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。
凡是人的五脏六腑，以及营气、卫气和相关的孔窍。应当保持平素气血顺畅地循环往复、没有终点，这是不生病的根本。如果有缺失断绝的情况，那么灾祸必然到来。关键在于患病之时，要精神内守，气息内敛观察，心中不乱视外物，专注地精细察辨，才能通晓神明之理，探究幽微之处，判断死生，千次中无一失误。死亡的征兆，详细列在后面：黑色从耳目鼻上方出现，逐渐进入口中的人死亡；赤色出现在耳目额头的人，五日后死亡；黑白色进入口鼻眼中的人，五日后死亡；黑色或像马肝的颜色，远看如青色，近看如黑色的人死亡；嘴巴张开像鱼一样，呼出的气不再返回的人死亡；手摸衣服缝隙的人死亡；胡言乱语错乱，以及不能说话的人死亡；热病本身不一定死，但口臭得让人无法靠近的人死亡；面目直视不动的人死亡；耸肩呼吸的人一天后死亡；面色青，人中部位反平（变短或消失）的人，三日后死亡；面无光泽且牙齿发黑的人死亡；面色青、眼睛黑的人死亡，面色白、眼睛黑的人，十日后死亡；面红眼黄的人，当时即死；面黑眼白的人，八日后死亡；面青眼黄的人，五日后死亡；眉毛根部下垂的人七日后死亡；牙齿突然变黑的人，三十日后死亡；头发直竖的人，十五日后死亡；遗尿而不知觉的人，五到六日后死亡；嘴唇和舌头突然干枯发黑的人死亡；指甲中有青黑色的人死亡；头部和眼睛长期疼痛，突然视力不明的人死亡；舌头卷缩、睾丸上缩的人死亡；面黑且直视的人死亡；面青眼白的人死亡；面黄眼白的人死亡；面目都白的人死亡；面目青黑的人死亡；面青唇黑的人死亡；头发像麻一样散乱，喜怒情绪不调和的人死亡；头发眉毛像被冲起一样直立的人死亡；面色黑，胁肋胀满，不能翻身侧卧的人死亡；面色苍黑，突然肿胀的人死亡；手掌肿胀没有纹路，肚脐突出，阴囊阴茎都肿胀的人死亡；手足指甲及周围肌肉发黑的人死亡；出汗但不流动的人死亡；嘴唇外翻，人中部位饱满的人死亡；阴阳之气都断绝，眼眶凹陷的人死亡；五脏内外之气都断绝，神气不能守舍，声音嘶哑的人死亡；阳气断绝阴气结聚，精神恍惚，两手抓空、撕裂衣服的人死亡；阴阳之气都闭塞，失音的人死亡；营卫之气耗散，面目浮肿的人死亡；心气断绝伴耸肩呼吸，回头顾盼、眼睛直视的人死亡；肺气断绝则气去不回，口张得像鱼嘴一样的人三日后死亡；骨气断绝则腰脊痛，肾气沉重不能翻身侧卧，足膝后方平坦的人，五日后死亡；肾气断绝则大便赤涩下血，耳朵干、脚肿，舌头肿胀的人六日后死亡；另外足部肿胀的人九日后死亡；脾气断绝则口冷，足部肿胀，泄泻而不觉知的人，十二日后死亡；筋气断绝则魂惊虚恐，手足指甲发青，呼叫谩骂不停的人，八到九日后死亡；肝气断绝则汗出如水，恐惧不安，伏身躺卧，眼睛直视、面色青的人，八日后死亡，又说当时即死；胃气断绝则牙齿脱落、面色黄的人，七日后死亡，又说十日后死亡。
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.