In general, eating tofu milk botulinum toxin A poisoning requires treatment for at least 7 to 10 days. Tofu milk may contain harmful bacteria and toxins such as Trichoderma, Clostridium botulinum, and aflatoxin. One of these toxins, botulinum toxin type A, is a type of botulinum toxin. Botulinum toxin is a neurotoxin protein produced by the bacterium Clostridium botulinum during reproduction. It is one of the most powerful natural substances of toxin and one of the most toxic proteins in the world. Botulinum toxin type A is a neuroexotoxin that blocks impulse conduction at the neuromuscular junction by inhibiting the release of acetylcholine vesicles at the neuromuscular junction, which can cause symptoms such as dizziness and muscle weakness, and can be fatal as a result of respiratory muscle paralysis. The toxin can be removed immediately by injecting polyvalent botulinum toxin antivenom and drinking raw cow’s milk and egg white to induce vomiting, and potassium permanganate enema. It is recommended to seek immediate medical attention for a definitive diagnosis and targeted treatment of botulinum toxin A poisoning from eating tofu milk.