病风人。脉肾数浮沉。有汗出不止。呼吸有声者死。不然则生。病气人。一身悉肿。四肢不收。喘无时。厥逆不
湿。脉候沉小者死。浮大者生。病劳人。脱肛。骨肉相失。声散。呕血。阳事不禁。梦寐交侵。呼吸不相从。昼凉夜
热者死。吐脓血者亦死。其脉不数有根蒂者。及颊不赤者生。病肠 者。下脓血。病患脉急皮热。食不入。腹
胀目瞪者死。或一身厥冷。脉沉细而不生者亦死。食如故。脉沉浮有力而不绝者生。病热人。四肢厥。脉弱。
不欲见人。食不入。利下不止者死。食入。四肢温。脉大。语狂。无睡者生。病寒人。狂言不寐。身冷。脉数。喘息。
目直者死。脉有力而不喘者生。阳病患(此篇精神颠倒以上。赵写本亦缺。)精神颠倒。寐而不惺。言语失次。脉候浮沉
有力者生。无力。及食不入胃。下利不定者死。久病患。脉大身瘦。食不充肠。言如不病。坐卧困顿者死。若饮食进退。
脉小而有力。言语轻嘶。额无黑气。大便结涩者生。大凡阳病阴证。阴病阳证。身瘦脉大。肥人脉衰。上下交
变。阴阳颠倒。冷热相乘。皆属不吉。从者生。逆者死治疗之法。宜深消息。
凡不病而五行绝者死。不病而性变者死。不病而暴语妄者死。不病而暴不语者死。不病而暴喘促者死。
不病而暴强厥(一作中。)者死。不病而暴目盲者死。不病而暴耳聋者死。不病而暴痿缓者死。不病而暴肿满
者死。不病而暴大小便结者死。不病而暴无脉者死。不病而暴昏冒如醉者死。此皆内气先尽(一作绝。)故也。
逆者即死。顺者二年。无有生者也。
患风病的人。脉象在肾部表现为数、浮、沉(指脉位深浅不定)。如果出汗不止,呼吸时有声音的,为死证;否则为生证。
患气病的人。全身浮肿,四肢不能收持,喘息无定时,四肢厥冷且湿冷。脉象沉小的为死证,脉象浮大的为生证。
患劳病(虚劳)的人。脱肛,骨肉消瘦分离,声音嘶散,呕血,阳事举而不禁,梦中交合,呼吸不调,白天发凉晚上发热的,为死证;吐出脓血的也为死证。其脉象不数且有根蒂的,以及两颊不发红的,为生证。
患肠澼(痢疾或肠道化脓性疾病)的人。下脓血。患者脉象急迫,皮肤发热,饮食不进,腹胀,两眼直视的,为死证;或者全身厥冷,脉象沉细而微弱的,也为死证。如果饮食如常,脉象沉浮有力且不绝的,为生证。
患热病的人。四肢厥冷,脉象微弱,不想见人,饮食不进,腹泻不止的,为死证;如果能进食,四肢温暖,脉象大,言语狂妄,无法入睡的,为生证。
患寒病的人。胡言乱语,无法入睡,身体寒冷,脉象数,喘息,两眼直瞪的,为死证;脉象有力且不喘息的,为生证。
阳病患者(此篇关于精神颠倒的内容,赵开美本亦缺失)。精神错乱,睡眠中不清醒,言语失去次序。脉象浮沉有力的为生证;脉象无力,以及饮食不入胃,下利无常的,为死证。
久病患者。脉象大但身体消瘦,饮食不足以充实肠胃,说话像没病一样,但坐卧时感到困顿乏力的,为死证。如果饮食进退正常,脉象小而有力,言语轻微嘶哑,额头没有黑气,大便干结涩滞的,为生证。
大凡阳病出现阴证表现,阴病出现阳证表现,身体消瘦却脉象大,肥胖之人脉象衰微,上下气机交错变化,阴阳颠倒,冷热相互乘袭,都属于不吉利的征象。顺从病势者生,逆抗病势者死。治疗的方法,应当深入审慎地斟酌。
凡是原本没病,但五行之气断绝的,死。原本没病,但性情突然改变的,死。原本没病,但突然胡言妄语的,死。原本没病,但突然不语的,死。原本没病,但突然气喘急促的,死。原本没病,但突然强直厥逆(一作中风)的,死。原本没病,但突然失明的,死。原本没病,但突然耳聋的,死。原本没病,但突然痿软缓弱的,死。原本没病,但突然肿胀满实的,死。原本没病,但突然大小便闭塞不通的,死。原本没病,但突然无脉象的,死。原本没病,但突然昏蒙冒昧如同醉酒般的,死。这些都是因为体内元气先已耗尽(一作断绝)的缘故。逆乱者即死,顺理者虽可延寿二年,但也无人生还。
Patients with wind disease (Feng Bing). The pulse at the Kidney position is rapid, floating, and sinking. If there is unceasing sweating and audible respiration, it indicates death; otherwise, it indicates survival.
Patients with Qi disease. The entire body is swollen, the four limbs cannot be controlled, panting occurs intermittently, and the limbs are cold and damp. A sinking and small pulse indicates death, while a floating and large pulse indicates survival.
Patients with Lao disease (Consumptive Disease). Rectal prolapse, emaciation where flesh and bone separate, scattered voice, hematemesis, involuntary erection of the penis, nocturnal emissions in dreams, irregular respiration, chills during the day and fever at night indicate death. Expectoration of pus and blood also indicates death. If the pulse is not rapid but has a root, and the cheeks are not red, it indicates survival.
Patients with Chang Pi (Intestinal Dysentery/Pus and Blood Discharge). Passage of pus and blood. If the patient's pulse is urgent, the skin is hot, food intake is impossible, the abdomen is distended, and the eyes are fixed/glassy, it indicates death. If the whole body is cold and the pulse is sinking and fine/weak, it also indicates death. If food intake remains normal, and the pulse is forceful whether floating or sinking and does not cease, it indicates survival.
Patients with Heat disease. Cold extremities, weak pulse, aversion to seeing people, inability to eat, and continuous diarrhea indicate death. If food can be ingested, the extremities are warm, the pulse is large, speech is delirious, and sleep is impossible, it indicates survival.
Patients with Cold disease. Delirious speech, insomnia, cold body, rapid pulse, panting, and fixed gaze indicate death. A forceful pulse without panting indicates survival.
Yang disease patients (The section regarding mental confusion is missing in Zhao Kaimei's edition). Mental confusion, lack of clarity during sleep, disordered speech. A pulse that is forceful whether floating or sinking indicates survival. A pulse that is weak, along with inability of food to enter the stomach and irregular diarrhea, indicates death.
Chronic disease patients. A large pulse with a thin body, insufficient food intake to fill the intestines, speech as if healthy, but exhaustion when sitting or lying down indicates death. If dietary intake is regulated, the pulse is small but forceful, speech is slightly hoarse, no black qi appears on the forehead, and stool is dry and difficult to pass, it indicates survival.
Generally speaking, Yang diseases presenting Yin symptoms, Yin diseases presenting Yang symptoms, emaciation with a large pulse, obesity with a weak pulse, chaotic changes between upper and lower parts, inversion of Yin and Yang, and mutual aggression of cold and heat all belong to inauspicious signs. Following the disease pattern leads to survival; resisting it leads to death. Therapeutic methods require deep and careful consideration.
Those who were previously healthy but experience the severance of the Five Elements die. Those who were previously healthy but undergo sudden personality changes die. Those who were previously healthy but suddenly speak deliriously die. Those who were previously healthy but suddenly become mute die. Those who were previously healthy but suddenly suffer from rapid panting die. Those who were previously healthy but suddenly experience rigidity and syncope (or stroke) die. Those who were previously healthy but suddenly go blind die. Those who were previously healthy but suddenly go deaf die. Those who were previously healthy but suddenly become flaccid and weak die. Those who were previously healthy but suddenly develop swelling and fullness die. Those who were previously healthy but suddenly experience constipation of both large and small bowels die. Those who were previously healthy but suddenly have no detectable pulse die. Those who were previously healthy but suddenly fall into a stupor resembling drunkenness die. All these cases occur because the internal vital Qi has been exhausted (or severed) first. Resistance leads to immediate death; compliance may extend life by two years, but ultimately, none survive.