治水臌气臌并病，兼治单腹胀，及单水臌胀，单气臌胀。
生鸡内金（五钱，去净瓦石糟粕轧细） 生于术（分量用时斟酌） 鲜茅根（二两，锉细）
先将茅根煎汤数茶盅（不可过煎，一两沸后慢火温至茅根沉水底汤即成）。先用一盅半，加生姜五片，
煎鸡内金末，至半盅时，再添茅根汤一盅，七八沸
后，澄取清汤（不拘一盅或一盅多）服之。所余之渣，仍用茅根汤煎服。日进一剂，早晚各服药一次。初服小
便即多，数日后大便亦多。若至日下两三次，宜减鸡内金一钱，加生于术一钱。又数日，胀见消，大便仍勤，
可减鸡内金一钱，加于术一钱。又数日，胀消强半，大便仍勤，可再减鸡内金一钱，加于术一钱。如此精心随
病机加减，俾其补破之力，适与病体相宜，自能全愈。若无鲜茅根，可用药局中干茅根一两代之。无鲜茅根即
可不用生姜。所煎茅根汤，宜当日用尽，煎药后若有余剩，可当茶温饮之。
鸡内金之功效，前方下已详论之矣。至于茅根最能利水，人所共知。而用于此方，不但取其利水也，茅根
春日发生最早，是禀一阳初生之气，而上升者也。故凡气之郁而不畅者，茅根皆能畅达之。善利水又善理气，
故能佐鸡内金，以奏殊功也。加生姜者，恐鲜茅根之性微寒也。且其味辛能理气，其皮又善利水也。继加于术，
减鸡内金者，因胀已见消，即当扶正以胜邪，不敢纯用开破之品，致伤其正气也。或疑此方，初次即宜少加
于术者。而愚曾经试验，早加于术，固不若晚加之有效也。
或问∶茅根能清热利小便，人所共知。至谓兼理气分之郁，诸家本草皆未言及，子亦曾单用之，而有确实
之征验乎？答曰∶此等实验，已不胜记。曾治一室女，心中常觉发热，屡次服药无效。后愚为诊视，六脉皆沉
细，诊脉之际，闻其太息数次，知其气分不舒也。问其心中胁下，恒隐隐作疼。遂俾剖取鲜茅根，锉细半斤，
煎数沸当茶饮之。两日后，复诊其脉，已还浮分，重诊有力，不复闻其太息。问其胁下，已不觉疼，惟心中仍
觉发热耳。再饮数日，其心中发热亦愈。
又尝治少年，得肺鼠疫病。其咽喉唇舌，异常干燥。精神昏昏似睡。周身肌肤不热。脉象沉微。问其心中，
时常烦闷。此鼠疫之邪，闭塞其少阴，致肾气不能上达也。问其大便，四日未
行。遂投以大剂白虎加人参汤，先用茅根数两煎汤，以之代水煎药，取汁三盅，分三次饮下。其脉顿起，变作
洪滑之象。精神已复，周身皆热，诸病亦皆见愈。俾仍按原方将药煎出，每饮一次，调入生鸡子黄一枚，其病
遂全愈。盖茅根生于水边，原兼禀寒水之气。且其出地之时，作尖锐之锥形，故能直入少阴，助肾气上达，与
心相济，则心即跳动有力，是以其脉，遂洪滑外现也。再加生鸡子黄，以滋少阴之液，俾其随气上升，以解上
焦之因燥生热，因热生烦，是以诸病皆愈也。此二案皆足征茅根理气之效也。
治疗水臌（腹部积水胀大）和气臌（腹部胀气）同时发病的情况，兼治单腹胀（仅腹部胀大而无明显水肿或积气）、单水臌胀（仅有腹部积水）、单气臌胀（仅有腹部胀气）。
生鸡内金（五钱，去除干净的瓦石和糟粕后轧成细粉） 生白术（用量根据使用时机斟酌） 鲜茅根（二两，切碎）
先将茅根煎煮成几茶盅的汤（不可过度煎煮，煮沸一次后改用慢火温至茅根沉入水底，汤即制成）。先用一盅半，加入生姜五片，煎煮鸡内金粉末，当煎至半盅时，再加入茅根汤一盅，煮沸七八次后，澄清取清汤（不限是一盅或多一点）服用。剩下的药渣，仍用茅根汤煎煮服用。每天进服一剂，早晚各服药一次。初服时小便量立即增多，数日后大便次数也增多。如果到每天排便两三次，应减少鸡内金一钱，增加生白术一钱。又过数日，腹胀开始消退，大便仍然频繁，可再减少鸡内金一钱，增加白术一钱。又过数日，腹胀消除大半，大便仍然频繁，可再次减少鸡内金一钱，增加白术一钱。如此精心根据病机变化加减药物，使补益与攻破的力量，恰好适合病体状况，自然能够痊愈。如果没有鲜茅根，可用药局中的干茅根一两代替。没有鲜茅根就可以不用生姜。所煎制的茅根汤，应当天用完，煎药后若有剩余，可作为茶饮温服。
鸡内金的功效，在前文中已经详细论述过了。至于茅根最能利水，是众人皆知的。而用于此方，不仅取其利水的作用，茅根在春季发生最早，是禀受了一阳初生的气息，并且向上生长的。所以凡是气机郁结而不通畅的情况，茅根都能使其畅通。善于利水又善于调理气机，所以能辅助鸡内金，奏出奇效。加入生姜，是担心鲜茅根的性味微寒。而且它的味道辛散能调理气机，它的皮又善于利水。随后加入白术，减少鸡内金，是因为腹胀已经看到消退，就应当扶持正气以战胜邪气，不敢纯用开破的药物，以致损伤正气。有人怀疑此方初次就应该少加白术。而我曾经试验过，早加白术，固然不如晚加有效。
有人问：茅根能清热利小便，是众人皆知的。至于说兼理气分的郁结，各家本草都没有提及，您也曾单独使用它，有确实的征验吗？回答说：这样的实验，已经多得记不过来。曾治疗一位少女，心中常觉得发热，多次服药无效。后来我给她诊视，六脉都沉细，诊脉的时候，听到她叹息数次，知道她是气分不舒畅。问她心中胁下，常常隐隐作痛。于是让她剖取鲜茅根，切碎半斤，煎煮几次沸后当作茶饮。两天后，复诊她的脉，已经回到浮分，重按有力，不再听到她叹息。问她胁下，已经不觉得痛，只是心中仍然觉得发热。再饮用数日，她心中的发热也好了。
又曾治疗一位少年，得了肺鼠疫。他的咽喉唇舌，异常干燥。精神昏昏沉沉像要睡觉。周身肌肤不热。脉象沉微。问他心中，时常烦闷。这是鼠疫的邪气，闭塞了少阴经，导致肾气不能上达。问他大便，四天未行。于是投以大剂量的白虎加人参汤，先用茅根数两煎汤，用它代替水来煎药，取得三盅汁液，分三次饮下。他的脉象顿时升起，变成洪滑的象。精神恢复，周身变热，各种病症也都开始好转。让他仍然按照原方将药煎出，每次饮用时，调入生鸡蛋黄一枚，病就完全痊愈了。大概茅根生长在水边，原本兼禀受寒水之气。而且它出土的时候，呈尖锐的锥形，所以能直入少阴经，帮助肾气上达，与心相济，那么心脏跳动就有力量，因此他的脉象，就洪滑地显现出来。再加生鸡蛋黄，来滋养少阴的津液，让它随着气上升，以解除上焦因燥而生热，因热而生烦的情况，因此各种病症都痊愈了。这两个案例都足以证明茅根调理气机的功效。
Treats the concurrent occurrence of Shui Gu (Water Drum, abdominal distension due to fluid accumulation) and Qi Gu (Qi Drum, abdominal distension due to gas accumulation), and also treats Dan Fu Zhang (abdominal distension alone without obvious edema or gas), Dan Shui Gu Zhang (abdominal distension due solely to fluid accumulation), and Dan Qi Gu Zhang (abdominal distension due solely to gas).
Sheng Ji Nei Jin (Crataegus Pirentis Endocarpium, five qian, cleaned of stones and dregs, ground into fine powder) Sheng Bai Zhu (Atractylodis Macrocephalae Rhizoma, dosage adjusted according to timing) Xian Mao Gen (Imperatae Rhizoma, two liang, cut into small pieces)
First, decoct the Mao Gen in several teacups of water (do not over-decoct; after one boil, simmer on low heat until the Mao Gen sinks to the bottom, then the decoction is ready). Take one and a half cups first, add five slices of fresh ginger, and decoct the Ji Nei Jin powder. When reduced to half a cup, add one cup of the Mao Gen decoction. After boiling seven or eight times, clarify and take the clear liquid (whether one cup or slightly more) for administration. The remaining dregs should still be decocted with Mao Gen decoction and taken. Administer one dose per day, once in the morning and once in the evening. Upon initial administration, urine output increases immediately; after a few days, bowel movements also increase. If bowel movements reach two or three times daily, reduce Ji Nei Jin by one qian and add Sheng Bai Zhu by one qian. After another few days, if abdominal distension begins to subside but bowel movements remain frequent, reduce Ji Nei Jin by one qian and add Bai Zhu by one qian. After further days, if distension is reduced by more than half but bowel movements remain frequent, reduce Ji Nei Jin by one qian and add Bai Zhu by one qian again. Through such careful adjustment based on the pathogenesis, ensuring that the tonifying and breaking forces are appropriate for the patient's condition, complete recovery will naturally occur. If fresh Mao Gen is unavailable, one can substitute it with one liang of dried Mao Gen from the pharmacy. Without fresh Mao Gen, fresh ginger is not needed. The prepared Mao Gen decoction should be consumed within the same day; any leftover decoction after preparing medicine can be drunk warm as tea.
The efficacy of Ji Nei Jin has been discussed in detail in previous sections. As for Mao Gen, its ability to promote diuresis is common knowledge. However, when used in this formula, it is not only for its diuretic effect. Mao Gen emerges earliest in spring, inheriting the qi of the initial generation of Yang, which rises upward. Therefore, for any condition where Qi is stagnant and unsmooth, Mao Gen can facilitate its flow. Being adept at promoting diuresis and regulating Qi, it assists Ji Nei Jin to achieve remarkable results. Fresh ginger is added out of concern that the nature of fresh Mao Gen is slightly cold. Moreover, its pungent flavor regulates Qi, and its skin promotes diuresis. Subsequently, Bai Zhu is added and Ji Nei Jin is reduced because, as distension subsides, one should support the Righteous Qi to overcome the Pathogenic Factor, avoiding the exclusive use of opening and breaking agents that might damage the Righteous Qi. Some may suspect that Bai Zhu should have been added in small amounts initially. However, I have tested this, and early addition of Bai Zhu is indeed less effective than late addition.
One might ask: Mao Gen’s ability to clear heat and promote urination is common knowledge. Yet, regarding its claim to regulate stagnation in the Qi aspect, none of the various Materia Medica mention it. Have you used it alone, and do you have concrete evidence? I reply: Such experimental cases are too numerous to recount. I once treated a young unmarried woman who constantly felt heat in her heart region, with no effect from repeated medication. Upon my examination, all six pulses were deep and thin. During pulse diagnosis, I heard her sigh several times, indicating discomfort in the Qi aspect. Asking her, she reported constant dull pain in the heart and hypochondriac regions. I then instructed her to obtain fresh Mao Gen, cut half a jin into small pieces, decoct it through a few boils, and drink it as tea. Two days later, upon re-examination, her pulse had returned to the floating layer and was forceful upon heavy pressure; she no longer sighed. She reported no pain in the hypochondriac region, only feeling heat in the heart region. After drinking it for a few more days, the heat in her heart also resolved.
I also once treated a young man suffering from Pneumonic Plague. His throat, lips, and tongue were abnormally dry. His spirit was lethargic, appearing sleepy. His body surface was not hot. His pulse was deep and minute. He reported frequent mental restlessness. This indicated that the plague pathogen had blocked the Shaoyin channel, preventing Kidney Qi from ascending. He had not had a bowel movement for four days. I prescribed a large dose of Bai Hu Jia Ren Shen Tang (White Tiger Decoction plus Ginseng). First, decoct several liang of Mao Gen in water, using this decoction instead of plain water to prepare the medicine. Obtain three cups of juice and divide it into three doses for drinking. His pulse instantly rose, transforming into a surging and slippery appearance. His spirit recovered, his body became warm, and all symptoms began to improve. Instruct him to continue decocting the original prescription. For each dose, mix in one raw egg yolk. The disease was completely cured. Presumably, because Mao Gen grows near water, it inherits the energy of Cold Water. Furthermore, when emerging from the ground, it forms a sharp conical shape, allowing it to directly enter the Shaoyin channel, assist Kidney Qi in ascending, and harmonize with the Heart. Thus, the Heart beats with strength, causing the pulse to manifest as surging and slippery externally. Adding raw egg yolk nourishes the fluids of Shaoyin, allowing them to ascend with the Qi to resolve the upper Jiao heat generated by dryness and the subsequent irritability caused by heat, thereby curing all diseases. These two cases sufficiently demonstrate the efficacy of Mao Gen in regulating Qi.