The Compendium of Caraka 5.4.20

5.4.20

saṃvṛtyāṅgulibhiḥ karṇau jvālāśabdaṃ ya āturaḥ/
na śṛṇoti gatāsuṃ taṃ buddhimān parivārjayet//

The sick person who, closing his ears with his fingers, does not hear
the sound of blazing fire, the intelligent physician should abandon him as one whose life-breath is gone.