Ashtangasamgraha 24.47

24.47

śuṣkasphigudaragrīvāḥ sthūlaparvā sirātataḥ |

ucyate 'tikṛśastatnaprāgukto bṛṃhaṇo vidhiḥ ||

prāṇādyānāṃ bhiṣak kuryādvitarkya svayameva tat ||

One whose buttocks, belly, and neck are dried up, whose joints are thick, and who is covered with veins / is called excessively emaciated; for him the nourishing regimen previously stated [is prescribed]; / the physician should perform it, having considered on his own what belongs to prāṇa and the others.