuals' diets, lifestyle practices, and overall health strategies, underscoring Ayurveda's adaptability and emphasis on environmental factors.

57) India:
India is the birthplace of Ayurveda, encompassing rich traditions, diverse practices, and an extensive history of medicinal knowledge. The Indian culture emphasizes holistic health principles, drawing from its extensive herbal resources and diverse populations, ensuring the continuous practice and evolution of Ayurveda.

58) Aahar:
Aahar refers to food or diet in Ayurveda, deemed essential for health and wellness. It encompasses not only physical nourishment but also balancing the doshas through proper food choices, which are tailored to an individual's constitution, promoting overall vitality and preventing disease.

59) Honey:
Honey is regarded as a valuable substance in Ayurveda, associated with nourishment, healing, and rejuvenation. It is known for its therapeutic properties, such as being an energy booster and promoting digestive health, making it a preferred ingredient in various medicinal formulations.

60) Field:
Field denotes a specific area of study or practice. In the context of Ayurveda, it refers to the discipline focused on understanding health, diseases, and remedies, highlighting the application of principles and practices to promote holistic wellness in individuals.

61) Katu:
Katu refers to the pungent taste in Ayurvedic tradition, which is believed to stimulate digestion and increase metabolic activity. This taste can aid in alleviating certain health issues, embodying the principles of balancing tastes to support overall health and nutritional needs.

62) Nadi (Nadin):
Nadi translates to 'vein' or 'channel' in Ayurveda, signifying pathways through which bodily fluids and energies flow. Understanding nadis is vital for diagnosing and treating imbalances, as they influence how health conditions manifest and how therapies should be applied.

63) Hair:
Hair in Ayurveda holds significance in evaluating an individual's health and constitution. Specific characteristics of hair can indicate dosha imbalances or nutritional deficiencies, making it an important aspect of assessments during consultations to guide appropriate health recommendations.

64) Male:
Male in the Ayurvedic context refers to reproductive health and characteristics. Emphasis on male health includes understanding hormonal balance, reproductive functions, and associated issues, guiding interventions focused on promoting overall health and vitality in men.

65) Raktapitta (Rakta-pitta):
Rakta-pitta describes a condition characterized by excess blood and heat, manifesting as bleeding disorders or other inflammatory issues. Treatment strategies aim to cool the body and restore balance through dietary and medicinal interventions.

66) Lajamanda (Laja-manda):
Lajamanda is an Ayurvedic formulation indicated for enhancing appetite and digestion, particularly in children. It is composed of specific herbs that stimulate digestive fire (Agni), play a vital role in promoting overall vitality and health in young ones.

67) Medicine:
Medicine, in Ayurveda, encompasses various treatment modalities that focus on restoring balance and wellness. This includes herbal formulations, dietary practices, and lifestyle adjustments catering to individual needs, reflecting the holistic nature of Ayurvedic healing traditions.

68) Sampanna:
Sampanna means 'well nourished' or 'complete' in Ayurveda, referring to individuals who exhibit balanced doshas, robust health, and vitality. Achieving sampanna status is a goal in Ayurveda, reflecting the harmonious integration of physical, mental, and emotional well-being.

69) Lakshana (Laksana):
Lakshanas are specific signs or symptoms associated with diseases in Ayurveda. Identifying lakshanas is crucial for accurate diagnosis and effective treatment planning, emphasizing a thorough understanding of the manifestations of various conditions.

70) Upasneha:
Upasneha refers to the exudation or nourishing aspect experienced during certain health conditions, indicating how nourishment permeates the body. This concept underscores the significance of proper nutrition and hydration in maintaining health and preventing imbalances.

71) Parakram:
Parakram translates to 'strength' or 'valor' in Ayurveda, particularly indicating the physical and mental resilience individuals uphold. Promoting parakram is essential for overall health, encouraging activities and practices that build endurance and vitality for holistic wellness.

72) Priyangu (Priyamgu):
Priyangu is an aromatic herb known for its medicinal properties. In Ayurveda, it is utilized to promote digestive health, support skin conditions, and balance doshas, highlighting its versatile applications in treatments targeting various health issues.

73) Indriya (Imdriya):
Indriya refers to sensory organs in Ayurveda, essential for perception and interaction with the environment. Understanding the relationship between indriya and health assists in crafting holistic treatments that consider sensory engagement in the context of mental and physical wellness.

74) Snehana:
Snehana refers to the practice of oleation in Ayurveda, involving the application of oil or ghee to nurture the body. This therapy promotes detoxification, nourishes tissues, and enhances circulation, providing significant benefits in panchakarma and general well-being.

75) Vistara (Vishtara):
Vistara translates to 'expansion' or 'amplitude' in Ayurveda and signifies the broadening of understanding regarding health practices, treatments, and the overall complexities of human physiology. It emphasizes the importance of comprehensive learning in the pursuit of holistic wellness.

[Note: The above list is limited to 75. Total glossary definitions available: 342]

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