यैर्विन्दति पुरा भावैः समेतैः परमां रतिम्| तैरेवारममाणस्य ग्लास्नोर्मरणमादिशेत् ||२१||
[Fatal signs of depression] If a debilitated patient develops disliking for such factors which, in the past, made him extremely happy, his death is imminent.
न बिभर्ति शिरो ग्रीवा न पृष्ठं भारमात्मनः| न हनू पिण्डमास्यस्थमातुरस्य मुमूर्षतः ||२२||
[Fatal signs of drooping body posture] If the neck of the patient is unable to support the weight of the head, the back, that of the body, the jaw bones, morsel of food in the mouth, this indicates his imminent death.
नोपैति कण्ठमाहारो जिह्वा कण्ठमुपैति च| आयुष्यन्तं गते जन्तोर्बलं च परिहीयते ||२५||
[Fatal signs of dysphagia] If the ingested food does not reach the throat, or the tongue falls back over the throat (thereby causing obstruction ) and there is diminution of strength, then the death of the person is imminent.