卫通，是以姜枣为使也。呕家不用此汤，以味甜故也。《宝鉴》育气汤、参术调中
汤、养胃进食丸、宽中进食丸、和中丸、安胃丸、补中丸、加减平胃散、嘉禾散、
白术散、缓中丸、沉香鳖甲散、十华散、沉香温脾汤、浓朴温中汤、双和汤、小沉
香丸、木香分气丸、木香饼子。
【劳倦所伤虚中有热】《金匮要略》云∶夫男子平人脉大者为劳，极虚亦为劳。
男子面色薄者，主渴及亡血，卒喘悸，脉浮者，里虚也。男子脉虚沉弦，无
寒热，气促里急，小便不利，面色白，时目眩，兼衄，少腹满，此为劳使之然。劳
之为病，其脉浮大，手足烦，春夏剧，秋冬瘥，阴寒精自出，酸削不能行。男子脉
微弱而涩，为无子，精清冷。夫失精家，少腹弦急，阴头寒，目瞑发落，脉极虚芤
迟，为清谷亡血失精也。调中益气汤，治因饥饱劳役损伤脾胃，元气不足，其脉弦，
或洪缓，按之无力中之下时一涩。其证身体沉重，四肢困倦，百节烦疼，胸满短
气，膈咽不通，心烦不安，耳聋耳鸣，目有瘀肉，热壅如火，视物昏花，口中沃沫，
饮食失味，忽肥忽瘦，怠惰嗜卧，溺色变赤，或清利而数，或上饮下便，或时餐泄，
腹中虚痛，不思饮食。《内经》云∶劳则气耗，热则伤气。以黄 、甘草之甘泻热为
主，以白芍药、五味子之酸，能收耗散之气。又曰∶劳者温之，损者温之。以人参
甘温补气不足，当归辛温补血不足，故以为臣。白术、橘皮甘苦温，除胃中客热，
以养胃气为佐。升麻、柴胡苦平，味之薄者，阴中之阳，为脾胃之气下溜，上气不
足，故从阴引阳以补之。又以行阳明之经为使也。如时显热躁，是下元阴火蒸蒸然
发也，加真生地黄二分，黄柏三分。如大便虚坐不得，或大便了而不了，腹中常逼
迫，血虚、血涩也，加当归身五分。如身体沉重，虽小便数多，亦加茯苓五分，
苍术一钱，泽泻五分，黄柏三分。（时暂从权而祛湿也，不可常用。兼足太阴已病，其脉亦络于心中，故显
湿热相合而烦乱）如胃气不和，加汤洗半夏半钱，生姜三片。有嗽者加生地黄三分，以制
半夏之毒。痰厥头痛，非半夏不能除，此足太阴经邪所作也。如无以上证，只服黄
一钱，人参三钱，甘草五分，橘皮酒洗三分，柴胡二分，升麻二分，苍术五分，
黄柏酒洗二分。上件锉如麻豆大，根据前煎服。如秋冬之月，胃脉四道为冲脉所逆，
并胁下少阳脉二道而反上行，病名曰厥逆。《内经》曰∶逆气上行，满脉去形。明七
神昏绝，离去其形而死矣。其证气上冲咽不得息，而喘息有音，不得卧，加吴茱萸
半钱或一钱半，汤洗去苦，观厥气多少而用之。如夏月有此证，为大热也。盖此病
随四时为寒热温凉也。宜以酒黄连、酒黄柏、酒知母各等分，为细末，熟汤为丸，
如梧桐子大。每服二百丸，白汤送下，空心服，仍多服热汤，服毕少时，便以美饮
食压之，不令胃中停留，直至下元，以泻冲脉之邪也。大抵治饮食劳倦所得之病，
乃虚劳七损证也，当用温平甘多辛少之药治之，是其本法也。如时上见寒热病，四
时也，又或将理不如法，或酒食过多，或辛热之食作病，或寒冷之食作病，或居大
热大寒之处益其病，当临时制宜，暂用大寒大热治法而取效，此从权也。不可以得
效之故而久用之，必致夭横矣。《灵枢经》曰∶从下上者引而去之，上气不足，推而
扬之。盖上气者，心肺上焦之气，阳病在阴，从阴引阳，宜以入肾肝下焦之药，引
甘多辛少之药，使升发脾胃之气，又从而去其邪气于腠理皮毛也。又云∶视前痛者
当先取之，是先以缪刺泻其经络之壅者，为血凝而不流，故先去之，而后治他病。
《宝鉴》桂枝加龙骨牡蛎汤、黄 建中汤、人参黄 散、续断汤、柴胡散、秦艽鳖甲
散、人参地骨皮散、地仙散、当归补血汤、犀角紫河车丸、人参柴胡散、清神甘露
丸、双和散、四君子汤、猪肚丸、酸枣仁丸、定志丸、麦煎散、独圣散。
饮食不节，劳役所伤，腹胁满闷，短气，遇春则口淡无味，遇夏虽热，犹有恶
寒，饥则常如饱，不喜食冷物，升阳顺气汤主之。脾胃不足之证，须用升麻、柴胡
苦平味之薄者，阴中之阳，引脾胃中清气行于阳道及诸经，生发阴阳之气，以滋春
气之和也。又引黄 、人参、甘草甘温之气味上行，充实腠理，使阳气得卫外而为
固也。凡治脾胃之药，多以升阳补气名之者，此也。饥饱劳役，胃气不足，脾气下
溜，气短无力，不能寒热，早饭后转增昏闷，须要眠睡，怠惰四肢不收，懒倦
动作，五心烦热，升阳补气汤主之。如腹胀及窄狭，加浓朴。如腹中似硬，加砂仁。
脾胃虚弱，气促气弱，精神短少，衄血吐血，门冬清肺饮、大阿胶丸。痰喘，人参
清镇丸。劳风，心脾壅滞，痰涎盛多，喉中不利，涕唾稠粘，嗌塞吐逆，不思饮食，
或时昏愦，皂角化痰丸。病久厌厌不能食，而脏腑或结或溏，此胃气虚弱也，白术
和胃丸。《明医杂着》云∶东垣论饮食劳倦，为内伤不足之证，治用补中益气汤。
《溯洄集》中，又论不足之中，又当分别饮食伤为有余，劳倦伤为不足。予谓伤饮食
而留积不化，以致宿食郁热，热发于外，此为有余之证，法当消导，东垣自有枳术
丸等治法，具于饮食门矣。其补中益气方论，却谓人因伤饥失饱，致损脾胃、非有
积滞者也，故只宜用补药。盖脾胃全赖饮食之养，今因饥饱不时，失其所养，则脾
胃虚矣。又脾主四肢，若劳力辛苦，伤其四肢，则根本竭矣。或专因饮食不调，或
专因劳力过度，或饮食不调之后加之劳力，或劳力过度之后继以不调，故皆谓之内
伤元气不足之证，而宜用补药也。但须于此四者之间，审察明白，为略加减，则无
不效矣。
卫气通畅，因此用生姜和大枣作为引经药。呕吐患者不使用此方，因为味道太甜的缘故。《宝鉴》中的育气汤、参术调中汤、养胃进食丸、宽中进食丸、和中丸、安胃丸、补中丸、加减平胃散、嘉禾散、白术散、缓中丸、沉香鳖甲散、十华散、沉香温脾汤、浓朴温中汤、双和汤、小沉香丸、木香分气丸、木香饼子。
【劳倦所伤虚中有热】《金匮要略》说：男子平时脉象大而有力的是劳病，极虚弱也是劳病。男子面色苍白无华的，主渴症及失血，突然气喘心悸，脉浮的，是里虚。男子脉象虚沉弦，没有寒热症状，气促且腹部拘急，小便不利，面色白，时常头晕目眩，兼有鼻出血，少腹胀满，这是劳损导致的。劳病的脉象浮大，手足烦热，春夏季节加重，秋冬季节减轻，阴寒导致精液自出，身体酸痛消瘦不能行走。男子脉微弱而涩，是无子的表现，精液清冷。凡是失精的人，少腹弦急，阴头寒冷，眼睛昏花脱发，脉象极虚芤迟，这是清谷、亡血、失精的表现。调中益气汤，治疗因饥饱劳役损伤脾胃，元气不足，其脉象弦，或洪缓，按之无力，中间偶尔一涩。其症状身体沉重，四肢困倦，全身关节疼痛，胸满短气，膈咽不通，心烦不安，耳聋耳鸣，眼睛有瘀肉，热壅如火，视物昏花，口中流涎，饮食无味，忽胖忽瘦，怠惰嗜卧，尿色变赤，或清利而频数，或上饮下便，或时而腹泻，腹中虚痛，不思饮食。《内经》说：劳则气耗，热则伤气。以黄芪、甘草的甘味泻热为主，以白芍药、五味子的酸味，能收敛耗散之气。又说：劳者温之，损者温之。用人参甘温补气不足，当归辛温补血不足，所以作为臣药。白术、橘皮甘苦温，清除胃中客热，以养胃气作为佐药。升麻、柴胡苦平，气味薄的，是阴中之阳，因为脾胃之气下溜，上气不足，所以从阴引阳来补益它。又用它们引导阳明经气作为使药。如果时常显现热躁，这是下元阴火蒸腾发作，加真生地黄二分，黄柏三分。如果大便虚坐不得，或大便完了却觉得没完，腹中常逼迫感，是血虚、血涩，加当归身五分。如果身体沉重，虽然小便次数多，也加茯苓五分，苍术一钱，泽泻五分，黄柏三分。（暂时权宜祛湿，不可常用。兼足太阴已病，其脉亦络于心中，所以显现湿热相合而烦乱）如果胃气不和，加汤洗半夏半钱，生姜三片。有咳嗽的加生地黄三分，以制约半夏的毒性。痰厥头痛，非半夏不能除，这是足太阴经邪气所作。如果没有以上证候，只服黄芪一钱，人参三钱，甘草五分，橘皮酒洗三分，柴胡二分，升麻二分，苍术五分，黄柏酒洗二分。上述药材锉如麻豆大小，按照前面的方法煎服。如果在秋冬月份，胃脉四道被冲脉所逆，并胁下少阳脉二道反而上行，病名叫做厥逆。《内经》说：逆气上行，满脉去形。神明昏绝，离开形体而死。其症状气上冲咽喉不能呼吸，喘息有声，不能卧倒，加吴茱萸半钱或一钱半，汤洗去苦味，观察厥气的多少而使用。如果是夏季有此证，是大热。因为这个病随四季变化而有寒热温凉。宜用酒黄连、酒黄柏、酒知母各等分，研为细末，用熟汤做成丸，如梧桐子大。每次服用二百丸，白开水送下，空腹服，仍多喝热汤，服完后稍时，立即用美味饮食压住，不让药物在胃中停留，直达下元，以泻冲脉的邪气。大抵治疗饮食劳倦所得的病，乃是虚劳七损证，应当用温平甘多辛少的药物治疗，这是基本法则。如果时常出现寒热病，这是四时气候影响，或者调理不如法，或者酒食过多，或者辛辣热食致病，或者寒冷食物致病，或者居住在大热大寒之处加重病情，应当临时制宜，暂时用大寒大热的治法而取效，这是权宜之计。不可以因为见效而久用，必然导致夭折横死。《灵枢经》说：从下上者引而去之，上气不足，推而扬之。上气，是心肺上焦之气，阳病在阴，从阴引阳，宜用入肾肝下焦的药物，引导甘多辛少的药物，使脾胃之气升发，又从而祛除腠理皮毛的邪气。又说：视前痛者当先取之，是先以缪刺泻其经络的壅滞，因为血凝而不流，所以先去之，而后治其他病。《宝鉴》中的桂枝加龙骨牡蛎汤、黄芪建中汤、人参黄芪散、续断汤、柴胡散、秦艽鳖甲散、人参地骨皮散、地仙散、当归补血汤、犀角紫河车丸、人参柴胡散、清神甘露丸、双和散、四君子汤、猪肚丸、酸枣仁丸、定志丸、麦煎散、独圣散。
饮食不节，劳役所伤，腹胁满闷，短气，遇春季则口淡无味，遇夏季虽热，仍有恶寒，饥饿时常常像吃饱一样，不喜欢吃冷物，升阳顺气汤主治。脾胃不足的证候，须用升麻、柴胡苦平气味薄的药物，阴中之阳，引导脾胃中清气行于阳道及诸经，生发阴阳之气，以滋长春气和煦之气。又引导黄芪、人参、甘草甘温的气味上行，充实腠理，使阳气得以卫外而固密。凡是治疗脾胃的药物，多以升阳补气命名的，就是这个原因。饥饱劳役，胃气不足，脾气下溜，气短无力，不能耐受寒热，早饭后转增昏闷，需要睡眠，怠惰四肢不收，懒倦动作，五心烦热，升阳补气汤主治。如果腹胀及狭窄，加厚朴。如果腹中似硬，加砂仁。脾胃虚弱，气促气弱，精神短少，衄血吐血，门冬清肺饮、大阿胶丸主治。痰喘，人参清镇丸主治。劳风，心脾壅滞，痰涎盛多，喉中不利，涕唾稠粘，咽喉阻塞吐逆，不思饮食，或时而昏愦，皂角化痰丸主治。病久厌厌不能食，而脏腑或结或溏，这是胃气虚弱，白术和胃丸主治。《明医杂着》说：东垣论述饮食劳倦，为内伤不足之证，治疗用补中益气汤。《溯洄集》中，又论不足之中，又当分别饮食伤为有余，劳倦伤为不足。我认为伤饮食而留积不化，以致宿食郁热，热发于外，此为有余之证，法当消导，东垣自有枳术丸等治法，具备于饮食门了。他的补中益气方论，却说人因伤饥失饱，致损脾胃、没有积滞的，所以只宜用补药。盖脾胃全赖饮食之养，现在因饥饱不时，失去其所养，则脾胃虚了。又脾主四肢，若劳力辛苦，伤其四肢，则根本竭尽了。或者专因饮食不调，或专因劳力过度，或饮食不调之后加之劳力，或劳力过度之后继以不调，所以都称为内伤元气不足之证，而宜用补药。但须在这四者之间，审察明白，略微加减，就没有不有效的了。
Wei Qi (Defensive Qi) is unobstructed, therefore Ginger and Jujube are used as guides. Vomiting patients should not use this decoction because of its sweet taste. From *Bao Jian*: Yuqi Tang (Qi-Nourishing Decoction), Shenzhu Tiaozhong Tang (Ginseng and Atractylodes Decoction to Regulate the Middle), Yangwei Jinshi Wan (Stomach-Nourishing Appetizing Pill), Kuanzhong Jinshi Wan (Middle-Widening Appetizing Pill), Hezhong Wan (Middle-Harmonizing Pill), Angwei Wan (Stomach-Calming Pill), Buzhong Wan (Middle-Supplementing Pill), Jiajian Pingwei San (Modified Pinellia Powder to Stabilize the Stomach), Jiahe San (Harmonious Grain Powder), Baizhu San (Atractylodes Macrocephala Powder), Huanzhong Wan (Middle-Soothing Pill), Chenxiang Biejia San (Aquarium Shell and Ambergris Powder), Shihua San (Ten Splendors Powder), Chenxiang Wentpi Tang (Ambergris Warming Spleen Decoction), Houpo Wenzhong Tang (Magnolia Bark Warming Middle Decoction), Shuanghe Tang (Double Harmony Decoction), Xiao Chenxiang Wan (Small Ambergris Pill), Muxiang Fenqi Wan (Costus Dividing Qi Pill), Muxiang Bingzi (Costus Cake).
[Deficiency with Heat due to Fatigue and Overexertion] *Jin Gui Yao Lue* states: In men, a large pulse indicates Lao disease (Consumptive Disease), and an extremely deficient pulse also indicates Lao disease. Men with a pale complexion primarily suffer from thirst and blood loss; sudden panting and palpitations with a floating pulse indicate interior deficiency. Men with a deficient, deep, and wiry pulse, without chills or fever, experiencing shortness of breath and abdominal urgency, dysuria, a white complexion, occasional vertigo, epistaxis, and lower abdominal fullness, are suffering from the effects of Lao disease. The pulse in Lao disease is floating and large, with heat in the hands and feet, worsening in spring and summer, and improving in autumn and winter. Yin cold causes spontaneous emission of essence, and acid soreness prevents walking. A weak, thin, and choppy pulse in men indicates infertility and clear, cold semen. Those who habitually lose essence have tense and urgent lower abdomens, cold genitalia, blurred vision, hair loss, and an extremely deficient, knotted, and slow pulse, indicating clear stool, blood loss, and essence loss.
Tiaozhong Yiqi Tang (Regulating Middle and Boosting Qi Decoction) treats damage to the Spleen and Stomach caused by hunger, fullness, fatigue, and overwork, resulting in insufficient Yuan Qi (Original Qi). The pulse may be wiry, or surging and slow, feeling powerless upon pressure, occasionally becoming choppy. Symptoms include heavy body, tired limbs, pain in all joints, chest fullness, shortness of breath, obstruction in the diaphragm and throat, restlessness, deafness, tinnitus, fleshy growths in the eyes, heat accumulation like fire, blurred vision, excessive saliva, loss of taste, fluctuating weight, lethargy, preference for lying down, dark urine, or clear and frequent urination, drinking above and defecating below, intermittent diarrhea, empty abdominal pain, and lack of appetite. *Nei Jing* states: "Fatigue depletes Qi, and heat injures Qi." The primary treatment uses the sweet properties of Huangqi (Astragalus Root) and Gancao (Licorice Root) to drain heat. The sour properties of Shaoyao (Peony Root) and Wuweizi (Schisandra Fruit) can gather depleted and scattered Qi. It is also said: "For fatigue, warm it; for deficiency, warm it." Renshen (Ginseng Root) with its sweet-warm nature tonifies insufficient Qi, and Danggui (Angelica Sinensis Root) with its pungent-warm nature tonifies insufficient Blood, thus serving as Deputy herbs. Baizhu (Atractylodes Macrocephala Rhizome) and Chenpi (Citrus Reticulata Peel) with their sweet-bitter-warm nature remove guest-heat in the Stomach and nourish Stomach Qi, serving as Assistant herbs. Shengma (Cimicifuga Rhizome) and Chaihu (Bupleurum Root) are bitter and neutral, with thin flavors, representing Yang within Yin. Because Spleen and Stomach Qi sinks downward and Upper Qi is insufficient, one draws from Yin to supplement Yang. They are also used as Envoy herbs to guide the Yangming Meridian. If heat and irritability frequently appear, this is the steaming of Yin-fire in the Lower Origin; add 2 fen of Shengdihuang (Rehmannia Root) and 3 fen of Huangbai (Phellodendron Bark). If there is a sensation of needing to defecate but nothing comes out, or incomplete defecation with constant abdominal pressure, this is Blood deficiency and stagnation; add 5 fen of Dangguishen (Body of Angelica Sinensis Root). If the body feels heavy, even with frequent urination, add 5 fen of Fuling (Poria), 1 qian of Cangzhu (Atractylodes Lancea Rhizome), 5 fen of Zexie (Alisma Rhizome), and 3 fen of Huangbai. (This is a temporary measure to dispel dampness and should not be used regularly. When the Foot-Taiyin channel is diseased, its pulse connects to the Heart, manifesting combined damp-heat causing agitation.) If Stomach Qi is disharmonious, add Banxia (Pinellia Tuber) washed in water, half a qian, and three slices of Shengjiang (Fresh Ginger). For cough, add 3 fen of Shengdihuang to counteract the toxicity of Banxia. Phlegm-Jue headache cannot be removed without Banxia; this is caused by pathogens in the Foot-Taiyin meridian. If none of the above symptoms exist, take only 1 qian of Huangqi, 3 qian of Renshen, 5 fen of Gancao, 3 fen of Chenpi washed in wine, 2 fen of Chaihu, 2 fen of Shengma, 5 fen of Cangzhu, and 2 fen of Huangbai washed in wine. Crush the ingredients to the size of hemp seeds and decoct according to previous instructions. In autumn and winter months, if the four pathways of the Stomach pulse are reversed by the Chong Mai (Penetrating Vessel), and the two pathways of the Shaoyang pulse under the ribs ascend reversely, the disease is named Jueni (Reversal Cold). *Nei Jing* says: "Ascending rebellious Qi fills the pulses and separates from the form." Spirit becomes confused and perishes, leaving the body. Symptoms include Qi rushing up to the throat preventing breathing, noisy panting, inability to lie flat. Add 0.5 qian or 1.5 qian of Wuzhuyu (Evodia Fruit) washed in water to remove bitterness, using dosage based on the degree of rebellious Qi. If this occurs in summer, it indicates great heat. This disease varies with the seasons' cold, heat, warmth, and coolness. Use equal parts of Jiuhuanglian (Coptis Rhizome processed with wine), Jiuhuangbai (Phellodendron Bark processed with wine), and Jiuzhimu (Anemarrhena Rhizome processed with wine), grind into fine powder, and make pills with hot water, sized like paulownia seeds. Take 200 pills each time with plain boiled water, on an empty stomach. Drink plenty of hot water afterward, and immediately follow with delicious food to prevent the medicine from lingering in the Stomach, ensuring it reaches the Lower Origin to drain pathogens from the Chong Mai. Generally, treating diseases from diet and fatigue involves Xu Lao (Deficiency Consumption) and Seven Damages syndromes. One should use medicines that are warm-neutral, sweet-dominant, and pungent-minimal; this is the fundamental method. If chills and fever appear frequently, influenced by the four seasons, or due to improper care, excessive alcohol/food, spicy-hot foods, cold foods, or living in extreme temperatures aggravating the condition, one must adapt temporarily, using drastic cold or heat treatments for effect; this is a flexible approach. Do not use them long-term just because they work, or death will result. *Ling Shu Jing* states: "For ascending pathogens, draw them away; for insufficient Upper Qi, push and raise it." Upper Qi refers to the Qi of the Heart, Lungs, and Upper Jiao. Yang disease in Yin requires drawing from Yin to Yang. Use herbs entering the Kidney and Liver Lower Jiao to guide sweet-dominant, pungent-minimal herbs to raise Spleen and Stomach Qi, and subsequently expel pathogens from the Couli (interstices) and skin/hair. It also says: "Where there was prior pain, treat it first," meaning first use Miu Ci (Mysterious Pricking) to drain meridian congestion caused by stagnant blood flow, removing it before treating other diseases. From *Bao Jian*: Guizhi Jia Longgu Muli Tang (Cinnamon Twig Decoction plus Dragon Bone and Oyster Shell), Huangqi Jianzhong Tang (Astragalus Middle-Constructing Decoction), Renshen Huangqi San (Ginseng and Astragalus Powder), Xuduan Tang (Dipsacus Decoction), Chaihu San (Bupleurum Powder), Qinjiao Biejia San (Gentian and Aquarium Shell Powder), Renshen Digupi San (Ginseng and Cortex Lycii Powder), Dixian San (Earth Immortal Powder), Danggui Buxue Tang (Angelica Blood-Nourishing Decoction), Xijiao Ziheche Wan (Rhinoceros Horn and Placenta Pill), Renshen Chaihu San (Ginseng and Bupleurum Powder), Qingshen Ganlu Wan (Spirit-Clearing Sweet Dew Pill), Shuanghe San (Double Harmony Powder), Sijunzi Tang (Four Gentlemen Decoction), Zhudu Wan (Pork Stomach Pill), Suanzaoren Wan (Ziziphus Seed Pill), Dingzhi Wan (Spirit-Calming Pill), Maijian San (Wheat Decoction Powder), Dusheng San (Single Saint Powder).
Irregular diet and fatigue injury cause abdominal and hypochondriac fullness, shortness of breath. In spring, the mouth tastes bland; in summer, despite heat, there is aversion to cold. Feeling full when hungry and disliking cold foods are treated with Shengyang Shunqi Tang (Raising Yang and Smooth Qi Decoction). For Spleen and Stomach insufficiency, use Shengma and Chaihu, which are bitter, neutral, and have thin flavors (Yang within Yin), to guide clear Qi from the Spleen and Stomach into the Yang pathways and various meridians, generating Yin-Yang Qi to nourish the harmonious Qi of Spring. Also guide the sweet-warm aromas of Huangqi, Renshen, and Gancao upward to fill the Couli, allowing Yang Qi to defend the exterior and consolidate. This is why most Spleen-Stomach tonifying drugs are named "Raise Yang and Tonify Qi." Hunger, fullness, and fatigue lead to insufficient Stomach Qi and sinking Spleen Qi, causing shortness of breath, weakness, intolerance to cold/heat, post-prandial drowsiness after breakfast, need for sleep, lethargy, limb heaviness, laziness, and five-palm heat. These are treated with Shengyang Buxi Tang (Raising Yang and Tonifying Qi Decoction). For abdominal distension and tightness, add Houpo (Magnolia Bark). For hardness in the abdomen, add Sharen (Amomum Fruit). Spleen-Stomach weakness with shortness of breath, scant spirit, epistaxis, and hematemesis are treated with Mendong Qingfei Yin (Ophiopogon Lung-Clearing Infusion) and Da Ejiao Wan (Large Donkey-Hide Gelatin Pill). Phlegm-wheezing is treated with Renshen Qingzhen Wan (Ginseng Calming Settling Pill). Wind-Lao with Heart-Spleen stagnation, excessive phlegm-saliva, throat discomfort, thick sputum, swallowing difficulty, vomiting, anorexia, or occasional fainting is treated with Zaojiao Huatan Wan (Soap Pod Phlegm-Resolving Pill). Chronic illness leading to anorexia, with constipation or loose stools in organs, indicates weak Stomach Qi, treated with Baizhu Hewei Wan (Atractylodes Harmonizing Stomach Pill).
*Ming Yi Za Zhu* states: Dongyuan discusses diet and fatigue as internal injury and insufficiency, treating with Buzhong Yiqi Tang (Supplement Middle and Boost Qi Decoction). *Suhui Ji* further distinguishes within insufficiency: dietary injury is excess, while fatigue injury is deficiency. I argue that dietary injury with retained undigested food leads to stagnation and郁热 (depressed heat) manifesting externally, which is an excess syndrome, requiring resolution and guidance methods; Dongyuan has Zhi Zhu Wan (Immature Bitter Orange and Atractylodes Pill) etc., detailed in the Diet section. His Buzhong Yiqi formula theory states that people damaged by irregular eating harm the Spleen/Stomach without stagnation, so only tonics are suitable. The Spleen and Stomach rely entirely on dietary nourishment; irregular eating loses this nourishment, causing deficiency. Since the Spleen governs the limbs, physical labor injuring the limbs exhausts the root. Whether solely from irregular diet, solely from overwork, or combined, these are all internal injuries causing Yuan Qi insufficiency, suitable for tonic treatment. However, one must examine these four aspects clearly and make slight modifications for effectiveness.