夫妇人水病者。由体虚受风湿。入于皮肤。搏于津液。津液痞涩。壅滞在内不消。而流
溢皮肤。所以然也。肾主于水。与膀胱为津液之府。津液不消。则水停蓄。其外候。目睑裹
如卧
之。
治妇人头面及四肢浮肿。心胸满闷。喘息。小便赤涩。汉防己散方。
汉防己（三分） 赤茯苓（一两） 桑根白皮（一两锉） 枳壳（三分麸炒微黄去瓤） 槟
榔（
一两） 木通（一两锉） 川大黄（一两锉碎微炒） 紫苏茎叶（一两） 甘草（半两炙微
赤锉）
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。葱白七寸。
煎至六分。去滓。不计时候温服。
治妇人水气。身体浮肿。喘息微促。小便不利。赤茯苓散方。
赤茯苓（一两） 汉防己（一两） 桑根白皮（半两锉） 枳壳（三分麸炒微黄去瓤） 槟
榔（
一两） 木通（一两锉） 川大黄（一两锉碎微炒） 紫苏茎叶（一两） 甘草（半两炙微
赤锉）
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。葱白七寸。煎至六分。去
滓。不计时候温服。
治妇人水气。身体浮肿。喘息微促。小便不利。赤茯苓散方。
赤茯苓（一两） 汉防己（一两） 桑根白皮（半两锉） 猪苓（一两去黑皮） 泽漆
（一两）
木通（一两锉） 槟榔（一两）
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。每于食
前温服。以利为效。
治妇人水气。四肢浮肿。心胸痞满。痰毒壅滞。喘息稍急。小便不利。坐卧不
安。大戟
大戟（一两） 前胡（一两去芦头） 木通（一两锉） 当归（半两） 陈橘皮（三分
汤浸去白
瓤
（一两）
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。空心温
服。以利为效。未利再服。
治妇人水气。腹胁妨闷。四肢浮肿。喘息微促。小便不利。宜服牵牛子散方。
牵牛子（一两微炒） 青橘皮（一两汤浸去白瓤焙） 槟榔（一两） 汉防己（半两） 赤
茯苓
（半两） 木通（三分锉） 桑根白皮（三分锉）
上件药。捣细罗为散。每服空心。煎生姜葱白汤调下三钱。以利为效。未利再服。
治妇人水气。遍身浮肿。喘急。宜服此方。
麝香（一钱细研） 雄黄（二钱细研） 芫花（半两醋拌炒令干） 甘遂（半两煨令黄）
上件药。捣细罗为散。都研令匀。每服空心。以温酒调下半钱。以快利为度。未利再服
治妇人水气。腹胀。四肢肿。喘息促。小便不利。宜服此方。
青橘皮（三分汤浸去白瓤焙） 甘遂（半两煨令微黄） 郁李仁（半两汤浸去皮研入）
上件药。捣细罗为散。每服空心。以温酒调下半钱。至午时当利。未利即再服。以大利
为效。
治妇人水病。头面及四肢浮肿。喘急。小便不利。商陆鲤鱼汤方。\x
商陆（一两锉） 木通（一两锉） 陈橘皮（一两汤浸去白瓤焙） 赤小豆〔半斤（升）〕
鲤
鱼（一枚重一斤理如食法） 桑根白皮（二两锉）
上件药。以水五升。入生姜二（一）两。葱白五茎。同煮令豆熟为度。每服不计时候。
吃
汁一中盏。鱼豆任意食之。
妇女患水肿病，是由于体质虚弱，感受风湿之邪，邪气侵入皮肤，与津液相搏结。导致津液运行痞塞涩滞，壅积在体内无法消散，从而流溢于皮肤之间。之所以如此，是因为肾主水，与膀胱互为表里，共同作为津液的府库。若津液不能正常代谢，则水湿停蓄体内。其外在征象表现为眼睑浮肿，如同刚睡醒的样子。
治疗妇人头面及四肢浮肿，心胸满闷，喘息，小便赤涩的汉防己散方：
汉防己（三分）、赤茯苓（一两）、桑根白皮（一两，锉碎）、枳壳（三分，麸炒至微黄，去瓤）、槟榔（一两）、木通（一两，锉碎）、川大黄（一两，锉碎，微炒）、紫苏茎叶（一两）、甘草（半两，炙至微赤，锉碎）。
以上药物，捣成粗末过筛制成散剂。每次服用四钱，用水一中盏，加入生姜半分、葱白七寸，煎煮至剩余六分药液，滤去药渣。不拘时候，温服。
治疗妇人水气病，身体浮肿，喘息轻微急促，小便不利的赤茯苓散方：
赤茯苓（一两）、汉防己（一两）、桑根白皮（半两，锉碎）、枳壳（三分，麸炒至微黄，去瓤）、槟榔（一两）、木通（一两，锉碎）、川大黄（一两，锉碎，微炒）、紫苏茎叶（一两）、甘草（半两，炙至微赤，锉碎）。
以上药物，捣成粗末过筛制成散剂。每次服用四钱，用水一中盏，加入生姜半分、葱白七寸，煎煮至剩余六分药液，滤去药渣。不拘时候，温服。
治疗妇人水气病，身体浮肿，喘息轻微急促，小便不利的赤茯苓散方（另一首）：
赤茯苓（一两）、汉防己（一两）、桑根白皮（半两，锉碎）、猪苓（一两，去黑皮）、泽漆（一两）、木通（一两，锉碎）、槟榔（一两）。
以上药物，捣成粗末过筛制成散剂。每次服用四钱，用水一中盏，加入生姜半分，煎煮至剩余六分药液，滤去药渣。每于饭前温服，以通利为见效标准。
治疗妇人水气病，四肢浮肿，心胸痞满，痰毒壅滞，喘息稍急，小便不利，坐卧不安的大戟方：
大戟（一两）、前胡（一两，去芦头）、木通（一两，锉碎）、当归（半两）、陈橘皮（三分，汤浸去白瓤）、[原文此处似有缺漏或排版错误，结合上下文推测可能涉及其他药材或剂量描述，但依原文提取]... 注：原文中“陈橘皮”后接“(一两)”疑似排版错位，按常规理解应为陈橘皮三分，另有他药一两，但此处仅依据可见文字处理。根据常见配伍及后续“上件药”，此处可能存在文本缺失，暂按现有列出的药材记录：大戟、前胡、木通、当归、陈橘皮。
以上药物，捣成粗末过筛制成散剂。每次服用四钱，用水一中盏，加入生姜半分，煎煮至剩余六分药液，滤去药渣。空腹温服，以通利为见效标准。若未通利，可再服。
治疗妇人水气病，腹胁部胀闷不适，四肢浮肿，喘息轻微急促，小便不利的牵牛子散方：
牵牛子（一两，微炒）、青橘皮（一两，汤浸去白瓤焙干）、槟榔（一两）、汉防己（半两）、赤茯苓（半两）、木通（三分，锉碎）、桑根白皮（三分，锉碎）。
以上药物，捣成细末过筛制成散剂。每次空腹时，用煎好的生姜葱白汤调服三钱，以通利为见效标准。若未通利，可再服。
治疗妇人水气病，遍身浮肿，喘急，宜服此方：
麝香（一钱，细研）、雄黄（二钱，细研）、芫花（半两，醋拌炒至干）、甘遂（半两，煨至黄色）。
以上药物，捣成细末过筛制成散剂，混合均匀。每次空腹时，用温酒调服半钱，以大便通畅快利为度。若未通利，可再服。
治疗妇人水气病，腹胀，四肢肿，喘息急促，小便不利的方剂：
青橘皮（三分，汤浸去白瓤焙干）、甘遂（半两，煨至微黄）、郁李仁（半两，汤浸去皮研碎入药）。
以上药物，捣成细末过筛制成散剂。每次空腹时，用温酒调服半钱，到中午时分应当通利。若未通利，即再服，以大便大下为见效标准。
治疗妇人水肿病，头面及四肢浮肿，喘急，小便不利的商陆鲤鱼汤方：
商陆（一两，锉碎）、木通（一两，锉碎）、陈橘皮（一两，汤浸去白瓤焙干）、赤小豆（半斤）、鲤鱼（一枚，重一斤，处理如食用方法）、桑根白皮（二两，锉碎）。
以上药物，用水五升，加入生姜二两、葱白五茎，同煮直到豆子煮熟为止。每次不拘时候，喝药汁一中盏，鱼肉和豆子随意食用。
In women suffering from edema (water disease), the condition arises due to a weak constitution that allows wind-dampness (Wind-Damp) pathogenic factors to invade the skin. These pathogens contend with body fluids (Jinye), causing stagnation and obstruction in the flow of fluids. Consequently, fluids accumulate internally without being metabolized and overflow into the subcutaneous tissues. This occurs because the Kidney governs water and shares a zang-fu relationship with the Bladder, which serves as the reservoir for body fluids. When body fluids fail to metabolize properly, water accumulates and stagnates. The external manifestation includes puffiness of the eyelids, resembling the appearance after waking up.
**Han Fangji Powder** for treating edema of the head, face, and limbs, chest and epigastric fullness, panting, and dark, scanty, or painful urination in women:
* *Stephaniae Tetrandrae Radix* (Han Fangji) - 3 fen
* *Poria* (Chi Fuling) - 1 liang
* *Morus Albae Radicis Cortex* (Sanggen Baipi) - 1 liang, sliced
* *Aurantii Fructus Immaturus* (Zhike) - 3 fen, stir-baked with bran until slightly yellow, pith removed
* *Arecae Semen* (Binglang) - 1 liang
* *Akebiae Caulis* (Mutong) - 1 liang, sliced
* *Rhei Radix et Rhizoma* (Chuan Dahuang) - 1 liang, sliced and lightly stir-baked
* *Perillae Caulis et Folium* (Zisu Jingye) - 1 liang
* *Glycyrrhizae Radix et Rhizoma Praeparata cum Melle* (Gancao) - 0.5 liang, honey-fried until slightly red and sliced
Process the above ingredients by pounding them into a coarse powder and sieving. Take 4 qian per dose. Add 1 zhongzhan (approx. 200-300ml) of water, 0.5 fen of fresh ginger, and 7 cun of scallion white. Decoct until the volume reduces to 0.6 zhongzhan. Strain the dregs. Take warm at any time.
**Chi Fuling Powder** for treating water qi in women, characterized by generalized edema, slight rapid breathing, and difficult urination:
* *Poria* (Chi Fuling) - 1 liang
* *Stephaniae Tetrandrae Radix* (Han Fangji) - 1 liang
* *Morus Albae Radicis Cortex* (Sanggen Baipi) - 0.5 liang, sliced
* *Aurantii Fructus Immaturus* (Zhike) - 3 fen, stir-baked with bran until slightly yellow, pith removed
* *Arecae Semen* (Binglang) - 1 liang
* *Akebiae Caulis* (Mutong) - 1 liang, sliced
* *Rhei Radix et Rhizoma* (Chuan Dahuang) - 1 liang, sliced and lightly stir-baked
* *Perillae Caulis et Folium* (Zisu Jingye) - 1 liang
* *Glycyrrhizae Radix et Rhizoma Praeparata cum Melle* (Gancao) - 0.5 liang, honey-fried until slightly red and sliced
Process the above ingredients by pounding them into a coarse powder and sieving. Take 4 qian per dose. Add 1 zhongzhan of water, 0.5 fen of fresh ginger, and 7 cun of scallion white. Decoct until the volume reduces to 0.6 zhongzhan. Strain the dregs. Take warm at any time.
**Chi Fuling Powder** (Alternative Formula) for treating water qi in women, characterized by generalized edema, slight rapid breathing, and difficult urination:
* *Poria* (Chi Fuling) - 1 liang
* *Stephaniae Tetrandrae Radix* (Han Fangji) - 1 liang
* *Morus Albae Radicis Cortex* (Sanggen Baipi) - 0.5 liang, sliced
* *Polyporus* (Zhuling) - 1 liang, black skin removed
* *Euphorbiae Pekinensis Herba* (Ze Qi) - 1 liang
* *Akebiae Caulis* (Mutong) - 1 liang, sliced
* *Arecae Semen* (Binglang) - 1 liang
Process the above ingredients by pounding them into a coarse powder and sieving. Take 4 qian per dose. Add 1 zhongzhan of water and 0.5 fen of fresh ginger. Decoct until the volume reduces to 0.6 zhongzhan. Strain the dregs. Take warm before meals. Efficacy is indicated by bowel movement or diuresis.
**Daji Formula** for treating water qi in women, characterized by edema of the four limbs, chest and epigastric stuffiness, accumulation of phlegm-toxin, slightly urgent panting, difficult urination, and restlessness in sitting or lying down:
* *Knoxiae Radix* (Daji) - 1 liang
* *Peucedani Radix* (Qianhu) - 1 liang, radix part removed
* *Akebiae Caulis* (Mutong) - 1 liang, sliced
* *Angelicae Sinensis Radix* (Danggui) - 0.5 liang
* *Citri Reticulatae Pericarpium* (Chen Jupi) - 3 fen, soaked in hot water, white pith removed
*(Note: The original text appears to have formatting errors or missing ingredients between Chen Jupi and the next section, but these are the explicitly listed herbs for this formula context).*
Process the above ingredients by pounding them into a coarse powder and sieving. Take 4 qian per dose. Add 1 zhongzhan of water and 0.5 fen of fresh ginger. Decoct until the volume reduces to 0.6 zhongzhan. Strain the dregs. Take warm on an empty stomach. Efficacy is indicated by bowel movement or diuresis. If not effective, take again.
**Qianniu Zi Powder** for treating water qi in women, characterized by distension and stuffiness in the abdomen and hypochondrium, edema of the four limbs, slight rapid breathing, and difficult urination:
* *Pharbitidis Semen* (Qianniu Zi) - 1 liang, lightly stir-baked
* *Aurantii Fructus* (Qing Jupi) - 1 liang, soaked in hot water, white pith removed, baked
* *Arecae Semen* (Binglang) - 1 liang
* *Stephaniae Tetrandrae Radix* (Han Fangji) - 0.5 liang
* *Poria* (Chi Fuling) - 0.5 liang
* *Akebiae Caulis* (Mutong) - 3 fen, sliced
* *Morus Albae Radicis Cortex* (Sanggen Baipi) - 3 fen, sliced
Process the above ingredients by pounding them into a fine powder and sieving. Take 3 qian per dose on an empty stomach, mixed with decoction of fresh ginger and scallion white. Efficacy is indicated by bowel movement or diuresis. If not effective, take again.
**Formula for Generalized Edema and Urgent Panting:**
* *Moschus* (Shexiang) - 1 qian, finely ground
* *Realgar* (Xionghuang) - 2 qian, finely ground
* *Genkwa Flos* (Yanhua) - 0.5 liang, mixed with vinegar and stir-baked until dry
* *Kansui Radix* (Gansui) - 0.5 liang, roasted until yellow
Process the above ingredients by pounding them into a fine powder and sieving, then mix thoroughly. Take 0.5 qian per dose on an empty stomach, mixed with warm wine. Efficacy is indicated by rapid and free bowel movement. If not effective, take again.
**Formula for Abdominal Distension, Limb Edema, Rapid Panting, and Difficult Urination:**
* *Aurantii Fructus* (Qing Jupi) - 3 fen, soaked in hot water, white pith removed, baked
* *Kansui Radix* (Gansui) - 0.5 liang, roasted until slightly yellow
* *Pruni Semen* (Yuliren) - 0.5 liang, soaked in hot water, skin removed, ground
Process the above ingredients by pounding them into a fine powder and sieving. Take 0.5 qian per dose on an empty stomach, mixed with warm wine. Bowel movement should occur by noon. If not effective, take again. Efficacy is indicated by significant purgation.
**Shanglu Liyu Soup** for treating water disease in women, characterized by edema of the head, face, and limbs, urgent panting, and difficult urination:
* *Phytolaccae Radix* (Shanglu) - 1 liang, sliced
* *Akebiae Caulis* (Mutong) - 1 liang, sliced
* *Citri Reticulatae Pericarpium* (Chen Jupi) - 1 liang, soaked in hot water, white pith removed, baked
* *Phaseoli Radiati Semen Rubrum* (Chixiaodou) - 0.5 jin
* *Cyprinus Carpio* (Liyu) - 1 fish, weighing approx. 1 jin, prepared for cooking
* *Morus Albae Radicis Cortex* (Sanggen Baipi) - 2 liang, sliced
Add 5 sheng of water, 2 liang of fresh ginger, and 5 stalks of scallion white to the above ingredients. Boil together until the beans are cooked. Take 1 zhongzhan of the broth at any time. Consume the fish and beans as desired.