浮肿治法，开鬼门者，发汗也，洁净府者，利小便也。
凡小儿面目遍身浮肿者，或因胎禀虚弱，卒冒风湿，或因疟
疾汗后，不曾禁风，皆成此症。轻者用胃苓丸治之，重者可用加
减胃苓汤治之。
凡小儿浮肿，又加喘急者。此脾传肺也，当专治脾而兼治
肺，日服加减胃苓汤，夜服葶苈丸。如先喘急而后面目浮肿者，
此肺传脾也，当专治肺而兼治脾，日服葶苈丸，夜服胃苓汤加麻
黄、杏仁。如先浮肿而后腹胀者，此表邪传里也，只以加减胃苓
汤主之。
凡浮肿，不可妄用汗下，更不宜阑大戬、甘遂、牵牛之类，
以伤元气。
陈皮、苍术、厚朴(姜汁炒)、甘草、猪苓、赤茯
苓、泽泻、木通、白术、官桂、滑石，防己、五加皮、
生姜皮。因喘而致者，加麻黄、杏仁，桑白皮。腹胀
者，加大腹皮、木香、槟榔、苏梗，去甘草。气虚者，
加人参，灯心引，顺取长流水煎，温服。
浴法
于午时煎葱百沸汤，避风处浴之。盖覆，喀取微
汗，日日根据此诀行甚效。
祖传治浮肿：只用胃苓丸，用长流水，五加皮、灯心煎汤
吞，外用浴法。
凡浮肿气促，面黑，脉微细，不饮食着，不治
西 江 月
小儿病患浮肿，或因胎气赢虚，卒冒风湿外邪欺，以致泽身
肿起;又或诸病汗下，脾虚又被风吹，遂尔浮肿堪忧虑(21)，症
别轻重用剂。
轻用胃苓丸子，重则加减堪行，再用浴法保安宁，此法古今
永定。不可太施汗下。太补亦不宜行，能根据方法救孩婴，方可称为
司命。
大抵浮肿治法，鬼门净府须知，木通防己五加皮，苏叶车前
滑石。渗湿四苓饮子，补脾平胃须宜，灯心长流水煎之，每日清晨
早吃。
要识浮肿死症，气促面黑须扰，脉微细小不堪谋，饮食不飧
难救。脐翻粪如羊屎，泰山倒了难扶，忽生大喘肺经虚，纵有灵
丹何救。
The treatment principle for edema: "Opening the ghost gate" refers to inducing sweating; "Purifying the clean mansion" refers to promoting urination.
In cases where infants present with edema of the face, eyes, and entire body, it may be due to weak congenital endowment followed by sudden exposure to wind-dampness, or it may result from failure to avoid wind after sweating during malaria, leading to this condition. For mild cases, Weiling Wan (Gastrodia and Atractylodes Macrocephala Pill) is used; for severe cases, Jiajian Weiling Tang (Modified Gastrodia and Atractylodes Macrocephala Decoction) is indicated.
When infantile edema is accompanied by panting and rapid breathing, this indicates the transmission of disease from the Spleen to the Lung. Treatment should focus primarily on the Spleen while simultaneously addressing the Lung. Administer Jiajian Weiling Tang (Modified Gastrodia and Atractylodes Macrocephala Decoction) during the day and Tingli Wan (Descurainia Seed Pill) at night. If panting and rapid breathing precede the facial edema, this indicates transmission from the Lung to the Spleen. Treatment should focus primarily on the Lung while simultaneously addressing the Spleen. Administer Tingli Wan (Descurainia Seed Pill) during the day and Weiling Tang (Gastrodia and Atractylodes Macrocephala Decoction) added with Mahuang (Ephedrae Herba) and Xingren (Armeniacae Semen) at night. If edema precedes abdominal distension, this indicates the transmission of exterior pathogenic factors into the interior; treat solely with Jiajian Weiling Tang (Modified Gastrodia and Atractylodes Macrocephala Decoction).
In cases of edema, do not recklessly use diaphoretic or purgative methods. Furthermore, harsh drugs such as Daji (Kansui Radix), Gansui (Spurge Root), and Qianniu (Pharbitidis Semen) should be avoided to prevent damage to Yuanqi (Original Qi).
(Ingredients:) Chenpi (Citri Reticulatae Pericarpium), Cangzhu (Atractylodis Rhizoma), Houpo (Magnoliae Officinalis Cortex) stir-fried with ginger juice, Gancao (Glycyrrhizae Radix et Rhizoma), Zhuling (Polyporus), Chifuling (Poria cum Rubro), Zexie (Alismatis Rhizoma), Mutong (Akebiae Caulis), Baizhu (Atractylodis Macrocephalae Rhizoma), Guangui (Cinnamomi Ramulus), Huashi (Talcum), Fangji (Stephaniae Tetrandrae Radix), Wujia Pi (Acanthopanacis Cortex), Shengjiang Pi (Zingiberis Recens Cortex). For cases caused by panting, add Mahuang (Ephedrae Herba), Xingren (Armeniacae Semen), and Sangbaipi (Mori Cortex). For abdominal distension, add Dafupi (Arecae Pericarpium), Muxiang (Aucklandiae Radix), Binglang (Areca Semen), and Sugeng (Perillae Caulis), and remove Gancao (Glycyrrhizae Radix et Rhizoma). For Qi deficiency, add Renshen (Ginseng Radix), using Dengxincao (Junci Medullia) as a guide, decocted in flowing water, and taken warm.
Bath Method: At noon, boil scallions in water until boiling vigorously. Bathe in a wind-sheltered place. Cover the body to induce slight sweating. Performing this daily according to this prescription is very effective.
Ancestral method for treating edema: Use only Weiling Wan (Gastrodia and Atractylodes Macrocephala Pill), swallowed with a decoction of Wujia Pi (Acanthopanacis Cortex) and Dengxincao (Junci Medullia) made with flowing water. Combine with external bath therapy.
For edema accompanied by shortness of breath, blackish complexion, faint and fine pulse, and inability to eat, the condition is incurable.
Song Ci: Xi Jiang Yue (West River Moon):
Infants suffering from edema may have weak fetal Qi, suddenly attacked by wind-damp exterior pathogens, causing swelling throughout the body; or after various illnesses treated with sweating or purging, Spleen deficiency combined with wind exposure leads to worrying edema. Differentiate severity to select the appropriate formula.
Use Weiling Wan (Gastrodia and Atractylodes Macrocephala Pill) for mild cases, and modified formulas for severe ones. Combine with bath therapy for peace and stability; this method is eternally established since ancient times. Do not overuse sweating or purging. Over-supplementation is also inadvisable. Only by following these methods can one save the infant and be called a healer.
Generally, the treatment of edema requires understanding "opening the ghost gate" and "purifying the clean mansion." Common herbs include Mutong (Akebiae Caulis), Fangji (Stephaniae Tetrandrae Radix), Wujia Pi (Acanthopanacis Cortex), Suye (Perillae Folium), Cheqianzi (Plantaginis Semen), and Huashi (Talcum). Use Shen Shi Si Ling Yin (Damp-Draining Four Poria Drink) to promote dampness excretion, and tonify the Spleen and calm the Stomach appropriately. Decoct with Dengxincao (Junci Medullia) and flowing water, and take early every morning.
To recognize fatal signs of edema: shortness of breath, blackish complexion, and restlessness indicate a difficult prognosis with faint, fine pulses and inability to eat. Umbilical eversion and stool resembling sheep droppings suggest collapse like Mount Tai falling, which is hard to support. Sudden severe panting indicates Lung Jing (Lung Meridian) deficiency; even with miraculous pills, rescue is impossible.