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आह्वयंस्तं समीपस्थं स्वजनं जनमेव वा। महामोहावृतमनाः पश्यन्नपि न पश्यति ॥२१॥
Loud shout to call relatives and other people sitting nearby, severe visual hallucinations for non-existing things, observed in the person whose mind is covered by severe delusion [of death].
english translation
अयोगमतियोगं वा शरीरे मतिमान् भिषक्। खादीनां युगपद्दृष्ट्वा भेषजं नावचारयेत् ॥२२॥
[Physician's ethical code to abstain from prescription] A wise physician should abstain from treating a patient when he observes that the patient’s body is simultaneously responding both excessively and deficiently to sensory stimuli.
english translation
अतिप्रवृद्ध्या रोगाणां मनसश्च बलक्षयात्। वासमुत्सृजति क्षिप्रं शरीरी देहसञ्ज्ञकम् ॥२३॥
[Near death signs] In case of extreme advancement of the disease and weaker psychological strength, the soul immediately leaves the body.
english translation
वर्णस्वरावग्निबलं वागिन्द्रियमनोबलम्। हीयतेऽसुक्षये निद्रा नित्या भवति वा न वा ॥२४॥
Near the end of life there is general decline in complexion, voice, agni, speech and state of mind, as well as sleep pattern alters.
english translation
भिषग्भेषजपानान्नगुरुमित्रद्विषश्च ये। वशगाः सर्व एवैते बोद्धव्याः समवर्तिनः ॥२५॥
[Features and fate of unfaithful patients] Those who hate physician, medicine, food (and drink), teacher (spiritual teacher), and friends; are considered to be already under the grip of God of death.
english translation