Grave illness, old age.

1. Body build: thinning and loss of musculature.
2. Dark, dull complexion.
3. Fixed, dull, sad gaze.
4. Mental state: confused, lethargic mind. Coma.
5. Difficulty speaking, incoherent speech.
6. Weak, irregular, difficult breathing.
7. Abnormal body posture: disordered gestures, slow or insufficient reflexes.
8. Loss of appetite.
9. Vital state: Qi and Jing exhausted.
10. In the face of illness, has poor prognosis.