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The text says the stout body is to be made lean with dry medicines, foods and drinks, and that experts recommend for it various purgative preparations together with medicines and diet from…

For reducing the stout, experts recommend various purgative preparations and medicines and diet drawn from the dry, astringent, pungent and bitter groups.

Astringent vegetables are listed among the causes of vāta aggravation.

Bitter vegetables (the commentary writes तीखा for the verse's tikta) are listed among the causes of vāta aggravation.

Excessive use of pungent things is listed among the causes of pitta aggravation.

For a thin prameha patient, nourishing medicines that build up the body; for a stout patient, reducing (karshana) measures that make him lean.