Charak Samhita
गृहीत्वा सज्वरश्वासं वम्यतीसारपीडितम्। हृन्नाभिहस्तपादेषु शोफः कर्षति गुल्मिनम् ॥१७१॥
॥ Signs and symptoms of bad prognosis॥ The patient of gulma accompanied with fever, dyspnea, vomiting and diarrhea along with edema in the epigastric and umbilical regions and on hands and feet indicate that the patient is approaching to death
english translation
gRhItvA sajvarazvAsaM vamyatIsArapIDitam। hRnnAbhihastapAdeSu zophaH karSati gulminam ॥171॥
hk transliteration by Sanscript