真肝脉至，中外急如循刀刃，责责然，如按琴瑟弦，色青白不泽，毛折，乃死，真心脉
至，坚而博，如循薏苡，累累然，色赤黑不泽，毛折，乃死，真肺脉至，大而虚，如以毛羽
中人，肤色白赤不泽，毛折，乃死。
真肾脉至，博而绝，如以指弹石，辟辟然，色黑黄不泽，毛折，乃死。
真脾脉至，弱而乍数乍疏，色黄青不泽，毛折，乃死。
飧泄食减，体重烦冤，肠鸣，腹支满，甚则忽忽善怒，眩冒巅疾，胁痛而吐甚，冲阳绝
者，不治。
体重，肌肉萎，食减口爽，目转耳鸣，胃脘当心而痛，饮食不下，舌本强，食则呕飧泄
，腹胀，溏泄，瘕，水闭。
酒淅寒如疟，善伸数欠，心痛支满，两胁里急，饮食不下，鬲咽不通，食则呕，腹胀善
噫，得候与气，则怏然如衰身体皆重。
喘呕，寒热， 鼽衄，鼻窒，甚则疮疡，胁痛，善太息，胸中烦热，嗌干，右 满，皮
肤痛，寒热，咳喘，唾血，鼽衄，溺色变，疮疡， 肿，肩背臂 及缺盆痛。
腹中常鸣，气上冲胸，喘，不能久立，寒热，皮肤痛，齿痛，颊肿，恶寒发热如疟，少
腹中痛，腹大。
腹痛，清厥，意不乐，体重烦冤，肌肉萎，足萎不收，行善螈，脚下痛，饮发中满，食
减，四肢不举，腹满，溏泄，腹鸣反下，甚而大溪绝者，不治。
真肝脉的脉象，表现为内外皆紧急，如同触摸刀刃般锐利，发出责责的声音，又像按压琴瑟之弦；面色青白而无光泽，毫毛枯折，这是死证。
真心脉的脉象，坚实而搏动范围宽广，如同触摸薏苡仁，颗粒累累分明；面色赤黑而无光泽，毫毛枯折，这是死证。
真肺脉的脉象，大而空虚，如同羽毛轻触人体；面色白赤而无光泽，毫毛枯折，这是死证。
真肾脉的脉象，搏动有力但时有中断，如同用手指弹击石头，发出辟辟的声音；面色黑黄而无光泽，毫毛枯折，这是死证。
真脾脉的脉象，虚弱且时而快速、时而迟缓；面色黄青而无光泽，毫毛枯折，这是死证。
出现完谷不化的泄泻（飧泄），食欲减退，身体沉重，心中烦闷郁结，肠鸣音亢进，腹部支撑胀满；严重时突然易怒，头晕目眩甚至头部疾患，胁肋疼痛并呕吐剧烈，若冲阳脉绝者，属于不治之症。
身体沉重，肌肉萎缩，食欲减退，口味异常（口爽），眼球转动不利，耳鸣，胃脘部当心处疼痛，饮食无法咽下，舌根僵硬，进食后呕吐或完谷不化，腹胀，大便稀溏，腹内结块（瘕），小便闭塞不通。
饮酒后战栗发冷如疟疾发作，喜欢伸展肢体且频繁打哈欠，心痛伴胸部支撑胀满，两侧胁肋内部拘急，饮食无法咽下，膈部和咽喉不通畅，进食后呕吐，腹胀且容易嗳气，待得候气与气机通畅后，则感到轻松舒缓，但全身依然沉重。
疟疾病，气息短少，咳嗽气喘，血液溢出（血溢），腹泻，痢疾样下注，咽喉干燥，耳聋，体内发热，肩背部发热。
气喘呕吐，寒热往来，鼻塞流涕及鼻出血（鼽衄），鼻腔阻塞，严重时发生疮疡，胁肋疼痛，喜欢长叹息，胸中烦热，咽喉干燥，右胁胀满，皮肤疼痛，寒热往来，咳嗽气喘，唾中带血，鼻塞流涕及鼻出血，尿液颜色改变，疮疡，浮肿，肩背手臂及缺盆部位疼痛。
腹部经常鸣响，气向上冲击胸部，气喘，不能久立，寒热往来，皮肤疼痛，牙齿疼痛，面颊肿胀，恶寒发热如同疟疾，小腹部疼痛，腹部膨大。
腹痛，四肢逆冷清厥，情绪不乐，身体沉重烦闷，肌肉萎缩，足部痿软无力不能收持，行走时容易发生抽搐（行善螈），脚底疼痛，饮水后导致中焦胀满，食欲减退，四肢无法抬举，腹部胀满，大便稀溏，腹鸣且大便反见下利，严重时若大溪脉绝者，属于不治之症。
The true Liver pulse arrives, urgent and tight inside and outside, like tracing the edge of a blade, making a "ze ze" sound, or like pressing the strings of a qin or se; the complexion is cyan-white without luster, the hair follicles are brittle and break, indicating death.
The true Heart pulse arrives, firm and broad, like tracing Coicis Semen (Job's tears), appearing in distinct clusters; the complexion is red-black without luster, the hair follicles are brittle and break, indicating death.
The true Lung pulse arrives, large and empty, like a feather brushing against the person; the complexion is white-red without luster, the hair follicles are brittle and break, indicating death.
The true Kidney pulse arrives, forceful yet intermittent, like tapping stone with a finger, making a "pi pi" sound; the complexion is black-yellow without luster, the hair follicles are brittle and break, indicating death.
The true Spleen pulse arrives, weak and alternating between rapid and slow; the complexion is yellow-cyan without luster, the hair follicles are brittle and break, indicating death.
Symptoms include undigested food in stool (Suxie), reduced appetite, heavy body, mental depression and irritability, borborygmus, abdominal distension and fullness; severely, sudden anger, dizziness, vertigo, or head diseases, hypochondriac pain with severe vomiting; if the Chongyang pulse is absent, it is incurable.
Heavy body, muscle atrophy, reduced appetite, abnormal taste sensation, impaired eye movement, tinnitus, pain in the epigastrium corresponding to the heart, inability to swallow food, stiffness of the tongue root, vomiting or undigested stool after eating, abdominal distension, loose stools, abdominal masses (Jia), and urinary retention.
Chills like malaria after drinking wine, frequent stretching and yawning, heart pain with chest fullness, tightness in both hypochondria, inability to swallow food, obstruction in the diaphragm and pharynx, vomiting after eating, abdominal distension with frequent belching; upon receiving qi and its smooth flow, one feels relieved but the whole body remains heavy.
Malaria, shortness of breath, cough and wheezing, hematemesis or epistaxis (Xueyi), diarrhea, dysentery-like discharge, dry throat, deafness, internal heat, and heat in the shoulder and back.
Wheezing and vomiting, aversion to cold and fever, nasal congestion and bleeding (Qiunu), nasal obstruction, sores and ulcers in severe cases, hypochondriac pain, frequent sighing, irritability in the chest, dry throat, right-sided fullness, skin pain, aversion to cold and fever, cough and wheezing, blood in sputum, nasal congestion and bleeding, change in urine color, sores and ulcers, edema, and pain in the shoulder, back, arm, and supraclavicular fossa.
Frequent borborygmus in the abdomen, qi rushing up to the chest, wheezing, inability to stand for long periods, aversion to cold and fever, skin pain, toothache, swollen cheeks, chills and fever like malaria, pain in the lower abdomen, and abdominal enlargement.
Abdominal pain, cold extremities (Qingjue), unhappiness, heavy body with irritability, muscle atrophy, flaccidity and weakness of the legs unable to support weight, frequent spasms while walking, pain in the soles of the feet, abdominal fullness caused by drinking, reduced appetite, inability to move the four limbs, abdominal distension, loose stools, borborygmus with downward purging, and if the Daxi pulse is absent in severe cases, it is incurable.