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Charak Samhita

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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