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In the syndrome of Jie Xiong (Chest Binding), if the pulse is floating and large, purgation must not be used; using it will lead to death. If all symptoms of Jie Xiong are present and irritability arises, this is also a fatal condition. In Yangming disease, if there is hardness and fullness in the epigastrium, attacking with purgatives is contraindicated; if purgation leads to diarrhea that does not stop, death ensues. If the patient presents with fixed gaze, delirium, asthma, and chest fullness, death ensues; if diarrhea occurs, death also ensues. Excessive sweating, or repeated sweating, leads to the loss of Yang Qi (Vital Energy); if accompanied by delirium and shortness of breath, death ensues. In Shanghan (Cold Damage) disease, if vomiting or purgation fails to resolve the pathogen, and constipation persists for five to ten days, followed by tidal fever at dusk (Ri Bu Suo), aversion to cold disappearing, solitary speech resembling hallucinations of seeing ghosts, unconsciousness during episodes, picking at clothes and bedrails, restlessness, slight asthma, fixed gaze, and a choppy pulse, this is a fatal condition. A floating and hollow (Kou) pulse: floating indicates Yang, hollow indicates Yin. The interaction of floating and hollow pulses generates heat in the Stomach Qi, leading to the exhaustion of Yang. In Shaoyang disease, if there is only cold extremities without sweat, forcing sweat will inevitably disturb the blood; the bleeding may exit from the mouth or nose, or from the eyes. This is called "Lower Jue and Upper Exhaustion," which is difficult to treat. In Shaoyin disease, if there is aversion to cold, curling up of the body, diarrhea, and cold extremities, it is incurable. In Shaoyin disease, if after six or seven days the respiration becomes shallow and high (Xi Gao), it is a fatal condition. In Shanghan, if the pulse is slow and after six or seven days one incorrectly administers Huang Qin Tang (Scutellaria Decoction) to clear heat, noting that a slow pulse indicates cold, clearing heat further will cause abdominal coldness and anorexia. If the patient suddenly gains appetite, this is called Chu Zhong (Removing the Middle), which is fatal. In Shanghan, if after six or seven days the pulse is faint, extremities are cold, and there is irritability, and moxibustion on the Jueyin meridian fails to restore the pulse, it is fatal. In Shanghan, if there is fever, diarrhea, cold extremities, and restlessness preventing lying down, it is fatal. In Shanghan, if there is fever, severe diarrhea, and unceasing cold extremities, it is fatal. In Shanghan, if after six or seven days, without prior diarrhea, sudden fever and diarrhea occur with unceasing sweating, it is fatal due to the presence of Yin without Yang. In Shanghan, if after five or six days there is no Jie Xiong, the abdomen is soft, the pulse is deficient, and cold extremities recur, purgation is contraindicated as this indicates blood depletion; incorrect purgation leads to death. If there is fever and cold extremities, and diarrhea occurs on the seventh day, it is difficult to treat. In Shanghan, after severe purgation on the sixth or seventh day, if the Cun (Inch) pulse is deep and slow, extremities are cold, lower pulses are absent, throat is obstructed, pus and blood are expectorated, and diarrhea is unceasing, it is difficult to treat. In diarrhea with cold extremities and absent pulse, if moxibustion does not warm the limbs and the pulse does not return but slight asthma appears, it is fatal. After diarrhea, if the pulse disappears and extremities are cold, but the pulse occasionally returns and extremities become warm, life is possible; if the pulse does not return, death ensues. In Shanghan diarrhea occurring more than ten times a day, if the pulse becomes excessive and solid, it is fatal. In vomiting with a weak pulse, free urination, slight body heat, and cold extremities, it is difficult to treat. In patients with Dampness, if purgation causes sweating on the forehead, slight asthma, and free urination, it is fatal; if diarrhea is unceasing, it is also fatal.

Appendix: Song of Fatal Syndromes
Liang Gan (Double Exposure) Shanghan requires no treatment; Yin-Yang Du (Poison) beyond seven days is doomed. Appearance of black spots, Lower Jue and Upper Exhaustion. Yang diseases showing Yin pulses are critical. Tongue rolling, deafness, and testicular retraction. Yin-Yang Jiao (Intersection) and picking at clothes. Chu Zhong is untreatable. Cyan lips and dark face. Unremitting cough and Zang Jie (Organ Knotting). Incontinence of urine and stool is hard to cure. Sweating not reaching the feet. Open mouth and sunken eyes, what hope remains? Unremitting asthma and Yin-Yang Yi (Exchange). Li Jing Mai (Departing Vessel) indicates death. When Jie Xiong symptoms are complete with severe irritability, fixed gaze, and shaking head, it is time of death. Shaoyang combined with Yangming, pulse string-like and large, rescue is too late. Post-sweating rapid pulse indicates Zang Jue, life cannot be saved. Xia You (Shrimp Swimming), Wu Lou (House Leak), Que Zhuo (Sparrow Pecking), Yu Xiang (Fish Gliding), Dan Shi (Stone Bouncing), Jie Sheng Tui (Unraveling Rope) pulses, along with Dai Pulse (Intermittent), are all incurable. All aforementioned syndromes undoubtedly lead to death.