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Do not allow the pathogenic factor to sink downward, which would lead to *canxie* (diarrhea caused by dietary indiscretion). It is also stated: Whenever there is diarrhea with undigested food and water in the stool, it is called *canxie*. This occurs because clear Qi fails to ascend due to the failure of Stomach Qi to rise. The sages of antiquity all used ascending and floating herbs to support Stomach Qi, resulting in a cure after a single dose, indicating that the disease location is in the Middle Jiao (Middle Burner) Spleen and Stomach. The *Maijue* (Pulse Classic) states: "Excess dampness leads to five types of diarrhea." Dampness is another name for the Stomach. The root of the disease lies in the Stomach, where True Qi is weak. True Qi refers to Grain Qi (Qi derived from food and drink). The inability to digest food and drink is due to excessive dampness. Based on this discussion, the cause is precisely the weakness of the Spleen and Stomach. In the initial stage, withholding food or fasting completely for one or two days allows Stomach Qi to strengthen day by day, stopping the diarrhea. Now that severe diarrhea has developed, the Classics state: "To treat dampness without promoting urination is not the correct method." It is also said: "The Lower Jiao is like a drainage ditch." And again: "For diseases located below, use methods to drain them thoroughly." However, these principles are not suitable for this specific condition. This argument posits that the disease arises from the sinking of Stomach Qi, failure of clear Qi to ascend, and obstruction of the Yang pathways. Therefore, treatment should focus on ascending and lifting, rather than promoting urination. The *Ling Shu* (Spiritual Pivot) states: "When there is disease in the head, treat the feet; this is treating Yin for Yang disease. When there is disease in the feet, treat the upper body; this is treating Yang for Yin disease. When there is disease in the middle, treat from the sides." The sides refer to the Shaoyang Gallbladder Meridian. The middle refers to the Spleen and Stomach. For Spleen and Stomach diseases, select points from the Foot-Shaoyang Gallbladder Meridian. The "Jia Gallbladder" refers to Jia Wind (Wind-Wood Qi), corresponding to the East and Spring. The Grain Qi in the Stomach is essentially the manifestation of Wind transformation. Recognizing them as a unified whole, it is said that when dampness overcomes the Stomach causing diarrhea, one should assist the Wind-Wood Qi of the Jia Gallbladder to overcome the dampness. This is also a method of raising Yang Qi and assisting the ascent of clear Qi. Another theory suggests that insufficient Yuan Qi in the Middle Jiao leads to abnormalities in urination and defecation, and painful borborygmus in the intestines, also due to the failure of Stomach Qi to ascend, causing Jia Wood Qi to move upward. It is also said: "Wind overcomes dampness." Generally, this condition stems from weak Stomach Qi unable to transform food; withholding food for one day can stop it. The rationale for withholding food is that a weak Stomach cannot digest; eating leads to diarrhea. If one cannot eat, how can diarrhea occur? One should instead use medicine to nourish and harmonize Yuan Qi. Once diarrhea stops, gradually reintroduce food; when Stomach Qi strengthens, health will return. If food remains undigested, add fried Shenqu (Medicated Leaven) to the ascending wind-dispelling herbs for decoction. If food feels like it rushes immediately to the heart upon ingestion, this involves the upper opening of the Stomach (the cardia), often accompanied by drooling or regurgitation. This indicates cold stagnation in Stomach Earth. The pulse at the Guan position of the right hand is wiry, and deep pressure reveals a surging yet slow quality. This represents a combination of wind, heat, and dampness, where Grain Qi fails to move and clear Qi fails to ascend, blocked by the cold represented by the wiry pulse, preventing descent. The warmth of Shenqu can also dispel this. If regurgitation is present, add Banxia (Pinellia Rhizome) and Shengjiang (Fresh Ginger) to the wind-dispelling herbs for decoction. Withholding or reducing food intake aims to strengthen Stomach Qi. If the medicinal dosage is too strong, the Stomach cannot tolerate it, and diarrhea will not cease; thus, the dosage should be increased gradually. Since the illness has persisted for a long time and the patient is now weak, treat according to standard methods, avoiding excessive tonification. Human flesh is like the soil of the earth; can a person exist without flesh? Thus, when flesh is completely consumed, death ensues. There are eight signs of inevitable death in emaciated individuals: seven recorded in the *Nei Jing* (Inner Canon) and one in the *Wai Jing* (Outer Canon). Furthermore, if muscles are completely wasted away, do not treat it; this is destiny. If muscles have not wasted to the extreme, urgent treatment is required. First, withhold food to benefit Stomach Qi, then employ ascending methods. First assist True Qi, then use wind herbs to overcome dampness, thereby aiding the ascending and rising Qi, and the disease can be cured. Other matters are not discussed here; this is the superior method of treatment (using formulas such as Shengyang Chushi Tang). Injury by wind in spring leads to *canxie* in summer. Wood corresponds to spring in seasons, Liver in the human body, and wind in heaven. Wind is formless clear Qi. During spring, warm commands emerge but are suppressed by cold, meaning the three months of spring follow the commands of winter. From this, we know Water Qi is excessive. Since Water is excessive, Metal's肃杀 (astringent/descending) nature becomes stricter; this is the overcoming element taking advantage of deficiency to act recklessly. When the overcoming element acts recklessly, Wood Qi is clearly deficient. Hence, the Classics state: "What comes from behind is called empty evil." With Wood Qi deficient, Fire commands are inadequate; this means the generated element (Fire, child of Wood) suffers disease. Consequently, the non-overcoming element (Water, which controls Fire) insults it. Thus, Earth Qi invades Wood's domain, transforming into *canxie*. Hence, the Classics state: "Clear Qi remaining below generates *canxie*." Because damp commands hold power, *canxie* symptoms manifest in summer. If during spring, Wood Qi does not generate, warm commands do not appear, and only winter commands prevail, this is termed injury to Wei Qi (Defensive Qi), because Yang Qi does not emerge from beneath the earth. In such cases, use Mahuang Tang (Ephedra Decoction) to induce sweating. Mahuang (Ephedrae Herba) is bitter and thin in flavor, representing Yang within Yin. Thus, it supplements Wood by drawing from Water and drains Water, releasing fluids as sweat. If Spring Wood has already grown and warm commands are evident, with Yang Qi emerging above the earth, but cold returns to suppress it, use mild release methods. This implies obtaining Shaoyang Qi, so Mahuang is unnecessary. The reason *canxie* manifests in summer despite spring wind injury is that Wood Qi ends in summer, while Earth prospers in late summer. Dampness naturally tends downward, hence *canxie* occurs in summer. It does not occur in spring because, although wind causes injury, Wood Qi is actually dominant. Thus, *canxie* does not manifest when Wood is in command but when Dampness is in command. The Classics state: "When the season arrives but the corresponding Qi does not, it is called insufficiency. The overcoming element acts recklessly, the non-overcoming element attacks, and the generated element suffers disease." This is what is meant. Zhang Zhongjing's method: For dysentery with undigested food, interior cold with exterior heat, sweating, and cold extremities, use Tongmai Sini Tang (Decoction for Reviving the Pulse). Liu Wan-su's method: For *canxie* with wind-cold invading the interior, unceasing diarrhea, deficient and fine pulse, frequent bowel movements day and night, dry mouth, and persistent abdominal pain, use Baizhu Tang (Atractylodes Macrocephala Decoction). Li Dong-yuan states: For diarrhea and *canxie* with fever, wiry pulse, abdominal pain, thirst, headache, and slight sweating, use Fangfeng Shaoyao Tang (Saposhnikovia and Peony Decoction). Li Dong-yuan refers to this as internally generated wind. The Classics state: "Spring wind injury leads to summer *canxie*." Also: "Chronic wind transforms into *canxie*." Also: "Empty evils entering humans start at the skin; if they remain, they transmit to collaterals; if they remain, to meridians; if they remain, to transport points; if they remain, to the Fu-Chong vessels; if they remain, to the intestines and stomach." During the intestinal and stomach phase, there is rushing noise and abdominal distension. Excess cold causes borborygmus and *canxie*, with undigested food. This is not internally generated wind. Zhang Jie-gu states: Severe thirst with drinking leading to rapid passage of food and water should be treated by moxibustion on Dazhui (GV14) for 3–5 cones, or using Cheqianzi (Plantaginis Semen), Leiwan (Alloplasia Root), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), and Wuling San (Five-Ingredient Powder with Poria) to leach out dampness. Regarding *canxie* caused by chronic wind, where there is no thirst and complete food passes through, the treatment should involve Xuanfeng San (Wind-Releasing Powder) to guide stagnation, followed by Cangzhu Fangfeng Tang (Atractylodes and Saposhnikovia Decoction). *Canxie* takes wind as its root; wind cannot exit without sweating. Patients with this condition have borborygmus, watery diarrhea with indistinguishable food and water, and scanty urine, all due to Spleen-Stomach deficiency-cold. Taking Cardamom, Mume Fruit, Poppy Shell, Dried Ginger, and Aconite yields no effect. Moxa applied to Zhongwan (CV12) and below the umbilicus amounts to thousands of cones, yet dryness and heat worsen, fluids dry up, emaciation and weakness increase, and appetite decreases. Upon examination, I applied the principle of correspondence: "Heat below causes indistinguishable food and water, generating *canxie*; Cold above causes distension, with Qi failing to disperse. Why? Because Yin is still and Yang moves." Palpating the pulse, both hands were floating, large, and long. The body surface had slight heat. I prescribed Guizhi Mahuang Tang (Cinnamon Twig and Ephedra Decoction) decocted with Fresh Ginger and Jujube. Administered in large doses, three consecutive servings resulted in profuse sweating throughout the day, with recovery by dawn. Subsequently, Weifeng Tang (Stomach-Wind Decoction) was used to harmonize the Zang-Fu organs and regulate Yin and Yang. Health returned with food intake. The Classics state: "Spleen deficiency leads to abdominal fullness, borborygmus, and diarrhea of undigested food." Also: "For *canxie*, select the Three Yin meridians." The Three Yin refers to the Taiyin (Spleen/Lung/Kidney Yin channels, specifically Spleen here). Use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), substit Danggui (Angelica Sinensis Radix) with Baishao (White Peony Root). Also: "The Kidney houses the Will (Zhi). Excess in Will leads to abdominal distension and *canxie*; bleed the Ranjin blood vessels." Also: "Diseases of the Foot-Jueyin Liver Meridian include chest fullness, vomiting, reverse flow, and *canxie*. Treatment depends on excess, deficiency, cold, heat, or sinking conditions." These are all internal causes without wind pathogens.