尸臭舌卷囊缩（肝绝）○口不合（脾绝）○肌肉不滑唇反（胃绝）○发直齿枯及遗尿（肾
绝）○
毛焦面黑直视目瞑不见（阴气绝）○目眶陷目系倾汗出如珠（阳绝系）○病后喘泻（脾脉将
绝）○
目正圆手撒戴眼（太阳绝）
吐沫○声如鼾睡○面赤○面青黑唇青○人中满唇反○发与眉冲起○爪甲下肉黑○手掌无
纹脐凸足跗肿○面青但欲伏眠目视不见汗出如油肝绝八日死○眉倾者胆死○手足爪甲青或脱
落呼骂不休筋绝八日死○肩息直视心绝立死○发直如麻不得屈伸自汗不止小肠绝六日死○口
冷足肿腹热胪胀泄利无时不觉脾绝五日死○脊痛肿身重不可反复胃绝五日死○耳干舌背肿溺
血大便赤泄肉绝九日死○口张气出不返肺绝三日死○泄利无度大肠绝○齿枯面黑目黄腰欲折
自汗肾绝四日死○齿黄枯落骨绝
五脏已夺神明不守声嘶
循衣摸床谵语（阳明绝）妄语错乱及不语失音热病犹可生
脉浮而洪身汗如油喘而不休肺绝汗腻不流脉洪而喘不休真气外散
阳反独留形体如烟熏直视摇头心绝心为火脏故阳热独存烟熏火极焦灼之象
唇吻反青四肢 汗出肝绝唇吻属脾而青色属木木乘土故曰反
环口黧黑柔汗发黄脾绝水色凌土冷汗身黄脾真发越
溲溲遗矢狂言目反直视肾绝溲便二阴肾脏所司遗矢则门户不闭水精败绝目背瞳人
阳气先绝阴气后竭者死时身面必青阳先脱阴绝于后故青色存也
阴气先绝阳气后竭者死时身面手足必赤腋下温心下热阴先脱阳绝于后故赤色见余阳未即
尽故
水浆不下形体不仁乍静乍乱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气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上之纹皮节伤则皮枯毛折津液去而皮
节平毛无润养而折毛折者则毛先死丙日笃丁日死火克金余仿此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
足太阴气绝则脉不荣其口唇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
足少阴气绝则骨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齿龈肉退却而齿则长垢也发无润泽无润泽者则骨先死戊日笃巳日
死足厥阴气绝则筋缩引卵与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
三阴气俱绝则目眩转目 目 者为失志失志则志先死死即目 也目不见也脱阴者目
六阳气俱绝则阴与阳相离阴阳相离则腠理泄绝汗乃出大如贯珠转出不流旦占夕死夕占旦死
尸臭、舌体卷缩、阴囊上缩（这是肝气绝的表现）○口不能闭合（这是脾气绝的表现）○肌肉松弛无力、嘴唇外翻（这是胃气绝的表现）○头发直立、牙齿枯槁且伴有遗尿（这是肾气绝的表现）○
毛发焦枯、面色发黑、两眼直视、眼睑闭合不能睁开（这是阴气绝的表现）○眼眶凹陷、眼球系带倾斜、出汗如汗珠般粘稠不流（这是阳气绝的表现）○病后出现气喘和腹泻（这是脾脉即将断绝的表现）○
眼睛固定不能转动、手松开下垂、眼球上翻（这是太阳经气绝的表现）
口吐白沫○声音像打鼾一样○面色红赤○面色青黑、嘴唇发青○人中部位饱满、嘴唇外翻○头发和眉毛竖起○指甲下的肉发黑○手掌没有纹路、肚脐突出、足背肿胀○面色青黑只想趴着睡觉、两眼视而不见、出汗如油（这是肝气绝，八天后死亡）○眉毛脱落的是胆气绝○手足指甲发青或脱落、胡言乱语骂人不停（这是筋气绝，八天后死亡）○呼吸时肩膀耸起、两眼直视（这是心气绝，立即死亡）○头发直立如麻、身体僵硬不能屈伸、自汗不止（这是小肠气绝，六天后死亡）○口冷、足肿、腹部发热、腹胀、泄泻无定时（这是脾气绝，五天后死亡）○脊痛、身重、身体僵硬无法翻身（这是胃气绝，五天后死亡）○耳朵干、舌背肿胀、尿血、大便色赤泄泻（这是肉气绝，九天后死亡）○口张气出不回（这是肺气绝，三天后死亡）○泄泻无度（这是大肠气绝）○牙齿枯槁、面色发黑、目黄、腰似折断、自汗（这是肾气绝，四天后死亡）○牙齿发黄枯落（这是骨气绝）。
五脏精气已极度亏损，神明不能内守，声音嘶哑。
循衣摸床、说胡话（这是阳明经气绝）、妄语错乱以及失音不语，如果是热病还有生机。
脉象浮而洪大，身体出汗如油，气喘不停，这是肺气绝；汗出粘腻不流动，脉象洪大而气喘不停，这是真气外散。
阳气反独留于体内，形体如烟熏状，两眼直视、摇头，这是心气绝。心为火脏，所以阳热独存，呈现烟熏火极焦灼之象。
嘴唇周围发青，四肢出汗，这是肝气绝。唇吻属脾，青色属木，木克土，所以说“反”。
口周颜色黧黑，冷汗出、身黄，这是脾气绝。水色凌犯脾土，脾的真气外越。
小便失禁、大便失禁、狂言乱语、两眼上翻直视，这是肾气绝。二阴由肾脏所主司，大便失禁则门户不闭，水精败绝。
如果阴气先绝，阳气后竭，病人会死亡，此时身体和面部必呈青色，因为阳气先脱，阴气后绝，所以青色留存。
如果阴气先绝，阳气后竭（注：此处原文逻辑可能有误，通常指阴先脱阳后绝则面赤，或阳先脱阴后绝则面青，依下文解释），病人死亡时身体、面部、手足必呈红色，腋下温暖，心下发热。这是因为阴气先脱，阳气后绝，所以红色显现，其余未耗尽的阳气所致。
饮食水浆无法进入，身体麻木不仁，时而安静时而混乱，这是胃气绝。胃受纳水谷以滋养肌肉，故有此症。
六腑之气绝，表现为脚冷、脚部收缩；五脏之气绝，表现为大小便失禁、手足麻木不仁。
手太阴肺经之气绝，则皮毛焦枯。太阴经即肺经，行气温养于皮毛，所以气不能荣养则皮毛焦枯而津液耗去。津液耗去则皮节受损，皮肤上的纹理消失，皮节损伤则皮肤干枯、毛发折断。津液耗去而皮节平复，毛发失去润养而折断，毛发折断意味着毛先死。丙日病情加重，丁日死亡，因为火克金，其余脏腑仿照此理推断。
手少阴心经之气绝，则血脉不通。血脉不通则血液不流，血液不流则色泽消退，所以面色黑如黧（黑泥）。这是血先死。壬日病情加重，癸日死亡。
足太阴脾经之气绝，则脉气不能荣养口唇。口唇是肌肉的根本，脉气不能荣养则肌肉不滑泽。肌肉不滑泽则肌肉满胀，肌肉满胀则嘴唇外翻，嘴唇外翻意味着肉先死。甲日病情加重，乙日死亡。
足少阴肾经之气绝，则骨骼枯槁。少阴经是冬脉，潜行而温煦骨髓，所以骨髓不温则肉不着骨。骨肉不相亲则肌肉濡软而退缩，肌肉濡软退缩则显得牙齿变长且有污垢，牙龈肉退缩导致牙齿看起来长且有垢。头发失去润泽，没有润泽意味着骨先死。戊日病情加重，巳日死亡。
足厥阴肝经之气绝，则筋脉拘挛，牵引睾丸和舌头。厥阴经即肝经，肝合筋，筋聚于阴器并络于舌本，所以脉气不能荣养则筋脉拘急。筋脉拘急则牵引睾丸和舌头，所以舌体卷缩、阴囊上缩，这是筋先死。庚日病情加重，辛日死亡。
三阴经之气全部绝，则头晕眼花、视线旋转。目眩是因为失志，失志则神志先死，死则眼睛看不见。脱阴者，眼睛失明。
六阳经之气全部绝，则阴与阳分离。阴阳分离则腠理开泄，绝汗乃出，汗珠大如串珠，转出不流。早晨占测晚上死亡，晚上占测早晨死亡。
Putrid odor, tongue retraction, and testicular retraction (indication of Liver Qi exhaustion) ○ Inability to close the mouth (indication of Spleen Qi exhaustion) ○ Flaccid muscles and everted lips (indication of Stomach Qi exhaustion) ○ Straight hair, withered teeth, and enuresis (indication of Kidney Qi exhaustion) ○
Dry and brittle hair, black complexion, fixed gaze, and closed eyelids unable to open (indication of Yin Qi exhaustion) ○ Sunken eye sockets, tilted ocular axis, and sweat like sticky beads that do not flow (indication of Yang Qi exhaustion) ○ Post-illness wheezing and diarrhea (indication of impending Spleen pulse exhaustion) ○
Fixed eyes unable to move, hands relaxed and hanging down, and upward deviation of the eyes (indication of Taiyang channel Qi exhaustion)
Foaming at the mouth ○ Snoring-like voice ○ Red face ○ Blackish-green face and cyan lips ○ Full philtrum and everted lips ○ Hair and eyebrows standing upright ○ Black flesh under fingernails ○ Palm lines absent, umbilical protrusion, and dorsum pedis edema ○ Cyan face, desire to lie prone, inability to see, and sweat like oil (indication of Liver Qi exhaustion, death in eight days) ○ Eyebrow loss indicates Gallbladder Qi exhaustion ○ Cyan or falling off of hand and foot nails, incessant cursing and madness (indication of Sinew Qi exhaustion, death in eight days) ○ Shoulder breathing, fixed gaze (indication of Heart Qi exhaustion, immediate death) ○ Straight hair like hemp, inability to flex and extend the body, continuous spontaneous sweating (indication of Small Intestine Qi exhaustion, death in six days) ○ Cold mouth, swollen feet, abdominal heat, abdominal distension, and uncontrolled diarrhea (indication of Spleen Qi exhaustion, death in five days) ○ Spinal pain, heavy body, stiffness preventing turning over (indication of Stomach Qi exhaustion, death in five days) ○ Dry ears, swollen dorsal tongue, hematuria, and red diarrhea (indication of Flesh Qi exhaustion, death in nine days) ○ Open mouth with non-returning breath (indication of Lung Qi exhaustion, death in three days) ○ Uncontrolled diarrhea (indication of Large Intestine Qi exhaustion) ○ Withered teeth, black face, yellow eyes, sensation of waist breaking, and spontaneous sweating (indication of Kidney Qi exhaustion, death in four days) ○ Yellow and withered falling teeth (indication of Bone Qi exhaustion).
When the essence of the Five Zang organs is severely depleted and the Shen (Spirit) cannot be retained, hoarseness occurs.
Picking at clothes and bedclothes, delirium (indication of Yangming channel Qi exhaustion),妄语 (wild speech), confusion, mutism, and aphonia; if caused by febrile disease, survival is still possible.
Floating and surging pulse, sweat like oil, unremitting wheezing indicate Lung Qi exhaustion; sticky sweat that does not flow, surging pulse with unremitting wheezing indicate dispersion of True Qi externally.
Yang remains alone while Yin departs, body resembling smoke, fixed gaze, and head shaking indicate Heart Qi exhaustion. The Heart is a Fire organ, so Yang-heat remains alone, presenting the image of smoke from extreme fire scorching.
Cyan color around the lips and mouth, sweating on the four limbs indicate Liver Qi exhaustion. The lips and mouth belong to the Spleen, and cyan belongs to Wood; Wood overacting on Earth is termed "reverse".
Blackish color around the mouth, cold sweat, and yellow body indicate Spleen Qi exhaustion. Water color overacting on Earth, with true Spleen Qi escaping outward.
Incontinence of urine and feces, wild speech, upward deviation of the eyes and fixed gaze indicate Kidney Qi exhaustion. The two yin openings are governed by the Kidneys; fecal incontinence means the gate is not closed, and water essence is exhausted.
If Yin Qi exhausts first and Yang Qi exhausts later, death occurs; the body and face will be green because Yang departs first and Yin exhausts later, thus green remains.
If Yin Qi exhausts first and Yang Qi exhausts later (Note: Text implies Yang remains after Yin departs), death occurs; the body, face, and extremities will be red, axillae warm, and epigastrium hot. This is because Yin departs first and Yang exhausts later, so red appears due to residual Yang not yet fully exhausted.
Inability to ingest food and fluids, bodily numbness, alternating calmness and chaos indicate Stomach Qi exhaustion. The Stomach receives water and grain to nourish muscles.
Exhaustion of the Six Fu organs manifests as cold feet and curled toes; exhaustion of the Five Zang organs manifests as incontinence of urine and feces and numbness of the hands and feet.
Exhaustion of Hand-Taiyin (Lung) Qi leads to dry skin and hair. Taiyin refers to the Lung, which circulates Qi to nourish the skin and hair. Thus, without Qi nourishment, skin and hair become dry and fluids depart. When fluids depart, skin joints are damaged, skin patterns disappear, skin becomes withered, and hair breaks. Loss of fluid nourishment causes hair breakage, indicating hair dies first. Condition worsens on Bing day, death on Ding day, as Fire controls Metal; other organs follow this pattern.
Exhaustion of Hand-Shaoyin (Heart) Qi leads to blocked vessels. Blocked vessels lead to stagnant blood; stagnant blood leads to loss of luster, resulting in a dark face like mud. This indicates blood dies first. Condition worsens on Ren day, death on Gui day.
Exhaustion of Foot-Taiyin (Spleen) Qi leads to failure of vessels to nourish the lips. Lips are the root of muscles; without vessel nourishment, muscles lose smoothness. Loss of muscle smoothness leads to muscle fullness, causing lip eversion. Lip eversion indicates flesh dies first. Condition worsens on Jia day, death on Yi day.
Exhaustion of Foot-Shaoyin (Kidney) Qi leads to withered bones. Shaoyin is the Winter pulse, hidden within and warming the marrow. Without warm marrow, flesh does not adhere to bone. Lack of bone-flesh affinity leads to flaccid and receding flesh, making teeth appear long and dirty due to gum recession. Hair loses luster, indicating bone dies first. Condition worsens on Wu day, death on Si day.
Exhaustion of Foot-Jueyin (Liver) Qi leads to sinew contraction, pulling the testicles and tongue. Jueyin refers to the Liver, which governs sinews. Sinews gather at the genitalia and connect to the base of the tongue. Without vessel nourishment, sinews contract tightly, pulling the testicles and tongue, causing tongue retraction and testicular retraction. This indicates sinews die first. Condition worsens on Geng day, death on Xin day.
Exhaustion of all Three Yin channels leads to dizziness and spinning vision. Dizziness results from loss of Zhi (Will); loss of Will leads to death of the spirit, resulting in blindness. Depletion of Yin causes blindness.
Exhaustion of all Six Yang channels leads to separation of Yin and Yang. Separation of Yin and Yang causes leakage of interstices, leading to terminal sweat emerging like large beads that do not flow. Predicted in the morning, death in the evening; predicted in the evening, death in the morning.