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Charak Samhita

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व्यावृत्तमूर्धजिह्वास्यो भ्रुवौ यस्य च विच्युते। कण्टकैश्चाचिता जिह्वा यथा प्रेतस्तथैव सः ॥२९॥

If there is a distortion of the head, tongue and face, drooping of eye brows and appearance of thorny coat over tongue, don’t treat such patients due to its ominous nature.

english translation