口鼻气出不复回。唇反无纹黑似煤。皮毛焦干爪枯折。途程三日定知灾。
张世贤曰。气出不复回。有呼无吸也。唇反土不能生金也。黑似煤。金不
生水也。气不流通。则皮毛焦干。魂魄不连。则爪甲枯折。从甲至丙。三日
也。丙属火。火克金。故死在三日。经曰。手太阴气绝。即皮毛焦。太阴者。肺
也。行气温于皮毛者也。气弗营则皮毛焦。皮毛焦则津液去。津液去则
皮毛枯折。毛折者则毛先死。丙日笃。丁日死。
按脉经云。病患肺绝三日死。何以知之。口张但气出而不还。
面黑齿痛目如盲。自汗如水腰折频。皮肉濡结发无泽。四日应当命不存。
张世贤曰。面黑。面如垢也。目如盲。瞳人反背也。自汗如水。火独炎也。腰
乃肾之府。肾败则腰似折不能荣于骨髓。而骨肉不相亲。濡肉而却不
能为五液之主。故发不润泽。从甲至戊。越四日也。戊属土。土克水。故命
不存。经曰。足少阴气绝。即骨枯。少阴者。冬脉也。伏行而温于骨髓。故骨
髓不温。即肌肉不着骨。骨肉不相亲。即肉濡而却。肉濡而却。故齿长而
枯。发无润泽。是骨先死。戊日笃。己日死。
按脉经云。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。自汗出。如流水。
口鼻之气呼出后不再收回。嘴唇反卷且无纹理，颜色黑得像煤炭一样。皮肤和毛发焦枯干燥，指甲干枯折断。病程经过三天必定死亡。
张世贤说：气呼出后不收回，是有呼气没有吸气。嘴唇反卷是因为土（脾）不能生金（肺）。颜色黑得像煤炭，是金（肺）不能生水（肾）。气机不流通，所以皮肤和毛发焦枯干燥；魂魄不相连接，所以指甲干枯折断。从甲日到丙日，是三天。丙属火，火克金，所以死于第三天。医经说：手太阴经气绝，就会皮肤焦枯。太阴经就是肺经，它是行气以温养皮肤的。如果气不能营卫周身，皮肤就会焦枯；皮肤焦枯则津液耗去；津液耗去则皮肤和毛发干枯折断。毛发折断意味着毛先死。丙日病情加重，丁日死亡。
按《脉经》记载：病人肺气绝，三天后死亡。怎么知道呢？嘴巴张开，只有气呼出而不吸入。
面色发黑，牙齿疼痛，眼睛像失明一样。自汗出如水流，腰部折断感频繁出现。皮肉濡软粘连，头发没有光泽。四天之后生命应当终结。
张世贤说：面色黑，是指面部像污垢一样。眼睛像失明，是指瞳孔反向背视。自汗出如水流，是火独炎（心火亢盛）。腰是肾的府邸，肾败坏则腰部像折断一样，不能荣养骨髓，导致骨肉不相亲附，肌肉濡软退缩而不能作为五液的主宰，所以头发没有润泽。从甲日到戊日，跨越了四天。戊属土，土克水，所以生命终结。医经说：足少阴经气绝，就会骨骼枯槁。少阴经是冬季的脉象，潜行而温养骨髓。所以骨髓得不到温养，肌肉就不能附着在骨头上，骨肉不相亲附，肌肉就濡软退缩。肌肉濡软退缩，所以牙齿显得长而枯槁，头发没有润泽。这是骨先死。戊日病情加重，己日死亡。
The qi from the mouth and nose is exhaled but does not return. The lips are everted without wrinkles, black like coal. The skin and hair are scorched and dry, and the fingernails are withered and broken. Within three days on the journey, death is certain.
Zhang Shixian said: "Qi exhaled but not returning" indicates exhalation without inhalation. Lip eversion signifies that Earth (Spleen) cannot generate Metal (Lung). Blackness like coal signifies that Metal (Lung) cannot generate Water (Kidney). When Qi circulation is obstructed, the skin and hair become scorched and dry; when Hun and Po souls are disconnected, the nails become withered and broken. From Jia day to Bing day constitutes three days. Bing belongs to Fire, and Fire overcomes Metal; therefore, death occurs on the third day. The Classics state: "When the Qi of the Hand Taiyin meridian is exhausted, the skin and hair become scorched." The Taiyin meridian is the Lung meridian, which circulates Qi to warm the skin and hair. If Qi fails to nourish, the skin and hair become scorched; if scorched, body fluids are lost; if fluids are lost, the skin and hair become withered and broken. Broken hair indicates that hair dies first. On Bing day, the condition becomes critical; on Ding day, death occurs.
According to the *Mai Jing* (Pulse Classic): If a patient's Lung Qi is exhausted, they die after three days. How do we know this? The mouth is open, only exhaling without inhaling.
The face is dark, teeth ache, and the eyes appear blind. Spontaneous sweating flows like water, and there is frequent sensation of the waist breaking. The flesh and skin are moist and adherent, and the hair lacks luster. Within four days, life should cease.
Zhang Shixian said: A dark face means the face looks like dirt. Eyes appearing blind means the pupils are turned backward. Spontaneous sweating flowing like water indicates excessive Fire inflammation alone. The waist is the mansion of the Kidney. When the Kidney fails, the waist feels as if broken and cannot nourish the bone marrow, causing the muscle and bone to lose their intimacy. The flesh becomes moist and recedes, failing to serve as the master of the Five Fluids; thus, the hair lacks luster. From Jia day to Wu day spans four days. Wu belongs to Earth, and Earth overcomes Water; therefore, life ceases. The Classics state: "When the Qi of the Foot Shaoyin meridian is exhausted, the bones become withered." The Shaoyin meridian is the Winter pulse, which lies hidden and warms the bone marrow. If the bone marrow is not warmed, the muscles cannot adhere to the bones, and the muscle-bone relationship is lost, causing the flesh to become moist and recede. When the flesh recedes, the teeth appear long and withered, and the hair lacks luster. This indicates that bones die first. On Wu day, the condition becomes critical; on Ji day, death occurs.
According to the *Mai Jing*: If a patient's Kidney Qi is exhausted, they die after four days. How do we know this? The teeth suddenly become withered, the face is distinctly black, the eyes show yellow, the waist feels as if it wants to break, and spontaneous sweating flows like running water.