Ford F250 4.9L Problem?

I posted a question the other day about my truck. It is a 1990 Ford F250 with the 4.9L straight 6. When I turned it on, it would shake violently and cut off. I could make it drive by giving it a lot of gas, but when it drives, it was shaking very bad, the idle was random, and it would cut off at red lights. The shaking was worse at low speed. Very noticeable loss of power. I did a few more things to it since I asked last time and nothing has changed. Here are the things I have already done. Changed spark plugs and wires, distributor cap and rotor, changed coolant temperature sensor, cleaned IAT sensor, replaced the idle air control unit, replaced 2 vacuum lines that were dry rotted, cleaned throttle body, replaced throttle body gasket (had a leak).

I have done all of the above and it has not changed at all. There is a hissing noise when it is running, so my guess is that I have missed a vacuum leak somewhere, but it will not stay running long enough to check. I need some advise. Thanks.

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