पित्तमूष्मानुगं यस्य शङ्खौ प्राप्य विमूर्च्छति । स रोगः शङ्खको नाम्ना त्रिरात्राद्धन्ति जीवितम् ॥२०॥
[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.
english translation
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