【沉香海金砂丸】治一切聚积。散脾湿肿胀、肚大、青筋、羸瘦恶证。
沉香（二钱） 海金砂 轻粉（各一钱） 牵牛头末（一两）
上为末。研独头蒜如泥丸。如桐子大。每服五十丸。煎灯草汤送下。量虚实加减丸数。取利为
验。大便利止后服。
【海金砂散】治脾湿太过。遍身肿满不得卧。及腹胀如鼓。
牵牛（半生半熟） 白术（各一两） 甘遂（半两） 海金砂（三钱）
上为末。每服二钱。煎倒流水一盏调下。食前。待宣利。止后服。以上二方。系太医刘仲安传
。用之累累获效如神尤速。故录于此。
【续随子丸】治通身肿满。喘闷不快。
人参 木香 汉防己 赤茯苓（面蒸）
大槟榔 海金砂（各五钱。另研） 续随子（一两） 葶苈（四两。炒）
上为末。枣肉丸如桐子大。每服二十丸至三十丸。煎桑白皮汤送下。食前。
【圣灵丹】 治脾肺有湿。喘满肿盛。小便赤涩。
人参（去芦） 木香 汉防己 茯苓（寒食面煨）
槟榔 木通（各二钱。炒） 苦葶苈（半两炒）
上七味为末。枣肉和丸桐子大。每服三十丸。煎桑白皮汤送下。食前。
【赤茯苓丸】治脾湿太过。四肢肿满。腹胀喘逆。气不宣通。小便赤涩。
木香（半两） 赤茯苓（二两。一方一两） 防己（二两） 苦葶苈（四两。炒）
上为末。枣肉丸如桐子大。每服三十丸。煎桑白皮汤送下。食前。
【人参葶苈丸】治一切水肿。及喘满不可当者。
人参（一两。去芦） 苦葶苈（四两炒）
上为末。枣肉丸如桐子大。每服三十丸。煎桑白皮汤送下。食前。
【海藻散】治男子妇人通身虚肿。喘满闷不快。
海藻 大戟 锦纹大黄 续随子（去壳。各一两）
上锉碎。用好酒二盏。净碗内。浸一宿。取出晒干后用。
白牵牛（头末一两。生用） 桂府滑石（半两） 甘遂（麸炒黄。一两） 肉豆蔻（一
个）
青皮（去白） 陈皮（去白。各半两）
上共前药一处为细末。大人每服二钱。气实者三钱。平明冷茶清调下。至辰时取下水三二行。
肿减五七分。隔二三日平明又一服。肿消忌盐鱼肉百日。○小儿肿服一钱。五岁以下者半钱。妇人
有孕不可服。
【白丸子】治通身肿。及脾腹胀满。喘闷不快。小便赤涩。神效。
轻粉（半钱） 桂府滑石（研炒） 粉霜（研细炒。各四钱） 砂（研炒）
白丁香（杵如米。炒。真者） 寒水石（火烧。研细。各三钱）
上先将轻粉、滑石二味研匀。用油纸裹了。却更和白面作饼。再裹合药。用桑柴火烧。以熟为
度。取出。与前四味一处研匀。水浸。蒸饼搦干为丸。如绿豆大。第一日每服二丸。煎生姜汤送下
。食前。一日三服。第二日三丸三服。第三日四丸一服。第四日五丸亦三服。如觉小便多时。肿渐
减。便休服白丸子。如小便
未多。更服一日。至两服加作六丸做一服。一日亦三服。肿消为效。如服药至第三日。觉牙缝
内痒痛。口气恶。便用漱口药。
黄连（去须） 贯众（各等分）
上为散。每用一钱。水一盏。煎至七分。入龙脑少许搅匀。温漱之。每日煎一钱漱口。如肿消
。忌盐鱼肉、冷硬果食。只吃粥百日。永瘥。如脏腑秘涩气实人。先服治肿海藻散。此药亲用。救人
甚多。神效。
【除湿丹】治诸湿肿客搏。腰膝重痛。足胫浮肿。
乳香（研） 没药（研。各一两） 牵牛头末（半两） 槟榔
威灵仙 赤芍药 泽泻 葶苈
甘遂（各二两） 大戟（炒。三两） 陈皮（去白。四两）
上为末。糊丸如桐子大。每服五十丸至七八十丸。温水送下。食前。得更衣。止后服。如服药
前后。忌酒二日。湿面两三日。食后。温淡粥补胃尤佳。
【三花神佑丸】治中满腹胀。喘嗽淋 。一切水湿肿满。湿热肠垢沉积。变生疾病。久病
不已。黄瘦困倦。血气壅滞不宣通。或风热燥郁。肢体麻痹。走注疼痛。风痰咳嗽。头目旋运。疟
气不已。 瘕积聚。坚满痞闷。酒积食积。一切痰饮呕逆。湿热腹满实痛。并宜服之。
轻粉（一钱） 大黄（一两。为末） 牵牛（二两） 芫花（醋拌炒）
甘遂 大戟（各半两）
上为末。滴水丸如小豆大。初服五丸。每服加五丸。温水送下。无时。日三服。加至快利后。
却常服。病去为度。
【十枣汤】治太阳中风下痢。呕逆短气。不恶寒。 汗出。发作有时。头痛。心下痞硬
。引胁下痛。兼下水肿腹胀。并酒食积肠垢积滞。 癖坚积。蓄热暴痛。疟气久不已。或表之正气
与邪热。并甚于里。热极似阴。反寒战。表气入里。阳气极深。脉微而绝。并风热烦甚。结于下焦
。大小便不通。实热腰痛。
甘遂 芫花（慢火炒紫色。仲景与俗异。炒作熬。下凡言熬者同炒）
大戟（各等分）
上为末。水一大盏。枣十枚切开。煮取汁半盏。调半钱。人实更加一钱。量虚实加减。
【葶苈木香丸】 治水气通身虚肿。
人参 汉防己（各一两） 苦葶苈（炒。四两） 木香
槟榔 木通 白茯苓（去皮。面裹煨。各一两）
上为末。枣肉和丸如桐子大。每服三十丸。温水送下。食前。
【木香通气丸】导滞宽膈。塌肿进食。
南木香 茴香（各一两。炒） 槟榔（二两） 海金砂
破故纸（炒） 陈皮（去白。各四两） 牵牛（半斤。半生半熟）
上为末。清醋为丸。如桐子大。每服三十丸。熟水送下。食后。
【神秘汤】治病患不得卧。卧则喘。水气逆行。上乘于肺。肺得水而浮。使气不通流。脉
沉大。
白茯苓（去皮） 木香（各半两） 桑白皮 紫苏叶
橘皮（炒） 人参（各七钱）
上 咀。水三升。入生姜七钱。煎至一升半。去渣。分作五服。食后。
【消痞丸】治积湿热毒。甚者身体面目黄肿。心胁腹满。呕吐不能饮食。痿弱难以运动。
咽嗌不利。肢体焦。眩悸膈热。坐卧不宁。心火有余而妄行。上为咳血、衄血。下为大小便血、肠
风、痔漏。三焦壅滞 塞。热中消渴。传化失常。小儿疳积热。
木香 官桂（各一分） 青黛 牵牛
黄连 黄芩（各一两） 大黄 黄柏
葛根 栀子 薄荷 藿香
茴香（炒） 浓朴（各半两）
上为末。滴水丸如桐子大。每服二十丸。温水送下。食前。
【无碍丸】治脾病横流。四肢肿满。
木香（半两） 蓬莪术（炮） 京三棱（炮） 槟榔（生）
郁李仁（汤泡去皮。各一两） 大腹皮（二两）
上六味为末。炒麦 杵为粉。煮糊丸如桐子大。每服二十丸。生姜汤送下。无时。
【香苏散】治水气虚肿。小便赤涩。
陈皮（去白。一两） 防己 木通 紫苏叶（各半两）
上四味为末。每服二钱。水二盏。生姜三片。煎至一盏。去渣。温服。食前。
【五皮饮】治他病瘥后。或久痢之后。身体面目四肢浮肿。小便不利。脉虚而大。此由
脾肺虚弱。不能营运诸气。诸气不理。散漫于皮肤肌腠之间。故令肿满也。
大腹皮 生姜皮 赤茯苓皮 桑白皮
陈皮（各等分）
上 咀。每服五钱水一盏。煎至八分。去渣。温服。无时。日二服。此方异于局方。载中藏经
。
【牡蛎泽泻散】治脾胃气虚。不能制纳肾水。水溢下焦。腰以下有肿也。○金匮要略曰。
腰以下有肿。当利小便。
牡蛎（炒） 泽泻 蜀漆（洗去腥） 葶苈（炒）
栝蒌根 商陆根 海藻（以上各等分）
上七味异捣。筛为散。更入臼中制之。自饮和服方寸匕。小便利止。后服。
内经云。咸味涌泄。牡蛎、泽泻、海藻之咸。以泻水气。湿淫于内。平以苦。佐以酸辛。以苦
泻之。蜀漆、葶苈、商陆、栝蒌之酸辛与苦以导肿。利小便以散水。
[Chenxiang Haijinsha Wan (Agarwood and Goldsand Pill)] Treats various accumulations and masses. It dissipates swelling caused by Spleen dampness, abdominal distension with large belly, visible subcutaneous veins on the abdomen, and emaciation in critical conditions.
Agarwood (2 qian), Goldsand (1 qian), Calomelas (1 qian), Semen Persicae head powder (1 liang).
Grind the above into fine powder. Mash a single-clove garlic into a paste and mix with the powder to make pills the size of Sophora japonica seeds. Take 50 pills each time, delivered with Decoction of Juncus effusus (Rush Pith). Adjust the number of pills according to the patient's deficiency or excess. The effect is verified when bowel movement occurs. Stop taking the medicine after normal bowel movements are restored.
[Haijinsha San (Goldsand Powder)] Treats excessive Spleen dampness causing generalized edema preventing lying down, and abdominal distension like a drum.
Semen Persicae (half raw, half cooked), Atractylodis Rhizoma (1 liang each), Kansui Radix (0.5 liang), Goldsand (3 qian).
Grind the above into fine powder. Take 2 qian each time, mixed with one cup of "Dao Liu Shui" (flowing water). Take before meals. Stop taking after bowel movement occurs. The above two prescriptions were passed down by Imperial Physician Liu Zhongan. They have been used repeatedly with miraculous and rapid effects, so they are recorded here.
[Xuisui Zi Wan (Euphorbia Lathyris Pill)] Treats generalized edema, asthma, chest fullness, and discomfort.
Ginseng Radix et Rhizoma, Costi Rhizoma, Stephaniae Tetrandrae Radix, Red Poria Cocos (steamed with flour).
Areca Seed, Goldsand (5 qian each, ground separately), Euphorbiae Lathyridis Radix (1 liang), Descurainiae Semen (4 liang, stir-fried).
Grind the above into fine powder, mix with date flesh to make pills the size of Sophora japonica seeds. Take 20-30 pills each time, delivered with Decoction of Mori Cortex. Take before meals.
[Shengling Dan (Holy Spirit Pill)] Treats dampness in the Spleen and Lung, asthma, chest fullness, severe edema, and scanty, dark, painful urination.
Ginseng Radix et Rhizoma (remove rhizome), Costi Rhizoma, Stephaniae Tetrandrae Radix, Poria Cocos (baked with cold food flour).
Areca Seed, Akebia Caulis (2 qian each, stir-fried), Bitter Descurainiae Semen (0.5 liang, stir-fried).
Grind the above seven herbs into fine powder, mix with date flesh to make pills the size of Sophora japonica seeds. Take 30 pills each time, delivered with Decoction of Mori Cortex. Take before meals.
[Chi Fuling Wan (Red Poria Pill)] Treats excessive Spleen dampness causing edema and fullness in the four limbs, abdominal distension, asthma, and rebellious Qi, obstructed Qi mechanism, and scanty, dark, painful urination.
Costi Rhizoma (0.5 liang), Red Poria Cocos (2 liang, another version says 1 liang), Stephaniae Tetrandrae Radix (2 liang), Bitter Descurainiae Semen (4 liang, stir-fried).
Grind the above into fine powder, mix with date flesh to make pills the size of Sophora japonica seeds. Take 30 pills each time, delivered with Decoction of Mori Cortex. Take before meals.
[Renshen Tingli Wan (Ginseng and Descurainia Pill)] Treats all types of edema and unbearable asthma and chest fullness.
Ginseng Radix et Rhizoma (1 liang, remove rhizome), Bitter Descurainiae Semen (4 liang, stir-fried).
Grind the above into fine powder, mix with date flesh to make pills the size of Sophora japonica seeds. Take 30 pills each time, delivered with Decoction of Mori Cortex. Take before meals.
[Zaohai San (Seaweed Powder)] Treats generalized deficiency edema in men and women, asthma, chest fullness, and stifling discomfort.
Hijiki Seaweed, Kansui Radix, Rheum Palmatum (Jinwen variety), Euphorbiae Lathyridis Radix (remove shell, 1 liang each).
Chop the above ingredients finely. Soak in two cups of good wine in a clean bowl overnight. Remove and dry in the sun for later use.
White Semen Persicae (head powder 1 liang, raw), Guifu Talcum (0.5 liang), Kansui Radix (bran-stir-fried until yellow, 1 liang), Myristicae Semen (one piece).
Citri Reticulatae Pericarpium Viride (remove white pith), Citri Reticulatae Pericarpium (remove white pith, 0.5 liang each).
Grind the above together with the previously prepared herbs into fine powder. Adults take 2 qian each time, those with excess Qi take 3 qian. Mix with clear cold tea at dawn. By Chen hour (7-9 AM), pass watery stool two or three times, reducing edema by five to seven tenths. Take another dose at dawn every two or three days until edema subsides. Avoid salt, fish, and meat for 100 days. ○ For children with edema, take 1 qian; for those under five years old, take 0.5 qian. Pregnant women must not take this.
[Bai Wanzi (White Pills)] Treats generalized edema, Spleen and stomach abdominal distension, asthma, stifling discomfort, and scanty, dark, painful urination. Extremely effective.
Calomelas (0.5 qian), Guifu Talcum (ground and stir-fried), Sublimated Arsenic (ground fine and stir-fried, 4 qian each), Sand (ground and stir-fried).
Bai Dingxiang (pounded like rice grains, stir-fried, authentic), Calcitum (burned, ground fine, 3 qian each).
First, grind Calomelas and Talcum evenly. Wrap them in oil paper. Then mix with wheat flour to make a cake, wrap the medicine again, and roast over mulberry wood fire until cooked. Remove, mix with the previous four herbs evenly. Moisten with water, knead steamed bread dough until dry, and make pills the size of mung beans. Day 1: Take 2 pills each time, delivered with Ginger Decoction. Before meals, three times a day. Day 2: Take 3 pills, divided into three doses. Day 3: Take 4 pills, one dose. Day 4: Take 5 pills, divided into three doses. If urine increases and edema gradually decreases, stop taking Bai Wanzi. If urine does not increase, take for one more day, increasing to 6 pills per dose, three times a day. Effective when edema subsides. If on the third day, itching and pain occur in the gum crevices and bad breath appears, use mouthwash.
Coptidis Rhizoma (remove stamens), Cyathulae Root (equal parts).
Grind into powder. Use 1 qian each time, add one cup of water, decoct to 0.7 cup, add a little borneol, stir well, and rinse mouth warmly. Decoct 1 qian daily for rinsing. Once edema subsides, avoid salt, fish, meat, cold hard fruits. Only eat congee for 100 days for complete cure. For patients with constipation and excess Qi, first take Zaohai San for edema. This medicine has been personally used and saved many people with miraculous effects.
[Chushi Dan (Dampness-Removing Pill)] Treats various dampness pathogens attacking and binding, heavy and painful waist and knees, and swollen lower legs.
Frankincense (ground), Myrrh (ground, 1 liang each), Semen Persicae head powder (0.5 liang), Areca Seed.
Salviae Miltiorrhizae Radix et Rhizoma, Achyranthis Bidentatae Radix, Alismatis Rhizoma, Descurainiae Semen.
Kansui Radix (2 liang each), Kansui Radix (stir-fried, 3 liang), Citri Reticulatae Pericarpium (remove white pith, 4 liang).
Grind into fine powder, make pills with paste the size of Sophora japonica seeds. Take 50-80 pills each time, delivered with warm water. Before meals. Change clothes afterwards. Stop taking. Avoid alcohol for two days before and after taking the medicine, and wet noodles for two to three days. Warm light congee after meals is best for nourishing the Stomach.
[Sanhua Shenyao Wan (Three-Flower Divine Protection Pill)] Treats middle jiao fullness and abdominal distension, asthma, cough, strangury, all water-dampness edema, accumulation of damp-heat intestinal filth, resulting diseases. Chronic illness not resolving, sallow and thin, fatigue, stagnation of Qi and Blood not flowing freely, or wind-heat dryness oppression, limb numbness, migrating pain, wind-phlegm cough, dizziness, persistent malaria, mass accumulations, hardness and fullness, alcoholic and food stagnation, all phlegm-fluid vomiting and rebellion, damp-heat abdominal fullness and solid pain. All are suitable for taking this.
Calomelas (1 qian), Rhubarb (1 liang, powder), Semen Persicae (2 liang), Genkwa Flos (vinegar-stir-fried).
Kansui Radix, Kansui Radix (0.5 liang each).
Grind into fine powder, add drops of water to make pills the size of small beans. Initial dose 5 pills, increase by 5 pills each time, delivered with warm water, any time, three times a day. Increase until rapid purgation, then maintain regular dosage. Stop when disease is cured.
[Shizao Tang (Ten Date Decoction)] Treats Taiyang Wind-strike with diarrhea, vomiting, rebellious Qi, shortness of breath, no aversion to cold, sweating, paroxysmal attacks, headache, epigastric hardness and fullness, pain radiating to hypochondrium, accompanied by water edema and abdominal distension, as well as wine and food stagnation, fixed masses, hard accumulations, sudden heat pain, persistent malaria, or exterior righteous Qi and pathogenic heat both abundant in the interior, extreme heat resembling Yin, chills, exterior Qi entering interior, extreme deep Yang, faint and nearly absent pulse, severe wind-heat irritability, knotting in Lower Jiao, obstruction of urination and defecation, solid-heat lumbar pain.
Kansui Radix, Genkwa Flos (slow-fire stir-fry until purple color; Zhang Zhongjing's method differs from common practice; stir-frying is equivalent to 'ao' [roasting]; where 'ao' is mentioned below, it means stir-frying).
Kansui Radix (equal parts).
Grind into fine powder. Add one large cup of water, ten dates cut open, decoct to obtain half a cup of juice. Mix with half a qian of powder. For robust individuals, add one qian. Adjust according to deficiency or excess.
[Tingli Muxiang Wan (Descurainia and Costus Pill)] Treats generalized deficiency edema due to water Qi.
Ginseng Radix et Rhizoma, Stephaniae Tetrandrae Radix (1 liang each), Bitter Descurainiae Semen (stir-fried, 4 liang), Costi Rhizoma.
Areca Seed, Akebia Caulis, White Poria Cocos (remove skin, wrapped in flour and baked, 1 liang each).
Grind into fine powder, mix with date flesh to make pills the size of Sophora japonica seeds. Take 30 pills each time, delivered with warm water. Before meals.
[Muxiang Tongqi Wan (Costus Qi-Circulating Pill)] Guides stagnation, widens the diaphragm, reduces edema, and promotes appetite.
Southern Costi Rhizoma, Fennel Fruit (1 liang each, stir-fried), Areca Seed (2 liang), Goldsand.
Cibotii Rhizoma (stir-fried), Citri Reticulatae Pericarpium (remove white pith, 4 liang each), Semen Persicae (0.5 jin, half raw half cooked).
Grind into fine powder, make pills with clear vinegar the size of Sophora japonica seeds. Take 30 pills each time, delivered with boiled water. After meals.
[Shenmi Tang (Mysterious Soup)] Treats inability to lie flat, wheezing when lying down, rebellious Water Qi ascending to the Lung, Lung floating due to water, obstructed Qi flow, deep and large pulse.
White Poria Cocos (remove skin), Costi Rhizoma (0.5 liang each), Mori Cortex, Perilla Leaf.
Tangerine Peel (stir-fried), Ginseng Radix et Rhizoma (7 qian each).
Cut into pieces. Add three sheng of water and 7 qian of fresh ginger. Decoct to one and a half sheng. Strain. Divide into five doses. Take after meals.
[Xiaopi Wan (Eliminate Epigastrium Pill)] Treats accumulated damp-heat toxins. Severe cases present with yellow and swollen face and body, epigastric and hypochondriac abdominal fullness, vomiting, inability to eat, weakness difficult to move, throat obstruction, dry limbs, dizziness, palpitations, diaphragmatic heat, restlessness sitting or lying, excess Heart Fire wandering upwards causing hemoptysis and epistaxis, downwards causing blood in stool and urine, intestinal wind, hemorrhoids and fistulas, Triple Burner obstruction, internal heat with thirst, abnormal digestion and transformation, pediatric malnutrition heat.
Costi Rhizoma, Cassia Twig (1 fen each), Indigo Naturalis, Semen Persicae.
Coptidis Rhizoma, Scutellariae Radix (1 liang each), Rhubarb, Phellodendri Cortex.
Puerariae Radix, Gardeniae Fructus, Menthae Haplocalycis Herba, Agastache Herba.
Fennel Fruit (stir-fried), Magnoliae Officinalis Cortex (0.5 liang each).
Grind into fine powder, add drops of water to make pills the size of Sophora japonica seeds. Take 20 pills each time, delivered with warm water. Before meals.
[Wu'ai Wan (Harmless Pill)] Treats Spleen disease spreading horizontally, edema and fullness in the four limbs.
Costi Rhizoma (0.5 liang), Curcuma Zedoaria (processed), Burret Jasmine (processed), Areca Seed (raw).
Prunus Armeniaca Kernel (soaked in water, peel removed, 1 liang each), Areca Stem Bark (2 liang).
Grind the above six herbs into fine powder. Stir-fry wheat, pound into powder, boil paste to make pills the size of Sophora japonica seeds. Take 20 pills each time, delivered with Ginger Decoction, any time.
[Xiangsu San (Perilla Powder)] Treats water Qi deficiency edema, scanty, dark, painful urination.
Citri Reticulatae Pericarpium (remove white pith, 1 liang), Stephaniae Tetrandrae Radix, Akebia Caulis, Perilla Leaf (0.5 liang each).
Grind the above four herbs into fine powder. Take 2 qian each time, add two cups of water and three slices of fresh ginger. Decoct to one cup. Strain. Take warm. Before meals.
[Wupi Yin (Five Peel Drink)] Treats edema of body, face, and four limbs after recovery from other diseases or chronic dysentery, difficulty in urination, deficient and large pulse. This is due to Spleen and Lung deficiency failing to circulate Qi, leading to chaotic Qi scattering between skin and muscle interstices, causing edema.
Areca Stem Bark, Fresh Ginger Skin, Red Poria Skin, Mori Cortex.
Citri Reticulatae Pericarpium (equal parts).
Cut into pieces. Take 5 qian each time, add one cup of water. Decoct to 0.8 cup. Strain. Take warm, any time, twice a day. This prescription differs from the Bureau Formula and is recorded in *Zhongzang Jing*.
[Muli Zeie San (Oyster and Alisma Powder)] Treats Spleen and Stomach Qi deficiency failing to control Kidney Water, water overflowing to Lower Jiao, edema below the waist. ○ *Jingui Yaolue* states: For edema below the waist, promote urination.
Oyster Shell (stir-fried), Alisma Rhizome, Schizonepetae Spica (wash to remove fishy smell), Descurainiae Semen (stir-fried).
Trichosanthis Radix, Phytolaccae Radix, Hijiki Seaweed (equal parts above).
Grind the above seven herbs separately, sieve into powder, then pound in mortar. Mix with plain water and take one cun bi (square inch spoonful). Stop taking when urination becomes free.
*Neijing* states: Salty taste induces vomiting and purging. The salty nature of Oyster Shell, Alisma, and Hijiki Seaweed drains water Qi. Dampness flooding internally is flattened with bitter taste, assisted by sour and pungent tastes. Bitter taste drains it. The sour, pungent, and bitter nature of Schizonepetae Spica, Descurainiae Semen, Phytolaccae Radix, and Trichosanthis Radix guides reduction of edema. Promoting urination disperses water.