《医宗金鉴》曰∶十不治症∶一颠仆损伤入于肺者；一肩内耳后伤透于内者；一左腋下
内者；一肠伤断者；一小腹下伤内者；一伤破阴子者；一老人左股压碎者；一症候繁多者；
一血出尽者；一脉不实重者。
《可法良规》云∶若元气虚怯，邪气滋盛，溃烂延上必死；不溃而色黯者，亦死。手足
受病，色黑者多死；手足节髀损去者不死。故伤损骨断筋皮尚连者，急剪去之；若肉被伤欲
去尚连者，亦剪之；不尔，溃及好肉，怯弱之人多致不救。如手足与指损去一节，不死可治
；惟去其半节，留其半节，或骨断筋皮相连者，最为难治。
陈氏《决疑秘法》云∶顶门破而骨未入内者可治，骨陷入者不治。脑骨伤损在硬处者可
若在太阳穴及骨缝软处不可治。头骨陷入内，未甚者可治，囟门出者死。两目俱伤者可治，
鼻骨山根伤者可治，断者死。耳后受伤入内者不治。气出不收，眼开者不治，闭者可治。气
管伤者死。食管全断者不治，未全断者可治。男人两乳受伤，急救可治；女人两乳伤重者必
烂不治。胸膛红肿青色未裹心者可治，红既裹心者不治。胸腹受伤出黄水、黑水、血者，十
不治一。若正心口青色者，七日死；调医三日后，转黄色者可救，不转者必死。食饱受伤，
三日不死者可救。两胁有伤，血入五脏者难治。肠出，不臭者可治，臭者死；肠未断者可治
，断者不治。肠出，色紫黑者不治，色不变者急治可愈。夹脊断者不治，腰歪伤重而自笑者
不治，伤轻虽笑可治。小腹受伤吐屎，眼直视者不治；伤轻眼未直视，虽吐屎无害也，可治
。孕妇小腹受伤，犯胎者不治。孕妇腰伤，其胎必下，不可救。小肚受伤，不分男女皆不治
。阴囊有子可救，若肾子受伤，入小腹者不治。阴囊破开，肾子悬系者可治，若肾子伤碎者
不治。尾闾骨断者不治。两手受伤，脉骨断者不治。两足腿骨断者难治。脉大而缓，即四至
亦不治。鱼际骨有脉者可救。诸骨受铁器伤，五日外流黄水通内者不治。如跌扑及破伤风，
头目青黑，额汗不流，眼小目瞪，身汗如油，谓之四逆，均属不治。
按赵除瑛秘本，有验症五法，可取以为初学之津梁，故附于末∶
一看两眼，眼白有血筋，腹内必有瘀血，筋多瘀多，筋少瘀少，两眼活动有神易治，两
神难治；二看指甲，以我指按其指甲，放指即还原血色者易治，少顷后还原者难治，紫黑色
者不治；三看阳物不缩可治，缩者不治；四看脚趾甲红活者易治，色黄者难治，看与指甲同
；五看脚底红活者易治，色黄者难治。
《金鉴》云∶凡伤天窗穴，与眉角脑后，臂里跳脉，髀内阴股，两乳上下，心下鸠尾，
脏六腑之俞者皆死，脑后出髓而不能语，目睛直视，喉中沸声，口急唾出，两手妄举者亦死
诀曰∶金伤诸损眼晕青，定主身亡难救命，若见气喘与呃塞，且看一七内中应。
《医宗金鉴》记载：十种不治之症：一是从高处坠落或遭受撞击，损伤深入肺脏的；二是肩部内部及耳后部位穿透性损伤伤及内部的；三是左侧腋下内部受伤；四是肠道断裂；五是下腹部内部受伤；六是阴器（生殖器）破损；七是老年人左侧大腿被压碎；八是症状表现繁杂多样的；九是血液流尽者；十是脉象虚弱且病情沉重者。
《可法良规》说：如果元气虚弱怯懦，邪气滋长旺盛，疮口溃烂并向上蔓延的必然死亡；如果不溃烂但肤色暗黑的，也必死。手足患病，肤色发黑的多数死亡；手足关节和大腿骨骼缺失的反而不死。所以，对于筋骨断裂而皮肤尚相连的损伤，应立即剪除坏死部分；如果肌肉受损即将脱落但仍相连的，也应剪除；否则，溃烂会波及健康组织，体质虚弱的人大多无法救治。如手足与手指损伤失去一节，不死且可治疗；若是失去半节，保留半节，或者骨头断裂、筋和皮仍相连的情况，最为难治。
陈氏《决疑秘法》说：头顶门破开但骨头未陷入内部的可以治疗，骨头陷入内部的则不可治。脑骨损伤在坚硬处处的可以治疗，若在太阳穴及骨缝柔软处则不可治。头骨陷入内部，程度不严重的可以治疗，囟门（婴儿头顶骨未合缝处）外突的必死。双眼均受伤害的可以治疗，鼻梁山根处受伤的可以治疗，鼻梁断裂的必死。耳后受伤深入内部的不可治。气息外泄无法收敛，眼睛睁开的不可治，眼睛闭合的可以治疗。气管受伤的必死。食管完全断裂的不可治，未完全断裂的可以治疗。男人双侧乳房受伤，及时急救可以治疗；女人双侧乳房重伤者必然溃烂不可治。胸膛红肿呈青色但未包裹心脏的可以治疗，红色已包裹心脏的不可治。胸腹受伤流出黄水、黑水或血液的，十例中仅一例可治。若正对心口处出现青色，七日必死；请医生诊治三天后，转为黄色的可以挽救，不转色的必死。饱食后受伤，三天不死者可救。两胁部有伤，血液进入五脏的难治。肠子脱出，无臭味的可以治疗，有臭味的必死；肠子未断裂的可以治疗，断裂的不可治。肠子脱出，颜色紫黑的不可治，颜色不变的紧急治疗可愈。夹脊部位断裂的不可治，腰部歪斜受伤严重且自笑的不可治，伤势轻微虽然笑也可以治疗。小腹受伤呕吐粪便，眼睛直视的不可治；伤势轻微眼睛未直视，虽然呕吐粪便也无害，可以治疗。孕妇小腹受伤，触犯胎儿的不可治。孕妇腰部受伤，胎儿必然流产，不可救。小腹部受伤，不分男女皆不可治。阴囊内有睾丸的可救，若睾丸受伤，陷入小腹的不可治。阴囊破开，睾丸悬吊连接的可以治疗，若睾丸破碎的不可治。尾闾骨（尾椎骨）断裂的不可治。双手受伤，桡骨和尺骨断裂的不可治。双小腿胫腓骨断裂的难治。脉象大而迟缓，即每息四至以下的也不治。鱼际骨处若有脉搏跳动者可救。各种骨头受到铁器伤害，五日后流出黄水且通达内部的不可治。如跌打损伤及破伤风，头部眼睛青黑，额头出汗但不流动，眼睛变小且瞪大，身体出汗如油，称为“四逆”，均属不治之症。
据赵除瑛秘本记载，有验证病症的五种方法，可供初学者作为入门指引，故附于文末：
一看两眼，眼白上有血丝，腹内必有瘀血，血丝多则瘀血多，血丝少则瘀血少，两眼活动有神采的易治，眼神呆滞的难治；
二看指甲，用我的手指按压其指甲，松开手指后立即恢复血色者易治，过一会儿才恢复血色者难治，呈紫黑色者不可治；
三看阳物（阴茎），不缩回者可治，缩回者不可治；
四看脚趾甲，红润活络者易治，色黄者难治，判断方法与看指甲相同；
五看脚底，红润活络者易治，色黄者难治。
《医宗金鉴》说：凡是损伤天窗穴，以及眉角、脑后、手臂内侧搏动之脉、大腿内侧阴股、双侧乳房上下、心窝鸠尾穴、六腑俞穴的部位皆死；脑后流出脑髓且不能言语，眼球直视，喉中有沸腾声，口中急迫吐唾沫，双手胡乱举动的也死。
诀曰：金属利器造成的损伤导致眼睛晕青，定主身亡难以救命，若见气喘与呃逆堵塞，且看在一七日内应验。
According to *Yizong Jinjian* (Golden Mirror of Medicine), there are ten types of untreatable conditions: First, injury from a fall or blow penetrating into the Lung; Second, penetrating injury inside the shoulder and behind the ear; Third, internal injury in the left axilla; Fourth, rupture of the intestine; Fifth, internal injury in the lower abdomen; Sixth, damage to the external genitalia; Seventh, crushing fracture of the left thigh in the elderly; Eighth, cases with numerous and complex symptoms; Ninth, exhaustion of blood; Tenth, pulse that is weak and condition that is severe.
*Kefa Lianggui* (Good Rules for Practice) states: If the Yuan Qi (Original Qi) is deficient and timid, while pathogenic factors are abundant and flourishing, and the ulceration spreads upward, death is inevitable; if it does not ulcerate but the complexion is dark, death is also inevitable. When the hands and feet are diseased and turn black, death is common; however, loss of joints in the hands/feet or bones in the thighs does not necessarily lead to death. Therefore, for injuries where bones are broken and tendons severed but skin remains connected, the damaged tissue should be promptly excised; if muscle is damaged and about to detach but still connected, it should also be excised. Otherwise, ulceration will spread to healthy flesh, and frail individuals often prove incurable. If a finger or toe loses one segment, it is not fatal and can be treated; however, if half a segment is lost while the other half remains, or if bone is broken with tendons and skin still connected, it is extremely difficult to treat.
Chen's *Jueyi Mifa* (Secret Methods for Resolving Doubts) states: A wound on the vertex (Baihui area) where the skull is fractured but has not sunk inward is treatable; if the bone has sunk inward, it is untreatable. Injury to the cranial bones in hard areas is treatable, but injury in soft areas such as the temporal region (Taiyang acupoint) and suture lines is untreatable. If the skull sinks inward but the condition is not severe, it is treatable; if the fontanelle protrudes, death is certain. Bilateral eye injury is treatable; injury to the nasal bridge (Shangen) is treatable, but a broken nose is fatal. Internal injury behind the ear is untreatable. If Qi escapes and cannot be retained, and the eyes are open, it is untreatable; if the eyes are closed, it is treatable. Injury to the trachea is fatal. Complete rupture of the esophagus is untreatable, but incomplete rupture is treatable. Injury to both breasts in men can be treated with prompt first aid; severe injury to both breasts in women leads to inevitable ulceration and is untreatable. Chest swelling and redness turning blue, without involving the heart, is treatable; if redness involves the heart, it is untreatable. Yellow fluid, black fluid, or blood discharging from chest and abdominal wounds results in only one out of ten recoveries. If the area directly over the heart turns cyanotic, death occurs in seven days; if, after three days of medical treatment, the color turns yellow, rescue is possible; if it does not change, death is certain. Injury sustained after a full meal can be saved if the patient survives three days. Injury to both hypochondriac regions with blood entering the five Zang organs is difficult to treat. Eviscerated intestines that are odorless are treatable; those with odor are fatal. Intestines that are not ruptured are treatable; ruptured ones are untreatable. Eviscerated intestines that are purple-black are untreatable; those with unchanged color can be cured with urgent treatment. Fracture of the spine (Jiaji area) is untreatable. Severe lumbar injury causing distortion and involuntary laughter is untreatable; mild injury with laughter is treatable. Lower abdominal injury with vomiting of feces and fixed gaze is untreatable; mild injury with fixed gaze absent, even with vomiting of feces, is harmless and treatable. Pregnancy injury to the lower abdomen that disturbs the fetus is untreatable. Lumbar injury in pregnancy causes fetal expulsion and is incurable. Injury to the lower abdomen is untreatable regardless of gender. An intact scrotum with testes present is salvageable; if the testes are injured and sink into the lower abdomen, it is untreatable. Ruptured scrotum with suspended testes is treatable; crushed testes are untreatable. Fracture of the coccyx (Weiliu) is untreatable. Fracture of the radius and ulna in both hands is untreatable. Fracture of the tibia and fibula in both legs is difficult to treat. A pulse that is large and slow, or four beats per respiration or fewer, indicates an untreatable condition. Presence of a pulse at the Yuji area suggests salvageability. Injuries to various bones by iron instruments that discharge yellow fluid internally after five days are untreatable. For falls, trauma, and tetanus, if the head and eyes are cyanotic/black, sweat on the forehead does not flow, eyes are small and staring, and body sweats like oil, this is called "Si Ni" (Four Reversals) and is untreatable.
According to the secret manuscript of Zhao Chuying, there are five verification methods for symptoms, which can serve as a guide for beginners, so they are appended here:
First, observe the two eyes: blood vessels visible on the sclera indicate intra-abdominal blood stasis; more vessels mean more stasis, fewer vessels mean less stasis. Active eyes with spirit are easy to treat; dull eyes are difficult.
Second, observe the fingernails: press the nail with your finger; if blood color returns immediately upon release, it is easy to treat; if return is delayed, it is difficult; purple-black color is untreatable.
Third, observe the penis: if it does not retract, it is treatable; if it retracts, it is untreatable.
Fourth, observe the toenails: reddish and lively nails are easy to treat; yellow nails are difficult. The judgment method is the same as for fingernails.
Fifth, observe the soles of the feet: reddish and lively soles are easy to treat; yellow soles are difficult.
*Yizong Jinjian* states: Injury to the Tianchuang acupoint, as well as the corner of the eyebrows, back of the head, pulsating vessels in the arms, inner thigh/groin, upper and lower breasts, Jiwei point below the heart, and the Shu points of the six Fu organs are all fatal. Death also occurs if marrow flows from the back of the head accompanied by inability to speak, fixed gaze, bubbling sounds in the throat, forced salivation, and wild waving of the hands.
The verse says: Metal weapons causing injuries leading to dizziness and bruising around the eyes primarily indicate death, making rescue impossible. If panting and hiccups/choking are observed, check if the outcome manifests within seven days.