PARINAMA TAPA SANSKARA DUHKHAIH GUNA VRITTI VIRODHACHCHA DUHKHAM EVA SARVAM VIVEKINAH ||15||

परिणाम ताप संस्कार दुःखैः गुणवृत्तिविरोधाच्च दुःखमेव सर्वं विवेकिनः ॥१५॥

pariṇāma tāpa saṁskāra duḥkhaiḥ guṇa-vṛtti-virodhācca duḥkham-eva sarvaṁ vivekinaḥ ||15||

Suffering is caused by change in the outside world, as well as impressions, desires (samsakra), misconceptions (vritti) and conflict. Suffering is omnipresent for those who have the capacity to differentiate. ||15||


pariṇāma = change
tāpas = desire
saṁskāra = impressions
duḥkhaiḥ = (nom. from duḥkha) pain; suffering 
guṇa = the three basic elements of matter; nature
vṛtti = waves; thought waves, misconceptions; veil; lack of clarity; 
virodhā = resistance; conflict
ca = and
duḥkham = (acc. from duḥkha) pain; suffering 
eva = even; only
sarvaṁ = all; everywhere; always 
vivekinaḥ = (nom. from vivekina) for those who have developed the capacity to make distinctions