〔云〕疗产大小便不利，下血。
车前子 黄芩 蒲黄 牡蛎 生地 芍药（各一两五钱）
上为细末。空心米饮服方寸匕，忌面、蒜。
〔《心》〕治妇人产后，忽小腹胀如蛊，大小便不通。气海、三里、关元、三阴交、阴谷主之。
〔《灵》〕黄帝问曰∶水谷入于口，输于肠胃，其液别为五∶天寒衣薄则为溺与气；天热衣浓则为汗；悲哀气
并则为泣；中热胃缓则为唾。邪气内逆则气为之闭塞而不行，不行则为水胀，余知其然也，不知其何由生？愿
闻其道。岐伯曰∶五谷之津液，和合而为膏者，内渗入于骨空，补益脑髓，而下流于阴股。阴阳不和，则使液
溢而下流于阴，髓液皆减而下，下过度则虚，虚故腰背痛而胫酸，阴阳气道不通，四海塞闭，三焦不泻，津液
不化，水谷并行肠胃之中，别于回肠，留于下焦，不得渗膀胱，则下焦胀，水溢则为水胀。（五癃津液篇 下过
度谓房劳过度也。）
〔《本》〕脐腹、四肢悉肿者为水，但腹胀、四肢不甚肿为蛊。（蛊即胀也。）
〔《灵》〕黄帝问于岐伯曰∶水与肤胀、鼓胀、肠覃、石瘕、石水，何以别之？岐伯答曰∶水始起也，目
窠上微肿，如新卧起之状，其颈脉动，时咳，阴股间寒，足颈肿，腹乃大，其水已成矣。以手按其腹，随手而
起，如裹水之状，此其候也。黄帝曰∶肤胀何以候之？岐伯曰∶肤胀者，寒气客于皮肤之间， 然不坚，腹
大，身尽肿，皮浓，按其腹， 而不起，腹色不变，此其候也。鼓胀何如？岐伯曰∶腹胀身皆大，大与腹胀等也，
色苍黄，腹筋起，此其候也。肠覃何如？岐伯曰∶寒气客于肠外，与卫气相搏，气不得荣，因有所系，癖而内
着，恶气乃起， 肉乃生。其始生也，大如鸡卵，稍以益大，至其成如怀子之状。久者离岁，按之则坚，推之
则移，月事以时下，此其候也。石瘕何如？岐伯曰∶石瘕生于胞中，寒气客于子门，子门闭塞，气不得通，恶
血当泻不泻， 以留止，日以益大，状如怀子，月事不以时下。皆生于女子，可导而下。黄帝曰∶肤胀、鼓胀
可刺邪？岐伯曰∶先泻其胀之血络，后调其经，刺去其血络也。（水胀论 石水，脐以下肿，其脉沉。）
水肿（先自足肿，后腹大，为水。）
〔《素》〕帝曰∶其有不从毫毛而生，五脏阳以竭也，津液充郭。（王注云∶不从毫毛生，言生于内也。津液者，水也。
充，满也。郭，皮也。盖阳竭于外，津液得以充满于郭而浮肿也。）其魄独居，孤精于内，气耗于外，形不可与衣
相保，此四极急而动中，是气拒于内，而形施于外，治之奈何？岐伯曰∶平治于权衡，去宛陈 ，微动四极，温衣，
缪刺其处，以复其形。开鬼门，洁净府，精以时服，五阳已布，疏涤五脏，故精自生，形自盛，骨肉相保，巨气
乃平。（汤液醪醴论 开鬼门，发汗也。洁净府，利小便也。王注云∶平治权衡，谓察其脉浮沉也。脉浮为在表，
脉沉为在里，在里者泄之，在表者汗之。故下文云∶开鬼门，洁净府也。去宛陈 ，谓去积久之水物，
犹如草 之不可久留于身中也。微动四极，谓微动四肢，令阳气渐以宣行，故曰温衣也。）
〔仲〕诸有水者，腰以下肿，当利小便；腰以上肿，当发汗乃愈。风水，脉浮身重，汗出恶风者，防己黄 汤
主之。
防己（一两） 黄 （一两一分） 白术（三分） 甘草（炙，半两）
上锉。每服五钱，生姜四片，枣一枚，水盏半，煎取八分，去渣温服。良久再服。腹痛加芍药。一法，洁
古用此汤调五苓散，治因湿为肿者。（又方，防己汤治风湿，脉浮为在表；其人或头汗出，无表症，病者但
下重，从腰以上为和，腰以下常肿，及身重难以屈伸。）
皮水为病，四肢肿，水气在皮肤中，四肢聂聂动者，防己茯苓汤主之。
防己 黄 桂枝（各三两） 茯苓（六两） 甘草（二两）
上五味，以水六升，煮取二升，分温三服。
厥而皮水者，蒲灰散主之。（方见淋。以上利小便法。）
风水急风，一身悉疮，脉浮不渴，续自汗出，无大热，越婢汤主之。
麻黄（六两） 石膏（半两） 生姜（三两） 大枣（十五枚） 甘草（二两）
上五味，以水六升，先煮麻黄去上沫，内诸药煮取三升，分温三服。恶风者，加附子一枚炮；风水，加术
四两。里水者，一身面目黄肿，其脉沉，小便不利，故令病水。假如小便自利，此亡津液，故令渴也，
越婢加术汤主之，于前越婢汤加白术四两。甘草麻黄汤亦主之。
甘草（二两） 麻黄（四两）
上二味，以水五升，先煮麻黄去上沫，内甘草煮取三升，温服一升，重覆汗出。不汗，再服。慎风寒。
水之为病，其脉沉小属少阴；浮者为风；无水虚胀者为气水。其汗即已。脉沉者，宜麻黄附子汤；浮者，宜杏
子汤。
麻黄（三两） 甘草（二两） 附子（一个，炮）
上三味，以水七升，先煮麻黄去上沫，内药煮取二升半，温服八合，日三服。（以上发汗出愈。）
〔丹〕水肿因脾虚不能制水，水积妄行，当以参、术补脾，使脾气得实，则能健运，自然升降，运动其枢
机，则水自行，非若五苓之行水也，宜补中行湿利小便，切不可下，当用二陈汤加白术、人参、苍术为主，佐
以黄芩、麦门冬制肝木。若腹胀，少佐浓朴。气不运，加木香、木通。气若陷下，升麻、柴胡提之。随症加减，
必须补中，用大剂白术补脾。如壅满，用半夏、陈皮、香附监之。有热者，当清肺金，门冬、黄芩之属。赤
岸冯令八官，素饮食不知饱，但食肉必泄。忽遍身发肿，头面加多，致目亦不可开，膈间满如筑，两足麻至膝
而止，浑身不可见风，阴器挺长，其脉左沉而重取不应，右三部虽短小，却有和滑气象。遂令单煮白术汤饮，
早晨空心探而去之。食后，白术二钱、麻黄五分、川芎半钱、防风三分作汤，下保和丸五十丸。如此者二日，
因吐中得汗，通体上截为多，遂得肿宽而眼开，气顺而食进。却于前方中去麻黄、防风，加白术三钱，木通、
通草各半钱，下保和丸五十丸。如此者，五日而安。（此即开鬼门之法也。）
卢节妇，年二十余，半月之前，夜间发热，面先肿，次及身、足肿，肚亦肿，口渴思冷水，食略减。
大腹皮（半钱） 白术（一钱半） 苍术（一钱半） 栀子（四枚） 川芎（一钱） 麻黄（六分） 木通（一钱）
干葛（二钱） 甘草梢（些）
朱秀才，因久坐受湿，能饮酒，下血，以苦涩药兜之，遂成肿疾，而肚足皆肿，口渴中满，无力少汗，脉
涩而短，乃血为湿气所伤，法当行湿顺气，清热进食化积。
滑石（六钱） 白术（二钱） 木通（三钱） 浓朴 干葛（各二钱） 苍术（一钱）
分四帖，加苏叶七片，每一帖煎至三之一，热下保和丸与点丸、温中丸各五十丸。
王三九孺人，浮肿膈满，腹滑泄，口苦而渴，小便赤少，脉虚而豁大稍迟，此有污积病，为人性急。
滑石（一两） 陈皮（四钱） 苏梗 白术 川芎 木通 浓朴（各二钱） 茯苓皮（一钱半） 甘草梢（半钱）
分六帖，用顺流水煎下保和丸二十五丸、抑青丸十丸。
吴孺人，胃中有积，发为肿，成疮疥，身倦食少，恶寒发热，脉虚而沉。
白术（一两六钱） 滑石（二两） 生地 木通 川芎（各半两） 黄芩 茯苓皮 连翘（各四钱） 紫苏（三钱）
甘草（炙，二钱半）
下保和丸三十丸。
一女子，年三十余岁，肿病有热，服药得安，但两足下节不退，肚内自觉尚有热，脉却平矣，饮食如昨。
白术（一钱） 郁李仁（一两半） 苏梗 木通 条芩 槟榔 枳实（炒，半两） 青皮（一两） 甘草梢（一钱）
分十帖，细研郁李仁，以顺流水三盏荡起，煎一盏，食前热服。
张郎，二十岁，秋得肿疾，午前上甚，午后下甚，口渴乏力，脉涩弱，食亦少，禀气素怯，汗不能自出，郁
而为水。与灸三里、肺俞、大椎、合谷、分水，又与此方。
白术（一钱半） 陈皮（五分） 黄芩 紫苏 海金沙 木通 大腹皮 茯苓皮 干葛（炒） 浓朴 甘草（各二
钱）
作一帖，水煎服。
光明人脚肿，肚略急，身微热，脉略数，口干。
白术（一钱） 茯苓（五分） 干葛（炒，五分） 苏梗（五钱） 大腹皮（三钱） 甘草（炙，一钱） 川芎（二
钱） 陈皮（五分）
许宅妇人，二十以上，脚踝肿，近日有疮毒。
白术（七钱） 苍术 陈皮 犀角末 川芎（各五钱） 连翘 木通 苏叶（各三钱） 甘草（梢，一钱）
分七帖煎，后入姜汁令辣热，食前服。
冯官人，因内有湿积，兼时令湿热，右腿少阳分发烂疮如掌大，痒甚，两手脉洪缓略数，两目、手足俱虚
肿，膈中午前痞闷，午后肿到两足则膈宽。
犀角（生，五分） 枳壳（炒，五分） 陈皮 连翘 白术（各一钱） 木通（五分） 苍术（五分） 甘草（梢，
二分） 茯苓（五分） 加姜汁煎服。
冯客，疟而发肿，微渴，脉左手虚，右手大，食少。
白术（一钱半） 陈皮（一钱） 木通 浓朴（炒） 大腹皮（各五分） 甘草（炙，二分） 牛膝（五分） 苏
梗（三分） 姜（三片）
冯儒人，疟而浮肿，大便自利。
人参 半夏 陈皮（各一钱） 川芎 苍术（炒） 白芷（各五分） 木通（二钱） 白术（一钱半，炒） 甘草
（炙，三分）
王官人，年四十，疟两日一发，始善啖，至春作肿，大小便秘，食少，面浮肿，口渴。
浓朴（一钱） 白术（一钱半） 木通（七分半） 陈皮（一钱） 川芎 大腹皮（各五分） 牛膝 滑石（各一
钱，炒） 甘草（炙，三分）
上丹溪治水肿之法十五条。其法大率皆以甘草佐白术、参、陈等剂，补中气为君；木通、滑石、郁李仁、
海金沙行水为臣；浓朴、大腹皮、苏梗，通滞气为佐使。如气不升浮，恶寒，脉沉者，探吐以提之；头面
先肿，加麻黄微汗之；挟积气者，佐以保和、温中、抑青等丸磨之；挟热者，佐以黄芩之类清之；挟疮痈者，
佐以连翘、犀角散之，而随症加减也。
〔罗〕治肿，以胃气为本。至元戊寅五月间，积雨淋淫。鲁斋许仲平先生，时年五十有八，面目、肢体浮
肿，大便溏多，腹胀肠鸣时痛，饮食减少，命予治之。脉得弦细而缓。鲁斋曰∶年壮时，多服牵牛、大黄药，
面目、四肢时有浮肿，今因阴雨，故大发。予曰∶营运之气，出自中焦者胃也。胃气弱不能布散水谷之气，营
养脏腑、经络、皮毛，故气行而涩为浮肿，大便溏多而腹胀肠鸣，皆湿气胜也。四时、五脏皆以胃
气为本，五脏有胃气，则和平而身安，若胃气虚弱，不能运动滋养五脏，则五脏脉不和平。本脏之气盛者，其脉
独见，轻则病，过甚则必死。故经曰∶真脏之脉弦，无胃气则死。先生之疾，幸而未至于甚，尚可调
补。人知服牵牛、大黄，为一时之快，不知其为终身之害也。遂以平胃散加白术、茯苓、草豆蔻仁，数服
而腹胀、溏泄、肠鸣时痛皆愈。饮食进，止有四肢浮肿，以导滞通经汤主之，良愈。
导滞通经汤 治痹湿有余，及气不宣通，面目、手足浮肿。
陈皮 桑白皮 白术 木香（各五钱） 茯苓（一两，去皮） 霖雨时，加泽泻一两。
上 咀。每服五钱，水二盏，煎至一盏，食前温服。
白茯苓汤 能变水。
白茯苓 泽泻（各二两） 郁李仁（五钱）
上 咀，作一服，水一碗，煎至一半，生姜自然汁入药常服，无时。从少至多，服五七日后，觉腹下再肿，
治以白术散。
白术 泽泻（各半两）
上为末。煎服三钱，或丸亦可。煎茯苓汤下三十丸，以黄 、芍药、建中汤之类调养之。平复后，忌房室、
猪、鱼、盐、面等物。
〔《本》〕大枣汤 治四肢肿满。
用白术三两， 咀。每服半两，水一盏半，大枣三枚，拍破同煎，至九分，去渣温服，日三四服，不拘时候。
〔梅〕治水肿不能服药。商陆一升，羊肉六两，以水一斗，煮取六升，去渣，和肉、葱、豆作 ，如常法
食之。商陆白者好。
〔《食》〕医治十种水气病，不瘥欲死者，鲤鱼一头，重一斤以上者，煮熟取汁，和冬瓜、葱白作羹食之。
治十种水气病，不瘥垂死者。青头鸭一只，治如食法，细切，和米并五味煮令熟作粥，空腹食之。
〔梅〕治水气胀满，小便涩。白鸭一只，去毛肠，洗净， 饭半升，与椒、姜同穣鸭腹中缝定，
如法蒸熟食之。
〔子和〕郾之营兵狄家小儿，病风水。诸医用银粉粉霜之药，小便反涩，饮食不进，头肿肚胀，四肢皆满，
状若水晶。求治戴人，戴人曰∶此证不与壮年同，壮年病水者，或因留饮及房室，此小儿才七岁，乃风水证也，
宜出汗。乃置燠室，以屏帐遍遮之，不令见火，若内火见外火，必昏 也。使大服胃风汤而浴之，浴讫以布单
重覆之，凡三五重。其汗如水，肿乃减五分。隔一二日，又根据前法治之，汗出肿减七分。又三汗而全减，尚未
【云】治疗产后大小便不通利，伴有下血。
车前子、黄芩、蒲黄、牡蛎、生地黄、芍药（各一两五钱）
以上药物研成细末。空腹时用米汤送服方寸匕大小的药量，忌食面食、大蒜。
〔《千金方》〕治疗妇人产后，突然小腹胀大如蛊状，大小便不通。取气海穴、足三里穴、关元穴、三阴交穴、阴谷穴主治。
〔《灵枢经》〕黄帝问道：水谷入口，输送到肠胃，其中的津液分为五种：天气寒冷、衣服单薄时就化为溺（尿液）和气；天气炎热、衣服厚重时就化为汗；悲哀时气机并聚就化为泪；体内热盛、胃气弛缓时就化为唾。邪气内逆则气机闭塞而不运行，不运行则导致水胀，我知道是这个道理，但不知道它是如何产生的？希望听您讲讲其中的机理。岐伯说：五谷的津液，调和融合成为膏脂样的物质，向内渗入骨空，补益脑髓，并向下流注于大腿内侧。如果阴阳不和，就会使津液溢出并向下流注于阴部，骨髓和津液都减少而下行，下行过度则导致虚损，虚损所以出现腰背痛和小腿酸痛。阴阳气道不通畅，四海闭塞，三焦不能通泻，津液不能正常化生，水谷并行于肠胃之中，在回肠处分离，留滞于下焦，不能渗入膀胱，所以下焦胀满，水液外溢就成为水胀。（《五癃津液篇》注：下过度指房事过度。）
〔《难经》〕脐腹部、四肢都肿胀的是水病，只有腹部胀满、四肢不太肿胀的是蛊胀。（蛊即胀的意思。）
〔《灵枢经》〕黄帝问岐伯道：水病与肤胀、鼓胀、肠覃、石瘕、石水，怎样区别它们？岐伯回答说：水病刚开始发生时，眼睑下方微微肿胀，像刚睡醒的样子，颈部人迎脉跳动，时常咳嗽，大腿内侧感觉寒冷，足胫部肿胀，腹部才变大，这时水病已经形成了。用手按压其腹部，随手而起，像包裹着水的样子，这是它的征候。黄帝问：肤胀怎样诊察？岐伯说：肤胀是寒气客居在皮肤之间，空空然不坚硬，腹部胀大，全身浮肿，皮肤厚，按压腹部，凹陷不起，腹部颜色不变，这是它的征候。鼓胀怎么样？岐伯说：腹部胀大，身体也都肿大，肿大程度与腹胀相当，面色苍黄，腹部青筋暴露，这是它的征候。肠覃怎么样？岐伯说：寒气客居于肠外，与卫气相搏结，气不能得到营养，因而有所羁绊，癖积而内着，恶气于是产生，赘肉于是生成。它刚开始生成时，大小如鸡蛋，逐渐增大，到最后像怀孕的样子。病程久的有一年以上，按压它则坚硬，推动它则移动，月经按时来潮，这是它的征候。石瘕怎么样？岐伯说：石瘕生于胞宫，寒气客居于子门，子门闭塞，气机不能通畅，恶血应当排出而不能排出，瘀血留止，一天天增大，形状像怀孕，月经不能按时来潮。这些病都发生在女子身上，可以用导引或攻下的方法治疗。黄帝问：肤胀、鼓胀可以用针刺治疗吗？岐伯说：先刺破胀满部位的血络放血，然后调理经脉，刺去血络中的瘀血。（《水胀论》注：石水，脐以下肿胀，脉象沉。）
水肿（先从足部开始肿胀，后来腹部变大，称为水病。）
〔《素问》〕皇帝说：有一种不从皮毛而入的疾病，是因为五脏阳气衰竭，津液充满胸廓。（王冰注解说：不从皮毛生，是说生于体内。津液，就是水。充，是满的意思。郭，指皮。大概是因为阳气竭绝于外，津液得以充满于皮里而浮肿。）阴精独存于内，孤精耗散于内，阳气耗散于外，形体无法与衣服相称（形容极度消瘦），这就是四肢紧急而动及内脏（气机逆乱），这是气拒于内，而形体改变于外，怎么治疗呢？岐伯说：要权衡平治，去除积久陈腐之物，轻微活动四肢，注意保暖，用缪刺法针刺患处，以恢复形体。开发腠理发汗，通利小便，精气按时服用（或理解为精气按时复常），五脏阳气已布散，疏通涤荡五脏，所以精气自然产生，形体自然强盛，骨肉相亲，正气乃平和。（《汤液醪醴论》注：开鬼门，即发汗。洁净府，即利小便。王冰注解说：平治权衡，谓观察脉象浮沉。脉浮为在表，脉沉为在里，在里的用泄法，在表的用汗法。所以下文说：开鬼门，洁净府。去宛陈莝，谓去除积久之水物，犹如草莝之不可久留于身中。微动四极，谓轻微活动四肢，令阳气逐渐宣行，所以说要注意保暖。）
〔张仲景〕凡是患有水病的，腰部以下肿胀，应当利小便；腰部以上肿胀，应当发汗才能痊愈。风水病，脉浮、身体沉重、出汗、怕风的，用防己黄芪汤主治。
防己（一两）、黄芪（一两一分）、白术（三分）、甘草（炙，半两）
以上药物切碎。每次服用五钱，生姜四片，大枣一枚，水一盏半，煎取八分，去渣温服。隔一段时间再服。腹痛加芍药。另一种方法，洁古先生用此汤调服五苓散，治疗因湿导致的肿胀。（又一方，防己汤治疗风湿，脉浮表示病在表；或者患者头出汗，无表证，患者只觉得下肢沉重，从腰以上正常，腰以下经常肿胀，以及身体沉重难以屈伸。）
皮水病，四肢肿胀，水气在皮肤中，四肢微微颤动的，用防己茯苓汤主治。
防己、黄芪、桂枝（各三两）、茯苓（六两）、甘草（二两）
以上五味药，用水六升，煮取二升，分三次温服。
厥冷且患皮水的，用蒲灰散主治。（方剂见淋证条。以上是利小便的方法。）
风水急症，全身起疮疹，脉浮、口不渴，持续自汗出，没有大热的，用越婢汤主治。
麻黄（六两）、石膏（半两）、生姜（三两）、大枣（十五枚）、甘草（二两）
以上五味药，用水六升，先煮麻黄去掉上面的沫，加入其他药物煮取三升，分三次温服。怕风的，加炮附子一枚；如果是风水，加白术四两。里水病，全身面目黄肿，脉沉，小便不利，所以导致水病。假如小便自利，这是亡失津液，所以导致口渴，用越婢加术汤主治，即在前面越婢汤基础上加白术四两。甘草麻黄汤也主治此病。
甘草（二两）、麻黄（四两）
以上两味药，用水五升，先煮麻黄去掉上面的沫，加入甘草煮取三升，温服一升，覆盖被子发汗。不发汗，再服。注意防风寒。
水病，脉沉小属于少阴病；脉浮属于风邪；无水而虚胀的是气水。发汗即可痊愈。脉沉的，适宜用麻黄附子汤；脉浮的，适宜用杏子汤。
麻黄（三两）、甘草（二两）、附子（一个，炮）
以上三味药，用水七升，先煮麻黄去掉上面的沫，加入药物煮取二升半，温服八合，每日三次。（以上是发汗后痊愈的方法。）
〔朱丹溪〕水肿因为脾虚不能制约水湿，水湿积聚妄行，应当用人参、白术补脾，使脾气充实，就能健运，自然升降，运动其枢纽，水湿自行，不像五苓散那样强行利水，适宜用补中兼祛湿利小便的方法，切不可用攻下法，应当用二陈汤加白术、人参、苍术为主，佐以黄芩、麦门冬制约肝木。如果腹胀，稍佐厚朴。气机不运转，加木香、木通。气若陷下，用升麻、柴胡提升。随症状加减，必须补中气，用大剂量白术补脾。如果壅塞胀满，用半夏、陈皮、香附抑制它。有热的，应当清肺金，用麦冬、黄芩之类。赤岸冯令八官，平时饮食不知饱，只吃肉必然腹泻。忽然遍身浮肿，头面部加重，导致眼睛也无法睁开，膈间胀满如筑墙感，双腿麻木至膝盖为止，浑身怕风，阴器挺长，脉象左沉重取不应，右三部虽然短小，却有和滑的气象。于是让他单煮白术汤饮用，早晨空腹探吐后服用。饭后，用白术二钱、麻黄五分、川芎半钱、防风三分煎汤，送服保和丸五十丸。这样连续两天，因呕吐中得汗，上半身出汗较多，于是肿胀消退眼睛睁开，气顺食欲增进。随后在前面方中去掉麻黄、防风，加白术三钱，木通、通草各半钱，送服保和丸五十丸。这样连续五天而安宁。（这就是开鬼门的方法。）
卢节妇，二十多岁，半个月前夜间发热，面部先肿，接着波及身体、足部肿胀，肚子也肿，口渴想喝冷水，饮食略减。
大腹皮（半钱）、白术（一钱半）、苍术（一钱半）、栀子（四枚）、川芎（一钱）、麻黄（六分）、木通（一钱）、干葛（二钱）、甘草梢（少许）
朱秀才，因久坐受湿，能饮酒，下部出血，用苦涩药兜住止血，于是形成肿疾，肚子和脚都肿，口渴中满，无力少汗，脉涩而短，这是血被湿气所伤，治法应当行湿顺气，清热进食化积。
滑石（六钱）、白术（二钱）、木通（三钱）、厚朴、干葛（各二钱）、苍术（一钱）
分四帖，加苏叶七片，每一帖煎至三分之一，热服时送服保和丸、点丸、温中丸各五十丸。
王三九孺人，浮肿膈满，腹部滑泄，口苦而渴，小便赤少，脉虚而豁大稍迟，这是有污积病，她性格急躁。
滑石（一两）、陈皮（四钱）、苏梗、白术、川芎、木通、厚朴（各二钱）、茯苓皮（一钱半）、甘草梢（半钱）
分六帖，用顺流水煎服，送服保和丸二十五丸、抑青丸十丸。
吴孺人，胃中有积滞，引发肿胀，形成疮疥，身体疲倦食少，恶寒发热，脉虚而沉。
白术（一两六钱）、滑石（二两）、生地黄、木通、川芎（各半两）、黄芩、茯苓皮、连翘（各四钱）、紫苏（三钱）、甘草（炙，二钱半）
送服保和丸三十丸。
一女子，三十多岁，肿病有热，服药后病情安定，但两足下节不退，肚内自觉还有热，脉象却平和了，饮食如旧。
白术（一钱）、郁李仁（一两半）、苏梗、木通、条芩、槟榔、枳实（炒，半两）、青皮（一两）、甘草梢（一钱）
分十帖，细研郁李仁，用顺流水三盏荡起，煎至一盏，饭前热服。
张郎，二十岁，秋天得肿疾，午前上部肿甚，午后下部肿甚，口渴乏力，脉涩弱，饮食也少，禀赋素来怯弱，汗不能自出，郁结而为水。给予灸三里、肺俞、大椎、合谷、分水穴，又给与此方。
白术（一钱半）、陈皮（五分）、黄芩、紫苏、海金沙、木通、大腹皮、茯苓皮、干葛（炒）、厚朴、甘草（各二钱）
作一帖，水煎服。
光明人脚肿，肚子略微紧绷，身体微热，脉略数，口干。
白术（一钱）、茯苓（五分）、干葛（炒，五分）、苏梗（五钱）、大腹皮（三钱）、甘草（炙，一钱）、川芎（二钱）、陈皮（五分）
许宅妇人，二十岁以上，脚踝肿，近日有疮毒。
白术（七钱）、苍术、陈皮、犀角末、川芎（各五钱）、连翘、木通、苏叶（各三钱）、甘草（梢，一钱）
分七帖煎，后入姜汁令辣热，饭前服。
冯官人，因内有湿积，兼时令湿热，右腿少阳经分发烂疮如手掌大，痒得很厉害，两手脉洪缓略数，两眼、手足俱虚肿，膈中午前痞闷，午后肿到两足则膈宽。
犀角（生，五分）、枳壳（炒，五分）、陈皮、连翘、白术（各一钱）、木通（五分）、苍术（五分）、甘草（梢，二分）、茯苓（五分）加姜汁煎服。
冯客，疟疾并发肿胀，微渴，脉左手虚，右手大，食少。
白术（一钱半）、陈皮（一钱）、木通、厚朴（炒）、大腹皮（各五分）、甘草（炙，二分）、牛膝（五分）、苏梗（三分）、姜（三片）
冯儒人，疟疾并发浮肿，大便自利。
人参、半夏、陈皮（各一钱）、川芎、苍术（炒）、白芷（各五分）、木通（二钱）、白术（一钱半，炒）、甘草（炙，三分）
王官人，四十岁，疟疾两日一发，起初善食，到春季发生肿胀，大小便秘，食少，面浮肿，口渴。
厚朴（一钱）、白术（一钱半）、木通（七分半）、陈皮（一钱）、川芎、大腹皮（各五分）、牛膝、滑石（各一钱，炒）、甘草（炙，三分）
以上是丹溪治疗水肿的十五条法则。这些法则大体都是以甘草佐助白术、人参、陈皮等药剂，补中气为君药；木通、滑石、郁李仁、海金沙行水为臣药；厚朴、大腹皮、苏梗，通滞气为佐使药。如气不升浮，恶寒，脉沉的，用探吐法以提升之；头面先肿的，加麻黄微发其汗；挟积气的，佐以保和、温中、抑青等丸磨消之；挟热的，佐以黄芩之类清之；挟疮痈的，佐以连翘、犀角散之，而随症状加减。
〔罗天益〕治疗肿病，以胃气为本。至元戊寅五月间，连绵阴雨。鲁斋许仲平先生，当时五十八岁，面目、肢体浮肿，大便溏多，腹胀肠鸣时常疼痛，饮食减少，让我治疗。脉象弦细而缓。鲁斋先生说：年轻时，多服牵牛、大黄药，面目、四肢时有浮肿，现在因为阴雨，所以大发。我说：营运之气，出自中焦的胃。胃气弱不能布散水谷之气，滋养脏腑、经络、皮毛，所以气行而涩导致浮肿，大便溏多而腹胀肠鸣，都是湿气胜的表现。四时、五脏都以胃气为本，五脏有胃气，则和平而身安，如果胃气虚弱，不能运动滋养五脏，则五脏脉不和平。本脏之气盛的，其脉独见，轻则病，过甚则必死。所以经书说：真脏之脉弦，无胃气则死。先生的病，幸好还没到严重的地步，还可以调补。人们只知道服用牵牛、大黄，为一时之快，不知道其为终身之害。于是用平胃散加白术、茯苓、草豆蔻仁，几服后腹胀、溏泄、肠鸣时痛都好了。饮食进，只剩下四肢浮肿，用导滞通经汤主治，痊愈。
导滞通经汤 治疗痹湿有余，及气不宣通，面目、手足浮肿。
陈皮、桑白皮、白术、木香（各五钱）、茯苓（一两，去皮）霖雨时，加泽泻一两。
以上切碎。每服五钱，水二盏，煎至一盏，饭前温服。
白茯苓汤 能变水。
白茯苓、泽泻（各二两）、郁李仁（五钱）
以上切碎，作一服，水一碗，煎至一半，生姜自然汁入药常服，不限时候。从少至多，服五七日后，觉腹下再肿，治以白术散。
白术、泽泻（各半两）
以上为末。煎服三钱，或做成丸也可。煎茯苓汤下三十丸，以黄芪、芍药、建中汤之类调养。平复后，忌房室、猪、鱼、盐、面等物。
〔《难经》〕大枣汤 治疗四肢肿满。
用白术三两，切碎。每服半两，水一盏半，大枣三枚，拍破同煎，至九分，去渣温服，日三四服，不拘时候。
〔梅〕治疗水肿不能服药。商陆一升，羊肉六两，用水一斗，煮取六升，去渣，和肉、葱、豆做羹，如常法食之。商陆白色的好。
〔《食疗本草》〕医生治疗十种水气病，不好转快要死的，鲤鱼一头，重一斤以上的，煮熟取汁，和冬瓜、葱白做羹食之。
治疗十种水气病，不好转垂死的。青头鸭一只，按食用方法处理，细切，和米并五味煮令熟做粥，空腹食之。
〔梅〕治疗水气胀满，小便涩。白鸭一只，去毛肠，洗净，糯米半升，与椒、姜同填入鸭腹中缝定，依法蒸熟食之。
〔张子和〕郾城的营兵狄家小儿，患风水。众医用药银粉、粉霜等药，小便反而涩滞，饮食不进，头肿肚胀，四肢皆满，状若水晶。求治戴人，戴人说：这个证不与壮年相同，壮年病水者，或因留饮及房室，此小儿才七岁，乃是风水证，宜出汗。于是设置暖室，用屏帐遍遮，不让见火，如果内火见外火，必定昏冒。让大量服用胃风汤并沐浴，浴毕用布单重重覆盖，凡三五重。其汗如水，肿乃减五分。隔一二日，又按前法治之，汗出肿减七分。又三次发汗而全减，尚未……
[Yun] Treats postpartum difficulty in urination and defecation, accompanied by blood discharge.
Semen Plantaginis (Cheqianzi), Radix Scutellariae (Huangqin), Sanguis Fuliginis (Puhuang), Concha Ostreae (Muli), Radix Rehmanniae Recens (Shengdi), Radix Paeoniae Alba (Shaoyao) (each 1 liang 5 qian).
The above are ground into fine powder. Take a measure of one cun bi (a small spoonful) with rice water on an empty stomach. Avoid wheat products and garlic.
[Qianjin Fang] Treats women after childbirth who suddenly have lower abdominal distension like a gourd, with obstruction of urination and defecation. Qihai (CV6), Zusanli (ST36), Guanyuan (CV4), Sanyinjiao (SP6), Yingu (KI10) are indicated.
[Ling Shu] The Yellow Emperor asked: Food and drink enter the mouth, are transported to the intestines and stomach, and their fluids are divided into five types: when it is cold and clothes are thin, they become urine and qi; when it is hot and clothes are thick, they become sweat; when grieving, qi gathers and becomes tears; when internal heat is high and stomach qi is relaxed, it becomes saliva. When pathogenic qi rebels internally, qi becomes blocked and does not flow; if it does not flow, water swelling occurs. I know this principle, but I do not know how it arises. I wish to hear the mechanism. Qibo said: The fluids of the five grains, harmonized and combined into a paste-like substance, penetrate inward into the bone cavities, nourish the brain marrow, and flow downward to the inner thighs. If yin and yang are not in harmony, fluids overflow and flow downward to the yin organs, causing marrow and fluids to decrease and flow down excessively. Excessive downward flow leads to deficiency, resulting in lower back pain and soreness of the shins. If the pathways of yin and yang qi are blocked, the Four Seas are obstructed, the San Jiao fails to drain, and fluids fail to transform, food and drink move together through the intestines and stomach, separate at the ileum, remain in the lower jiao, and cannot渗 (permeate) into the bladder, causing lower jiao distension. Overflowing water results in water swelling. (Note from Wuling Jin Ye Pian: "Excessive downward flow" refers to excessive sexual activity.)
[Nan Jing] Swelling of the umbilical abdomen and all four limbs is called Water Disease. Abdominal distension alone with slight swelling of the four limbs is called Gu Distension. (Gu means distension.)
[Ling Shu] The Yellow Emperor asked Qibo: How can Water Disease be distinguished from Skin Distension, Drum Distension, Intestinal Polyp, Stone Mass, and Stone Water? Qibo replied: At the beginning of Water Disease, there is slight swelling above the eye sockets, resembling the appearance after waking up. The neck vessels pulse, there is occasional coughing, coldness in the inner thighs, swelling of the ankles, and then the abdomen enlarges, indicating that water has formed. Pressing the abdomen causes it to rise immediately, resembling a bag filled with water; this is its sign. The Yellow Emperor asked: How is Skin Distension diagnosed? Qibo said: Skin Distension is caused by cold qi lodging between the skin. It feels hollow and not firm, with abdominal distension, whole-body swelling, thick skin, and pressing the abdomen leaves an indentation that does not rise. The abdominal color remains unchanged; this is its sign. What about Drum Distension? Qibo said: The abdomen is distended and the body is enlarged to the same degree as the abdominal distension. The complexion is dark yellow, and abdominal veins are prominent; this is its sign. What is an Intestinal Polyp? Qibo said: Cold qi lodges outside the intestines and struggles with Wei Qi. Qi fails to nourish, leading to adhesion and internal fixation. Evil qi arises, and flesh grows. Initially, it is the size of a chicken egg, gradually increasing until it resembles pregnancy. After a year or more, it is hard to press but movable. Menstruation occurs on time; this is its sign. What is a Stone Mass? Qibo said: A Stone Mass forms in the uterus. Cold qi lodges at the cervical os, blocking it so qi cannot pass. Evil blood should be discharged but is retained, growing daily until it resembles pregnancy, and menstruation is delayed. These diseases occur only in women and can be treated with guiding or purging methods. The Yellow Emperor asked: Can Skin Distension and Drum Distension be treated with acupuncture? Qibo said: First, puncture the collateral vessels of the distended area to bleed, then regulate the meridians and remove the blood from the collaterals. (Note from Shui Zhang Lun: Stone Water presents with swelling below the navel and a deep pulse.)
Edema (Swelling starts in the feet and later involves the abdomen, called Water Disease.)
[Su Wen] The Emperor said: There is a disease that does not arise from the hair pores but from the exhaustion of Yang Qi in the Five Zang Organs, causing fluids to fill the outer boundary. (Wang Bing's commentary: "Not arising from hair pores" means it originates internally. Fluids refer to water. "Fill" means full. "Guo" refers to the skin. Roughly, Yang Qi is exhausted externally, allowing fluids to fill the space under the skin, causing edema.) Yin essence resides alone internally, isolated essence depletes internally, while Qi dissipates externally. The form cannot even maintain its clothing fit. This is characterized by urgency in the four extremities and movement within the interior. Qi is rejected internally, and the form changes externally. How should it be treated? Qibo said: Balance and treat according to weight and measure. Remove accumulated stale matter. Slightly move the four extremities. Keep warm. Apply Miu Ci (twisted needle) therapy at the sites to restore the form. Open the ghost gate (induce sweating). Cleanse the spirit mansion (promote urination). Essence will be taken in time. Once the Five Yang Qi are distributed, dredge and cleanse the Five Zang Organs. Thus, essence generates naturally, the form prospers, bone and flesh protect each other, and Great Qi becomes peaceful. (Commentary from Tang Ye Lao Li Lun: "Open the ghost gate" means induce sweating. "Cleanse the spirit mansion" means promote urination. Wang Bing's commentary: "Balance and treat according to weight and measure" refers to observing whether the pulse is floating or deep. Floating indicates exterior; deep indicates interior. Interior conditions are drained; exterior conditions are sweated out. Hence the text says: Open the ghost gate, cleanse the spirit mansion. "Remove accumulated stale matter" refers to removing long-standing water retention, like weeds that cannot stay in the body. "Slightly move the four extremities" means gently moving the limbs to allow Yang Qi to circulate gradually, hence the advice to keep warm.)
[Zhang Zhongjing] For all water diseases, if swelling is below the waist, promote urination; if swelling is above the waist, induce sweating for cure. For Wind Water, with floating pulse, heavy body, sweating, and aversion to wind, Fangji Huangqi Tang is indicated.
Fangji (1 liang), Huangqi (1 liang 1 fen), Baizhu (3 fen), Gancao (roasted, 0.5 liang).
Cut the herbs. Take 5 qian per dose with 4 slices of fresh ginger and 1 jujube, decocted in 1.5 cups of water until 0.8 cup remains. Strain and take warm. Repeat after some time. Add Shaoyao if abdominal pain occurs. Another method: Jiegu used this decoction mixed with Wuling San to treat edema caused by dampness. (Another formula, Fangji Tang, treats Wind-Dampness with a floating pulse indicating exterior involvement; or if the patient has head sweating but no exterior syndrome, feeling heaviness only below the waist while the upper body is normal, and chronic swelling below the waist with body heaviness and difficulty bending/extending.)
For Pi Shui (Skin Water) disease, with swelling of the four limbs and water qi in the skin causing slight tremors in the limbs, Fangji Fuling Tang is indicated.
Fangji, Huangqi, Guizhi (each 3 liang), Fuling (6 liang), Gancao (2 liang).
Decoct the five ingredients in 6 sheng of water until 2 sheng remains. Divide into three warm doses.
For Jue (cold extremities) complicated by Pi Shui, Puhui San is indicated. (Formula see Lin Zheng section. Above are methods to promote urination.)
For acute Feng Shui (Wind Water) with widespread sores, floating pulse, no thirst, continuous spontaneous sweating, and no high fever, Yebing Tang is indicated.
Mahuang (6 liang), Shigao (0.5 liang), Shengjiang (3 liang), Dazao (15 pieces), Gancao (2 liang).
Decoct the five ingredients in 6 sheng of water. First boil Mahuang, skim off the foam, then add other herbs and decoct until 3 sheng remains. Divide into three warm doses. Add Paofu Zi (1 piece) if aversion to wind exists. For Feng Shui, add Baizhu (4 liang). For Li Shui (Interior Water) with yellowish swelling of the face and body, deep pulse, and difficult urination, use Yebing Jia Zhu Tang. Add Baizhu (4 liang) to the previous Yebing Tang. Gancao Mahuang Tang also treats this condition.
Gancao (2 liang), Mahuang (4 liang).
Decoct the two ingredients in 5 sheng of water. First boil Mahuang, skim off the foam, then add Gancao and decoct until 3 sheng remains. Take 1 sheng warm, cover heavily to induce sweating. If no sweat, take again. Avoid wind and cold.
Water disease with a deep, small pulse belongs to Shaoyin; a floating pulse indicates Wind; empty distension without water indicates Qi Water. Sweating may resolve it. For deep pulses, Mahuang Fuzi Tang is suitable; for floating pulses, Xingzi Tang is suitable.
Mahuang (3 liang), Gancao (2 liang), Fuzi (1 piece, roasted).
Decoct the three ingredients in 7 sheng of water. First boil Mahuang, skim off the foam, then add other herbs and decoct until 2.5 sheng remains. Take 0.8 he warm, three times a day. (Above are methods where sweating leads to cure.)
[Zhu Danxi] Edema due to Spleen deficiency failing to control water, with water accumulating and acting recklessly, should be treated by tonifying the Spleen with Renshen and Baizhu. When Spleen Qi is solid, it functions vigorously, regulating ascent and descent and moving the pivot, so water moves naturally, unlike the forced diuresis of Wuling San. The method should tonify the center while resolving dampness and promoting urination. Purging must be avoided. Use Erchen Tang with Baizhu, Renshen, and Cangzhu as the main formula, assisted by Huangqin and Maidong to restrain Liver Wood. If abdominal distension occurs, add Houpo slightly. If Qi stagnates, add Muxiang and Mutong. If Qi sinks, use Shengma and Chaihu to lift it. Adjust according to symptoms, ensuring the center is tonified with large doses of Baizhu. If there is fullness, use Banxia, Chenpi, and Xiangfu to suppress it. If there is heat, clear Lung Metal with Maidong and Huangqin. Official Feng of Chi'an, who always ate until full and suffered diarrhea after eating meat, suddenly developed generalized edema, worse on the head and face, closing his eyes, with chest fullness like pounding, numbness in legs up to the knees, aversion to wind, and penile erection. His left pulse was deep and unresponsive to heavy pressure; the right three positions were short and small but had a harmonious and slippery quality. He was instructed to drink a decoction of Baizhu alone and induce vomiting on an empty stomach in the morning. After meals, he took a decoction of Baizhu (2 qian), Mahuang (5 fen), Chuanxiong (0.5 qian), and Fangfeng (3 fen), followed by 50 pills of Baohe Wan. After two days, vomiting induced sweating, mostly on the upper body, reducing swelling and opening his eyes, smoothing Qi and improving appetite. Then, Mahuang and Fangfeng were removed from the formula, Baizhu increased to 3 qian, and Mutong and Tongcao (0.5 qian each) added, followed by 50 pills of Baohe Wan. After five days, he recovered. (This is the method of "Opening the Ghost Gate".)
Lady Lu, over twenty years old, had night fevers half a month ago, starting with facial swelling, then spreading to the body and feet, with abdominal swelling, thirst for cold water, and reduced appetite.
Dafupi (0.5 qian), Baizhu (1.5 qian), Cangzhu (1.5 qian), Zhizi (4 pieces), Chuanxiong (1 qian), Mahuang (6 fen), Mutong (1 qian), Gegen (2 qian), Gancaoshao (a little).
Scholar Zhu, suffering from dampness due to prolonged sitting and alcohol consumption, experienced lower bleeding. Using astringent herbs stopped the bleeding but caused edema, with abdominal and foot swelling, thirst, epigastric fullness, weakness, scanty sweat, and a choppy, short pulse. This is blood injured by dampness. The treatment should resolve dampness, smooth Qi, clear heat, promote digestion, and resolve accumulation.
Huashi (6 qian), Baizhu (2 qian), Mutong (3 qian), Houpo, Gegen (each 2 qian), Cangzhu (1 qian).
Divide into four doses. Add 7 leaves of Zisu. Decoct each dose to one-third volume. Take hot, followed by 50 pills each of Baohe Wan, Dian Wan, and Wenzhong Wan.
Lady Wang Sanjiu, with edema, chest fullness, loose stools, bitter taste, thirst, red scanty urine, and a deficient, wide, slightly slow pulse, had stagnant pathogens and an impatient nature.
Huashi (1 liang), Chenpi (4 qian), Sugeng, Baizhu, Chuanxiong, Mutong, Houpo (each 2 qian), Fulingpi (1.5 qian), Gancaoshao (0.5 qian).
Divide into six doses. Decoct with flowing water. Take with 25 pills of Baohe Wan and 10 pills of Yiqing Wan.
Lady Wu, with gastric accumulation causing edema and skin sores, fatigue, poor appetite, aversion to cold and fever, and a deficient, deep pulse.
Baizhu (1 liang 6 qian), Huashi (2 liang), Shengdi, Mutong, Chuanxiong (each 0.5 liang), Huangqin, Fulingpi, Lianqiao (each 4 qian), Zisu (3 qian), Gancao (roasted, 2.5 qian).
Take 30 pills of Baohe Wan.
A woman, over thirty, had edema with heat. Medication brought relief, but swelling remained in the lower joints of both feet, and she felt internal heat, though her pulse was normal and diet unchanged.
Baizhu (1 qian), Yuliren (1.5 liang), Sugeng, Mutong, Tiaoqin, Binglang, Zhishi (stir-fried, 0.5 liang), Qingpi (1 liang), Gancaoshao (1 qian).
Divide into ten doses. Grind Yuliren finely. Rinse with three cups of flowing water, decoct to one cup. Take hot before meals.
Mr. Zhang, twenty years old, contracted edema in autumn. Upper body swollen in the morning, lower body in the afternoon. Thirsty, weak, with a choppy, weak pulse, poor appetite, inherent timidity, inability to sweat spontaneously, leading to water retention due to stagnation. Acupoints Sanyanjiao, Feishu, Dazhui, Hegu, and Fen Shui were moxa-ed. Also prescribed this formula.
Baizhu (1.5 qian), Chenpi (5 fen), Huangqin, Zisu, Haijinsha, Mutong, Dafupi, Fulingpi, Gegen (stir-fried), Houpo, Gancao (each 2 qian).
Make one dose, decoct in water, and take.
Person from Guangming, with foot swelling, tight abdomen, slight fever, rapid pulse, and dry mouth.
Baizhu (1 qian), Fuling (5 fen), Gegen (stir-fried, 5 fen), Sugeng (5 qian), Dafupi (3 qian), Gancao (roasted, 1 qian), Chuanxiong (2 qian), Chenpi (5 fen).
Woman of the Xu household, over twenty, with ankle swelling and recent skin toxins.
Baizhu (7 qian), Cangzhu, Chenpi, Xijiao Mo, Chuanxiong (each 5 qian), Lianqiao, Mutong, Zisu Ye (each 3 qian), Gancao (tip, 1 qian).
Divide into seven doses. Decoct, add ginger juice to make spicy and hot. Take before meals.
Official Feng, with internal damp accumulation and seasonal damp-heat, developed a palm-sized ulcer on the right leg along the Shaoyang channel, severe itching. Both hands had surging, slow, slightly rapid pulses. Eyes, hands, and feet were puffy. Epigastric stuffiness in the morning, swelling reaching feet in the afternoon relieving the chest.
Xijiao (raw, 5 fen), Zhike (stir-fried, 5 fen), Chenpi, Lianqiao, Baizhu (each 1 qian), Mutong (5 fen), Cangzhu (5 fen), Gancao (tip, 2 fen), Fuling (5 fen). Decoct with ginger juice.
Guest Feng, with malaria and edema, slight thirst, deficient left pulse, large right pulse, and poor appetite.
Baizhu (1.5 qian), Chenpi (1 qian), Mutong, Houpo (stir-fried), Dafupi (each 5 fen), Gancao (roasted, 2 fen), Niuxi (5 fen), Sugeng (3 fen), Jiang (3 slices).
Confucian Lady Feng, with malaria and edema, and spontaneous loose stools.
Renshen, Banxia, Chenpi (each 1 qian), Chuanxiong, Cangzhu (stir-fried), Baizhi (each 5 fen), Mutong (2 qian), Baizhu (1.5 qian, stir-fried), Gancao (roasted, 3 fen).
Official Wang, forty years old, with malaria every two days. Initially good appetite, but developed edema in spring, constipation of urine and stool, poor appetite, facial edema, and thirst.
Houpo (1 qian), Baizhu (1.5 qian), Mutong (0.75 qian), Chenpi (1 qian), Chuanxiong, Dafupi (each 5 fen), Niuxi, Huashi (each 1 qian, stir-fried), Gancao (roasted, 3 fen).
These are fifteen methods of Danxi for treating edema. Generally, they use Gancao assisting Baizhu, Renshen, Chenpi, etc., tonifying Middle Qi as the sovereign herb; Mutong, Huashi, Yuliren, Haijinsha to move water as the minister herbs; Houpo, Dafupi, Sugeng to unblock stagnant Qi as the assistant and envoy herbs. If Qi does not ascend, with aversion to cold and deep pulse, induce vomiting to lift it; if swelling starts in the head and face, add Mahuang to mildly induce sweating; if complicated by stagnant Qi, assist with Baohe, Wenzhong, Yiqing pills to grind it down; if complicated by heat, assist with Huangqin to clear it; if complicated by sores/abscesses, assist with Lianqiao and Xijiao to disperse it, adjusting according to symptoms.
[Luo Tianyi] Treating edema, prioritize Stomach Qi. In May of the Wuyin year of the Zhiyuan era, continuous rain occurred. Mr. Xu Zhongping of Luzhai, aged fifty-eight, had edema of the face, limbs, frequent loose stools, abdominal distension with borborygmus and pain, and reduced appetite. I treated him. The pulse was wiry, fine, and slow. Mr. Luzhai said: In his youth, he often took Qianniu and Dahuang, causing intermittent edema of the face and limbs. Now, due to rainy weather, it has flared up severely. I said: The circulating Qi originates from the Middle Jiao, which is the Stomach. Weak Stomach Qi cannot distribute the Qi of food and drink to nourish the Zang-Fu organs, meridians, skin, and hair. Thus, Qi flow becomes sluggish, causing edema. Frequent loose stools, abdominal distension, and borborygmus are all due to excess Dampness. The Four Seasons and Five Zang Organs all rely on Stomach Qi. If the Five Zang have Stomach Qi, they are harmonious and the body is safe. If Stomach Qi is weak and cannot move/nourish the Five Zang, their pulses become disharmonious. If the Qi of the affected Zang is excessive, its pulse appears alone. Mild cases result in illness; severe cases lead to death. Thus, the Classics state: A wiry True Zang pulse without Stomach Qi indicates death. Your illness is fortunately not yet severe and can still be regulated and tonified. People know taking Qianniu and Dahuang brings momentary relief but do not realize it causes lifelong harm. I prescribed Pingwei San with Baizhu, Fuling, and Caodoukou Ren. After several doses, abdominal distension, loose stools, borborygmus, and pain resolved. Appetite improved, leaving only limb edema. Daoshi Tongjing Tang was prescribed, leading to a good recovery.
Daoshi Tongjing Tang treats Bi-Dampness excess and Qi stagnation, causing edema of the face, hands, and feet.
Chenpi, Sangbaipi, Baizhu, Muxiang (each 5 qian), Fuling (1 liang, peeled). During rainy seasons, add Ze Xie (1 liang).
Cut into pieces. Take 5 qian per dose, decoct in 2 cups of water until 1 cup remains. Take warm before meals.
Bai Fuling Tang transforms water.
Bai Fuling, Ze Xie (each 2 liang), Yuliren (5 qian).
Cut into pieces. One dose, decoct in 1 bowl of water until half remains. Add fresh ginger juice. Take regularly, anytime. Start with small amounts, increasing over 5-7 days. If abdominal swelling recurs, treat with Baizhu San.
Baizhu, Ze Xie (each 0.5 liang).
Grind into powder. Decoct and take 3 qian, or make into pills. Take 30 pills with Bai Fuling Tang decoction. Maintain health with Huangqi, Shaoyao, Jianzhong Tang, etc. After recovery, avoid sexual intercourse, pork, fish, salt, and wheat products.
[Nan Jing] Dazao Tang treats swelling and fullness of the four limbs.
Use Baizhu (3 liang), cut into pieces. Take 0.5 liang per dose, decoct with 1.5 cups of water and 3 crushed jujubes until 0.9 cup remains. Strain and take warm. Take 3-4 times a day, anytime.
[Mei] Treats edema where oral medication is impossible. Shanglu (1 sheng) and mutton (6 liang) are decocted in 1 dou of water until 6 sheng remains. Strain, mix with meat, green onion, and beans, and eat as soup. White Shanglu is preferred.
[Shi Liao Ben Cao] Doctors treat the ten types of Water Qi disease, near death and unresponsive, using one carp (over 1 jin), boiled to extract juice. Mix with winter melon and green onion white to make soup.
To treat the ten types of Water Qi disease, near death and unresponsive: Use one green-headed duck. Prepare as food, chop finely, cook with rice and five flavors until done to make porridge. Eat on an empty stomach.
[Mei] Treats Water Qi distension and fullness with difficult urination. Use one white duck, clean feathers and entrails. Fill the cavity with 0.5 sheng of glutinous rice, pepper, and ginger. Sew shut. Steam and cook thoroughly.
[Zi He] A child in the Di family of Yingyan camp suffered from Feng Shui. Physicians used silver powder and frost medicines, causing difficult urination, loss of appetite, head and abdominal swelling, and full limbs, resembling crystal. Seeking treatment from Dai Ren (Zi He), he said: This case differs from adults. Adult water disease is often due to retained fluid or sexual excess. This child is only seven, so it is Feng Shui, requiring sweating. A warm room was prepared, screened to block fire, as internal fire meeting external fire causes coma. He drank large amounts of Weifeng Tang and bathed. After bathing, covered with multiple cloth layers. Sweat flowed like water, reducing swelling by 50%. After 1-2 days, repeated the treatment, sweating reduced swelling by 70%. After three sweating sessions, swelling completely subsided, although...