治肿满腹大,四肢枯瘦,小便涩浊。
甜葶苈(纸隔炒) 荠菜根(等分)
上为末,蜜丸,如弹子大。每服一丸,陈皮汤嚼下,只三丸,小便清;数丸,腹当依旧。
治风水,通身肿,骨节疼,恶风自汗,眼合不得,短气欲绝,其脉浮。
大豆 杏仁(炒去皮尖) 麻黄(去节) 防风 防己 猪苓(去皮,各四两) 泽泻 黄
乌头(炮,各三两) 半夏(汤,七次) 茯苓 白术(各五两) 甘遂(炒) 甘草(炙,各二两)
上 咀。每服五钱,水二盏,酒半盏,姜七片,煎七分,去滓,不计时服,以大小
便利,肿消则停药。未知,加生大戟五两、葶苈二两纸炒香,无不快利。甘草反甘遂,似不
当同用之,却效,非人情所可测也。
治皮水,四肢头面悉肿,按之没指,不恶风,其腹如故,不喘不渴,脉亦浮。
大腹皮(炙) 桑白皮(炙) 茯苓皮 生姜皮 陈橘皮(各等分)
上 咀。每服四钱,水盏半,煎七分,去滓热服,日二三。近人磨木香水同煎亦妙。
治石水,四肢瘦,腹肿不喘,其脉沉。
泽漆(洗去腥,五两) 桑白皮(六两,炙) 射干(泔浸) 黄芩 茯苓 白术(各四两) 泽泻 防己(各二两)
上 咀。每服五钱,水三盏,乌豆一合,煎二盏,纳药,同煎七分,去滓空腹温服,日三。
黄汗,根据五疽法治之,用黄 酒。
治疗全身浮肿、腹部胀大,四肢枯瘦,小便涩滞浑浊。
甜葶苈(用纸张隔开炒制)、荠菜根(两者等量)
将上述药物研为细末,用蜂蜜制成丸剂,大小如弹子。每次服用一丸,用陈皮汤送服并嚼碎,仅服三丸,小便即可变清;若服多丸,腹部肿胀应当恢复如初。
疾病有风水、皮水、石水、黄汗之分,它们都与正水(指水气病中病情较重者)同类,但治疗方法各自不同。
治疗风水证,表现为全身浮肿,骨节疼痛,怕风且自汗,眼睛难以闭合,呼吸短促似要断绝,脉象浮。
大豆、杏仁(炒后去皮尖)、麻黄(去节)、防风、防己、猪苓(去皮,各四两)、泽泻、黄芩、乌头(炮制,各三两)、半夏(汤洗七次)、茯苓、白术(各五两)、甘遂(炒)、甘草(炙,各二两)
将上述药物切碎。每次服用五钱,加水两盏,酒半盏,生姜七片,煎至七分满,滤去药渣,不拘时间服用,直到大小便通畅,肿胀消退则停药。如果效果不明显,可加生大戟五两、纸炒香的葶苈二两,无不迅速见效。甘草与甘遂相反,似乎不应当同用,但却有效,这非人之常情所能推测。
治疗皮水证,四肢和头面全部浮肿,按压后凹陷不起,不怕风,腹部形态如常,不喘不渴,脉象也浮。
大腹皮(炙)、桑白皮(炙)、茯苓皮、生姜皮、陈橘皮(各等量)
将上述药物切碎。每次服用四钱,加水一盏半,煎至七分满,滤去药渣热服,每日二三次。近代人将木香磨成粉与水同煎也效果奇妙。
治疗石水证,四肢消瘦,腹部肿胀但不喘,脉象沉。
泽漆(洗净去除腥味,五两)、桑白皮(六两,炙)、射干(淘米水浸泡)、黄芩、茯苓、白术(各四两)、泽泻、防己(各二两)
将上述药物切碎。每次服用五钱,加水三盏,黑豆一合,煎至两盏,加入药物,同煎至七分满,滤去药渣空腹温服,每日三次。
黄汗,根据五种疸病的方法治疗,使用黄酒送服。
Treats generalized edema, abdominal distension with enlargement, emaciation of the four limbs, and turbid, difficult urination.
*Thladiantrae Fructus* (stir-fried between papers), *Cardamineae Hirsutae Herba* (equal parts)
Pulverize the above ingredients, mix with honey to make pills the size of a bullet. Take one pill per dose, chew it down while swallowing with *Chenpi Decoction* (Tangerine Peel Decoction). Taking only three pills will clear the urine; taking several pills should restore the abdomen to its normal state.
Diseases such as Fengshui (Wind Water), Pishui (Skin Water), Shishui (Stone Water), and Huanghan (Yellow Sweat) are all categorized similarly to Zhengshui (True Water), but their treatments differ.
Treats Fengshui syndrome, characterized by generalized edema, pain in bone joints, aversion to wind with spontaneous sweating, inability to close the eyes completely, shortness of breath as if about to cease, and a floating pulse.
*Soybean*, *Prunus Armeniaca Seed* (stir-fried, skin and tips removed), *Ephedrae Herba* (nodes removed), *Saposhnikoviae Radix*, *Stephaniae Tetrandrae Radix* (*Zhu Ling*, Pericarpium removed, each 4 liang), *Alismatis Rhizoma*, *Scutellariae Radix*, *Aconiti Lateralis Radix Praeparata* (prepared, each 3 liang), *Pinelliae Rhizoma Praeparatum* (washed with decoction seven times), *Poria*, *Atractylodis Macrocephalae Rhizoma* (each 5 liang), *Kansui Radix* (stir-fried), *Glycyrrhizae Radix et Rhizoma* (honey-fried, each 2 liang)
Cut the above ingredients into small pieces. For each dose of 5 qian, add 2 zhan of water, 0.5 zhan of wine, and 7 slices of ginger. Decoct until reduced to 0.7 zhan, filter out the dregs, and take at any time. Stop medication when urination and defecation become smooth and edema subsides. If ineffective, add 5 liang of raw *Mirabilite Radix* (Da Ji) and 2 liang of *Thladiantrae Fructus* (stir-fried on paper until fragrant); there will be no case that does not respond rapidly. Although *Glycyrrhizae Radix* is chemically incompatible with *Kansui Radix* and seemingly should not be used together, it proves effective here, which is beyond human comprehension.
Treats Pishui syndrome, characterized by complete edema of the four limbs and head/face, pitting upon pressure, no aversion to wind, abdomen unchanged in shape, no panting or thirst, and a floating pulse.
*Arecae Pericarpium* (roasted), *Morus Alba Cortex* (roasted), *Poria Pericarpium*, *Zingiberis Recens Cortex*, *Citri Reticulatae Pericarpium* (aged, equal parts)
Cut the above ingredients into small pieces. For each dose of 4 qian, add 1.5 zhan of water. Decoct until reduced to 0.7 zhan, filter out the dregs, and take hot. Take two to three times daily. In recent times, grinding *Costi Radix* (Mu Xiang) powder and decocting it together with water is also considered excellent.
Treats Shishui syndrome, characterized by emaciated limbs, abdominal swelling without panting, and a deep pulse.
*Phytolaccae Radix* (Ze Qi, washed to remove fishy odor, 5 liang), *Morus Alba Cortex* (6 liang, roasted), *Belamcandae Rhizoma* (soaked in rice wash water), *Scutellariae Radix*, *Poria*, *Atractylodis Macrocephalae Rhizoma* (each 4 liang), *Alismatis Rhizoma*, *Stephaniae Tetrandrae Radix* (each 2 liang)
Cut the above ingredients into small pieces. For each dose of 5 qian, add 3 zhan of water and 1 he of black soybeans. Decoct until reduced to 2 zhan, then add the medicinal herbs. Continue decocting until reduced to 0.7 zhan, filter out the dregs, and take warm on an empty stomach. Take three times daily.
For Huanghan (Yellow Sweat), treat according to the methods for the five types of Jaundice, using yellow wine for administration.