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It is stated: Ancient texts mention five labors (Wu Lao), six extremes (Liu Ji), and seven injuries (Qi Shang). These are all caused by excessive labor and injury, or by mutual overacting among the Zang-Fu organs. When one organ is disproportionately damaged, the Five Elements become reversed and stagnant, leading to exhaustion of vitality. All such conditions are referred to as Deficiency Consumption (Xu Lao).

If a patient becomes increasingly emaciated and weak, suffers from shortness of breath, pulling tension in the lower back, soreness and flaccidity of the knees and calves, turbid urine that may be red or white, vivid and chaotic dreams including nocturnal emissions with dream imagery of sexual intercourse, alternating sensations of heat and chills, and vexing pain in the bones and muscles, these result from excessive sexual activity or excessive mental worry. Such factors damage the Spirit (Shen) and deplete Essence (Jing). The pathology lies in the Heart and Kidney, presenting with a fine and rapid pulse (Xi Cu Mai).

If the large bones are withered, it is incurable; if the pulse is weak but present, it is treatable. If the pulse is large and very rapid and the patient cannot eat, death will ensue. This should be treated with Da Jian Zhong Tang (Greatly Building the Middle Decoction).
Da Jian Zhong Tang (See Fever Chapter above).

It is stated: All diseases arise from Qi. Initially, this stems from joy, anger, sorrow, worry, fright, or fear, which then transform into various physical signs and symptoms. If Qi originates on one side, either left or right, circulating up and down, or residing between the muscles, causing pain like stabbing with an awl or knife, and the Qi feels obstructed, leading to abdominal fullness, this is due to fright, anger, or exposure to cold and heat pathogens that remain stagnant. This forms stagnant Qi. As Qi circulates, it clashes along the meridians up and down, causing pain. Over time, this leads to a feeling of oppression. The pulse is short and choppy. This is called Accumulated Qi (Ju Qi), treated with Qi Qi Tang (Seven Emotions Decoction) or Chen Tong San (Pain-Relieving Powder).
Qi Qi Tang: Yang Renzhai in *Zhi Zhi Fang* states it treats interference among the Seven Emotions, dysfunction of Yin-Yang ascending and descending, obstruction of the Qi pathway, and attacking pain.
San Leng (Rhizoma Sparganii), E Zhu (Rhizoma Curcumae), Qing Ju Pi (Green Tangerine Peel), Xiang Fu Zi (Rhizoma Cyperi, hair removed), Chen Ju Pi (Aged Tangerine Peel, washed), Jie Geng (Radix Platycodi), Huo Xiang Ye (Folium Pogostemonis), Gui (Cortex Cinnamomi, specifically the heart/core).
Yi Zhi Ren (Fructus Alpiniae Oxyphyllae) (each 1 liang 5 qian), Gan Cao (Radix Glycyrrhizae, honey-fried, 3 qian). Hu Shi's formula (*Jing Xiao Fang*) includes Chen Xiang (Lignum Aquilariae Resinae, 0.5 liang) and excludes Chen Ju Pi.
Grind all ingredients into a powder. Take 5 qian per dose, with 2 zhan of water, 2 slices of fresh ginger, and 2 dates. Decoct until 1 zhan remains. Take warm before meals.
Chen Tong San: *Ke Yong Fang* states it treats pain caused by Qi clashing, stabbing pain in the muscles, and chest/epigastric stuffiness.
E Zhu (Rhizoma Curcumae, processed), Gui Xin (Cortex Cinnamomi Cordata) (each 1 liang), Bing Lang (Semen Arecae), Fu Zi (Radix Aconiti Lateralis Preparata, skin and rootlet removed, processed), Xi Xin (Herba Asari, roots removed) (each 0.5 liang).
Yuan Hua (Flos Genkwa, fried, separately ground into powder, 1 qian).
Except for Yuan Hua, grind the remaining ingredients into a powder. Take 3 da qian per dose, with 1 zhan of water. Decoct until 0.7 zhan remains. Strain, mix in the Yuan Hua powder (one zi measure), and take warm.

If there is a sensation of hardness below the heart, but pressure reveals no mass, accompanied by constant distension, vomiting after eating, Qi affecting both anterior and posterior orifices, and persistent belching, this is due to excessive worry causing Qi to stagnate and not flow at the proper times. It is said that thinking causes the mind to fixate and the Spirit to reside, leaving Righteous Qi stagnant and immobile. The pulse is choppy. This is called Knotted Qi (Jie Qi), treated with Shen Ju Wan (Ginseng and Tangerine Pill).
Shen Ju Wan
Chen Pi (Exocarpium Citri Reticulatae, 4 liang, washed), Ren Shen (Radix Ginseng, 1 liang).
Grind into a fine powder. Mix with refined honey to form pills the size of sophora seeds. Take 30 pills with rice broth before meals.

If there is a sensation of a lump in the throat that cannot be swallowed or expectorated, and if untreated for long, it gradually impedes food intake. This may be due to irregular worrying causing Qi knotting, or sudden obstruction of the Qi pathway during eating/digestion. When caused by Qi, it is called Qi Yie (Qi Dysphagia), with a slow and choppy pulse. When caused by food, it is called Shi Yie (Food Dysphagia), with a short and choppy pulse. Qi Yie is treated with Jia He San (Harvesting Grain Powder). Shi Yie is treated with Shen Qu Wan (Medicated Leaven Pill).
Jia He San (Formula missing).
Shen Qu Wan
Shen Qu (Massa Medicata Fermentata, fried, 1 liang), Chen Pi (Exocarpium Citri Reticulatae, washed, 2 liang).
Grind into a fine powder. Mix with refined honey to form pills the size of chicken beans. Take one pill per dose, holding it in the mouth to dissolve and swallow the saliva.

If pain wanders without fixed location, moving up and down, and the pulse gathers and scatters, being either rapid and intermittent or choppy, this is called Wandering Qi (You Qi). Treat with Shu Xiang San (Costus and Cyperus Powder). If ineffective, use Yan Hu San (Corydalis Powder).
Shu Xiang San
E Zhu (Rhizoma Curcumae, processed, 1 liang), Ren Shen (Radix Ginseng, 1 fen), Mu Xiang (Radix Aucklandiae, 1 qian).
Grind into a fine powder. Mix with vinegar decoction using a square-inch spoon measure.
Yan Hu San
Yan Hu Suo (Rhizoma Corydalidis, fried), Dang Gui (Radix Angelicae Sinensis, washed, equal parts).
Grind into a fine powder. Mix with vinegar decoction using a square-inch spoon measure.

If Qi fails to communicate between the left and right sides from the throat down to the umbilicus, with Qi rushing upward aggressively, pain in the right arm like being struck by an axe, daily wasting of muscles, inability to ingest gruel, and inner vexation/oppression, this is because the Lung Meridian originally received Cold pathogen, which remained on the right side (as the Lung resides on the right). Alternatively, it may result from using hot drugs to attack cold; since the Cold was in the meridians and could not be dispersed, Fire Qi merely pressured the Lung. Lung dryness causes Qi to rush upward. First resolve any drug toxicity, then regulate the Lung. Initially use Zhi Gan San (Roasted Liver Powder), followed by Li Qi Tang (Regulate Qi Decoction).
Zhi Gan San
Mu Dan Pi (Cortex Moutan), Chai Hu (Radix Bupleuri), Shao Yao (Radix Paeoniae Alba) (each 1 liang), Bai Zhu (Radix Atractylodis Macrocephalae, 2 liang).
Grind into a fine powder. Slice pork liver thinly (about three fingers thick), sprinkle 2 qian of the powder on it, and slowly roast until cooked. Chew thoroughly and swallow with rice broth before meals.
Li Qi Tang (Suspected to be the same as Qi Qi Tang mentioned earlier).
Bai Zi Ren Wan (Biota Seed Pill): Shi Zaizhi in *Zhi Nan Fang* adds Chu Shi (Fructus Cudraniae Tricuspidae, 1 liang). It treats arm pain preventing flexion and extension, and tendon/muscle spasms.
Bai Zi Ren (Semen Biotae, fried, crushed), Di Huang (Radix Rehmanniae Preparata) (each 2 liang), Fu Ling (Poria), Zhi Shi (Fructus Aurantii Immaturus, bran-fried, pith removed), Gui (Cortex Cinnamomi, core), Wu Wei Zi (Fructus Schisandrae), Fu Zi (Radix Aconiti Lateralis Preparata, processed), Huang Bo (Cortex Phellodendri)... [Text incomplete in source regarding specific weights for some herbs].
Grind into a fine powder. Mix with refined honey to form pills the size of sophora seeds. Take 30 pills with wine on an empty stomach.

If there are masses in the abdomen and hypochondrium, formed and sized, immovable upon pressure and pushing, leading over time to chills and fever resembling malaria, cough, edema of the face and eyes, slight panting upon movement, and progressive emaciation, this is due to sudden anger or fright causing Qi to rise instead of descend, injuring the Liver. Qi knots and aggregates to form a tangible mass. Initially located in the Liver, the pulse is firm, large, and knotted. If it does not transmit, it is treatable. Treat with Chen Xian Jian (Agarwood Decoction).
Chen Xian Jian
Shi Hu (Ramulus Dendrobii, 5 liang), Jiao (Pericarpium Zanthoxyli, remove eyes, fry until sweat appears), Fu Zi (Radix Aconiti Lateralis Preparata, skin and rootlet removed, processed), Qin Jiao (Radix Gentianae Macrophyllae, clean soil), Bie Jia (Carapax et Plastrum Testudinis, boiled, scrape off tendons/membranes, roast), Chai Hu (Radix Bupleuri, remove roots), Chen Xiang (Lignum Aquilariae Resinae), Mu Xiang (Radix Aucklandiae), Bing Lang (Semen Arecae), Huang Qin (Radix Scutellariae) (each 2 liang).
Grind into powder. First, take 10 jin of fresh Goji root, wash clean, and crush. Decoct with 2 dou of good wine until reduced to 7 sheng. Remove the Goji root. Wash another 3 sheng of good wine, filter out dregs, and combine with the previous decoction. Add 4 liang of cooked honey, boil again into an extract. Mix with the herbal powder to form pills the size of sophora seeds. Take 20 pills with water before meals.