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The pulse is floating and slow, with a hot and red face accompanied by tremors. After six or seven days, the disease should resolve through sweating. If fever persists instead, recovery will be delayed. The slow pulse indicates a lack of Yang (deficiency of Yang Qi). Without Yang, sweat cannot be produced, so the body must feel itchy.

The pulse is floating and slow, with a hot and red face and whole-body tremors. This indicates that Yang Qi is constrained and desires to emerge but is too deficient to do so immediately; hence the facial heat and body shaking. By the sixth or seventh day, after the meridian cycle completes and Yang recovers, resolution through sweating should occur. If fever persists instead, the time for resolution will be delayed because the slow pulse signifies a lack of Yang. Without Yang, there can be fever but no sweating; Qi stagnates in the skin and interstices, causing inevitable itching. (When Yang recovers, the disease heals; when Yang is deficient, resolution is delayed; when Yang is exhausted, death ensues. The following chapters on impending death elucidate the principle from Chapter 1: "Yang diseases presenting with Yin pulses indicate death." There are no cases where a disease kills without Yang returning, nor any case where one survives after Yang is exhausted.)

The Cun Kou (radial artery) pulse is faint, and the Chi (distal) pulse is tight. The person suffers from deficiency and emaciation with profuse sweating. This indicates that Yin remains constant while Yang is severed and unseen.

A faint Cun Kou pulse indicates the decline of Yang Qi. A tight Chi pulse indicates the excess of Yin Qi. Deficiency, emaciation, and profuse sweating signify the failure of Wei Qi (Defensive Qi) to consolidate. These pulse and symptom manifestations indicate severed Yin and absent Yang.

The pulse is floating and surging. The body sweats like oil, breathing is labored and unceasing, food and fluids cannot be taken in, the body is insensible, and consciousness fluctuates between stillness and chaos. This indicates impending death.

A floating and surging pulse indicates Yang lacking a Yin root. Sweating like oil refers to the "sweat of exhaustion" mentioned in the *Nan Jing* (citing the *Ling Shu*), where sweat beads appear like pearls strung together, moving but not flowing. Unceasing labored breathing indicates Qi failing to return to its root. Inability to ingest food and fluids indicates the failure of Stomach Qi. Bodily insensibility indicates the failure of Ying (Nutritive) and Wei (Defensive) Qi. Fluctuating consciousness indicates the failure of Shen (Spirit/Mind).

It is unknown which Zang organ first suffered disaster. If sweating wets the hair and breathing is labored and unceasing, this indicates the Lung is the first to fail. If Yang remains alone, the body appears dark like smoke, eyes stare fixedly, and the head shakes, this indicates the Heart is the first to fail. If the lips and mouth turn blue and the limbs twitch, this indicates the Liver is the first to fail. If the area around the mouth turns dark yellow, with soft sweat and yellow discoloration, this indicates the Spleen is the first to fail. If urine and stool are incontinently lost, speech is delirious, and eyes stare fixedly upward, this indicates the Kidney is the first to fail.

Regarding impending death (as in the previous chapter), it is unknown which Zang organ first suffers disaster. The Lung governs Qi and stores Jin-Ye (Body Fluids). If sweating wets the hair and breathing is labored and unceasing, this is the depletion of fluids and severance of Qi at its root, indicating the Lung fails first. The Heart belongs to Fire and houses the Shen. If Yang remains alone, the body appears dark like smoke, eyes stare fixedly, and the head shakes, this is Fire shining alone with the failure of Shen, indicating the Heart fails first. The Liver is associated with the color Green and governs Wind. If the lips and mouth turn blue and the limbs twitch, this is Wood overcoming Earth with excessive Wind generation (*Zuo Zhuan* states: "Excessive Wind affects the extremities." "Xi" refers to wind-induced trembling of the four extremities), indicating the Liver fails first. The Spleen opens into the mouth and its color is Yellow. If the area around the mouth is dark yellow with soft sweat and yellow discoloration, this is Water insulting Earth with external leakage of Qi, indicating the Spleen fails first. The Kidney governs urination and defecation and houses the Zhi (Will). If urine and stool are incontinent, speech is delirious, and eyes stare fixedly upward, this is the depletion of Kidney Yang and confusion of Will, indicating the Kidney fails first. The Kidney and the Taiyang Bladder Meridian are exterior-interior pairs. The Taiyang Meridian originates at the inner canthus and runs along the back of the body. Upward staring of the eyes corresponds to the description in the *Zhen Yao Jing Zhong Lun* regarding the termination of the Taiyang Meridian: "Gazing upward and opisthotonos."