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यस्मिंश्च दूते ब्रुवति वाक्यमातुरसंश्रयम्। पश्येन्निमित्तमशुभं तं च नानुव्रजेद्भिषक् ॥२१॥
While the messenger is narrating about his patient and physician notices the following inauspicious signs in the messenger:
english translation
तथा व्यसनिनं प्रेतं प्रेतालङ्कारमेव वा। भिन्नं दग्धं विनष्टं वा तद्वादीनि वचांसि वा ॥२२॥
1. heavily drunken with ghostly appearance, 2. wearing adornments like a ghost such as – broken, half burnt, destroyed things,
english translation
रसो वा कटुकस्तीव्रो गन्धो वा कौणपो महान्। स्पर्शो वा विपुलः क्रूरो यद्वाऽन्यदशुभं भवेत् ॥२३॥
3. speaking loudly abusive words, 4. smelling like a cadaver
english translation
तत्पूर्वमभितो वाक्यं वाक्यकालेऽथवा पुनः। दूतानां व्याहृतं श्रुत्वा धीरो मरणमादिशेत् ॥२४॥
5. thorny to touch, 6. and looking cruel in appearance
english translation
इति दूताधिकारोऽयमुक्तः कृत्स्नो मुमूर्षताम्। पथ्यातुरकुलानां च वक्ष्याम्यौत्पातिकं पुनः॥२५॥
Above signs are highly inauspicious for patient’s life, and a wise physician should avoid further proceedings for treatment. Now we shall narrate the signs indicating imminent death seen by physician on the way he proceeds for patient’s house on a call by informer. Followings are inauspicious for life of a patient because in such an emergent conditions the time and mind set of a physician is very important, and these signs are obstructing, time consuming, and concentration diverting factors for a physician.
english translation