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Charak Samhita

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यच्चान्यदपिकिञ्चित्स्याद्वैकृतंस्वरवर्णयोः। बलमांसविहीनस्यतत्सर्वं मरणोदयम् ॥२५॥

Such other abnormalities in voice and complexion of an individual who is devoid of strength and flesh also indicate imminent death.

english translation