If the relatives of the patient request the physician begging for his life, the physician should prescribe the diet of soup prepared out of meat; but purification therapy (shodhana) should not be done in such patient as it will further deteriorate the condition.
If after one month, no signs of improvement as the result of soup prepared out of meat and varied other nutritive agents are seen, then the patient’s survival is rare.
निष्ठ्यूतं च पुरीषं च रेतश्चाम्भसि मज्जति| यस्य तस्यायुषः प्राप्तमन्तमाहुर्मनीषिणः ||१८||
[Poor prognosis based on sputum, stool and semen test] If a man’s sputum, feces and semen sink into water, the wise physicians say that he has come to the end of his life.
[Poor prognosis in shankhaka] The morbid condition in which the pitta, reaches up to temporal area and accumulates there, is known by the name of Shankhaka. It kills the patient in three nights.