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In the syndrome of Jie Xiong (Chest Binding), if the pulse is floating and large, purgation must not be used; if purgation is mistakenly applied, death will ensue. If all symptoms of Jie Xiong are present and restlessness (Fan Zao) occurs, this is also a fatal condition. In Yang Ming disease, if there is hardness and fullness in the epigastrium, attack with purgation is contraindicated; if purgation is mistakenly applied and diarrhea becomes intractable, it is fatal. If the patient presents with fixed gaze (Zhi Shi), delirium (Chan Yu), asthma (Chuan), and abdominal fullness, it is fatal; if diarrhea occurs, it is also fatal.

Excessive sweating, or repeated sweating, leads to the loss of Yang Qi (Yang Qi); if delirium and shortness of breath occur, it is fatal. In Shang Han (Cold Damage) disease, if vomiting or purgation fails to resolve the condition, and no bowel movement occurs for five to ten days, with tidal fever (Chao Re) appearing at dusk (Ri Bu Suo), absence of aversion to cold, solitary speech as if seeing ghosts, unawareness of people during episodes, picking at clothes and bedrails, fearfulness and unrest, slight asthma, fixed gaze, and a choppy pulse (Se Mai), it is fatal. A floating and hollow (Kou) pulse: floating indicates Yang, hollow indicates Yin. When floating and hollow interact, stomach heat generates, and Yang Qi is severed.

In Shao Yang disease, if there is only cold extremities (Jue) without sweat, forcing sweat will inevitably disturb the blood. It is unknown from which channel the blood will escape; it may come from the mouth or nose, or from the eyes. This is called "Lower Jue and Upper Exhaustion" (Xia Jue Shang Jie), which is difficult to treat. In Shao Yin disease, if there is aversion to cold, body curling, diarrhea, and cold extremities, it is incurable. In Shao Yin disease, after six or seven days, if respiration is shallow and rapid (Xi Gao), it is fatal.

In Shang Han disease with a slow pulse (Chi Mai), if after six or seven days Huang Qin Tang (Scutellaria Decoction) is mistakenly given to clear heat: a slow pulse indicates cold. Giving Huang Qin Tang to clear heat should cause abdominal coldness and anorexia. If the patient suddenly can eat, this is called "Chu Zhong" (Removing the Middle), which is fatal. In Shang Han disease after six or seven days, if the pulse is faint, extremities are cold, and there is irritability, moxibustion is applied to the Jue Yin channel; if the pulse does not return, it is fatal. In Shang Han disease with fever, diarrhea, cold extremities, and restlessness preventing lying down, it is fatal. In Shang Han disease with fever, severe diarrhea, and unceasing cold extremities, it is fatal.

In Shang Han disease after six or seven days, if there was previously no diarrhea but suddenly fever and diarrhea appear, accompanied by incessant sweating, it is fatal because there is Yin without Yang. In Shang Han disease after five or six days, if there is no Jie Xiong, the abdomen is soft, the pulse is deficient, and cold extremities recur, purgation is contraindicated because this is due to blood loss; purgation will lead to death. Fever with cold extremities lasting seven days, accompanied by diarrhea, is difficult to treat.

In Shang Han disease after six or seven days, following severe purgation, if the Cun pulse is deep and slow, extremities are cold, the lower pulses are imperceptible, the throat is obstructed, pus and blood are expectorated, and diarrhea is intractable, it is difficult to treat. With diarrhea, cold extremities, and absent pulse, if moxibustion fails to warm the limbs and the pulse does not return, but slight asthma appears, it is fatal. After diarrhea, if the pulse vanishes and extremities are cold, but the pulse returns and extremities become warm, life is preserved; if the pulse does not return, it is fatal.

In Shang Han diarrhea occurring more than ten times a day, if the pulse is unexpectedly excess, it is fatal. Vomiting with a weak pulse, free urination, slight body heat, and cold extremities constitute a difficult-to-treat condition. In dampness patients, if purgation is mistakenly applied, leading to sweating on the forehead, slight asthma, and free urination, it is fatal; if diarrhea is intractable, it is also fatal.

Attached: Song of Fatal Syndromes
Liang Gan Shang Han requires no treatment; Yin-Yang Du beyond seven days expires. Black spots appear, Lower Jue and Upper Exhaustion; Yang disease showing Yin pulse is perilous. Tongue curled, ears deaf, scrotum retracted; Yin-Yang Jiao and picking at clothes are untreatable. Chu Zhong is also untreatable; lips and corners of mouth blue, face black. Cough and regurgitation unceasing, Zang Jie (Organ Knotting); urine and stool incontinence, hard to cure. Sweating profusely but not reaching feet; mouth open, eyes sunken, what use? Unceasing asthma, Yin-Yang Yi (Exchange); Li Jing Mai (Departing Vessel) seen, know death. Jie Xiong syndrome complete with severe restlessness, fixed gaze, shaking head—this is time of death. Shao Yang syndrome combined with Yang Ming, pulse string-like and large—rescue is too late. Post-sweating pulse becomes rapid and restless; know Zang Jue (Organ Cold)—life cannot be pursued. Xia You (Shrimp Floating), Wu Lou (House Leak), Que Zhuo (Sparrow Pecking), Yu Xiang (Fish Swimming), Dan Shi (Stone Tapping), Jie Sheng (Uncoiling Rope)—even Dai Mai (Intermittent Pulse) cannot be saved. All aforementioned syndromes are undoubtedly fatal.