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Commentary states: Although Yin and Yang are vast, they do not depart from Qi (Vital Energy). Thus, Heaven and Earth are connected by a single Qi. Humans living within this realm, excessive joy connects with Yang, excessive anger connects with Yin. In every inhalation and exhalation, in every movement and stillness, how can one escape the flow of Qi? It is merely the circulation of Qi. Therefore, when Qi is peaceful, there is tranquility; when Qi is unpeaceful, disease arises. The *Neijing* (Inner Canon) says: "All diseases arise from Qi." Joy causes Qi to slacken; grief causes Qi to dissipate; cold causes Qi to contract; heat causes Qi to leak; fear causes Qi to sink; worry causes Qi to become chaotic; labor causes Qi to be exhausted; thought causes Qi to knot; anger causes Qi to rebel. Generally, when Ying (Nutritive Qi) and Wei (Defensive Qi) are smooth and free-flowing, Qi is comfortable and not constrained; this is why joy leads to slackening Qi. When spirit and demeanor are haggard, Qi is deficient and incomplete; this is why grief leads to dissipating Qi. When meridians and collaterals are coagulated and stagnant, Qi accumulates and does not disperse; this is why cold leads to contracting Qi. When couli (pores/skin texture) are open, Qi rises and sweat issues forth; this is why heat leads to leaking Qi. When essence retreats and upper closure occurs, Qi returns and does not circulate; this is why fear leads to sinking Qi. When the heart has much sorrow and anxiety, Qi scatters without return; this is why worry leads to chaotic Qi. When internal and external烦劳 (overwork/stress) occur, panting and sweating ensue; this is why labor leads to exhausting Qi. When body and mind have fixation, Qi remains and does not move; this is why thought leads to knotted Qi. When resentment and injury are severe, Qi rebels upward causing hematemesis; this is why anger leads to rebelling Qi. These nine types of Qi disorders, although their manifestations differ, generally present with a deep pulse at the Cun Kou (radial artery) and rebellious Qi in the chest. This indicates various Qi rushing upward into the chest, causing upper Qi distress, swelling, panting, and wheezing. If the pulse is floating and large, it is difficult to treat; if upper Qi distress presents with a rapid pulse and wheezing, it belongs to the Lung. Lung distension intending to develop into Feng Shui (Wind-Water edema) will heal with sweating. A surging pulse indicates upward Qi rebellion; a deficient, firm, deep, or hidden pulse indicates survival; a firm and strong pulse indicates death. Panting with inability to lie flat or sit up, with a slippery pulse and warm hands and feet, indicates survival; a choppy pulse with cold extremities indicates death; a rapid pulse also indicates death, signifying damage to the form.

Commentary states: The *Neijing* says all diseases arise, originating from the Zang-Fu organs, but the Lung uniquely governs Qi. Qi may be insufficient or excessive, generally due to deficiency or excess, so the diseases produced differ and their presentations vary. Anger causes Qi to rebel; severely, it causes hematemesis and vomiting of food, hence Qi rebellion. Joy causes Qi to harmonize; Ying and Wei are smooth and free-flowing, hence Qi slackens. Grief causes the Heart Tie (pericardium/heart connection) to tighten, lung leaves to spread and rise, obstructing the Upper Jiao (Upper Burner); Ying and Wei do not disperse, heat stays inside, hence Qi dissipates. Fear causes essence to retreat; the Upper Jiao closes; closure causes Qi to return; return causes Lower Jiao (Lower Burner) distension; hence Qi does not move and gathers. Cold causes skin and couli to close and resist, air pathways do not move, hence Qi contracts and does not disperse. Heat causes couli to open, Ying and Wei to flow freely, hence profuse sweating. Fright causes the heart to have no support, spirit to have no return, thoughts to have no certainty, hence Qi becomes chaotic. Physical labor causes panting and sweating; internal and external Qi both escape outward, hence Qi is exhausted. Thought causes the heart to have fixation, Qi to remain and not move, hence Qi knots.

Formula for Seven Qi (Cold Qi, Heat Qi, Worry Qi, Anger Qi, Fright Qi, Thought Qi, Resentment Qi):
Da Huang (Rhubarb Root and Rhizome, 2.5 liang), Ren Shen (Ginseng Radix et Rhizoma), Ban Xia (Pinelliae Tuber, washed seven times in decoction to remove slipperiness), Wu Zhu Yu (Evodiae Fructus, washed in decoction and lightly stir-fried), Chai Hu (Bupleuri Radix, remove seedlings), Gan Jiang (Zingiberis Rhizoma, processed), Xi Xin (Asari Radix et Rhizoma, remove seedlings and leaves), Jie Geng (Platycodonis Radix), Chang Pu (Acori Tatarinowii Rhizoma, each 0.5 liang), Chi Fu Ling (Poria with Red Core, remove black skin), Xiong (Ligustici Chuanxiong Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed), Shi Gao (Gypsum Fibrosum), Tao Ren (Persicae Semen, remove tips and twin kernels, stir-fried and ground).
The above fifteen ingredients are pounded and sieved into powder, mixed with refined honey to make pills the size of Sophora japonica seeds. Take three pills per dose with warm wine, three times daily, gradually increasing to ten pills. Another method adds Gui Xin (Cinnamomi Cortex, 0.5 liang).

Formula for Various Qi Accumulations and Firm Masses, Abdominal Distension and Pain (Shu Jiao Wan):
Shu Jiao (Sichuan Pepper Fruit, remove eyes and closed ones, stir-fry until oil sweats out, 0.5 liang), Ren Shen, Ban Xia, Chang Pu, Chai Hu, Gui (Cinnamon Bark, remove coarse bark), Tao Ren (remove skin and tips, twin kernels, bran-stir-fried until slightly yellow), Mu Xiang (Aucklandiae Radix), Wu Zhu Yu, Gan Jiang, Xi Xin, Jie Geng.
The above fifteen ingredients are pounded and sieved into powder, mixed with refined honey and pounded 500-700 times to make pills the size of Sophora japonica seeds. Take ten pills before meals with warm wine, gradually increasing to twenty pills.

Formula for All Qi, Regulating Stomach Qi, Transforming Cold Phlegm (Jiang Wei Wan):
Sheng Jiang (Fresh Ginger, 1 jin, peeled, sliced, salted overnight, baked dry), A Wei (Ferulae Resina, 1 qian made into cakes with white flour and roasted yellow), Qing Tong Pi (Cortex Phellodendri Amurensis, remove white part and baked), Gan Cao, Chen Pi (Aurantii Pericarpium, remove white part and baked, each 2 liang), Dang Gui (Angelicae Sinensis Radix), Bai Zhi (Angelicae Dahuricae Radix), Hu Jiao (Piperis Longi Fructus), E Zhu (Curcumae Rhizoma, processed and crushed), Gui, Dan Sha (Cinnabar, ground for coating), Mu Xiang, Ding Xiang (Caryophylli Flos, each 1 qian).
The above thirteen ingredients, except Dan Sha, are pounded and sieved into powder, mixed with refined honey and pounded 300-200 times to make pills the size of cherries, coated with Dan Sha. Take one pill per dose, chewed down with ginger decoction. Women take with vinegar decoction. Take on an empty stomach before meals.

Formula for All Deficient-Cold Qi, Abdominal and Hypochondriac Distension, Chest Diaphragm Stagnation, Vomiting Sour Water, Loss of Appetite, Visceral Slippage, Umbilical and Abdominal Pain (Jun Qi Wan):
Mu Xiang, Hu Jiao, Gan Jiang, Wu Tou (Aconiti Lateralis Radix Praeparata, processed until cracked, remove skin and navel), Xiang Zi (likely Bungea Seed or similar aromatic seed, stir-fried), Bi Cheng Qie (Long Pepper Fruit), Qing Ju Pi (Green Tangerine Peel, soaked in water, remove white part and baked), Chen Ju Pi, E Zhu, Gui, Qian Niu (Pharbitidis Semen, selected clean 0.5 jin, stir-fried, pounded and sieved to take 4 liang of powder, discard remainder).
The above eleven ingredients are pounded and sieved into powder, mixed with fresh ginger juice and wheat paste to make pills the size of Sophora japonica seeds. Take 15-20 pills per dose with stir-fried ginger salt decoction, at any time.

Formula for All Qi, Indigestion (Hong Dou Kou Wan):
Hong Dou Kou (Myristica Fragrans Seed, remove skin), Mu Xiang, Suo Sha Ren (Amomi Fructus Rotundus), Bing Lang (Arecae Semen, crushed), He Li Le (Terminalia Chebulae Fructus, processed using peel), Huo Xiang Ye (Agastaches Herba, each 1 liang), Chen Pi (remove white part and baked, 2 liang).
The above ten ingredients are pounded and sieved into powder, mixed with wine-boiled paste to make pills the size of Sophora japonica seeds. Take ten pills per dose, on an empty stomach before meals with ginger decoction.

Formula for All Rebellious Qi, Chest Diaphragm Fullness, Epigastric Discomfort, Phlegm-Pi Retention, Vomiting and Nausea, Limb Lassitude, Loss of Appetite (She Xiang Wan):
She Xiang (Musk, finely ground), Dan Sha, Mu Xiang, Hou Po (Magnoliae Officinalis Cortex, remove coarse bark, stir-fried dry with 5 qian fresh ginger juice), Rou Dou Kou (Myristica Fragrans Seed, remove shell, each 0.5 liang), Bing Lang Mo (Arecae Semen Powder, Ban Xia washed seven times in decoction to remove slipperiness and separately ground into powder, each 2 liang), Gui, Ru Xiang (Olibanum, finely ground, 1 fen), Ding Xiang (1 fen).
The above ten ingredients, except Ban Xia powder, are pounded and ground into fine powder, then mixed evenly. Mix Ban Xia powder with fresh ginger juice, cook into a paste, and combine with other powders to make pills the size of Sophora japonica seeds. Take 15 pills per dose with Chen Pi decoction. Take on an empty stomach before meals.

Formula for All Qi, Digestion (Mu Xiang Wan):
Mu Xiang, Dan Sha (ground), Liu Huang (Sulfur, ground), Sha (Realgar, ground, each 1 fen), Bing Lang (crushed, 0.5 liang), Rou Dou Kou Ren (three pieces), Ban Xia (cooked thoroughly in bean dregs water).
The above eight ingredients are pounded, ground, and mixed evenly, combined with steamed bread dough soaked in water to make pills the size of Sophora japonica seeds. Take two pills per dose with warm jujube decoction. For adults and children, adjust dosage as appropriate.

Formula for Various Qi and Postpartum Qi Disorders (Gui Xin Wan):
Gui, Dang Gui (crushed and baked), Chi Shao Bai Shao (Red and White Peony Roots, stir-fried), Yan Hu Suo (Corydalis Rhizoma, stir-fried), Xiong, Sheng Gan Di Huang (Rehmanniae Radix Recens, fried, each 1 liang), Sha (Sand, 0.5 liang), Yuan Hua (Genkwa Flos, root used here).
The above nine ingredients: First, boil Yuan Hua Gen (Genkwa Root) in vinegar until reduced by two-thirds. Remove roots, add Sha, simmer slowly over low fire until reduced by half again. Add powders of other herbs, mix to make pills the size of chicken heads. For postpartum blood stagnation causing faintness and oppression, grind one pill with child's urine and Ji Ma Tong (Horse Dung Decoction). For postpartum blood failure with waist and leg swelling/pain, grind with ginger and child's urine. For blood-qi rushing to cause heart pain, grind with mint juice and hot wine. For blood-qi abdominal distension and pain, grind with fresh Rehmannia juice and hot wine. For ordinary blood-qi issues, grind with green onion and wine.

Formula for All Stagnant Qi (Yin Qi Wan):
Dan Sha, An Xi Xiang (Benzoin Resin), She Xiang (each 1 fen, ground), Bai Jie Zi (White Mustard Seed, 360 grains, stir-fried), Da Ji Mo (Euphorbiae Pekinensis Radix Powder, 1 qian bi), Niu Huang (Calculus Bovis, ground, 0.5 qian bi), Qian Niu Mo (Pharbitidis Semen Powder, 1 qian bi), Wu Ling Zhi (Trogopteri Excrement, ground), Ru Xiang, Mo Yao (Myrrha, each 1 liang, ground), Ban Mao (Mylabris, 27 pieces, remove wings, heads, feet, ground), Ba Dou (Crotonis Fructus, ... [text cuts off]).
The above twelve ingredients are ground together evenly. Make pills with red rice, size of hemp seeds. Administer with appropriate decoction as needed.

Decoction for Various Qi Disharmony, Chest Diaphragm Stagnation, Uneven Ascending and Descending (Huo Xiang Tang):
Huo Xiang Ye, Hou Po (soaked in fresh ginger juice and stir-fried, each 1 liang), Qing Ju Pi, Gan Cao (honey-fried and crushed, each 3 fen), Gui ... [text cuts off].
The above seven ingredients are coarsely crushed and sifted. Take 3 qian bi per dose, with one cup of water, add three slices of fresh ginger and three split jujubes. Decoct until three-tenths remain, strain, and drink while slightly warm.