〔云〕防己汤 治妊娠脾虚，遍身浮肿，心腹胀满喘促，小便不利。
防己（七钱半） 桑白皮 赤茯苓 紫苏（茎叶。各一两） 木香（二钱半）
上为粗末。每服四钱，姜四片，水同煎，食前服。
葶苈散 治妊娠遍身洪肿。
葶苈子（一两） 白术（五两） 茯苓 桑白皮 郁李仁（各二两）
上为粗末，水六升，煎取二升，分三服，小便利即瘥。
又方
泽泻 葶苈（各二两） 茯苓 枳壳 白术（各六两）
上细切，以水六升，煮取二升半，分温二服。
〔子和〕治妊娠从脚上至腹肿，小便不利，微渴。猪苓五两末，以熟水服方寸匕，日三服。
〔丹〕子肿多湿。用山栀一撮，米饮吞下。
〔丹〕产后肿，必用大补气血为主，少佐以苍术、茯苓，使水自利。
〔《大》〕大调经散 治产后肿满，喘急烦渴，小便不利。
大豆（一两半，炒，去皮） 茯神（一两） 真琥珀（一钱）
上为细末，浓煎，乌豆、紫苏汤调下。
产后四肢浮肿者，败血循经，流入四肢，淫留日深，腐烂如水，故令四肢肿，面黄。宜服小调经散，
血行肿消则愈。
没药 琥珀 桂心 芍药 当归（各一钱） 细辛 麝香（各五分）
上为细末。每服半钱，姜汁酒各少许，调停服。
〔丹〕妇人产后浮肿，小便少，口渴，恶寒无力，脉皆沉，此体虚而有湿热之积，必上焦满闷，宜补中导
水行气可也。
白术（二两半） 陈皮（一两） 川芎（半两） 木通（六钱） 茯苓（三钱）
下与点丸二十五丸。
〔《大》〕夺魂散 治产后虚肿喘促，利小便则愈。
生姜（三两，取汁） 白面（三两） 半夏（七个）
上以生姜汁搜面裹半夏为七饼子，煨焦熟为末，水调一盏，小便利为效。
〔洁〕如产后风寒在表，面目四肢浮肿，宜《局方》中七圣丸，白汤下，日加，以利为度。（七圣丸方见痔。）如
浮肿至膝，喘嗽，加木香、槟榔倍之，谓气多也。如浮肿，又头痛昏冒，加羌活、川芎，谓风多也。如只浮肿，
止七圣丸本方服之。
〔垣〕中满分消丸（方见胀门热条，用四物汤吞之。）
〔杜〕张宣徽侍宠，产后半月，忽患浮肿。急召产科医治，经半月不瘥，病势转剧，召杜治之。杜至曰∶
诸医作何病？张曰∶皆云水气浮肿。杜曰∶非也。且水气发咳嗽，小便涩是也。今爱宠小便不涩，不作咳嗽，
惟手足寒。乃血藏虚，气塞不通流，面生浮肿。遂用益血和气药治之。旬日病去七八，经半月全愈。所用之药，
乃《灵苑方》牡丹散也。其方云治血藏风虚冷。今产科家多用此药治产后诸病如神，更名曰损金汤者是也。
牡丹散（方见产后血晕门。）
〔《大》〕加减吴茱萸汤 治妇人血藏虚，宿挟风冷，身面虚浮等疾。
吴茱萸（一两半） 桔梗 干姜 甘草 麦门冬 防风 半夏 细辛 当归 赤茯苓 牡丹皮
桂心（各半两）
上为粗未。每服四钱，水一盏半，煎至七分，去渣，食前热服。
〔丹〕产后风肿水肿。泽兰、防己等分，温酒调下二钱。如不能饮者，醋调下亦可。（成氏方。）
[Yun Qizi] Fangji Tang: Treats spleen deficiency during pregnancy, characterized by generalized edema, abdominal distension and fullness with panting, and difficult urination.
Ingredients: Pheretima (Fangji) (7.5 qian), Mulberry Root Bark (Sangbaipi), Red Poria (Chifuling), Perilla (Zisu) (stem and leaves, 1 liang each), Costus Root (Muxiang) (2.5 qian).
Preparation and Administration: Grind the above ingredients into a coarse powder. Take 4 qian per dose, add four slices of ginger, decoct in water, and take before meals.
Tingli San: Treats severe generalized edema during pregnancy.
Ingredients: Lepidium Seed (Tinglizi) (1 liang), Atractylodes Macrocephala Rhizome (Baizhu) (5 liang), Poria (Fuling), Mulberry Root Bark (Sangbaipi), Prunus Seed (Yuliren) (2 liang each).
Preparation and Administration: Grind the above ingredients into a coarse powder. Decoct in 6 sheng of water until 2 sheng remains, divide into three doses. The condition resolves when urination becomes free.
Another Prescription:
Ingredients: Alisma Rhizome (Zexie), Lepidium Seed (Tingli) (2 liang each), Poria (Fuling), Bitter Orange (Zhike), Atractylodes Macrocephala Rhizome (Baizhu) (6 liang each).
Preparation and Administration: Finely chop the above ingredients. Decoct in 6 sheng of water until 2.5 sheng remains, divide into two warm doses.
[Zhang Hezi] Treats pregnancy-induced edema spreading from the feet to the abdomen, difficult urination, and slight thirst. Use 5 liang of Polyporus (Zhuling) ground into powder, taken as a "fangcunbi" (a square-inch measure) dose with cooked water, three times daily.
[Zhu Danxi] Submolar edema (Zizhong) is mostly due to dampness. Use Gardenia Fruit (Shanzhi), one handful, swallowed with rice water.
[Zhu Danxi] Postpartum edema must be treated primarily by greatly tonifying Qi and Blood, with small adjunctive doses of Atractylodes Lancea Rhizome (Cangzhu) and Poria (Fuling), to allow natural diuresis.
*[Da Quan Liang Fang]* Da Tiaojing San: Treats postpartum swelling and fullness, panting, irritability, thirst, and difficult urination.
Ingredients: Soybean (Dadou) (1.5 liang, stir-fried, skin removed), Spirit Poria (Fushen) (1 liang), Real Amber (Zhen Hupo) (1 qian).
Preparation and Administration: Grind into a fine powder. Decoct black soybeans and Perilla (Zisu) strongly; mix the powder with this decoction for administration.
In cases of postpartum edema of the four limbs, it is caused by failed blood flowing along the meridians into the limbs, stagnating deeply over time, rotting like water, thus causing limb edema and yellow complexion. It is suitable to administer Xiao Tiaojing San; once blood circulation resumes, the edema subsides and the patient recovers.
Ingredients: Myrrh (Moyao), Amber (Hupo), Cinnamon Heart (Guixin), Peony Root (Shaoyao), Angelica Sinensis Radix (Danggui) (1 qian each), Asarum (Xixin), Musk (Shexiang) (0.5 qian each).
Preparation and Administration: Grind into a fine powder. Take 0.5 qian per dose, mixed with a little ginger juice and wine.
[Zhu Danxi] In women with postpartum edema, scanty urine, thirst, aversion to cold, weakness, and deep pulses, this indicates constitutional deficiency with accumulation of damp-heat, inevitably accompanied by upper jiao stuffiness. Treatment should involve tonifying the middle, guiding out water, and moving Qi.
Ingredients: Atractylodes Macrocephala Rhizome (Baizhu) (2.5 liang), Tangerine Peel (Chenpi) (1 liang), Ligusticum Chuanxiong Rhizome (Chuanxiong) (0.5 liang), Akebia Stem (Mutong) (6 qian), Poria (Fuling) (3 qian).
Administration: Followed by administering 25 pills of Dian Wan.
*[Da Quan Liang Fang]* Duohun San: Treats postpartum vacuity-type edema with panting; recovery occurs when urination becomes free.
Ingredients: Fresh Ginger (Shengjiang) (3 liang, juice extracted), Wheat Flour (Baimian) (3 liang), Pinellia Tuber (Banxia) (7 pieces).
Preparation and Administration: Knead the flour with fresh ginger juice to wrap the Pinellia, forming seven cakes. Roast until charred and cooked, then grind into powder. Mix with water to drink one cup; effectiveness is indicated by free urination.
[Li Dongyuan] If postpartum wind-cold is on the exterior, causing edema of the face, eyes, and four limbs, use Qisheng Wan from *Ju Fang*, taken with plain warm water. Increase dosage gradually until bowel movement or diuresis occurs. (See Qisheng Wan formula under Hemorrhoids section.) If edema extends to the knees with panting and cough, double the dose of Costus Root (Muxiang) and Areca Seed (Binglang), indicating excessive Qi stagnation. If there is only edema accompanied by headache and dizziness, add Notopterygium Rhizome (Qianghuo) and Ligusticum Chuanxiong Rhizome (Chuanxiong), indicating excessive Wind. If there is only simple edema, take the original Qisheng Wan formula alone.
[Li Dongyuan] Zhongman Fenxiao Wan (Formula seen under Distention/Fullness section, Heat category; swallow with Siwu Tang.)
[Du Qingbi] The favored concubine of Marshal Zhang Xuanhui suffered sudden edema half a month after childbirth. Obstetricians were summoned urgently but failed to cure her after half a month; the condition worsened, so Du Qingbi was summoned. Upon arrival, Du asked, "What diagnosis did other physicians make?" Zhang replied, "All said it was Water-Qi edema." Du said, "Incorrect. Typically, Water-Qi disease causes coughing and painful/difficult urination. Now your concubine has no difficulty urinating and no cough, only cold hands and feet. This is emptiness of the Blood Sea (Uterus) with blocked Qi flow, causing facial edema." He then treated her with herbs that nourish blood and harmonize Qi. After ten days, the illness had receded by seventy to eighty percent; after half a month, she fully recovered. The medicine used was Mudan San from *Ling Yuan Fang*. That prescription states it treats Wind-Cold Vacuity Cold of the Blood Sea. Currently, obstetricians often use this herb to treat various postpartum conditions with miraculous effect, renaming it Sunjin Tang.
Mudan San (Formula seen under Postpartum Blood Fainting section.)
*[Da Quan Liang Fang]* Jiajian Wuzhuyu Tang: Treats gynecological conditions such as Blood Sea (Uterus) deficiency, chronic Wind-Cold retention, and vacuity-type floating edema of the body and face.
Ingredients: Evodia Fruit (Wuzhuyu) (1.5 liang), Platycodon Root (Jiegeng), Dried Ginger (Ganjiang), Licorice Root (Gancao), Ophiopogon Tuber (Mendong), Saposhnikovia Root (Fangfeng), Pinellia Tuber (Banxia), Asarum (Xixin), Angelica Sinensis Radix (Danggui), Red Poria (Chifuling), Moutan Cortex (Mudanpi), Cinnamon Heart (Guixin) (0.5 liang each).
Preparation and Administration: Grind into a coarse powder. Take 4 qian per dose, decoct in 1.5 cups of water until 0.7 cups remain, strain, and take hot before meals.
[Zhu Danxi] Postpartum Wind-Edema and Water-Edema. Equal parts of Lycopodium Herb (Zelan) and Pheretima (Fangji), mixed with warm wine and taken as 2 qian. If alcohol cannot be consumed, mixing with vinegar is also acceptable. (From Cheng Shi's Formula.)