（附∶阴肿）
经曰∶肺移寒于肾，名曰涌水。如溢囊裹浆，或遍身肿满，疾行则濯濯有声。诸有水气者，
微肿见于目下也。身浮而光，手按成窟，举手即满。上则喘咳气急，下则足膝皆肿，大小便短涩
不利。皆因脾虚不能制其肾水，水气妄行，渍于肌肉。盖以脾虚则肺金既不得母气之养，又肝木
无所畏，更来侮土，此脾所以益虚也。土弱则水愈强，故肿不易消，古方多用攻下之剂，特攻其
标耳。治法∶必养脾土，上输精气以全运化之职；保肺气以下降渗道，开通败浊之邪。其稍清者
，复回而为气、为血、为津液；其败浊者，在上为汗，在下为溺而分消矣。脉洪数为热，沉迟为
寒。浮大则顺，沉细则逆。
主方 香薷（大叶者） 赤小豆 桑白皮 白丑 白术 苍术（各一钱） 猪苓 泽泻
赤茯苓（连皮） 大腹皮 防己 浓朴（各八分） 滑石（一钱五分）上加椒目、灯心水煎服。
加减法与前腹胀相类，五子五皮饮、神佑丸可以兼用。
茯苓散 治诸般气肿。
泽泻 莞花（醋拌炒） 郁李仁 甜葶苈 汉防己 本（各三钱半） 陈皮（去白） 白
茯苓 白槟榔 瞿麦（各五钱） 滑石 大戟（各七钱半）
上为细末，每服二钱。桑白皮煎汤，空心调服。取下碧绿水，如烂羊脂为度。忌盐酱百日，
不可多服。
当归散 水肿多由肾水不能摄养心火，土无所滋，水溢泛滥，渗透经络，发为浮肿。
当归 木香 肉桂 赤茯苓 白术 陈皮 木通 赤芍药 槟榔 牡丹皮 紫苏（等分）
水煎服。
简便方 治水肿。香薷为末（更以香薷煎汁熬膏） 为细丸，日三服。
又 黄瓜（一根，切开勿去子） 醋煮一半，水煮一半，空心食。
又 枣子（一斤），放锅入水 四指，以大戟根苗（一两），铺上煮干，去戟食枣。
又 苦葫芦子炒为末，每服二钱，陈皮木通汤或酒下。
又 猪腰子一个分七片，甘遂末一分掺入，湿纸包，煨熟顿食。
又 瓜蒂末（二分），吹鼻内，日三次。未愈，黄芩末（五钱）煎汤服。
又 香附（醋煮研末）醋糊丸服。
又 马齿苋，少入粳米，酱汁煮食。
（附注：阴肿）
经典记载：肺将寒邪转移至肾，称为涌水。其症状如同水囊中包裹着浆液，或者全身浮肿胀满，快速行走时腹部发出濯濯的水声。凡是患有水气病的人，轻微肿胀首先出现在眼睑下方。身体浮肿且皮肤光亮，用手按压会出现凹陷，抬手后凹陷立即恢复。向上则出现喘息咳嗽、呼吸急促，向下则足部和膝盖都肿胀，大小便短少涩滞、排泄不利。这都是因为脾虚不能制约肾水，导致水气妄行，浸渍于肌肉之中。由于脾虚，肺金既得不到母气（脾土）的滋养，又因肝木无所畏惧，反而来乘侮脾土，这使得脾更加虚弱。土弱则水势更盛，所以水肿不易消退。古方多使用攻下泻下的药剂，这仅仅是攻伐其标症罢了。治疗方法：必须养护脾土，向上输送精气以完成运化的职能；保护肺气以下降并疏通水道，排出败坏的浊邪。其中较为清稀的部分，重新转化为气、血、津液；那些败坏的浊邪，在上方通过汗液排出，在下方通过尿液排出，从而分消病邪。脉象洪大数为热证，沉迟为寒证。脉浮大为顺证，脉沉细为逆证。
主方：香薷（选用大叶者）、赤小豆、桑白皮、白丑、白术、苍术（各一钱），猪苓、泽泻、赤茯苓（连皮用）、大腹皮、防己、浓朴（各八分），滑石（一钱五分）。上加椒目、灯心草，用水煎服。
加减法与前文提到的腹胀类似，五子五皮饮、神佑丸可以兼用。
茯苓散：治疗各种气肿。
泽泻、莞花（醋拌炒制）、郁李仁、甜葶苈、汉防己、本（各三钱半），陈皮（去白）、白茯苓、白槟榔、瞿麦（各五钱），滑石、大戟（各七钱半）。
以上药物研为细末，每次服用二钱。用桑白皮煎汤，空腹调服。以排出碧绿色的水样便，状如烂羊脂为度。忌食盐酱一百天，不可多服。
当归散：水肿多由肾水不能摄养心火，导致脾土无所滋助，水气溢满泛滥，渗透经络，发为浮肿。
当归、木香、肉桂、赤茯苓、白术、陈皮、木通、赤芍药、槟榔、牡丹皮、紫苏（等分）。
用水煎服。
简便方：治疗水肿。
1. 将香薷研为末（再用香薷煎汁熬成膏），制成细丸，每日服用三次。
2. 黄瓜（一根，切开但不去掉籽），一半用醋煮，一半用水煮，空腹食用。
3. 枣子（一斤），放入锅中加水四指深，以大戟根苗（一两）铺在上面煮干，去掉大戟吃枣。
4. 苦葫芦子炒后研为末，每次服用二钱，用陈皮、木通汤或酒送服。
5. 猪腰子一个，切成七片，掺入一分甘遂末，用湿纸包裹，煨熟后一次性吃完。
6. 瓜蒂末（二分），吹入鼻内，每日三次。若未痊愈，用黄芩末（五钱）煎汤服用。
7. 香附（醋煮后研为末），用醋糊制成丸剂服用。
8. 马齿苋，少量加入粳米，用酱汁煮食。
(Attachment: Yin Swelling)
The Classics state: When Lung transfers cold to Kidney, it is named Yong Shui (Gushing Water). The presentation resembles a bladder wrapped in fluid, or generalized edema and fullness; rapid walking produces a gurgling sound in the abdomen. In all cases of water qi disorder, slight swelling appears first under the eyes. The body floats with shiny skin; pressing creates a pit that fills immediately upon lifting the hand. Upward, there is panting, coughing, and shortness of breath; downward, both feet and knees swell, and urination and defecation are scanty, astringent, and difficult. All these result from Spleen deficiency failing to control Kidney water, causing water qi to act recklessly and soak into the muscles. Because Spleen is deficient, Lung Metal fails to receive nourishment from its mother (Spleen Earth), and Liver Wood, having nothing to fear, comes to insult Earth, thereby further weakening the Spleen. When Earth is weak, Water becomes stronger, so edema is not easy to dissipate. Ancient formulas mostly used purgative agents, which merely attack the branch (symptoms). Treatment method: One must nourish Spleen Earth, sending up essence and qi to fulfill the function of transportation and transformation; protect Lung Qi to descend and open the channels for渗泄 (percolation/drainage), expelling turbid pathogens. The clearer parts revert to become Qi, Blood, and Body Fluids; the turbid parts are expelled upward as sweat and downward as urine, thus dispersing the pathogen. A surging and rapid pulse indicates Heat; a deep and slow pulse indicates Cold. A floating and large pulse is favorable (Shun); a deep and thin pulse is unfavorable (Ni).
Main Formula: Xiang Ru (Elsholtzia Herb, selecting large leaves), Chi Xiao Dou (Adzuki Bean), Sang Bai Pi (Morus Root Bark), Bai Chou (Bai Tou Neng/White Morning Glory Seed), Bai Zhu (Atractylodis Rhizoma), Cang Zhu (Atractylodis Rhizoma) (each 1 qian); Zhu Ling (Polyporus), Ze Xie (Alisma Rhizome), Chi Fu Ling (Poria with Red Skin), Da Fu Pi (Areca Peel), Fang Ji (Stephaniae Tetrandrae Radix), Hou Po (Magnoliae Officinalis Cortex) (each 8 fen); Hua Shi (Talcum) (1.5 qian). Add Jiao Mu (Phyllanthi Fructus Ophthalmicus) and Deng Xin Cao (Junci Medulla), decoct with water and take orally.
Modifications are similar to those for abdominal distension mentioned previously; Wu Zi Wu Pi Yin (Five Seeds and Five Peels Decoction) and Shen You Wan (Divine Protection Pill) can be used concurrently.
Fu Ling San (Poria Powder): Treats various types of Qi swelling.
Ze Xie (Alisma Rhizome), Wan Hua (Daphne Genkwa Flower, stir-fried with vinegar), Yu Li Ren (Pruni Semen), Ting Li Zi (Lepidii Fructus), Han Fang Ji (Stephaniae Tetrandrae Radix), Ben Cao (Ligustici Wallichii Rhizoma et Radix) (each 3.5 qian); Chen Pi (Citri Reticulatae Pericarpium, white part removed), Bai Fu Ling (Poria), Bai Bing Lang (Areca Seed), Qu Mai (Polygoni Avicularis Herba) (each 5 qian); Hua Shi (Talcum), Da Ji (Euphorbiae Pekinensis Radix) (each 7.5 qian).
Grind into fine powder. Take 2 qian each time. Mix with decoction of Sang Bai Pi (Morus Root Bark) on an empty stomach. Continue until greenish-black watery stool resembling rotten mutton fat is discharged. Avoid salt and soy sauce for 100 days; do not take excessively.
Dang Gui San (Angelica Sinensis Powder): Edema often arises because Kidney Water fails to nurture Heart Fire, leaving Earth without nourishment. Water overflows and floods, penetrating collaterals and meridians, manifesting as edema.
Dang Gui (Angelicae Sinensis Radix), Mu Xiang (Aucklandiae Radix), Rou Gui (Cinnamomi Cortex), Chi Fu Ling (Poria with Red Skin), Bai Zhu (Atractylodis Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Mu Tong (Akebiae Caulis), Chi Shao Yao (Paeoniae Radix Rubra), Bing Lang (Areca Seed), Mu Dan Pi (Moutan Cortex), Zi Su (Perillae Folium) (equal parts).
Decoct with water and take orally.
Simple Prescriptions for Treating Edema:
1. Grind Xiang Ru (Elsholtzia Herb) into powder (further boil Xiang Ru decoction to make paste), form into small pills, take three times daily.
2. Cucumber (one piece, cut open but keep seeds), half boiled in vinegar, half boiled in water, eat on an empty stomach.
3. Dates (one jin), place in a pot with water four fingers deep, spread Da Ji root seedlings (one liang) on top, boil until dry, remove Da Ji and eat dates.
4. Ku Hu Lu Zi (Bitter Bottle Gourd Seed), stir-fry and grind into powder, take 2 qian each time, wash down with Chen Pi and Mu Tong decoction or wine.
5. One pig kidney, sliced into seven pieces, sprinkle with 1 fen of Gan Suan powder (Kansui Radix), wrap in wet paper, bake until cooked, and eat at once.
6. Gua Di powder (2 fen), insufflate into nostrils, three times daily. If not cured, take Huang Qin powder (5 qian) decocted in water.
7. Xiang Fu (Cyperi Rhizoma), boiled in vinegar and ground into powder, formed into pills with vinegar paste.
8. Ma Chi Xian (Portulacae Herba), cook with a small amount of Jing Mi (Oryza Sativa Japonica Group) in sauce for eating.