夫肿从内起坚块。四肢浮肿。名为石水。其根在膀胱。盖肾主水。归膀胱内。膀胱者。
州都之官。津液藏焉。气化则能出矣。今肾虚则膀胱气弱。膀胱气弱则不能气化而隐气不通。
水液停结于脐腹间。故其证胸腹鼓满。按之如石。胁下胀痛。其脉沉迟。身体发热。四肢头
目皆肿也。圣惠云。赤脉微大。亦为石水。肿起脐以下。以至小腹垂然。上至胃脘则死也。
泽漆汤
泽漆（五两） 桑白皮（六两） 射干（汤浸） 黄芩 赤茯苓 白术（各四两） 泽
泻防己（各三两） 上 咀。每服五钱。以水三盏。乌头一合。煎至二盏。内药同煎至七
分。去滓
空心日三服。一方无乌头。以水三盏煮大豆一撮。至一盏半去滓豆。下药末三钱。煎至七分。
去
楮皮汤 （一名白术散出圣惠方）治石水。四肢细瘦。腹满浊肿。大肚如怀娠
。中心妨闷。
楮白皮（炙锉） 桑根白皮（锉） 防己（锉各一两半） 泽漆茎叶（炙锉半两） 射
干白术
赤
温服。
日三夜二。一方有槟榔一两。无大豆。
牵牛子丸（出圣惠方）治石水。腹胀坐卧不得。小便涩少。
牵牛（一两） 京三棱（一两炮） 陈橘皮（三分焙） 诃黎勒皮（一两） 川大黄（三
两锉微
炒） 吴茱萸（半两汤浸七次焙干炒） 甘遂（一两煨令微黄） 鳖甲（二两醋炙黄去裙 ）
上
为末
海蛤丸（出圣济总录）治石水。四肢细瘦。腹独肿大。
海蛤（研三分） 葶苈（隔纸炒） 桑根白皮（各一两切） 赤茯苓（去皮一两） 郁
李仁（汤
浸去皮） 陈橘皮（汤浸去白瓤焙各半两） 防己（半两） 上为末。炼蜜丸如小豆大。每
日服
二十
桑根白皮汤（出千金方）治石水。四肢细瘦。腹肿。心中妨满。食即喘急。
桑根白皮（锉） 泽漆（炙锉各三两） 防己（锉） 射干 白术 楮白皮（炙锉） 大
豆（各
一两）
海蛤丸（出圣惠方）治石水。脐腹妨闷。身体肿满。大小便不利。喘促。
海蛤（一两研细） 汉防己（半两） 桂心（半两） 木通（一两锉） 牵牛子（一两
微炒） 白
术（半两） 甘遂（半两煨令微黄） 上为末。以枣肉和捣三二百杵。丸如梧桐子大。每服
煎生
姜
鳖甲丸（出圣惠方）治石水。
鳖甲（去裙 醋炙） 诃黎勒皮（锉炒） 上为末。醋面糊和丸。如梧桐子大。每服二
十丸。
生姜橘皮汤下。以利为度。
桑根白皮散（出圣惠方）治石水。四肢瘦。腹大。胸中满闷。食即喘急。
桑根白皮（一两锉） 汉防己（一两） 泽漆（一两） 赤茯苓（二两） 紫苏茎叶（一
两） 上
为散
甜葶苈丸（出圣惠方）治石水。腹坚渐大。四肢满肿。
甜葶苈（二两隔纸炒紫色） 川芒硝（三两） 椒目（二合微炒去汗） 水银（一两以
枣肉收
研令尽星用） 汉防己（一两） 海蛤（一两） 上为末。研入水银令匀。炼蜜和捣三二百
杵。
丸如
桑白皮汤 专治膀胱石水。四肢瘦。腹肿。
桑白皮 楮白皮 泽漆叶（各三升） 大豆（五升） 上 咀。每服五钱。水一盏半。
煎至
八
槟榔散（出圣惠方）治石水病。腹肿。膀胱紧急如鼓。大小便涩。
槟榔末（半两） 甘草（一分炙锉） 生姜（一两） 桑根白皮（一两半锉） 商陆（一
两切）
上除槟榔外。用水二大盏。煎取一大盏。去滓。五更初。分作二服。每服调下槟榔末一分。
至平明当利。如未利即再服之。
杏仁丸（出圣济总录）治石水。四肢瘦。腹肿。
杏仁（汤浸去皮尖双仁炒） 苦瓠（去膜微炒各一两） 上为末。煮面糊和丸。如小豆
大。
每服
治水鼓。石水。腹胀身肿。
用肥鼠一枚。剥皮细切。煮粥空心吃之。频食三两度瘥。
治腹坚。腹胀满。世号石水。
用白石英十两明净者。捶如大豆大。以瓷瓶盛。用好酒二斗浸。以泥重封瓶口。以马粪
及糠火烧之。长令酒小沸。从卯至午。即令住火。日可三度暖中盏饮之。如不饮酒。即随性
少食
椒仁丸 专治石水。\x
椒仁 甘遂（麸炒焦黄） 续随子（去皮研） 郁李仁（去皮研） 牵牛子（炒令极熟）
五灵
脂附子（炮去皮脐） 吴茱萸（汤浸七次） 玄胡索 木香（各半两） 芫花（醋浸一宿
麸炒）
石膏（火 红细研如粉各一两） 信砒 胆矾（各一钱） 巴豆（六十粒取霜） 上为末。
面糊丸
如绿
肿胀从体内产生，伴有坚硬的肿块。四肢浮肿，这种病症称为石水。其病根在于膀胱。因为肾主司水液代谢，水液归于膀胱。膀胱被称为“州都之官”，是津液贮藏的地方，经过气化作用才能排出体外。如今肾虚导致膀胱气机虚弱，膀胱气弱则无法进行气化，致使隐伏之气不通畅。水液停滞结聚在脐腹部，所以症状表现为胸腹部鼓胀饱满，按压时感觉像石头一样坚硬，胁肋下胀痛，脉象沉迟，身体发热，四肢、头部和眼睛都出现浮肿。《圣惠方》说：如果赤色脉络微大，也是石水的表现。肿胀从脐部以下开始，直到小腹下垂膨隆，如果向上蔓延至胃脘部位，则是死证。
泽漆汤
泽漆（五两） 桑白皮（六两） 射干（用水浸泡） 黄芩 赤茯苓 白术（各四两） 泽泻 防己（各三两）。以上药材切碎。每次服用五钱，用水三盏，加入乌头一合，煎煮至两盏，放入药物同煎至七分满，滤去药渣。空腹时每日服用三次。另一版本没有乌头，用水三盏煮大豆一撮，煎至一盏半，滤去豆渣，加入药末三钱，煎至七分满，滤去药渣。
楮皮汤（又名白术散，出自《圣惠方》）治疗石水。四肢细瘦，腹部胀满浑浊浮肿，肚子大得像怀孕一样，心中感到憋闷不适。
楮树白皮（炙烤后锉碎） 桑根白皮（锉碎） 防己（锉碎，各一两半） 泽漆茎叶（炙烤后锉碎，半两） 射干 白术 赤茯苓（各一两）。上药为粗末。用水三大盏，煮取一大盏，滤去药渣。温服。早晚各一次，夜间两次。另一版本有一两槟榔，没有大豆。
牵牛子丸（出自《圣惠方》）治疗石水。腹胀严重到坐卧不安，小便涩滞量少。
牵牛子（一两） 京三棱（一两，炮制） 陈橘皮（三分，焙干） 诃黎勒皮（一两） 川大黄（三两，锉碎，微炒） 吴茱萸（半两，用水浸泡七次后焙干炒） 甘遂（一两，煨至微黄） 鳖甲（二两，醋炙至黄，去裙边）。以上药材研为细末。用酒糊和丸，如梧桐子大小。每次服用二十丸，生姜汤送下。
海蛤丸（出自《圣济总录》）治疗石水。四肢细瘦，唯独腹部肿大。
海蛤（研细，三分） 葶苈子（隔纸炒） 桑根白皮（各一两，切） 赤茯苓（去皮，一两） 郁李仁（用水浸泡去皮） 陈橘皮（用水浸泡去白瓤焙干，各半两） 防己（半两）。以上药材研为细末，炼蜜和丸，如小豆大小。每日服用二十丸。
桑根白皮汤（出自《千金方》）治疗石水。四肢细瘦，腹部浮肿，心中憋闷胀满，进食后即气喘急促。
桑根白皮（锉碎） 泽漆（炙烤锉碎，各三两） 防己（锉碎） 射干 白术 楮白皮（炙烤锉碎） 大豆（各一两）。上药为粗末。用水五盏，煎取二盏，滤去药渣。分两次温服。
海蛤丸（出自《圣惠方》）治疗石水。脐腹部憋闷不适，身体肿满，大小便不利，气喘急促。
海蛤（一两，研细） 汉防己（半两） 桂心（半两） 木通（一两，锉碎） 牵牛子（一两，微炒） 白术（半两） 甘遂（半两，煨至微黄）。以上药材研为细末，用枣肉和捣三二百下，丸如梧桐子大小。每次服用二十丸，煎生姜汤送下，以大便通畅为度。
鳖甲丸（出自《圣惠方》）治疗石水。
鳖甲（去裙边，醋炙） 诃黎勒皮（锉碎炒）。以上药材研为细末，用醋面糊和丸，如梧桐子大小。每次服用二十丸，生姜橘皮汤送下，以大便通畅为度。
桑根白皮散（出自《圣惠方》）治疗石水。四肢消瘦，腹部肿大，胸中满闷，进食后即气喘急促。
桑根白皮（一两，锉碎） 汉防己（一两） 泽漆（一两） 赤茯苓（二两） 紫苏茎叶（一两）。以上药材研为散剂。
甜葶苈丸（出自《圣惠方》）治疗石水。腹部坚硬逐渐增大，四肢满肿。
甜葶苈（二两，隔纸炒至紫色） 川芒硝（三两） 椒目（二合，微炒去汗） 水银（一两，用枣肉收住研尽星点） 汉防己（一两） 海蛤（一两）。以上药材研为细末，将水银研入其中令均匀，炼蜜和捣三二百下，丸如梧桐子大小。
桑白皮汤 专门治疗膀胱石水。四肢消瘦，腹部浮肿。
桑白皮 楮白皮 泽漆叶（各三升） 大豆（五升）。以上药材切碎。每次服用五钱，用水一盏半，煎至八分满，滤去药渣。温服。
槟榔散（出自《圣惠方》）治疗石水病。腹部浮肿，膀胱紧急如同鼓状，大小便涩滞。
槟榔末（半两） 甘草（一分，炙烤锉碎） 生姜（一两） 桑根白皮（一两半，锉碎） 商陆（一两，切）。除槟榔外，其他药材用水两大盏，煎取一大盏，滤去药渣。五更初时分作两次服用，每次调服槟榔末一分。到天亮时应当通便。如果未通便，再服用一次。
杏仁丸（出自《圣济总录》）治疗石水。四肢消瘦，腹部浮肿。
杏仁（用水浸泡去皮尖及双仁者，炒） 苦瓠（去膜，微炒，各一两）。以上药材研为细末，煮面糊和丸，如小豆大小。每次服用二十丸，温水送下。
治水鼓、石水，腹胀身肿。
用肥鼠一只，剥皮细切，煮粥空腹吃。频繁食用两三次即可痊愈。
治疗腹部坚硬，腹胀满，世人称之为石水。
用十两明净的白石英，捶碎如大豆大小，用瓷瓶盛装，用好酒二斗浸泡，用泥重重封住瓶口，用马粪和糠火烧制，让酒保持微微沸腾的状态，从卯时到午时，然后停止火。每天可三次暖一小杯饮用。如果不饮酒，可根据情况少量食用。
椒仁丸 专门治疗石水。
椒仁 甘遂（麸炒焦黄） 续随子（去皮研） 郁李仁（去皮研） 牵牛子（炒至极熟） 五灵脂 附子（炮制去皮脐） 吴茱萸（用水浸泡七次） 玄胡索 木香（各半两） 芫花（醋浸一夜，麸炒） 石膏（火煅红，细研如粉，各一两） 信砒 胆矾（各一钱） 巴豆（六十粒，取霜）。以上药材研为细末，面糊和丸，如绿豆大小。
Swelling originates internally, accompanied by hard masses. The four limbs are edematous; this condition is named Shishui (Stone Water). Its root lies in the Bladder (Bladder organ). This is because the Kidney governs water metabolism, and fluids return to the Bladder. The Bladder is referred to as the "Official of the Prefecture," where body fluids are stored, and they can be excreted only through Qi transformation. Currently, Kidney deficiency leads to weak Qi in the Bladder; when Bladder Qi is weak, it cannot perform Qi transformation, causing latent Qi to become obstructed. Fluids stagnate and accumulate between the umbilicus and abdomen. Therefore, the symptoms manifest as distension and fullness in the chest and abdomen, which feel hard like stone upon palpation, distending pain in the hypochondrium, a deep and slow pulse, fever in the body, and edema in the four limbs, head, and eyes. *Shenghui Fang* states: If the red vessels are slightly enlarged, it is also indicative of Shishui. Swelling starts below the umbilicus, extending to the lower abdomen which hangs heavily; if it spreads upward to the epigastrium, it is a fatal sign.
Zeqi Tang (Veronica Decoction)
Zeqi (Herba Veronicae), 5 liang; Sangbaipi (Cortex Mori Radicis), 6 liang; Shegan (Rhizoma Belamcandae), soaked in water; Huangqin (Radix Scutellariae); Chifuling (Poria with Red Hosta Root); Baizhu (Rhizoma Atractylodis Macrocephalae), each 4 liang; Zexie (Rhizoma Alismatis); Fangji (Radix Stephaniae Tetrandrae), each 3 liang. The above ingredients are coarsely crushed. Take 5 qian per dose, add 3 cups of water and 1 he of Wutou (Radix Aconiti Lateralis Preparata), decoct until 2 cups remain, then add the herbs and decoct until 70% remains. Strain the dregs. Take on an empty stomach, three times daily. Another prescription omits Wutou; instead, boil a handful of Douda (Semen Sojae Preparatum) in 3 cups of water until 1.5 cups remain, strain out the beans, add 3 qian of herb powder, and decoct until 70% remains. Strain.
Chupi Tang (also known as Baizhu San, from *Shenghui Fang*) treats Shishui. The four limbs are thin and emaciated, the abdomen is distended with turbid swelling, the belly is large as if pregnant, and there is a sensation of oppression and stuffiness in the center.
Chubai pi (Cortex Cudrania Tricuspidae), roasted and crushed; Sanggen baipi (Cortex Mori Radicis), crushed; Fangji (Radix Stephaniae Tetrandrae), crushed, each 1.5 liang; Zeqi jingye (Stem and Leaf of Veronica), roasted and crushed, 0.5 liang; Shegan (Rhizoma Belamcandae); Baizhu (Rhizoma Atractylodis Macrocephalae); Chifuling (Poria with Red Hosta Root), each 1 liang. The above are made into coarse powder. Add 3 cups of water, decoct to obtain 1 cup, strain. Take warm. Twice daily and twice at night. Another version includes 1 liang of Binglang (Areca Seed) and omits Douda.
Qianniuzi Wan (Qian Niu Zi Pill, from *Shenghui Fang*) treats Shishui. Abdominal distension is severe enough to prevent sitting or lying down; urination is difficult and scanty.
Qianniuzi (Fructus Phytolaccae), 1 liang; Jingsanleng (Rhizoma Sparganii), 1 liang, processed; Chenjupi (Pericarpium Citri Reticulatae), 3 fen, baked; Helilepi (Pericarpium Terminaliae Chebulae), 1 liang; Chuandahuang (Radix et Rhizoma Rhei), 3 liang, crushed, lightly stir-fried; Wuzhuyu (Fructus Evodiae), 0.5 liang, soaked in water seven times, then baked and stir-fried; Gansui (Radix Euphorbiae Kansui), 1 liang, baked until slightly yellow; Biejia (Carapax et Plastrum Testudinis), 2 liang, vinegar-roasted until yellow, remove skirt. The above are ground into fine powder. Mix with wine paste to form pills the size of Sophora seeds. Take 20 pills per dose, washed down with Ginger Decoction.
Haige Wan (Haige Pill, from *Shengji Zonglu*) treats Shishui. The four limbs are thin and emaciated, while only the abdomen is swollen and enlarged.
Haige (Concha Meretricis), finely ground, 3 fen; Tingli (Semen Lepidii seu Descurainiae), stir-fried between papers; Sanggen baipi (Cortex Mori Radicis), each 1 liang, cut; Chifuling (Poria with Red Hosta Root), peeled, 1 liang; Yuliren (Semen Pruni Armeniacae), soaked in water and peeled; Chenjupi (Pericarpium Citri Reticulatae), soaked in water, white pith removed, baked, each 0.5 liang; Fangji (Radix Stephaniae Tetrandrae), 0.5 liang. The above are ground into fine powder. Mix with refined honey to form pills the size of small beans. Take 20 pills daily.
Sanggen baipi Tang (Mulberry Root Bark Decoction, from *Qianjin Fang*) treats Shishui. The four limbs are thin and emaciated, the abdomen is swollen, there is oppression and fullness in the heart/mind, and dyspnea occurs immediately after eating.
Sanggen baipi (Cortex Mori Radicis), crushed; Zeqi (Herba Veronicae), roasted and crushed, each 3 liang; Fangji (Radix Stephaniae Tetrandrae), crushed; Shegan (Rhizoma Belamcandae); Baizhu (Rhizoma Atractylodis Macrocephalae); Chubai pi (Cortex Cudrania Tricuspidae), roasted and crushed; Douda (Semen Sojae Preparatum), each 1 liang. The above are made into coarse powder. Add 5 cups of water, decoct to obtain 2 cups, strain. Take warm in two doses.
Haige Wan (Haige Pill, from *Shenghui Fang*) treats Shishui. There is oppression and stuffiness in the umbilical and abdominal region, the body is swollen and full, urination and defecation are difficult, and there is rapid breathing.
Haige (Concha Meretricis), 1 liang, finely ground; Hanfangji (Radix Stephaniae Tetrandrae), 0.5 liang; Guixin (Cortex Cinnamomi), 0.5 liang; Mutong (Caulis Akebiae), 1 liang, crushed; Qianniuzi (Fructus Phytolaccae), 1 liang, lightly stir-fried; Baizhu (Rhizoma Atractylodis Macrocephalae), 0.5 liang; Gansui (Radix Euphorbiae Kansui), 0.5 liang, baked until slightly yellow. The above are ground into fine powder. Mix with date pulp and pound 200-300 times. Form pills the size of Sophora seeds. Take 20 pills per dose, washed down with decocted fresh ginger. Stop when bowel movement is unobstructed.
Biejia Wan (Biejia Pill, from *Shenghui Fang*) treats Shishui.
Biejia (Carapax et Plastrum Testudinis), remove skirt, vinegar-roasted; Helilepi (Pericarpium Terminaliae Chebulae), crushed and stir-fried. The above are ground into fine powder. Mix with vinegar and flour paste to form pills the size of Sophora seeds. Take 20 pills per dose, washed down with Ginger and Tangerine Peel Decoction. Stop when bowel movement is unobstructed.
Sanggen baipi San (Mulberry Root Bark Powder, from *Shenghui Fang*) treats Shishui. The four limbs are emaciated, the abdomen is large, there is fullness and oppression in the chest, and dyspnea occurs immediately after eating.
Sanggen baipi (Cortex Mori Radicis), 1 liang, crushed; Hanfangji (Radix Stephaniae Tetrandrae), 1 liang; Zeqi (Herba Veronicae), 1 liang; Chifuling (Poria with Red Hosta Root), 2 liang; Zisu jingye (Folium et Caulis Perillae), 1 liang. The above are ground into powder.
Tian tingli Wan (Sweet Lepidium Seed Pill, from *Shenghui Fang*) treats Shishui. The abdomen becomes hard and gradually enlarges; the four limbs are fully swollen.
Tian tingli (Semen Lepidii seu Descurainiae), 2 liang, stir-fried between papers until purple; Chu mangxiao (Natrii Sulfas), 3 liang; Jiaomu (Semen Zanthoxyli), 2 he, lightly stir-fried to remove sweat; Shuiyin (Hydrargyrum), 1 liang, collected with date pulp and ground until no specks remain; Hanfangji (Radix Stephaniae Tetrandrae), 1 liang; Haige (Concha Meretricis), 1 liang. The above are ground into fine powder. Grind in the mercury until uniform. Mix with refined honey and pound 200-300 times. Form pills the size of Sophora seeds.
Sangbaipi Tang (Mulberry White Bark Decoction) specifically treats Bladder Shishui. The four limbs are emaciated, the abdomen is swollen.
Sangbaipi (Cortex Mori Radicis); Chubai pi (Cortex Cudrania Tricuspidae); Zeqi ye (Folium Veronicae), each 3 sheng; Douda (Semen Sojae Preparatum), 5 sheng. The above are coarsely crushed. Take 5 qian per dose, add 1.5 cups of water, decoct until 80% remains, strain. Take warm.
Binglang San (Areca Powder, from *Shenghui Fang*) treats Shishui disease. The abdomen is swollen, the Bladder feels tight like a drum, and urination/defecation are difficult.
Binglang mo (Powder of Areca Seed), 0.5 liang; Gancao (Radix Glycyrrhizae), 1 fen, roasted and crushed; Shengjiang (Rhizoma Zingiberis Recens), 1 liang; Sanggen baipi (Cortex Mori Radicis), 1.5 liang, crushed; Shanglu (Radix Phytolaccae), 1 liang, cut. Except for Binglang mo, decoct the other ingredients in 2 large cups of water to obtain 1 cup. Strain. At dawn (Wugeng), divide into two doses. Each dose is taken mixed with 1 fen of Binglang mo. Bowel movement should occur by daybreak. If not, take again.
Xingren Wan (Almond Pill, from *Shengji Zonglu*) treats Shishui. The four limbs are emaciated, the abdomen is swollen.
Xingren (Semen Pruni Armeniacae), soaked in water, peel and tip removed, double-kernel almonds discarded, stir-fried; Ku hu (Cucumis Trifoliatus), membrane removed, lightly stir-fried, each 1 liang. The above are ground into fine powder. Boil flour paste to mix and form pills the size of small beans. Take 20 pills per dose, washed down with warm water.
To treat Shuigu (Water Drum) and Shishui, with abdominal distension and body swelling.
Use one fat rat, skin off, finely chopped, cooked into porridge and eaten on an empty stomach. Frequent consumption for two or three times will lead to recovery.
To treat a hard abdomen and abdominal distension, known in the world as Shishui.
Use 10 liang of clear and pure Baishiying (Quartz), pounded to the size of soybeans. Place in a porcelain bottle, soak in 2 dou of good wine. Seal the bottle mouth heavily with mud. Burn with horse manure and bran, keeping the wine simmering gently from Mao hour (5-7 AM) to Wu hour (11 AM-1 PM), then stop the fire. Warm and drink half a cup three times daily. If one does not drink alcohol, consume according to tolerance in small amounts.
Jiaoren Wan (Pepper Kernel Pill) specifically treats Shishui.
Jiaoren (Semen Zanthoxyli); Gansui (Radix Euphorbiae Kansui), bran-roasted until scorched yellow; Xuisui zi (Semen Euphorbiae Lathyridis), peeled and ground; Yuliren (Semen Pruni Armeniacae), peeled and ground; Qianniuzi (Fructus Phytolaccae), stir-fried until very ripe; Wulingzhi (Faeces Trogopterori); Fuzi (Radix Aconiti Lateralis Preparata), processed, peel and navel removed; Wuzhuyu (Fructus Evodiae), soaked in water seven times; Yanhusuo (Rhizoma Corydalis); Muxiang (Radix Aucklandiae), each 0.5 liang; Yuanhua (Flos Genkwa), soaked in vinegar overnight, bran-roasted; Shigao (Gypsum Fibrosum), fired red, finely ground to powder, each 1 liang; Xinpi (Realgar); Danfan (Vitriolum), each 1 qian; Badou (Semen Crotonis), 60 grains, take the frost (oil). The above are ground into fine powder. Mix with flour paste to form pills the size of green mung beans.