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## First Karma Granth
**Verse 48:** The Karma called **Nirmaan** (Creation) arranges the limbs and appendages of the body in their proper places, like a master architect. The Karma called **Upghaat** (Injury) causes the being to suffer through its body's parts, like the **Lambika** (sixth finger) or other such deformities.
**Explanation:**
The Karma called **Nirmaan** is responsible for the orderly arrangement of the body's limbs and appendages. **Nirmaan** means "organized creation." Just as a painter or sculptor arranges the limbs of a painting or sculpture in their proper places, so too does **Nirmaan** regulate the body's parts. Without this Karma, the limbs and appendages created by the **Ango-Upanga** Karma (Karma of limbs and appendages) would not be properly arranged. In other words, **Nirmaan** ensures that the body's parts are in their correct positions, allowing them to function properly.
The Karma called **Upghaat** causes the being to suffer through its body's parts, such as the **Pratijihva** (a tongue-like growth), **Chauradant** (teeth protruding from the lips), **Lambika** (sixth finger), and so on.
Even when the body's limbs and appendages are properly arranged, some beings may have body parts that are not useful and instead cause suffering. This suffering is caused by the **Upghaat** Karma.