Oh Agnivesha! I shall describe separately the ‘‘signs and symptoms indicative of impending instantaneous death’’. The patient afflicted with these signs and symptoms does not survive.
[List of signs of instantaneous death] The patient of painful and fully manifested vatashthila (hard tumor caused by vitiated vata) in the cardiac region if, suffers from intense thirst, then he instantly dies.
If patient develops laxity in the calf muscles and irregularity in the structure of the nose due to the movement of abnormal vata all over the body, then he instantly dies.