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एतेषु रोगः क्रमते भेषजं प्रतिहन्यते। नैषामन्नानि भुञ्जीत न चोदकमपि स्पृशेत् ॥२६॥
In such people, the disease progress occurs unrestricted and the medicine remains ineffective. The wise physician should not take his offerings in any form, even in form of food and drinks.
english translation
पादाः समेताश्चत्वारः सम्पन्नाः साधकैर्गुणैः। व्यर्था गतायुषो द्रव्यं विना नास्ति गुणोदयः ॥२७॥
[Limitation of healthcare systems] Availability of all four basic components of treatment i.e. doctor, medicament, care taker and patient with their desirable quality are of no value in regard to the person who is at the end of his life and there is no response to treatment.
english translation
परीक्ष्यमायुर्भिषजा नीरुजस्यातुरस्य च। आयुर्ज्ञानफलं कृत्स्नमायुर्ज्ञे ह्यनुवर्तते ॥२८॥
[Importance of knowledge of prognosis] The physician should always assess the prognostic signs of life in diseased as well as in healthy person. Because the knowledge of prognostic signs of life and diseases helps to decide remaining lifespan and hence treatment can be planned accordingly.
english translation
तत्र श्लोकः- क्रियापथमतिक्रान्ताः केवलं देहमाप्लुताः। चिह्नं कुर्वन्ति यद्दोषास्तदरिष्टं निरुच्यते ॥२९॥
[Summary] Here is the re capitulatory verse: The signs originated due to extensively vitiated and pervaded dosha throughout the body, and already transcended the stage of the treatment are called arishta (signs of death).
english translation