治水肿上气方。
汉防己 泽漆叶 石苇 泽泻(各三两) 桑白皮 白术 丹参 赤茯苓 橘皮 通草
(各三两) 生姜(十两) 郁李仁(五合)
上十二味治下筛为粗散,以水一升半煮三方寸匕,取八合,去滓,顿服。日三。取小便
利为度。
治水肿,甄权为安康公处此方。
茯苓 白术 椒目(各四分) 木防己 葶苈 泽泻(各五分) 甘遂(十二分) 赤
小豆
前胡 芫花 桂心(各二分) 芒硝(七分另研)
上十二味为末,蜜丸如梧子,蜜汤下五丸,日一。稍加,以知为度。
治水肿利大小便方∶
大黄 白术(一作葶苈) 木防己(各等分)
上三味为末,蜜丸如梧子大,饮下十丸,大小便利为度,不知加之。
又方 牵牛子为末,水服方寸匕,日一。以两便利为度。
又方 葶苈(生用四两) 桂心(一两)
上二味为末,蜜丸如梧子大,饮下七丸,日二,以知为度。
又方 郁李仁(末) 面(各一升)
上二味和作饼子七枚,烧熟,空腹热食四枚,不知加一枚,以至七枚。
又方 水银(三两,煮三日三夜) 葶苈子 椒目(各一升) 芒硝(三两) 衣鱼(二
十枚)
水萍 瓜蒂 滑石(各一两)
上八味捣葶苈令细,下水银更捣、令不见水银止,别捣椒目令细,捣瓜蒂,水萍,下筛
合和余药,以蜜和更捣三万杵成丸,初服一丸如梧子大,次服二丸,次服三丸,次服四丸,
次服五丸,次服六丸,至七日,还从一丸起,次服二丸,如是每至六丸,还从一丸起。始服
药,当咽喉上有 子肿起,颊车肿满,齿龈皆肿,唾碎血出,勿怪也,不三五日即消,所
苦皆瘥。已上服药,若下多,停药以止利,药至五下止。病未瘥,更服,病瘥止。此治诸体
肉肥浓,按之不陷,甚者臂粗着衣袖不受,及十种大水,医不治者,悉主之,神验。(《深
师集验》,陶氏《古今录验》无衣鱼,水萍,瓜蒂,滑石)。
治疗水肿伴气逆的方剂。
汉防己、泽漆叶、石苇、泽泻(各三两)、桑白皮、白术、丹参、赤茯苓、橘皮、通草(各三两)、生姜(十两)、郁李仁(五合)。
以上十二味药,处理后筛成粗散,用水一升半煮取三方寸匕的药量,煎至八合,去渣,一次性服下。每日三次。以小便通利为见效标准。
治疗水肿,甄权在担任安康公时使用了此方。
茯苓、白术、椒目(各四分)、木防己、葶苈、泽泻(各五分)、甘遂(十二分)、赤小豆、前胡、芫花、桂心(各二分)、芒硝(七分,另研细)。
以上十二味药研成末,用蜜制成梧桐子大小的丸剂,用蜜汤送服五丸,每日一次。逐渐增加剂量,以见效为度。
治疗水肿并通利大小便的方剂:
大黄、白术(另一种说法是葶苈)、木防己(各等分)。
以上三味药研成末,用蜜制成梧桐子大小的丸剂,用温水送服十丸,以大小便通利为见效标准,若无效则增加剂量。
又一方:牵牛子研成末,用水送服一方寸匕,每日一次。以大小便通利为见效标准。
又一方:葶苈(生用四两)、桂心(一两)。
以上两味药研成末,用蜜制成梧桐子大小的丸剂,用温水送服七丸,每日两次,以见效为度。
又一方:郁李仁(研末)、面粉(各一升)。
以上两味和匀做成七个饼子,烧熟后空腹热食四个,若无效加吃一个,直到吃完七个为止。
又一方:水银(三两,煮三日三夜)、葶苈子、椒目(各一升)、芒硝(三两)、衣鱼(二十枚)、水萍、瓜蒂、滑石(各一两)。
以上八味药,先捣碎葶苈使其细碎,加入水银继续捣,直到看不见水银珠为止;另外将椒目捣碎,再捣瓜蒂和水萍,过筛后与其他药物混合,用蜂蜜调和后再捣三万杵制成丸剂。初次服用一粒梧桐子大小的丸剂,第二次服两粒,第三次服三粒,第四次服四粒,第五次服五粒,第六次服六粒;到第七天,又从一粒开始,依次服两粒,如此循环,每次最多服至六粒,然后从一粒重新开始。刚开始服药时,咽喉上可能会有小肿块肿起,颊车穴部位肿胀满实,齿龈全部肿胀,吐出带血的碎屑,不要惊慌,三五天后就会消退,所患之苦都会痊愈。以上服药方法,如果腹泻过多,停药以止住腹泻,服药次数最多五次即止。病未痊愈,可继续服药,病愈即停。此方主治各种身体肥胖浮肿,按压后凹陷不起者,严重者手臂粗大以至于衣袖穿不进,以及十种严重的水肿病,医生无法治愈的,此方均能主治,效果神奇。(《深师集验》,陶氏《古今录验》中无衣鱼、水萍、瓜蒂、滑石)。
Formula for treating edema with rebellious Qi.
Han Fangji (Stephaniae Tetrandrae Radix), Zeqiye (Euphorbiae Helioscopiae Herba), Shiwei (Pyrrosiae Folium), Zexie (Alismatis Rhizoma) (each 3 liang), Sangbaipi (Mori Cortex), Baizhu (Atractylodis Macrocephalae Rhizoma), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Chi Fuling (Polyporus with Red Mycelium), Jupi (Citri Reticulatae Pericarpium), Tongcao (Tetrapanacis Medulla) (each 3 liang), Shengjiang (Zingiberis Rhizoma Recens) (10 liang), Yuliren (Pruni Semen) (5 he).
The above twelve ingredients are processed, sifted into a coarse powder. Boil the amount equivalent to three square-inch scoops in one and a half sheng of water until reduced to eight ge. Strain and take all at once. Three times daily. The treatment is considered effective when urination becomes profuse.
For treating edema, Zhen Quan used this formula while serving as Duke of Ankang.
Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Jiaomu (Semen Zanthoxyli), Mufangji (Cocculus trilobus root or Stephaniae tetrandrae radix - context dependent, here likely distinct from Han Fangji), Tingli (Periplocae Semen), Zexie (Alismatis Rhizoma) (each 5 fen), Gansui (Kansui Radix) (12 fen), Chixiaodou (Phaseoli Radiati Semen), Qianhu (Peucedani Radix), Yuanhua (Genkwa Flos), Guixin (Cinnamomi Ramulus) (each 2 fen), Mangxiao (Natrii Sulfas) (7 fen, separately ground).
The above twelve ingredients are ground into powder and formed into pills the size of mulberry seeds using honey. Take five pills with honey water once daily. Gradually increase the dose until therapeutic effect is achieved.
Formula for treating edema and promoting urination and defecation:
Dahuang (Rhei Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma) (alternative text suggests Tingli), Mufangji (Cocculus trilobus root or Stephaniae tetrandrae radix) (equal parts).
The above three ingredients are ground into powder and formed into pills the size of mulberry seeds using honey. Take ten pills with warm water. The treatment is considered effective when both urination and defecation become smooth; if ineffective, increase the dose.
Another formula: Qianzi (Semen Koelreuteriae) ground into powder, taken with water, one square-inch scoop once daily. Effective when both urination and defecation become smooth.
Another formula: Tingli (Periplocae Semen) (raw, 4 liang), Guixin (Cinnamomi Ramulus) (1 liang).
The above two ingredients are ground into powder and formed into pills the size of mulberry seeds using honey. Take seven pills with warm water twice daily. Effective when therapeutic effect is achieved.
Another formula: Yuliren (Pruni Semen) (ground), Flour (each 1 sheng).
Mix the above two ingredients and make seven cakes. Bake thoroughly and eat four hot cakes on an empty stomach. If ineffective, add one cake, up to a total of seven.
Another formula: Shuiyin (Hydrargyrum) (3 liang, boiled for three days and nights), Tinglizi (Periplocae Semen), Jiaomu (Semen Zanthoxyli) (each 1 sheng), Mangxiao (Natrii Sulfas) (3 liang), Yiyu (Stictae Thallus) (20 pieces), Shuiping (Lemna minor), Gudi (Cucumeris Melo Fructus), Huashi (Talcum) (each 1 liang).
Grind Tingli finely first. Add Shuiyin and continue grinding until no mercury droplets are visible. Separately grind Jiaomu finely. Grind Gudi and Shuiping. Sieve these and mix with the remaining herbs. Combine with honey and pound thirty thousand times to form pills. Initial dose: one pill the size of a mulberry seed. Subsequent doses: two, three, four, five, then six pills. On the seventh day, restart from one pill, increasing again up to six pills per cycle. Upon starting medication, small swellings may appear on the throat, swelling and fullness around the Jiache acupoint, swelling of the gums, and spitting of bloody fragments. Do not be alarmed; these will subside within three to five days, and all suffering will cease. If diarrhea occurs excessively, stop the medication to halt the diarrhea; limit administration to five doses maximum. If the disease persists, resume medication; stop when cured. This formula treats various types of obesity and edema where pressing leaves an indentation, severe cases where arms are too thick to fit into sleeves, and the ten types of severe water swelling that physicians cannot cure. It is highly effective. (Note: *Shen Shi Ji Yan* and Tao's *Gu Jin Lu Yan* do not include Yiyu, Shuiping, Gudi, or Huashi).