The Compendium of Caraka 5.7.29

5.7.29

&vyāvṛttamūrdhajihvāsyo bhruvau yasya ca vicyute/
kaṇṭakaiścācitā jihvā yathā pretastathaiva saḥ//

Whose head, tongue, and mouth are distorted, whose eyebrows are displaced,
and whose tongue is covered with thorns, is just as good as dead.