Solution:
Let the circumcircle of ABC meet the altitudes AD, BE, and CF again at I, J, and K respectively.

Lemma (9-point circle). I, J, K are the reflections of H across BC, CA, AB. Moreover, D, E, F, X, Y, Z are the midpoints of HI, HJ, HK, HA, HB, HC.
Proof. Since ABDE and ABIC are cyclic, we see that
∠EBD=∠EAD=∠CAI=∠CBI.
Hence the lines BI and BH are reflections across BC. Similarly, CH and CI are reflections across BC, so I is the reflection of H across BC. The analogous claims for J and K follow. A ×2 dilation from H now establishes the result.
From this lemma, we get AI=2XD, BJ=2EY, and CK=2FZ. Hence it is equivalent to showing that
2DXAH+2EYBH+2FZCH≥23
which is in turn equivalent to
AIAH+BJBH+CKCH≥23.
Let a=JK, b=KI and c=IJ. Again by the lemma we find AH=AK=AJ, so by Ptolemy's theorem on AKIJ,
AJ⋅KI+AK⋅IJ=AI⋅JK
Substituting and rearranging,
AH⋅b+AH⋅cAH⋅(b+c)AIAH=AI⋅a=AI⋅a=b+ca.
Similarly,
BJBH=c+abandCKCH=a+bc
Plugging these back into (∗), the desired inequality is now
b+ca+a+cb+a+bc≥23.
This is known as Nesbitt's Inequality, which has many proofs. Below is one such proof.
Add 3 to both sides and rearrange:
(b+ca+1)+(c+ab+1)+(a+bc+1)⟺b+ca+b+c+c+aa+b+c+a+ba+b+c⟺(a+b+c)(b+c1+c+a1+a+b1)⟺≥23+3≥29≥293(b+c)+(c+a)+(a+b)
which is true by the AM-HM inequality.