防己 黄 一两 白术七钱五分 甘草五钱（炙）
每服五钱，加姜枣煎。
去风先养血，治湿先健脾，此一定之法。此症乃风与水相乘，非血虚生风之比。故但用
治风逐水健脾之药，而不必加血药。但得水气去而腠理实，则风水亦不能独留矣。
干姜（炮） 茯苓四两 甘草（炙） 白术（炒）二两
方中但燥湿健脾，而不用温肾之药。缘此症乃积湿下注于肾，非肾之寒水为病也。若虚
寒之体，即少加附子、杜仲亦可。
黑牵牛四两（炒） 大黄二两（酒浸） 甘遂（面裹煨） 大戟（面裹煨） 净芫花（醋
炒） 青皮（炒） 橘红一两 木香五钱 轻粉一钱
水丸。
仲景十枣汤，已极峻厉，此更厉而加厉，纵形气俱实，岂能堪此。予谓此等症全是阴结，
非阳不通，宜用附桂兼疏肝逐水之剂。此等方法万不可用。
羌活 秦艽 槟榔 大腹皮 茯苓皮 椒目 木通 泽泻 赤小豆 商陆等分
加姜皮煎
疏凿饮，名色甚佳，用药亦较舟车丸已轻一等，然吾见服商陆者，必然大泻，胸腹骤宽，
不超时而复胀，万无生理。盖逐水自前阴而出者得生，自后阴而出者必死，学人慎之哉！
白术（土炒） 茯苓 甘草（炙） 浓朴（姜炒） 木香 附子 大腹皮 草豆蔻 木
瓜片 黑姜
加姜枣煎
主治条下，有色悴声短、口不渴、二便利数语，则此症乃脾肾虚寒。当用香砂六君，合
温肾渗湿之剂。若徒事破气利湿，色悴者不更加憔悴乎。
Fangji (Stephaniae Tetrandrae Radix) 1 liang, Huangqi (Astragali Membranacei Radix) 1 liang, Baizhu (Atractylodis Macrocephalae Rhizoma) 7 qian 5 fen, Gancao (Glycyrrhizae Radix et Rhizoma) 5 qian (stir-fried with honey).
Take 5 qian per dose, decoct with Shengjiang (Zingiberis Recens Rhizoma) and Dazao (Jujubae Fructus).
To dispel wind, one must first nourish blood; to treat dampness, one must first strengthen the spleen. This is a fixed principle. This syndrome involves wind and water mutually attacking each other, which is not comparable to wind generated by blood deficiency. Therefore, only use herbs that dispel wind, drain water, and strengthen the spleen, without the need to add blood-nourishing herbs. Once the water qi is eliminated and the couli (skin pores and interstices) become solid, the wind-water pathogen cannot remain alone.
Ganjiang (Zingiberis Rhizoma Praeparatum) 4 liang, Fuling (Poria) 4 liang, Gancao (Glycyrrhizae Radix et Rhizoma) (stir-fried with honey), Baizhu (Atractylodis Macrocephalae Rhizoma) (stir-fried) 2 liang.
The formula merely dries dampness and strengthens the spleen, without using herbs to warm the kidney. This is because this syndrome involves accumulated dampness sinking downward into the kidney, rather than disease caused by cold water of the kidney. If the constitution is deficient and cold, adding a small amount of Fuzi (Aconiti Lateralis Radix Praeparata) and Duzhong (Eucommiae Cortex) would also be acceptable.
Heiqianniu (Pharbitidis Semen) 4 liang (stir-fried), Dahuang (Rhei Radix et Rhizoma) 2 liang (soaked in wine), Gansui (Kansui Radix) (wrapped in flour and baked), Daji (Euphorbiae Pekinensis Radix) (wrapped in flour and baked), Jing Yuanhua (Genkwa Flos) (stir-fried with vinegar), Qingpi (Citri Reticulatae Pericarpium Viride) (stir-fried), Juhong (Citri Reticulatae Pericarpium Rubrum) 1 liang, Muxiang (Aucklandiae Radix) 5 qian, Qingfen (Calomelas) 1 qian.
Make into water pills.
Zhongjing’s Shizao Tang (Ten Jujube Decoction) is already extremely harsh and severe; this formula is even more severe and harsh. Even if both the physical form and righteous qi are substantial, how could it bear this? I believe these types of syndromes are entirely due to yin knotting, not yang obstruction. One should use formulas containing Fuzi (Aconiti Lateralis Radix Praeparata) and Rougui (Cinnamomi Cortex) combined with liver-soothing and water-draining agents. Such methods must absolutely not be used.
Qianghuo (Notopterygii Rhizoma et Radix), Qinjiao (Gentianae Macrophyllae Radix), Binglang (Arecae Semen), Dafupi (Tomentosae Citri Grandis Pericarpium), Fulingpi (Poria Cum Ramis), Jiaomu (Zanthoxyli Semen), Mutong (Akebiae Caulis), Zexie (Alismatis Rhizoma), Chixiaodou (Phaseoli Angularis Semen), Shanglu (Phytolaccae Radix) in equal parts.
Decoct with Jiangpi (Zingiberis Pericarpium).
Shuzao Yin (Drain-Deep Infusion), despite its auspicious name and slightly milder herbs compared to Zhouche Wan (Boat Cart Pill), yet I have seen those who consume Shanglu (Phytolaccae Radix) inevitably suffer from severe diarrhea. The chest and abdomen may temporarily expand, but bloating returns shortly after, leaving no hope for survival. Generally, if water pathogens exit through the anterior yin (urethra), life can be preserved; if they exit through the posterior yin (anus), death is certain. Students of medicine must be cautious!
Baizhu (Atractylodis Macrocephalae Rhizoma) (stir-fried in earth), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma) (stir-fried with honey), Houpo (Magnoliae Officinalis Cortex) (stir-fried with ginger juice), Muxiang (Aucklandiae Radix), Fuzi (Aconiti Lateralis Radix Praeparata), Dafupi (Tomentosae Citri Grandis Pericarpium), Caodoukou (Amomi Fructus Rotundus), Mugua Pian (Chaenomelis Fructum Slice), Heijiang (Zingiberis Rhizoma Nigrum).
Decoct with Shengjiang (Zingiberis Recens Rhizoma) and Dazao (Jujubae Fructus).
Under the indications, there are phrases describing "sallow complexion, short voice, no thirst, frequent urination and defecation," indicating that this syndrome is spleen-kidney deficiency-cold. One should use Xiangsha Liujun Zi Tang (Costus and Amomum Six Gentlemen Decoction) combined with formulas that warm the kidney and leach out dampness. If one merely engages in breaking qi and promoting diuresis, will not the sallow complexion become even more emaciated?