Charak Samhita

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क्लेदश्च मेदश्च कफश्च वृद्धः प्रमेहहेतुः प्रसमीक्ष्य तस्मात्| वैद्येन पूर्वं कफपित्तजेषु मेहेषु कार्याण्यपतर्पणानि ||५१||

sanskrit

[Indication of apatarpana treatment] Aggravated kleda (liquid element of the body), medas (adipose tissue) and kapha are responsible for the causation of prameha. Keeping this in view, the physician, in the beginning, should administer depletion therapies to patients suffering with kapha and pitta dominant types of prameha.

english translation

kledazca medazca kaphazca vRddhaH pramehahetuH prasamIkSya tasmAt| vaidyena pUrvaM kaphapittajeSu meheSu kAryANyapatarpaNAni ||51||

hk transliteration by Sanscript