Astanga Hrudaya

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अधरोत्तरमार्गाभ्यां सहसैवाजितात्मनः। प्रयाति नोर्ध्वं नाधस्तादाहारो न च पच्यते॥६॥

This is seen in persons who are not self controlled and who can not control their craze for eating. Alasaka – indigestion + constipation: Food neither comes out in the upper route by vomiting nor from the downward route by purgation.

english translation