辽宁马××，年五旬，得受风水肿兼有痰证。
病因 因秋末远出，劳碌受风遂得斯证。
证候 腹胀，周身漫肿，喘息迫促，咽喉膺胸之间时有痰涎杜塞，舌苔淡白，小便赤涩短少，
大便间日一行，脉象无火而微浮，拟是风水，当遵《金匮》治风水之方治之。
处方 生石膏（一两捣细） 麻黄（三钱） 甘草（二钱） 生姜（二钱）
大枣（四枚掰开） 西药阿斯匹林（三分）
药共六味，将前五味煎汤一大盅，冲化阿斯匹林，温服被复取汗。
方解 此方即越婢汤原方加西药阿斯匹林也。当时冬初，北方天气寒凉汗不易出，恐但服越
婢汤不能得汗，故以西药之最善发汗兼能解热者之阿斯匹林佐之。
复诊 将药服后，汗出遍体，喘息顿愈，他证如故，又添心中热渴不思饮食。诊其脉仍无火象，
盖因痰饮多而湿胜故也。斯当舍脉从证，而治以清热之重剂。
处方 生石膏（四两捣细） 天花粉（八钱） 薄荷叶（钱半）
共煎汤一大碗，俾分多次徐徐温饮下。
三诊 将药服后，热渴痰涎皆愈强半，小便亦见多，可进饮食，而漫肿腹胀不甚见轻。斯宜注重
利其小便以消漫肿，再少加理气之品以消其腹胀。
处方 生石膏（一两捣细） 滑石（一两） 地肤子（三钱） 丈菊子（三钱捣碎）
海金沙（三钱） 槟榔（三钱） 鲜茅根（三钱）
共煎汤一大盅半，分两次温服下。
丈菊，俗名向日葵。究之，向日葵之名当属之卫足花，不可以名丈菊也。丈菊子，《本
草纲目》未收，因其善治淋疼利小便，故方中用之。
效果 将药煎服两剂，小便大利，肿胀皆见消，因将方中石膏、滑石、槟榔皆减半，连服三剂病全愈。
Liaoning Ma XX, aged fifty, suffered from wind-water edema accompanied by phlegm syndrome.
Etiology The condition arose from traveling far in late autumn, where fatigue and exposure to wind led to this illness.
Symptoms Abdominal distension, generalized swelling throughout the body, rapid and labored breathing, occasional obstruction of saliva and phlegm in the throat, chest, and sternum area, pale white tongue coating, scanty dark yellow and painful urination, bowel movements every other day, pulse is without heat signs but slightly floating. It is diagnosed as wind-water; treatment should follow the formulas for wind-water in the *Jin Gui Yao Lue*.
Prescription Raw Gypsum (30g, crushed fine), Ephedrae Herba (9g), Glycyrrhizae Radix et Rhizoma (6g), Zingiberis Rhizoma Recens (6g), Jujubae Fructus (4 pieces, split open), Western medicine Aspirin (1g).
The prescription consists of six ingredients. Decoct the first five ingredients in a large bowl of water, dissolve the Aspirin in the decoction, and take it warm while covering with blankets to induce sweating.
Formula Analysis This formula is the original Yuebi Tang (Yuebi Decoction) plus Western medicine Aspirin. At that time, early winter, the weather in the north was cold and sweat was difficult to induce. Fearing that taking only Yuebi Tang would not induce sweating, Aspirin, which is excellent at inducing sweating and clearing heat among Western medicines, was added as an adjuvant.
Follow-up Visit After taking the medicine, sweat appeared all over the body, and the rapid breathing ceased immediately. Other symptoms remained unchanged, but there was new onset of heat and thirst in the heart region, loss of appetite. Palpation of the pulse still showed no heat signs. This is likely due to excessive phlegm-fluid retention and prevailing dampness. In this case, one should disregard the pulse and treat according to the symptoms, using a heavy dose of heat-clearing agents.
Prescription Raw Gypsum (120g, crushed fine), Trichosanthis Radix (24g), Menthae Haplocalycis Folium (5g).
Decoct together in a large bowl of water, and drink slowly in multiple divided doses while warm.
Third Visit After taking the medicine, the heat, thirst, and phlegm-saliva improved by more than half. Urination increased, and appetite returned, but the generalized swelling and abdominal distension did not significantly alleviate. Therefore, emphasis should be placed on promoting diuresis to reduce the swelling, with a small addition of qi-regulating herbs to relieve abdominal distension.
Prescription Raw Gypsum (30g, crushed fine), Talcum (30g), Kochiae Fructus (9g), Helianthi Annui Semen (9g, crushed), Chrysosplenii Herba (9g), Arecae Semen (9g), Imperatae Rhizoma Recens (9g).
Decoct together in one and a half large bowls of water, and take warm in two divided doses.
"Zhangju" is commonly known as sunflower. Upon investigation, the name "sunflower" should belong to *Helianthus annuus* (Wei Zu Hua), and cannot be applied to Zhangju. Zhangju Zi (Sunflower Seed) is not recorded in the *Ben Cao Gang Mu*, but because it is effective in treating strangury pain and promoting diuresis, it was used in this prescription.
Outcome After taking two doses of the decocted medicine, urination became profuse, and both swelling and distension subsided. Consequently, the dosages of Gypsum, Talcum, and Arecae Semen in the formula were halved. After taking three consecutive doses, the disease was completely cured.