此症乃气虚作肿，似水而非水也，但按之不如泥耳。必先从脚面上肿起，后渐肿至身上，于是头面皆肿者有之，
此之谓之气臌。宜于健脾行气之中，加利水之品。若以水臌治之，是速之死也。方用∶
白术（一两） 茯苓（一两） 人参（一钱） 甘草（一分） 山药（五钱） 肉桂（一分） 萝卜子（一钱）
枳壳（五分） 薏仁（一两） 车前子（一钱） 神曲（一钱）
水煎服。
初服若觉有碍，久之自有大功，不过三十剂而痊愈矣。忌食盐三月，秋石亦忌。
此症小腹作痛，四肢浮肿而未甚，面色红而有白点，如虫食之状，眼下无卧蚕微肿之形，是之谓之血臌，方用
消虫神奇丹∶
雷丸（三钱） 当归（一两） 鳖甲（一两） 地栗粉（一两） 神曲（三钱） 茯苓（三钱） 车前子（五钱）
白矾（三钱）
水煎服。
一剂下虫无数，二剂虫尽出而臌消，不必三剂。但病好后必须用六君子汤去甘草调理。
此症或因跌闪而瘀血不散，或因忧郁而结血不行，或因风邪而蓄血不散，留在腹中，致成血臌。饮食入胃，不
变精血，反去助邪，久则胀，胀则成臌矣。倘以治水法逐之，而症非水，徒伤元气。倘以治气法治之，而症非气，
徒增饱满。方用逐瘀荡秽汤∶
水蛭（炒萸为末，三钱） 当归（二两） 雷丸（三钱） 白芍（三钱） 红花（三钱） 枳壳（三钱）
牛膝（三钱） 桃仁（四十粒）
水煎服。
一剂血尽而愈，切勿与二剂，当改用四物汤调理。于补血内加白术、茯苓、人参，补元气而利水，自然痊愈，
否则恐成干枯之症。
辨血臌，惟腹胀如臌，而四肢手足并无胀意也。
这种病症是由于气虚导致的肿胀，看起来像水肿但实际上不是水液停聚。按压时不像按在泥沼里那样凹陷。通常先从脚面开始肿胀，然后逐渐蔓延至全身，甚至出现头面部都肿胀的情况，这被称为“气臌”（因气机阻滞引起的腹部胀大）。治疗应当在健脾行气的同时，加入利水的药物。如果按照水臌（因水湿停聚引起的腹部胀大）的方法来治疗，会加速病人的死亡。方剂如下：
白术（一两）、茯苓（一两）、人参（一钱）、甘草（一分）、山药（五钱）、肉桂（一分）、萝卜子（一钱）、枳壳（五分）、薏仁（一两）、车前子（一钱）、神曲（一钱）。
用水煎服。
刚开始服用如果觉得身体有不适感，久而久之自然会有显著疗效，大约三十剂药后即可痊愈。服药期间需忌食食盐三个月，也要忌食秋石。
这种病症表现为小腹疼痛，四肢浮肿但程度不严重，面色发红且带有白点，如同被虫蛀咬过的样子，眼下没有卧蚕（眼睑下微肿如蚕卧状）那样的轻微肿胀，这被称为“血臌”（因瘀血或虫积引起的腹部胀大）。方剂用消虫神奇丹：
雷丸（三钱）、当归（一两）、鳖甲（一两）、地栗粉（一两）、神曲（三钱）、茯苓（三钱）、车前子（五钱）、白矾（三钱）。
用水煎服。
服用一剂后能排出无数寄生虫，服用两剂后虫子排尽、腹胀消退，不需要用到第三剂。但在病愈之后，必须使用六君子汤去掉甘草来进行调理。
这种病症可能是因为跌打闪挫导致瘀血不散，或者因为忧郁导致气血凝结运行不畅，又或者因为风邪导致蓄血不散，这些病理产物留在腹中，最终形成血臌。饮食进入胃中，不能转化为精微物质和血液，反而去助长邪气，时间久了就会腹胀，胀久则形成臌症。如果用治水的办法来驱逐它，但病症并非水湿，只会徒然损伤元气；如果用治气的办法来治疗，但病症并非气滞，只会徒然增加饱胀感。方剂用逐瘀荡秽汤：
水蛭（炒后用吴茱萸拌炒为末，三钱）、当归（二两）、雷丸（三钱）、白芍（三钱）、红花（三钱）、枳壳（三钱）、牛膝（三钱）、桃仁（四十粒）。
用水煎服。
服用一剂后瘀血排尽即可痊愈，千万不要再服用第二剂，应当改用四物汤进行调理。在补血的基础上加入白术、茯苓、人参，以补益元气并利水，自然会痊愈，否则恐怕会发展成干枯的恶疾。
辨别血臌的关键在于：只有腹部像臌症一样胀大，而四肢手足并没有肿胀的感觉。
This condition is swelling caused by Qi deficiency; it resembles edema but is not water retention. Upon palpation, it does not pit like mud. It typically begins with swelling on the dorsum of the feet and gradually spreads to the entire body, sometimes involving the head and face. This is termed "Qi Distension" (abdominal distension due to Qi stagnation). Treatment should focus on invigorating the Spleen and promoting Qi circulation, while adding herbs that promote diuresis. If treated as "Water Distension" (abdominal distension due to fluid retention), it will hasten death. The prescription is as follows:
Bai Zhu (Atractylodis Rhizoma, 1 liang), Fu Ling (Poria, 1 liang), Ren Shen (Ginseng Radix, 1 qian), Gan Cao (Licorice Root, 1 fen), Shan Yao (Dioscoreae Rhizoma, 5 qian), Rou Gui (Cinnamomi Cortex, 1 fen), Luo Bo Zi (Raphani Semen, 1 qian), Zhi Qiao (Aurantii Fructus, 5 fen), Yi Yi Ren (Coicis Semen, 1 liang), Che Qian Zi (Plantaginis Semen, 1 qian), Shen Qu (Massa Medicata Fermentata, 1 qian).
Decoct in water and take orally.
Initially, one may feel some discomfort upon taking the medicine, but significant efficacy will manifest over time. Recovery can be expected after approximately thirty doses. Salt intake must be avoided for three months, and Qiu Shi (Human Urine Stone) should also be avoided.
This condition presents with pain in the lower abdomen, mild edema of the four limbs, a red complexion with white spots resembling insect bites, and no slight swelling under the eyes (resembling a silkworm lying down). This is termed "Blood Distension" (abdominal distension due to blood stasis or parasites). The prescription is Xiao Chong Shen Qi Dan (Miraculous Powder for Eliminating Parasites):
Lei Wan (Omphalophaga Melaena, 3 qian), Dang Gui (Angelicae Sinensis Radix, 1 liang), Bie Jia (Testudinis et Carapacis Scutellum, 1 liang), Di Li Fen (Dioscoreae Hypoglaucae Rhizoma, 1 liang), Shen Qu (Massa Medicata Fermentata, 3 qian), Fu Ling (Poria, 3 qian), Che Qian Zi (Plantaginis Semen, 5 qian), Bai Fan (Alumen, 3 qian).
Decoct in water and take orally.
After one dose, numerous parasites are expelled; after two doses, all parasites are eliminated and the distension subsides, so a third dose is unnecessary. However, after recovery, the patient must be regulated using Liu Jun Zi Tang (Six Gentlemen Decoction) with Gan Cao removed.
This condition may arise from unresolved blood stasis due to falls or sprains, stagnant blood due to melancholy, or accumulated blood due to wind pathogens remaining in the abdomen, leading to Blood Distension. Food entering the stomach fails to transform into essence and blood but instead aids the pathogenic factors. Over time, this causes bloating, which eventually develops into distension. If treated with methods for draining water, since the pathology is not water, it will merely injure the Yuan Qi (Original Qi). If treated with methods for moving Qi, since the pathology is not Qi stagnation, it will merely increase fullness. The prescription is Zhu Yu Dang Hui Tang (Decoction for Expelling Stasis and Purging Filth):
Shui Zhi (Hirudo, stir-fried with Wu Zhu Yu [Evodiae Fructus] into powder, 3 qian), Dang Gui (Angelicae Sinensis Radix, 2 liang), Lei Wan (Omphalophaga Melaena, 3 qian), Bai Shao (Paeoniae Radix Alba, 3 qian), Hong Hua (Carthami Flos, 3 qian), Zhi Qiao (Aurantii Fructus, 3 qian), Niu Xi (Achyranthis Bidentatae Radix, 3 qian), Tao Ren (Persicae Semen, 40 grains).
Decoct in water and take orally.
After one dose, the blood stasis is cleared and the patient recovers. Do not administer a second dose. Instead, switch to Si Wu Tang (Four Substances Decoction) for regulation. Add Bai Zhu (Atractylodis Rhizoma), Fu Ling (Poria), and Ren Shen (Ginseng Radix) to the blood-nourishing formula to tonify Yuan Qi and promote diuresis, ensuring natural recovery. Otherwise, there is a risk of developing a dry, emaciated condition.
To distinguish Blood Distension: the abdomen is distended like a drum, but the four limbs and hands/feet show no signs of swelling.