方见伤寒门。加木香茵陈,治水肿,从腰以下俱肿,以此利小便。仲景曰∶腰以下
肿,宜利水,腰以上肿,宜发汗也。
治脾肺不能营运,气满皮肤,水停不利,以致面目虚浮,四肢肿满,心腹膨胀,
上气促急。
桑白皮 生姜皮 大腹皮 茯苓皮 陈皮(各一钱五分) 水煎日三服,切忌生冷、
油腻、坚硬等物。
治暑湿伤脾,水肿腹胀,小便赤,大便滑。
葶苈(二钱半,炒香) 木香(五分) 茯苓 猪苓(去皮,各二钱半) 肉桂(二钱) 滑石
(三两) 泽泻 木通 甘草(各半两) 白术(一两) 为末,每服二钱,白汤下,不拘时。
一方
治水肿膨胀。
苦葶苈 甘遂(面裹煨熟,水浸冷用) 商陆根 大戟(各二钱半) 大黄 芫花(各一
钱) 轻粉(少许) 黑牵牛(头末,一两) 为末,入轻粉,再研每服二钱,蜜水调服,下
黑黄臭水为验。忌生冷盐酱之物。
苍术(四钱半,米泔水浸) 草乌(一钱,去皮) 羌活(一两) 巴豆(一钱半,去皮、
心、膜油另研) 杏仁(二十一个,去皮、尖,面炒,另研) 为末,面糊丸,桐子
大,每服十一丸,临卧姜汤下。忌盐、酱、房事、发病之物百日,此药极验。
一方
用黑雄猪肚一个,先以茶汤清油洗净,用活哈蟆三个,每个口内放铜钱一文,铜钱
上安胡黄连末少许,将蛤蟆活装入肚内,两头俱扎住,勿令走气,以文武火煮一日,次
日五更取出蛤蟆,去皮、肠、肝不用,余肉连猪肚一同撕砰食尽,以好酒咽下。忌盐、
酱、鸡、鹅、鱼、面、羊肉滞气之物,宜食猪肉、鸭。
方剂见《伤寒论》篇。加入木香、茵陈,用于治疗水肿,症状表现为腰部以下全身浮肿,此法通过利小便来消除水肿。张仲景说:“腰部以下浮肿,适宜利水;腰部以上浮肿,适宜发汗。”
治疗脾肺功能失调,无法运化水湿,导致气机壅滞于皮肤,水液停聚不利,从而引起面目虚浮,四肢肿胀满闷,心腹部胀大膨胀,呼吸急促上逆。
桑白皮 生姜皮 大腹皮 茯苓皮 陈皮(各一钱五分) 用水煎煮,每日服用三次,切忌食用生冷、油腻、坚硬等食物。
治疗暑湿损伤脾胃,导致水肿腹胀,小便颜色深红,大便滑泄。
葶苈子(二钱半,炒香) 木香(五分) 茯苓 猪苓(去皮,各二钱半) 肉桂(二钱) 滑石(三两) 泽泻 木通 甘草(各半两) 白术(一两) 研为细末,每次服用二钱,用白开水送服,不限时间。
另一处方
治疗水肿胀满。
苦葶苈子 甘遂(面粉包裹煨熟,冷水浸泡后使用) 商陆根 大戟(各二钱半) 大黄 芫花(各一钱) 轻粉(少许) 黑牵牛子(头末,一两) 研为细末,加入轻粉,再次研磨均匀,每次服用二钱,用蜂蜜水调服,以下出黑黄色臭秽水液为见效标志。忌食生冷、盐酱类食物。
苍术(四钱半,米泔水浸泡) 草乌(一钱,去皮) 羌活(一两) 巴豆(一钱半,去皮、心、膜及油,单独研磨) 杏仁(二十一个,去皮、尖,面粉炒制,单独研磨) 研为细末,用面糊制成丸药,大小如梧桐子,每次服用十一丸,临睡前用姜汤送服。忌食盐、酱、房事以及诱发疾病的食物百日,此药极为灵验。
另一处方
取一只黑雄猪肚,先用茶汤和清油洗净,放入三只活蛤蟆,每只蛤蟆口中放一枚铜钱,铜钱上放置少许胡黄连粉末,将蛤蟆活体装入猪肚内,两头扎紧,防止漏气,用文火武火交替煮一天,次日五更天取出蛤蟆,去掉皮、肠、肝不用,其余肉与猪肚一起撕碎吃尽,用好酒咽下。忌食盐、酱、鸡、鹅、鱼、面食、羊肉等阻滞气机的食物,宜食猪肉、鸭肉。
The formula is found in the *Shanghan Lun* (Treatise on Cold Damage) section. Add *Muxiang* (Aucklandiae Radix) and *Yinchen* (Artemisiae Scopariae Herba) to treat edema, where swelling occurs throughout the body below the waist; this method promotes urination to eliminate edema. Zhang Zhongjing stated: "For swelling below the waist, promoting diuresis is appropriate; for swelling above the waist, inducing sweating is appropriate."
Treating dysfunction of the Spleen and Lung, failing to transport and transform, leading to Qi stagnation in the skin, water retention and difficulty in excretion, resulting in puffy face and eyes, swollen and full limbs, distension and bloating of the heart and abdomen, and shortness of breath with upward reversal.
*Sangbaipi* (Mori Cortex), *Shengjiangpi* (Zingiberis Rhizoma Recens Pericarpium), *Dafupi* (Arecae Pericarpium), *Fulingpi* (Poria Cum Ligno Pericarpium), *Chenpi* (Citri Reticulatae Pericarpium) (each 1 qian 5 fen). Decoct in water, take three times daily. Strictly avoid raw, cold, greasy, and hard foods.
Treating summer-heat and dampness injuring the Spleen, causing edema and abdominal distension, dark red urine, and loose stools.
*Tinglizi* (Descurainiae Semen seu Lepidii Semen) (2 qian 5 fen, stir-fried until fragrant), *Muxiang* (Aucklandiae Radix) (5 fen), *Fuling* (Poria), *Zhuling* (Polyporus) (peeled, each 2 qian 5 fen), *Rougui* (Cinnamomi Cortex) (2 qian), *Huashi* (Talcum) (3 liang), *Zexie* (Alismatis Rhizoma), *Mutong* (Akebiae Caulis), *Gancao* (Glycyrrhizae Radix et Rhizoma) (each half liang), *Baizhu* (Atractylodis Macrocephalae Rhizoma) (1 liang). Grind into fine powder, take 2 qian per dose, swallow with plain boiled water, at any time.
Another prescription
Treating edema and abdominal distension.
*Ku Tinglizi* (Descurainiae Semen seu Lepidii Semen), *Gansui* (Kansui Radix) (wrapped in flour, baked until cooked, soaked in cold water before use), *Shanglugen* (Phytolaccae Radix), *Daji* (Euphorbiae Pekinensis Radix) (each 2 qian 5 fen), *Dahuang* (Rhei Radix et Rhizoma), *Yuanhua* (Genkwa Flos) (each 1 qian), *Qingfen* (Calomelas) (a small amount), *Hei Qianniuzi* (Pharbitidis Semen, first harvest) (1 liang). Grind into fine powder, add Qingfen, and grind again. Take 2 qian per dose, mix with honey water and swallow. The sign of efficacy is the passage of black, yellow, and foul-smelling water. Avoid raw, cold, salted, and soy sauce foods.
*Cangzhu* (Atractylodis Rhizoma) (4 qian 5 fen, soaked in rice washing water), *Caowu* (Aconiti Kusnezoffii Radix) (1 qian, peeled), *Qianghuo* (Notopterygii Rhizoma et Radix) (1 liang), *Badou* (Crotonis Fructus) (1 qian 5 fen, peeled, core removed, membrane and oil removed, ground separately), *Xingren* (Persicae Semen) (21 pieces, peeled, tips removed, stir-fried in flour, ground separately). Grind into fine powder, make pills with wheat starch paste, size of *Tongzi* (Camellia oleifera seeds). Take 11 pills per dose, swallow with ginger decoction before going to bed. Avoid salt, soy sauce, sexual intercourse, and foods that trigger disease for one hundred days. This medicine is extremely effective.
Another prescription
Use one black male pig stomach. First clean it thoroughly with tea soup and clear oil. Place three live toads inside, putting one copper coin in the mouth of each toad, and place a small amount of *Huhuanglian* (Coptidis Rhizoma) powder on the coin. Live-load the toads into the stomach, tie both ends tightly to prevent air leakage. Boil over alternating mild and strong heat for one day. On the next morning at Wugeng (3-5 AM), remove the toads, discard the skin, intestines, and liver, but tear up the remaining meat along with the pig stomach and consume it all entirely, swallowing with good wine. Avoid salt, soy sauce, chicken, goose, fish, noodles, mutton, and other Qi-stagnating foods. It is advisable to eat pork and duck.