Charak Samhita

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संवृत्याङ्गुलिभिः कर्णौ ज्वालाशब्दं य आतुरः| न शृणोति गतासुं तं बुद्धिमान् परिवर्जयेत् ||२०||

sanskrit

and the one who is unable to hear the internal (stellar) sound after closing the ear with fingers is sure to die hence a knowledgeable physician should not engage in treating him.

english translation

saMvRtyAGgulibhiH karNau jvAlAzabdaM ya AturaH| na zRNoti gatAsuM taM buddhimAn parivarjayet ||20||

hk transliteration