产后手足俱浮，皮肤间光莹色润，乃脾虚不能制水，肾虚不能行水也，宜大补为主，补中利水
汤治之。如因寒邪湿气，伤表无汗而肿，前汤加姜皮、半夏、苏叶，或五皮散亦可。又有由败血乘
虚停积，而循经流入四肢，留淫日深，腐坏如水，故令面目四肢浮肿，乍寒乍热，医人不识，误作水
气治之，多用导水。凡治水药，极能虚人，产后既虚，药又虚之，是谓重虚，多致夭枉。如产毕，随服生化汤，化瘀生
新，自无此败血如水之症。今既失治，宜服小调经散，则血行肿消。密斋用调经汤，又加味五皮汤，使气血流行，风湿
消散，肿自消矣。若水气系肺失降下之令，其人必发咳嗽，小便涩少，可立而辨也。如脚肿或肚肺，或成臌肿，宜
济生肾气丸。冯氏云∶产后浮肿，若寒水侮土，宜养脾肺；若气虚浮肿，宜盖脾胃；若水气浮肿，
宜补中汤；若兼喘咳而脉沉细无力，此命门火衰，脾土虚寒也，八味丸主之。腹满者，气虚而非
血也，补中汤送八味丸，一以升补清阳，一以敛纳浊气，升降既得，而胀满自消矣。
补中利水汤 治产后七日外，消肿利水。
人参 白术（土炒，各二钱） 茯苓 白芍（炒，各一钱） 木瓜（八分） 陈皮（五分）
紫苏 制苍术 木通 大腹皮（黑豆水净制） 浓朴（姜汁制，各四分）
如壅满，用制半夏、陈皮、制香附监之。
小调经散 治产后浮肿，因败血者。
归身（酒洗） 赤芍 桂心（各一钱） 没药 琥珀（各一分） 麝香 细辛（各五厘） 炙草（二分）
为末，每服五分，姜汁酒调下。
调经汤
归身（酒洗） 赤芍 丹皮 桂心 赤茯苓 陈皮 炙草（各一钱） 细辛 炮
姜（各五分）
加味五皮汤 治产后虚弱，腠理不密，调理失宜，外受风湿，面目四肢浮肿者。
桑白皮 陈皮 茯苓皮 大腹皮 生姜皮（各一钱） 汉防己 枳壳 猪苓（各八分） 炙草（五分）
产后出现手足浮肿，皮肤光亮润泽，这是脾虚不能制约水湿、肾虚不能运化水液所致，治疗应以大补为主，采用具有补气健脾兼利水作用的补中利水汤进行治疗。如果是因寒邪湿气侵袭肌表，导致无汗而浮肿，可在前方基础上加入生姜皮、半夏、紫苏叶，或者使用五皮散也可以。又有因败血（产后瘀血）乘虚停滞积聚，顺着经络流入四肢，日久留滞浸淫，腐败变质如水样，从而导致面目和四肢浮肿，伴有忽冷忽热的症状，医生若不认识此病机，误当作水气病治疗，多使用导水利尿的药物。凡是治疗水气的药物，极易耗伤人体正气，产后本已虚弱，再用药进一步耗损，这就叫做“重虚”，往往导致早亡。如果在分娩结束后，随即服用生化汤，化瘀生新，自然就不会出现这种败血如水样的病症。如今既然已经延误治疗，适宜服用小调经散，使血液运行通畅，肿胀自消。密斋使用调经汤，又加上加味五皮汤，使气血流通，风湿消散，肿胀自然消除。如果水气病是由于肺失肃降之令引起的，患者必然会出现咳嗽，小便涩滞量少，可以据此立即辨别。如脚部浮肿，或腹部胀大如鼓，或形成臌胀病，适宜使用济生肾气丸。冯氏说：产后浮肿，若是寒水侮土（寒水之气克制脾土），应当调养脾肺；若是气虚导致的浮肿，应当补益脾胃；若是水气导致的浮肿，应当使用补中益气汤；若是兼有喘咳且脉象沉细无力，这是命门火衰、脾土虚寒的表现，以八味丸主治。腹部胀满的，是气虚而非血瘀，可用补中益气汤送服八味丸，一方升补清阳，一方敛纳浊气，升降功能恢复正常，胀满自然消除。
补中利水汤：治疗产后七日以后，消肿利水。
人参、白术（土炒，各二钱）、茯苓、白芍（炒，各一钱）、木瓜（八分）、陈皮（五分）、紫苏、制苍术、木通、大腹皮（黑豆水洗净炮制）、浓朴（姜汁炮制，各四分）。
如果壅塞胀满严重，使用制半夏、陈皮、制香附来监制调理。
小调经散：治疗产后浮肿，由败血引起者。
当归身（酒洗）、赤芍、桂心（各一钱）、没药、琥珀（各一分）、麝香、细辛（各五厘）、炙甘草（二分）。
研为末，每次服用五分，用姜汁和酒调服。
调经汤：
当归身（酒洗）、赤芍、丹皮、桂心、赤茯苓、陈皮、炙甘草（各一钱）、细辛、炮姜（各五分）。
加味五皮汤：治疗产后体虚，腠理不致密，调理不当，外受风湿，导致面目四肢浮肿者。
桑白皮、陈皮、茯苓皮、大腹皮、生姜皮（各一钱）、汉防己、枳壳、猪苓（各八分）、炙甘草（五分）。
Postpartum edema of the hands and feet, with skin that is smooth and lustrous, indicates Spleen deficiency failing to control water and Kidney deficiency failing to transform water. Treatment should primarily focus on substantial tonification, using Buzhong Lishui Tang (Tonify Middle and Promote Water Decoction) to treat it. If the edema is caused by cold pathogenic factors and dampness invading the exterior, resulting in anhidrosis and swelling, add Ginger Peel (Zi Jiang Pi), Pinellia Tuber (Ban Xia), and Perilla Leaf (Su Ye) to the aforementioned decoction, or Wupi San (Five-Peel Powder) may also be used. Another cause is residual blood (postpartum stasis) taking advantage of deficiency to stagnate and accumulate, flowing along the meridians into the four limbs. Over time, this stagnation infiltrates deeply, becoming corrupt and watery, causing edema of the face and limbs accompanied by alternating chills and fever. If physicians fail to recognize this pathology and mistakenly treat it as water qi disease, they often use diuretic drugs. All drugs for treating water qi are extremely damaging to healthy Qi. Since the postpartum state is already deficient, using such drugs further depletes it, a condition termed "double deficiency," which often leads to premature death. If Shenghua Tang (Generate New Decoction) were taken immediately after delivery to resolve stasis and generate new blood, such symptoms of residual blood turning watery would naturally not occur. Now that treatment has been delayed, Xiao Tiaojing San (Small Regulate Menses Powder) should be administered to promote blood circulation and eliminate swelling. Mi Zhai used Tiaojing Tang (Regulate Menses Decoction) combined with Jiawei Wupi Tang (Modified Five-Peel Decoction) to facilitate the flow of Qi and Blood and dissipate wind-dampness, thereby resolving the swelling. If the water qi disease is due to the Lung's failure to descend, the patient will inevitably suffer from coughing and scanty, difficult urination, allowing for immediate differentiation. For edema of the legs, abdominal distension resembling a drum, or ascites, Jisheng Shenqi Wan (Jisheng Kidney Qi Pill) is appropriate. Feng Shi stated: For postpartum edema, if cold water insults Earth (Spleen), nourish the Spleen and Lung; if edema is due to Qi deficiency, tonify the Spleen and Stomach; if edema is due to water qi, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction); if accompanied by wheezing, coughing, and a deep, thin, and forceless pulse, this indicates decline of Mingmen Fire and deficiency-cold of Spleen Earth, treated with Bawei Wan (Eight-Ingredient Pill). Abdominal fullness due to Qi deficiency rather than blood stasis can be treated by administering Buzhong Yiqi Tang to deliver Bawei Wan; one formula raises and tonifies clear Yang, while the other gathers and accepts turbid Qi. Once ascending and descending functions are restored, the fullness will naturally subside.
Buzhong Lishui Tang (Tonify Middle and Promote Water Decoction): Treats edema and promotes water metabolism more than seven days postpartum.
Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried with soil, 2 qian each), Fu Ling (Poria), Bai Shao (Paeoniae Radix Alba, stir-fried, 1 qian each), Mu Gua (Chaenomelis Fructus, 8 fen), Chen Pi (Citri Reticulatae Pericarpium, 5 fen), Zi Su (Perillae Folium), Zhi Cang Zhu (Atractylodis Rhizoma, processed), Mu Tong (Akebiae Caulis), Da Fu Pi (Arecae Pericarpium, washed with black soybean water), Hou Po (Magnoliae Officinalis Cortex, processed with ginger juice, 4 fen each).
If there is severe congestion and fullness, use Zhi Ban Xia (Pinelliae Tuber, processed), Chen Pi, and Zhi Xiang Fu (Cyperi Rhizoma, processed) to regulate.
Xiao Tiaojing San (Small Regulate Menses Powder): Treats postpartum edema caused by residual blood.
Dang Gui Shen (Angelicae Sinensis Radix, wine-washed), Chi Shao (Paeoniae Radix Rubra), Gui Xin (Cinnamomi Ramulus Medulla, 1 qian each), Mo Yao (Myrrha), Hu Po (Electrum, 1 fen each), She Xiang (Moschus), Xi Xin (Asari Radix et Rhizoma, 5 li each), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted, 2 fen).
Grind into powder, take 5 fen per dose, mixed with ginger juice and wine.
Tiaojing Tang (Regulate Menses Decoction):
Dang Gui Shen (Angelicae Sinensis Radix, wine-washed), Chi Shao (Paeoniae Radix Rubra), Dan Pi (Moutan Cortex), Gui Xin (Cinnamomi Ramulus Medulla), Chi Fu Ling (Poria cum Risu), Chen Pi (Citri Reticulatae Pericarpium), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted, 1 qian each), Xi Xin (Asari Radix et Rhizoma), Pao Jiang (Zingiberis Rhizoma, processed), 5 fen each.
Jiawei Wupi Tang (Modified Five-Peel Decoction): Treats postpartum weakness, loose interstices, improper regulation, external invasion of wind-dampness, causing edema of the face and limbs.
Sang Bai Pi (Mori Cortex), Chen Pi (Citri Reticulatae Pericarpium), Fu Ling Pi (Poria Cum Cortice), Da Fu Pi (Arecae Pericarpium), Sheng Jiang Pi (Zingiberis Rhizoma Recens Cortex, 1 qian each), Han Fang Ji (Stephaniae Tetrandrae Radix), Zhi Ke (Aurantii Fructus Immaturus), Zhu Ling (Polyporus, 8 fen each), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted, 5 fen).