Astanga Hrudaya
श्रोतारं च अस्य शब्दस्य दूरतः परिवर्जयेत् । संस्थानेन प्रमाणेन वर्णेन प्रभयापि वा ॥ ४१ ॥
should be avoided from a distance (i.e., the physician should refuse treatment as death is certain). Chaya pratichaya rista – fatal signs connected with shades and shadow : He, whose chaya (shade) undergoes change (abnormal) in its features (shape),
english translation
zrotAraM ca asya zabdasya dUrataH parivarjayet । saMsthAnena pramANena varNena prabhayApi vA ॥ 41 ॥
hk transliteration by Sanscript