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अक्षीणबलमांसाग्नेः शमयेत्तं विरेचनैः| ज्वरक्षीणस्य न हितं वमनं न विरेचनम् ||१६९||

[Indication of virechana] If the jwara does not subside by the therapies described before, then virechana (purgation) should be given for its alleviation provided, the patient is neither emaciated, weak, depleted of muscle tissue nor has reduced digestive power. Neither vamana (emesis) nor virechana (purgation) is useful for patients emaciated by fever.

english translation

akSINabalamAMsAgneH zamayettaM virecanaiH| jvarakSINasya na hitaM vamanaM na virecanam ||169||

hk transliteration by Sanscript