尸臭舌卷，囊缩肝绝。口闭脾绝。肌肉不滑，唇反胃绝。发直齿枯，遗尿肾绝。毛焦面黑，直视目
瞑，阴气已绝。眶陷系倾，汗出如珠，阳气已绝。病后喘泻，脾脉将绝。目若正圆，手撒戴眼，太阳
已绝。声如鼾睡，吐沫面赤，面黑唇青，人中肿满，唇反出外，发眉冲起，爪甲肉黑，手掌无纹，脐
凸跗肿，面青欲眠，目视不见，汗出如油，肝绝之期，在于八日。眉倾胆死，手足甲青，或渐脱落，
呼骂不休，筋绝之期，亦如于肝。肩息直视，心绝立死。发直如麻，不得屈伸，自汗不止，小肠绝
也，六日而死。口冷足肿，腹热胪胀，泄利无时，乃为脾绝，五日而死。脊痛身重，不可反复，乃为
胃绝，五日而死。耳干背肿，溺血屎赤，乃为肉绝，九日而死。口张气出，不能复返，乃为肺绝，三
日而死。泄利无度，为大肠绝。齿枯面黑，目黄腰折，自汗不休，乃为肾绝，四日而死。齿黄枯落，
乃为骨绝。
五脏已夺，神明不守，故作声嘶。循衣摸床，谵语不休，阳明已绝。妄语错乱，不语失音，则为热
病，犹或可生。脉浮而洪，身汗如油，喘而不休，乃为肺绝。（汗腻不流，脉洪而喘不休，真气外散。）阳反独留，形如
烟熏，直视摇头，乃为心绝。（心为火藏，故阳热独存。烟熏，火极焦灼之象。）唇吻反青， 汗出，乃为肝绝。（唇吻
属脾，而青色属木，木乘土，故曰反。）环口
黎黑，柔汗发黄，乃为脾绝。（水色凌土，冷汗身黄，脾真散越。）溲便遗失，狂言直视，乃为肾绝。（溲便，二阴肾脏所
司。遗失则门户不闭，水精败绝，目背瞳人。）
阴气先绝，阳气后竭，临死之时，身面必赤，腋温心热。（阴先脱，阴绝于后，故赤色见。余阳未即尽，故腋温心热。）
水浆不下，形
体不仁，乍静乍乱，乃为胃绝。（胃纳水谷，合肌肉故。）六腑气绝，足冷脚缩。五脏气绝，便利不禁，手足不仁。
手太阴绝则皮毛焦。
太阴者，肺也，行气温于皮毛者也。故气不荣，则皮毛焦而津液去，津液去则皮节伤，皮节伤则皮枯毛
折，毛折者则毛先死，丙日笃，丁日死。
手少阴绝，则脉不通。
手少阴，心也。心主脉，故手少阴气绝则脉不通，脉不通则血不流，血不流则色泽去，故面色黑如黧。此
血先死，壬日笃，癸日死。
足太阴绝，口唇不荣。
口唇者，肌肉之本也。脉不荣，则肌肉不滑泽，肌肉不滑泽则肉满，肉满则唇反，唇反则肉先死，甲日笃，
乙日死。
足少阴绝，则骨髓枯。
少阴者，冬脉也，伏行而温于骨髓。故骨髓不温，则肉不着骨，骨肉不相亲，则肉濡而却，肉濡而却，故齿
长而垢，发无润泽，无润泽者则骨先死，戊日笃，己日死。
足厥阴绝，筋缩引卵，渐及于舌。
厥阴者，肝也；肝者，筋之合也；筋者，聚于阴器而络于舌本；故脉不荣则筋缩急，筋缩急则引卵与舌，故
舌卷囊缩。此筋先死，庚日笃，辛日死。
三阴俱绝，眩转蒙目。
蒙者为失志，失志则志先死，死则目蒙也。
六阳俱绝，阴阳相离；腠理泄绝，汗出如珠；旦占夕死，夕占旦死。
舌体卷缩、散发尸臭，是肝脏真气衰竭的表现。口部闭合无法张开，是脾脏真气衰竭的表现。肌肉失去润泽滑利之感，嘴唇外翻，是胃腑真气衰竭的表现。头发直立干枯、牙齿枯槁，伴有遗尿，是肾脏真气衰竭的表现。毛发焦枯、面色黑晦、两眼直视且眼睑闭合不睁，表明阴气已经衰竭。眼眶深陷、眼系松弛倾斜、出汗如油珠般凝滞不动，表明阳气已经衰竭。疾病后期出现气喘和腹泻，是脾脉即将衰竭的征兆。眼睛瞪大如同正圆、手部松垂无力、眼球上翻（戴眼），是太阳经真气已经衰竭的表现。
呼吸声像打鼾一样沉重，呕吐涎沫、面色红赤、面部发黑、嘴唇青紫、人中部位肿胀饱满、嘴唇向外翻卷、头发眉毛竖起、指甲及周围肌肉发黑、手掌没有纹路、肚脐突出、足背浮肿、面色青暗想睡觉但眼睛看不见东西、出汗如油，这是肝脏真气衰竭的期限，通常在八天内死亡。眉毛脱落、胆囊功能死亡、手足指甲发青或逐渐脱落、胡言乱语骂人不停，这是筋腱真气衰竭的期限，同样在八天内死亡。肩膀耸起呼吸困难、两眼直视，心脏真气衰竭会立即导致死亡。头发直立如麻、身体僵硬不能屈伸、自汗不止，是小肠真气衰竭，六天后死亡。口冷足肿、腹部发热、腹部胀满、泄泻无定时，这是脾脏真气衰竭，五天后死亡。脊柱疼痛、身体沉重、无法翻身转动，这是胃腑真气衰竭，五天后死亡。耳朵干燥、背部浮肿、小便出血、大便色赤，这是肌肉（脾所主）真气衰竭，九天后死亡。嘴巴张开、气息呼出后不能收回，这是肺脏真气衰竭，三天后死亡。泄泻无度，是大肠真气衰竭。牙齿枯槁、面色黑、眼睛发黄、腰部折断感、自汗不止，这是肾脏真气衰竭，四天后死亡。牙齿黄枯脱落，这是骨骼真气衰竭。
五脏精气已极度亏损，神明不能内守，所以发出嘶哑的声音。循着衣被摸索、床沿，胡言乱语不停，是阳明经真气已经衰竭。胡言乱语错乱、不语失音，如果是热病所致，或许还有生机。脉象浮而洪大，身体出汗如油，气喘不停，这是肺脏真气衰竭。（汗液黏腻不流，脉象洪大且气喘不停，是真气外散的表现。）阳气单独留存于体内，形体如烟熏般黑晦，两眼直视、摇头，这是心脏真气衰竭。（心属火脏，所以阳热独存。烟熏之象，是火极焦灼的表现。）口唇四周发青、出汗，这是肝脏真气衰竭。（口唇属脾，青色属木，木克土，所以说“反”。）口周颜色黎黑、冷汗出且肤色发黄，这是脾脏真气衰竭。（水色凌犯脾土，冷汗身黄，是脾真散失越出的表现。）大小便失禁、狂言乱语、两眼直视，这是肾脏真气衰竭。（大小便由二阴肾脏所主管。失禁则门户不闭，水精败绝，瞳孔失去神采。）
阴气先衰竭，阳气后枯竭，临死之时，身体和面部必定发红，腋下温暖、心中发热。（阴气先脱，阴绝于后，所以红色显现。其余阳气未即刻耗尽，所以腋下温暖、心中发热。）饮食水浆无法下咽，形体麻木不仁，时而安静时而躁乱，这是胃腑真气衰竭。（胃受纳水谷，与肌肉相合的缘故。）六腑真气衰竭，脚冷脚缩；五脏真气衰竭，大小便失禁，手足麻木不仁。手太阴肺经真气衰竭，则皮毛焦枯。太阴经属于肺，负责将气输送到皮毛以滋养。所以气不能荣养，则皮毛焦枯而津液流失，津液流失则皮节受损，皮节受损则皮肤干枯毛发折断，毛发折断意味着毛先死，丙日病情加重，丁日死亡。手少阴心经真气衰竭，则血脉不通。手少阴属于心，心主血脉，所以手少阴气绝则血脉不通，血脉不通则血液不流动，血液不流动则色泽消退，所以面色黑如黧泥。这是血先死，壬日病情加重，癸日死亡。足太阴脾经真气衰竭，则口唇不得荣养。口唇是肌肉的根本。脉气不能荣养，则肌肉不滑泽，肌肉不滑泽则肌肉肿胀，肌肉肿胀则嘴唇外翻，嘴唇外翻则肉先死，甲日病情加重，乙日死亡。足少阴肾经真气衰竭，则骨髓枯槁。少阴经是冬脉，潜行于体内温煦骨髓。所以骨髓不温，则肉不着骨，骨肉不相亲附，则肌肉濡软退缩，肌肉濡软退缩，所以牙齿显得长且垢秽，头发没有润泽，没有润泽意味着骨先死，戊日病情加重，己日死亡。足厥阴肝经真气衰竭，则筋脉收缩牵引睾丸，逐渐波及舌头。厥阴经属于肝，肝合筋，筋聚于生殖器并联络舌根。所以脉气不能荣养则筋脉收缩紧急，筋脉收缩紧急则牵引睾丸和舌头，所以舌体卷缩、阴囊收缩。这是筋先死，庚日病情加重，辛日死亡。三阴经真气全部衰竭，会出现眩晕昏蒙、眼睛失明。蒙昧是因为神志丧失，神志丧失则志先死，志死则眼睛昏蒙。六阳经真气全部衰竭，阴阳分离；腠理开泄绝止，出汗如珠；早晨占测傍晚死亡，傍晚占测早晨死亡。
Tongue retraction accompanied by a corpse-like odor indicates the exhaustion of Liver Qi. Inability to open the mouth indicates the exhaustion of Spleen Qi. Muscles losing their smooth and lustrous quality, with lips everted, indicates the exhaustion of Stomach Qi. Straight, dry, and withered hair, withered teeth, and urinary incontinence indicate the exhaustion of Kidney Qi. Dry and scorched hair, dark complexion, fixed gaze with closed eyelids, indicate the exhaustion of Yin Qi. Sunken eye sockets, slanting visual axes, and sweat like beads indicate the exhaustion of Yang Qi. Post-illness wheezing and diarrhea are signs that Spleen pulse is about to exhaust. Eyes staring straight as if perfectly round, hand relaxation, and upward deviation of eyes (Dai Yan) indicate the exhaustion of Taiyang channel Qi. Snoring-like breathing, foaming at the mouth, red face, black face, blue lips, swelling of the philtrum, lips everted outward, hair and eyebrows standing up, black nails and flesh, palm lines disappearing, umbilical protrusion, dorsal edema, bluish face, drowsiness but inability to see, and oily sweat mark the period of Liver Qi exhaustion, which occurs within eight days. Eyebrow loss, Gallbladder death, cyanosis of fingernails and toenails or gradual shedding, continuous cursing and swearing indicate the exhaustion of Sinew Qi, also occurring within eight days. Shoulder breathing, fixed gaze, and immediate death upon Heart Qi exhaustion. Hair straight like hemp, inability to flex or extend limbs, and incessant spontaneous sweating indicate Small Intestine Qi exhaustion, leading to death in six days. Cold mouth, swollen feet, abdominal heat, distension, and uncontrolled diarrhea indicate Spleen Qi exhaustion, leading to death in five days. Spinal pain, heavy body, inability to turn over, indicate Stomach Qi exhaustion, leading to death in five days. Dry ears, back edema, hematuria, and red stool indicate Muscle (Spleen-associated) Qi exhaustion, leading to death in nine days. Open mouth with exhaled air unable to return, indicate Lung Qi exhaustion, leading to death in three days. Uncontrolled diarrhea indicates Large Intestine Qi exhaustion. Withered teeth, black face, yellow eyes, sensation of waist breaking, and incessant spontaneous sweating indicate Kidney Qi exhaustion, leading to death in four days. Yellow, withered, and falling teeth indicate Bone Qi exhaustion.
When the Five Zang organs' essence is severely depleted and Shen (Spirit) cannot be retained, hoarseness occurs. Picking at clothes and bedrails, incessant delirious speech indicate the exhaustion of Yangming channel Qi. Delirious and confused speech, mutism, and aphonia in the context of Heat diseases may still have a chance for survival. A floating and surging pulse, oily sweat, and incessant wheezing indicate Lung Qi exhaustion. (Sticky sweat that does not flow, surging pulse, and incessant wheezing signify the dispersion of True Qi.) When Yang alone remains, the body appears smoke-stained, with fixed gaze and head shaking, this indicates Heart Qi exhaustion. (The Heart is a Fire organ, so Yang-heat remains exclusively. The smoke-stained appearance signifies extreme burning and scorching.) Perioral cyanosis and sweating indicate Liver Qi exhaustion. (The lips belong to the Spleen, while blue/cyan belongs to Wood; Wood overacting on Earth is termed "reverse".) Perioral darkness, soft cold sweat, and yellowish skin indicate Spleen Qi exhaustion. (Water color overcoming Earth, cold sweat with yellow body, signify the scattering and dissipation of Spleen True Qi.) Urinary and fecal incontinence,狂言 (wild speech), and fixed gaze indicate Kidney Qi exhaustion. (Urination and defecation are governed by the two yin openings of the Kidneys. Incontinence means the gates are not closed, water essence is ruined, and the pupils lose their luster.)
When Yin Qi exhausts first and Yang Qi depletes subsequently, the body and face will be red at the time of death, with warm axillae and hot heart. (Yin deploys first, Yin exhausts last, hence redness appears. Remaining Yang has not yet completely vanished, hence warm axillae and hot heart.) Inability to consume fluids and food, insensibility of the body, alternating calmness and agitation indicate Stomach Qi exhaustion. (The Stomach receives water and grain, harmonizing with muscles.) Exhaustion of the Six Fu organs results in cold feet and curled toes. Exhaustion of the Five Zang organs results in uncontrolled urination and defecation, and insensibility of hands and feet. Exhaustion of the Hand-Taiyin Lung channel leads to scorched skin and hair. Taiyin refers to the Lung, which circulates Qi to nourish the skin and hair. Thus, when Qi fails to nourish, skin and hair become scorched and fluids depart. When fluids depart, the skin joints are damaged; when skin joints are damaged, skin becomes withered and hair breaks. Broken hair signifies the death of hair first; condition worsens on Bing day, death occurs on Ding day. Exhaustion of the Hand-Shaoyin Heart channel leads to blocked vessels. Hand-Shaoyin refers to the Heart, which governs vessels. Thus, when Hand-Shaoyin Qi exhausts, vessels block, blood stops flowing, luster fades, and complexion turns black like mud. This signifies the death of blood first; condition worsens on Ren day, death occurs on Gui day. Exhaustion of the Foot-Taiyin Spleen channel leads to lack of nourishment in the lips. Lips are the root of muscles. When vessels fail to nourish, muscles become rough; when muscles are rough, they swell; when muscles swell, lips evert; when lips evert, flesh dies first; condition worsens on Jia day, death occurs on Yi day. Exhaustion of the Foot-Shaoyin Kidney channel leads to withered marrow. Shaoyin is the Winter pulse, hidden within to warm the marrow. Thus, when marrow is not warmed, flesh does not adhere to bone, bone and flesh separate, flesh becomes flaccid and recedes. Receding flesh makes teeth appear long and dirty, hair loses luster. Lack of luster signifies the death of bone first; condition worsens on Wu day, death occurs on Ji day. Exhaustion of the Foot-Jueyin Liver channel leads to sinew contraction pulling the testicles, gradually affecting the tongue. Jueyin refers to the Liver; the Liver governs sinews; sinews gather at the genitalia and connect to the base of the tongue. Thus, when vessels fail to nourish, sinews contract tightly, pulling the testicles and tongue, causing tongue retraction and scrotal contraction. This signifies the death of sinews first; condition worsens on Geng day, death occurs on Xin day. Exhaustion of all Three Yin channels leads to vertigo, confusion, and blindness. Confusion stems from loss of Zhi (Will); loss of Zhi means Will dies first; death of Will causes blindness. Exhaustion of all Six Yang channels leads to separation of Yin and Yang; leakage of interstices and cessation of pores, with sweat like beads; prognosis made in the morning leads to death by evening, prognosis made in the evening leads to death by morning.