大意
太阴所致为积饮。因而大饮则气逆。形寒饮冷则伤肺。(内经)
内因
水者。阴物也。积水不散。留而为饮。有愤郁而停者。有困乏而停者。有思虑而停者。有痛饮而停者。有因热
而伤冷者。(子和)揆其所由。皆因气郁中州。水浆入胃。不能运化。随脏腑虚处而留着焉。(汇补)
外候
大抵停水则生湿。停酒则生热。湿则成痞。热则发躁。其变现也。或形寒饮冷而得。则类外感症。或困乏忧
思而得。则似内伤症。或流于四肢。则似风家痹症。或流于关节。则似跌扑伤症。其他五脏六腑所受。见症
各出。(汇补)
饮分各经
在心则怔忡眩晕。在肺则喘急咳嗽。在脾则短气痞闷。在肝则胁满嚏痛。在肾则脐下悸动。(金匮)在上则
面浮。在下则跗肿。在胃中则胸满口渴。而水入即吐。在经络则一臂不遂。而复移一臂。在肠间则雷鸣泄
泻。或为溺结。与癃闭相似。在阳分不去。久则化气。与黄肿相似。在阴分不去。久则成形。与积块相似。在左
胁者。形同肥气。在右胁者。形同息贲。(汇补)
饮分六症
夫饮一也。而分五饮六症。皆因形而定名也。痰饮水停肠胃。辘辘有声。令人暴肥暴瘦。悬饮水流胁下。咳
唾引痛。悬悬思水。溢饮水流四肢。身体重痛。支饮水停膈上。KT 逆倚息短气。留饮水停心下。背冷如掌大。
或短气怔忡。四肢历节疼痛。胁痛引缺盆。咳嗽转甚。伏饮水停膈满。呕吐喘咳。发热恶寒。腰背痛。身惕HT
而泪出。(仲景)
饮与痰分
饮者。蓄水之名。自外而入。痰者。肠胃之液。自内而生。其初各别。其后同归。故积饮不散。亦能变痰。是饮为
痰之渐。痰为饮之化也。若其外出。则饮形清稀。痰形稠浊。又不同也。(汇补)
停饮脉法
脉偏弦者。饮也。又脉浮而细滑者。伤饮。又沉而弦者。悬饮内痛。(要略)
停饮总治
停饮之初。挟寒挟气者俱多。故症现寒热者。汗之。在胁肋四肢者。分利之。在胸膈者。吐之。在肠胃者。下之。
(入门)若挟虚症者。补之温之。(汇补)
初宜分消
凡大饮之后。当风着寒。水气凝结不运。外有表症。内有饮症者。果当温散。然或发汗太过。阳气空虚。水饮
仍未解散。致心下悸。头眩筋惕。身 动振振欲擗地者。又当温之。不可再行分消也。(汇补)
次宜调养
若血气亏乏之人。痰饮客于中焦。以致四肢百骸胸腹。发为诸病者。宜导去痰饮。随即补元气。不可专任
汗吐渗下之法。(汇补)
虚宜温中
更有脾虚之人。每遇饮后。即觉停滞于中。肠鸣于内。甚或作泻。屡用分利不效者。法当温理中焦。(汇补)
久宜暖肾
久有肾虚不能纳气归元。则积饮于外。或泛于上焦为涎沫。或停于心下为怔忡。或留于脐腹。筑筑然动
气者。均宜益火之剂。(汇补)
饮症用药
汗以香苏饮。吐以二陈汤。分利以四苓散。下以蠲饮枳实丸。凡前五饮症。元气稍旺者。三花神佑丸、控涎
丹逐之。元气稍虚者。五饮汤。虚甚者。六君子汤。虚寒者。理中汤。下焦肾阴虚者。六味丸。肾家阳虚者。八味
丸。外感夹饮。发汗过多致虚症者。真武汤。
饮症选方
香苏饮 治外感风寒。内停水饮。用此发汗。(方见伤风)
二陈汤 治停饮胃口。恶心欲吐。怔忡口渴。服此探吐。(方见痰症)
四苓散 凡饮停肠内。或泄泻。或小便不利。以此渗利之。(方见湿症)
三花神佑丸 一切湿热。积成痰饮。变生体麻肢痹。走注疼痛。风痰涎嗽。气壅不行。
甘遂 大戟 芫花(各五钱) 黑牵牛(二两) 大黄(一两) 轻粉(一两)
滴水丸小豆大。先服三丸。后二丸。以利为度。
控涎丹 治痰饮在膈。胸背手足颈项腰胁引痛。似风症者。(方见痰症)
蠲饮枳实丸 逐痰消饮。导滞清膈。
枳实 半夏 陈皮 黑丑(各三两)
炊饼丸。姜汤下。
青木香丸 治胸膈噎塞。气滞不行。肠中水声。呕吐痰沫。不思饮食。服此宽中利膈。
黑牵牛(二十四两取头末十二两) 木香(三两) 补骨脂 荜澄茄(各四两) 槟榔(二两)
清水丸绿豆大。每服三十丸。茶汤下。气滞湿痰留饮。大效。
十枣汤(仲景) 治悬饮内痛。直达水气结聚之处。
芫花 甘遂 大戟
为末。枣子十枚。煮汤去枣。调药末。强壮者服五分。平旦服之。不下。加五分。以利为度。虚人勿服。
五饮汤(海藏) 治五饮留滞心胸胁下。
旋复花 人参 陈皮 枳实 白术 茯苓 浓朴 半夏 泽泻 猪苓 前胡 桂心 白芍药 炙甘草(各等分)
生姜。水煎服。
泽泻汤(仲景) 治饮水太过。肠胃不能传送。
泽泻(五两) 白术(二两)
水煮服。
六君子汤 治脾胃虚弱。遇饮停留。成胀满吐呕泻利者。(见前中风)
理中汤 治脾家大虚。挟寒。停饮不化者。(方见中寒)
真武汤(仲景) 外寒挟水症。发汗过多。心下悸。头眩筋惕。身 动振振欲擗地者。
茯苓(三钱) 白术(二钱) 芍药 生姜(各三钱) 附子(八分)
水煎。温服。
八味丸 治肾经阳虚。不能制水。水饮停留。或泛为痰。或浸为肿。或动为悸。(方见中风)
【大意】
太阴经受邪会导致积饮的形成。因此,大量饮水会导致气机上逆;形体受寒或饮用冷物则会损伤肺脏。(出自《内经》)
【内因】
水属于阴类物质。积水若不能消散,停留体内便形成饮邪。有的因愤懑郁结而停聚,有的因困倦乏力而停聚,有的因思虑过度而停聚,有的因暴饮暴食而停聚,有的因受热后贪凉饮冷而停聚。(出自张子和)推究其成因,都是因为气机郁滞于中焦脾胃,导致水浆进入胃中后,无法正常运化吸收,随着脏腑虚弱之处而留滞积聚。(出自《证治汇补》)
【外候】
大体上,水液停聚会产生湿邪,酒液停聚会产生热邪。湿邪停滞则形成痞满,热邪停滞则引发烦躁。其临床表现,有的是因形体受寒、饮用冷物所致,症状类似外感病;有的是因困倦、忧愁思虑所致,症状类似内伤病;有的流注于四肢,症状类似风痹症;有的流注于关节,症状类似跌打损伤症。其他五脏六腑受邪的表现,各有不同。(出自《证治汇补》)
【饮分各经】
饮邪在心,则出现心悸怔忡、眩晕;在肺,则出现气喘急促、咳嗽;在脾,则出现气短、痞闷;在肝,则出现胁肋胀满、打喷嚏时疼痛;在肾,则出现脐下悸动。(出自《金匮要略》)在上部,则见面部浮肿;在下部,则见足背浮肿;在胃中,则见胸满、口渴,但喝水后立即呕吐;在经络,则见一侧手臂活动不利,随后又转移至另一侧手臂;在肠间,则听到肠鸣音如雷,伴有泄泻,或者表现为小便不通,与癃闭相似;如果在阳分停留不去,日久会化气,症状类似黄肿病;如果在阴分停留不去,日久会成形,症状类似积块病;在左胁部的,形状如同肥气(肝积);在右胁部的,形状如同息贲(肺积)。(出自《证治汇补》)
【饮分六症】
饮邪虽然是一种病,但分为五饮六种症状,都是根据饮邪停留的部位和形态来命名的。痰饮停留在肠胃,辘辘有声,使人忽胖忽瘦;悬饮水流于胁下,咳嗽吐唾时牵引作痛,心中悬悬想喝水;溢饮水流于四肢,身体沉重疼痛;支饮停留在膈上,气逆喘息,倚靠呼吸,气短;留饮停留在心下(胃脘),背部寒冷如手掌大小,或者气短、心悸怔忡,四肢关节疼痛,胁痛牵引缺盆穴,咳嗽加剧;伏饮停留在膈上,胸中胀满,呕吐气喘咳嗽,发热恶寒,腰背痛,身体震颤惕动并流泪。(出自张仲景)
【饮与痰的区别】
饮,是蓄水的名目,从外部侵入人体;痰,是肠胃的津液,从内部产生。起初它们各自不同,后来却归于同类。所以积饮如果不散,也能变成痰。可以说,饮是痰的前阶段,痰是饮的转化结果。如果从外表看,饮的形状清稀,痰的形状稠浊,这又是不同的地方。(出自《证治汇补》)
【停饮脉法】
脉象偏弦的,是饮邪。脉象浮而细滑的,是伤饮。脉象沉而弦的,是悬饮且伴有内部疼痛。(出自《金匮要略·痰饮咳嗽病脉证并治》,简称《要略》)
【停饮总治】
停饮初期,多兼夹寒邪和气滞。所以症状表现为寒热的,用发汗法治疗;病位在胁肋四肢的,用分利法治疗;病位在胸膈的,用催吐法治疗;病位在肠胃的,用攻下法治疗。(出自《医学入门》)如果兼夹虚证,则用补益和温煦的方法治疗。(出自《证治汇补》)
【初宜分消】
凡是大量饮酒之后,又当风受寒,导致水气凝结无法运行,外有表证,内有饮证的情况,确实应当用温散法。但是如果发汗太过,导致阳气空虚,水饮仍未解散,致使心下悸动、头晕、筋脉跳动、身体颤抖欲倒地的情况,又应当用温补法,不可再使用分消之法。(出自《证治汇补》)
【次宜调养】
如果是气血亏乏的人,痰饮客居于中焦,导致四肢百骸、胸腹发生各种疾病,应当先引导去除痰饮,随即补益元气,不可专门依赖汗、吐、渗、下等攻伐之法。(出自《证治汇补》)
【虚宜温中】
更有脾虚之人,每次遇到饮邪停留,就感觉停滞在中焦,肠鸣于内,甚至发生腹泻,多次使用分利法无效时,治疗方法应当温理中焦脾胃。(出自《证治汇补》)
【久宜暖肾】
长期肾虚不能纳气归元,导致积饮在外,或者泛溢于上焦成为涎沫,或者停留于心下引起心悸怔忡,或者留于脐腹,自觉筑筑然跳动的气机异常者,都适宜使用益火(温补肾阳)的方剂。(出自《证治汇补》)
【饮症用药】
发汗用香苏饮,催吐用二陈汤,分利用四苓散,攻下用蠲饮枳实丸。凡前五饮证,元气稍旺盛的,用三花神佑丸、控涎丹逐饮;元气稍虚的,用五饮汤;虚损严重的,用六君子汤;虚寒的,用理中汤;下焦肾阴虚的,用六味丸;肾家阳虚的,用八味丸;外感夹饮,因发汗过多导致虚证的,用真武汤。
【饮症选方】
香苏饮:治疗外感风寒,内停水饮,用此方发汗。(方剂见“伤风”章节)
二陈汤:治疗停饮在胃口,恶心欲吐,心悸怔忡,口渴,服用此方探吐。(方剂见“痰症”章节)
四苓散:凡是饮邪停在肠内,或者泄泻,或者小便不利,以此方渗利之。(方剂见“湿症”章节)
三花神佑丸:治疗一切湿热,积成痰饮,变生身体麻木、肢体痹痛,走注疼痛,风痰涎嗽,气壅不行。
组成:甘遂、大戟、芫花(各五钱),黑牵牛(二两),大黄(一两),轻粉(一两)。
制法:滴水为丸,如小豆大。先服三丸,后服二丸,以大便通利为度。
控涎丹:治疗痰饮在膈,胸背手足颈项腰胁牵引疼痛,类似风症者。(方剂见“痰症”章节)
蠲饮枳实丸:逐痰消饮,导滞清膈。
组成:枳实、半夏、陈皮、黑丑(各三两)。
制法:炊饼为丸,姜汤送服。
青木香丸:治疗胸膈噎塞,气滞不行,肠中水声,呕吐痰沫,不思饮食,服用此方宽中利膈。
组成:黑牵牛(二十四两取头末十二两),木香(三两),补骨脂、荜澄茄(各四两),槟榔(二两)。
制法:清水为丸,如绿豆大。每服三十丸,茶汤送下。对于气滞湿痰留饮,效果显著。
十枣汤(张仲景):治疗悬饮内痛,直达水气结聚之处。
组成:芫花、甘遂、大戟。
用法:研为末,用十个大枣煮汤,去枣,调药末服用。强壮者服五分,清晨空腹服用。若未见效,加服五分,以大便通利为度。体虚者勿服。
五饮汤(张元素/海藏):治疗五饮留滞心胸胁下。
组成:旋复花、人参、陈皮、枳实、白术、茯苓、浓朴、半夏、泽泻、猪苓、前胡、桂心、白芍药、炙甘草(各等分)。
用法:加生姜,水煎服。
泽泻汤(张仲景):治疗饮水太过,肠胃不能传送。
组成:泽泻(五两),白术(二两)。
用法:水煮服。
六君子汤:治疗脾胃虚弱,遇饮停留,成胀满吐呕泻利者。(见前“中风”章节)
理中汤:治疗脾家大虚,挟寒,停饮不化者。(方剂见“中寒”章节)
真武汤(张仲景):治疗外寒挟水症,发汗过多,心下悸,头眩筋惕,身体颤抖欲倒地者。
组成:茯苓(三钱),白术(二钱),芍药、生姜(各三钱),附子(八分)。
用法:水煎,温服。
八味丸:治疗肾经阳虚,不能制水,水饮停留,或泛为痰,或浸为肿,或动为悸。(方剂见“中风”章节)
[General Principle]
Pathogenic factors affecting the Taiyin meridian lead to the accumulation of fluid retention (Ji Yin). Therefore, excessive drinking causes Qi rebellion; exposure to cold and consumption of cold drinks damage the Lung. (From *Neijing*)
[Internal Causes]
Water belongs to the Yin category. If accumulated water fails to dissipate, it remains in the body as fluid retention (Yin). It may stagnate due to indignation and depression, fatigue, excessive thinking, binge drinking, or heat injury followed by cold intake. (From Zhang Hezi) Investigating its origin, all cases stem from Qi stagnation in the Middle Jiao (Spleen and Stomach), causing ingested fluids to fail in transportation and transformation, subsequently lodging in areas where Zang-Fu organs are deficient. (From *Zhengzhi Huibu*)
[External Manifestations]
Generally, stagnant water generates Dampness, while stagnant wine generates Heat. Dampness leads to fullness and obstruction (Pi), while Heat causes irritability. Its manifestations may arise from cold exposure and cold drinks, resembling exterior syndrome; or from fatigue and worry, resembling interior deficiency syndrome; or flow into the four limbs, resembling wind-bi syndrome; or flow into joints, resembling trauma injuries. Other manifestations in the five Zang and six Fu organs vary. (From *Zhengzhi Huibu*)
[Fluid Retention by Meridian/Organ]
In the Heart: palpitations and dizziness. In the Lung: panting, urgency, and cough. In the Spleen: shortness of breath and chest fullness. In the Liver: hypochondriac fullness and sneezing pain. In the Kidney: pulsation below the umbilicus. (From *Jinkui Yaolue*) Above: facial edema. Below: dorsal foot edema. In the Stomach: chest fullness, thirst, but immediate vomiting upon drinking. In the meridians: unilateral arm paralysis that shifts to the other arm. In the intestines: borborygmus (rumbling sounds) with diarrhea, or urinary retention resembling long bi (difficulty urinating). If lingering in the Yang aspect for a long time, it transforms into Qi patterns resembling yellow edema. If lingering in the Yin aspect for a long time, it forms masses resembling accumulations. On the left hypochondrium: resembles Feiqi (Liver accumulation). On the right hypochondrium: resembles Xiben (Lung accumulation). (From *Zhengzhi Huibu*)
[Six Types of Fluid Retention]
Although fluid retention is one disease, it is divided into five types and six symptoms, named according to location and form. Tan Yin (Phlegm-Fluid): retained in intestines/stomach, rumbling sound, causing sudden weight gain or loss. Xuan Yin (Hanging Fluid): flows under the hypochondrium, causing pulling pain when coughing or spitting, with a sensation of hanging thirst. Yi Yin (Overflowing Fluid): flows into four limbs, causing heavy and painful body. Zhi Yin (Supporting Fluid): retained above the diaphragm, causing Qi rebellion, orthopnea, and shortness of breath. Liu Yin (Stagnant Fluid): retained in the epigastrium ("heart below"), causing a palm-sized cold patch on the back, or shortness of breath, palpitations, limb joint pain, hypochondriac pain radiating to the Clavicular Fossa (Qie Ren), and worsening cough. Fu Yin (Hidden Fluid): retained at the diaphragm causing fullness, vomiting, panting, cough, fever, aversion to cold, lower back pain, tremors, tearing. (From Zhang Zhongjing)
[Differentiation between Fluid Retention and Phlegm]
Fluid retention (Yin) is the name for accumulated water entering from outside. Phlegm (Tan) is the fluid of the intestines and stomach generated from within. Initially distinct, they eventually converge. Thus, unresolved fluid retention can transform into phlegm. Fluid retention is the precursor to phlegm; phlegm is the transformation of fluid retention. Externally, fluid retention is clear and thin, whereas phlegm is thick and turbid, which is another difference. (From *Zhengzhi Huibu*)
[Pulse Diagnosis for Fluid Retention]
A pulse that is predominantly wiry indicates fluid retention. A floating, fine, and slippery pulse indicates injured fluid retention. A deep and wiry pulse indicates hanging fluid retention with internal pain. (From *Yaolue*)
[General Treatment for Fluid Retention]
Early-stage fluid retention often involves Cold and Qi stagnation. For symptoms presenting with fever and chills, use sweating methods. For locations in the hypochondrium and limbs, use draining and separating methods. For locations in the chest and diaphragm, use emetic methods. For locations in the intestines and stomach, use purgative methods. (From *Yixue Rumen*) If accompanied by deficiency, use tonifying and warming methods. (From *Zhengzhi Huibu*)
[Initial Stage: Differentiation and Elimination]
After excessive drinking, if exposed to wind and cold, leading to congealed fluid qi that fails to circulate, presenting with both exterior syndrome and fluid retention, warming and dispersing methods are indeed appropriate. However, if excessive sweating depletes Yang Qi without resolving the fluid retention, resulting in epigastric palpitations, dizziness, muscle twitching, and body trembling as if falling to the ground, warming methods should be used instead of further differentiation and elimination. (From *Zhengzhi Huibu*)
[Secondary Stage: Nourishment and Regulation]
For individuals with depleted Qi and Blood, where phlegm-fluid lodges in the Middle Jiao causing various diseases in the limbs, bones, chest, and abdomen, one should first guide out the phlegm-fluid, then immediately tonify Yuan Qi. One should not rely solely on sweating, emesis, draining, or purging methods. (From *Zhengzhi Huibu*)
[Deficiency: Warming the Middle]
For those with Spleen deficiency who feel stagnation in the middle after drinking, with borborygmus and even diarrhea, if repeated draining methods fail, the method should be to warm and regulate the Middle Jiao. (From *Zhengzhi Huibu*)
[Chronic Stage: Warming the Kidney]
For chronic Kidney deficiency failing to grasp Qi and return it to its source, leading to external fluid accumulation, or overflow into the Upper Jiao as saliva/phlegm, or lodging in the epigastrium causing palpitations, or remaining in the umbilical/abdominal region with pulsating sensations, formulas that benefit Fire (warm Kidney Yang) are indicated. (From *Zhengzhi Huibu*)
[Medication for Fluid Retention Syndromes]
For sweating: Xiangsu Yin. For emesis: Erchen Tang. For draining/separating: Siling San. For purging: Juanyin Zhishi Wan. For the first five fluid retention syndromes: If Yuan Qi is slightly robust, use Sanhua Shenyao Wan or Kongyan Dan to purge. If Yuan Qi is slightly deficient, use Wuyin Tang. If severely deficient, use Liujunzi Tang. If deficient-cold, use Lizhong Tang. If Lower Jiao Kidney Yin deficiency, use Liuwei Wan. If Kidney Yang deficiency, use Bawei Wan. For exterior contraction with fluid retention caused by excessive sweating leading to deficiency, use Zhenwu Tang.
[Selected Formulas for Fluid Retention]
Xiangsu Yin: Treats exterior wind-cold with internal fluid retention; used for sweating. (See "Wind-Cold" chapter)
Erchen Tang: Treats fluid retention in the stomach causing nausea, vomiting urge, palpitations, and thirst; used to induce vomiting. (See "Phlegm" chapter)
Siling San: Treats fluid retention in the intestines, diarrhea, or difficult urination; used for渗利 (draining dampness). (See "Dampness" chapter)
Sanhua Shenyao Wan: Treats all damp-heat accumulating into phlegm-fluid, causing body numbness, limb bi, migrating pain, wind-phlegm cough, and Qi obstruction.
Ingredients: Kansui Radix (Gansui), Mirabilite Root (Daji), Genkwa Flower (Yuanhua) (each 5 qian), Black Morning Glory Seed (Hei Qianniu) (2 liang), Rhubarb (Dahuang) (1 liang), Calomelas (Qingfen).
Preparation: Pill with water drops, size of adzuki beans. Start with 3 pills, reduce to 2 pills later. Stop when bowels move freely.
Kongyan Dan: Treats phlegm-fluid in the diaphragm causing pulling pain in chest, back, hands, feet, neck, waist, and hypochondrium, resembling wind syndrome. (See "Phlegm" chapter)
Juanyin Zhishi Wan: Purges phlegm, eliminates fluid, guides stagnation, clears diaphragm.
Ingredients: Immature Bitter Orange (Zhishi), Pinellia Tuber (Banxia), Tangerine Peel (Chenpi), Black Morning Glory Seed (Hei Chou) (each 3 liang).
Preparation: Pill with steamed dough, taken with Ginger Decoction.
Qingmuxiang Wan: Treats chest/diaphragm blockage, Qi stagnation, intestinal water sounds, vomiting phlegm/saliva, anorexia; widens middle and benefits diaphragm.
Ingredients: Black Morning Glory Seed (Hei Qianniu) (24 liang, take head powder 12 liang), Costus Root (Muxiang) (3 liang), Psoralea Fruit (Buguzhi), Long Pepper Fruit (Bichengqie) (each 4 liang), Areca Seed (Binglang) (2 liang).
Preparation: Pill with clear water, size of mung beans. Take 30 pills per dose with tea water. Highly effective for Qi stagnation, damp-phlegm, and retained fluid.
Shizao Tang (Zhang Zhongjing): Treats hanging fluid retention with internal pain, reaching directly to the site of water qi accumulation.
Ingredients: Genkwa Flower (Yuanhua), Kansui Radix (Gansui), Mirabilite Root (Daji).
Usage: Powdered. Boil 10 Jujubes in water, remove jujubes, mix with powder. Robust persons take 0.5 fen. Take on an empty stomach in the morning. If no effect, increase by 0.5 fen. Stop when bowels move freely. Do not use for weak persons.
Wuyin Tang (Zhang Yuansu/Haizang): Treats five fluids stagnating in chest, heart, and hypochondrium.
Ingredients: Inula Flower (Xuanfuhua), Ginseng Root (Renshen), Tangerine Peel (Chenpi), Immature Bitter Orange (Zhishi), Atractylodes Macrocephala Rhizome (Baizhu), Poria (Fuling), Magnolia Bark (Nongpu), Pinellia Tuber (Banxia), Alisma Rhizome (Zexie), Polyporus (Zhuling), Peucedanum Root (Qianhu), Cinnamon Twig (Guixin), White Peony Root (Baishao), Honey-fried Licorice Root (Zhigancao) (equal parts).
Usage: Add fresh ginger, decoct in water, and drink.
Zexie Tang (Zhang Zhongjing): Treats excessive water intake causing failure of intestines/stomach to transport.
Ingredients: Alisma Rhizome (Zexie) (5 liang), Atractylodes Macrocephala Rhizome (Baizhu) (2 liang).
Usage: Decoct in water and drink.
Liujunzi Tang: Treats Spleen/Stomach weakness with fluid retention causing distension, vomiting, and diarrhea. (See "Stroke" chapter previously)
Lizhong Tang: Treats severe Spleen deficiency with Cold, causing untransformed retained fluid. (See "Interior Cold" chapter)
Zhenwu Tang (Zhang Zhongjing): Treats exterior cold with water syndrome, excessive sweating leading to epigastric palpitations, dizziness, muscle twitching, and body trembling as if falling.
Ingredients: Poria (Fuling) (3 qian), Atractylodes Macrocephala Rhizome (Baizhu) (2 qian), White Peony Root (Shaoyao), Fresh Ginger (Shengjiang) (each 3 qian), Prepared Aconite Root (Fuzi) (8 fen).
Usage: Decoct in water, take warm.
Bawei Wan: Treats Kidney channel Yang deficiency failing to control water, causing retained fluid, transforming into phlegm, soaking into edema, or moving into palpitations. (See "Stroke" chapter)