眼生赤脉贯瞳人。（瞳人属肾、肾有两筋自背脊直至脑门、贯其二睛、心与肾交、水火相济、
若水火两绝、赤脉贯矣。）向上直视不转睛。（向上直视不动、肾腑俱绝。）手足不收毛发竖。
（胃主肌肤四肢、胃绝、则毛发竖、手足不能收管。）囟门肿起又作坑。（心主血、心绝、血不上行。）
天柱骨痿头偃后。（心绝、不治之症。）切牙出舌语不明。（舌乃心之外应、心绝、血不流行、虚舌
退场门、或舌短不语。）齿或咬人肾脉绝。（肾乃骨之主、齿乃骨之余、绝则齿痒、切牙、或咬人、肾绝心亦绝。）
鼻孔干燥黑来侵。（鼻乃肺之外应、燥黑则肺绝。）鱼口气粗啼不得。（肺为气主、肺绝、则气出不返、
或气急难啼、鱼口、一张一闭。）大肠脉绝忽鸦声。（忽作鸦声、则大肠绝矣、鸦声、变声不止。）两手
抱头目无彩。（肝藏血、目乃肝之外应、血脉不荫、则指甲青黑、及目无光彩、筋缩、则两手抱头、肝绝。）
指甲黑色又伤青。喉中拽锯口吐沫。（凡有涎退场门鼻。）风疾闭窍面黑形。（五孔干燥、不治之症、是风痰窍塞关
窍、血脉不行、不纳汤药、面色青黑。）心寒脉绝令肺胀。饮水直下胃无存。（肺胃俱绝、饮水不歇、直下大肠中去、
必死之症。）痢如死鸭鹅之血。（心绝。）臭秽血水糟汤临。（脏腑俱败。）四肢汗出如油出。（荣卫俱绝、阴阳杂、津
液散于四肢、如胶粘者、不治。）手足掷摇那得生。（心绝。）面黑唇缩不盖齿。（脾绝。）蛔虫退场门死形真。（脾绝。）
眼睛出现红色脉络贯穿瞳孔。（瞳孔归属于肾，肾有两根筋脉从背脊一直延伸至脑门，贯通双眼。心与肾相交，水火相互济助。如果水火之气断绝，就会出现赤脉贯穿瞳孔的现象。）眼球向上直视且不能转动。（眼球向上固定不动，说明肾气已完全衰竭。）手脚无法收拢控制，毛发竖起。（胃主管肌肤和四肢，胃气衰竭，则毛发竖起，手脚失去控制。）囟门肿胀隆起或凹陷成坑。（心主血，心气衰竭，血液无法上行滋养头部。）天柱骨（颈部大椎穴处）痿软无力，头向后仰倒。（心气衰竭，属于不治之症。）咬牙伸舌，言语不清。（舌是心的外在表现，心气衰竭，血液运行不畅，虚弱的舌头退出口外，或者舌短缩无法说话。）牙齿咬人，这是肾脉衰竭的表现。（肾是骨骼的主宰，牙齿是骨骼的余气，肾气衰竭则牙齿发痒、磨牙，或者咬人，此时肾绝而心亦绝。）鼻孔干燥发黑，病情危重。（鼻是肺的外在表现，干燥发黑说明肺气衰竭。）口鼻出气如鱼嘴开合，呼吸粗重，啼哭无力。（肺为气之主，肺气衰竭，则气出而不返，或者气急难以啼哭，“鱼口”指鼻孔一张一闭的状态。）大肠脉气衰竭，突然发出类似乌鸦的叫声。（突然发出鸦声，说明大肠气已衰竭；“鸦声”指声音改变且不止息。）双手抱头，眼神无光彩。（肝藏血，目是肝的外在表现，血脉不能滋养，则指甲青黑，眼睛没有光彩；筋脉拘挛收缩，则双手抱头，这是肝气衰竭的表现。）指甲呈现黑色并带有青色。喉咙中有拉锯样的痰鸣声，口吐泡沫。（凡是出现涎液退出口外的情况。）风病导致窍道闭塞，面色黧黑，形体异常。（五官孔窍干燥，属于不治之症，这是风痰阻塞关窍，血脉运行不通，无法摄入汤药，面色青黑。）心阳寒微，脉气衰竭导致肺胀。饮水直下，胃中无存留。（肺和胃都衰竭，喝水不停歇，水直接流入大肠，必死之症。）大便像死鸭鹅的血一样。（心气衰竭。）排泄物臭秽，血水混杂糟粕。（脏腑功能全部败坏。）四肢出汗如油珠般渗出。（营卫之气俱绝，阴阳错杂，津液散失于四肢，像胶粘一样，属于不治之症。）手足掷动摇颤，如何能生存？（心气衰竭。）面色黧黑，嘴唇萎缩无法覆盖牙齿。（脾气衰竭。）蛔虫排出体外，呈现死状，这是确凿的死征。（脾气衰竭。）
Red vessels appear in the eyes, traversing the pupil. (The pupil belongs to the Kidney; there are two tendons of the Kidney extending from the spine to the forehead, connecting both eyes. The Heart and Kidney interact, with Water and Fire mutually assisting. If the Qi of Water and Fire is severed, red vessels will traverse the pupil.) Upward fixed gaze without eye movement. (Fixed upward gaze indicates complete exhaustion of Kidney Qi.) Inability to control hands and feet, with hair standing erect. (The Stomach governs skin, muscles, and four limbs; when Stomach Qi is exhausted, hair stands erect, and hands and feet lose control.) Fontanelle swells or sinks into a pit. (The Heart governs Blood; when Heart Qi is exhausted, Blood fails to ascend.) Collapse of the Tianzhu bone (neck), with the head tilting backward. (Exhaustion of Heart Qi, an untreatable condition.) Teeth grinding, tongue protruding, and unclear speech. (The tongue is the external manifestation of the Heart; when Heart Qi is exhausted and Blood circulation is poor, the flaccid tongue may fall out of the mouth, or the tongue becomes short and unable to speak.) Biting teeth or biting others indicates exhaustion of the Kidney pulse. (The Kidney is the master of bones, and teeth are the surplus of bones; exhaustion leads to itchy teeth, grinding, or biting. When the Kidney is exhausted, the Heart is also exhausted.) Dry and black nostrils indicate severe invasion. (The nose is the external manifestation of the Lung; dryness and blackness indicate Lung Qi exhaustion.) Fish-mouth breathing with coarse breath and inability to cry. (The Lung is the master of Qi; when Lung Qi is exhausted, Qi exits but does not return, or breathing is急促 and difficult for crying. "Fish-mouth" refers to the nostrils opening and closing alternately.) Sudden crow-like sounds indicate exhaustion of the Large Intestine pulse. (Sudden crow-like sounds indicate exhaustion of the Large Intestine Qi; "crow sound" refers to altered voice that persists.) Hands holding the head, eyes lacking luster. (The Liver stores Blood, and the eyes are its external manifestation; when Blood vessels fail to nourish, nails turn cyan-black, and eyes lack luster. Tendon contraction causes hands to hold the head, indicating Liver Qi exhaustion.) Nails turn black with a touch of cyan. Sawing sounds in the throat with foamy saliva. (Any case where saliva flows out of the mouth.) Wind disease blocking orifices, with dark complexion and abnormal form. (Dryness of the five orifices is an untreatable condition, caused by wind-phlegm blocking the orifices, preventing blood circulation and the intake of decoctions, resulting in a cyan-black complexion.) Cold Heart and exhausted pulse causing Lung distension. Drinking water passes straight through, with no retention in the Stomach. (Both Lung and Stomach Qi are exhausted; continuous drinking with water passing directly to the Large Intestine indicates a fatal condition.) Dysentery resembling blood from dead ducks or geese. (Heart Qi exhaustion.) Foul-smelling bloody fluid mixed with undigested food. (Complete failure of Zang-Fu organs.) Sweating like oil on the four limbs. (Exhaustion of Ying and Wei Qi, chaotic Yin and Yang, with body fluids scattering to the limbs like sticky glue, an untreatable condition.) Throwing and shaking of hands and feet—how can life be sustained? (Heart Qi exhaustion.) Dark complexion and retracted lips unable to cover teeth. (Spleen Qi exhaustion.) Ascaris worms expelled, showing signs of death, confirming the prognosis. (Spleen Qi exhaustion.)