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His Excellency Shi, Left Chancellor of the Secretariat, was sixty-seven years old. In September of the Dingmao year of Zhiyuan, due to internal injury causing diarrhea several times, he felt heavy limbs, loss of appetite, a desire to lie down and reluctance to speak, loss of taste in the tongue, abdominal pain, headache accompanied by nausea. A physician administered Tongsheng San (Great Calorie-Resisting Powder) in large doses, covered him with thick clothing, resulting in profuse sweating. The previous symptoms were not relieved but instead aggravated. Several physicians were consulted, but he remained unwell for over four months. I was summoned to Yanjing and ordered to treat him. Upon examination, his six pulses were deep, fine, and slightly wiry; he had no desire to eat, vomiting immediately after eating; middle Qi was disordered, stagnating in its ascending and descending movements; dry mouth and tongue, dizziness of head and eyes, limb fatigue, cold feet, and unwillingness to rise from bed. The Chancellor usually did not drink alcohol and was naturally thin. Furthermore, due to internal injury-induced diarrhea and subsequent sweating, this constituted a double depletion of body fluids, further weakening the Spleen and Stomach, which could no longer nourish the hundred vessels throughout the body, thus causing these conditions. Without sweet, acrid, and strongly warming agents, his Qi could not be warmed and nourished. The Classic states: "The Spleen desires relaxation; sweet flavors relax it." It also states: "For Spleen deficiency, use sweet flavors to tonify it." The sweetness of Huangqi (Astragali Radix) and Renshen (Ginseng Radix et Rhizoma) tonifies the Spleen and moderates the center, so they serve as the Sovereign drugs. For those lacking physical substance, warmth is provided through Qi. Danggui (Angelicae Sinensis Radix) is acrid and warm, harmonizing blood and moistening dryness; Muxiang (Aucklandiae Radix) is acrid and warm, regulating stagnant Qi; Shengjiang (Zingiberis Rhizoma Recens), Yizhiren (Alpiniae Oxyphyllae Fructus), and Caodoukou Ren (Cardamomi Fructus) are acrid, sweet, and strongly hot, dispelling cold in the middle Jiao and regulating righteous Qi; Baizhu (Atractylodis Macrocephalae Rhizoma), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma), and Chenpi (Citri Reticulatae Pericarpium) are sweet, bitter, and warm, thickening the intestines and stomach; Xiaomai Mian (Tritici Venalis Farina) broadens and harmonizes the intestines and stomach; Shenqu (Massa Medicata Fermentata) is acrid and hot, guiding stagnation and digesting food, serving as Assistant and Envoy drugs. One tael of the above chopped herbs was decocted in water and taken orally. Vomiting ceased, and appetite returned. After three days, all previous symptoms disappeared. Attendants remarked: "Although the previous symptoms have vanished, there has been no bowel movement for nine days. What should be done?" I said: "The Chancellor is elderly and weak in Qi. Having suffered both diarrhea and sweating, his Spleen and Stomach are insufficient, Yang Qi is depleted, and body fluids fail to moisten. How dare I use cold, cool, and toxic purgatives? Zhang Zhongjing stated: 'After severe sweating, if urination is frequent and stool is hard, Chengqi Tang (Major Order the Qi Decoction) must not be used.' Even with internal accumulation, one should use Honey Suppository Method (Mi Jian Dao). Soon, more than twenty pieces of dry feces were expelled. He then felt relief in the abdomen, and the Qi above and below became regulated. He continued taking the previous prescription, enjoyed food, and if any dietary injury occurred, Jupi Zhizhu Wan (Tangerine Peel and Atractylodes Pill) was used to guide digestion. After more than a month, the illness subsided. The Chancellor asked: "Since the disease is gone, what medicine should I take to prevent recurrence?" I replied: "Incorrect. Simply guard speech, regulate diet, and do not take medicine. Using medicine is like administering punishment to the people; punish when there is guilt, medicate when there is illness. Unjust punishment is tyranny against the people; unnecessary medication harms righteous Qi. The Military Annals state: 'When appropriate, return.' Take the medicine and then discard it." The Chancellor agreed and accepted this advice.

[Shenzhu Tiaozhong Tang] Treats internal injury with diarrhea, umbilical abdominal pain, limb fatigue, anorexia, vomiting after eating, lethargy with reluctance to speak, cold feet, and dizziness.
Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix) (5 qian each); Danggui Shen (Angelicae Sinensis Radix), Houpo (Magnoliae Officinalis Cortex) (prepared with ginger); Yizhiren (Alpiniae Oxyphyllae Fructus), Caodoukou (Cardamomi Fructus), Muxiang (Aucklandiae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma); Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma), Shenqu (Massa Medicata Fermentata), Xiaomai Mian (Tritici Venalis Farina), Chenpi (Citri Reticulatae Pericarpium) (3 qian each).
Twelve ingredients, crushed to the size of hemp seeds. Each dose consists of 1 tael, decocted with 2 cups of water and 3 slices of fresh ginger until reduced to 1 cup. Strain and take warm before meals.