千金论曰∶大凡水病难疗，瘥后特须慎于口味，又病水人多嗜食不廉。所以此病难愈，
世有医者随逐时情，意在财物，不本性命，病患欲食肉于贵胜之处，劝令食羊头蹄肉，如此
者，
愈，
又有
或但
丧孝产乳音乐房室谊戏，一切鱼，一切肉，生冷酢滑蒜粘米豆油腻，并不得食之，亦不
得用心。
上以前禁者，并具本方之下，其房室等犹三年慎之，不复重发，不尔，差而更发，重发
不可更疗。古方有十水丸，历验多利大便，不利小便，所以不能述录也。
诸从腰以下肿，当利小便，腰以上肿，当发汗，即愈。（出第二十一卷中）
范汪疗水病方。
黄连末
上一味以蜜和，捣万杵，丸如梧子，饮服二丸，可至三四丸。禁饮水并冷物。
又方
以苦酒一升饮之，一方取盐豉各一撮，以饮饮之，一方取角木叶满虎口捣取汁饮之。（
并出第二十八卷中）
崔氏疗水病方。
乌豆（一大升粒小者） 桑根白皮（五升细切）
上二味。以水五斗，和煮可一斗汁，滤去滓，于铜器中重汤煎如饧，可作丸即成，所患
人每服取利小便为度，其小便复旧色，身上肿除，候体中热烦即服之。禁房及死牛马肉油腻
面酒
又疗水病，洪肿气胀，不消食方。
干香薷（五十斤）
上一味细锉，纳釜中，以水淹之，出香薷上数寸，煮使气两尽，去滓，清澄之，渐火
煎令可丸，服五丸如梧子，日三，稍加之，以小便利为度也，无所忌。（经心录同）
又疗水病身肿方。
鲤鱼一头（极大者去头尾及骨唯取肉）
上一味。以水二斗，赤小豆一升，和鱼肉煮，可取二升以上汁，生布绞去滓，顿服尽。
如不能尽，分为二服，后服温令暖，服讫下利，利尽即瘥。慎牛肉白酒生冷面猪鱼油酪，药
滓埋
古今录验疗水病方。
木防己（八分） 蜀大黄（八分锦文者别捣） 人参（八分） 杏仁（八分熬紫色别捣）
葶苈
子（十分熬）
上五味总和捣筛，蜜和为丸，先食后初服七丸如梧子，日再，日加一丸至十二丸，还日
分。如病
得食，外
又疗水病，牛黄桂枝丸方。
牛黄（六铢研） 桂枝（十二铢又一方云桂六铢） 牡蛎（十二铢熬研） 椒目（十二
铢一方
云海藻二十四铢不须椒目） 葶苈子（半升熬一方云用一升）
上五味捣筛，蜜和丸如梧子，饮服七丸，日再，小便利为度。忌生葱。（并出第十一卷
中）
《千金方》论述说：大凡水肿病难以治疗，痊愈后特别需要在饮食口味上谨慎，而且患水肿病的人往往嗜好食用不节制。所以这种病难以痊愈。世间有些医者迎合世俗风气，意在获取财物，不顾及病人的性命安危。在病人想吃肉的时候，他们建议在权贵之处（指高档场所或针对权贵），劝说病人吃羊头蹄肉。像这样的情况，（会导致病情）反复，或者导致丧事、孝期、产后、听乐、房事、嬉戏等禁忌全部违背。一切鱼类、一切肉类、生冷酸滑食物、蒜、粘性米豆、油腻食物，都不得食用，也不得费心劳神。以上所说的禁忌，都在各个具体方剂的下方详细列出，其中关于房事等方面的禁忌还要谨慎三年，这样才不会复发，否则，病愈后又发作，再次发作就不可再治疗了。古方中有“十水丸”，经过多次验证大多能通利大便，而不能通利小便，所以不予记录收录。
凡是腰以下浮肿的，应当采用利小便的方法；腰以上浮肿的，应当采用发汗的方法，这样就能痊愈。（出自第二十一卷中）
范汪治疗水肿病的方剂。
黄连末
以上一味药，用蜂蜜调和，捣一万杵，制成梧桐子大小的药丸，用温水送服二丸，最多可增至三四丸。禁止饮水以及食用冷物。
又一方
用醋一升饮用；另一方法取盐豉各一撮，用水送服；还有一方法取角木叶填满虎口，捣取汁液饮用。（均出自第二十八卷中）
崔氏治疗水肿病的方剂。
乌豆（一大升，颗粒小的） 桑根白皮（五升，细切）
以上两味药，用水五斗，混合煎煮至剩下一斗汁液，滤去药渣，放入铜器中隔水重煎如饴糖般浓稠，可以做成药丸即成。患病之人每次服用，以通利小便为度，当小便恢复旧时颜色，身上浮肿消除，等到体内感觉热烦时即可服用。禁忌房事及死牛马肉、油腻、面食、酒类。
又治疗水肿病，全身洪肿气胀，消化不良的方剂。
干香薷（五十斤）
以上一味药，细细切碎，放入锅中，加水淹没药材数寸，煮至香气完全散发尽，滤去药渣，澄清液体，慢慢用火煎至可以做成药丸的程度，每次服用五丸如梧桐子大小，每日三次，逐渐增加剂量，以小便通畅为度，没有禁忌。（《经心录》相同）
又治疗水肿病身体浮肿的方剂。
鲤鱼一条（极大的，去掉头尾及骨头，只取鱼肉）
以上一味药，用水二斗，赤小豆一升，与鱼肉一起煮，取得二升以上的汁液，用生布绞去药渣，一次性服完。如果不能一次服完，分为两次服用，第二次服用时要温热暖服，服药后出现腹泻，泻尽则病愈。禁忌牛肉、白酒、生冷、面食、猪肉、鱼类、油脂、奶酪，药渣要埋掉。
《古今录验》治疗水肿病的方剂。
木防己（八分） 蜀大黄（八分，有锦纹的另捣） 人参（八分） 杏仁（八分，炒至紫色另捣） 葶苈子（十分，炒）
以上五味药总和捣碎过筛，用蜂蜜调和做成药丸，饭前空腹初服七丸如梧桐子大小，每日两次，每天增加一丸直到十二丸，然后维持每日分的剂量。如果生病……（原文此处似有缺漏或断句不清，依文意推测为随证加减或注意事项，但根据指令不增添内容，仅翻译可见部分）得到食物……外……（原文残缺，略过无法连贯处，保留核心方义）
又治疗水肿病，牛黄桂枝丸方。
牛黄（六铢，研细） 桂枝（十二铢，另一方案说是桂六铢） 牡蛎（十二铢，炒后研细） 椒目（十二铢，另一方案说是海藻二十四铢，不需要椒目） 葶苈子（半升，炒，另一方案说用一升）
以上五味药捣碎过筛，用蜂蜜调和做成梧桐子大小的药丸，用温水送服七丸，每日两次，以小便通畅为度。忌食生葱。（均出自第十一卷中）
The *Qianjin Fang* (Thousand Golden Prescriptions) states: Generally, edema diseases are difficult to treat. After recovery, one must be particularly cautious about dietary tastes, as patients with edema often have insatiable cravings. Therefore, this disease is hard to cure. Some physicians in the world cater to worldly trends for financial gain, disregarding the patients' lives and health. When a patient desires meat, they advise eating sheep head and trotter meat in places of prestige. In such cases, [the condition may relapse or] all taboos regarding mourning, filial piety, postpartum care, listening to music, sexual intercourse, and play are violated. All fish, all meats, cold/raw/sour/smooth foods, garlic, sticky rice/beans, and greasy foods must not be consumed, nor should one exert mental effort. The aforementioned prohibitions are detailed under each specific prescription; regarding sexual intercourse and other matters, caution must be maintained for three years so that the disease does not recur. Otherwise, if it recurs after remission, a second recurrence cannot be treated. An ancient prescription called "Shi Shui Wan" (Ten Waters Pill) has been verified many times to mostly promote bowel movements but fails to promote urination, so it is not recorded here.
For swelling below the waist, one should promote urination; for swelling above the waist, one should induce sweating, and then the patient will recover. (From Volume 21)
Fan Wang's Prescription for Treating Edema.
Coptidis Rhizoma Powder (Huanglian Mo)
Take the above single ingredient, mix with honey, pound ten thousand times, form pills the size of mulberry seeds, take two pills with water, up to three or four pills. Prohibit drinking water and consuming cold items.
Another Prescription
Drink one sheng of vinegar. Another method takes a pinch of salted black soybeans, drink with water. Another method fills the tiger's mouth with leaves of Jiaomu (likely referring to a specific plant, possibly *Sophora* or similar local herb, literal translation: Horn Wood Leaf), crushes them to extract juice, and drinks it. (All from Volume 28)
Cui Shi's Prescription for Treating Edema.
Adzuki Bean (Wudou) (One da sheng, small grains)
Morus Alba Root Bark (Sanggen Baidi) (Five sheng, finely cut)
Take the above two ingredients, add five dou of water, boil together until one dou of liquid remains, filter out the dregs, re-boil in a copper vessel over water until thick like maltose syrup, then form into pills. The patient takes each dose, using the promotion of urination as the limit. When urine returns to its normal color and body swelling subsides, take it when feeling internal heat and restlessness. Prohibit sexual intercourse, dead ox/horse meat, greasy foods, wheat products, and alcohol.
Another Prescription for Treating Edema with Generalized Swelling, Qi Distension, and Indigestion.
Dry Elsholtzia (Gan Xiangru) (Fifty jin)
Take the above single ingredient, finely chop, place in a pot, cover with water several cun above the herb, boil until the aroma is completely exhausted, remove dregs, clarify the liquid, slowly boil over fire until it can form pills. Take five pills the size of mulberry seeds, three times daily, gradually increase the dose, stopping when urination is smooth. No restrictions. (Same as *Jingxin Lu*)
Another Prescription for Treating Edema with Body Swelling.
Carp (Li Yu) (One large carp, remove head, tail, and bones, use only flesh)
Take the above single ingredient, add two dou of water and one sheng of Adzuki Beans (Chixiaodou), boil with the fish flesh until more than two sheng of liquid is obtained, squeeze through raw cloth to remove dregs, take all at once. If unable to take all at once, divide into two doses; warm the second dose before taking. After taking, diarrhea occurs; once the diarrhea ceases, the disease heals. Prohibit beef, white wine, cold/raw items, wheat products, pork, fish, oils, and cheese. Bury the medicinal dregs.
*Gujin Luyan* Prescription for Treating Edema.
Stephania Tetrandra (Mufangji) (Eight fen)
Dahuang (Shu Dahuang) (Eight fen, those with brocade patterns pounded separately)
Ginseng Radix et Rhizoma (Renshen) (Eight fen)
Apricot Seed (Xingren) (Eight fen, stir-fried until purple, pounded separately)
Perilla Seed (Tinglizi) (Ten fen, stir-fried)
Pound and sieve the above five ingredients together, mix with honey to form pills. Take seven pills the size of mulberry seeds before meals initially, twice daily. Increase by one pill daily until twelve pills, then maintain the divided daily dose. [Text fragmentary: If illness... obtain food... external...]
Another Prescription for Treating Edema, Niuhuang Guizhi Wan.
Realgar? No, Calculus Bovis (Niuhuang) (Six zhu, ground)
Cinnamon Twig (Guizhi) (Twelve zhu, another version says Cinnamon six zhu)
Oyster Shell (Muli) (Twelve zhu, stir-fried and ground)
Zanthoxylum Seed (Jiaomu) (Twelve zhu, another version says Kelp/Hai Zao twenty-four zhu, no need for Jiaomu)
Perilla Seed (Tinglizi) (Half sheng, stir-fried, another version says use one sheng)
Pound and sieve the above five ingredients, mix with honey to form pills the size of mulberry seeds. Take seven pills with water, twice daily, stopping when urination is smooth. Avoid raw green onions. (All from Volume 11)