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ixtlal pipixauhtoc.

Headword: 
ixtlal pipixauhtoc.
Principal English Translation: 

for the sick person to have the color of impending death

Alonso de Molina: 

ixtlal pipixauhtoc. n. tener ya color de muerto el enfermo.
Alonso de Molina, Vocabulario en lengua castellana y mexicana y mexicana y castellana, 1571, part 2, Nahuatl to Spanish, f. 48r. col. 1. Thanks to Joe Campbell for providing the transcription.