水肿之病。有因鼓胀而得者。有不因鼓胀而得者。视其眼高起如卧蚕状者。必发此症。
论大法宜实脾利小水。宽膨去湿顺气。然病势至此。则水气用事。真气无权矣。
祛水饮 治腰以上肿。身热气在表。宜发汗而愈。
麻黄（去节） 柴胡（各一钱） 升麻（八分） 防风 山楂（各三钱） 生姜五片煎服。
消肿汤 治腰以下肿。小便不利。
猪苓 泽泻 木通 车前子 葶苈子（各二钱） 地骨皮 五加皮 生姜皮 海金沙 枳
壳（各一钱） 灯心三十茎。空心服。
琥珀丸 治一切水肿。小便不通。大便溏泻。气喘等症。
大戟 芫花（醋炒） 海金沙（炒） 白丑（微炒捣末水牛尿浸焙干各二两） 琥珀（八钱）
黄连（酒炒） 滑石（各一两） 肉桂（五钱）
上为末。以木通一斤。煎浓汤法为丸。每服二钱。空心白滚汤下。
扶脾逐水丸 治通身水肿。气望上逆。小便竟无。日不能食。夜不能卧。
白茯苓 云白术 山药 苦葶苈 花椒目 巴戟（各五钱） 黄连 黑丑（各八钱） 北五
味（二钱） 海金沙 泽泻（各一两）
上为末。荷叶煎汤为丸。每服三钱。空心白滚汤下。
尊重丸 治一切肿胀。小便涩。大便闭。并单腹胀。
沉香 丁香 人参 槟榔 广术香 青皮 陈皮 枳壳 白芷 车前子 苦葶苈 木
通赤
上为末。姜汁打糊为丸。每服二钱。空心白滚汤下。
治水肿照各经加药法。
如从阴肿起。其根在肾。加泽泻。从面肿起其根在肺。加桑白皮。从四肢肿起。其根在
脾。加大戟。从背肿起。其根在胆。加雄黄木通。从胸肿起其根在皮肤。加茯苓。从腹中
肿起。其根在脾与胃。加花椒目。从口唇肿起。其根在小肠。加巴戟。从脚肿起。其根在心
。加葶苈。从胁肿起。其根在肝。加芫花从腰肿起。其根在胃。加甘遂。从脐肿起。其根在
大肠。加姜皮。从头目肿起。其根在心肺。加羌活。从膈至小腹肿起。其根在膀胱。加海金
The disease of edema may arise from distension (Gu Zhang), or it may occur independently of distension. If the eyes appear swollen and raised, resembling a lying silkworm, this condition is certain to manifest.
The general principle of treatment should focus on strengthening the Spleen (Pi) and promoting diuresis, reducing abdominal distension, eliminating dampness, and regulating Qi. However, when the disease progresses to this stage, Water-Qi dominates, and the True Qi loses its authority.
Qu Shui Yin (Water-Expelling Decoction): Treats swelling above the waist, accompanied by fever and heat in the exterior. It is suitable to cure via sweating.
Ephedrae Herba (Mahuang, 麻黄) [removed nodes] qian, Bupleuri Radix (Chaihu, 柴胡) qian, Cimicifugae Rhizoma (Shengma, 升麻) fen, Saposhnikoviae Radix (Fangfeng, 防风) qian, Crataegi Fructus (Shanzha, 山楂) qian, Zingiberis Rhizoma Recens (Shengjiang, 生姜) five slices. Decoct and take orally.
Xiao Zhong Tang (Swelling-Reducing Decoction): Treats swelling below the waist and difficult urination.
Polyporus (Zhuling, 猪苓) qian, Alisma Rhizoma (Zexie, 泽泻) qian, Akebia Caulis (Mutong, 木通) qian, Plantaginis Semen (Cheqianzi, 车前子) qian, Lepidii Semen (Tinglizi, 葶苈子) qian, Lycii Cortex (Digupi, 地骨皮) qian, Acanthopanacis Cortex (Wujiaopi, 五加皮) qian, Zingiberis Pericarpium (Shengjiangpi, 生姜皮) qian, Descurainiae Semen (Haijinsha, 海金沙) qian, Aurantii Fructus Immaturus (Zhike, 枳壳) qian, Junci Medulla (Dengxin, 灯心) thirty stalks. Take on an empty stomach.
Hupo Wan (Amber Pill): Treats all types of edema, urinary obstruction, loose stools, asthma, etc.
Kansui Radix (Daji, 大戟), Genkwa Flos (Yuanhua, 袁花) [vinegar-fried], Descurainiae Semen (Haijinsha, 海金沙) [fried], Pharbitidis Semen (Baichou, 白丑) [lightly fried, pounded into powder, soaked in water buffalo urine, baked dry, each liang], Amber (Hupo, 琥珀) qian, Coptidis Rhizoma (Huanglian, 黄连) [wine-fried], Talcum (Huashi, 滑石) each liang, Cinnamon Twig (Rougui, 肉桂) qian.
Pound into powder. Use one jin of Akebia Caulis (Mutong, 木通) decocted into a thick liquid as a binder to make pills. Take two qian per dose, with plain boiled water on an empty stomach.
Fu Pi Zhu Shui Wan (Spleen-Supporting Water-Expelling Pill): Treats generalized edema, rebellious Qi rising upward, complete absence of urination, inability to eat during the day, and inability to sleep at night.
Poria (Baifuling, 白茯苓) qian, Atractylodis Macrocephalae Rhizoma (Yun Baizhu, 云白术) qian, Dioscoreae Rhizoma (Shanyao, 山药) qian, Lepidii Semen (Ku Tingli, 苦葶苈) qian, Zanthoxyli Semen (Huajiaomu, 花椒目) qian, Morinda Officinalis Radix (Baji, 巴戟) qian, Coptidis Rhizoma (Huanglian, 黄连) qian, Pharbitidis Semen (Heichou, 黑丑) qian, Schisandrae Fructus (Bei Wuwei, 北五味) qian, Descurainiae Semen (Haijinsha, 海金沙) liang, Alisma Rhizoma (Zexie, 泽泻) liang.
Pound into powder. Use decoction of Nelumbinis Folium (Heye, 荷叶) as a binder to make pills. Take three qian per dose, with plain boiled water on an empty stomach.
Zun Zhong Wan (Respect Pill): Treats all types of swelling, astringent urination, constipation, and isolated abdominal distension.
Aquilariae Lignum Resinatum (Chenxiang, 沉香), Syzygii Aromatisimi Flos (Dingxiang, 丁香), Ginseng Radix et Rhizoma (Renshen, 人参), Arecae Semen (Binglang, 槟榔), Curcuma Aromatica Rhizoma (Guangzhuxiang, 广术香), Tangerine Peel (Qingpi, 青皮), Citri Reticulatae Pericarpium (Chenpi, 陈皮), Aurantii Fructus Immaturus (Zhike, 枳壳), Angelicae Dahuricae Radix (Baizhi, 白芷), Plantaginis Semen (Cheqianzi, 车前子), Lepidii Semen (Ku Tingli, 苦葶苈), Akebia Caulis (Mutong, 木通), Red Peony Root (Chi Shao, 赤芍 - inferred from "Chi" contextually, though text says "Mu Tong Chi", likely implying Mutong and Chi Shao or similar red herb. For strict extraction, we list explicit names. "Chi" alone is ambiguous. I will extract "Akebia Caulis" and note the ambiguity if necessary, but for the English translation, I will translate literally as "Mutong Chi" or interpret based on standard practice. Given the instruction to be accurate, I will translate "Mutong Chi" as "Akebia Caulis and Red Herb (Chi)" or simply "Akebia Caulis" if Chi is not a full name. Let's stick to the text: "Akebia Caulis". Wait, "Chi" usually refers to Chi Shao or Chi Xiao Dou. I will translate it as "Akebia Caulis and Red Peony Root (assuming Chi refers to Chi Shao)" for clarity in medical context, or strictly "Akebia Caulis and 'Chi'". Let's use "Akebia Caulis" and omit "Chi" as a standalone herb name if it's incomplete, or include it as "Red Herb". To be safe and academic, I will list "Akebia Caulis" and assume "Chi" implies a red-colored herb component often paired, but since it's not a full name, I'll translate the phrase as "Akebia Caulis and [Red Herb]". Actually, looking at the pattern, it's likely a typo for "Chi Shao". I will translate it as "Akebia Caulis and Red Peony Root" for medical accuracy, noting the source text ambiguity.)*
Pound into powder. Use Ginger Juice to make paste for binding pills. Take two qian per dose, with plain boiled water on an empty stomach.
Method for adding herbs to treat edema according to the affected meridian/location:
If swelling starts from the yin region, the root is in the Kidney; add Alisma Rhizoma (Zexie, 泽泻).
If swelling starts from the face, the root is in the Lung; add Mori Cortex (Sangbaipi, 桑白皮).
If swelling starts from the four limbs, the root is in the Spleen; add Kansui Radix (Daji, 大戟).
If swelling starts from the back, the root is in the Gallbladder; add Realgar (Xionghuang, 雄黄) and Akebia Caulis (Mutong, 木通).
If swelling starts from the chest, the root is in the skin; add Poria (Fuling, 茯苓).
If swelling starts from the abdomen, the root is in the Spleen and Stomach; add Zanthoxyli Semen (Huajiaomu, 花椒目).
If swelling starts from the lips, the root is in the Small Intestine; add Morinda Officinalis Radix (Baji, 巴戟).
If swelling starts from the feet, the root is in the Heart; add Lepidii Semen (Tingli, 葶苈).
If swelling starts from the hypochondrium, the root is in the Liver; add Genkwa Flos (Yuanhua, 袁花).
If swelling starts from the waist, the root is in the Stomach; add Kansui Radix (Gansui, 甘遂).
If swelling starts from the umbilicus, the root is in the Large Intestine; add Zingiberis Pericarpium (Jiangpi, 姜皮).
If swelling starts from the head and eyes, the root is in the Heart and Lung; add Notopterygii Rhizoma et Radix (Qianghuo, 羌活).
If swelling extends from the diaphragm to the lower abdomen, the root is in the Bladder; add Descurainiae Semen (Haijinsha, 海金沙).