Astanga Hrudaya

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भिन्ने शिरःकपाले वा मस्तुलुङ्गस्य दर्शने । स्नायुक्लेदात्सिराछेदाद्गाम्भीर्यात्कृमिभक्षणात् ॥ १९ ॥

in whom the skull is fractured or the brain is visible do not get cured. Due to exudation/sloughing of tendons (snāyu-kledāt), cutting of veins (sirā-chedāt), excessive depth (gāmbhīryāt), infestation/devouring by maggots/worms (kṛmi-bhakṣaṇāt),

english translation

bhinne ziraHkapAle vA mastuluGgasya darzane । snAyukledAtsirAchedAdgAmbhIryAtkRmibhakSaNAt ॥ 19 ॥

hk transliteration by Sanscript