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

adharottaramArgAbhyAM sahasaivAjitAtmanaH। prayAti nordhvaM nAdhastAdAhAro na ca pacyate॥6॥

hk transliteration by Sanscript