金匮枳术汤
枳实(半两) 白术(二两)
上二味以水五升煮取三升分温三服
杨氏消肿丸治水气腹胀头面四肢阴囊皆肿喘急咳嗽睡卧不安小便赤涩
淡豉(二两) 巴豆(一两水半升煮去油) 京三棱(泡) 大戟 杏仁(烧存性各半两) 五
灵脂(一分)
上为末以生面和杵千百下丸如绿豆大每五十丸煎桑皮白汤下
东垣中满分消丸治水气热胀
方见痞胀门
温白丸治十种水病
方见积聚门
按以上诸方并太阳例药有轻重不同宜随证选用
三因当归散水肿之疾多由肾水不能摄养心火心火遂不能滋养脾土故土制水水气盈溢气脉
闭塞渗透经络发为浮肿之疾
木香 赤茯苓 当归 桂 木通 赤芍 牡丹皮 槟榔 陈皮 白术
上等分 咀每半两入紫苏五叶木瓜一片煎服济生加味肾气丸治肾脾虚损腰重脚肿小便不
利
白茯苓(三两) 附子(半两) 泽泻 桂 川牛膝 车前子 山药 山茱萸 牡丹皮(各
一两) 熟地黄(四两)
上为末炼蜜丸如梧子大每七十丸空心米饮下
按此二方并出太阳例丹溪曰治水肿脾胃虚者宜行湿利小水使脾气得实则自能健运自能升
降运
动其枢机则水自行非五苓之行水也切不可下盖慎之也然虽无所出之法学人观此例则思过半矣
杂方
严氏涂脐膏治水肿小便绝少
地龙 猪苓(去皮) 针砂(各一两)
上为细末擂葱涎调成膏敷脐中约一寸高阔绢帛束之以小便为度日两易
金匮枳术汤
枳实（半两） 白术（二两）
以上两味药，用水五升，煎煮至三升，分三次温服。
杨氏消肿丸：治疗水气引起的腹胀，头面及四肢、阴囊均出现肿胀，气喘急促，咳嗽，睡眠不安，小便赤红涩痛。
淡豆豉（二两） 巴豆（一两，用水半升煮后去油） 京三棱（炮制） 大戟 杏仁（烧至存性，各半两） 五灵脂（一分）
以上药物研为细末，用生面粉和匀，捣杵千余下，制成如绿豆大小的丸剂。每次五十丸，用桑白皮煎汤送服。
按语：以上各方与太阳经例用药相比，有轻重不同之分，应当根据证候情况选用。
三因当归散：水肿之疾多由肾水不能摄养心火，导致心火不能滋养脾土，因此脾土无法制约水湿，致使水气盈溢，气脉闭塞，渗透经络，发为浮肿之疾。
木香 赤茯苓 当归 桂枝 木通 赤芍 牡丹皮 槟榔 陈皮 白术
以上药物等分，切碎。每取半两药量，加入紫苏叶五片、木瓜一片，煎服。
济生加味肾气丸：治疗肾脾虚损导致的腰重脚肿、小便不利。
白茯苓（三两） 附子（半两） 泽泻 桂枝 川牛膝 车前子 山药 山茱萸 牡丹皮（各一两） 熟地黄（四两）
以上药物研为细末，炼蜜为丸，如梧桐子大小。每次七十丸，空腹时米饮送服。
按语：这两个方剂均出自太阳经例。丹溪曰：治疗水肿若属脾胃虚弱者，宜采用行湿利小便的方法，使脾气充实，自然能健运，自然能升降运动。转动其枢机，则水自行，这并非五苓散那样的行水之法，切不可使用攻下法，务必谨慎。虽然此处未详述所有治法，但学者观察此例，则可思过半矣。
杂方
严氏涂脐膏：治疗水肿且小便极少。
地龙 猪苓（去皮） 针砂（各一两）
以上药物研为细末，用葱汁调成膏状，敷于脐中，厚度约一寸，宽度适中，用绢帛束紧固定，以小便通畅为度，每日更换两次。
Jinkui Zhizhu Decoction (Golden Cabinet Bitter Orange and Atractylodes Decoction)
Zhi Shi (Immature Bitter Orange, Fructus Aurantii Immaturus), Ban Liang; Ba Zhu (Atractylodes Rhizome, Rhizoma Atractylodis Macrocephalae), Er Liang.
The above two ingredients are boiled in five sheng of water until three sheng remain, divided into three doses to be taken warm.
Yangshi Xiaozhong Pill (Yang's Edema-Reducing Pill): Treats abdominal distension caused by water qi, with swelling of the head, face, limbs, and scrotum, accompanied by rapid breathing, cough, restlessness during sleep, and red, scanty, or painful urination.
Dan Chi (Fermented Soybean, Semen Sojae Praeparatum), Er Liang; Ba Dou (Croton Seed, Semen Crotonis), Yi Liang (boiled in half a sheng of water, then oil removed); Jing San Leng (Burreed Tuber, Rhizoma Sparganii), processed; Da Ji (Euphorbia Root, Radix Euphorbiae Humifusae); Xing Ren (Apricot Seed, Semen Armeniacae Amarum), roasted to retain charred properties, each half liang; Wu Ling Zhi (Trogopterus Dung, Faeces Trichospori), Yi Fen.
Grind the above into fine powder, knead with raw flour paste, pound for over a thousand times, and form pills the size of mung beans. Take fifty pills per dose, administered with a decoction of Sang Bai Pi (Mulberry Root Bark, Cortex Mori Radicis).
Dongyuan Zhongman Fenxiao Pill (Dongyuan's Middle-Jiao Distension-Diffusing Pill): Treats water qi heat distension.
See the "Pi Zhang" (Stagnation and Distension) section for the formula.
Wenbai Wan (Warm White Pill): Treats ten types of water diseases.
See the "Ji Ju" (Accumulation and Mass) section for the formula.
Note: The above formulas differ in weight and potency compared to those from the Taiyang pattern examples. They should be selected according to the specific syndrome.
Sanyin Danggui San (Three Causes Angelica Powder): Edema is often caused by Kidney Water failing to nourish Heart Fire, which in turn fails to nourish Spleen Earth. Consequently, Spleen Earth cannot control Water, leading to an overflow of water qi, blockage of qi and vessels, penetration into meridians and collaterals, and the manifestation of edema.
Mu Xiang (Costus Root, Radix Aucklandoniae); Chi Fu Ling (Red Poria, Polyporus Umbellatus cum Mycelium); Dang Gui (Angelica Sinensis Root, Radix Angelicae Sinensis); Gui Zhi (Cinnamon Twig, Ramulus Cinnamomi); Mu Tong (Akebia Stem, Caulis Akebiae); Chi Shao (Red Peony Root, Radix Paeoniae Rubra); Mu Dan Pi (Moutan Bark, Cortex Moutan); Bing Lang (Areca Seed, Semen Arecae); Chen Pi (Aged Tangerine Peel, Pericarpium Citri Reticulatae); Bai Zhu (Atractylodes Rhizome, Rhizoma Atractylodis Macrocephalae).
Equal parts, coarsely crushed. For each ban liang of the mixture, add five leaves of Zi Su (Perilla Leaf, Folium Perillae) and one slice of Mu Gua (Chaenomeles Fruit, Fructus Chaenomelis), and decoct for administration.
Jisheng Jiawei Shenqi Wan (Jisheng Modified Rehmannia Qi Pill): Treats lumbar heaviness and leg swelling due to Kidney and Spleen deficiency, accompanied by difficult urination.
Bai Fu Ling (Poria, Polyporus Umbellatus), San Liang; Fu Zi (Prepared Aconite Root, Radix Aconiti Lateralis Preparata), Ban Liang; Ze Xie (Alisma Rhizome, Rhizoma Alismatis); Gui Zhi (Cinnamon Twig, Ramulus Cinnamomi); Chuan Niu Xi (Cyathula Root, Radix Cyathulae); Che Qian Zi (Plantago Seed, Semen Plantaginis); Shan Yao (Chinese Yam Rhizome, Rhizoma Dioscoreae); Shan Zhu Yu (Cornus Fruit, Fructus Corni); Mu Dan Pi (Moutan Bark, Cortex Moutan), each Yi Liang; Shu Di Huang (Prepared Rehmannia Root, Radix Rehmanniae Preparata), Si Liang.
Grind into fine powder, mix with refined honey, and form pills the size of wutong seeds. Take seventy pills per dose on an empty stomach, administered with rice water.
Note: These two formulas originate from Taiyang pattern examples. Danxi stated: When treating edema due to Spleen-Stomach deficiency, one should employ methods to promote dampness resolution and diuresis. This allows the Spleen Qi to become solid, naturally restoring its transportation and transformation functions, and facilitating ascending and descending movements. By activating the pivot mechanism, water moves naturally; this is not the same as the water-draining method of Wuling San (Five-Ling Decoction). One must strictly avoid purgative methods; caution is essential. Although not all treatment methods are detailed here, students who observe this example will grasp more than half of the principles.
Miscellaneous Formulas
Yanshi Tuqi Gao (Yan's Navel-Smearing Ointment): Treats edema with extremely scanty urination.
Di Long (Earthworm, Pheretima); Zhu Ling (Polyporus, Polyporus Umbellatus), peeled; Zhen Sha (Iron Filings), each Yi Liang.
Grind into fine powder, mix with scallion juice to form a paste. Apply to the navel, approximately one cun high and wide. Secure with silk cloth. Continue application until urination resumes normally. Change twice daily.