《病源论》云∶水病者,由肾脾俱虚故也,肾虚不能宣通水气,脾虚又不能制水,故水
气盈溢、渗(色荫反)液皮肤、流通四肢,所以通身肿也。
《僧深方》治通身水肿,大小便不利方∶
常陆根(三升,薄切) 赤小豆(一斗)
凡二物,水一斛,煮取一斗,稍饮汁,食豆,以小便利为度。
又云∶治大水面目身体手足皆肿方∶
大戟(分) 葶苈(三分,熬) 苦参(一分) 葱花(一分)
凡四物,治下筛,以小麦粥服方寸匕,良效。
《范汪方》治身体流肿,心下胀满,短气逆害饮食方∶
大豆一斗,以水三斗煮之,令得一斗七升,去滓,纳一斗好酒,合煎之,令得一斗七升,
服
《经心方》泻肺汤治一身面目浮肿方∶
末葶苈(弹丸) 大枣(二十枚)
水三升,煮枣取汁一升半,去枣,纳葶苈,煮取一升,顿服之,得至五服,若带水气者,
先
(今按∶《医门方》∶葶苈子二两,熬,大枣三十枚,水一斗,云云。)
《张仲景方》青龙汤,治四肢疼痛、面目浮肿方∶
麻黄(半斤) 细辛(二两) 干姜(二两) 半夏(二两)
凡四物,切,以水八升,煮得二升,一服止。
又云∶治脾胃水,面目手足浮肿、胃脘坚大满短气,不能动摇桑根白皮汤方∶
桑根白皮(切二升) 桂(一尺) 生姜(三颗) 人参(一两)
凡四物,切,以水三斗,煮取桑根竭得一斗,绞去滓,纳桂、人参、生姜,黄饴十两煮
之,
《医门方》疗遍身肿胀小便涩方∶
葶苈子(二两熬捣如泥) 大枣(三十枚去核)
以水一大斗,煮取一小升,绞去滓,纳葶苈子于枣中,以微煎,揽勿停手,可丸止,丸
如梧
《诸病源候论》说:水气病,是由于肾和脾都虚弱造成的。肾气虚不能宣通水气,脾气虚又不能制约水液,所以水气充盈溢满,渗入皮肤,流注于四肢,因此导致全身浮肿。
《僧深方》治疗全身水肿、大小便不利的方剂:
常陆根(三升,薄片切) 赤小豆(一斗)
以上两味药,用水一斛,煎煮取汁一斗,慢慢饮用汁液,并吃豆子,以小便通畅为度。
又说:治疗面目及身体手足皆肿的方剂:
大戟(一分) 葶苈(三分,炒制) 苦参(一分) 葱花(一分)
以上四味药,捣碎过筛,用小麦粥送服一方寸匕的药末,疗效良好。
《范汪方》治疗身体浮肿游走不定、心下胀满、短气且影响饮食的方剂:
大豆一斗,用水三斗煮它,煮至剩下一斗七升,滤去渣滓,加入一斗好酒,一起煎煮,使药液剩下一斗七升,服用。
《经心方》泻肺汤治疗全身面目浮肿的方剂:
葶苈末(如弹丸大小) 大枣(二十枚)
用水三升,煮枣取汁一升半,去掉枣肉,加入葶苈,再煮取汁一升,一次性服下,最多可服五次。如果是伴有水气的情况,先……
(按语:《医门方》记载:葶苈子二两,炒制,大枣三十枚,用水一斗,等等。)
《张仲景方》青龙汤治疗四肢疼痛、面目浮肿的方剂:
麻黄(半斤) 细辛(二两) 干姜(二两) 半夏(二两)
以上四味药,切碎,用水八升,煎煮取汁二升,一次服用即可停止。
又说:治疗脾胃停水、面目手足浮肿、胃脘部坚硬胀满短气、不能转动的桑根白皮汤方剂:
桑根白皮(切碎二升) 桂枝(一尺) 生姜(三颗) 人参(一两)
以上四味药,切碎,用水三斗,煎煮桑根白皮至药力尽而剩下一斗,绞去渣滓,加入桂枝、人参、生姜和黄饴十两,一起煎煮。
《医门方》治疗遍身肿胀、小便涩滞的方剂:
葶苈子(二两,炒后捣成泥状) 大枣(三十枚,去核)
用水一大斗,煎煮取汁一小升,绞去渣滓,将葶苈子纳入枣中,微火煎煮,不停搅拌,直到可以做成丸子为止,制成梧桐子大小的……
The *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases) states: Water diseases arise from the deficiency of both the Kidney and the Spleen. When Kidney Qi is deficient, it fails to disseminate and circulate water qi; when Spleen Qi is deficient, it fails to control water metabolism. Consequently, water qi becomes excessive and overflows, infiltrating the skin and flowing through the four limbs, resulting in generalized edema.
The *Seng Shen Fang* (Prescriptions by Monk Shen) for treating generalized edema with difficulty in urination and defecation:
Karakane Root (San Sheng, thinly sliced) [Note: Karakane refers to *Aralia cordata* or similar local roots]
Chixiaodou (Red Bean, *Adzuki Bean*, Yi Dou)
These two ingredients are boiled in one Hu (ancient unit of volume) of water until one Dou remains. Drink the decoction gradually and consume the beans, stopping when urination becomes smooth.
It also states: For treating swelling of the face, eyes, body, hands, and feet:
Daji (Euphorbia Root, *Radix Euphorbiae Humifusae*) [One Fen]
Tingli (Descurainia Seed, *Semen Descurainiae*) [Three Fen, stir-fried]
Kushen (Sophora Root, *Radix Sophorae Flavescentis*) [One Fen]
Conghua (Scallion Flower, *Flos Allii Cepae*) [One Fen]
These four ingredients are processed, powdered, and sifted. Take one Fang Cun Bi (a measure of powder) with wheat porridge. It is highly effective.
The *Fan Wang Fang* (Prescriptions by Fan Wang) for treating wandering edema of the body, fullness below the heart, shortness of breath, and impaired appetite:
Daydou (Soybean, *Glycine Maxima*), Yi Dou. Boil in San Dou of water until Yi Dou Seven Sheng remain. Strain the dregs, add Yi Dou of good wine, and boil together until Yi Dou Seven Sheng remain. Consume.
The *Jing Xin Fang* (Heart-Mind Prescriptions) Xie Fei Tang (Lung-Draining Decoction) for treating generalized facial and bodily edema:
Tingli Powder (Size of a bullet)
Dazao (Jujube, *Fructus Jujubae*), Twenty Pieces.
Boil the jujubes in three Sheng of water to obtain one and a half Sheng of juice. Remove the jujubes, add Tingli, and boil to obtain one Sheng. Take all at once. Up to five doses may be taken. If water qi persists, first...
(Note: The *Yi Men Fang* records: Tinglizi Two Liang, stir-fried; Dazao Thirty Pieces; boil in one Dou of water, etc.)
The *Zhang Zhongjing Fang* (Prescriptions of Zhang Zhongjing) Qinglong Tang (Azure Dragon Decoction) for treating pain in the four limbs and edema of the face and eyes:
Mahuang (Ephedra Stem, *Herba Ephedrae*), Half Jin
Xixin (Asarum Root, *Radix Asari*)
Ganjiang (Dried Ginger, *Rhizoma Zingiberis Recens/Secatum*)
Banxia (Pinellia Tuber, *Rhizoma Pinelliae Ternatae*)
These four ingredients are cut and boiled in eight Sheng of water to obtain two Sheng. Take once and stop.
It also states: Sanggen Baidi Tang (Mulberry Root Bark Decoction) for treating water retention in the Spleen and Stomach, edema of the face, eyes, hands, and feet, hardness and fullness in the epigastrium with shortness of breath, and inability to move:
Sanggen Baidi (Mulberry Root Bark, *Cortex Mori Radicis*), Cut Er Sheng
Gui (Cinnamon Twig, *Ramulus Cinnamomi*)
Shengjiang (Fresh Ginger, *Rhizoma Zingiberis Recens*)
Renshen (Ginseng Root, *Radix Ginseng*)
These four ingredients are cut and boiled in three Dou of water until the medicinal power of the mulberry root bark is exhausted and one Dou remains. Strain the dregs, add Gui, Renshen, and Shengjiang, along with Shi Liang of Huangyi (Yellow Maltose), and boil.
The *Yi Men Fang* (Medical Gate Prescriptions) for treating generalized swelling and astringent/difficult urination:
Tinglizi (Descurainia Seed, *Semen Descurainiae*), Two Liang, stir-fried and pounded into paste
Dazao (Jujube, *Fructus Jujubae*), Thirty Pieces, pitted
Boil in one large Dou of water to obtain one small Sheng. Strain the dregs. Place the Tinglizi paste inside the jujubes. Simmer gently while stirring continuously until it can be formed into pills, sized like wu zi (seed of *Koelreuteria paniculata*)...