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Charak Samhita

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अवाक्शिरा वा जिह्मा वा यस्य वा विशिरा भवेत्। जन्तो रूपप्रतिच्छाया नैनमिच्छेच्चिकित्सितुम् ॥३॥

[Moribund feature of shadow] If the physical shadow of the individual is found to be inverted (head downwards and legs upwards), irregular or without the head, he must not be treated.

english translation