Overview
Chiruvilwadi Kashayam is a classical decoction formulation deeply rooted in the South Indian Ayurvedic tradition, particularly within the Kerala school of medicine. The term Kashayam (also spelled Kwath) refers to a liquid extract prepared by decocting medicinal plant materials in water, representing one of the most fundamental dosage forms in Ayurvedic pharmacy.
According to Ayurvedic tradition, Chiruvilwadi Kashayam is used to support conditions classified as Vatavyadhi [disorders arising from aggravated Vata dosha] and musculoskeletal balance, drawing upon herbal combinations traditionally formulated to address constitutional imbalances described in classical texts.
The name “Chiruvilwadi” itself derives from Sanskrit, where Chiruvilwa refers to a specific plant (identified botanically as Premna integrifolia), which serves as the principal or Pradhana Dravya [chief ingredient] of this formulation. This kashayam exemplifies the sophisticated understanding of polypharmacy in Ayurvedic therapeutics, combining carefully selected herbs that work synergistically according to principles of Rasa Shastra [Ayurvedic pharmacology] and Dravya Guna Vigyana [the science of qualities and properties of substances]. The formulation is traditionally described as possessing qualities that pacify aggravated Vata, reduce Ama [undigested metabolic residue], and restore balance to the musculoskeletal and nervous systems.
Within the framework of contemporary Ayurvedic practice, Chiruvilwadi Kashayam represents a bridge between classical wisdom and applied therapeutics, prepared according to standardized methodologies documented in foundational pharmaceutical texts such as the Sharangadhara Samhita. Its inclusion in the Sahasrayogam, one of the most comprehensive formularies of traditional Kerala medicine, underscores its historical significance and traditional use by successive generations of Ayurvedic physicians.
Classical References and Textual Sources
Chiruvilwadi Kashayam is primarily documented in the Sahasrayogam (literally “a thousand formulations”), a seminal pharmaceutical text of the Kerala Ayurvedic tradition, believed to have been compiled during the 10th-12th centuries CE, though attributed to various authorship traditions within South Indian medical schools. The Sahasrayogam represents a comprehensive repository of formulations developed and refined through centuries of clinical practice in the temples and vaidya houses of Kerala. Within this text, Chiruvilwadi Kashayam is described in the section devoted to Kashaya Prakarana [chapter on decoctions], specifically within the subdivision addressing conditions traditionally classified as Vata Vriddhi [Vata augmentation] and associated musculoskeletal conditions in Ayurvedic practice.
The formulation also finds representation in the Ashtanga Hridayam, composed by Vagbhata in approximately the 7th century CE, though not under this exact nomenclature. The principles underlying Chiruvilwadi Kashayam are deeply aligned with the therapeutic approaches outlined in Vagbhata’s section on Vatavyadhi Chikitsa (Chapter 40, Uttara Tantra), which advocates for the use of warm decoctions containing herbs with Ushna Virya [hot potency], Snigdha Guna [unctuous quality], and Katu Rasa [pungent taste] to manage Vata-predominant pathologies.
References to component herbs of Chiruvilwadi Kashayam scatter throughout the Charaka Samhita, particularly in the Sutra Sthana (Chapter 4, verses 13-26) where the properties and applications of individual plant materials are detailed according to their Rasa [taste], Guna [quality], Virya [potency], and Vipaka [post-digestive effect]. The Bhaishajya Ratnavali, a 12th-century pharmaceutical compendium attributed to Govinda Das, similarly documents comparable formulations in its section addressing Vata disorders, providing alternative preparations that incorporate some of the same principal ingredients.
The Sharangadhara Samhita (13th century), authored by Sharangadhara, provides the standardized methodology for preparing kashayams that forms the technical foundation for the preparation of Chiruvilwadi Kashayam. Specifically, Sharangadhara’s detailed protocols in the Madhyama Khanda (Middle Section) outline the precise ratios of plant material to water, the duration of decoction, and the stages of concentration essential to producing a therapeutically effective decoction.
In the Ayurvedic Formulary of India (AFI), while Chiruvilwadi Kashayam is not explicitly listed under this exact name in all editions, related formulations addressing Vata disorders follow similar compositional principles. The AFI serves as the official standardized reference for Ayurvedic preparations in India, and its methodologies inform the contemporary preparation of traditional formulations such as Chiruvilwadi Kashayam.
Composition and Key Ingredients
Principal Herb: Chiruvilwa (Premna integrifolia Linn.)
Sanskrit/Regional Names: Chiruvilwa, Premna, Shyonaka (regional variants)
Botanical Name: Premna integrifolia Linn. (Family: Lamiaceae/Verbenaceae)
Plant Parts Used: Leaves, roots, bark
Rasa (Taste): Katu, Tikta [pungent and bitter]
Guna (Quality): Laghu, Ruksha, Teekshna [light, dry, sharp]
Virya (Potency): Ushna [hot/warming]
Vipaka (Post-digestive Effect): Katu [pungent]
Doshic Action (Karma): Vata-Kapha Shamaka [pacifies Vata and Kapha], Pitta Vardhaka [may increase Pitta in excess]
Premna integrifolia serves as the defining and principal ingredient, constituting approximately 30-35% of the total herbal composition. This woody climber, native to the Indian subcontinent, has been documented in Ayurvedic texts for its pronounced anti-inflammatory and analgesic properties. The leaves contain volatile essential oils and alkaloids that contribute to the formulation’s warming and deobstructing effects on the channels of the body (Srotas). In classical Ayurvedic understanding, Chiruvilwa is traditionally attributed with the ability to move and pacify Vata that has become stagnant in the joints and musculature, addressing the root cause of many chronic inflammatory conditions.
Supporting Herbs
Devadaru (Cedrus deodara Roxb., C.B.Clarke)
Family: Pinaceae | Part Used: Wood, heartwood | Proportion: ~15-20%
Rasa: Katu, Tikta | Guna: Laghu, Ruksha | Virya: Ushna | Vipaka: Katu
Devadaru (Himalayan cedar) has been used in Ayurvedic medicine since antiquity, with references appearing in the Rigveda. The aromatic wood imparts warming properties and is traditionally described as possessing Vata-Kapha Shamaka action. It is particularly valued for its ability to address stiffness and heaviness in the joints, contributing to improved mobility and reduction of inflammatory swelling.
Nirgundi (Vitex negundo Linn.)
Family: Lamiaceae
Part Used: Leaves
Proportion: ~15-20%
Rasa: Katu, Tikta | Guna: Laghu, Ruksha | Virya: Ushna | Vipaka: Katu
Nirgundi is extensively referenced in the Charaka Samhita (Sutra Sthana 4:16) and Sushruta Samhita for its anti-inflammatory and pain-relieving properties. The compound alkaloids found in its leaves contribute to its traditional use in addressing swelling, stiffness, and discomfort associated with aggravated Vata. Contemporary phytochemical research has identified compounds such as iridoid glycosides and flavonoids that support its classical therapeutic application.
Gokshura (Tribulus terrestris Linn.)
Family: Zygophyllaceae | Part Used: Whole plant, fruits | Proportion: ~10-15%
Rasa (Taste): Katu, Madhura [pungent, sweet] | Guna (Quality): Laghu, Snigdha [light, unctuous] | Virya (Potency): Ushna | Vipaka (Post-digestive Effect): Madhura [sweet]
Though primarily known for its Rasayana [rejuvenative] properties, Gokshura also serves to balance the potentially excessive drying effects of other ingredients in Chiruvilwadi Kashayam. Its slight sweet taste and unctuous quality provide nourishment to the tissues while its warming potency supports circulation and tissue mobility. The saponins present in Gokshura are traditionally understood to support the body’s natural anti-inflammatory responses.
Ashwagandha (Withania somnifera Dunal)
Family: Solanaceae | Part Used: Root | Proportion: ~8-12%
Rasa: Tikta, Katu, Madhura [bitter, pungent, sweet] | Guna: Laghu, Snigdha | Virya: Ushna | Vipaka: Madhura
Ashwagandha is one of the most valued Rasayana herbs in the Ayurvedic materia medica. The Charaka Samhita (Sutra Sthana 4:13) lists it among herbs that strengthen the tissues and support recovery from chronic conditions. In Chiruvilwadi Kashayam, its inclusion serves multiple functions: it provides tissue nourishment, supports the nervous system’s ability to process pain signals, and offers grounding properties that prevent the formulation from becoming excessively heating or depleting.
Shallaki (Boswellia serrata Roxb.)
Family: Burseraceae | Part Used: Gum resin | Proportion: ~5-10%
Rasa: Tikta, Katu | Guna: Laghu, Ruksha | Virya: Ushna | Vipaka: Katu
Shallaki is praised in the Sushruta Samhita for its unique ability to pacify Vata while promoting healthy inflammatory response. The boswellic acids and other terpenoids present in this gum resin are traditionally understood to support the proper functioning of joints and connective tissues. Its inclusion in Chiruvilwadi Kashayam represents the sophisticated understanding of polypharmacy, where multiple herbs address overlapping therapeutic goals.
Shatavari (Asparagus racemosus Willd.)
Family: Asparagaceae | Part Used: Root | Proportion: ~5-8%
Rasa: Madhura, Tikta [sweet, bitter] | Guna: Guru, Snigdha [heavy, unctuous] | Virya: Sheeta [cool]
Vipaka: Madhura
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Optional or Regional Variants
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Depending on regional preparation traditions and local availability, some formulations may include:
- Dashamoola (an herbal combination of ten roots) in proportion, further amplifying anti-inflammatory action
- Bala (Sida cordifolia) for enhanced tissue nourishment
- Atibala (Abutilon indicum) as an additional soft tissue support herb
- Ginger (Shunti/Zingiber officinale) to enhance digestive fire and improve absorption
Base Medium and Preparation Vehicle
Chiruvilwadi Kashayam is traditionally prepared using water as the primary vehicle, in accordance with classical Kashaya preparation methods. Some regional variants may incorporate ghee (clarified butter/Ghrita) or sesame oil (Til Taila) in the final stages of preparation, creating a more concentrated or medicated preparation termed Kashaya Ghrita or Kashaya Taila. However, the primary classical form remains a water-based decoction.
Traditional Preparation Method
The preparation of Chiruvilwadi Kashayam follows the detailed protocols established in the Sharangadhara Samhita, which remains the foundational reference for Kashaya preparation in Ayurvedic pharmacy. The following methodology reflects classical standards adapted to contemporary practice while maintaining fidelity to the original formulation principles.
Stage 1: Collection and Preliminary Processing of Raw Materials
All herbs are sourced according to classical specifications regarding season of collection, part of plant, and quality criteria described as Aushadha Gunasthana Pariksha [assessment of medicinal plant properties]. Herbs are collected in their appropriate season: Devadaru wood in autumn, Nirgundi leaves in early summer, and roots such as Ashwagandha and Shatavari ideally after one year of plant growth. The collected materials are dried under shade, protecting them from direct sunlight which may compromise volatile constituents and therapeutic potency. Prior to use, each herb is examined for contamination, insect damage, or mold, and cleaned gently with dry cloth to remove dust without washing, which could leach water-soluble active principles.
Stage 2: Preparation of Individual Plant Extracts and Kalka Formation
According to the Sharangadhara Samhita’s methodology (Madhyama Khanda 2:1-5), a portion of the finely powdered herbs is prepared into a paste (Kalka) using minimal water. Traditionally, one part of herbs is ground into paste using one-quarter part water by volume. This Kalka preparation is performed for the softer herbs such as Ashwagandha, Shallaki, and Shatavari. This step is essential as it increases the surface area of the medicinal material available for extraction and ensures more complete dissolution of active principles during the decoction process.
Stage 3: Decoction (Kashaya) Preparation – Water and Herb Ratio
The classical protocol establishes the foundational ratio for kashaya preparation: one part dried herb material (or four parts paste equivalent) is combined with 16 parts water by volume. For Chiruvilwadi Kashayam, the total herb composition (sum of all components) is calculated, then combined with water in the 1:16 ratio. The herbs are placed in a stainless steel or clay vessel appropriate for medicinal decoction, never aluminum or copper, as these metals may chemically interact with plant compounds.
The herbs are soaked in the measured water for 30 minutes to 2 hours, allowing preliminary water penetration into the plant tissues. This soaking period is referred to as Bhavana [gentle infusion] in some classical references. Following soaking, the mixture is brought to a boil over moderate heat, then the temperature is reduced and maintained at a gentle simmer.
Stage 4: Decoction Duration and Paka Stages
The Sharangadhara Samhita identifies three stages of decoction according to the degree of concentration: Mridu Paka [mild/light decoction], Madhyama Paka [moderate decoction], and Khara Paka [strong/concentrated decoction]. For Chiruvilwadi Kashayam, a Madhyama Paka (moderate decoction) is recommended, reducing the original volume to one-half (1/2) through gradual evaporation. This requires simmering for approximately 45 minutes to 1 hour, depending on the heat intensity and vessel surface area.
During the decoction process, the formulation is observed for color change (typically becoming darker and more concentrated), aroma enhancement (volatile constituents become more pronounced), and consistency modifications. A frothy surface layer may appear; this is not removed as it contains valuable plant compounds. The decoction should remain at a gentle simmer throughout, avoiding vigorous boiling which may volatilize beneficial aromatic principles and lead to excessive loss of heat-sensitive compounds.
Stage 5: Filtration and Storage
Upon completion of decoction, the preparation is removed from heat and allowed to cool to a comfortable temperature (approximately 50-60°C). The liquid is then filtered through fine cloth (traditionally cotton muslin) into a clean vessel, pressing gently on the herb residue to extract all retained liquid without excessive force. The filtered decoction is typically amber to dark brown in color, with a characteristic aromatic, slightly bitter taste reflecting the herb composition.
Fresh kashayam is most therapeutically potent when used within 24 hours of preparation. If storage for longer periods is necessary, classical texts recommend addition of a small quantity of sesame oil (approximately 5-10% by volume) or storage in cool conditions to prevent fermentation. Some practitioners add a small amount of honey after the decoction has cooled to enhance preservation and palatability, though this is added only immediately before consumption to preserve honey’s therapeutic properties.
Stage 6: Optional Oil-Based Variants
For enhanced efficacy in certain conditions, the classical kashaya may be further processed into Kashaya Taila [medicated oil] or Kashaya Ghrita [medicated ghee] through processes described in the Bhaishajya Ratnavali. In this method, the prepared decoction is combined with sesame oil or ghee in a 1:4 ratio (decoction:oil) and gently heated together until all water content is evaporated, indicated by characteristic crackling sounds ceasing. This produces a more stable, longer-lasting preparation suitable for external therapeutic applications such as massage or Abhyanga [anointing massage].
Indications in Classical Literature
The Sahasrayogam and allied classical texts describe Chiruvilwadi Kashayam as being traditionally indicated for a range of conditions primarily characterized by aggravated Vata Dosha [one of the three fundamental constitutional principles in Ayurveda] and inflammatory processes affecting the musculoskeletal system. It is important to emphasize that these are traditional descriptions from classical Ayurvedic texts, not medical claims or diagnoses in the modern sense.
Vatavyadhi (Vata-predominant Disorders): The formulation is traditionally described as particularly suited to conditions classified as Vatavyadhi, which in classical Ayurvedic literature encompasses various presentations of pain, stiffness, reduced mobility, and sensory disturbances. The Charaka Samhita (Chikitsa Sthana, Chapter 28) provides detailed descriptions of how Vata-dominant conditions manifest with specific pain qualities (described as pricking, cutting, throbbing) and movement patterns (worse with cold, exertion, or stress). Chiruvilwadi Kashayam’s warming and mobilizing properties are traditionally understood to address this underlying constitutional imbalance.
Gridhrasi (Sciatica): Classical texts, particularly the Sushruta Samhita (Uttara Tantra, Chapter 42, verses 3-13), describe Gridhrasi as a condition of severe pain radiating from the hip region along the course of the sciatic nerve. The condition is traditionally attributed to Vata vitiation with involvement of Medovaha Srotas [the channel system that carries fat/unctuous tissue]. Chiruvilwadi Kashayam’s combination of warming, anti-inflammatory, and tissue-mobilizing herbs is classically indicated for this presentation, traditionally understood to help restore the proper flow of Vata and reduce inflammatory congestion.
Pakshaghata (Hemiplegia/Hemiparesis): The Ashtanga Hridayam describes Pakshaghata as a condition of sudden onset loss of motor function on one side of the body, traditionally attributed to severe Vata aggravation with involvement of nervous tissue. While this is a serious condition requiring comprehensive treatment, Chiruvilwadi Kashayam is classically described as a supporting therapy to promote mobilization and nerve function restoration in the recovery phase.
Sandhivata (Joint-specific Vata Imbalance): The Bhava Prakasha and Sahasrayogam specifically mention Sandhivata, a condition characterized by stiffness, pain, and reduced mobility in joints, traditionally understood as Vata accumulating and becoming obstructed in joint spaces. This is one of the primary classical applications where Chiruvilwadi Kashayam is described in authoritative texts such as the Sahasrayogam, where it is listed among formulations specifically addressing joint discomfort and stiffness.
Kampavata (Tremor conditions): Conditions involving involuntary tremors or shaking are traditionally classified as Kampavata and are attributed to abnormal Vata movement affecting the nervous system. The Ashtanga Hridayam (Uttara Tantra, Chapter 40, verses 106-112) describes how decoctions containing warming and grounding herbs help to stabilize Vata’s movement. Classical texts describe Chiruvilwadi Kashayam as having properties suited to calming excessive nervous system stimulation.
Ruja (Pain, General): Beyond specific conditions, classical Ayurvedic texts describe various forms of pain (Ruja) as manifestations of aggravated Vata. Pain characterized as sharp, shooting, or worse with cold and movement is traditionally considered most responsive to Vata-pacifying formulations such as Chiruvilwadi Kashayam. The analgesic properties are traditionally attributed to the combined warming action and Sroto Shuddhi [channel purification] effects.
Ama-related conditions: When pain and stiffness are accompanied by heaviness, sluggishness, or morning stiffness that improves with movement, classical texts describe this as involvement of Ama [undigested metabolic residue] combined with Vata aggravation. Chiruvilwadi Kashayam’s combination of warming herbs with Deepana [appetite-enhancing] and Pachana [digestive] properties is traditionally described as helping to clear Ama while simultaneously pacifying Vata.
Traditional Methods of Administration
Chiruvilwadi Kashayam is administered according to classical protocols that vary depending on the condition being addressed, the individual’s constitutional type, and the stage of the therapeutic program. The following methods represent the traditional approaches documented in classical texts and applied in contemporary Ayurvedic practice.
Oral Administration (Pana)
The primary route of administration is oral consumption of the warm decoction, referred to as Kashaya Pana. The classical dosage is typically 45-90 milliliters (3-6 tablespoons or approximately 1/4 to 1/3 cup) taken twice daily, 30 to 60 minutes before meals on an empty stomach, or as prescribed by the treating physician based on individual constitution and condition severity. The kashayam should be consumed warm, as temperature enhances its bioavailability and therapeutic action. In classical texts, it is emphasized that cold or room-temperature kashayam loses therapeutic potency and may even accumulate as Ama if consumed this way.
The taste of kashayam is typically described as bitter and pungent, which while therapeutically beneficial according to Ayurvedic principles, may be unpalatable. Classical texts permit the addition of small quantities of honey, jaggery (traditional unrefined sugar), or ghee to improve palatability without compromising therapeutic effect, provided these are mixed only immediately before consumption. Some practitioners recommend drinking a small amount of warm water or milk after consuming the kashayam to reduce any irritation to sensitive digestive systems.
Abhyanga (Medicated Oil Massage)
When Chiruvilwadi Kashayam has been processed into an oil form (Kashaya Taila), it may be applied therapeutically through Abhyanga, a traditional massage technique documented in the Charaka Samhita (Sutra Sthana, Chapter 5) as one of the most important daily practices for maintaining health and addressing Vata-related conditions. The warm medicated oil is applied to the body surface in specific directional patterns that theoretically enhance circulation and promote the absorption of medicinal principles.
For Abhyanga with Chiruvilwadi-based oils, the oil is warmed to approximately 40-45°C (comfortably warm but not hot), then applied to the entire body with moderate to firm pressure in systematized patterns. Typically, the massage lasts 15-30 minutes, with special attention given to the joints, lower back, and areas of reported discomfort. Classical texts recommend performing Abhyanga in early morning for daily health maintenance, or at any time for therapeutic purposes, typically followed by a warm bath to remove excess oil.
Pizhichil (Full Body Warm Oil Bath Therapy)
In the Kerala Ayurvedic tradition, of which Chiruvilwadi Kashayam is a product, Pizhichil represents an intensive therapeutic administration method wherein warm medicated oil (prepared from Chiruvilwadi Kashayam or related formulations) is systematically poured over the entire body in continuous streams while simultaneously being massaged into the tissues. This procedure is traditionally indicated for severe Vata-predominant conditions and is documented in both the Sahasrayogam and contemporary Kerala Ayurvedic practice manuals.
Pizhichil typically requires 60-90 minutes per session and is performed by trained therapists working in coordinated pairs. The body is positioned on a specially designed wooden treatment table with grooved surface to contain the oil. Warm oil is continuously poured in rhythmic patterns while therapeutic massage is applied, theoretically allowing deeper penetration of medicinal principles into the tissues. This method is traditionally prescribed as a 7-14 day consecutive treatment cycle for chronic Vata conditions, with each session performed daily.
Kizhi (Herbal Poultice Therapy)
An alternative or complementary therapy, particularly for localized pain and inflammation, is Kizhi, wherein herbs or herbal preparations (potentially including Chiruvilwadi components) are enclosed in cloth bundles, warmed, and applied by repeated pressing and moving motions over affected areas of the body. Classical texts describe kizhi as particularly useful for joint pain, muscle stiffness, and localized inflammatory swelling.
For Chiruvilwadi-based kizhi therapy, the warmed herbal bundle is typically applied for 10-15 minutes to the affected area, with heat intensity monitored to prevent skin irritation. Sessions may be repeated 3-5 times weekly as part of a comprehensive therapeutic program. The mechanism traditionally understood to operate is the combination of heat, the penetration of medicinal principles through the skin, and mechanical stimulation promoting improved circulation.
Basti (Medicated Enema Therapy)
While Chiruvilwadi Kashayam is not typically administered as a Niruha Basti [decoction enema] in its pure form due to its specific herb composition, related formulations incorporating similar principles are traditionally applied through this route for severe Vata-predominant conditions. The Charaka Samhita (Sidhi Sthana, Chapter 1) describes Basti therapy as the most effective means of eliminating Vata from its sites of accumulation, particularly the colon.
Basti therapy involving Vata-pacifying kashayams represents an intensive intervention typically performed under the supervision of an experienced Ayurvedic physician. A course of Basti may involve 7-14 treatments performed daily or on alternate days, with each treatment introducing 500-1000 milliliters of warm medicated decoction into the colon through enema apparatus, retained for a specified period, then evacuated. This method is traditionally reserved for advanced cases or those not responding adequately to milder interventions.
Local Application to Affected Areas
For localized conditions affecting specific joints or areas of musculature, the oil form of Chiruvilwadi may be applied directly to the affected area as a spot treatment, with a thin layer massaged in with gentle circular motions. This may be performed 1-3 times daily, and may be followed by warm fomentation (heat application) to enhance penetration. The area should remain covered with cloth to maintain warmth and prevent premature evaporation of the oil.
Pharmacological Properties in Ayurvedic Framework
Understanding Chiruvilwadi Kashayam through the lens of classical Ayurvedic pharmacology requires appreciation of five dimensions of drug action: Rasa [taste], Guna [physical quality], Virya [potency], Vipaka [post-digestive effect], and Prabhava [specific therapeutic action beyond the above]. These properties interact synergistically to produce the formulation’s comprehensive therapeutic profile.
Rasa Profile (Taste Components)
Chiruvilwadi
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Frequently Asked Questions about Chiruvilwadi Kashayam: Classical Formulation, Composition & Traditional Uses
What is Chiruvilwadi Kashayam: Classical Formulation, Composition & Traditional Uses in Ayurveda?
Chiruvilwadi Kashayam: Classical Formulation, Composition & Traditional Uses is a classical concept in Ayurvedic tradition. Refer to the article above for detailed information about its properties, uses, and significance in traditional Ayurvedic practice.
How is Chiruvilwadi Kashayam: Classical Formulation, Composition & Traditional Uses traditionally used?
In classical Ayurveda, Chiruvilwadi Kashayam: Classical Formulation, Composition & Traditional Uses is traditionally used as part of holistic wellness practices. The specific applications are described in texts such as the Charaka Samhita and Ashtanga Hridayam.
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