病患肝绝，八日死。何以知之？面青，但欲伏眠，目视而不见人，汗（一作泣）出如水不止。（一曰二日死）病患胆
绝，七日死，何以知之？眉为之倾。
病患筋绝，九日死。何以知之？手足爪甲青，呼骂不休。（一曰八日死）
病患心绝，一日死。何以知之？肩息，回视，立死。（一曰目亭亭，一日死）
病患肠（一云小肠）绝，六日死。何以知之？发直如干麻，不得屈伸，白汗不止。
病患脾绝，十二日死。何以知之？口冷，足肿，腹热，胪胀，泄利不觉，出无时度。（一曰五日死）
病患胃绝，五日死。何以知之？脊痛，腰中重，不可反复。（一曰腓肠平，九日死）病患肉绝，六日死。何以知之？
耳干，舌皆肿，溺血，大便赤泄。（一曰足肿，九日死）
病患肺绝，三日死，何以知之？口张，但气出而不还。（一曰鼻口虚张短气）病患大肠绝，不治。何以知之？泄利无
度，利绝则死。
病患肾绝，四日死。何以知之？齿为暴枯，面为正黑，目中黄色，腰中欲折，白汗出如流水。（一曰人中平，七日死）
病患骨绝，齿黄落，十日死。
诸浮脉无根者，皆死。以上五脏六腑为根也。
春三月木王，肝脉治，当先至，心脉次之，肺脉次之，肾脉次之。此为四时王相顺脉也。到六月土王，脾脉当先至
而反不至，反得肾脉，此为肾反脾也，七十日死。何谓肾反脾？夏，火王，心脉当先至，肺脉次之，而反得肾脉，是谓
肾反脾。期五月、六月，忌丙丁。脾反肝，三十日死。何谓脾反肝？春，肝脉当先至，而反不至，脾脉先至，是谓脾反
肝。期正月、二月，忌甲乙。肾反肝，三岁死。何谓肾反肝？春肝脉当先至而反不至，肾脉先至是谓肾反肝也。期七月、
八月、忌庚辛。肾反心，二岁死。何谓肾反心？夏，心脉当先至而反不至，肾脉先至，是谓肾反心也。期六月，忌戊己。
（臣亿等按《千金》云此中不论肺金之气疏略未论指南又推五行亦颇颠倒待求别录也）
患者肝脏真气衰竭，八日后死亡。怎么知道呢？面色发青，只想趴着睡觉，眼睛看着人却看不见东西，汗水像水一样不停地流出。（另一种说法是两到三天死亡）
患者胆气衰竭，七日后死亡，怎么知道呢？眉毛下垂。
患者筋气衰竭，九日后死亡。怎么知道呢？手脚指甲发青，呼叫谩骂不停止。（另一种说法是八日死亡）
患者心脏真气衰竭，一日后死亡。怎么知道呢？抬肩呼吸，目光呆滞回顾，立即死亡。（另一种说法是眼神固定不动，一日死亡）
患者肠（一说小肠）气衰竭，六日后死亡。怎么知道呢？头发直立像干麻草一样，身体僵硬不能屈伸，冷汗不止。
患者脾脏真气衰竭，十二日后死亡。怎么知道呢？口冷，脚肿，腹部发热，腹胀满，腹泻失禁，没有定时规律。（另一种说法是五日死亡）
患者胃气衰竭，五日后死亡。怎么知道呢？脊背疼痛，腰部沉重，无法翻身转动。（另一种说法是小腿肚肌肉萎缩平坦，九日死亡）
患者肉气衰竭，六日后死亡。怎么知道呢？耳朵干燥，舌头肿胀，尿血，大便呈红色稀泄。（另一种说法是脚肿，九日死亡）
患者肺脏真气衰竭，三日后死亡，怎么知道呢？嘴巴张开，只有气呼出而没有气吸入。（另一种说法是鼻口虚张，呼吸短促）
患者大肠气衰竭，无法治疗。怎么知道呢？腹泻无度，如果腹泻停止则死亡。
患者肾脏真气衰竭，四日后死亡。怎么知道呢？牙齿突然干枯，面色正黑，眼珠发黄，腰部感觉要折断，冷汗流出如流水一般。（另一种说法是人中穴部位平坦，七日死亡）
患者骨气衰竭，牙齿枯黄脱落，十日后死亡。
所有浮脉如果没有根气的，都是死证。以上五脏六腑以脉有根为根本。
春季三个月，木气旺盛，肝脉应当最先出现，心脉次之，肺脉次之，肾脉再次之。这是顺应四季王相的顺脉。到了六月土气旺盛，脾脉应当最先出现反而不出现，反而得到肾脉，这叫肾反脾，七十日后死亡。什么叫肾反脾？夏季，火气旺盛，心脉应当最先出现，肺脉次之，反而得到肾脉，这就是肾反脾。期限在五月、六月，忌讳丙丁日。脾反肝，三十日后死亡。什么叫脾反肝？春季，肝脉应当最先出现反而不出现，脾脉先出现，这叫脾反肝。期限在正月、二月，忌讳甲乙日。肾反肝，三年后死亡。什么叫肾反肝？春季肝脉应当最先出现反而不出现，肾脉先出现，这叫肾反肝。期限在七月、八月，忌讳庚辛日。肾反心，两年后死亡。什么叫肾反心？夏季，心脉应当最先出现反而不出现，肾脉先出现，这叫肾反心。期限在六月，忌讳戊己日。（臣等亿等人按：《千金方》说此段未论述肺金之气，疏略未论，指南又推演五行也有颠倒之处，有待寻求别录来补充。）
If the Liver Qi is exhausted, the patient will die in eight days. How do we know this? The face appears cyanotic, the patient desires to lie prone and sleep, looks at people but cannot see them, and sweat flows continuously like water. (Another version states death occurs in two to three days.)
If the Gallbladder Qi is exhausted, the patient will die in seven days. How do we know this? The eyebrows droop.
If the Sinew Qi is exhausted, the patient will die in nine days. How do we know this? The fingernails and toenails turn cyanotic, and the patient calls out and curses incessantly. (Another version states death occurs in eight days.)
If the Heart Qi is exhausted, the patient will die in one day. How do we know this? The patient breathes with raised shoulders (shoulder breathing), gazes back fixedly, and dies immediately. (Another version states the eyes remain fixed and motionless, with death occurring in one day.)
If the Intestine Qi is exhausted (some texts specify the Small Intestine), the patient will die in six days. How do we know this? The hair stands straight like dry hemp, the body is stiff and unable to bend or stretch, and cold sweat flows without stopping.
If the Spleen Qi is exhausted, the patient will die in twelve days. How do we know this? The mouth feels cold, the feet are swollen, the abdomen feels hot, there is abdominal distension, diarrhea occurs involuntarily without regular timing. (Another version states death occurs in five days.)
If the Stomach Qi is exhausted, the patient will die in five days. How do we know this? There is pain in the spine, heaviness in the waist, and an inability to roll over. (Another version states the calf muscles become flat and atrophied, with death occurring in nine days.)
If the Flesh Qi is exhausted, the patient will die in six days. How do we know this? The ears are dry, the tongue is swollen, there is hematuria (blood in urine), and the stool is red and loose. (Another version states foot swelling, with death occurring in nine days.)
If the Lung Qi is exhausted, the patient will die in three days. How do we know this? The mouth is open, with only exhalation and no inhalation. (Another version states the nose and mouth are vacuously open with shortness of breath.)
If the Large Intestine Qi is exhausted, it is incurable. How do we know this? There is uncontrolled diarrhea; if the diarrhea ceases, the patient dies.
If the Kidney Qi is exhausted, the patient will die in four days. How do we know this? The teeth suddenly become dry and brittle, the face turns black, the sclera turns yellow, the waist feels as if it will break, and cold sweat flows like running water. (Another version states the philtrum becomes flat, with death occurring in seven days.)
If the Bone Qi is exhausted, the teeth become yellow and fall out, and the patient will die in ten days.
All floating pulses that lack a root indicate death. This refers to the Five Zang and Six Fu organs relying on the pulse having a root.
During the first three months of spring, Wood Qi is prosperous, and the Liver Pulse should appear first, followed by the Heart Pulse, then the Lung Pulse, and finally the Kidney Pulse. This is known as the compliant pulse of the Four Seasons corresponding to their prosperity. When June arrives and Earth Qi is prosperous, the Spleen Pulse should appear first but fails to do so; instead, the Kidney Pulse appears. This is called "Kidney reversing Spleen," and death will occur in seventy days. What is meant by "Kidney reversing Spleen"? In summer, Fire Qi is prosperous, and the Heart Pulse should appear first, followed by the Lung Pulse, but instead, the Kidney Pulse appears; this is termed "Kidney reversing Spleen." The critical period is May and June, avoiding Bing and Ding days. If "Spleen reverses Liver," death occurs in thirty days. What is meant by "Spleen reversing Liver"? In spring, the Liver Pulse should appear first but fails to do so; instead, the Spleen Pulse appears first; this is termed "Spleen reversing Liver." The critical period is January and February, avoiding Jia and Yi days. If "Kidney reverses Liver," death occurs in three years. What is meant by "Kidney reversing Liver"? In spring, the Liver Pulse should appear first but fails to do so; instead, the Kidney Pulse appears first; this is termed "Kidney reversing Liver." The critical period is July and August, avoiding Geng and Xin days. If "Kidney reverses Heart," death occurs in two years. What is meant by "Kidney reversing Heart"? In summer, the Heart Pulse should appear first but fails to do so; instead, the Kidney Pulse appears first; this is termed "Kidney reversing Heart." The critical period is June, avoiding Wu and Ji days. (Note by Chen Yi et al.: *Qianjin Fang* states that this section does not discuss Lung Metal Qi, which is an omission. The subsequent deduction of the Five Elements also contains some inconsistencies; further consultation of other records is required.)