(《金匮》)
治风水恶风,一身悉肿,脉浮不渴,续自汗出,无大热者(经曰∶肝肾并沉为石水,并
浮为风水。水在皮肤,故脉浮;里无热,故不渴;病本于风,故汗出恶风;无大热者,热未
尽退也)
麻黄(六两) 石膏(八两) 生姜(三两) 甘草(二两) 大枣(十二枚。)恶风
者,加附子
此足太阳药也。风水在肌肤之间,用麻黄之辛热以泻肺,石膏之甘寒以清胃(肺主通调
水道,胃主分别水谷),甘草佐之,使风水从毛孔中出。又以姜枣为使,调和营卫,不使其
太发散耗津液也(胃为十二经之主,脾治水谷为卑脏,若婢;经曰∶脾主为胃行其津液。是
方名越婢者
(《金匮》)
治风水脉浮身重,汗出恶风解见前;及诸风诸湿,麻木身痛(按东垣曰∶麻木为风,三
尺童子皆知之,细核则有区别∶如久坐亦麻木,绳缚之人亦麻木,非有风邪,乃气不行也,
当补肺
防己 黄 (一两) 白术(七钱半) 甘草(五钱,炙。)每服五钱。加姜、枣煎。
腹痛加
盛加茯苓、苍术,
此足太阳、太阴药也。防己大辛苦寒,通行十二经,开窍泻湿,为治风肿水肿之主药;
黄生用达表,治风注肤痛,温分肉,实腠理;白术健脾燥湿,与黄 并能止汗,为臣;防
己性
也。
本方去白术、姜、枣,加茯苓为君、桂枝,名防己茯苓汤(《金匮》);治水在皮肤,四
肢聂聂而动,名皮水(防己行经络,茯苓善渗泄,黄 达皮肤,桂枝走肢节。按∶五水脉浮
恶风,骨节疼痛,名风水;脉浮 肿,按之没指,其腹如鼓,不恶风,不渴,名皮水,当发
其汗。又云∶恶寒不渴,名风水;不恶寒而渴,名皮水;假令皮水不渴,亦当发汗。脉沉迟,
自喘,名正水;脉沉,腹满不喘,水积胞中,坚满如石,名石水;脉沉迟,发热,胸满,身
肿,汗如柏汁,名黄汁)。本方加人参(一两)、生姜(二两),防己、白术各增三倍,名防
己汤(《活人》)∶治风温,脉浮,多汗身重(中风之脉,阳浮而滑,阴濡而溺,风来乘热,
变为风温,忌发汗;误汗者,以此汤救之)。
(From *Jingui Yaolue*)
Treats Wind-Water disease, characterized by aversion to wind, generalized edema, a floating pulse without thirst, continuous spontaneous sweating, and absence of significant heat on the body surface. (The classics state: When the Kidney and Liver pulses are both deep, it is Stone Water; when both are floating, it is Wind-Water. Water residing in the skin causes the floating pulse; absence of internal heat causes lack of thirst; the root cause being Wind leads to sweating and aversion to wind; "absence of significant heat" means the pathogenic heat has not fully subsided.)
Ephedrae Herba (Mahuang, 麻黄) [6 liang], Gypsum Fibrosum (Shigao, 石膏) [8 liang], Zingiberis Rhizoma Recens (Shengjiang, 生姜) [3 liang], Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [2 liang], Jujubae Fructus (Dazao, 大枣) [12 pieces]. If aversion to wind is prominent, add Aconiti Lateralis Radix Praeparata (Fuzi, 附子).
This formula acts on the Foot-Taiyang Bladder Meridian. Wind-Water pathogens reside between the skin and muscles; Ephedrae Herba's pungent and hot nature drains Lung Qi, while Gypsum Fibrosum's sweet and cold nature clears Stomach Heat (the Lung governs the unimpeded flow of water passages, and the Stomach distinguishes food and fluids). Glycyrrhizae Radix et Rhizoma serves as an assistant, enabling the Wind-Water pathogens to exit through the pores. Ginger and Jujube act as envoys to harmonize Ying and Wei (Nutritive and Defensive Qi), preventing excessive dispersion that would consume body fluids (The Stomach is the master of the twelve meridians; the Spleen processes food and fluids like a humble servant; the classics state: The Spleen transmits fluids for the Stomach. This formula is named Yuebi...)
(From *Jingui Yaolue*)
Treats Wind-Water disease with a floating pulse, heaviness of the body, sweating, and aversion to wind (symptoms explained previously); as well as numbness and body pain caused by various Wind and Dampness pathogens. (Note: Li Dongyuan stated that numbness is caused by Wind, a fact known even to children. However, upon close examination, distinctions exist: prolonged sitting causes numbness, and those bound by ropes also experience numbness; this is not due to Wind pathogens but rather stagnation of Qi, requiring supplementation of Lung Qi...)
Stephaniae Tetrandrae Radix (Fangji, 防己) and Astragali Radix (Huangqi, 黄芪) [each 1 liang], Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) [7.5 qian], Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [5 qian, honey-fried]. Take 5 qian per dose. Decoct with Ginger and Jujube.
If abdominal pain occurs, add...
If the pulse is vigorous, add Poria (Fuling, 茯苓) and Atractylodis Rhizoma (Cangzhu, 苍术)...
This formula acts on the Foot-Taiyang Bladder Meridian and Foot-Taiyin Spleen Meridian. Stephaniae Tetrandrae Radix is greatly bitter and acrid in flavor and cold in nature, circulating through the twelve meridians, opening orifices and draining Dampness; it is the primary herb for treating Wind-Edema and Water-Edema. Astragali Radix, used raw, reaches the exterior, treats pain from Wind stagnation in the skin, warms the muscle layer, and consolidates the interstices. Atractylodis Macrocephalae Rhizoma strengthens the Spleen and dries Dampness; combined with Astragali Radix, it can stop sweating, serving as the Deputy herb. Stephaniae Tetrandrae Radix's nature...
Removing Atractylodis Macrocephalae Rhizoma, Ginger, and Jujube from this formula, adding Poria as the Sovereign herb, and adding Cinnamomi Ramulus (Guizhi, 桂枝), it is named Fangji Fuling Tang (from *Jingui Yaolue*); it treats Water in the skin, where the four limbs tremble slightly, termed Pi-Shui (Skin Water). (Stephaniae Tetrandrae Radix circulates the collaterals, Poria facilitates seepage and excretion, Astragali Radix reaches the skin, and Cinnamomi Ramulus travels to the joints. Note: Among the five types of Water diseases, if the pulse is floating with aversion to wind and joint pain, it is Feng-Shui (Wind-Water); if the pulse shows swelling, depression upon pressure remains, the abdomen is drum-like, there is no aversion to wind or thirst, it is Pi-Shui (Skin Water), which requires inducing sweating. It is also said: Aversion to cold without thirst indicates Feng-Shui; no aversion to cold but with thirst indicates Pi-Shui; even if Pi-Shui presents without thirst, sweating should still be induced. A deep and slow pulse with spontaneous asthma indicates Zheng-Shui (Correct Water); a deep pulse with abdominal fullness but no asthma, with water accumulating in the bladder/uterus, hard and full like stone, indicates Shi-Shui (Stone Water); a deep and slow pulse with fever, chest fullness, generalized edema, and sweat resembling paulownia juice indicates Huang-Zhi (Yellow Sweat).) Adding Ginseng Radix (Renshen, 人参) [1 liang] and Zingiberis Rhizoma Recens (Shengjiang, 生姜) [2 liang], and tripling the dosage of Stephaniae Tetrandrae Radix and Atractylodis Macrocephalae Rhizoma, it is named Fangji Tang (from *Ren Shu*); it treats Wind-Warmth disease with a floating pulse, profuse sweating, and body heaviness (The pulse of Wind-Stroke is floating and slippery at the Yang position, and soft and weak at the Yin position; when Wind attacks with Heat, it transforms into Wind-Warmth, for which sweating methods are contraindicated; if sweating was mistakenly induced, this formula is used to rescue the patient).