蓬术 川芎 当归 延胡索 白芷 槟榔 陈皮 赤芍药 桑白皮(炒) 大腹皮 赤
茯苓 葶苈(炒) 瞿麦(各一钱) 大黄(一钱半) 细辛 官桂 甘草(炙。各五分)
上作一服,煎服法同前。
当归散 水肿之疾,多由肾水不能摄养心火,心火不能滋养脾土,故土不制水,水
气盈溢,气脉闭塞,渗透经络,发为浮肿之证,心腹坚胀,喘满不安。
当归 桂心 木香 赤茯苓 木通 槟榔 赤芍药 牡丹皮 陈皮 白术(各一钱三分)
上作一服,水二盅,紫苏五叶,木瓜一片,煎一盅,不拘时服。
乌鲤鱼汤 治水气四肢浮肿。
乌鲤鱼(一尾) 赤小豆 桑白皮 白术 陈皮(以上各三钱) 葱白(五茎)
上用水三碗同煮,不可入盐,先吃鱼,后服药,不拘时候。
无碍丸 治脾病洪流,四肢浮肿。
大腹皮(二两) 槟榔 郁李仁 蓬术 三棱(以上各一两) 木香(半两)
上为细末,用炒麦 面煮糊为丸,如梧子大。每服七八十丸,食前生姜汤送下。
木香分气汤 治气留滞四肢,腹急中满,胸膈胁肋膨胀,虚气上冲,小便臭浊。
木香 猪苓 泽泻 赤茯苓 半夏 枳壳 槟榔 灯芯草 苏子(各等分)
上锉散,每服一两,水二盏煎,入麝香末少许同服。
防己散 治皮水肿,如裹水在皮肤中,四肢习习然动。
汉防己 桑白皮 黄 桂心(各一两) 赤茯苓(二两) 甘草(炙,半两)
上 咀,每服五钱,水一大盏,煎至五分,去滓,不拘时温服。
导水茯苓汤 治水肿,头面手足遍身肿如烂瓜之状,手按而塌陷,手起随手而高突,
喘满倚息,不能转侧,不得着床而睡,饮食不下,小便秘涩,溺出如割而绝少,虽有而
如黑豆汁者,服喘嗽气逆诸药不效,用此即愈。亦尝验其病重之人,煎此药时,要如熬
阿剌吉酒相似,约水一斗,止取药一盏,服后小水必行时,即渐添多,直至小便变清白色为愈。
赤茯苓 麦门冬(去心) 泽泻 白术(各三两) 桑白皮 紫苏 槟榔 木瓜(各一两) 大
腹皮 陈皮 砂仁 木香(各七钱半)
上 咀,每服半两,水二盏,灯草二十五根,煎至八分,去滓,空心服。如病重者,
可用药五两,再加去心麦门冬二两,灯草半两,以水一斗,于砂锅内熬至一大碗,再下
小铫内煎至一大盏,五更空心服,滓再煎服,连进此三服,自然利小水,一日添如一日。
沉香琥珀丸 治水肿一切急难证,小便不通。
琥珀 杏仁(去皮尖) 紫苏 赤茯苓 泽泻(各半两) 葶苈(炒) 郁李仁(去皮) 沉香(各一两
半) 陈皮(去白) 防己(各七钱半)
上为细末,炼蜜为丸,如梧子大,以麝香为衣。每服二十五丸,加至五十丸,空心,
人参煎汤送下。量虚实加减。
人参木香散 治水气病。
人参 木香 茯苓 滑石 琥珀 海金砂 枳壳 槟榔 猪苓 甘草(各等分)
上为细末,每服五钱,生姜三片,水一盏,煎至七分,不拘时温服,日进三服。
大沉香尊重丸 治蛊胀腹满,水肿遍身,肿满气逆,呕哕喘乏,小便赤涩,大便不调,
一切中满下虚危困之病。
沉香 丁香 人参 车前子 葶苈(炒) 槟榔(各二钱) 青皮 白牵牛 枳实(炒) 木通
(各四钱) 胡椒 海金砂 蝎梢(去毒) 木香 茯苓 肉豆蔻(各二钱半) 白丁香(一钱半) 萝卜
子(六钱,炒) 滑石(三钱) 郁李仁(去皮,一两二钱半)
上为细末,生姜自然汁,煮糊为丸,如梧子大。每服二十丸,不拘时姜汤送下,日
进三服。忌盐、鱼、果、肉、面食,只可食白粥。
续随子丸 治通身肿满,喘闷不快。
人参 木香 汉防己 赤茯苓(面蒸) 大槟榔 海金砂(各五钱,另研) 续随子(一两) 葶苈
(四两,炒)
上为末,枣肉丸,如梧子大。每服二十丸至三十丸,煎桑白皮汤送下,食前。
莪术、川芎、当归、延胡索、白芷、槟榔、陈皮、赤芍药、桑白皮(炒制)、大腹皮、赤茯苓、葶苈子(炒制)、瞿麦,各一钱;大黄一钱半;细辛、官桂、甘草(炙制),各五分。
以上药材作为一剂服用,煎煮和服用方法同前文所述。
当归散:水肿这一疾病,多由肾水不能摄养心火,心火不能滋养脾土,因此脾土不能制约水湿,导致水气充盈溢满,气脉闭塞,渗透经络,从而引发浮肿的证候,表现为心腹部坚硬胀满,气喘胸闷不安。
当归、桂心、木香、赤茯苓、木通、槟榔、赤芍药、牡丹皮、陈皮、白术,各一钱三分。
以上药材作为一剂服用,加水两盅,紫苏叶五片,木瓜一片,煎煮至一盅,不拘泥于固定时间服用。
乌鲤鱼汤:治疗水气病引起的四肢浮肿。
乌鲤鱼一条、赤小豆、桑白皮、白术、陈皮,以上各三钱;葱白五根。
以上药材用水三碗共同煮制,不可放入盐,先吃鱼肉,后喝药汤,不拘泥于固定时间。
无碍丸:治疗脾病引起的水液洪流泛滥,四肢浮肿。
大腹皮二两;槟榔、郁李仁、莪术、三棱,以上各一两;木香半两。
以上药材研成细末,用炒麦面和煮成的糊状物制作成丸剂,大小如梧桐子。每次服用七八十丸,饭前用生姜汤送服。
木香分气汤:治疗气机留滞于四肢,腹部拘急且中焦胀满,胸膈及胁肋部膨胀,虚气上冲,小便气味臭浊。
木香、猪苓、泽泻、赤茯苓、半夏、枳壳、槟榔、灯芯草、苏子,以上各等分。
以上药材切碎成散剂,每次服用一两,加水两盏煎煮,加入少许麝香粉末一同服用。
防己散:治疗皮水水肿,感觉像有水包裹在皮肤之中,四肢有微微跳动感。
汉防己、桑白皮、黄芪、桂心,各一两;赤茯苓二两;甘草(炙制)半两。
以上药材切碎,每次服用五钱,加水一大盏,煎煮至五分量,去渣滓,不拘泥于固定时间温服。
导水茯苓汤:治疗水肿,头面手足全身肿胀如同烂瓜的形状,用手按压出现凹陷,手抬起后随即高突反弹,气喘胸闷需倚靠呼吸,无法转身侧卧,不能躺下睡觉,饮食难以下咽,小便秘结涩痛,排尿时如有刀割般疼痛且尿量极少,即使有尿液也如黑豆汁颜色,服用治疗气喘咳嗽气逆的各种药物无效,使用此方即可痊愈。也曾验证病情严重之人,煎煮此药时,要像熬制阿剌吉酒(蒸馏酒)那样,大约用水一斗,只取药汁一盏,服药后小便必然通畅,随后尿量逐渐增多,直到小便变为清白色即为痊愈。
赤茯苓、麦门冬(去心)、泽泻、白术,各三两;桑白皮、紫苏、槟榔、木瓜,各一两;大腹皮、陈皮、砂仁、木香,各七钱半。
以上药材切碎,每次服用半两,加水两盏,灯草二十五根,煎煮至八分量,去渣滓,空腹服用。如果病情严重,可用药五两,再加去心麦门冬二两,灯草半两,用水一斗,在砂锅中熬至一大碗,再倒入小铫内煎至一大盏,五更时分空腹服用,药渣再次煎服,连续服用这三剂,自然能通利小便,一日比一日效果更佳。
沉香琥珀丸:治疗水肿一切急重难治之证,小便不通。
琥珀、杏仁(去皮尖)、紫苏、赤茯苓、泽泻,各半两;葶苈子(炒制)、郁李仁(去皮)、沉香,各一两半;陈皮(去白)、防己,各七钱半。
以上药材研成细末,用炼蜜制作成丸剂,大小如梧桐子,以麝香为衣。每次服用二十五丸,可加至五十丸,空腹用人参煎汤送服。根据患者虚实情况加减用量。
人参木香散:治疗水气病。
人参、木香、茯苓、滑石、琥珀、海金砂、枳壳、槟榔、猪苓、甘草,以上各等分。
以上药材研成细末,每次服用五钱,生姜三片,加水一盏,煎煮至七分,不拘泥于固定时间温服,每日进服三次。
大沉香尊重丸:治疗蛊胀腹满,全身水肿,肿满气逆,呕吐呃逆气喘乏力,小便赤涩,大便不调,一切中焦胀满、下元虚弱危困的疾病。
沉香、丁香、人参、车前子、葶苈子(炒制)、槟榔,各二钱;青皮、白牵牛、枳实(炒制)、木通,各四钱;胡椒、海金砂、蝎梢(去毒)、木香、茯苓、肉豆蔻,各二钱半;白丁香一钱半;萝卜子六钱(炒制);滑石三钱;郁李仁(去皮)一两二钱半。
以上药材研成细末,用生姜自然汁煮糊制作成丸剂,大小如梧桐子。每次服用二十丸,不拘泥于固定时间用姜汤送服,每日进服三次。忌食盐、鱼、果、肉、面食,只可食用白粥。
续随子丸:治疗全身肿满,气喘闷塞不适。
人参、木香、汉防己、赤茯苓(面粉蒸制)、大槟榔、海金砂(各五钱,单独研磨),续随子一两,葶苈子四两(炒制)。
以上药材研成粉末,用枣肉制作成丸剂,大小如梧桐子。每次服用二十丸至三十丸,煎煮桑白皮汤送服,饭前服用。
Curcumae Zedoariae Rhizoma (Ezhu), Ligustici Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui), Corydalis Rhizoma (Yanhusuo), Angelicae Dahuricae Radix (Baizhi), Arecae Semen (Binglang), Citri Reticulatae Pericarpium (Chenpi), Paeoniae Radix Rubra (Chishaoyao), Morus Albae Cortex (Sangbaipi, fried), Arecae Pericarpium (Dafupi), Poria Cocos with Red Bark (Chifuling), Lepidii Semen (Tinglizi, fried), Diantherae Herba (Qumai), each 1 qian; Rheum Palmatum Radix et Rhizoma (Dahuang) 1.5 qian; Asari Radix et Rhizoma (Xixin), Cinnamomi Ramulus (Guangui), Glycyrrhizae Radix et Rhizoma (Zhi Gancao, honey-fried), each 0.5 qian.
The above herbs constitute one dose; decoction and administration methods are the same as described previously.
Danggui San: Edema often arises because Kidney Water fails to nourish Heart Fire, and Heart Fire 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 collaterals, and the manifestation of edema. Symptoms include hardness and distension in the heart and abdomen, panting, chest fullness, and restlessness.
Angelicae Sinensis Radix (Danggui), Cinnamomi Ramulus (Guixin), Aquilariae Lignum Resinatum (Muxiang), Poria Cocos with Red Bark (Chifuling), Akebiae Caulis (Mutong), Arecae Semen (Binglang), Paeoniae Radix Rubra (Chishaoyao), Moutan Cortex (Mudanpi), Citri Reticulatae Pericarpium (Chenpi), Atractylodis Macrocephalae Rhizoma (Baizhu), each 1.3 qian.
The above herbs constitute one dose. Add two zhong of water, five leaves of Perillae Fructus (Zisu), and one slice of Chaenomelis Fructus (Mu Gua). Decoct until one zhong remains. Take at any time.
Wu Li Yu Tang: Treats edema of the four limbs caused by Water Qi.
Black carp (one whole fish), Vigna angularis Seed (Chixiaodou), Morus Albae Cortex (Sangbaipi), Atractylodis Macrocephalae Rhizoma (Baizhu), Citri Reticulatae Pericarpium (Chenpi), each 3 qian; Allii Fistulosi Bulbus (Congbai) five stalks.
Boil the above ingredients together in three bowls of water without adding salt. Eat the fish first, then take the medicinal soup. Take at any time.
Wu Ai Wan: Treats flooding of fluids due to Spleen disease, causing edema of the four limbs.
Arecae Pericarpium (Dafupi) 2 liang; Arecae Semen (Binglang), Prunus japonica Seed (Yuliren), Curcumae Zedoariae Rhizoma (Ezhu), Sparganii Rhizoma (Sanleng), each 1 liang; Aquilariae Lignum Resinatum (Muxiang) 0.5 liang.
Grind the above into fine powder. Use stir-fried wheat flour paste to make pills the size of a Chinese quince seed. Take 70-80 pills per dose, washed down with Ginger Decoction before meals.
Muxiang Fenqi Tang: Treats stagnation of Qi in the four limbs, abdominal urgency and middle-jiao fullness, distension of the chest, diaphragm, and hypochondrium, rising of deficient Qi, and turbid-smelling urine.
Aquilariae Lignum Resinatum (Muxiang), Polyporus Umbellatus (Zhuling), Alismatis Rhizoma (Zexie), Poria Cocos with Red Bark (Chifuling), Pinelliae Tuber (Banxia), Aurantii Fructus Immaturus (Zhike), Arecae Semen (Binglang), Junci Medulla (Dengxincao), Perillae Fructus (Suzi), all in equal proportions.
Cut the above into coarse powder. Take 1 liang per dose, decoct in two zhan of water, and add a small amount of Moschus powder (Shexiang). Take together.
Fangji San: Treats Pi Shui (Skin Water) edema, where fluid feels wrapped within the skin, and the four limbs exhibit slight twitching or movement.
Stephaniae Tetrandrae Radix (Han Fangji), Morus Albae Cortex (Sangbaipi), Astragali Membranacei Radix (Huangqi), Cinnamomi Ramulus (Guixin), each 1 liang; Poria Cocos with Red Bark (Chifuling) 2 liang; Glycyrrhizae Radix et Rhizoma (Zhi Gancao, honey-fried) 0.5 liang.
Cut the above into pieces. Take 5 qian per dose, decoct in one large zhan of water until reduced to 0.5 zhan. Strain and take warm at any time.
Daoshui Fuling Tang: Treats edema where the head, face, hands, feet, and entire body swell like rotten melons. Pressing causes depression that rebounds immediately upon lifting the hand. There is panting, orthopnea (inability to breathe while lying flat), inability to turn sideways, inability to sleep on the bed, difficulty swallowing food, constipation and dysuria with burning pain and scanty output. Urine may be dark like black bean juice. If previous treatments for panting, cough, and rebellious Qi fail, this formula brings cure. In severe cases, when decocting, boil similarly to making distilled liquor (Alaji): start with approximately one dou of water and reduce to just one zhan of liquid. After taking, urination will begin and gradually increase until the urine becomes clear and white, indicating recovery.
Poria Cocos with Red Bark (Chifuling), Ophiopogonis Tuber (Menmendong, core removed), Alismatis Rhizoma (Zexie), Atractylodis Macrocephalae Rhizoma (Baizhu), each 3 liang; Morus Albae Cortex (Sangbaipi), Perillae Fructus (Zisu), Arecae Semen (Binglang), Chaenomelis Fructus (Mu Gua), each 1 liang; Arecae Pericarpium (Dafupi), Citri Reticulatae Pericarpium (Chenpi), Amomi Fructus Rotundus (Sharen), Aquilariae Lignum Resinatum (Muxiang), each 0.75 liang.
Cut the above into pieces. Take 0.5 liang per dose, decoct with two zhan of water and 25 roots of Juncus effusus (Dengcao) until reduced to 0.8 zhan. Strain and take on an empty stomach. For severe cases, use 5 liang of herbs, add 2 liang of core-removed Ophiopogonis Tuber (Menmendong) and 0.5 liang of Juncus effusus (Dengcao). Boil one dou of water in a clay pot until reduced to one large bowl, then transfer to a small pot and decoct until one large zhan remains. Take at the fifth watch (5-7 AM) on an empty stomach. Re-decoct the dregs and take again. Consume these three doses consecutively; diuresis will occur naturally, improving day by day.
Chenshen Hupo Wan: Treats all acute and difficult cases of edema with urinary retention.
Electrum (Hupo), Armeniacae Semen Amarum (Xingren, skin and tip removed), Perillae Fructus (Zisu), Poria Cocos with Red Bark (Chifuling), Alismatis Rhizoma (Zexie), each 0.5 liang; Lepidii Semen (Tinglizi, fried), Prunus japonica Seed (Yuliren, skin removed), Aquilariae Lignum Resinatum (Chenxiang), each 1.5 liang; Citri Reticulatae Pericarpium (Chenpi, pith removed), Stephaniae Tetrandrae Radix (Fangji), each 0.75 liang.
Grind the above into fine powder. Make pills with refined honey, sized like Chinese quince seeds, coated with Moschus (Shexiang). Take 25 pills per dose, increasing to 50 pills. Take on an empty stomach, washed down with Ginseng Decoction. Adjust dosage according to deficiency or excess.
Renshen Muxiang San: Treats Water Qi disease.
Ginseng Radix et Rhizoma (Renshen), Aquilariae Lignum Resinatum (Muxiang), Poria Cocos (Fuling), Talcum (Huashi), Electrum (Hupo), Calcitritum (Haijinsha), Aurantii Fructus Immaturus (Zhike), Arecae Semen (Binglang), Polyporus Umbellatus (Zhuling), Glycyrrhizae Radix et Rhizoma (Gancao), all in equal proportions.
Grind the above into fine powder. Take 5 qian per dose with three slices of Zingiberis Rhizoma Recens (Shengjiang) and one zhan of water. Decoct until 0.7 zhan remains. Take warm at any time, three times daily.
Da Chenxiang Zunzhong Wan: Treats Gu Zhang (abdominal distension/fullness), generalized edema, swelling with rebellious Qi, vomiting, hiccups, panting, and fatigue, red and scanty urine, irregular bowel movements, and all critical conditions involving middle-jiao fullness and lower-jiao deficiency.
Aquilariae Lignum Resinatum (Chenxiang), Eugeniae Caryophyllatae Flos (Dingxiang), Ginseng Radix et Rhizoma (Renshen), Plantaginis Semen (Cheqianzi), Lepidii Semen (Tinglizi, fried), Arecae Semen (Binglang), each 2 qian; Citri Reticulatae Pericarpium Viride (Qingpi), Pharbitidis Semen (Bai Qianniu), Aurantii Fructus Immaturus (Zhishi, fried), Akebiae Caulis (Mutong), each 4 qian; Piperis Longi Fructus (Hujiao), Calcitritum (Haijinsha), Scorpio (Xieshao, detoxified), Aquilariae Lignum Resinatum (Muxiang), Poria Cocos (Fuling), Myristicae Semen (Roudoukou), each 2.5 qian; Bai Dingxiang 1.5 qian; Raphani Semen (Luobozi, stir-fried) 6 qian; Talcum (Huashi) 3 qian; Prunus japonica Seed (Yuliren, skin removed) 1.25 liang.
Grind the above into fine powder. Use fresh ginger juice and paste made from boiling to form pills the size of Chinese quince seeds. Take 20 pills per dose at any time, washed down with Ginger Decoction, three times daily. Avoid salt, fish, fruit, meat, and wheat products; only consume plain rice porridge.
Suisui Zi Wan: Treats generalized swelling and fullness, with panting and chest oppression.
Ginseng Radix et Rhizoma (Renshen), Aquilariae Lignum Resinatum (Muxiang), Stephaniae Tetrandrae Radix (Han Fangji), Poria Cocos with Red Bark (Chifuling, steamed with flour), Arecae Semen (Dabinglang), Calcitritum (Haijinsha), each 5 qian (separately ground); Euphorbiae Lathyridis Semen (Suisui Zi) 1 liang; Lepidii Semen (Tinglizi, fried) 4 liang.
Grind the above into powder. Make pills with jujube flesh, sized like Chinese quince seeds. Take 20-30 pills per dose, washed down with Morus Albae Cortex (Sangbaipi) Decoction, before meals.