Ashtangasamgraha 11.39

11.39

prātarāśe tvajīrṇe 'pi sāyamāśo na duṣyati |

ajīrṇe sāyamāśe tu prātarāśo hi duṣyati ||

gṛhītvā pāyuhṛdaye kṣīṇadehasya vā balī ||

saṃsṛṣṭaliṅgaḥ saṃsargāt |

sa trividhaḥ |

sarvaliṅganicaye nicayagulmaḥ so 'sādhyaḥ ||

Even if the morning meal is undigested, the evening meal is not corrupted; / but if the evening meal is undigested, the morning meal is indeed corrupted. // Or forcefully seizing the anus and heart of one whose body is emaciated, // It has combined symptoms due to combination [of doṣas]. / That is of three kinds. / When there is an accumulation of all symptoms, it is nicayagulma; that is incurable.