Charak Samhita
रक्तपित्तं तु यन्मार्गौ द्वावपि प्रतिपद्यते। असाध्यमिति तज्ज्ञेयं पूर्वोक्तादेव कारणात् ॥१८॥
॥ Poor prognosis in severe bleeding॥ In cases where blood comes out from both the routes, raktapitta is incurable because no effective evacuative measure is applicable.
english translation
raktapittaM tu yanmArgau dvAvapi pratipadyate। asAdhyamiti tajjJeyaM pUrvoktAdeva kAraNAt ॥18॥
hk transliteration by Sanscript