温病穣穣大热，脉细小者死。头目痛，卒视无所见者死。温病汗不出，出不至足者死。疟病久，腰脊
强急、螈 者不可治。热病得汗。脉安静者生，躁急者死，及大热不退者亦死。瘦脱形发热，脉坚急者死，
皮肉着骨者死。形瘦脉大，胸中多气者死。热病七八日，当汗反不得汗，脉绝者死。真脏脉见者死。
黑色入耳目鼻，渐入口者死。张口如鱼出气不反者死。循衣摸床者死。妄语错乱及不能语者不治。（热病不
在此例）尸臭不可近者死。面无光，牙龈黑者死。发直如麻者死。遗尿不知者死。
舌卷、卵缩者死。面肿、色苍黑者死。五脏内绝，神气不守，
其声嘶者死。目直视者死。汗出身体不凉者死。
一法∶天鼓不鸣，叩齿不响，命终。二法∶天柱倒，上灯后用左手按己额上，观臂许大，命终。三法∶楼
头鼓响，两手掩耳，次将指弹不响音，命终。四法∶神光不在，灯后不见黑影，暗中用手掐眼皮，睛中不
光起，命终。五法∶曹溪神水干，舌津液不出者，若无命，命终。六法∶钓罢竿，肾子缩入腹，左三右
四，命终。七法∶地狱哄动，忽然左脚有似针刺，命终。八法∶己影向灯后见影，命终。九法∶丹府
水火相推，腹中肾痛，寒毛竖起，命终。十法∶神明不在，遍身如蚁子行，胸前蛇走，命终。
温病出现极其壮盛的高热，但脉象却细小无力的，预后不良，主死。头部和眼睛疼痛，突然失明、视物不见的，预后不良，主死。温病患者不出汗，或者出汗不能达于足部的，预后不良，主死。疟疾病程日久，出现腰脊僵硬拘急、肢体抽搐颤动的，属于不可治疗的危重症。热病在出汗后，如果脉象变得平静柔和的，预后良好，主生；如果脉象躁动急促的，预后不良，主死；以及高热持续不退的，也预后不良，主死。身体极度消瘦脱形且发热的，如果脉象坚硬紧急的，预后不良，主死；皮肉枯槁紧贴骨骼的，预后不良，主死。形体消瘦但脉象反而洪大，且胸中感觉气机壅滞胀满的，预后不良，主死。热病经过七八天，本应当出汗却反而不出汗，且脉搏微弱欲绝的，预后不良，主死。出现真脏脉（脏腑精气衰竭暴露于外的脉象）的，预后不良，主死。面色黑气侵入耳目鼻部，并逐渐蔓延至口唇的，预后不良，主死。张口呼吸如鱼离水，气息不能回返的，预后不良，主死。手不自主地抚摸衣被或床沿的，预后不良，主死。胡言乱语、神志错乱以及完全不能说话的，无法治疗。（注：此处指非热病引起的此类症状，若为热病所致则不在此限）。身上散发尸臭气味，令人难以靠近的，预后不良，主死。面色黯淡无光泽，牙龈发黑的，预后不良，主死。头发干枯直立如麻草般的，预后不良，主死。遗尿且意识丧失不知晓的，预后不良，主死。
舌体卷缩、睾丸上缩入腹的，预后不良，主死。面部浮肿、面色青黑的，预后不良，主死。五脏精气内部断绝，神气不能内守，声音嘶哑的，预后不良，主死。两眼直视不动的，预后不良，主死。出汗后身体依然不凉爽的，预后不良，主死。
第一种征象：天鼓（耳中鸣响之声）不鸣响，叩齿没有声音，预示生命终结。第二种征象：天柱（颈部支撑之象）倒塌，晚上点灯后用左手按住自己的额头，观察手臂粗细程度，若手臂显得异常粗大，预示生命终结。第三种征象：楼头鼓声响起，用双手掩住耳朵，然后用手指弹击耳部听不到响声，预示生命终结。第四种征象：神光消散，灯光背后看不见黑影，在暗处用手掐压眼皮，眼球中没有光亮反射出来，预示生命终结。第五种征象：曹溪神水（唾液）枯竭，舌头津液不出的，若无生机，预示生命终结。第六种征象：钓罢竿（睾丸萎缩），肾子（睾丸）缩入腹部，左侧收缩三次右侧收缩四次，预示生命终结。第七种征象：地狱哄动，忽然左脚有类似针刺的感觉，预示生命终结。第八种征象：己影向灯后见影，即对着灯光看自己的影子，预示生命终结。第九种征象：丹府水火相推（心肾不交），腹中肾脏部位疼痛，寒毛竖起，预示生命终结。第十种征象：神明不在，全身感觉像蚂蚁爬行，胸前感觉像蛇游走，预示生命终结。
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.