Signs of the untreatable and the manageable

Diseases that are held down by continued suitable medicine and wholesome diet, so that they do not kill at once but kill in the course of time, are incurable and called manageable (yāpya); those that take life at once are incurable, that is untreatable (anupakrama). When treating these incurable states the physician should say so clearly before starting, otherwise he earns disrepute.