Ashtangasamgraha 50.13

50.13

śukrakṣayāt bhayācchokādavisrambhādasevanāt |

atiharṣādatisthaulyānmalopacayataḥ śramāt ||

From depletion of semen, from fear, grief, lack of trust, lack of practice, / from excessive excitement, extreme obesity, accumulation of waste products, and fatigue;