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We shall now expound the chapter on moribund signs like inverted physical shadow (of a being). Thus said Lord Atreya. [1-2]
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We shall now expound the chapter "Avakshiraseeya" (Fatal signs like inverted shadow of dying person).Thus said Lord Atreya. [1-2]
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==== Moribund feature of shadow ====
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Note: The chapter deals with moribund signs like inverted physical shadow (of a being).
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=== Moribund feature of shadow ===
 
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If the physical shadow of the individual is found to be inverted (head downwards and legs upwards), irregular or without the head, he must not be treated. [3]
 
If the physical shadow of the individual is found to be inverted (head downwards and legs upwards), irregular or without the head, he must not be treated. [3]
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==== Moribund feature on eyelids ====
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=== Moribund feature on eyelids ===
 
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An emaciated person who is unable to close his eyes due to swollen eyelids and also accompanied by burning eyes should be considered as good as departed. [5]
 
An emaciated person who is unable to close his eyes due to swollen eyelids and also accompanied by burning eyes should be considered as good as departed. [5]
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==== Moribund feature on eyebrows and forehead ====
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=== Moribund feature on eyebrows and forehead ===
 
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These patients (having above mentioned signs), will survive for three days, and healthy individuals (having above mentioned signs) will survive maximum for 6 nights. [7]
 
These patients (having above mentioned signs), will survive for three days, and healthy individuals (having above mentioned signs) will survive maximum for 6 nights. [7]
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==== Moribund feature of hairs ====
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=== Moribund feature of hairs ===
 
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If the hair of the individual appears to be unreasonably greasy then he should be considered as at the fag-end of his life and should not be treated.[9]
 
If the hair of the individual appears to be unreasonably greasy then he should be considered as at the fag-end of his life and should not be treated.[9]
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==== Moribund feature of nose ====
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=== Moribund feature of nose ===
 
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Excessive nasal flaring or constriction, distortion in shape and extreme dryness of the nose indicate that the individual will not survive. [11]
 
Excessive nasal flaring or constriction, distortion in shape and extreme dryness of the nose indicate that the individual will not survive. [11]
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==== Incurable signs on face, ear and lips ====
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=== Incurable signs on face, ear and lips ===
 
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If the face, ears and lips become abnormally (without any visible cause) white, brown, excessively red or blue, then such a patient seldom recovers from the disease.  [12]
 
If the face, ears and lips become abnormally (without any visible cause) white, brown, excessively red or blue, then such a patient seldom recovers from the disease.  [12]
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==== Incurable signs on teeth ====
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=== Incurable signs on teeth ===
 
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A patient having morbid conditions like appearance of bony white teeth, white flower shaped spots and mud like appearance over teeth cannot recover from the disease. [13]
 
A patient having morbid conditions like appearance of bony white teeth, white flower shaped spots and mud like appearance over teeth cannot recover from the disease. [13]
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==== Fatal signs on tongue ====
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=== Fatal signs on tongue ===
 
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If the tongue becomes  rigid,  senseless, heavy, excessively coated  with a thorn  like fur, brown  in color, dry or swollen and constantly mobile, then the patient having such signs should be considered  as good as dead. [14]
 
If the tongue becomes  rigid,  senseless, heavy, excessively coated  with a thorn  like fur, brown  in color, dry or swollen and constantly mobile, then the patient having such signs should be considered  as good as dead. [14]
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==== Fatal sign of respiration ====
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=== Fatal sign of respiration ===
 
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If a person faints after a short expiration followed by a long inspiration, then he should be considered as nearing his end and must not be treated. [15]
 
If a person faints after a short expiration followed by a long inspiration, then he should be considered as nearing his end and must not be treated. [15]
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==== Fatal sign of extremities and neck ====
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=== Fatal sign of extremities and neck ===
 
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Excessive coldness, roughness and softness in hands, legs and neck indicate the end of the life of the person. [16]
 
Excessive coldness, roughness and softness in hands, legs and neck indicate the end of the life of the person. [16]
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==== Fatal signs of abnormal movements ====
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=== Fatal signs of abnormal movements ===
 
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If the person moves his head with difficulty with the help of the fore-arms and if there is sweating in the forehead and is a sign of detachment from life, he is moribund. [26]
 
If the person moves his head with difficulty with the help of the fore-arms and if there is sweating in the forehead and is a sign of detachment from life, he is moribund. [26]
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==== Summary ====
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=== Summary ===
 
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Chyutabandhanaḥ (Detachment from life) symptom can be interpreted either as release of all bodily sphincters or complete detachment of the  bindings of the world, both acknowledged by contemporary science.[26]
 
Chyutabandhanaḥ (Detachment from life) symptom can be interpreted either as release of all bodily sphincters or complete detachment of the  bindings of the world, both acknowledged by contemporary science.[26]
 
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=== Similar references in other texts ===
 
=== Similar references in other texts ===
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Shloka 4 - 7: Su. Su. 31/10, A.H. Sha. 5/17,<br>
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Shloka 4 - 7: Su. Sa. Sutra Sthana 31/10, A.H. Sharira Sthana 5/17,<br>
Shlok-08:Ca. I. 11/17<br>
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Shloka-08: [[Charak Samhita]] [[Indriya Sthana]] 11/17<br>
Shlok-09: A.H. Sha. 5/16 & 19,<br>  
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Shloka-09: A.H. Sharira Sthana 5/16 & 19,<br>  
Shlok-10-12: Su. Su. 31/08,<br>  
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Shloka-10-12: Su.Sa. Sutra Sthana 31/08,<br>  
Shlok-13: Su. Su. 31/06, A.H. Sha. 5/10<br>
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Shloka-13: Su.Sa. Sutra Sthana 31/06, A.H. Sharira Sthana 5/10<br>
Shlok-14: Su. Su. 31/07, A.H. Sha. 5/10,<br>
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Shloka-14: Su.Sa. Sutra Sthana 31/07, A.H. Sharira Sthana 5/10,<br>
Shlok-18-19: Su. Su. 31/07, A.H. Sha. 5/10,<br>  
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Shloka-18-19: Su.Sa. Sutra Sthana 31/07, A.H. Sharira Sthana 5/10,<br>  
Shlok-22: Su. Su. 31/11, A.H. Sha. 5/11<br>
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Shloka-22: Su.Sa. Sutra Sthana 31/11, A.H. Sharira Sthana 5/11<br>
Shlok-23: A.H. Sha. 5/109,<br>  
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Shloka-23: A.H. Sharira Sthana 5/109,<br>  
Shlok-24: A.H. Sha. 5/110,<br>
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Shloka-24: A.H. Sharira Sthana 5/110,<br>
Shlok-26:A.H. Sha. 5/57.<br>
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Shloka-26:A.H. Sharira Sthana 5/57.<br>
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Abbreviations: Su. = Sushruta, Sa.= Samhita , A.H.= Ashtanga Hridaya
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Note: Thirty six moribund signs are mentioned in section of Sanskrit ''shloka'' and their translation in English and are not repeated here.
 
Note: Thirty six moribund signs are mentioned in section of Sanskrit ''shloka'' and their translation in English and are not repeated here.
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=== References ===
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== References ==
    
<references/>
 
<references/>

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