香附 黑牵牛 三棱 莪术 干生姜等一斤，入平胃散末半斤。每服二钱半，滚白水或
姜汤调下。
治水肿要方。
海金沙（一钱） 白术（一钱） 苍术（八分） 浓朴（一钱） 陈皮（八分） 泽泻
（七分） 猪苓（七分） 茯苓皮（一钱） 五加皮（五分） 生姜皮（五分） 大腹皮（五
分） 商陆（七分） 甘草皮（五分）
上水二钟，煎至一钟，稍热服。渣再煎服。
见湿门。
鼓胀，外坚中空，似鼓也。理宜补脾，又须养肺金，以制肝木，使脾无贼邪之虑。滋肾
水以制相火，使肺得清化之令。却盐味以防助邪，断妄想以保母气。切不可下，宜远音乐，
断浓味，戒暴怒，无有不安。脉浮大而滑实者生，濡小而虚微者死。胀满脉弦，脾制于肝。
洪数热胀，迟微冷寒。浮为虚满，紧则中实。浮则可治，虚则危恶。
治方
人参（八钱） 白术（一钱） 陈皮（一钱） 苍术（一钱） 浓朴（姜制，五分） 泽
泻（五分） 麦门冬（五分） 白茯苓（一钱）
上水一盏半，煎服。若朝急暮宽者，倍人参、白术，肥白人气虚者同。若朝宽暮急者，
加姜炒黄连、归身、酒芍药、香附、川芎、生地黄，去人参，黑瘦人气热者亦同。气下坠者，
宜加升麻。日夜急，气血皆虚，俱补之。如脉实坚人壮盛者，或按之不坚不痛，则可下之，
消之，以补之。
治一切蛊胀并气虚中满单腹胀方
茯苓皮 草果皮 五加皮 大腹皮 甘草皮 牡丹皮 地骨皮 生姜皮 木通皮 木瓜
皮大腹子 车前子 葶苈子 菟丝子 紫苏子
上各等分，水二盏，煎至八分服之。如要断根，将十五味药等分为细末，各一钱五分，
用雄猪肝一个，不见水者，先用温水煮一滚取出，用竹尖钻孔数个，入药在内，蒸熟切片，
捣蒜蘸食之。不过一二个，永不发也。
一方 治鼓胀气满。用苦丁香为末，枣肉为丸梧子大。每服三十丸，空心枣汤下，三服
见效
Xiangfu (Cyperi Rhizoma), Heiqianniu (Pharbitidis Semen Nigrum), Sanleng (Sparganii Rhizoma), Ezhu (Curcumae Rhizoma), and Ganshengjiang (Zingiberis Rhizoma Recens) each amounting to one jin, mixed with Ban jin of Pingwei San (Calm the Stomach Powder). Take two qian half per dose, administered with boiling water or ginger soup.
This is an essential prescription for treating edema.
Haijinsha (Lygodii Spora, 1 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 qian), Cangzhu (Atractylodis Rhizoma, 8 fen), Nongpo (Magnoliae Officinalis Cortex, 1 qian), Chenpi (Citri Reticulatae Pericarpium, 8 fen), Zexie (Alismatis Rhizoma, 7 fen), Zhuling (Polyporus, 7 fen), Fulingpi (Poria Cum Syllo, 1 qian), Wujiaopi (Acanthopanacis Cortex, 5 fen), Jiangshengpi (Zingiberis Pericarpium, 5 fen), Dafupi (Arecae Pericarpium, 5 fen), Shanglu (Phytolaccae Radix, 7 fen), Gancaopi (Glycyrrhizae Radix et Rhizoma Pericarpium, 5 fen).
Add two zhong of water, decoct until one zhong remains, take when slightly warm. Decoct the dregs again and take.
Refer to the "Dampness Section".
Gu Zhang (Drum Distension) presents with a hard exterior and hollow interior, resembling a drum. The treatment principle should involve tonifying Spleen Earth, while nourishing Lung Metal to control Liver Wood, thereby preventing the Spleen from being invaded by pathogenic factors (Thief Evil). Nourish Kidney Water to control Ministerial Fire, allowing the Lung to receive instructions for clear transformation. Avoid salty flavors to prevent assisting evil; cut off delusions to preserve Mother Qi (Pre-natal Qi). Do not use purgatives. It is advisable to stay away from music and entertainment, avoid rich flavors, and guard against violent anger; thus, peace will be achieved. A pulse that is floating, large, slippery, and solid indicates survival; a pulse that is soggy, small, deficient, and faint indicates death. Fullness with a wiry pulse indicates the Spleen is controlled by the Liver. A surging and rapid pulse indicates heat-type distension; a slow and faint pulse indicates cold-type distension. A floating pulse indicates deficiency-type fullness; a tight pulse indicates excess in the middle jiao. A floating pulse suggests the condition is treatable; a deficient pulse indicates critical danger.
Treatment Prescription:
Renshen (Ginseng Radix et Rhizoma, 8 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 qian), Chenpi (Citri Reticulatae Pericarpium, 1 qian), Cangzhu (Atractylodis Rhizoma, 1 qian), Nongpo (Magnoliae Officinalis Cortex, processed with ginger, 5 fen), Zexie (Alismatis Rhizoma, 5 fen), Maimendong (Ophiopogonis Radix, 5 fen), Bai Fuling (Poria, 1 qian).
Add one and a half zhan of water, decoct and take. If symptoms are urgent in the morning and relaxed in the evening, double the dosage of Renshen and Baizhu; this applies to qi deficiency in individuals with fair skin and robust build. If symptoms are relaxed in the morning and urgent in the evening, add Huanglian (Coptidis Rhizoma) stir-fried with ginger, Danggui Shen (Angelicae Sinensis Radix), Jiushaoyao (Paeoniae Radix Alba processed with wine), Xiangfu (Cyperi Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), and Shengdihuang (Rehmanniae Radix); remove Renshen. This also applies to heat constitution in thin, dark-skinned individuals. For sensation of qi sinking, add Shengma (Cimicifugae Rhizoma). For urgency day and night, indicating both qi and blood deficiency, tonify both. If the pulse is solid and firm, and the person is vigorous, or if abdominal palpation reveals hardness without pain, purgatives, resolving agents, and tonics may be used.
Prescription for all types of Gu Zhang (Parasitic Distension) as well as Qi deficiency leading to Middle Fullness and Monadic Abdominal Distension:
Fulingpi (Poria Cum Syllo), Caoguopi (unknown bark, likely a variant or typo for another cortex), Wujiaopi (Acanthopanacis Cortex), Dafupi (Arecae Pericarpium), Gancaopi (Glycyrrhizae Radix et Rhizoma Pericarpium), Mudanpi (Moutan Cortex), Digupi (Lycii Cortex), Jiangshengpi (Zingiberis Pericarpium), Mutongpi (Akebiae Caulis Cortex), Mugua pi (Chaenomelis Fructus Cortex), Dafuzi (Arecae Semen), Cheqianzi (Plantaginis Semen), Tinglizi (Descurainiae Semen seu Lepidii Semen), Tusizi (Cuscutae Semen), Zisuzi (Perillae Fructus).
All ingredients in equal proportions. Add two zhan of water, decoct until eight fen remain, and take. To eradicate the root cause, grind the fifteen herbs into fine powder, taking 1.5 qian of each. Use one male pig liver (not exposed to water), boil briefly in warm water, remove, pierce with bamboo skewers, insert the medicine inside, steam until cooked, slice, mash with garlic, and eat. Within one or two livers, it will never recur.
Another Prescription: Treats Gu Zhang with qi fullness. Grind Kudingxiang (Ilex kudingcha leaves) into powder, form pills with jujube paste the size of wutong seeds. Take thirty pills per dose, with jujube soup on an empty stomach. Visible effects after three doses.