脉浮而迟面热赤而战栗者六七日当汗出而解反发热者差迟迟为无阳不能作汗其身必痒也
脉浮而迟面色热赤而身体战栗者阳郁欲发虚而不遽发故面热而身摇待至六七日经尽阳复当汗出而解若反热者则解期
差迟以脉迟是为无阳无阳则但能发热而不能作汗气郁皮腠其身必痒也（阳复则病愈阳虚则解迟阳尽则命绝此下命绝数章
发明首章阳病见阴脉者死之义病无阳复而死者亦无阳尽而生者也）
寸口脉微尺脉紧其人虚损多汗知阴常在绝不见阳也
寸口脉微阳气衰也尺脉紧阴气盛也虚损多汗卫败而不敛也脉证见此是绝阴而无阳也
脉浮而洪身汗如油喘而不休水浆不下形体不仁乍静乍乱此为命绝也
脉浮而洪阳不根阴也身汗如油难经所谓绝汗乃出（引灵枢语）大如贯珠转出不流也喘而不休气不归根也水浆不下胃
气败也形体不仁营卫之败也乍静乍乱神明之败也
又未知何脏先受其灾若汗出发润喘而不休者此为肺先绝也阳反独留形体如烟薰直视摇头者此为心绝也唇吻反青四肢
习者此为肝绝也环口黧黑柔汗发黄者此为脾绝也溲便遗失狂言目反直视者此为肾绝也
命绝者（上章）未知何脏先受其灾肺主气而藏津若汗出发润喘而不休者津液脱而气绝根此为肺先绝也心为火而藏神
若阳反独留形体如烟薰直视摇头者火独光而神明败此为心绝也肝色青而主风若唇吻反青四肢 习者木克土而风淫生（左
传云风淫末病 习者风气发而四末战摇也）此为肝绝也脾窍于口而色黄若环口黧黑柔汗发黄者水侮土而气外脱此为脾绝
也肾主二便而藏志若溲便遗失狂言反目直视者肾阳脱而志意乱此为肾绝也肾与太阳膀胱为表里太阳起于目 行身之背目
反直视者即为诊要经终论太阳之脉其终也戴眼反折是也
脉象浮而迟，面部发热发红且身体战栗的，经过六七天应当通过出汗而病愈；如果反而出现发热的症状，则痊愈的时间会推迟。脉迟代表阳气不足（无阳），阳气不足则无法化生汗液，因此身体必然感到瘙痒。
脉象浮而迟，面色发热发红且身体战栗，这是阳气郁结欲向外发散，但因虚弱而不能立即发散，所以面部发热而身体颤抖。等到六七天经气运行完毕，阳气恢复，应当通过出汗而病愈。如果反而发热，则痊愈的期限会推迟。因为脉迟说明体内无阳，无阳则只能发热而不能出汗，气机郁结在皮肤腠理之间，身体必然感到瘙痒。（阳气恢复则病愈，阳气虚则痊愈迟缓，阳气耗尽则死亡。以下关于命绝的几章，旨在阐发第一章中“阳病见到阴脉者死”的含义。疾病没有阳气回复却死亡的，也没有阳气耗尽还能生存的。）
寸口脉微，尺脉紧，此人属于虚损且多汗。这说明阴气常在，而阳气断绝不见。
寸口脉微，表示阳气衰败；尺脉紧，表示阴气亢盛。虚损且多汗，是卫气败坏而不能收敛。脉象与证候见此，是绝阴而无阳的表现。
脉象浮而洪，身体出汗如油，气喘不停，水浆不能入口，形体麻木不仁，时而安静时而混乱，这是命绝之象。
脉浮而洪，表示阳气没有阴根作为依托。身体出汗如油，即《难经》所说的绝汗乃出（引用《灵枢》语），汗珠大如贯珠，转动而不流散。气喘不停，表示气不归根。水浆不能入口，表示胃气败坏。形体麻木不仁，表示营卫败坏。时而安静时而混乱，表示神明败坏。
又不知道是哪一脏先遭受灾祸。如果出汗后头发湿润，气喘不停，这是肺先绝。阳气反而独自留存，身体形态如烟熏般晦暗，两眼直视，摇头不止，这是心先绝。嘴唇和口唇周围反现青色，四肢抽搐颤动，这是肝先绝。口周颜色黑黄，冷汗淋漓且发黄，这是脾先绝。大小便失禁，胡言乱语，眼睛上翻直视，这是肾先绝。
所谓命绝（如上章所述），不知哪一脏先受其灾。肺主气而藏津液，如果出汗后头发湿润，气喘不停，这是津液脱失而气绝于根，所以是肺先绝。心属火而藏神，如果阳气反而独留，身体形态如烟熏，两眼直视，摇头不止，这是火独光而神明败坏，所以是心先绝。肝色青而主风，如果嘴唇和口唇周围反现青色，四肢抽搐颤动，这是木克土而风气淫盛（《左传》说：风气淫盛则末梢生病。习者指风气发作导致四肢末端战摇），所以是肝先绝。脾开窍于口而色黄，如果口周黑黄，冷汗淋漓且发黄，这是水侮土而气外脱，所以是脾先绝。肾主二便而藏志，如果大小便失禁，胡言乱语，眼睛上翻直视，这是肾阳脱失而意志紊乱，所以是肾先绝。肾与足太阳膀胱经互为表里，太阳经起于目内眦，行于身之背部，眼睛上翻直视，即为《诊要经终论》中太阳经脉终了时的表现：戴眼反折。
The pulse is floating and slow, with a hot and red face accompanied by tremors. After six or seven days, the disease should resolve through sweating. If fever persists instead, recovery will be delayed. The slow pulse indicates a lack of Yang (deficiency of Yang Qi). Without Yang, sweat cannot be produced, so the body must feel itchy.
The pulse is floating and slow, with a hot and red face and whole-body tremors. This indicates that Yang Qi is constrained and desires to emerge but is too deficient to do so immediately; hence the facial heat and body shaking. By the sixth or seventh day, after the meridian cycle completes and Yang recovers, resolution through sweating should occur. If fever persists instead, the time for resolution will be delayed because the slow pulse signifies a lack of Yang. Without Yang, there can be fever but no sweating; Qi stagnates in the skin and interstices, causing inevitable itching. (When Yang recovers, the disease heals; when Yang is deficient, resolution is delayed; when Yang is exhausted, death ensues. The following chapters on impending death elucidate the principle from Chapter 1: "Yang diseases presenting with Yin pulses indicate death." There are no cases where a disease kills without Yang returning, nor any case where one survives after Yang is exhausted.)
The Cun Kou (radial artery) pulse is faint, and the Chi (distal) pulse is tight. The person suffers from deficiency and emaciation with profuse sweating. This indicates that Yin remains constant while Yang is severed and unseen.
A faint Cun Kou pulse indicates the decline of Yang Qi. A tight Chi pulse indicates the excess of Yin Qi. Deficiency, emaciation, and profuse sweating signify the failure of Wei Qi (Defensive Qi) to consolidate. These pulse and symptom manifestations indicate severed Yin and absent Yang.
The pulse is floating and surging. The body sweats like oil, breathing is labored and unceasing, food and fluids cannot be taken in, the body is insensible, and consciousness fluctuates between stillness and chaos. This indicates impending death.
A floating and surging pulse indicates Yang lacking a Yin root. Sweating like oil refers to the "sweat of exhaustion" mentioned in the *Nan Jing* (citing the *Ling Shu*), where sweat beads appear like pearls strung together, moving but not flowing. Unceasing labored breathing indicates Qi failing to return to its root. Inability to ingest food and fluids indicates the failure of Stomach Qi. Bodily insensibility indicates the failure of Ying (Nutritive) and Wei (Defensive) Qi. Fluctuating consciousness indicates the failure of Shen (Spirit/Mind).
It is unknown which Zang organ first suffered disaster. If sweating wets the hair and breathing is labored and unceasing, this indicates the Lung is the first to fail. If Yang remains alone, the body appears dark like smoke, eyes stare fixedly, and the head shakes, this indicates the Heart is the first to fail. If the lips and mouth turn blue and the limbs twitch, this indicates the Liver is the first to fail. If the area around the mouth turns dark yellow, with soft sweat and yellow discoloration, this indicates the Spleen is the first to fail. If urine and stool are incontinently lost, speech is delirious, and eyes stare fixedly upward, this indicates the Kidney is the first to fail.
Regarding impending death (as in the previous chapter), it is unknown which Zang organ first suffers disaster. The Lung governs Qi and stores Jin-Ye (Body Fluids). If sweating wets the hair and breathing is labored and unceasing, this is the depletion of fluids and severance of Qi at its root, indicating the Lung fails first. The Heart belongs to Fire and houses the Shen. If Yang remains alone, the body appears dark like smoke, eyes stare fixedly, and the head shakes, this is Fire shining alone with the failure of Shen, indicating the Heart fails first. The Liver is associated with the color Green and governs Wind. If the lips and mouth turn blue and the limbs twitch, this is Wood overcoming Earth with excessive Wind generation (*Zuo Zhuan* states: "Excessive Wind affects the extremities." "Xi" refers to wind-induced trembling of the four extremities), indicating the Liver fails first. The Spleen opens into the mouth and its color is Yellow. If the area around the mouth is dark yellow with soft sweat and yellow discoloration, this is Water insulting Earth with external leakage of Qi, indicating the Spleen fails first. The Kidney governs urination and defecation and houses the Zhi (Will). If urine and stool are incontinent, speech is delirious, and eyes stare fixedly upward, this is the depletion of Kidney Yang and confusion of Will, indicating the Kidney fails first. The Kidney and the Taiyang Bladder Meridian are exterior-interior pairs. The Taiyang Meridian originates at the inner canthus and runs along the back of the body. Upward staring of the eyes corresponds to the description in the *Zhen Yao Jing Zhong Lun* regarding the termination of the Taiyang Meridian: "Gazing upward and opisthotonos."