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The medicines are ground into a fine powder, mixed with steamed dough soaked in decoction to form pills the size of *Cerasus pseudocerasus* seeds (Wutongzi). Each dose consists of thirty pills, taken with warm rice water after meals.

Baizhu Hewei Wan (Atractylodes Macrocephala Stomach-Harmonizing Pill): Treats prolonged illness characterized by lethargy and anorexia, with intestinal or rectal obstruction or loose stools, indicating deficiency of Stomach Qi. Regular consumption harmonizes the middle, regulates Qi, dispels dampness, resolves phlegm, strengthens the Spleen and Stomach, and promotes appetite.
Baizhu (Atractylodis Macrocephalae Rhizoma) [1 liang 5 qian], Banxia (Pinelliae Rhizoma, washed seven times in decoction), Houpo (Magnoliae Officinalis Cortex, ginger-processed, each 1 liang), Chenpi (Citri Reticulatae Pericarpium, white pith removed, 8 qian), Renshen (Ginseng Radix et Rhizoma, 5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 2 qian), Zhishi (Immature Bitter Orange Fruit, bran-fried until yellow), Binglang (Arecae Semen, each 2 qian 5 fen), Muxiang (Vladimiriae Root, 1 qian 5 fen), Ganshengjiang (Dried Ginger, 7 fen).
Grind the above into a fine powder, mix with steamed dough soaked in decoction to form pills the size of *Cerasus pseudocerasus* seeds. Each dose is fifty pills, taken with warm rice water.

Zhizhu Wan (Immature Bitter Orange and Atractylodes Pill): Treats fullness and distension (Pi Man), dissipates food stagnation, and strengthens the Stomach.
Baizhu (Atractylodis Macrocephalae Rhizoma) [2 liang], Zhishi (Immature Bitter Orange Fruit, bran-fried until yellow, 1 liang).
Grind the above into a fine powder. Soak green lotus leaves in boiling water (dried leaves may also be used), remove the leaves after a short while, soak late-season japonica rice in the same water, pound into powder, and cook with the original water to make a paste for forming pills the size of *Cerasus pseudocerasus* seeds. Each dose is fifty pills, up to seventy or eighty pills, taken with plain boiled water. If Juhong (Tangerine Peel) one liang is added, it is named Jupi Zhizhu Wan, treating Yuanqi deficiency, indigestion, and epigastric fullness. If fried Shenqu (Medicated Leaven) one liang and fried Mai mian (Wheat Flour) one liang are added, it is named Quzhi Zhizhu Wan, treating excessive food intake causing epigastric and abdominal fullness and discomfort. If Muxiang (Vladimiriae Root) one liang is added, it is named Muxiang Zhizhu Wan, breaking Qi stagnation, digesting food, and opening the stomach to promote eating. If Banxia (Pinelliae Rhizoma) one liang is added, it is named Banxia Zhizhu Wan, treating internal injury from cold food. If Jiuhuanglian (Coptidis Rhizoma wine-fried), Jiudahuang (Rhei Radix et Rhizoma wine-steamed), fried Shenqu, and Jing Juhong (Tangerine Peel) each two liang, plus Huangqin (Scutellariae Radix) four liang are added, it is named Sanhuang Zhizhu Wan, treating blockage and restlessness caused by meat, wet noodles, and strong spicy foods.

Caodoukou Wan (Cardamomi Fructus Pill): Highly effective for sudden heart pain due to food injury. Or for pain in the epigastrium directly below the heart caused by consuming cold foods in autumn and winter, radiating to both hypochondria, with diaphragmatic obstruction and inability to swallow food or drink.
Caodoukou (Cardamomi Fructus, baked in flour), Zhishi (Immature Bitter Orange Fruit, bran-fried until yellow), Baizhu (Atractylodis Macrocephalae Rhizoma, each 1 liang), Mairen (Malt, baked in flour until yellow), Banxia (Pinelliae Rhizoma, washed in decoction), Huangqin (Scutellariae Radix, rotten parts removed, wine-fried), Shenqu (Medicated Leaven, fried until yellow, each 5 qian), Ganshengjiang (Dried Ginger, processed), Juhong (Tangerine Peel), Qingpi (Green Tangerine Peel, fried, each 2 qian), Chao Yan (Fried Salt, 5 fen).
Grind the above into a fine powder, mix with steamed dough soaked in decoction to form pills the size of mung beans. Each dose is fifty pills, taken with plain boiled water. In winter, Huangqin should not be used. If the year lacks Fire energy and cold foods are injured, warming agents should be added; this is the correct treatment. However, injuries from hot foods also occur; one must use cold medicines as a temporary measure according to seasonal appropriateness, which must not be ignored.

Zhishi Daozhi Wan (Immature Bitter Orange and Dampness-Draining Pill): Treats fullness and distress caused by injuring damp-heat substances, leading to impaired transformation and accumulation.
Dahuang (Rhei Radix et Rhizoma, 1 liang), Zhishi (Immature Bitter Orange Fruit, pulp removed, bran-fried), Shenqu (Medicated Leaven, fried, each 5 qian), Fuling (Poria, peeled), Huangqin (Scutellariae Radix, rotten parts removed), Huanglian (Coptidis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma, each 3 qian), Zexie (Alismatis Rhizoma, 2 qian).
Alternatively, add Muxiang (Vladimiriae Root) and Binglang (Arecae Semen) each 2 qian, named Muxiang Daozhi Wan.
Grind the above into a fine powder, mix with steamed dough soaked in decoction to form pills the size of *Cerasus pseudocerasus* seeds. Each dose is seventy or eighty pills, taken with warm water before meals. Adjust the number of pills based on strength, aiming for bowel movement.

Baizhu Wan (Atractylodes Pill): Treats injury from bean flour, wet noodles, and greasy foods.
Baizhu (Atractylodis Macrocephalae Rhizoma) [6 liang], Zhishi (Immature Bitter Orange Fruit, fried), Banxia (Pinelliae Rhizoma, washed seven times), Shenqu (Medicated Leaven, fried, each 5 qian), Juhong (Tangerine Peel, 7 qian), Huangqin (Scutellariae Radix, fried, 5 qian), Bai Fan (Alumen, calcined, 3 fen).
Grind the above into a fine powder, mix with steamed dough soaked in decoction to form pills the size of mung beans. Each dose is sixty or seventy pills, taken with plain boiled water. Adjust the number of pills based on the amount of injured food. Since vegetarians often consume more pepper and ginger, Huangqin is used to clear heat.

Muxiang Jian (Note: Original text likely refers to a specific pill type, translated literally) Pill: Treats epigastric and abdominal fullness and pain caused by consuming raw, cold, and hard foods.
Shenqu (Medicated Leaven, fried), Jing Sanleng (Sparganii Rhizoma, baked, each 1 liang), Caodoukou (Cardamomi Fructus, baked in flour), Xiangfuzi (Cyperi Rhizoma, each 5 qian), Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix, each 3 qian), Muxiang (Vladimiriae Root, 1 qian), Badoushuang (Crotonis Semen Paste, 5 fen), Shi Sanleng (Sparganii Rhizoma, 5 qian, peeled and baked).
Grind the above into a fine powder, mix with steamed dough soaked in decoction to form pills the size of *Cerasus pseudocerasus* seeds. Each dose is thirty pills, taken with plain boiled water. Adjust the dose based on the amount of injured food.

Sanleng Xiao Zhi Wan (Sparganium and Immature Bitter Orange Pill): Treats inability to digest raw, cold, and hard foods, causing epigastric and abdominal fullness.
Jing Sanleng (Sparganii Rhizoma, vinegar-boiled), Guang Zhu (Curcumae Rhizoma, vinegar-boiled), Shenqu (Medicated Leaven, fried, each 7 qian), Jing Qingpi (Green Tangerine Peel), Badou (Crotonis Semen, fried with skin and rice until black, remove rice and skin), Huixiang (Foeniculi Fructus), Chenpi (Citri Reticulatae Pericarpium, white pith removed, each 5 qian), Dingxiang (Caryophylli Flos), Yizhi (Alpiniae Oxyphyllae Fructus, husked, each 3 qian).
Grind the above into a fine powder, mix with vinegar-adjusted wheat paste to form pills the size of *Cerasus pseudocerasus* seeds. Each dose is ten pills, increasing to twenty pills, taken with ginger decoction before meals. Adjust based on deficiency or excess. Stop subsequent doses if defecation occurs.

Beiji Dahuang Wan (Emergency Dahuang Pill): Treats various sudden severe pains in the heart and abdomen.
Dahuang (Rhei Radix et Rhizoma), Badou (Crotonis Semen, peel and membrane removed, oil drained), Ganshengjiang (Dried Ginger, equal parts).
Grind the above into a fine powder, mix with refined honey and knead to form pills the size of small beans. Each dose is two pills, aiming for bowel movement.

Baohe Wan (Danxi Formula): Treats all types of food injury, chest and abdominal fullness and discomfort, or food accumulation masses in the abdomen. Long-term use gradually dissipates them. Do not use for those with Spleen-Stomach deficiency.
Shanzha Rou (Crataegi Fructus flesh, 5 liang, pits removed), Shenqu (Medicated Leaven, fried, 3 liang), Banxia (Pinelliae Rhizoma, washed in decoction, 3 liang), Fuling (Poria), Chenpi (Citri Reticulatae Pericarpium, white pith removed, each 1 liang), Lianqiao (Forsythiae Fructus, 1 liang), Laifuzi (Raphani Semen, fried, 1 liang), Maimian (Wheat Flour, fried, 1 liang).
Grind the above into a fine powder. Separately, take raw Shenqu five liang, add one small cup of fresh ginger juice, mix with water to form a paste for pills the size of *Cerasus pseudocerasus* seeds. Each dose is thirty to fifty pills, taken with plain boiled water or clear rice water. Another version adds Maimian and Baizhu two liang, named Da'an Wan, strongly tonifying the Spleen and Stomach and resolving food accumulation. Some say: Those with Spleen deficiency taking this will suffer from "deficiency adding to deficiency," worsening rapidly. Others suggest taking it with Si Jun Zi Tang (Four Gentlemen Decoction). This is because Shanzha has strong food-digesting properties. If there is no food in the Stomach, Spleen deficiency with poor transport, and lack of appetite, taking it will damage Spleen and Stomach Qi, hence the warning.

Jiawei Erchen Tang (Modified Two-Chen Decoction, Danxi Formula): Guides out phlegm, tonifies the Spleen, digests food, and moves Qi.
Juhong (Tangerine Peel), Fuling (Poria, each 7 fen), Banxia (Pinelliae Rhizoma, washed in decoction, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 3 fen), Chuanxiong (Ligustici Chuanxiong Rhizoma), Cangzhu (Atractylodis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma, each 8 fen), Shanzha Rou (Crataegi Fructus flesh, 1 qian 5 fen), Sharen (Amomi Fructus, 5 fen), Shenqu (Medicated Leaven, fried, 7 fen), Xiangfuzi (Cyperi Rhizoma, 1 qian), Maimian (Wheat Flour, fried, 5 fen).
For the above, except Shenqu and Maimian which are finely ground, fried, and packed separately, chop the rest finely for one dose. Add three slices of fresh ginger and one jujube. Decoct in two cups of water until one cup remains. Mix in the ground Shenqu and Maimian before drinking.

(Ancestral Formula)
Suyuan San (Source-Tracing Powder): For any food injury causing persistent aversion to cold and fever, or post-typhoid relapse fever due to eating various foods, inquire what was eaten. Whether zongzi or meat, burn the original food to retain its nature (charred outside, medicated inside), weigh one liang, grind to powder. Separately, take about one handful of raw Chinese chives with roots, crush to extract juice, and mix with the powder to take. After one or two hours, administer over one hundred pills of Dongyuan's Zhishi Daozhi Wan to induce evacuation. The retained food will pass, fever will subside, and recovery will occur.

Shenling Baizhu San (Ginseng, Poria, and Atractylodes Powder)
Treats Spleen-Stomach weakness, anorexia, vomiting, or diarrhea. It is excellent for supporting the Spleen and Stomach after serious illness.
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Baifuling (White Poria), Ganshan Yao (Dried Dioscoreae Rhizoma), Baibian Dou (Dolichoris Semen, husked, soaked in ginger juice, fried, 1 liang 5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Jiegeng (Platycodonis Radix, rhizome removed), Yiyiren (Coicis Semen), Lianrou (Nelumbinis Plumula, each 1 liang).
Family method for Jin Kou Li (Tabes Dysenteria with inability to eat): Use Shi Lian Rou (Stone Lotus Seed), add Shichangpu (Acori Tatarinowii Rhizoma) one liang. If Qi stagnation exists, add Muxiang (Vladimiriae Root) five qian.
Grind the above into a fine powder. Each dose is two qian, taken with jujube water decoction. For Tabes Dysenteria, use japonica rice water; for intermittent dysentery, use sugar water. Other formulas include Suisha (Amomi Fructus) one liang.

(Medical Case)
Madam Fu of Du Men, my clan niece, aged thirty, suffered from abdominal pain, distension, and sallow complexion due to fatigue and food injury. She sought my treatment ten days later. Her pulse at the Qi Kou on the right hand was surging and slippery. The Guan position on the right was superficially deficient and large but slippery, and deep pressure revealed it was deep and solid. The Cun and Guan positions on the left were wiry and slippery but weak. Both Chi positions were deficient and hidden. I said: This is insufficient Middle Qi and weak Spleen failing to grind food. Treatment should combine tonification and purgation. Initially, I gave Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) for two doses. The next day, I gave Zhishi Daozhi Wan eighty pills, resulting in two bowel movements. The following day, I again administered Bu Zhong Yi Qi Tang. Thus, tonifying one day and purging the next, she took over ten doses of tonics and thousands of pills of the draining formula over twenty days. Abdominal distension gradually subsided, and she recovered.

Lu Lianfu of Dongyang, a scholar skilled in elucidating Danxi's medical theories, misdiagnosed himself. At forty-five, in January, he traveled to Yongkang, suffering from fatigue-induced fever and mild body ache without headache. Believing it was an exterior contraction, he used Jiuwei Qianghuo Tang (Nine-Ingredient Notopterygium Decoction). After three doses, sweating occurred but fever persisted. He then took Xiao Chaihu Tang (Minor Bupleurum Decoction) five or six times, worsening the fever. Eight days later, I examined him. On his bedside table was a cup of prepared Da Chengqi Tang (Major Order the Qi Decoction), which he intended to drink. His pulse in the right three positions was floating, surging, slightly wiry, and weak. The left three positions were slightly smaller, also floating, soft, and insufficient. I said: You are killing yourself. This is an interior deficiency pattern; drastic purgation will cause death. He replied: My Yuanqi has always been robust, with no history of deficiency. It is clearly an exterior contraction. I said: Are you treating this as Yangming interior excess and purging? The pulse is not deep and solid, nor do you have eye pain, dry nose, tidal fever, or delirium. Are you treating this as Taiyang exterior excess and sweating? The pulse is floating and surging yet weak, and you lack headache and stiff spine. Having passed eight days, it should no longer be in the exterior. Which channel do you propose to treat? He remained silent. I prescribed Bu Zhong Yi Qi Tang with 3 fen of Fuzi (Aconiti Lateralis Radix Praeparata) in a large dose. He took two doses that night. At dawn, his pulse had slightly normalized. He claimed he hadn't taken them and still wanted exterior-clearing medicine. I insisted on two more doses. Afterward, symptoms halved. He admitted error. We removed Fuzi and continued for two more doses. Fever subsided, Qi harmonized, and he recovered. I advised: Although fever is gone, fatigue remains. He self-prescribed over twenty additional doses, finally regaining strength and health.

The son of the Lu family in Shanghu, over thirty years old, developed fever due to fatigue in September. Physicians treated it as an exterior contraction using Xiao Chaihu Tang, Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxins), and Baihu Tang (White Tiger Decoction). This exacerbated phlegm-Qi rising, causing delirium, inability to recognize people, red eyes looking upward, and intense body heat. Physicians exhausted their skills. Eight days later, I examined him. All six pulses were rapid, beating seven to eight times per breath, wide and empty, lacking force. The left was slightly wiry and hollow. I said: This disease began with insufficient Middle Qi and internal injury from cold/cool substances, causing interior deficiency fever. Excessive bitter-cold medicines led to Yin excess repelling Yang. Fortunately, his Yuanqi was sufficient enough to prevent death. I prescribed Bu Zhong Yi Qi Tang with 2 qian of processed Fuzi, 1 qian of Ganshengjiang, plus jujube and fresh ginger. Physicians laughed, saying this would hasten death. He took one dose at dusk. Phlegm-Qi calmed, and he slept soundly. His father reported: He couldn't sleep since falling ill, now sleeps peacefully with normal snoring. He woke at midnight, recognized people, and symptoms decreased. Another dose was given. By dawn, slight sweating occurred, Qi harmonized, and he recovered.