Alay Valley
It exits through the Karamyk pass and a gorge into Tajikistan , where , under the name of the Vakhsh River it flows southwest into the Amu Darya . 
<triplet> Vakhsh River <subj> Tajikistan <obj> country <subj> Amu Darya <obj> mouth of the watercourse <triplet> Amu Darya <subj> Tajikistan <obj> country <subj> Vakhsh River <obj> tributary