服散而饮过度，将适失宜，衣浓食温，则饮结成痰癖。其状∶痰多则胸膈痞满，头眩痛
；癖结则心胁结急是也。
夫服散之人，觉热则洗，觉饥则食。若洗、食不时，失其节度，令石劳壅结，痞塞不解
而生热，故须以药除之。
服散而浮肿者，由食饮温而久不自劳，药势与血气相并，使气壅在肌肤，不得宣散，故
令浮肿。或外有风湿，内有停水，皆与散势相搏，致令烦热而气壅滞，亦令浮肿。若食饮温
，不自劳而肿者，但烦热虚肿而已。其风湿停水而肿者，则必肿而烦热，或小便涩而肿。
夫服石之人，石劳归于肾，而势冲腑脏，腑脏既热，津液竭燥，肾恶燥，故渴而引饮也。
服散将适失所，取温太过，热搏荣卫，而气逆上。其状∶胸满短气是也。
鬲间有寒，胃脘有热；寒热相搏，气逆攻腹乘心，故心腹痛。其寒气盛，胜于热气，荣
卫秘涩不通，寒气内结于心，故心腹痛而心 寒也。其状∶心腹痛而战 ，不能言
语是也。
将适失度，热在上焦，下焦虚冷，冷气乘于胞，故胞冷不能制于小便，则小便多。
服用散剂后饮水过量，生活调摄不当，穿衣过厚、饮食过热，就会导致水饮凝聚形成痰癖。其症状表现为：痰多则胸膈部痞闷胀满，头晕头痛；癖结则心胁部位拘急结聚。
凡是服用散剂的人，感到热就去洗浴，感到饿就去进食。如果洗浴和进食没有按时节，失去了节制，会导致石药之劳气壅滞结聚，痞塞不通而产生内热，因此需要用药物来清除它。
服用散剂后出现浮肿的，是因为饮食温热且长久不劳作，药势与血气相互搏结，使气机壅滞在肌肤之间，不能宣通发散，所以导致浮肿。或者外有风湿侵袭，内有停水停滞，都与散剂的药势相搏结，导致烦热而气机壅滞，也会引起浮肿。如果是饮食温热、不劳作而导致的浮肿，只是烦热和虚性浮肿罢了。如果是风湿和停水导致的浮肿，则必然伴有肿而烦热，或者小便涩滞而浮肿。
服用石药的人，石药之劳气归于肾脏，但其势冲犯脏腑，脏腑既已受热，津液枯竭干燥，肾恶燥，所以会出现口渴而引水自灌的症状。
服用散剂时调摄失当，取温太过，热气搏结于营卫，导致气机上逆。其症状表现为：胸部满闷、呼吸短促。
膈间有寒，胃脘有热；寒热相互搏结，气机上逆攻冲腹部并乘袭心脏，所以导致心腹痛。如果寒气盛于热气，营卫闭塞涩滞不通，寒气内结于心，所以心腹痛且心中寒冷。其症状表现为：心腹痛且身体战栗，不能言语。
调摄失当，触犯温热过度，散剂药势不得宣散，热气积聚在肠胃，所以大便秘结困难。
调摄失度，热气在上焦，下焦虚冷，冷气乘袭胞宫（此处指下焦泌尿生殖系统相关部位），所以胞冷不能制约小便，则小便频多。
调摄失度，或取热太过，或受寒凉，触动石药，冷热相互交击，共同作用于血分，导致血气妄动，血液渗入大肠，肠虚则泄泻，所以大便带血。
After taking powder preparations, excessive drinking of water, improper lifestyle management, wearing thick clothing, and consuming warm/hot food can cause fluid retention to condense into *tanpi* (phlegm-accumulation and fixed masses). The manifestations are: when phlegm is abundant, there is chest and diaphragm fullness and distension, dizziness, and headache; when masses are formed, there is binding and urgency in the heart and hypochondriac regions.
Those who take powder preparations should bathe when they feel hot and eat when they feel hungry. If bathing and eating are not timed properly, losing their measure, it causes *shi lao* (stone-labor toxicity from mineral drugs) to become obstructed and knotted, leading to blockage that cannot resolve and generates heat; therefore, medicinal treatment is required to eliminate it.
Edema occurring after taking powder preparations arises because the diet is warm and there is a lack of physical exertion for a long time. The drug's potency merges with qi and blood, causing qi to stagnate in the skin and muscles without being dispersed, thus resulting in edema. Alternatively, external wind-dampness combined with internal retained water may contend with the powder's potency, causing vexatious heat and qi stagnation, which also leads to edema. If edema results from warm diet and lack of exertion, it presents merely as vexatious heat and deficient edema. However, if caused by wind-dampness and retained water, it must present with swelling accompanied by vexatious heat, or scanty/difficult urination alongside swelling.
For those taking stone/mineral drugs, the toxicity of *shi lao* returns to the Kidney, but its force assaults the fu and zang organs. Once the organs are heated, body fluids become depleted and dry. Since the Kidney dislikes dryness, this leads to thirst and the desire to drink.
Improper management after taking powders, specifically taking warmth excessively, causes heat to contend with Ying and Wei (Nutritive and Defensive levels), leading to rebellious Qi ascending upward. The manifestation is chest fullness and shortness of breath.
Cold in the diaphragm region and heat in the stomach epigastrium; when cold and heat contend, rebellious Qi attacks the abdomen and overwhelms the Heart, causing heart and abdominal pain. If Cold is dominant over Heat, blocking and obstructing Ying and Wei so they do not flow freely, and Cold knots internally within the Heart, then heart and abdominal pain occur accompanied by a cold sensation in the Heart. The manifestation is heart and abdominal pain with tremors/shivering, and an inability to speak.
Improper management, exceeding limits in taking warmth, prevents the dispersion of the powder's potency. Heat accumulates in the intestines and stomach, resulting in constipation and difficult defecation.
Improper management leads to Heat in the Upper Jiao and deficiency-cold in the Lower Jiao. Cold Qi assaults the Bao (uterus/lower jiao organ system), causing the Bao to be cold and unable to control urination, resulting in frequent urination.
Improper management, either taking too much heat or suffering cold injury, disturbs the mineral drugs. Cold and heat strike each other, both affecting the Blood, stirring up Blood and Qi. Blood seeps into the Large Intestine; since the intestine is deficient, diarrhea occurs, resulting in blood in the stool.
Disregarding rhythm in activities, loss of dietary moderation, and contact with dispersing/powder preparations weaken the intestines and stomach, leading to sudden onset of diarrhea (acute loose stools).