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Note Rav Hirsch translates נֹפֶלֶת as "to waste" while Art Scroll translates it as to collapse. The chabad web site translates it as "rupture". This seems to be a sudden set of spasms that would cause the thigh muscles to collapse. The initial description seems to imply convulsions. Rambam Hilchos Sotah Chapter three seems to say that her belly swells (as ...

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