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पचत्यन्नं तदारोग्यपुष्ट्यायुर्बलवृद्धये। दोषैर्मन्दोऽतिवृद्धो वा विषमैर्जनयेद्गदान्॥२१६॥
The same dosha when vitiated causes mandagni, tikshnagni and vishamagni and such a vitiated agni gives rise to various diseases. Management of mandagni has been explained previously henceforth management of ativriddha agni will be explained
english translation
वाच्यं मन्दस्य तत्रोक्तमतिवृद्धस्य वक्ष्यते। नरे क्षीणकफे पित्तं कुपितं मारुतानुगम्॥२१७॥
[Samprapti of atyagni] Person having diminished kapha, aggravated pitta and associated vata leads to increase in the ushma of agni resulting in enhancing the capacity and power of agni.
english translation
स्वोष्मणा पावकस्थाने बलमग्नेः प्रयच्छति। तदा लब्धबलो देहे विरूक्षे सानिलोऽनलः॥२१८॥
In such patient if the body is already undernourished, vata increases which further strengths the agni wherein both, together with help of tikshna guna digests the food even if taken frequently.
english translation
परिभूय पचत्यन्नं तैक्ष्ण्यादाशु मुहुर्मुहुः। पक्त्वाऽन्नं स ततो धातूञ्छोणितादीन् पचत्यपि॥२१९॥
After digestion of food, the increased agni starts digesting rakta, etc dhatus also
english translation
ततो दौर्बल्यमातङ्कान्मृत्युं चोपनयेन्नरम्। भुक्तेऽन्ने लभते शान्तिं जीर्णमात्रे प्रताम्यति॥२२०॥
Consequently, the patient becomes weak and death may occur due to disease. The patient feels better on consuming the food but feels worn out along with blackouts when food is digested.
english translation