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Charak Samhita

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यस्य वै भाषमाणस्य रुजत्यूर्ध्वमुरो भृशम्। अन्नं च च्यवते भुक्तं स्थितं चापि न जीर्यति ॥५॥

[Poor prognosis in cardiac pain] One, who has severe pain in the upper part of chest while talking, vomits the ingested food, cannot digest the food ingested;

english translation