《婴童宝鉴》∶小儿水气，是积聚久不治，并频下而脾胃虚，积散而成水气，及通身虚肿，但如熟李，即是
水也。有疳气虚肿而不亮也。
《惠眼观证》∶水气浮肿，遍体如黄熟李色不能消。先调气，次日四更下中庸饮子，取下膜外浮水一两盆
（方见专门），即调气后用粥补一月，断盐醋一月外，又服调气散（方未见），须安乐。若此候见脐凸肚肿，两肾如石，
此死候不治。
《简要济众》治小儿水气腹肿，兼下痢脓血，小便涩方。
葶苈子（半两，微炒，捣如面）
上以枣肉和捣为丸，如绿豆大。每服五丸，枣汤下，空心晚后。量儿大小加减服之。
《圣惠》治小儿水气，肿满喘促，坐卧不安，宜服槟榔散方
槟榔 川大黄（锉碎，炒） 牵牛子（微炒） 甜葶苈（隔纸炒令紫色。各半两）
上件药捣，细罗为散。每服以温水调下半钱，日二、三服。儿稍大增之，以利为效。
《圣惠》治小儿水气肿满，喘嗽不止。赤茯苓散方
赤茯苓 桑根白皮（锉） 贝母（煨微黄。各半两） 桔梗（去芦头） 甜葶苈（隔纸炒，令紫色） 川升麻 杏
仁（汤浸去皮尖、双仁，炒微黄。各一分）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓温服，日三、四服。更量儿大小加减服之。
《圣惠》治小儿水气肿满不消楮皮汤方
褚树白皮（锉） 赤小豆（各一合） 赤茯苓（二两，锉）
上件药都和令匀。每取一分，以水一小盏，煎至五分，去滓，分为二服，日三、四服。随儿大小以意加减。
《圣惠》治小儿水气肿满，小便涩。狸豆根汤方
狸豆根 桑根白皮 车前草（各半两） 葵子 赤小豆（各半合）
上件药细锉和匀。每取一分，以水一小盏，煎至五分，去滓，分为二服，日三、四服。随儿大小以意加减。
《圣惠》治小儿水气肿满，小便不利，脐腹妨闷，喘促。猪苓散方
猪苓（去黑皮） 桑根白皮（锉） 赤茯苓 海蛤（细研） 甜葶苈（隔纸炒令紫色。各一分）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓温服，日三、四服。更随儿大小以意加减。
《圣惠》治小儿水气，遍身肿满，喘促，小便不利。桑根白皮散方
桑根白皮（锉） 射干 赤茯苓 黄芩 木通（锉） 泽漆 汉防己 泽泻（各十两）
上件药捣，细罗为散。每服以煮赤小豆汤调下半钱，日三、四服。看儿大小加减服之。
《圣惠》治小儿水气，面目肿，小便涩，心腹胀满方。
赤茯苓 杏仁（汤浸去皮尖、双仁，麸炒微黄） 汉防己 陈橘皮（汤浸去白瓤，焙） 紫苏子（微炒） 甜葶苈
（隔纸炒令紫色。各半两）
上件药捣，罗为末，炼蜜和丸如绿豆大。每服煎桑根白皮汤下十丸，日三服。五岁以下减丸服之。
《圣惠》治小儿水气，通身肿满，心腹妨闷，坐卧不安，宜服甜葶苈丸方
甜葶苈（隔纸炒令紫色） 牵牛子（微炒） 雄雀粪（各半两） 大戟（一分） 腻粉（一钱，研入） 巴豆（十
粒，去皮心，别纸装，压去油）
上件药捣，罗为末，都研令匀，用枣瓤和丸如绿豆大。每服以温茶下一丸，日二服。五岁以上加丸服之。
《圣惠》治小儿水气，遍身肿满，大小便难，喘促不得睡卧，宜服甘遂散方
甘遂（煨令微黄） 槟榔 川大黄（锉碎，微炒） 甜葶苈（隔纸炒令紫色。各一分） 牵牛子（半两，微炒）
上件药捣，细罗为散。每服以温水调下一字，以利为效。随儿大小以意加减。
《圣惠》治小儿水气，四肢浮肿，腹胁妨闷，宜服木香散方
木香 赤茯苓（各一分） 牵牛子（三分，微炒） 鳖甲（涂醋炙令黄，去裙 ） 川大黄（锉碎，微炒。各半两）
上件药捣，细罗为散。每服以温水调下半钱，以利为度。随儿大小加减服之。
《圣惠》又方
槟榔（一分） 郁李仁（半两，汤浸去皮，微炒）
上件药捣，罗为末，以大麦面一两和作饼子， 灰火内煨熟。量儿大小与吃，即得通利气下也，以温水下
之。
《圣惠》治小儿水气，腹肚虚胀，头面浮肿，小便不利。郁李仁粥方
粟米（一分） 郁李仁（汤浸去皮尖，微炒） 桑根白皮（锉。各一两）
上件药捣碎，每服半两。以水一大盏，煎至七分，去滓，下米作粥，入少许生姜汁，任意食之。
《惠眼观证》治水气肿满，黄胆。中庸饮子方
海金砂 续随子（各一分） 生姜 中庸（樟柳根是也，各一两） 蜜（二两）
上五味细研，罨一宿，以次日五更时用绢帛滤汁，只作一服，温暖吃尽，食前。逼下黄水，乃服匀气药补，
后用樟柳根煮粥吃。
《圣惠》灸法∶小儿水气，四肢尽肿及腹大，灸脐上一寸，三壮，炷如小麦大，分水穴也。
《婴童宝鉴》：小儿水气病，是由于积聚日久未治，加上频繁使用泻下药物导致脾胃虚弱，积滞消散后转化为水气，进而出现全身虚肿。其肿胀程度如同熟透的李子，按之凹陷即起，即是水湿停滞的表现。此外，还有因疳气（小儿慢性营养不良性疾病）导致的虚肿，但肤色不润泽光亮。
《惠眼观证》：水气引起的浮肿，全身皮肤呈现如熟黄李子般的色泽，且难以消退。治疗时应先调理气机，次日四更天服用中庸饮子，以排出膜外的浮水约一两盆（方剂见专门章节），随后再调理气机，并用粥食调养一个月，期间除盐醋外暂停食用其他调味品，另外服用调气散（方剂未见），患者需保持心情安乐。如果见到脐部突出、腹部肿胀、两侧肾脏部位坚硬如石的症状，这是死候，无法治愈。
《简要济众》治疗小儿水气腹肿，兼有下痢脓血、小便涩痛的方剂。
葶苈子（半两，微炒，捣碎成粉末状）
以上药材用枣肉调和捣制成丸药，大小如绿豆。每次服用五丸，用枣汤送服，空腹时及晚间服用。根据患儿年龄大小酌情增减剂量。
《圣惠》治疗小儿水气，肿胀满闷、气喘急促、坐卧不安，适宜服用槟榔散方。
槟榔 川大黄（锉碎，炒制） 牵牛子（微炒） 甜葶苈（隔纸炒至紫色。各半两）
将上述药材捣碎，过细筛制成散剂。每次取半钱，用温水调服，每日二至三次。幼儿稍大者可增加剂量，以大便通畅为见效标准。
《圣惠》治疗小儿水气肿满，气喘咳嗽不止。赤茯苓散方。
赤茯苓 桑根白皮（锉碎） 贝母（煨至微黄。各半两） 桔梗（去除芦头） 甜葶苈（隔纸炒至紫色） 川升麻 杏仁（热水浸泡去皮尖、双仁，炒至微黄。各一分）
将上述药材捣碎，粗筛制成散剂。每次取一钱，用水一小盏，煎至五分，去渣温服，每日三至四次。更应根据患儿年龄大小酌情增减剂量。
《圣惠》治疗小儿水气肿满不消的楮皮汤方。
褚树白皮（锉碎） 赤小豆（各一合） 赤茯苓（二两，锉碎）
将上述药材混合均匀。每次取一份量，用水一小盏，煎至五分，去渣，分为两次服用，每日三至四次。随患儿年龄大小酌情增减。
《圣惠》治疗小儿水气肿满，小便涩痛的狸豆根汤方。
狸豆根 桑根白皮 车前草（各半两） 葵子 赤小豆（各半合）
将上述药材细锉并混合均匀。每次取一份量，用水一小盏，煎至五分，去渣，分为两次服用，每日三至四次。随患儿年龄大小酌情增减。
《圣惠》治疗小儿水气肿满，小便不利，脐腹部胀闷不适，气喘急促。猪苓散方。
猪苓（去除黑皮） 桑根白皮（锉碎） 赤茯苓 海蛤（细研） 甜葶苈（隔纸炒至紫色。各一分）
将上述药材捣碎，粗筛制成散剂。每次取一钱，用水一小盏，煎至五分，去渣温服，每日三至四次。更应随患儿年龄大小酌情增减。
《圣惠》治疗小儿水气，遍身肿满，气喘急促，小便不利。桑根白皮散方。
桑根白皮（锉碎） 射干 赤茯苓 黄芩 木通（锉碎） 泽漆 汉防己 泽泻（各十两）
将上述药材捣碎，细筛制成散剂。每次取半钱，用煮赤小豆的汤调服，每日三至四次。视患儿年龄大小增减剂量。
《圣惠》治疗小儿水气，面目浮肿，小便涩痛，心腹胀满的方剂。
赤茯苓 杏仁（热水浸泡去皮尖、双仁，麸炒至微黄） 汉防己 陈橘皮（热水浸泡去除白色瓤，焙干） 紫苏子（微炒） 甜葶苈（隔纸炒至紫色。各半两）
将上述药材捣碎，过筛成末，用炼蜜和丸，大小如绿豆。每次用煎好的桑根白皮汤送服十丸，每日三次。五岁以下儿童减少丸数服用。
《圣惠》治疗小儿水气，通身肿满，心腹闷胀不适，坐卧不安，适宜服用甜葶苈丸方。
甜葶苈（隔纸炒至紫色） 牵牛子（微炒） 雄雀粪（各半两） 大戟（一分） 腻粉（一钱，研入） 巴豆（十粒，去皮心，另用纸包裹，压榨去油）
将上述药材捣碎，过筛成末，充分研磨均匀，用枣肉和丸，大小如绿豆。每次用温茶送服一丸，每日两次。五岁以上儿童可增加丸数服用。
《圣惠》治疗小儿水气，遍身肿满，大小便困难，气喘急促无法睡卧，适宜服用甘遂散方。
甘遂（煨至微黄） 槟榔 川大黄（锉碎，微炒） 甜葶苈（隔纸炒至紫色。各一分） 牵牛子（半两，微炒）
将上述药材捣碎，细筛制成散剂。每次用温水调服一字量，以大便通畅为见效标准。随患儿年龄大小酌情增减。
《圣惠》治疗小儿水气，四肢浮肿，腹部胁肋部闷胀不适，适宜服用木香散方。
木香 赤茯苓（各一分） 牵牛子（三分，微炒） 鳖甲（涂醋炙至黄色，去除裙边） 川大黄（锉碎，微炒。各半两）
将上述药材捣碎，细筛制成散剂。每次用温水调服半钱，以大便通畅为度。随患儿年龄大小增减剂量。
《圣惠》又一方。
槟榔（一分） 郁李仁（半两，热水浸泡去皮，微炒）
将上述药材捣碎，过筛成末，用大麦面一两和做成饼子，在灰火中烤熟。根据患儿年龄大小给予食用，即可通气利水，用温水送服。
《圣惠》治疗小儿水气，腹部虚胀，头面部浮肿，小便不利。郁李仁粥方。
粟米（一分） 郁李仁（热水浸泡去皮尖，微炒） 桑根白皮（锉碎。各一两）
将上述药材捣碎，每次取半两。用水一大盏，煎至七分，去渣，加入米煮成粥，放入少许生姜汁，随意食用。
《惠眼观证》治疗水气肿满，黄疸。中庸饮子方。
海金砂 续随子（各一分） 生姜 中庸（即樟柳根，各一两） 蜜（二两）
将以上五味药细研，覆盖浸泡一夜，次日五更时用绢帛过滤取汁，一次性服完，温热饮用，饭前服用。逼迫排出黄水后，再服用匀气药进行补益，之后用樟柳根煮粥食用。
Ying Tong Bao Jian: Pediatric edema (water qi) results from long-standing accumulation that remains untreated, combined with frequent purgation leading to Spleen and Stomach deficiency. The accumulated pathogenic factors dissipate and transform into water retention, causing generalized flaccid swelling. The skin resembles a ripe plum; pressing it leaves an indentation that fills back up, indicating water dampness stagnation. Additionally, there is flaccid swelling due to Gan malnutrition syndrome (chronic childhood malnutrition), but the complexion lacks luster.
Hui Yan Guan Zheng: Edema caused by water qi presents with the whole body having a yellowish hue similar to a ripe yellow plum, which is difficult to resolve. Treatment should first regulate Qi. On the following day at the fourth watch (around 1-3 AM), administer Zhongyong Yinzi (Neutral Decoction) to expel floating water from the interstitial membranes, approximately one to two basins (formula see specialized section). Subsequently, regulate Qi again, nourish with congee for one month, abstain from salt and vinegar for one month, and additionally take Tiaoqi San (Regulate Qi Powder) (formula not seen); the patient must maintain a peaceful state of mind. If the umbilicus protrudes, the abdomen swells, and both kidney regions feel hard as stone, this is a death omen and is incurable.
Jian Yao Ji Zhong treats pediatric edema with abdominal swelling, accompanied by dysentery with pus and blood, and painful/difficult urination.
Tingli Zi (Descurainiae Semen Lepidii Semeni, half liang, lightly stir-fried, pounded into powder)
Mix the above herb with jujube flesh, pound into pills the size of mung beans. Take five pills per dose, administered with jujube decoction, on an empty stomach in the evening. Adjust dosage according to the child's age and size.
Sheng Hui treats pediatric edema with swelling, fullness, panting, restlessness in sitting or lying down. It is suitable to take Binglang San (Areca Nut Powder).
Binglang (Arecae Semen) Chuan Dahuang (Rhei Radix et Rhizoma, sliced, stir-fried) Qianniuzi (Pharbitidis Semen, lightly stir-fried) Tian Tingli (Descurainiae Semen Lepidii Semeni, stir-fried between papers until purple. Each half liang)
Pound the above herbs, sift finely to make a powder. Take half a qian per dose, mixed with warm water, taken two to three times daily. For older children, increase the dose slightly; efficacy is indicated by loose stools.
Sheng Hui treats pediatric edema with swelling, fullness, incessant panting, and coughing. Chifuling San (Polyporus Powder).
Chifuling (Polypori Sclerotium) Sanggen Baidi (Mori Cortex, sliced) Beimu (Fritillariae Bulbus, roasted until slightly yellow. Each half liang) Jiegeng (Platycodonis Radix, remove rhizome) Tian Tingli (Descurainiae Semen Lepidii Semeni, stir-fried between papers until purple) Chuanshengma (Bupleuri Radix) Xingren (Prunus Armeniacae Semen Amaram, soaked in hot water, peel and remove tips/double kernels, stir-fried until slightly yellow. Each one fen)
Pound the above herbs, sift coarsely to make a powder. Take one qian per dose, with one small cup of water, decoct until half remains, strain, and take warm. Three to four times daily. Adjust dosage according to the child's age and size.
Sheng Hui treats pediatric edema that does not subside. Chupi Tang (Broussonetia Bark Decoction).
Chushu Baidi (Broussonetiae Cortex) Chixiaodou (Phaseoli Semen Rubrum, each one he) Chifuling (Polypori Sclerotium, two liang, sliced)
Mix the above herbs evenly. Take one portion per dose, with one small cup of water, decoct until half remains, strain, and divide into two doses. Three to four times daily. Adjust according to the child's age and size.
Sheng Hui treats pediatric edema with painful/difficult urination. Lidougen Tang (Lidou Root Decoction).
Lidougen (Root of Lidi bean) Sanggen Baidi (Mori Cortex) Cheqiancao (Plantaginis Herba, each half liang) Kuizi (Abutili Semen) Chixiaodou (Phaseoli Semen Rubrum, each half he)
Finely slice and mix the above herbs evenly. Take one portion per dose, with one small cup of water, decoct until half remains, strain, and divide into two doses. Three to four times daily. Adjust according to the child's age and size.
Sheng Hui treats pediatric edema with difficulty in urination, abdominal distension and oppression, and panting. Zhuling San (Polyporus Powder).
Zhuling (Polypori Sclerotium, remove black skin) Sanggen Baidi (Mori Cortex, sliced) Chifuling (Polypori Sclerotium) Hai Ge (Concha Arcae, finely ground) Tian Tingli (Descurainiae Semen Lepidii Semeni, stir-fried between papers until purple. Each one fen)
Pound the above herbs, sift coarsely to make a powder. Take one qian per dose, with one small cup of water, decoct until half remains, strain, and take warm. Three to four times daily. Adjust according to the child's age and size.
Sheng Hui treats pediatric edema with generalized swelling, panting, and difficulty in urination. Sanggen Baidi San (Mori Cortex Powder).
Sanggen Baidi (Mori Cortex, sliced) Shegan (Belamcandae Rhizoma) Chifuling (Polypori Sclerotium) Huangqin (Scutellariae Radix) Mutong (Akebiae Caulis, sliced) Zeqi (Euphorbiae Pekinensis Herba) Han Fangji (Stephaniae Tetrandrae Radix) Zexie (Alismatis Rhizoma, each ten liang)
Pound the above herbs, sift finely to make a powder. Take half a qian per dose, mixed with decoction of red adzuki beans, taken three to four times daily. Adjust dosage according to the child's age and size.
Sheng Hui treats pediatric edema with facial swelling, painful/difficult urination, and heart/abdominal distension.
Chifuling (Polypori Sclerotium) Xingren (Prunus Armeniacae Semen Amaram, soaked in hot water, peel and remove tips/double kernels, bran-stir-fried until slightly yellow) Han Fangji (Stephaniae Tetrandrae Radix) Chenjupi (Citri Reticulatae Pericarpium, soaked in hot water, remove white pith, dried) Zisuzi (Perillae Fructus, lightly stir-fried) Tian Tingli (Descurainiae Semen Lepidii Semeni, stir-fried between papers until purple. Each half liang)
Pound the above herbs, sift into powder, mix with refined honey to form pills the size of mung beans. Take ten pills per dose, administered with Sanggen Baidi decoction, three times daily. Reduce pill count for children under five years old.
Sheng Hui treats pediatric edema with generalized swelling, heart/abdominal oppression, and restlessness. It is suitable to take Tian Tingli Wan (Descurainiae Seed Pill).
Tian Tingli (Descurainiae Semen Lepidii Semeni, stir-fried between papers until purple) Qianniuzi (Pharbitidis Semen, lightly stir-fried) Xiongquefen (Excrement of Male Sparrow, each half liang) Daji (Euphorbiae Kansui Radix, one fen) Nifen (Calomel, one qian, ground in) Badou (Crotonis Fructus, ten grains, peel and remove heart, wrapped separately in paper, pressed to remove oil)
Pound the above herbs, sift into powder, grind thoroughly to mix evenly. Mix with jujube pulp to form pills the size of mung beans. Take one pill per dose with warm tea, twice daily. Increase pill count for children over five years old.
Sheng Hui treats pediatric edema with generalized swelling, difficulty in defecation and urination, panting, and inability to sleep. It is suitable to take Gansui San (Kansui Root Powder).
Gansui (Kansui Radix, roasted until slightly yellow) Binglang (Arecae Semen) Chuan Dahuang (Rhei Radix et Rhizoma, sliced, lightly stir-fried) Tian Tingli (Descurainiae Semen Lepidii Semeni, stir-fried between papers until purple. Each one fen) Qianniuzi (Pharbitidis Semen, half liang, lightly stir-fried)
Pound the above herbs, sift finely to make a powder. Take one zi (a traditional weight unit) per dose mixed with warm water; efficacy is indicated by loose stools. Adjust dosage according to the child's age and size.
Sheng Hui treats pediatric edema with limb swelling and abdominal/hypochondriac oppression. It is suitable to take Muxiang San (Costus Root Powder).
Muxiang (Aucklandiae Radix) Chifuling (Polypori Sclerotium, each one fen) Qianniuzi (Pharbitidis Semen, three fen, lightly stir-fried) Biejia (Testudinis Carapax et Plastrum, coated with vinegar and roasted until yellow, remove skirt) Chuan Dahuang (Rhei Radix et Rhizoma, sliced, lightly stir-fried. Each half liang)
Pound the above herbs, sift finely to make a powder. Take half a qian per dose mixed with warm water; stop when loose stools occur. Adjust dosage according to the child's age and size.
Sheng Hui, another formula.
Binglang (Arecae Semen, one fen) Yuliren (Pruni Semen, half liang, soaked in hot water, peeled, lightly stir-fried)
Pound the above herbs, sift into powder. Mix with one liang of barley flour to make cakes. Roast them in ash fire until cooked. Give according to the child's age and size to promote Qi movement and fluid discharge, taking with warm water.
Sheng Hui treats pediatric edema with abdominal flaccid distension, head/facial swelling, and difficulty in urination. Yuliren Zhou (Pruni Seed Congee).
Sumi (Panicum miliaceum, one fen) Yuliren (Pruni Semen, soaked in hot water, peeled and removed tips, lightly stir-fried) Sanggen Baidi (Mori Cortex, sliced. Each one liang)
Pound the above herbs. Take half a liang per dose. With one large cup of water, decoct until seven parts remain, strain, add rice to make congee, add a little ginger juice, and eat as desired.
Hui Yan Guan Zheng treats water qi edema and jaundice. Zhongyong Yinzi (Neutral Decoction).
Haijinsha (Spora Lygodii) Xuisui Zi (Euphorbiae Lathyridis Semen, each one fen) Shengjiang (Zingiberis Rhizoma Recens) Zhongyong (Radix Salicis Chinensis, i.e., Zhangliugen, each one liang) Mi (Mel, two liang)
Finely grind the above five ingredients. Cover and soak overnight. Filter the juice through silk gauze at the fifth watch (3-5 AM) the next day. Take all at once, warm, before meals. This forces out yellow water. Afterwards, take Yunqi medicine (harmonize Qi medicine) for tonification, then eat porridge boiled with Zhangliugen.
Sheng Hui, Moxibustion method: For pediatric edema with generalized limb swelling and abdominal enlargement, moxa the point one cun above the umbilicus (Shuifen, EX-EN9), three moxa cones, cone size like a wheat grain.