是逆也。少阴终者，面黑齿长而垢，腹胀闭，上下不通而终矣。太阴终者，腹胀闭，不得息，善噫善呕，呕则逆，
逆则面赤，不逆则上下不通，不通则面黑
皮毛焦而终矣。
脐下胀满是也。若先脐下满，渐延及脐上满者，亦用此法。
〔无〕泽漆汤 治石水。四肢瘦，腹肿，不喘，其脉沉。
泽漆（洗去腥，五两） 桑白皮 射干（洗浸） 黄芩 茯苓 白术（各四两） 泽泻 防己（各二两）
上 咀。每服五钱，水三盏，乌豆一合，煎二盏，入药同煎七分，去渣，空腹温服，日三。
〔《圣》〕治腹坚胀满，号石水方。用白石英十两，捶大豆大，以瓮瓶盛，用好酒三斗浸，以泥重封瓶口，用
马粪及糠火烧之，长令酒小沸，从卯至午，即住火候。次日暖一中盏饮，日可三度。如吃酒少，随性饮之。其
白石英可更一度烧之。
〔《素》〕阴阳结邪，多阴少阳曰石水，少腹胀。肾肝并沉，为石水。（大奇论）
〔《灵》〕肾脉微大为石水，起脐以下至小腹， 然，上至胃脘，死不治。肠覃，寒气客于肠外，与卫气
相搏，气不得荣，因有所系，癖而内着，恶气乃起， 肉乃生。其始生也，大如鸡卵，稍以益大，至其成如怀
子之状，久者离岁，按之则坚，推之则移，月事以时下，此其候也。
〔罗〕 露丸 治寒伤于内，气凝不流，结于肠外，久为 瘕，时作疼痛，腰不得伸。
京三棱 广术（各一两。酒浸） 干漆（五钱，洗去腥，炒烟尽） 茴香（三钱，盐炒） 砂（四钱，另研）
轻粉（一钱，另研） 川乌（半两，炮，去皮脐） 青皮（去白，三钱） 雄黄（另研，三钱） 穿山甲（炮，一钱）
麝香（五分，另研 巴豆（三十粒，去皮，同广术、三棱炒，令深黄色，去巴豆不用）
上除另研四味外，余为细末和匀，生姜汁糊为丸，桐子大。每服二三十丸，温生姜汤送下；温酒亦得，食前。
〔无〕乌喙丸 治肠覃，亦治乳余。
乌喙（炮，去皮、尖，一钱） 半夏（汤洗，四钱） 石膏（ ） 藜芦（炒） 牡蒙 茯苓（酒浸）
桂心 干姜（炮。各一钱） 巴豆（七个，研膏）
上末蜜丸，如绿豆大。每服三五丸，食后酒饮任下。亦治男子疝病。
经云∶石瘕生于胞中，寒气客于子门，子门闭气不得通，恶血当泻不泻， 以留止，日以益大，状如怀子，
月事不以时下。皆生于女子，可导而下之。
〔《圣》〕见 丹 治寒客于下焦，血气闭塞而成瘕，空大必不消者。
附子（四钱，炮，去皮脐） 鬼箭羽（三钱） 泽泻 肉桂 玄胡索 木香（各二钱） 紫石英（一钱）
槟榔（二钱半） 血竭（钱半，另研） 水蛭（炒，一钱半，烟尽） 桃仁（汤浸，去皮，炒黄，三十个）
京三棱（锉，五钱） 大黄（锉碎，二钱，同京三棱酒浸一宿，焙干）
上除血竭、桃仁外，同为细末，和匀，用原浸酒打糊为丸，桐子大。每服十丸，温醋汤送下；温酒亦得，
食前。
〔无〕石英散 治妇人血结胞门，或为瘕，瘕在腹胁间，心腹胀满肿急，如石水状，俗谓之血蛊。
紫石英（一两） 归尾 马鞭草（各五钱） 红花（炒，半两） 乌梅肉（五钱） 蓬术（炮） 三棱（炮）
苏木节 没药 琥珀（研。各一钱） 甘草（一钱）
上为末。浓煎苏木酒调下二钱；不饮酒，姜汤调服。
〔《脉》〕问曰∶病有血分、水分，何谓也？师曰∶经水前断，后病水，名曰血分，此病为难治。先病水，
后经水断，名曰水分，此病易治。何以故？去水其经自当下。（水分即气分也。）
〔仲〕寸口脉沉而迟，沉则为水，迟则为寒，寒水相搏，跗阳脉伏。水谷不化，脾气衰则 溏，胃气衰则
身体肿，少阳脉卑，少阴脉细，男子则小便不利，妇人则经水不通。经为血，血不利则为水，名曰血分是也。
师曰∶寸口脉沉而数，数则为出，沉则为入。出则为阳实，入则为阴结。跗阳脉微而弦，微则无胃气，弦则不
得息。少阴脉沉而滑，沉则为在里，滑则为实，沉滑相搏，血结胞门。其瘕不泻，经络不通，名曰血分。
〔仲〕大黄甘遂汤 治女人小腹满，如敦敦状，小便微难而不渴，为水与血并结在血室也。
大黄（四两，蒸） 甘遂（炮） 阿胶（炒。各二两）
上锉散。每服三钱，水一盏，煎至七分，去渣温服。其血当下。
〔《无》〕万病丸 治室女月经不通，脐下坚结，大如杯升，发热往来，下痢羸瘦，此为血瘕，若生内瘕，不可
为也。
干漆（杵碎，炒，令出烟一时久） 牛膝（酒浸一宿，一两六钱） 生地黄（四两八钱，取汁）
上以地黄汁入下二味为末，慢火熬，候可丸即丸，如梧子大。空心米饮或温酒下一丸，日再。勿妄加，病
去止药。女人气血虚，经不行者，不可服之。
〔《灵》〕小腹满大，上走胃至心，淅淅身时寒热，小便不利，取足厥阴。（杂病篇）
〔《甲》〕石水，痛引胁下胀，头眩痛，身尽热，关元主之。振寒，大腹石水，四满主之。石水，刺气冲。
石水，章门及然谷主之。又，天泉主之。
〔世〕肠覃之状，内着恶气，乃起 肉，大如鸡卵，日以益大，其成也如孕，推之则移∶中极 气冲
天枢 五福
石瘕之状，生于胞中，恶血不通，日以益大如孕∶阴陵泉（去胞中恶血）。复溜（顺骨刺下，待腹温方可去。）
This is a reverse syndrome. When the Shaoyin meridian qi terminates, the face turns black, the teeth appear elongated and covered with tartar, the abdomen becomes distended and closed, the upper and lower parts fail to communicate, and death ensues. When the Taiyin meridian qi terminates, the abdomen becomes distended and closed, breathing becomes difficult, there is frequent belching and vomiting; vomiting causes qi to rebel upwards, rebellion of qi causes the face to turn red; if qi does not rebel, the upper and lower parts fail to communicate, failure of communication causes the face to turn black, the skin and hair become dry and scorched, and death ensues.
This refers to distension and fullness below the navel. If fullness begins below the navel and gradually extends to fullness above the navel, this same method should be used.
[Wu] Zeqi Tang (Ze Qi Decoction): Treats Shishui (Stone Water). Symptoms include emaciated limbs, abdominal swelling, absence of asthma, and a deep pulse.
Ingredients: Zeqi (Euphorbiae Lathyridis Herba, washed to remove fishy odor, 5 liang), Sangbaipi (Mori Cortex, 4 liang), Shegan (Belamcandae Rhizoma, washed and soaked, 4 liang), Huangqin (Scutellariae Radix, 4 liang), Fuling (Poria, 4 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 4 liang), Zexie (Alismatis Rhizoma, 2 liang), Fangji (Stephaniae Tetrandrae Radix, 2 liang).
Preparation and Administration: Coarsely crush the herbs. Take 5 qian per dose, add 3 zhen of water and 1 he of black beans, boil down to 2 zhen, then add the herbs and boil down to 0.7 zhen. Strain and take warm on an empty stomach, three times daily.
[Shengji Zonglu] A formula for treating hard abdominal distension, called Shishui (Stone Water) Fang. Use 10 liang of Baishiying (Quartz), crushed to the size of soybeans, placed in an earthenware jar. Soak in 3 dou of good wine. Seal the jar mouth heavily with mud. Burn with horse manure and bran, keeping the wine simmering gently from Mao hour (5-7 AM) to Wu hour (11 AM-1 PM), then stop heating. The next day, drink one zhong zhen warm, up to three times a day. If accustomed to less alcohol, drink according to preference. The quartz may be roasted again once.
[Suwen] Yin and Yang pathogenic factors knot together; when Yin is excessive and Yang is deficient, it is called Shishui (Stone Water), presenting with distension of the Shaofu (lower abdomen). If both the Kidney and Liver pulses are deep, it indicates Shishui (Stone Water). (From Daqi Lun)
[Lingshu] A slightly large Kidney pulse indicates Shishui (Stone Water). The condition starts from below the navel to the lower abdomen, feeling swollen and uncomfortable, extending upwards to the epigastrium; this is a fatal and untreatable condition. Changtan (Intestinal Polyp/Tumor): Cold qi lodges outside the intestines, contending with Wei Qi (Defensive Qi). Qi fails to nourish, becoming bound, leading to internal fixation of masses. Evil qi arises, and polyps grow. Initially, they are the size of a chicken egg, gradually enlarging until resembling pregnancy. After more than a year, they feel firm upon pressure but movable upon pushing. Menstruation occurs on time; this is its characteristic sign.
[Luo Tianyi] Lu Wan (Dew Pill): Treats cold injuring the interior, causing Qi stagnation and lack of flow, knotting outside the intestines. Over time, it forms Jia (masses), causing intermittent pain and inability to extend the waist.
Ingredients: Jingsanleng (Sparganii Rhizoma, 1 liang, soaked in wine), Guangzhu (Curcumae Rhizoma, 1 liang, soaked in wine), Ganxi (Dryopteridis Criniti Rhizoma cum Stipite, 5 qian, washed to remove odor, stir-fried until smoke ceases), Huixiang (Foeniculi Fructus, 3 qian, salt-stir-fried), Sha (Borax, 4 qian, separately ground), Qingfen (Calomelas, 1 qian, separately ground), Chuanwu (Aconiti Radix, 0.5 liang, processed, peel and umbilicus removed), Qingpi (Citri Reticulatae Pericarpium Viride, 3 qian, white pith removed), Xionghuang (Realgar, 3 qian, separately ground), Chuanshanjia (Manis Squama, 1 qian, processed), Shexiang (Moschus, 0.5 fen, separately ground), Badou (Crotonis Fructus, 30 seeds, peel removed, stir-fried with Guangzhu and Sanleng until dark yellow, discard Badou).
Preparation and Administration: Except for the four ingredients separately ground, grind the rest into fine powder and mix evenly. Use fresh ginger juice to make a paste for pills, sized like paulownia seeds. Take 20-30 pills per dose, delivered with warm ginger soup; warm wine is also acceptable. Take before meals.
[Wu] Wuhui Wan (Wuhui Pill): Treats Changtan (Intestinal Polyp/Tumor) and also treats Ru Yu (residual breast conditions).
Ingredients: Wuhui (Aconiti Radix lateralis preparata, processed, peel and tip removed, 1 qian), Banxia (Pinelliae Rhizoma, washed in hot water, 4 qian), Shigao (Gypsum Fibrosum, dosage unspecified in text), Lilü (Veratri Rhizoma, stir-fried), Mumeng (Uncertain herb, possibly referring to a specific root or bark, contextually grouped with others), Fuling (Poria, wine-soaked), Guixin (Cinnamomi Cortex, 1 qian), Ganjiang (Zingiberis Rhizoma Recens, processed, 1 qian), Badou (Crotonis Fructus, 7 seeds, pounded into paste).
Preparation and Administration: Grind all into powder, mix with honey to form pills the size of mung beans. Take 3-5 pills after meals, delivered with wine as desired. Also treats male hernia diseases.
The Classic states: Shijia (Blood Jia/Mass) originates in the Baozhong (uterus). Cold qi lodges in the Zimen (os uteri), closing it so Qi cannot flow freely. Evil blood should be discharged but remains stagnant, growing larger day by day, resembling pregnancy, with menstruation failing to occur on time. These conditions occur only in women and can be treated by guiding and purging downwards.
[Shengji Zonglu] Jian Dan (See Pill): Treats cold lodging in the Lower Jiao, causing Blood and Qi obstruction forming Jia (masses), which are hollow and large and will not resolve.
Ingredients: Fuzi (Aconiti Lateralis Radix Preparata, processed, peel and umbilicus removed, 4 qian), Guijianyu (Sambuci Ramulus, 3 qian), Zexie (Alismatis Rhizoma, 2 qian), Rougui (Cinnamomi Cortex, 2 qian), Yuanhusuo (Corydalis Rhizoma, 2 qian), Muxiang (Aucklandiae Radix, 2 qian), Zi Shiy ing (Hematitum, 1 qian), Binglang (Arecae Semen, 2.5 qian), Xuexie (Draco Sanguis, 1.5 qian, separately ground), Shuizhi (Hirudo, stir-fried, 1.5 qian, smoke ceases), Taoren (Persicae Semen, soaked in hot water, peeled, stir-fried until yellow, 30 seeds), Jingsanleng (Sparganii Rhizoma, sliced, 5 qian), Dahuang (Rhei Radix et Rhizoma, sliced, 2 qian, soaked overnight in wine with Jingsanleng, dried).
Preparation and Administration: Except for Xuexie and Taoren, grind the rest into fine powder and mix evenly. Use the original soaking wine to make a paste for pills, sized like paulownia seeds. Take 10 pills per dose, delivered with warm vinegar soup; warm wine is also acceptable. Take before meals.
[Wu] Shiy ing San (Shiy ing Powder): Treats women with Blood knotting at the Baomen (door of the uterus), or forming Jia (masses). The Jia is located between the abdomen and hypochondrium, causing heart and abdominal distension, fullness, swelling, and urgency, resembling Shishui (Stone Water), commonly known as Xuegu (Blood Gu).
Ingredients: Zi Shiy ing (Hematitum, 1 liang), Guiwei (Angelicae Sinensis Radix, tail end, 5 qian), Mabiancao (Verbena Officinalis Herba, 5 qian), Honghua (Carthami Flos, stir-fried, 0.5 liang), Wumei Rou (Mume Fructus pulp, 5 qian), Pengzhu (Curcumae Rhizoma, processed), Sanleng (Sparganii Rhizoma, processed), Sumu Jie (Sappan Lignum node, 1 qian implied by list structure though not explicitly quantified in snippet, usually grouped), Moyao (Myrrha, 1 qian), Hupo (Amber, ground, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian). *Note: Text lists "Su Mu Jie, Moyao, Hupo... each 1 qian" implies Su Mu Jie is 1 qian.*
Preparation and Administration: Grind into powder. Mix with strong decoction of Sappan wood wine, take 2 qian; if non-drinker, use ginger soup.
[Mai Jing] Question: What is meant by Blood Fen (Share) and Water Fen (Share)? Master says: If menstruation stops first, followed by edema disease, it is called Blood Fen; this is difficult to treat. If edema disease occurs first, followed by cessation of menstruation, it is called Water Fen; this is easy to treat. Why? Because removing the water allows menstruation to resume naturally. (Water Fen is equivalent to Qi Fen).
[Zhang Zhongjing] At the Cun Kou (Radial artery), if the pulse is deep and slow: Deep indicates Water, Slow indicates Cold. Cold and Water contend, causing the Fu Yang pulse to vanish. Inability to digest food and fluids indicates Spleen Qi deficiency leading to loose stools; Stomach Qi deficiency leads to body swelling. Low Shangyang pulse and thin Shaoyin pulse indicate that men suffer from difficult urination, while women suffer from amenorrhea. Menstrual blood is Blood; if Blood circulation is impaired, it transforms into Water, called Blood Fen.
Master says: At the Cun Kou, if the pulse is deep and rapid: Rapid indicates outward movement, Deep indicates inward penetration. Outward indicates Yang Excess, Inward indicates Yin Knotting. A slight and wiry Fu Yang pulse indicates lack of Stomach Qi (slight) and inability to breathe/wheeze (wiry). A deep and slippery Shaoyin pulse indicates pathology in the interior (deep) and Excess (slippery). Contention of deep and slippery pulses indicates Blood knotting at the Baomen (uterine door). If the mass is not discharged and meridians are blocked, it is called Blood Fen.
[Zhang Zhongjing] Dahuang Gansui Tang (Rhubarb and Kansui Decoction): Treats women with lower abdominal fullness, bulging like a Dun (ancient vessel), with slight difficulty in urination but no thirst. This indicates Water and Blood jointly knotting in the Blood Chamber (Uterus).
Ingredients: Dahuang (Rhei Radix et Rhizoma, 4 liang, steamed), Gansui (Kansui Radix, processed), Ejiao (Asini Corii Colla, stir-fried. Each 2 liang).
Preparation and Administration: Cut into pieces. Take 3 qian per dose, add 1 zhen of water, boil to 0.7 zhen. Strain and take warm. The blood should be discharged.
[Wan Bing Wan] Treats virgins with amenorrhea, hardness and knotting below the navel, large as a cup or measuring vessel, alternating fever and chills, dysentery, emaciation. This is Xuejia (Blood Jia). If internal Jia forms, it is incurable.
Ingredients: Ganxi (Dryopteridis Criniti Rhizoma cum Stipite, pounded and stir-fried until smoke emerges for a long time), Niuxi (Achyranthis Bidentatae Radix, soaked in wine overnight, 1 liang 6 qian), Sheng Dihuang (Rehmanniae Radix Recens, 4 liang 8 qian, juice extracted).
Preparation and Administration: Add the other two ingredients' powders to the Rehmannia juice. Simmer over low heat until ready to pill, sizing like paulownia seeds. Take one pill on an empty stomach with rice drink or warm wine, twice daily. Do not arbitrarily increase dosage; stop medication when the disease is cured. Women with deficient Qi and Blood and amenorrhea should not take this.
[Lingshu] Lower abdominal fullness and enlargement, extending upwards to the stomach and heart, accompanied by shivering sensations and alternating chills and fever, with difficult urination. Treat by selecting Foot Jueyin meridian points. (From Zabing Pian)
[Jiayi Jing) For Shishui (Stone Water) with pain radiating to the hypochondrium and distension, vertigo, headache, and whole-body heat, Guan Yuan (CV4) is indicated. For rigors and large abdominal Shishui (Stone Water), Siman (KI14) is indicated. For Shishui (Stone Water), puncture Qichong (ST30). For Shishui (Stone Water), Zhangmen (LR13) and Ranggu (KI2) are indicated. Additionally, Tianquan (PC2) is indicated.
[Worldly Physicians] Characteristics of Changtan (Intestinal Polyp/Tumor): Internal fixation of evil qi, formation of polyps, initially the size of a chicken egg, growing larger daily, eventually resembling pregnancy, movable upon pushing. Points: Zhongji (CV3), Qichong (ST30), Tianshu (ST25), Wufu (likely a typo or obscure point, possibly referring to local points or specific needling techniques, text says 'Wufu').
Characteristics of Shijia (Blood Jia/Mass): Originates in the Baozhong (uterus), stagnant evil blood, growing larger daily like pregnancy. Points: Yinlingquan (SP9) to remove stagnant evil blood from the Baozhong. Fuliu (KI7) (Needle along the bone downwards, wait until the abdomen feels warm before withdrawing the needle.)