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Treats facial edema, astringent and difficult urination, and fullness and distension in the heart and abdomen.
Poria (Fuling), Perilla Seed (Suzi), Apricot Kernel (Xingren) [removed skin and tip, each 2 liang], Tangerine Peel (Chenpi), Podophyllin Root (Fangji), Lepidium Seed (Tingli) [stir-fried on paper, each 1 liang 1 fen].
Grind the above into powder, make pills with honey, size of small beans. Take thirty pills with Mulberry Root Bark Decoction (Sangbaipi Tang), after meals.

Severe edema belongs to many categories. Besides Zhengshui (True Water Edema), there are Fengshui (Wind Edema), Pishui (Skin Edema), Shishui (Stone Edema), Huanghan (Yellow Sweat), etc., which are classified under Water Pathology. Also included are conditions like Spleen Qi rebellion with diarrhea, Jiaoxie (Beriberi/Edema) causing chest and abdominal fullness, Fuzhang (Skin Distension), Guzhang (Drum-like Distension), Changtan (Intestinal Polyp/Tumor), Shijia (Uterine Tumor), and various swellings caused by artificial factors or external pathogens invading Earth Qi (Spleen/Stomach). These all belong to Blood or Qi pathologies, and their mechanisms differ naturally. Unfortunately, external symptoms are similar and hard to distinguish. Without prior study, one will be confused when facing diseases; erroneous use of sweating or purging methods can kill patients. Furthermore, Qifen (Qi Pattern) and Xuefen (Blood Pattern) also fall under edema categories, with distinct treatment methods; how can they not be studied? Although ancient formulas are clearly categorized, it is common for unlearned practitioners to copy only a few prescriptions and apply them uniformly to all cases. If the disease does not match the prescription, reckless medication will cause distress to those who are strong and death to those who are weak. Moreover, dietary restrictions vary greatly. Practitioners must strive to learn. Do not treat lightly or test medicines on patients' lives; this is extremely inhumane. Beware, beware. (Formulas for Blood Pattern are found in the Women's Section; the discussion on Qi Pattern formulas is attached below.)

Qifen (Qi Pattern) resembles Xiongbi (Chest Bi/Pain) and Zhongman (Middle Fullness/Distension), but Xiongbi is due to Excess Qi, Zhongman is due to Deficient Qi, while Qifen involves Phlegm-Fluid retention. When Qi is obstructed by Phlegm-Fluid, Ying and Wei (Nutritive and Defensive Qi) fail to circulate smoothly, leading to abdominal fullness, borborygmus in the hypochondrium, and pain following the movement of Qi. The Ying and Wei of the Bladder are both exhausted; if Yang Qi fails to penetrate, the body feels cold; if Yin Qi fails to penetrate, bones ache. If Yang Qi penetrates anteriorly, there is aversion to cold; if Yin Qi penetrates anteriorly, there is numbness and insensitivity. When Yin and Yang Qi harmonize, Qi circulation resumes; when the Great Qi rotates, stagnation dissipates. In excess patterns, flatus occurs; in deficiency patterns, urinary incontinence occurs. Thus, it is known that this condition is caused by Qi carrying Phlegm-Fluid. The pulse at Cun Kou (Radial Artery at wrist crease) is slow and choppy; slow indicates Qi deficiency, choppy indicates Blood deficiency. The pulse at Fu Yang (Dorsalis Pedis Artery) is faint and slow; faint indicates Qi deficiency, slow indicates Cold. This syndrome is named Qifen (Qi Pattern).