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undergoes a natural death the physical senses fail one by one. First the sense of vision blurs, then the sense of hearing is impaired, next the sense of smell fails; this is followed by the deterioration of the sense of taste and touch. There is also a feeling or sensation of pressure, followed by coldness, heat, and a sense of being blown to bits. Dissolution of the senses and its varied sensations are symbolically described in Tibetan Buddhism as the merging of the elements one into the other until it sinks into the primal substance. This is the process of Thimrim. To describe the illustrative process above in symbolical detail:

First, “earth sinks into water;” second, “water sinks into fire;” third, “fire sinks into air;” fourth, “air sinks into space.”

As for the external signs of the approach of death that may be observed by an outsider, they may include sagging facial muscles, coldness in the extremities, blueness beneath the nails, difficulty in breathing, and glazed eyes.

This merging of the elements are accompanied by internal and external phenomena or signs which the dying is taught to recognize. Tulku Urgyen Rinpoche explains certain inner signs as cited in the Bardo Guidebook:

“First the earth element starts to disintegrate. One feels very heavy. That’s when people say `Please lift me up, raise me up. I feel like I’m sinking.’ When the water element dissolves then one feels very cold and says, `Please warm me up. It’s too cold in here.’ When the fire element dissolves one feels very thirsty and wants water, one’s lips are drying up. When the wind element dissolves one feels as if one is floating at the brink of an abyss, not anchored anywhere. When consciousness

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