兰女 十四岁 脉数，水气由面肿至足心。经谓病始于上而盛于下者，先治其上，后治
其下。议腰以上肿当发汗例，越婢加术汤法。
麻黄（五钱，去节） 杏泥（五钱） 炙甘草（一钱） 白术（三钱） 石膏（六钱） 桂枝（三
钱）
水五杯，煮取两杯，先服一杯，得汗即止，不汗再服。
二十三日
麻黄（三钱，去节） 生石膏（八钱） 杏泥（五钱） 炙甘草（二钱） 桂枝（二钱） 生姜（
三片） 大枣（二枚，去核） 桂枝（八钱） 良姜（三钱） 老川朴（三钱） 广皮（二钱）
水八碗，煮取三碗，再煮一碗，四次服，以小便利为度。
初九日 肿胀胸痞，用半夏泻心汤法，俟痞愈再服前方。
半夏 干姜 山连 生姜 黄芩
二十六日 前因中焦停饮咳嗽，转用温药，今虽饮咳见效，小便究未畅行，脉之沉部洪
较有力，症本湿中生热，又有酒毒，仍凉利小便之苦辛淡法。
杏仁（四钱） 飞滑石（六钱） 云苓皮（五钱） 白通草（一钱） 晚蚕砂（三钱） 黄柏炭（
二钱） 桑皮（三钱） 生苡仁（四钱） 海金砂（五钱） 白蔻仁（钱半） 半夏（二钱）
二十八日 风水已愈其半，复感风寒，身热头痛虽减，身半以上复肿，口渴，浮脉数，
仍与越婢加术法。
麻黄（五钱，去节） 杏仁（五钱） 生石膏末（二两） 桂枝（三钱） 炙甘草（二钱） 苍术
（三钱，炒）
煮三杯，先服一杯，得微汗即止。
二十九日 风水汗后，脉洪数，渴而停水，肿水全消，尤宜凉开膀胱。
生石膏末（二两） 飞滑石（六钱） 杏仁（五钱） 半夏（三钱） 云苓皮（五钱） 枳实（四
钱）
生苡仁（三钱） 晚蚕砂（三钱） 广皮（三钱） 白通草（一钱） 白蔻仁（二钱） 益智仁（三钱）
猪苓（三钱） 海金砂（五钱）
初一日 改前方去石膏。
初三日 水肿未全消，脾阳不醒，食不能磨，粪后见红。
灶心土（二两） 小枳实（二钱） 南苍术（三钱） 生苡仁（五钱） 熟附子（二钱） 杏仁（
五钱） 海金砂（四钱） 白通草（一钱） 茯苓炭（一钱） 飞滑石（五钱）
初五日 小便犹不甚长，胃中得热物微噎，右脉滑数。
杏仁（五钱） 小枳实（二钱） 云苓皮（五钱） 海金砂（五钱） 飞滑石（五钱） 苡仁（三
钱） 萆 （三钱） 广皮炭（二钱） 川朴（二钱） 木通（一钱） 益智仁（一钱）
初七日 小便仍未通畅，右脉数大未退，仍宜凉肺以开膀胱。
杏仁（五钱） 桑皮（三钱） 云苓皮（五钱） 晚蚕砂（三钱） 苡仁（四钱） 川朴（二钱）
飞滑石（六钱） 大腹皮（二钱） 通草（一钱） 海金砂（六钱） 白蔻仁（钱半，连皮）
初九日 肿未全消，又发痰饮，咳嗽，表通则小便长，右脉洪数，议照溢饮例，与大青
龙汤。
麻黄（三钱，蜜炙） 桂枝（四钱） 云苓（五钱半皮半块） 细辛（一钱） 杏仁（五钱） 生
石膏（一两） 半夏（五钱） 炙甘草（三钱） 生姜（三钱） 大枣（二枚，去核）
十一日 咳减，小便数而欠，渴思凉饮，鼻衄，肺热之故。
麻黄（三钱，炙） 小枳实（三钱） 生石膏（四两） 炙甘草（三钱） 半夏（五钱） 桂枝（
五钱） 杏仁（六钱） 生姜（三片） 云苓皮（三钱） 大枣（二枚，去核）
十三日 腰以下肿已消，腰以上肿尚重，兼衄，与治上焦法。
麻黄（三钱，去节） 白茅根（三钱） 生石膏（四两） 杏仁（五钱） 半夏（五钱） 苡仁（
五钱） 芦根（五钱） 茯苓皮（五钱） 通草（钱半）
十五日 肿减咳增，脉洪数，衄未止。
麻黄（三钱，炙） 芦根（五钱） 杏泥（八钱） 白通草（一钱） 飞滑石（六钱） 生石膏（
四两） 苡仁（三钱） 白茅根（三钱） 旋复花（三钱） 半夏（三钱）
十七日 咳虽减，脉仍滑数，肿未全消。
苏叶（三钱，连梗） 葶苈（三钱，炒） 杏仁（六钱） 茯苓皮（三钱） 生石膏（四两） 半
夏（五钱） 飞滑石（六钱） 海金砂（五钱）
福 二十四岁 初因爱饮冰冻黄酒，与冰糖冰果，内湿不行，又受外风，从头面肿起，
不能
卧，昼夜坐被上，头大如斗，六脉洪大，先以越婢汤发汗。肿渐消，继以调理脾胃药，服至
一百四十三帖而愈，嘱戒猪肉、黄酒、水果。伊芳虽不饮，而冰冻水果不能戒也，一年后粪后
便血如注，与金匮黄土汤，每剂黄土用一斤，附子用八钱，服至三十余剂而血始止。后与温
补脾阳至九十帖而始壮。
范 十八岁 风水肿胀。
麻黄（六钱，去节） 生石膏（四两） 杏仁（五钱） 桂枝（三钱） 生姜（三钱） 大枣（二
枚，去核） 炙甘草（三钱）
一帖而汗解，头面肿消，次日与宣脾利水，五日全愈，戒其避风不听，后八日复肿如故
，仍与前法而愈，后受规戒，方不再发。
周 十八岁 肿从头面起。
麻黄（六钱，去节） 杏仁（五钱） 炙甘草（三钱） 生石膏（一两） 桂枝（三钱） 苍术（
三钱）
服一帖分三次，汗出不至足，次日又服半剂，肿全消，后以理脾全愈。
Lan, female, 14 years old. The pulse is rapid (Shu). Edema (Shuiqi) spreads from the face to the soles of the feet. The *Classic of Internal Medicine* states: "When a disease begins in the upper part and becomes severe in the lower part, treat the upper first, then the lower." We discuss the principle that edema above the waist should be treated by inducing sweating, adopting the method of Yuebi Jia Zhu Tang (Cinnamon Twig and Atractylodes Macrocephala Decoction).
Ephedrae Herba (Mahuang, 5 qian, remove joints)
Armeniacae Semen Amarum Paste (Xingni, 5 qian)
Prepared Glycyrrhizae Radix et Rhizoma (Zhigancao, 1 qian)
Atractylodis Macrocephalae Rhizoma (Baizhu, 3 qian)
Gypsum Fibrosum (Shigao, 6 qian)
Cinnamomi Ramulus (Guizhi, 3 qian)
Boil with five cups of water until two cups remain. Take one cup first; if sweating occurs, stop taking it. If no sweating, take the second cup.
23rd Day
Ephedrae Herba (Mahuang, 3 qian, remove joints)
Raw Gypsum Fibrosum (Sheng Shigao, 8 qian)
Armeniacae Semen Amarum Paste (Xingni, 5 qian)
Prepared Glycyrrhizae Radix et Rhizoma (Zhigancao, 2 qian)
Cinnamomi Ramulus (Guizhi, 2 qian)
Zingiberis Rhizoma Recens (Shengjiang, 3 slices)
Jujubae Fructus (Dazao, 2 pieces, remove pits)
Cinnamomi Ramulus (Guizhi, 8 qian)
Alpiniae Officinarum Rhizoma (Liangjiang, 3 qian)
Magnoliae Officinalis Cortex (Laocuanpu, 3 qian)
Citri Reticulatae Pericarpium (Guangpi, 2 qian)
Boil eight bowls of water until three bowls remain. Boil again until one bowl remains. Divide into four doses. Stop when urination becomes smooth.
9th Day
Swelling accompanied by chest and epigastric fullness. Adopt the method of Banxia Xiexin Tang (Pinellia Decoction for Regulating the Middle). Wait until the fullness resolves before taking the previous prescription.
Pinelliae Rhizoma Preparatum (Banxia)
Zingiberis Rhizoma (Ganjiang)
Coptidis Rhizoma (Shanlian)
Zingiberis Rhizoma Recens (Shengjiang)
Scutellariae Radix (Huangqin)
26th Day
Previously, due to fluid retention in the Middle Jiao causing cough, warm herbs were used. Although effective for fluid-retention cough now, urination remains unsmooth. The pulse at the deep level is surging and relatively forceful. The pathology originates from dampness generating heat, compounded by alcohol toxicity. Continue using bitter, pungent, and bland methods to clear and promote urination.
Armeniacae Semen Amarum (Xingren, 4 qian)
Prepared Talcum (Fei Huashi, 6 qian)
Poria Cocos Skin (Yunlingpi, 5 qian)
Akebiae Caulis (Baitongcao, 1 qian)
Bombyx Batryticatus (Wancansha, 3 qian)
Phellodendri Cortex Carbonized (Huangbo Tan, 2 qian)
Morus Alba Root Bark (Sangpi, 3 qian)
Raw Coicis Semen (Sheng Yiren, 4 qian)
Thunbergitae Semen (Haijinsha, 5 qian)
Amomi Fructus Rotundus (Baokouren, 1.5 qian)
Pinelliae Rhizoma Preparatum (Banxia, 2 qian)
28th Day
Wind-water has healed by half. A new contraction of wind-cold occurred. Fever and headache have decreased, but swelling reappears on the upper half of the body. Thirst is present. The pulse is floating and rapid. Continue with the Yuebi Jia Zhu Tang method.
Ephedrae Herba (Mahuang, 5 qian, remove joints)
Armeniacae Semen Amarum (Xingren, 5 qian)
Raw Gypsum Fibrosum Powder (Sheng Shigao Mo, 2 liang)
Cinnamomi Ramulus (Guizhi, 3 qian)
Prepared Glycyrrhizae Radix et Rhizoma (Zhigancao, 2 qian)
Atractylodis Lanceae Rhizoma (Cangzhu, 3 qian, stir-fried)
Boil until three cups remain. Take one cup first. Stop when slight sweating occurs.
29th Day
After sweating for wind-water, the pulse is surging and rapid. Thirst and fluid retention persist. Total edema has resolved. It is especially suitable to cool and open the Bladder Qi.
Raw Gypsum Fibrosum Powder (Sheng Shigao Mo, 2 liang)
Prepared Talcum (Fei Huashi, 6 qian)
Armeniacae Semen Amarum (Xingren, 5 qian)
Pinelliae Rhizoma Preparatum (Banxia, 3 qian)
Poria Cocos Skin (Yunlingpi, 5 qian)
Immature Bitter Orange Fruit (Zhishi, 4 qian)
Raw Coicis Semen (Sheng Yiren, 3 qian)
Bombyx Batryticatus (Wancansha, 3 qian)
Citri Reticulatae Pericarpium (Guangpi, 3 qian)
Akebiae Caulis (Baitongcao, 1 qian)
Amomi Fructus Rotundus (Baokouren, 2 qian)
Alpiniae Katsumadai Seed (Yizhiren, 3 qian)
Polypori Umbellati Sclerotium (Zhuling, 3 qian)
Thunbergitae Semen (Haijinsha, 5 qian)
1st Day
Modify the previous prescription by removing Gypsum Fibrosum.
3rd Day
Edema not fully resolved. Spleen Yang is inactive. Food cannot be digested. Blood appears after defecation.
Caolined Clay (Zaoxintu, 2 liang)
Small Immature Bitter Orange Fruit (Xiao Zhishi, 2 qian)
Southern Atractylodis Lanceae Rhizoma (Nan Cangzhu, 3 qian)
Raw Coicis Semen (Sheng Yiren, 5 qian)
Prepared Aconiti Lateralis Radix (Shu Fuzi, 2 qian)
Armeniacae Semen Amarum (Xingren, 5 qian)
Thunbergitae Semen (Haijinsha, 4 qian)
Akebiae Caulis (Baitongcao, 1 qian)
Poria Cocos Carbonized (Fuling Tan, 1 qian)
Prepared Talcum (Fei Huashi, 5 qian)
5th Day
Urination still not prolonged. Mild choking sensation in the stomach upon consuming hot food. Right pulse is slippery and rapid.
Armeniacae Semen Amarum (Xingren, 5 qian)
Small Immature Bitter Orange Fruit (Xiao Zhishi, 2 qian)
Poria Cocos Skin (Yunlingpi, 5 qian)
Thunbergitae Semen (Haijinsha, 5 qian)
Prepared Talcum (Fei Huashi, 5 qian)
Coicis Semen (Yiren, 3 qian)
Dioscoreae Hypoglaucae Rhizoma (Bixie, 3 qian)
Citri Reticulatae Pericarpium Carbonized (Guangpi Tan, 2 qian)
Magnoliae Officinalis Cortex (Chuanpu, 2 qian)
Akebiae Caulis (Mutong, 1 qian)
Alpiniae Katsumadai Seed (Yizhiren, 1 qian)
7th Day
Urination still not smooth. Right pulse remains rapid and large. Still suitable to cool the Lung to open the Bladder.
Armeniacae Semen Amarum (Xingren, 5 qian)
Morus Alba Root Bark (Sangpi, 3 qian)
Poria Cocos Skin (Yunlingpi, 5 qian)
Bombyx Batryticatus (Wancansha, 3 qian)
Coicis Semen (Yiren, 4 qian)
Magnoliae Officinalis Cortex (Chuanpu, 2 qian)
Prepared Talcum (Fei Huashi, 6 qian)
Arecae Pericarpium (Dafupi, 2 qian)
Tetrapanacis Medulla (Tongcao, 1 qian)
Thunbergitae Semen (Haijinsha, 6 qian)
Amomi Fructus Rotundus (Baokouren, 1.5 qian, with skin)
9th Day
Swelling not fully resolved. Phlegm-fluid recurrence with cough. When exterior circulation is smooth, urination increases. Right pulse is surging and rapid. Discuss adopting the principle for Overflowing Drink (Yiyin), prescribing Da Qinglong Tang (Major Green Dragon Decoction).
Ephedrae Herba (Mahuang, 3 qian, honey-fried)
Cinnamomi Ramulus (Guizhi, 4 qian)
Poria Cocos (Yunling, 5.5 qian, half skin half block)
Asari Radix et Rhizoma (Xixin, 1 qian)
Armeniacae Semen Amarum (Xingren, 5 qian)
Raw Gypsum Fibrosum (Sheng Shigao, 1 liang)
Pinelliae Rhizoma Preparatum (Banxia, 5 qian)
Prepared Glycyrrhizae Radix et Rhizoma (Zhigancao, 3 qian)
Zingiberis Rhizoma Recens (Shengjiang, 3 qian)
Jujubae Fructus (Dazao, 2 pieces, remove pits)
11th Day
Cough decreases. Urination is frequent but incomplete. Desire for cold drinks. Epistaxis. This is due to Lung Heat.
Ephedrae Herba (Mahuang, 3 qian, fried)
Small Immature Bitter Orange Fruit (Xiao Zhishi, 3 qian)
Raw Gypsum Fibrosum (Sheng Shigao, 4 liang)
Prepared Glycyrrhizae Radix et Rhizoma (Zhigancao, 3 qian)
Pinelliae Rhizoma Preparatum (Banxia, 5 qian)
Cinnamomi Ramulus (Guizhi, 5 qian)
Armeniacae Semen Amarum (Xingren, 6 qian)
Zingiberis Rhizoma Recens (Shengjiang, 3 slices)
Poria Cocos Skin (Yunlingpi, 3 qian)
Jujubae Fructus (Dazao, 2 pieces, remove pits)
13th Day
Edema below the waist has resolved. Swelling above the waist remains heavy. Accompanied by epistaxis. Use treatment methods for the Upper Jiao.
Ephedrae Herba (Mahuang, 3 qian, remove joints)
Imperatae Rhizoma (Baimaogen, 3 qian)
Raw Gypsum Fibrosum (Sheng Shigao, 4 liang)
Armeniacae Semen Amarum (Xingren, 5 qian)
Pinelliae Rhizoma Preparatum (Banxia, 5 qian)
Coicis Semen (Yiren, 5 qian)
Phragmitis Rhizoma (Lugen, 5 qian)
Poria Cocos Skin (Fulingpi, 5 qian)
Tetrapanacis Medulla (Tongcao, 1.5 qian)
15th Day
Swelling decreases, cough increases. Pulse is surging and rapid. Epistaxis has not stopped.
Ephedrae Herba (Mahuang, 3 qian, fried)
Phragmitis Rhizoma (Lugen, 5 qian)
Armeniacae Semen Amarum Paste (Xingni, 8 qian)
Akebiae Caulis (Baitongcao, 1 qian)
Prepared Talcum (Fei Huashi, 6 qian)
Raw Gypsum Fibrosum (Sheng Shigao, 4 liang)
Coicis Semen (Yiren, 3 qian)
Imperatae Rhizoma (Baimaogen, 3 qian)
Inulae Flos (Xuanjinhua, 3 qian)
Pinelliae Rhizoma Preparatum (Banxia, 3 qian)
17th Day
Cough decreases, but pulse remains slippery and rapid. Swelling not fully resolved.
Perillae Folium (Suye, 3 qian, with stem)
Descurainiae Semen Lepidii et Semen Brassicae (Tingli, 3 qian, stir-fried)
Armeniacae Semen Amarum (Xingren, 6 qian)
Poria Cocos Skin (Fulingpi, 3 qian)
Raw Gypsum Fibrosum (Sheng Shigao, 4 liang)
Pinelliae Rhizoma Preparatum (Banxia, 5 qian)
Prepared Talcum (Fei Huashi, 6 qian)
Thunbergitae Semen (Haijinsha, 5 qian)
Fu, male, 24 years old. Initially, due to a preference for drinking iced yellow wine paired with rock sugar and iced fruits, internal dampness failed to circulate. External wind contracted. Swelling started from the head and face. Unable to lie down, sitting upright on bedding day and night. Head swollen like a bucket. All six pulses are surging and large. First use Yuebi Tang (Cinnamon Twig Decoction) to induce sweating. Swelling gradually subsided. Subsequently administered herbs to regulate Spleen and Stomach. After 143 doses, cured. Advised to avoid pork, yellow wine, and fruits. Although he did not drink wine, he could not quit iced fruits. One year later, hematochezia flowed like a spring after defecation. Prescribed Jinkui Huangtu Tang (Earthy Soil Decoction from the Golden Cabinet). Each dose used one jin of Earthy Soil and 8 qian of Aconite. After more than 30 doses, bleeding stopped. Subsequently administered herbs to warm and tonify Spleen Yang. After 90 doses, constitution became strong.
Fan, male, 18 years old. Wind-water edema.
Ephedrae Herba (Mahuang, 6 qian, remove joints)
Raw Gypsum Fibrosum (Sheng Shigao, 4 liang)
Armeniacae Semen Amarum (Xingren, 5 qian)
Cinnamomi Ramulus (Guizhi, 3 qian)
Zingiberis Rhizoma Recens (Shengjiang, 3 qian)
Jujubae Fructus (Dazao, 2 pieces, remove pits)
Prepared Glycyrrhizae Radix et Rhizoma (Zhigancao, 3 qian)
One dose resulted in sweating and resolution. Head and face swelling subsided. The next day, herbs to ventilate Spleen and promote diuresis were given. Cured in five days. Did not heed advice to avoid wind. Eight days later, swelling recurred as before. Still used the previous method and cured. Later accepted admonition, and the condition did not recur.
Zhou, male, 18 years old. Swelling started from head and face.
Ephedrae Herba (Mahuang, 6 qian, remove joints)
Armeniacae Semen Amarum (Xingren, 5 qian)
Prepared Glycyrrhizae Radix et Rhizoma (Zhigancao, 3 qian)
Raw Gypsum Fibrosum (Sheng Shigao, 1 liang)
Cinnamomi Ramulus (Guizhi, 3 qian)
Atractylodis Lanceae Rhizoma (Cangzhu, 3 qian)
One dose divided into three servings. Sweating did not reach the feet. Half a dose taken the next day. Swelling completely resolved. Subsequently cured with herbs to regulate the Spleen.