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In warm diseases (Wenbing), if there is intense, overwhelming high fever but the pulse is fine and small, death ensues. If there is pain in the head and eyes, followed by sudden blindness and inability to see, death ensues. In warm diseases, if no sweat is produced, or if sweat does not reach the feet, death ensues. In malaria that has persisted for a long time, if the waist and spine become stiff and rigid, accompanied by twitching and convulsions (Chou Xu), it is incurable. In heat diseases (Re Bing), if after sweating the pulse becomes calm and quiet, life is preserved; if the pulse is restless and rapid, death ensues; likewise, if high fever persists without abating, death ensues. If the body is emaciated and wasted with fever, and the pulse is firm and rapid, death ensues; if the skin and flesh are withered and adhere tightly to the bones, death ensues. If the form is thin but the pulse is large, and there is excessive Qi sensation in the chest, death ensues. In heat diseases lasting seven or eight days, if sweating should occur but does not, and the pulse is absent or faint, death ensues. If the Zang-Fu true pulses (Zhen Zang Mai) appear, death ensues. If black color enters the eyes, ears, and nose, and gradually spreads to the mouth, death ensues. If the mouth opens like a fish gasping for air and breath does not return, death ensues. If the patient unconsciously grasps at clothing and bedsides (Xun Yi Mo Chuang), death ensues. If there is delirious speech, confusion, or total aphasia, it is untreatable. (Note: Heat diseases are excluded from this specific rule). If the corpse-like odor is overpowering and cannot be approached, death ensues. If the face lacks luster and the gums are black, death ensues. If the hair stands straight and dry like hemp, death ensues. If there is urinary incontinence with loss of consciousness, death ensues.

If the tongue is curled and the testicles retract into the abdomen, death ensues. If the face is swollen and the complexion is dark blue-black, death ensues. If the internal essence of the Five Zang organs is exhausted, the Shen (Spirit) fails to reside within, and the voice is hoarse, death ensues. If the eyes are fixed and staring straight ahead, death ensues. If sweat is produced but the body remains hot, death ensues.

First sign: If the "Heavenly Drum" (tinnitus/ear resonance) does not sound, and clicking teeth produces no sound, life ends. Second sign: If the "Heavenly Pillar" (neck support) collapses; after lighting a lamp at night, press the forehead with the left hand and observe the arm's thickness; if the arm appears excessively thick, life ends. Third sign: If the drum at the tower sounds; cover both ears with hands and flick them with fingers; if no sound is heard, life ends. Fourth sign: If the Divine Light (Shen Guang) is gone; behind a lamp, no shadow is seen; pinch the eyelids in the dark; if no light reflects in the pupils, life ends. Fifth sign: If the "Caoxi Divine Water" (saliva) is dry; if saliva does not emerge from the tongue, lacking vitality, life ends. Sixth sign: The "Fishing Rod is Hauled In"; the testicles retract into the abdomen; contracting three times on the left and four times on the right, life ends. Seventh sign: "Hell is Stirred Up"; suddenly, the left foot feels like being pricked by needles, life ends. Eighth sign: Seeing one's own shadow behind a lamp, life ends. Ninth sign: In the "Dantian," water and fire push against each other; pain occurs in the abdominal kidney region, and goosebumps rise, life ends. Tenth sign: The Spirit (Shen Ming) is absent; the whole body feels like ants crawling, and the chest feels like a snake moving, life ends.