凡人五脏六腑,营卫关窍。宜平生气血顺度循环无终,是为不病之本。若有缺绝,则祸
必来矣。要在临病之时,存神内想,息气内观,心不妄视,着意精察,方能通神明,探幽微,
断死决生,千无一误。死之征兆,具之于后∶黑色起于耳目鼻上,渐入于口者死;赤色见于
耳目额者,五日死;黑白色入口鼻目中者,五日死;黑或如马肝色,望之如青,近则如黑者
死;张口如鱼,出气不反者死;循摸衣缝者死;妄语错乱,及不能语者死;热病即不死,口
臭不可近者死;面目直视者死;肩息者一日死;面青人中反者,三日死;面无光牙齿黑者死;
面青目黑者死,面白目黑者,十日死;面赤眼黄,实时死;面黑目白者,八日死;面青目黄
者,五日死;眉系倾者七日死;齿忽黑色者,三十日死;发直者,十五日死;遗尿不觉者,
五六日死;唇口乍干黑者死;爪中青黑者死;头目久痛,卒视不明者死;舌卷卵缩者死;面
黑直视者死;面青目白者死;面黄目白者死;面目俱白者死;面目青黑者死;面青唇黑者死;
发如麻,喜怒不调者死;发眉如冲起者死;面色黑,胁满,不能反侧者死;面色苍黑,卒肿
者死;掌肿无纹,脐肿出,囊茎俱肿者死;手足爪甲,肉黑色者死;汗出不流者死;唇反,
人中满者死;阴阳俱绝,目眶陷者死;五脏内外绝,神气不守,其声嘶者死;阳绝阴结,精
神恍惚,撮空裂衣者死;阴阳俱闭,失音者死;营卫耗散,面目浮肿者死;心绝肩息,回盼
目直者死;肺绝则气去不返,口如鱼口者三日死;骨绝腰脊痛,肾中重不可反侧,足膝后平
者,五日死;肾绝大便赤涩下血,耳干脚浮,舌肿者六日死;又足肿者九日死;脾绝口冷,
足肿胀,泄不觉者,十二日死;筋绝魂惊虚恐,手足爪甲青,呼骂不休者,八九日死;肝绝
汗出如水,恐惧不安,伏卧,目直面青者,八日死,又曰实时死;胃绝齿落面黄者,七日死,
又十日死。
In all persons, the five zang organs and six fu organs, along with the pathways of Ying (Nutrient) Qi, Wei (Defensive) Qi, and related orifices. It is essential that the vital Qi and Blood circulate smoothly and continuously without end in their normal state; this constitutes the foundation of health. If there are deficiencies or interruptions, disaster will inevitably follow. The key lies in, when facing illness, to maintain spiritual inwardness, observe the breath internally, avoid erratic visual distractions, and focus intently on precise observation. Only then can one comprehend the profound mysteries, explore the subtle depths, and accurately distinguish between life and death, making no errors in a thousand cases. The signs of impending death are detailed below: Death occurs if black color appears above the eyes, ears, and nose, gradually entering the mouth. Death occurs in five days if red color is seen on the eyes, ears, and forehead. Death occurs in five days if black or white color enters the mouth, nose, and eyes. Death occurs if the color is black or like horse liver, appearing blue from afar but black up close. Death occurs if the mouth opens like a fish's, with exhaled air failing to return. Death occurs if the patient gropes at clothing seams. Death occurs if the patient speaks nonsense in confusion or is unable to speak. Feverish disease does not necessarily lead to death, but death occurs if the breath is so foul that it cannot be approached. Death occurs if the face and eyes stare fixedly. Death occurs in one day if the patient breathes with raised shoulders (shoulder breathing). Death occurs in three days if the face is cyanotic and the philtrum is flattened or reversed. Death occurs if the face lacks luster and the teeth are black. Death occurs if the face is cyanotic and the eyes are dark; death occurs in ten days if the face is pale and the eyes are dark. Death occurs immediately if the face is red and the eyes are yellow. Death occurs in eight days if the face is black and the eyes are white. Death occurs in five days if the face is cyanotic and the eyes are yellow. Death occurs in seven days if the root of the eyebrows droops. Death occurs in thirty days if the teeth suddenly turn black. Death occurs in fifteen days if the hair stands straight. Death occurs in five to six days if the patient urinates involuntarily without awareness. Death occurs if the lips and tongue suddenly become dry and black. Death occurs if there is cyanosis under the fingernails. Death occurs if there has been long-term headache and eye pain followed by sudden blindness. Death occurs if the tongue curls and the testicles retract. Death occurs if the face is black and the eyes stare fixedly. Death occurs if the face is cyanotic and the eyes are white. Death occurs if the face is yellow and the eyes are white. Death occurs if both face and eyes are white. Death occurs if both face and eyes are cyanotic and black. Death occurs if the face is cyanotic and the lips are black. Death occurs if the hair is scattered like hemp and emotions are unbalanced (inappropriate joy or anger). Death occurs if the hair and eyebrows stand up as if flushed. Death occurs if the face is black, the hypochondrium is full, and the patient cannot turn over. Death occurs if the face is dark cyanotic and sudden swelling appears. Death occurs if the palms are swollen without creases, the umbilicus protrudes, and both the scrotum and penis are swollen. Death occurs if the flesh around the finger and toe nails turns black. Death occurs if sweat oozes but does not flow. Death occurs if the lips evert and the philtrum is full. Death occurs if both Yin and Yang are exhausted and the eye sockets are sunken. Death occurs if the internal and external Qi of the five zang organs are exhausted, Shen (Spirit) fails to reside, and the voice is hoarse. Death occurs if Yang is exhausted and Yin is knotted, leading to mental confusion, picking at empty air, and tearing clothes. Death occurs if both Yin and Yang are closed, resulting in aphonia. Death occurs if Ying and Wei Qi are depleted, causing swelling of the face and eyes. Death occurs if Heart Qi is exhausted, accompanied by shoulder breathing, turning head to look back, and fixed staring eyes. Death occurs in three days if Lung Qi is exhausted, characterized by departing Qi that does not return and a mouth resembling a fish's gape. Death occurs in five days if Bone Qi is exhausted, manifested by lumbar and spinal pain, heaviness in the Kidneys preventing turning over, and flattening behind the knees and ankles. Death occurs in six days if Kidney Qi is exhausted, shown by reddish, obstructed diarrhea with blood, dry ears, swollen feet, and a swollen tongue. Additionally, death occurs in nine days if there is foot swelling. Death occurs in twelve days if Spleen Qi is exhausted, indicated by cold mouth, swollen feet, and unconscious diarrhea. Death occurs in eight to nine days if Sinew Qi is exhausted, presenting as soul fright and false fear, cyanotic finger and toe nails, and incessant shouting and cursing. Death occurs in eight days if Liver Qi is exhausted, characterized by sweating like water, fear and unrest, prone lying position, fixed staring eyes, and cyanotic face; it is also said to cause immediate death. Death occurs in seven days, or ten days, if Stomach Qi is exhausted, marked by falling teeth and a yellow face.