[Poor prognosis in Rajayakshma and Shosha] In a patient of rajayakshma, waning strength, shining extremities and emaciated body parts denotes that patient will succumb to death soon.
अंसाभितापो हिक्का च छर्दनं शोणितस्य च| आनाहः पार्श्वशूलं च भवत्यन्ताय शोषिणः ||७||
The burning pain in the shoulder region, hiccup, hematemesis, distension of the stomach and pain in the flanks in patient of consumption will end the life of patient.
वातव्याधिरपस्मारी कुष्ठी शोफी तथोदरी| गुल्मी च मधुमेही च राजयक्ष्मी च यो नरः ||८||
[Poor prognosis in grave diseases] When diseases like Vatavyadhi (diseases due to vata), Apasmara (Epilepsy), Kushtha (Skin diseases), Shopha (Swellings), Udara (abdominal diseases including ascitis), Gulma (lumps and tumors), Madhumeha (urinary disorders including Diabetes) and Rajayakshma (Tuberculosis) are associated with loss of strength and muscle wasting then such patient should be discarded by the physician as patient will not recover and will succumb to death.
[Poor prognosis after Virechana (therapeutic purgation)] If abdominal distension of a patient is relieved by purgation for short time and then patient develops thirst, distension of abdomen and severe pain again, then such patient should be considered as a ghost i.e. the patients will surely die soon.