Principal English Translation:
great-grandfather, ancestor (see Karttunen)
Lockhart’s Nahuatl as Written:
achtōn-(tli) = great-grandfather
James Lockhart, Nahuatl as Written: Lessons in Older Written Nahuatl, with Copious Examples and Texts (Stanford: Stanford University Press and UCLA Latin American Studies, 2001), 210.
Attestations from sources in English:
Achtontli, aoc quimati ueue, oppa piltontli. = The Great-Grandfather [He is] decrepit, in his second childhood. (central Mexico, sixteenth century)
Fr. Bernardino de Sahagún, Florentine Codex: General History of the Things of New Spain; Book 10 -- The People, No. 14, Part 11, eds. and transl. Arthur J. O. Anderson and Charles E. Dibble (Santa Fe and Salt Lake City: School of American Research and the University of Utah, 1961), 5.