When, as earth, water, light, heat, and ether arise, the fivefold quality of Yoga takes place, then there is no longer illness, old age, or pain for him who has obtained a body, produced by the fire of Yoga.

In plain words: When earth, water, light, heat and space arise and the fivefold quality of Yoga appears, a person who has gained a body made by the fire of Yoga no longer suffers sickness, old age or pain.