（杂肿 四肢肿 石水）
水通身肿。灸足第二指上一寸随年壮。又灸两手大指缝头七壮。（千）虚劳、浮肿、灸
太冲百壮。又灸肾俞。凡头目痈肿。留饮胸胁支满。刺陷谷。出血立已。陷谷、列缺、主面
目痈肿。阳陵泉、公孙、主头面肿。完骨、巨 、主头面气。 肿。天枢、丰隆、
厉兑、陷谷、冲阳、主面浮肿。中府、间使、合谷、主面腹肿。解溪、主风水。面 肿。
黑。气舍、主肩肿不得顾。三里、主水腹胀。皮肿。曲泉、主腹肿。阴谷、主寒热
腹偏肿。大敦、主大腹肿胀。脐腹邑邑。阴交、石门、主水胀。水气行皮中。小腹皮敦
敦然。小便黄。气满。屋翳、主身肿。皮痛不可近衣。关门、主身肿身重。
天府、主身胀逆息不得卧。风汗身肿。喘息多唾。上星、治头风、面虚肿。（铜）囟
会、
治目眩面肿。前顶、治目眩。面赤肿。小儿顶肿。脑户、治目黄头肿。水沟、治水气
遍身肿。（明云。若是水气。唯得针此。若针余穴。水尽即死。）胃仓、治水肿。（见腹胀
。）缺盆、治水气。（见瘰 。）屋翳、治身体肿。皮肤痛不可近。及淫泺螈 不仁。
肾俞、治身肿。（见劳瘵。）建里、治腹胀身肿。神阙、治水肿鼓胀。肠鸣如流水声。
中极、石门、治水肿。（见腹胀）四满、治大腹有水。（见积聚。）章门、治腹肿脊强。四
肢伤惰。涌泉、治男子如蛊。女子如妊娠。五指端尽痛。足不得践地。（阴谷同上。）三
里、治水气。（明同。）复溜、治十水病。（见鼓胀。）维道、治水肿。不嗜食。（见呕吐
。）地机、治丈夫溏泄腹胁胀。水肿腹坚。不嗜食。小便不利。阴陵泉、治腹中寒。不
嗜食。鬲下满。水胀腹坚。喘逆不得卧。腰痛难俯仰。陷谷、治面目浮肿。及水病善噫。
肠鸣腹痛。分水、疗腹肿不能食。若是水病。灸大良。（明）下云、疗水病腹肿。绕脐痛。
冲胸不得息。甄权云、主水气浮肿。鼓胀。肠鸣如雷声。时上冲心。（铜见鼓胀。）曲骨
、疗水病胀满。（下）小儿水气。四肢尽肿。及腹大。灸分水三壮。胃仓、主水肿胪胀。食
饮不下。恶寒。（千）水沟、主水肿。人中满。关元、主妇人小腹满。石水。（见无子。）
章门、主身润、石水身肿。关元、主小腹满。石水。四满、然谷、主大腹石水。气
冲、主大气石水。丰隆、主四肢肿。身湿。（铜同。）丰隆、复溜、主风逆四肢肿。列
缺、主汗出四肢肿。复溜、治四肢肿。（铜见鼓胀。）
水肿惟得针水沟。若针余穴。水尽即死。此明堂铜人所戒也。庸医多为人针水分。杀人
多矣。若其它穴。亦有针得瘥者。特幸焉耳。不可为法也。或用药、则禹余粮元为第一。（见既
效方。）予屡见人服验。故书于此。然灸水分。则最为要穴也。有里医为李生治水肿。以药
饮之。久之不效。以受其延待之勤。一日忽为灸水分与气海穴。翌早观面如削矣。信乎水分
之能治水肿也。明堂固云若是水病、灸大良。盖以此穴能分水。不使妄行云焉耳。但不知明
堂又云针四分者。岂治其它病当针四分耶。
百病水肿。肾俞百壮。胃仓随年。水肿。陷谷随年。水肿上下。阴交百壮。水肿
大腹。阴市随年。人中满、唇肿。及水肿大水。脐中、石门百壮。风水。上廉随年
。水肿不得卧。阴陵泉百壮。石水。灸然谷、气冲、四满、章门。水分、主水肿。腹满不
能食。坚硬。日七壮至四百止。忌针。针水尽即死。水病灸至瘥止。（千翼）
（杂肿、四肢肿、石水）
全身浮肿。艾灸足背第二趾上一寸处，壮数随患者年龄而定。又灸两手大拇指指缝尖端各七壮。（出自《千金方》）虚劳病、身体浮肿，艾灸太冲穴一百壮。又灸肾俞穴。凡是头面部痈肿，胸胁部因停饮导致的胀满感，针刺陷谷穴，出血后症状立即停止。陷谷穴、列缺穴，主治头面部痈肿。阳陵泉穴、公孙穴，主治头面部肿胀。完骨穴、巨髎穴，主治头面部气滞引起的肿胀。天枢穴、丰隆穴、厉兑穴、陷谷穴、冲阳穴，主治面部浮肿。中府穴、间使穴、合谷穴，主治面部及腹部肿胀。解溪穴，主治风水引起的面部浮肿发黑。气舍穴，主治肩部肿胀导致无法回头。足三里穴，主治水湿停滞导致的腹胀、皮肤浮肿。曲泉穴，主治腹部肿胀。阴谷穴，主治寒热交替且腹部一侧肿胀。大敦穴，主治大腹肿胀、脐腹部郁闷不适。阴交穴、石门穴，主治水胀、水气运行于皮肉之间、小腹部皮肤紧绷鼓胀、小便黄赤、气机壅满。屋翳穴，主治全身浮肿、皮肤疼痛不可触碰衣物。关门穴，主治全身浮肿、身体沉重。天府穴，主治身体胀满、呼吸逆乱不能平卧、风汗出导致的身肿、喘息多唾沫。上星穴，治疗头风、面部虚浮肿胀。（出自《铜人腧穴针灸图经》）囟会穴，治疗目眩、面部肿胀。前顶穴，治疗目眩、面色红赤肿胀、小儿头顶肿胀。脑户穴，治疗目黄、头部肿胀。水沟穴，治疗水气遍身浮肿。（明代医家云：如果是水气病，只能针刺此穴，如果针刺其他穴位，待水气排尽病人就会死亡。）胃仓穴，治疗水肿。（参见腹胀条目）缺盆穴，治疗水气。（参见瘰疬条目）屋翳穴，治疗身体浮肿、皮肤疼痛不可触碰，以及肢体软弱无力、抽搐、麻木不仁。肾俞穴，治疗身体浮肿。（参见劳瘵条目）建里穴，治疗腹胀、身体浮肿。神阙穴，治疗水肿、鼓胀、肠鸣如流水声。中极穴、石门穴，治疗水肿。（参见腹胀条目）四满穴，治疗大腹积水。（参见积聚条目）章门穴，治疗腹部肿胀、脊背强直、四肢倦怠无力。涌泉穴，治疗男子症状如蛊毒、女子症状如妊娠、五指末端全部疼痛、足部无法着地行走。（阴谷穴同上）足三里穴，治疗水气。（明代医家观点相同）复溜穴，治疗十种水病。（参见鼓胀条目）维道穴，治疗水肿、食欲不振。（参见呕吐条目）地机穴，治疗男子大便溏泄、腹胁胀满、水肿腹部坚硬、食欲不振、小便不利。阴陵泉穴，治疗腹中寒冷、食欲不振、膈下胀满、水胀腹部坚硬、气喘逆乱不能平卧、腰痛难以俯仰。陷谷穴，治疗面目浮肿，以及水病容易嗳气、肠鸣腹痛。分水穴，治疗腹部肿胀不能进食。如果是水病，艾灸效果极佳。（明代医家云：治疗水病腹部肿胀、绕脐疼痛、气冲胸部导致呼吸困难。甄权说：主治水气浮肿、鼓胀、肠鸣如雷声、气时常上冲心胸。）（《铜人腧穴针灸图经》见于鼓胀条目）曲骨穴，治疗水病胀满。（下部）小儿水气、四肢全部肿胀、腹部肿大，艾灸分水穴三壮。胃仓穴，主治水肿、胪胀、饮食不下、恶寒。（出自《千金方》）水沟穴，主治水肿、人中部位饱满、关元穴主治妇人小腹满、石水。（参见无子条目）章门穴，主治身体湿润、石水身体肿胀。关元穴，主治小腹满、石水。四满穴、然谷穴，主治大腹石水。气冲穴，主治大气石水。丰隆穴，主治四肢肿胀、身体潮湿。（《铜人腧穴针灸图经》观点相同）丰隆穴、复溜穴，主治风邪逆乱导致的四肢肿胀。列缺穴，主治汗出导致的四肢肿胀。复溜穴，治疗四肢肿胀。（《铜人腧穴针灸图经》见于鼓胀条目）
水肿病只能针刺水沟穴。如果针刺其他穴位，水气排尽病人就会死亡。这是《明堂》和《铜人腧穴针灸图经》所告诫的。庸医常常给人针刺水分穴，害死很多人了。如果针刺其他穴位，也有治愈的情况，那只是侥幸罢了，不能作为常规法则。或者使用药物，则禹余粮为首选第一药。（参见《既效方》）我多次见到有人服用有效，所以记录在这里。然而艾灸水分穴，则是最为重要的穴位。有位乡医为李先生治疗水肿，用药物治疗，很久没有效果。因为受到他长期招待的恩情，有一天忽然为他艾灸水分穴和气海穴。第二天早上观察，面部消瘦得像削过一样。确实啊，水分穴能治疗水肿。《明堂》本来就说如果是水病，艾灸效果极佳，大概是因为这个穴位能分利水湿，不让它妄行泛滥吧。只是不知道《明堂》又说针刺四分深，难道是治疗其他疾病应当针刺四分深吗？
百病引起的水肿，艾灸肾俞穴一百壮。胃仓穴随年龄定壮数。水肿，针刺陷谷穴随年龄定壮数。水肿上下蔓延，艾灸阴交穴一百壮。水肿导致大腹肿胀，艾灸阴市穴随年龄定壮数。人中饱满、嘴唇肿胀，以及水肿重症，艾灸脐中和石门穴各一百壮。风水，艾灸上廉穴随年龄定壮数。水肿导致不能平卧，艾灸阴陵泉穴一百壮。石水，艾灸然谷穴、气冲穴、四满穴、章门穴。水分穴，主治水肿、腹部胀满不能进食、腹部坚硬。每日灸七壮至四百壮为止。忌用针刺，针刺会导致水气排尽而死亡。水病艾灸到痊愈为止。（出自《千金翼方》）
(Miscellaneous Edema, Edema of the Four Limbs, Stone Water)
Generalized edema. Moxibustion at a point one cun above the second toe on the foot, with the number of moxa cones (Zhuang) corresponding to the patient's age. Also, moxibustion at the tip of the webbing between the thumbs of both hands, seven Zhuang each. (From *Qianjin Fang*) For deficiency consumption (Xu Lao) and generalized edema, moxibustion at Taichong (LR3) for one hundred Zhuang. Also, moxibustion at Shenshu (BL23). For any carbuncles and swellings of the head and face, or fullness and distension in the chest and hypochondrium due to retained fluid (Liu Yin), needle Xiangu (ST41); bleeding will cause immediate relief. Xiangu (ST41) and Lieque (LU7) mainly treat carbuncles and swellings of the head and face. Yanglingquan (GB34) and Gongsun (SP4) mainly treat swelling of the head and face. Wanggu (GB12) and Juliao (ST3) mainly treat swelling of the head and face due to Qi stagnation. Tianshu (ST25), Fenglong (ST40), Lidui (ST45), Xiangu (ST41), and Chongyang (ST42) mainly treat facial edema. Zhongfu (LU1), Jianshi (PC5), and Hegu (LI4) mainly treat swelling of the face and abdomen. Jiexi (ST41) mainly treats wind-water (Feng Shui) causing facial edema and blackening. Qishe (ST11) mainly treats shoulder swelling preventing turning the head. Zusanli (ST36) mainly treats abdominal distension due to water-dampness and skin edema. Ququan (LR8) mainly treats abdominal swelling. Yinggu (KI10) mainly treats alternating cold and heat with unilateral abdominal swelling. Dazhun (LR1) mainly treats great abdominal swelling and oppression around the umbilicus. Yinjiao (CV13) and Shimen (CV5) mainly treat water distension, water qi circulating in the skin, tight drum-like tension of the lower abdomen skin, yellow urine, and Qi fullness. Wuyi (ST15) mainly treats whole-body edema and skin pain so severe that clothing cannot touch it. Guanmen (ST22) mainly treats whole-body edema and heaviness of the body. Tianfu (LU3) mainly treats body distension, rebellious breathing preventing lying down, edema from wind-sweat, panting with excessive saliva. Shangxing (GV23) treats head wind and deficient swelling of the face. (From *Tongren Shuxue Zhenjiu Tujing*) Xinhui (GV22) treats dizziness and facial swelling. Qanding (GV21) treats dizziness, red and swollen face, and swelling of the vertex in children. Naohu (GV17) treats yellow eyes and head swelling. Shuigou (GV26) treats generalized edema due to water qi. (Ming Dynasty physicians state: If it is water qi disease, only this point should be needled; if other points are needled, death will occur once the water is exhausted.) Weicang (BL50) treats edema. (See Abdominal Distension entry) Quepen (ST12) treats water qi. (See Scrofula entry) Wuyi (ST15) treats body edema, skin pain intolerable to touch, as well as weakness, spasms, and numbness. Shenshu (BL23) treats body edema. (See Consumption entry) Jianli (CV11) treats abdominal distension and body edema. Shenque (CV8) treats edema,鼓胀 (Gu Zhang/Tympanites), and borborygmus sounding like flowing water. Zhongji (CV3) and Shimen (CV5) treat edema. (See Abdominal Distension entry) Siman (CV4) treats water accumulation in the great abdomen. (See Accumulation-Mass entry) Zhangmen (LR13) treats abdominal swelling, stiffness of the spine, and lassitude of the four limbs. Yongquan (KI1) treats men presenting with symptoms like Gu poisoning, women presenting with symptoms like pregnancy, pain at the tips of all five toes, and inability to walk. (Yinggu KI10 has the same indication.) Zusanli (ST36) treats water qi. (Ming Dynasty view is the same.) Fuliou (KI7) treats the ten types of water diseases. (See Tympanites entry) Weidao (GB28) treats edema and poor appetite. (See Vomiting entry) Diji (SP8) treats loose stools and hypochondriac distension in men, edema with hard abdomen, poor appetite, and difficult urination. Yinlingquan (SP9) treats cold in the abdomen, poor appetite, fullness below the diaphragm, water distension with hard abdomen, rebellious panting preventing lying down, and low back pain making flexion and extension difficult. Xiangu (ST41) treats facial and ocular edema, as well as water diseases characterized by frequent belching, borborygmus, and abdominal pain. Fen Shui (Extra point) treats abdominal swelling and inability to eat. If it is a water disease, moxibustion is highly effective. (Ming Dynasty text states: Treats water disease with abdominal swelling, periumbilical pain, Qi rushing to the chest causing dyspnea. Zhen Quan states: Mainly treats water qi edema, tympanites, borborygmus sounding like thunder, and Qi frequently rushing up to the heart.) (*Tongren* text seen in Tympanites entry) Qugu (CV2) treats water disease with distension and fullness. (Lower section) For pediatric water qi, swelling of all four limbs, and abdominal enlargement, moxibustion at Fen Shui for three Zhuang. Weicang (BL50) mainly treats edema, lumbar distension, inability to eat or drink, and aversion to cold. (From *Qianjin Fang*) Shuigou (GV26) mainly treats edema, fullness of the philtrum. Guanyuan (CV4) mainly treats fullness of the lower abdomen in women and stone water. (See Infertility entry) Zhangmen (LR13) mainly treats moist skin and stone water with body swelling. Guanyuan (CV4) mainly treats lower abdominal fullness and stone water. Siman (CV4) and Ranggu (KI2) mainly treat great abdominal stone water. Qichong (ST30) mainly treats major Qi stone water. Fenglong (ST40) mainly treats swelling of the four limbs and dampness of the body. (*Tongren* view is the same.) Fenglong (ST40) and Fuliou (KI7) mainly treat edema of the four limbs due to rebellious wind. Lieque (LU7) mainly treats edema of the four limbs due to sweating. Fuliou (KI7) treats edema of the four limbs. (*Tongren* text seen in Tympanites entry)
For edema, only Shuigou (GV26) should be needled. If other points are needled, death will occur once the water is exhausted. This is the warning from *Mingtang* and *Tongren*. Quack doctors often needle Fen Shui (CV9) for patients, killing many. If other points are needled, there are cases of recovery, but these are merely lucky exceptions and should not be taken as standard practice. Alternatively, using herbs, Yuyuliang (Hematitum) is the primary first choice. (See *Jixiao Fang*). I have repeatedly seen people taking it with verified efficacy, so I record it here. However, moxibustion at Fen Shui (CV9) is the most crucial point. A country doctor treated Mr. Li for edema with herbal medicine for a long time without effect. Out of gratitude for his hospitality, one day he suddenly performed moxibustion on Fen Shui (CV9) and Qihai (CV6). The next morning, his face looked emaciated as if shaved. Indeed, Fen Shui (CV9) can treat edema. *Mingtang* originally stated that for water disease, moxibustion is highly effective, likely because this point can separate and drain water, preventing its reckless flow. It is just unknown whether *Mingtang*'s mention of needling four fen deep refers to treating other diseases requiring that depth.
For edema caused by various diseases, moxibustion at Shenshu (BL23) for one hundred Zhuang. Weicang (BL50) according to age. For edema, needle Xiangu (ST41) according to age. For edema spreading up and down, moxibustion at Yinjiao (CV13) for one hundred Zhuang. For edema with great abdominal swelling, moxibustion at Yinshi (ST32) according to age. For fullness of the philtrum, lip swelling, and severe water edema, moxibustion at Shenque (CV8) and Shimen (CV5) for one hundred Zhuang each. For wind-water, moxibustion at Shanglian (EX-LE6) according to age. For edema preventing lying down, moxibustion at Yinlingquan (SP9) for one hundred Zhuang. For stone water, moxibustion at Ranggu (KI2), Qichong (ST30), Siman (CV4), and Zhangmen (LR13). Fen Shui (CV9) mainly treats edema, abdominal fullness, inability to eat, and hardness. Moxibustion seven times daily up to four hundred times is allowed. Needling is contraindicated; needling leads to death when water is exhausted. For water disease, continue moxibustion until recovery. (From *Qianjin Yifang*)