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We shall now expound the chapter entitled ‘The sensorial prognosis from the observation of the dark brown color of the eye of a man’. Thus said Lord Atreya. [1-2]
We shall now expound the chapter "Yasyashyavanimitta" (Signs and Symptoms useful for Palliative Care among Patients approaching Death). Thus said Lord Atreya. [1-2]
Note: The chapter deals with sensorial prognosis from the observation of the dark brown color of the eye of a man’.
=== Signs of death due to ''Pitta'' disorders ===
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The man whose veins are green and whose hair follicles are closed and who craves for sour things succumb to death due to ''pitta'' disorders. [3-5]
The man whose veins are green and whose hair follicles are closed and who craves for sour things succumb to death due to ''pitta'' disorders. [3-5]
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=== Signs of death due to ''Rajayakshma'' and ''Shosha'' ===
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The burning pain in the shoulder region, hiccup, hematemesis, distension of the stomach and pain in the flanks in patient of consumption will end the life of patient. [6-7]
The burning pain in the shoulder region, hiccup, hematemesis, distension of the stomach and pain in the flanks in patient of consumption will end the life of patient. [6-7]
=== Eight grave diseases leading to death ===
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Patients suffering from other diseases too having above features should be avoided by the physician. [8-9]
Patients suffering from other diseases too having above features should be avoided by the physician. [8-9]
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=== Death signs after ''Virechana'' (purgation) ===
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If abdominal distension of a patient is relieved by purgation for short time and then patient develops thirst, distension of abdomen and severe pain again, then such patient should be considered as a ghost i.e. the patients will surely die soon. [10]
If abdominal distension of a patient is relieved by purgation for short time and then patient develops thirst, distension of abdomen and severe pain again, then such patient should be considered as a ghost i.e. the patients will surely die soon. [10]
=== Dryness as death sign ===
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One who, because of excessive dryness of throat, mouth and chest, is unable to drink anything does not survive.
One who, because of excessive dryness of throat, mouth and chest, is unable to drink anything does not survive.
=== Feeble voice as death sign ===
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The person/ individual whose breathing has been shallow, has subnormal temperature and who feels piercing pains in the groins without experiencing a moment of comfort, should be discarded by the wise physician.[12-13]
The person/ individual whose breathing has been shallow, has subnormal temperature and who feels piercing pains in the groins without experiencing a moment of comfort, should be discarded by the wise physician.[12-13]
=== Signs of death ===
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If after one month, no signs of improvement as the result of soup prepared out of meat and varied other nutritive agents are seen, then the patient’s survival is rare. [14-17]
If after one month, no signs of improvement as the result of soup prepared out of meat and varied other nutritive agents are seen, then the patient’s survival is rare. [14-17]
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=== Various assessment parameters for lifespan and death ===
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The patient, who suffers from rapid loss of strength and muscle wasting, aggravation of disease symptoms and anorexia, does not survive more than three fortnights. [18-22]
The patient, who suffers from rapid loss of strength and muscle wasting, aggravation of disease symptoms and anorexia, does not survive more than three fortnights. [18-22]
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=== Summary ===
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If patient suffers from an incurable disease and shows ''arishta'' signs, he should not be treated and physician should inform the relatives about the exact condition of the patient and suggest care to keep the patient comfortable. If the legal guardian of the patient requests the physician for treatment then only he should treat the patient. [Verse No. 14-17]
If patient suffers from an incurable disease and shows ''arishta'' signs, he should not be treated and physician should inform the relatives about the exact condition of the patient and suggest care to keep the patient comfortable. If the legal guardian of the patient requests the physician for treatment then only he should treat the patient. [Verse No. 14-17]
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== References ==