Another way to use this card with Nishipachi is to use Karakuri Cash Cache. Summon Nishipachi, then switch its own battle position, giving Anatomy 1 Counter. Then use Cash Cache, get another Karakuri and turn Nishipachi to Attack Position again, giving you the 2 draws in the same turn while also thinning your Deck, without losing any cards.
You can also use Anatomy, Nishipachi and Cash Cache in combination with Karakuri Komachi mdl 224 "Ninishi". Normal Summon Ninishi, then activate Anatomy. Activate Cash Cache, turn Ninishi to Defense Position and search Nishipachi. Use Ninishi's effect to Summon Nishipachi, then change the position of a Karakuri monster. Draw 2 cards for Karakuri Anatomy, then perform a Rank 3 Xyz Summon, like Wind-Up Zenmaines. Or, if you have a card that lets you Special Summon a non-Tuner (like Call of the Haunted or Instant Fusion), you can start a long string of Special Summons.