手少阴气绝，则脉不通。脉不通，则血不流；血不流，则髦色不泽。故其面如漆柴者，血先死。壬笃癸
死，水胜火也。
心主血脉，心经气绝，故脉不通而血不流，血先死也。
足太阴气绝，则脉不荣肌肉，唇舌者，肌肉之本也。脉不荣，则肌肉软；肌肉软，则肉萎人中满；人中
满，则唇反。唇反者，肉先死。甲笃乙死，木胜土也。
脾主肌肉，脾经气绝，故肌肉先死也。
足少阴气绝，则骨枯。少阴者，冬脉也，伏行而濡骨髓者也。故骨不濡，则肉不能着也；骨肉不相亲，则
肉软却；肉软却，故齿长而垢，发无泽。发无泽者，骨先死。戊笃己死，土胜水也。
肾藏精而主骨，肾败精枯，则经气绝，故骨先死也。
足厥阴气绝，则筋绝。厥阴者，肝脉也。肝者，筋之合也。筋者，聚于阴器，而脉络于舌本也。故脉勿
荣，则筋急；筋急，则引舌与卵。故唇青、舌卷、卵缩，则筋先死。庚笃辛死，金胜木也。
肝藏血而主筋，肝血枯，则经气绝，而筋先死也。
五阴气俱绝，则目系转，转则目运，目运者，为志先死，志先死，则远一日半死矣；六阳气绝，则阴与阳
相离，离则腠理发泄，绝汗乃出，故旦占夕死，夕占旦死。
《素问·诊要经终论》岐伯曰∶太阳之脉，其终也，戴眼，反折，螈 ，其色白，绝汗乃出，出则死矣；
少阳终者，耳聋，百节皆纵，目HT 绝系，绝系一日半死，其死色先青白，乃死矣；阳明终者，口目动作，善
惊，妄言，色黄，其上下经盛，不仁，则终矣；少阴终者，面黑，齿长而垢，腹胀闭，上下不通而终矣；太阴
终者，腹胀闭，不得息，善噫，善呕，呕则
逆，逆则面赤，不逆则上下不通，不通则面黑、皮毛焦而终矣；厥阴终者，中热，嗌干，善溺，心烦甚，则舌
卷、卵上缩而终矣。此十二经之所败也。
When the Qi of the Hand-Shaoyin (Heart) meridian ceases, the vessels become obstructed. When the vessels are obstructed, blood does not flow; when blood does not flow, the hair and complexion lose their luster. Therefore, if the face appears as dark and dull as lacquered charcoal, it indicates that the Blood has died first. The condition worsens on Ren days and death occurs on Gui days, due to Water overcoming Fire.
The Heart governs the vessels and blood. When the Qi of the Heart meridian ceases, the vessels become obstructed and blood fails to circulate, leading to the premature death of Blood Qi.
When the Qi of the Foot-Taiyin (Spleen) meridian ceases, the vessels fail to nourish the muscles. The lips and tongue are the root of the muscles. If the vessels fail to nourish, the muscles become flaccid; if the muscles become flaccid, muscle atrophy occurs and the philtrum becomes full; if the philtrum becomes full, the lips evert. When the lips evert, it indicates that the Muscle Qi has died first. The condition worsens on Jia days and death occurs on Yi days, due to Wood overcoming Earth.
The Spleen governs the muscles. When the Qi of the Spleen meridian ceases, the Muscle Qi dies first.
When the Qi of the Foot-Shaoyin (Kidney) meridian ceases, the bones become withered. Shaoyin corresponds to the winter pulse; its Qi runs deep to moisten the bone marrow. Therefore, if the bones are not moistened, the muscles cannot adhere to them; if the bones and muscles are not closely attached, the muscles become soft and recede; because the muscles recede, the teeth appear long and covered with dirt, and the hair loses its luster. When the hair lacks luster, it indicates that the Bone Qi has died first. The condition worsens on Wu days and death occurs on Ji days, due to Earth overcoming Water.
The Kidneys store Essence and govern the bones. When the Kidneys degenerate and Essence is depleted, the meridian Qi ceases, leading to the premature death of Bone Qi.
When the Yin Qi of all five Zang organs ceases, the eye system (the meridians connecting the eyes to the brain) twists, causing dizziness. Dizziness indicates that the Will (Zhi, stored in the Kidneys) has died first; if the Will dies first, death occurs approximately one and a half days later. When the Yang Qi of all six Fu organs ceases, Yin and Yang separate. Separation leads to the opening of the couli (pores) and the emergence of absolute sweat (terminal sweating). Thus, if observed in the morning, death occurs by evening; if observed in the evening, death occurs by morning.
In *Suwen: Chapter on the Essential Importance of Diagnosing the Termination of Meridians*, Qibo stated: When the Taiyang meridian terminates, there is upward deviation of the eyes (daiyan), opisthotonos, convulsions, pale complexion, and the emergence of absolute sweat; once the sweat emerges, death ensues. When the Shaoyang meridian terminates, there is deafness, flaccidity of all joints, disconnection of the eye system, and death occurs after one and a half days; the complexion turns blue then white before death. When the Yangming meridian terminates, there is twitching of the mouth and eyes, frequent fright, delirious speech, yellow complexion, fullness in the upper and lower meridians, insensitivity, and termination ensues. When the Shaoyin meridian terminates, there is blackening of the face, teeth appearing long with dirt, abdominal distension and closure, obstruction of upper and lower communication, and termination ensues. When the Taiyin meridian terminates, there is abdominal distension and closure, dyspnea, frequent belching, frequent vomiting; vomiting leads to rebellious Qi, which causes redness of the face; if Qi does not rebel, there is obstruction of upper and lower communication, leading to blackening of the face, scorched skin and hair, and termination ensues. When the Jueyin meridian terminates, there is internal heat, dry throat, frequent urination, severe restlessness, followed by curling of the tongue and retraction of the testicles, leading to termination. These are the manifestations of the failure of the twelve meridians.