Yaṃ panassa mūḷhagabbhāya mātuyā mittāmaccasuhajjādīhipi adassanārahe dukkhuppattiṭṭhāne chedanaphālanādīhi dukkhamanubhavati, idaṃ gabbhavipattimūlakaṃ dukkhaṃ.

Yaṃ vijāyamānāya mātuyā kammajehi vātehi parivattetvā narakappapātaṃ viya atibhayānakaṃ yonimaggaṃ paṭipādiyamānassa paramasambādhena ca yonimukhena tālacchiggaḷena viya nikaḍḍhiyamānassa mahānāgassa narakasattassa viya ca saṅghātapabbatehi vicuṇṇiyamānassa dukkhamuppajjati, idaṃ vijāyanamūlakaṃ dukkhaṃ.

Yaṃ pana jātassa taruṇavaṇasadisassa sukumārasarīrassa hatthaggahaṇanhāpanadhovana- coḷaparimajjanādikāle sūcimukhakhuradhārāvijjhanaphālanasadisaṃ dukkhamuppajjati, idaṃ mātukucchito bahi nikkhamanamūlakaṃ dukkhaṃ.