Before game 5, Akagi himself destroys the 1,400 cc of blood he had lost so far.
The game reaches East Hand 4, where initially it looks like luck is in Akagi's favor.
But just before that hand ends in a draw, Yasuoka makes the terrible mistake of shifting the drawing order. Thus Washizu gets a haneman tsumo win, causing Akagi to lose 600 cc of blood. Combined with the 1,400 cc of blood he has already lost, it's exactly the lethal amount of 2,000 cc. Ougi and Yasuoka can't do anything but watch Akagi have his blood extracted...
Above all, Washizu-sama has no vitality left.
Er hat keine Vitalität mehr.
Primero que nada, no tiene más vitalidad.
Primero que nada, no tiene más vitalidad.
Et d’abord,
M. Washizu est vidé de ses forces.
Lui per primo non mostra segni di vitalità.
Para começar, ele não 
tem nenhuma vitalidade.