乃生，大如鸡卵，稍以益大，如怀子状，按之则坚，推之则移，月事以时下，此肠覃
也。
凡水道不利，而成肿满，盖不以清肺为急，盖膀胱之精液，必待肺气之降下而输
化，曷不观之禽畜，有肺者有尿，无肺者无尿，此其义也。
凡鼓胀朝宽暮急者，血虚。暮宽朝急者气虚，终日急者，气血皆虚。如因有故，蓄
血而腹胀者，宜下死血。如因食积腹胀者，宜木香、槟榔、浓朴、香附之类消之。如因
外寒郁内热而腹胀者，宜桂枝、麻黄温散之。总实者下之、消之，次补之。虚者补
之、升之，以补为要。若脉沉忽大出者，死。腹胀寒热如疟者，死。腹胀便血，脉大
时绝者，死。遍身通红不治。腹胀身热者，死。泻后腹胀，而有青筋者，死。大便滑
泄，水肿不消者，死。脉实大者可治，虚微者，难治。
治脾肺肾俱虚，遍身肿胀，小便不利，痰气喘急，非此药不救。
白茯苓（三两，乳拌） 附子（制熟，五钱） 川牛膝（一两，酒拌炒） 肉桂（一两，去
皮） 泽泻（一两，酒拌炒） 车前子（一两，微焙） 山茱萸（去核，一两，酒拌炒）
山药（一两，炒黄） 牡丹皮（一两，酒拌炒） 熟地黄（四两，酒煮、杵膏），蜜丸，
桐子大，每服四五钱，空心白汤下。
治通身水肿，喘呼气急，烦躁多渴，大小便不通，服热药不得者。
泽泻 商陆 赤小豆（炒） 羌活（去芦） 大腹皮 椒目 木通 秦艽（去芦）
茯苓皮 槟榔（各一钱） 姜水煎服。
（腹部）长出肿块，起初像鸡蛋大小，逐渐增大，如同怀孕的样子，按压时感觉坚硬，推动时可以移动，月经仍然按时来潮，这是肠覃病。
凡是水道不通利，从而形成肿胀满闷的病症，治疗的关键不在于急于清肺。因为膀胱中的精液，必须依赖肺气的下降输布才能转化排泄。为何不观察禽畜呢？有肺的动物有小便，没有肺的动物则没有小便，这就是其中的道理。
凡是鼓胀病早晨症状缓解、傍晚加重的，属于血虚；傍晚症状缓解、早晨加重的，属于气虚；整天都感到急迫胀满的，属于气血两虚。如果是因为体内有瘀血蓄积而导致腹胀的，适宜用攻下法祛除死血。如果是因为食积导致腹胀的，适宜用木香、槟榔、厚朴、香附等药物来消导积滞。如果是因为外感寒邪郁闭、内蕴热邪而导致腹胀的，适宜用桂枝、麻黄等药物温散表邪。总之，实证应当采用攻下或消导的方法，随后再予以补益；虚证应当采用补益或升提的方法，以补益为关键。如果脉象沉取时突然浮大无根，预后不良，主死。腹胀伴有寒热往来如疟疾症状的，主死。腹胀伴有大便出血，脉象大而时有中断的，主死。全身皮肤通红无法治愈。腹胀且身体发热的，主死。腹泻之后腹胀，且腹部出现青色筋脉显露的，主死。大便滑脱泄泻，水肿依然不消退的，主死。脉象实大的可以治疗，脉象虚弱细微的，难以治疗。
治疗脾、肺、肾三脏俱虚，导致全身肿胀，小便不利，痰多气喘急促，非此药不能挽救生命。
白茯苓（三两，用乳汁拌炒），附子（炮制熟透，五钱），川牛膝（一两，用酒拌炒），肉桂（一两，去皮），泽泻（一两，用酒拌炒），车前子（一两，微焙），山茱萸（去核，一两，用酒拌炒），山药（一两，炒至微黄），牡丹皮（一两，用酒拌炒），熟地黄（四两，用酒煮后捣成膏状）。以上药物制成蜜丸，如梧桐子大小，每次服用四五钱，空腹时用白开水送服。
治疗全身水肿，喘息呼气急促，烦躁且口渴严重，大小便不通畅，且不能耐受温热药物的患者。
泽泻，商陆，赤小豆（炒），羌活（去芦头），大腹皮，椒目，木通，秦艽（去芦头），茯苓皮，槟榔（各一钱）。用生姜水煎服。
A mass develops in the abdomen, initially the size of a chicken egg, gradually enlarging to resemble pregnancy. It feels firm upon palpation and is movable upon pushing. Menstruation continues to occur on schedule; this is known as Changtan (Intestinal Polyp/Mass).
In cases where the water pathways are obstructed, leading to swelling and fullness, the urgent treatment does not lie primarily in clearing the Lung. The fluids in the Bladder must await the descending action of Lung Qi to be transformed and distributed. Why not observe poultry and livestock? Animals with lungs urinate, while those without lungs do not; this illustrates the principle.
In cases of Gut Distension (Gu Zhang), if symptoms are relieved in the morning and worsen in the evening, it indicates Blood Deficiency. If relieved in the evening and worsened in the morning, it indicates Qi Deficiency. If there is constant urgency and distension throughout the day, it indicates both Qi and Blood Deficiency. If abdominal distension is caused by retained blood stasis, purgatives should be used to expel the dead blood. If abdominal distension is caused by food stagnation, herbs such as Muxiang (Vladimiria Root), Binglang (Areca Seed), Houpo (Magnolia Bark), and Xiangfu (Cyperus Rhizome) should be used to resolve the stagnation. If abdominal distension is caused by external cold constraining internal heat, Guizhi (Cinnamon Twig) and Mahuang (Ephedra) should be used to warm and disperse. In general, excess patterns require purgation or resolution followed by tonification; deficiency patterns require tonification or lifting, with tonification being the priority. If the pulse is deep but suddenly becomes large and floating at the surface, death ensues. Abdominal distension accompanied by alternating chills and fever resembling malaria results in death. Abdominal distension with bloody stools and a large pulse that intermittently ceases results in death. Generalized redness of the body is incurable. Abdominal distension with body heat results in death. Abdominal distension following diarrhea with visible blue veins on the abdomen results in death. Slippery diarrhea with persistent edema results in death. A solid and large pulse indicates a treatable condition; a weak and minute pulse indicates a difficult-to-treat condition.
This formula treats simultaneous deficiency of the Spleen, Lung, and Kidney, manifesting as generalized swelling, difficulty in urination, phlegm with wheezing and shortness of breath. No other medicine can save the patient.
Baifuling (Poria, 3 liang, processed with milk), Fuzi (Prepared Aconite Root, 5 qian, fully cooked), Chuanniuxi (Cyathulae Radix, 1 liang, stir-fried with wine), Rougui (Cinnamon Bark, 1 liang, bark removed), Zexie (Alisma Rhizome, 1 liang, stir-fried with wine), Cheqianzi (Plantaginis Semen, 1 liang, lightly roasted), Shanzhuyu (Corni Fructus, pitted, 1 liang, stir-fried with wine), Shanyao (Dioscoreae Rhizoma, 1 liang, stir-fried until yellow), Mudanpi (Moutan Cortex, 1 liang, stir-fried with wine), Shudihuang (Rehmanniae Radix Praeparata, 4 liang, boiled in wine and pounded into paste). Process into honey pills the size of tung tree seeds. Take 4–5 qian per dose, administered on an empty stomach with plain warm water.
This formula treats generalized edema, rapid and labored breathing, irritability with excessive thirst, and obstruction of both urine and feces, specifically for patients who cannot tolerate hot/warm medicines.
Zexie (Alisma Rhizome), Shanglu (Phytolaccae Radix), Chixiaodou (Adzuki Bean, stir-fried), Qianghuo (Notopterygii Rhizoma et Radix, rhizome removed), Dafupi (Tangerine Peel of Citrus grandis 'Tomentosa', 1 qian each), Jiaomu (Sichuan Pepper Seed), Mutong (Akebiae Caulis), Qinjiao (Gentianae Macrophyllae Radix, rhizome removed), Fu Ling Pi (Poria Peel), Binglang (Areca Seed, 1 qian each). Decoct with ginger water and take orally.