【除湿利小便】 必用白术主寒湿痹，除湿益燥，止下泄，利小便。） 苍术（上中下湿俱
治，发汗除上焦湿功最大，又益水。炒佐黄柏行下焦湿。） 车前子（利水道，除湿痹。） 通
草（治五淋，利小便。） 泽泻（除湿行水最要药。） 猪苓（除湿利水治肿胀，从脚上至小腹
大燥，亡津液。） 茯苓（利小便水肿淋结，除湿行水之圣药。） 琥珀（利小便，通五淋。）
枳壳（逐水消胀。） 枳实（逐停水，消胀满） 浓朴（温中散气，除湿满。） 大腹皮（下气行
湿。） 郁李仁（主大腹、面目四肢浮肿，利小便。） 百合（邪气腹胀，利大小便，除四肢肿。）
葶苈（利水道，治皮间邪水，上出面目浮肿，虚者禁之。） 紫草（主心腹气，五疽，利九窍，通水道，
腹肿胀满。） 甘遂（主腹满、面目浮肿，水结胸中，专行水，攻决为用。） 海藻（下十二水肿。）
昆布（同上。） 大戟（主十二水肿胀。） 泽泻（主水气，四肢面目浮肿。） 荛花（下十二水。）
芫花（主水肿胀。） 商陆（主水胀满。） 牵牛（治香港脚满水肿。） 冬葵子（治淋，利小便。）
根（同。） 蜀葵花（治淋潦水肿。） 赤小豆（主下水，止泻、利小便，治香港脚大腹水） 瓜蒂
（主大水，面目四肢浮肿。） 牯牛溺（主水肿腹胀，脚满，利小便。） 笔头灰（主小便不通，
阴肿淋沥。） 白鸭（主浮肿。） 蝼蛄（主十二水病，脾满小便不利。） 白颈蚯蚓（主大腹黄
疸，下注香港脚。） 蠡鱼（主湿痹，面目浮肿，下大水。）
【脾经湿热】 必用黄连（除脾胃中湿热，大抵苦寒之药皆能泻湿热。） 黄芩（治胃中湿
热。） 连翘（降脾胃中湿热。） 草龙胆（治下焦湿热。） 防己（治腹以下至足湿热，肿香港脚，
利大小便。） 子（主腹中水气肿胀留热。） 地肤子（主膀胱，利小便。） 茵陈蒿（主风
湿寒热邪气，热肿香港脚，利大小便。） 知母（除
肢体浮肿，下水。） 地骨皮（主风湿周痹。） 栀子（治小便赤涩不利，湿热发黄。） 黄柏（治
膀胱湿热，清小便。） 香薷（治伤暑，利小便，散水肿，治水甚捷。） 桦木皮（主诸黄胆。）
韭（去水气。） 桑白皮（去肺中水气，浮肿腹痛，利水道。） 滑石（利小水，燥湿，实六腑，降痰火。）
文蛤（燥风湿。） 桑螵蛸（通五淋，利小便水道。） 石龙子（破石淋，下小便。） 鼠妇
（主气癃，利小便。） 豆豉（主湿热发黄。）
【诸寒湿药】 必用菖蒲（主见风寒湿痹，四肢不得屈伸。） 薏苡仁（主风湿痹，筋骨
邪气不仁，利肠消水肿。） 川芎（开郁燥湿。） 羌活（主湿、湿风。） 独活（治两足寒湿
痹，不能动止。） 耳（主风湿周痹，四肢拘挛。） 防风（去湿。诸风药俱可治湿，风能
胜湿也。湿在上者，宜风药以散之，在下者，宜淡渗药以利之，又风药能去肌表上虚湿。） 本
（治上焦头目湿气，中雾露之气，此既治风又治湿也。） 秦艽（主寒湿风痹，下水利小便，治五
种黄病。） 狗脊（治周痹，寒湿膝痛。） 威灵仙（主诸风湿冷，脚疾不能履。） 白鲜皮
（主黄胆、淋沥、湿痹，死肌不可屈伸起止。） 侧子（主湿痹，疗香港脚。） 半夏（燥脾胃之
湿所以化痰。） 萆 （主风寒湿，周痹，腰背痛。） 干姜（逐风痹湿。） 香子（主干湿
香港脚。） 蛇床子（主四肢顽痹，阴汗湿痒。） 槐枝（洗阴囊下湿气痒。） 松节（酒浸服，
主脚痹软弱，能燥血中之湿。） 实（除风湿痹，腰中重痛。） 叶（亦主湿痹。） 五加皮（主
男子阴痿、囊湿、腰痛、脚痹。） 木瓜实（主香港脚水肿湿痹。） 杜仲（除阴下湿痒。） 蔓荆子
（主湿痹拘挛。） 秦皮（主风寒湿痹。） 杉材（浸洗香港脚肿满。） 吴茱萸（除湿痹及下焦
寒湿疝痛。） 蜀椒（去寒湿痹痛。） 钓樟根皮（治贲豚香港脚水肿腹胀。） 荆芥（除湿痹。）
蓼实（下水气，面目浮肿。） 紫苏（治心腹胀满，止香港脚，通大小肠。） 鸡头实（主湿痹
腰脊膝痛。） 生大豆（逐水胀，去肿除痹。） 大豆黄卷（主湿痹筋挛腰痛。） 白石英（除风
湿痹，利小便。） 五色石脂（主黄胆泄利。） 阳起石（治阴寒，囊湿痒。） 龙骨（泄利。）
[Dispelling Dampness and Promoting Urination] Bai Zhu (Atractylodis Rhizoma) must be used for Cold-Damp Bi syndrome; it dispels dampness, enhances dryness, stops diarrhea, and promotes urination. Cang Zhu (Atractylodis Rhizoma) treats dampness in the Upper, Middle, and Lower Jiao; its ability to induce sweating to eliminate Upper Jiao dampness is greatest, and it also benefits water metabolism. When stir-fried and combined with Huang Bo (Phellodendri Cortex), it moves dampness in the Lower Jiao. Che Qian Zi (Plantaginis Semen) promotes the water passages and dispels dampness-Bi. Tong Cao (Tetrapanacis Medulla) treats the five types of Lin syndrome and promotes urination. Ze Xie (Alismatis Rhizoma) is the most important herb for dispelling dampness and promoting water metabolism. Zhu Ling (Polyporus) dispels dampness and promotes urination to treat swelling; it is very drying from the feet to the lower abdomen and may deplete body fluids. Fu Ling (Poria) promotes urination to treat edema and Lin syndrome with stagnation; it is a holy medicine for dispelling dampness and promoting water metabolism. Hu Po (Fossilized Amber) promotes urination and treats the five types of Lin syndrome. Zhi Ke (Aurantii Fructus) expels water and reduces distension. Zhi Shi (Aurantii Fructus Immaturus) expels stagnant water and reduces fullness. Hou Po (Magnoliae Officinalis Cortex) warms the middle, disperses Qi, and dispels dampness-induced fullness. Da Fu Pi (Arecae Pericarpium) directs Qi downward and moves dampness. Yu Li Ren (Pruni Semen) mainly treats abdominal, facial, and limb edema and promotes urination. Bai He (Lilii Bulbus) treats abdominal distension caused by pathogenic factors, promotes bowel and bladder movements, and eliminates limb swelling. Ting Li (Semen Lepidii seu Descurainiae) promotes water passages, treats pathological water in the skin causing facial edema, and is contraindicated in deficiency cases. Zi Cao (Arnebiae Radix et Rhizoma or Lithospermi Radix) treats Qi stagnation in the heart and abdomen, five types of Jaundice, opens the nine orifices, unblocks water passages, and treats abdominal swelling and fullness. Gan Sui (Kansui Radix) treats abdominal fullness, facial edema, and water accumulation in the chest; it specializes in moving water and acts through aggressive purgation. Hai Zao (Sargassum) eliminates twelve types of edema. Kun Bu (Laminariae Thallus) has the same effect as above. Da Ji (Euphorbiae Pekinensis Radix) treats twelve types of edematous distension. Ze Xie (Alismatis Rhizoma) treats Water Qi, causing edema of the limbs and face. Rao Hua (Adenophorae Radix) eliminates twelve types of water retention. Yuan Hua (Genkwa Flos) treats edema and distension. Shang Lu (Phytolaccae Radix) treats water distension and fullness. Qian Niu (Pharbitidis Semen) treats Hong Kong Foot (Gout/Podagra) and generalized edema. Dong Kui Zi (Abutilonis Semen) treats Lin syndrome and promotes urination. [Missing Character] Gen (Root) has the same effect. Shu Ju Hui Hua (Hibisci Mutabilis Flos) treats Lin syndrome and edema. Chi Xiao Dou (Phaseoli Semen Rubrum) promotes water elimination, stops diarrhea, promotes urination, and treats Hong Kong Foot and abdominal water retention. Gua Di (Cucumeritis Fructus) treats severe water retention and edema of the face and limbs. Gu Niu Ni (Bubali Lac) treats edema and abdominal distension, leg fullness, and promotes urination. Bi Tou Hui (Ash of Brush Tip) treats urinary obstruction, Yin swelling, and dribbling. Bai Ya (Anas Platyrynchos) treats edema. Lou Gu (Myrmecocystus) treats twelve types of water diseases, spleen fullness, and difficult urination. Bai Jing Wan Niu (Earthworm) treats large abdominal Jaundice and downward flow to Hong Kong Foot. Li Yu (Fish) treats dampness-Bi, facial edema, and downward expulsion of excess water.
[Damp-Heat in the Spleen Meridian] Huang Lian (Coptidis Rhizoma) must be used to clear Damp-Heat in the Spleen and Stomach; generally, bitter-cold herbs can purge Damp-Heat. Huang Qin (Scutellariae Radix) treats Damp-Heat in the Stomach. Lian Qiao (Forsythiae Fructus) descends Damp-Heat in the Spleen and Stomach. Cao Long Dan (Gentianae Radix) treats Damp-Heat in the Lower Jiao. Fang Ji (Stephaniae Tetrandrae Radix) treats Damp-Heat from below the abdomen to the feet, swelling, Hong Kong Foot, and promotes bowel and bladder movements. [Missing Character] Zi (Seed) treats abdominal water Qi, swelling, and retained heat. Di Fu Zi (Kochiae Fructus) treats the Bladder and promotes urination. Yin Chen Hao (Artemisiae Scopariae Herba) treats Wind-Damp-Cold-Heat pathogenic factors, hot swelling, Hong Kong Foot, and promotes bowel and bladder movements. Zhi Mu (Anemarrhenae Rhizoma) eliminates limb edema and drains water. Di Gu Pi (Lycii Cortex) treats Wind-Damp generalized Bi. Zhi Zi (Gardeniae Fructus) treats red, scanty, and difficult urination, and Damp-Heat Jaundice. Huang Bo (Phellodendri Cortex) treats Bladder Damp-Heat and clears urine. Xiang Ru (Moslae Herba) treats Summerheat injury, promotes urination, dissipates edema, and is very effective for treating water disorders. Hua Mu Pi (Betulae Cortex) treats various types of Jaundice. Jiu (Allii Fistulosi Bulbus) removes Water Qi. Sang Bai Pi (Mori Cortex) removes Lung Water Qi, treats edema and abdominal pain, and promotes water passages. Hua Shi (Talcum) promotes urination, dries dampness, solidifies the Six Fu organs, and descends Phlegm-Fire. Wen Ge (Concha Meretricis) dries Wind-Damp. Sang Piao Xiao (Ovi Mantisidis Ootheca) treats the five types of Lin syndrome and promotes the water passages of urination. Shi Long Zi (Shinisauri Cauda) breaks Stone Lin and promotes urination. Shu Fu (Crab) treats Qi strangury and promotes urination. Dou Chi (Sojae Semen Preparatum) treats Damp-Heat Jaundice.
[Various Cold-Damp Herbs] Shi Chang Pu (Acori Tatarinowii Rhizoma) must be used for Bi syndrome caused by Wind-Cold-Damp, where the limbs cannot flex or extend. Yi Yi Ren (Coicis Semen) treats Wind-Damp Bi, insensibility due to pathogenic factors in sinews and bones, promotes intestinal movement, and eliminates edema. Chuan Xiong (Ligustici Chuanxiong Rhizoma) resolves depression and dries dampness. Qiang Huo (Notopterygii Rhizoma et Radix) treats Dampness and Damp-Wind. Du Huo (Angelicae Pubescentis Radix) treats Cold-Damp Bi in both legs, preventing movement. [Missing Character] Er (Ear) treats Wind-Damp generalized Bi and limb contracture. Fang Feng (Saposhnikoviae Radix) removes dampness. All Wind herbs can treat dampness because Wind overcomes Dampness. For dampness in the upper part, Wind herbs should be used to disperse it; for dampness in the lower part, bland-draining herbs should be used to promote it. Additionally, Wind herbs can remove deficient dampness on the muscle surface. Ben Cao (Ligustici Wallichii Rhizoma) treats dampness in the Upper Jiao head and eyes, and misty-damp air in the middle; this herb treats both Wind and Dampness. Qin Jiao (Gentianae Macrophyllae Radix) treats Cold-Damp Wind Bi, promotes water flow and urination, and treats five types of Jaundice. Gou Ji (Cibotii Rhizoma) treats generalized Bi and Cold-Damp knee pain. Wei Ling Xian (Clematidis Radix) treats various Wind-Damp-Cold conditions and foot ailments that prevent walking. Bai Xian Pi (Dictamni Cortex) treats Jaundice, dribbling, dampness-Bi, and stiff muscles that cannot flex or extend. Ci Zi (Aconiti Lateralis Radix Praeparata) treats dampness-Bi and Hong Kong Foot. Ban Xia (Pinelliae Rhizoma) dries Spleen-Stomach dampness, thereby resolving Phlegm. Bi Xie (Dioscoreae Hypoglaucae Rhizoma) treats Wind-Cold-Damp, generalized Bi, and lower back pain. Gan Jiang (Zingiberis Rhizoma) expels Wind-Bi and Dampness. [Missing Character] Zi (Seed) mainly treats Dry-Damp Hong Kong Foot. She Chuang Zi (Cnidii Fructus) treats stubborn Bi in the limbs and sweaty, itchy Yin area. Huai Zhi (Stigma Platycladi) washes the scrotum for dampness and itching. Song Jie (Taxilli Ramulus) taken with wine treats foot Bi and weakness, drying dampness in the blood. [Missing Character] Shi (Fruit) removes Wind-Damp Bi and heavy pain in the waist. [Missing Character] Ye (Leaf) also treats dampness-Bi. Wu Jia Pi (Acanthopanacis Cortex) treats male impotence, scrotal dampness, lower back pain, and foot Bi. Mu Gua (Chaenomelis Fructus) treats Hong Kong Foot edema and dampness-Bi. Du Zhong (Eucommiae Cortex) eliminates dampness and itching in the Yin area. Man Jing Zi (Vitalbae Flos) treats dampness-Bi with contracture. Qin Pi (Fraxini Cortex) treats Wind-Cold-Damp Bi. Shan Cai (Cedri Lignum) soaked and washed for Hong Kong Foot swelling and fullness. Wu Zhu Yu (Evodiae Fructus) dispels dampness-Bi and Cold-Damp Hernia pain in the Lower Jiao. Shu Jiao (Zanthoxyli Pericarpium) removes Cold-Damp Bi pain. Diao Zhang Gen Pi (Root Bark of Lindera Root) treats Ben Tun (Rushing Qi) Hong Kong Foot, edema, and abdominal distension. Jing Jie (Schizonepetae Spica) dispels dampness-Bi. Liao Shi (Polygoni Orientalis Fructus) drains Water Qi and causes facial edema. Zi Su (Perillae Fructus) treats Heart and abdominal fullness, stops Hong Kong Foot, and unblocks the Large and Small Intestines. Ji Tou Shi (Echinochloae Fructus) treats dampness-Bi with lumbar, spinal, and knee pain. Sheng Da Dou (Glycine Max Seed) expels water distension, reduces swelling, and removes Bi. Da Dou Huang Juan (Glycine Max Germinatus) treats dampness-Bi, sinew contracture, and lower back pain. Bai Shi Ying (Quartzum Album) removes Wind-Damp Bi and promotes urination. Wu Se Shi Zhi (Kaolin) treats Jaundice and diarrhea. Yang Qi Shi (Actinolite) treats Yin Cold and scrotal dampness/itching. Long Gu (Os Draconis et Mammutis) treats diarrhea.