黑气起于耳目鼻上，渐入口者死。白色者亦然。赤色见于耳目 上，五日死。张口如鱼
，出
气不反者死。循衣摸缝者死。无热妄语者死。遗尿不知者死。爪甲青者死。爪甲肉黑者死。
舌卷卵缩者死。眉倾发直者死。唇反人中满者死。阴阳俱闭，失声者死。神气不守，声嘶者
死。汗出不流者死。口臭不可近者死。回目直视，肩息者死。齿忽黑色，面青目黑，面青目
黄，面青目白，面青唇黑者，皆死。面白目黑，面白目白，皆死。面赤目黄，面赤目白死。
而黑目白死。面黑胁满，不能反侧者死。面黑唇青死。面黑目青死。面黄目白，面黄目青，
面黄目黑死。以上黑如燃，白如枯骨，赤似血，青似草，方为死候。
心绝肩息，回盼目直，一日死。肺绝气去不快，口如鱼，三日死。骨绝，腰脊痛，不可
反侧
，五日死。脾绝口冷，足肿，胀泄，十二日死。肾绝大便赤涩下血，耳干，脚浮，舌肿者，
六日死。筋绝魂惊虚恐，手足爪甲青，善呼，骂不休，九日死。肠绝发直，汗出不止，不得
屈伸，六日死。肝绝恐俱伏卧，目直面青，八日死。又实时死。胃绝齿落，目黄者，七日死
。
脉，沉微、细弱不可汗。沉细为在里，微弱气血虚。浮而紧，法当身痛，当以汗解。假
令尺
脉迟者，不可汗，此血微少故也。阴病脉细沉数不可汗，病在里之故也。伤寒风湿。素伤于
风，复伤于热，四肢不收，头痛身热，常汗不解，治在少阴、厥阴，不可汗。汗之谵语内烦
，不得卧，善惊，目乱无精光。伤寒湿温，素伤于寒，因而中 ，若两胫冷腹满，头目痛妄
言，治在足太阴，不可汗。汗出必不能言，耳聋，不知痛所在，身青面变死。伤寒头痛。形
象中风，常微汗出，又自呕者，心懊 ，发汗则痉。伤寒脉弦细头痛，而反热，此属少阳，
不可汗。太阳与少阳并病，头项强痛，或眩冒，心下痞坚，不可汗。少阴病，咳而下利谵语
者，此强汗之故也。咽中闭塞不可汗，汗之则吐血。厥阴不可汗，汗之声乱咽嘶。亡血家不
可汗，汗之则寒栗。衄不可汗，汗之必额陷直视。淋家不可汗，汗之必便血。疮家不可汗，
汗之则痉。汗家不可重汗，汗之必恍惚，脉短者死。冬时发其汗，必吐利口疮。下利清谷不
可汗，汗之必胀满。咳而小便利，或误汗之，则厥逆。诸逆发汗，微者难愈；剧者言乱，睛
眩者死。动气在，不问左右上下，一切不可汗。
脉，浮大可汗。问病者，设利，为虚而不可汗也。浮而紧可汗。太阳病，脉浮弱，可汗
。浮而数者，亦可汗。脉迟汗出多，微恶寒，表未解，可汗。热如疟，此为阳明，脉浮虚，
可汗。身痛，清便自调，可汗。
黑气从耳目鼻上方升起，逐渐蔓延至口部的，主死证。白色气色呈现这种情况的，也是死证。赤色出现在耳目上方，五日后死亡。张口像鱼嘴一样，呼出的气只进不出（或气息不回返）的，主死证。手循摸衣缝的，主死证。没有发热却胡言乱语的，主死证。遗尿且神志不清的，主死证。指甲发青的，主死证。指甲及周围肌肉发黑的，主死证。舌头卷缩、睾丸上缩的，主死证。眉毛脱落、头发僵直的，主死证。嘴唇外翻、人中饱满的，主死证。阴阳之气俱闭阻，失声的，主死证。神气不能内守，声音嘶哑的，主死证。出汗但汗液不流动的，主死证。口臭严重到无法靠近的，主死证。眼球转动不定、直视前方，呼吸时肩膀耸动（肩息）的，主死证。牙齿突然变黑，面色青而眼珠黑，面色青而眼珠黄，面色青而眼珠白，面色青而嘴唇黑的，都是死证。面色白而眼珠黑，面色白而眼珠白的，都是死证。面色赤而眼珠黄，面色赤而眼珠白的，都会死亡。如果黑如燃烧的火，白如枯骨，赤如鲜血，青如青草，这才是真正的死候征象。
心气绝，出现肩息，回顾时眼球固定直视，一天后死亡。肺气绝，气息去而不快，口张如鱼，三天后死亡。骨气绝，腰脊疼痛，不能翻身侧卧，五天后死亡。脾气绝，口冷，足部肿胀，腹胀泄泻，十二天后死亡。肾气绝，大便赤涩下血，耳朵干燥，脚部浮肿，舌体肿胀的，六天后死亡。筋气绝，魂神惊骇虚恐，手足指甲发青，喜欢呼喊，骂人不休，九天后死亡。肠气绝，头发直竖，出汗不止，身体不能屈伸，六天后死亡。肝气绝，恐惧拘谨伏卧，眼睛直视、面色青，八天后死亡；有的当时就死亡。胃气绝，牙齿脱落，眼睛黄的，七天后死亡。
脉象沉微、细弱的，不可使用发汗法。脉沉细表示病在里，脉微弱表示气血虚弱。脉浮而紧，按照法则应当身体疼痛，应当用发汗法解除。假如尺脉迟缓的，不可发汗，这是因为血液轻微亏少的缘故。阴病脉象细沉数，不可发汗，这是病在里的缘故。伤寒风湿，平素伤于风，又伤于热，四肢无力收持，头痛身热，经常出汗而病不解，治疗应在少阴、厥阴经，不可发汗。如果发汗，会导致谵语、心中烦闷，不能安卧，容易惊恐，目光散乱无精光。伤寒湿温，平素伤于寒，进而中邪，如果两小腿寒冷、腹部胀满，头目痛且胡言乱语，治疗应在足太阴经，不可发汗。如果发汗，必然导致不能说话，耳聋，不知道疼痛所在，身体发青面色改变而死。伤寒头痛，形象像中风，经常微微出汗，又自行呕吐的，心中懊恼，如果发汗则会导致痉病。伤寒脉弦细头痛，反而发热，这属于少阳病，不可发汗。太阳与少阳并病，头项强痛，或者眩晕冒昧，心下痞塞坚硬，不可发汗。少阴病，咳嗽而下利且谵语的，这是强行发汗造成的后果。咽中闭塞不可发汗，发汗则会导致吐血。厥阴病不可发汗，发汗则声音混乱、咽喉嘶哑。亡血家（失血患者）不可发汗，发汗则会导致寒战栗抖。衄血者不可发汗，发汗必然导致额陷、直视。淋家（患淋证者）不可发汗，发汗必然导致便血。疮家（患疮疡者）不可发汗，发汗则会导致痉病。汗家（多汗者）不可再次重发其汗，发汗必然导致精神恍惚，脉短的会死亡。冬季误发其汗，必然导致吐利、口疮。下利清谷（腹泻排出未消化食物）不可发汗，发汗必然导致腹胀满。咳嗽而小便通畅，或者误发其汗，则会导致四肢厥逆。各种逆证发汗，轻微的难以痊愈；严重的言语错乱，眼睛昏眩的会死亡。动气在（脐旁有搏动感），不问左右上下，一切情况都不可发汗。
脉象浮大的，可以发汗。询问病人，如果有利症，则是虚证而不可发汗。脉浮而紧的，可以发汗。太阳病，脉浮弱，可以发汗。脉浮而数的，也可以发汗。脉迟、出汗多、轻微恶寒，表证未解，可以发汗。热势像疟疾，这属于阳明病，脉浮虚，可以发汗。身体疼痛，大小便正常，可以发汗。
Black qi rising from above the ears, eyes, and nose, gradually entering the mouth, indicates death. The same applies to white qi. Red qi appearing above the ears and eyes indicates death after five days. Mouth open like a fish's, with exhaled breath not returning, indicates death. Picking at clothes and seams indicates death. Delirium without fever indicates death. Enuresis with loss of consciousness indicates death. Cyanosis of the fingernails indicates death. Blackening of the nails and surrounding flesh indicates death. Tongue retraction and testicular retraction indicate death. Eyebrow loss and stiff hair indicate death. Everted lips and full philtrum indicate death. Closure of both Yin and Yang Qi with loss of voice indicates death. Shen Qi (Spirit Qi) failing to reside within, with hoarse voice, indicates death. Sweating with non-flowing sweat indicates death. Foul breath that cannot be approached indicates death. Rolling eyes, fixed gaze, and shoulder breathing (Shanxi) indicate death. Sudden blackening of teeth, cyanotic face with black eyes, cyanotic face with yellow eyes, cyanotic face with white eyes, and cyanotic face with black lips are all signs of death. White face with black eyes, and white face with white eyes, are both signs of death. Red face with yellow eyes, and red face with white eyes, lead to death. If black resembles burning fire, white resembles dry bone, red resembles fresh blood, and green resembles grass, these are true signs of death.
Heart Qi exhaustion presents with shoulder breathing, backward glance with fixed eyes, leading to death in one day. Lung Qi exhaustion presents with slow and difficult exhalation, mouth open like a fish, leading to death in three days. Bone Qi exhaustion presents with lower back and spine pain, inability to turn over, leading to death in five days. Spleen Qi exhaustion presents with cold mouth, swollen feet, abdominal distension, and diarrhea, leading to death in twelve days. Kidney Qi exhaustion presents with dark and scanty bloody stool, dry ears, swollen feet, and swollen tongue, leading to death in six days. Tendon Qi exhaustion presents with fright and fear of the Hun (Ethereal Soul), cyanosis of hands, feet, and nails, frequent shouting, and incessant cursing, leading to death in nine days. Intestine Qi exhaustion presents with stiff hair, continuous sweating, and inability to flex or extend limbs, leading to death in six days. Liver Qi exhaustion presents with fear, crouching prone, fixed gaze, and cyanotic face, leading to death in eight days; some die immediately. Stomach Qi exhaustion presents with falling teeth and yellow eyes, leading to death in seven days.
Pulse: Deep, minute, fine, and weak pulses contraindicate diaphoresis (sweating therapy). Deep and fine pulse indicates interior syndrome; weak and minute pulse indicates deficiency of Qi and Blood. Floating and tight pulse typically presents with body pain and should be resolved by diaphoresis. However, if the Chi (Cun Kou) pulse is slow, diaphoresis is contraindicated due to slight blood deficiency. Yin disease with fine, deep, and rapid pulse is contraindicated for diaphoresis because the pathogen is in the interior. In Taiyang-Shanghan complicated by Wind-Dampness, where the patient was previously injured by Wind and subsequently by Heat, presenting with flaccid limbs, headache, fever, and persistent sweating despite treatment, the focus should be on Shaoyin and Jueyin meridians; diaphoresis is contraindicated. Diaphoresis would cause delirium, internal vexation, insomnia, fright, and scattered gaze lacking luster. In Taiyang-Shanghan Wet-Warmth, where the patient was previously injured by Cold and then infected, presenting with cold calves, abdominal distension, headache, and delirium, the focus should be on the Foot-Taiyin meridian; diaphoresis is contraindicated. Diaphoresis would lead to aphonia, deafness, unawareness of pain location, cyanosis of the body, and facial changes resulting in death. For Taiyang-Shanghan headache resembling Zhongfeng (Wind Strike), with mild sweating and spontaneous vomiting, causing mental restlessness (Ao Nao), diaphoresis leads to Jing Disease (Spasm). For Taiyang-Shanghan with wiry and fine pulse, headache, and counter-current heat, this belongs to Shaoyang; diaphoresis is contraindicated. In concurrent Taiyang and Shaoyang disease, with stiffness and pain in the head and neck, dizziness, and hardness/fullness below the heart, diaphoresis is contraindicated. In Shaoyin disease, cough with diarrhea and delirium results from forced diaphoresis. Throat obstruction is contraindicated for diaphoresis; diaphoresis causes hematemesis. Jueyin disease is contraindicated for diaphoresis; diaphoresis causes chaotic speech and hoarseness. Patients with blood loss (Wang Xue Jia) are contraindicated for diaphoresis; diaphoresis causes chills and trembling. Nasal bleeding (Nu) patients are contraindicated for diaphoresis; diaphoresis causes sunken forehead and fixed gaze. Lin Jia (patients with strangury) are contraindicated for diaphoresis; diaphoresis causes hematuria. Chuang Jia (patients with sores/ulcers) are contraindicated for diaphoresis; diaphoresis causes spasm. Han Jia (patients with chronic sweating) must not undergo heavy diaphoresis; diaphoresis causes mental confusion, and a short pulse indicates death. Winter diaphoresis causes vomiting, diarrhea, and mouth ulcers. Diarrhea with undigested food (Qing Gu) is contraindicated for diaphoresis; diaphoresis causes abdominal distension. Cough with clear urination, or misapplied diaphoresis, leads to Jue Ni (Cold Reversal). For various reverse conditions, diaphoresis makes mild cases difficult to cure; severe cases with chaotic speech and dizzy eyes result in death. Dong Qi (Moving Qi/Pulsation) present anywhere (left, right, up, down) contraindicates diaphoresis universally.
Pulse: Floating and large pulses may undergo diaphoresis. Inquiry: If there is diarrhea, it indicates deficiency, and diaphoresis is contraindicated. Floating and tight pulses may undergo diaphoresis. In Taiyang disease, floating and weak pulses may undergo diaphoresis. Floating and rapid pulses may also undergo diaphoresis. Slow pulse with profuse sweating and slight aversion to cold, indicating unresolved exterior, may undergo diaphoresis. Fever resembling malaria, belonging to Yangming, with floating and deficient pulse, may undergo diaphoresis. Body pain with normal bowel movements may undergo diaphoresis.