How do we know

i'll give you the tell-tale signs of the 2 extremes: you are either alive or you are dead.
 
i'll give you the tell-tale signs of the 2 extremes: you are either alive or you are dead.

pretty much sums it up.

If you go with the straight TCM definition
If you have strong Qi (internal energy) you are healthy
If you have weak Qi you are sick
If you have no Qi you are dead.
 

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