蝼蛄（五枚）即北人呼为拉拉呼者，焙干为末。以饭汤调半钱服之。二日进一服，陆续
随加，加至一钱。以小便通方效。
红芽大戟（一两，杭州者佳） 连珠甘遂（一两） 芫花（一两，醋炒） 淡泽泻（一
两五钱） 苦葶苈（五钱另研）
先将前四味研细末，后加葶苈末，和匀。酒煮糊为丸，如梧桐子大。每服二十丸，量人
虚实加减。其药引汤液，俱先夜煎好候用，俟次日，五更空心服。
第一日煎商陆汤送下， 取黄水。
第二日煎灯心汤送下， 取黄水。
第三日煎麦冬汤送下， 取白水。
第四日用田螺四枚，煎酒送下， 取腹水。
第五日用大鲫鱼三尾，煎酒送下。（取五脏六腑水皆尽）
第六日煎木通汤送下。
第七日煎栀子汤送下， 肿消臌散。
忌服盐酱，房事，再服善后之药。七日毕方服盐酱。
赤芍药 白术（土炒） 云白苓 泽泻
上药各等分研末。用鲜鲫鱼一尾，剖去肠，入盐麝少许。将前四味装鱼腹内，火上焙干
为末。每服二三钱，僵蚕汤送下。
裕州庠生龚方遂云∶水臌者，乃寒茶冷水积聚所成，溢于皮肤，是为水臌，非外感风寒，
内因脾胃虚寒也。惟攻去积聚，使水从大便而出，则小便利而病去矣。补益之药，只可微使
于病愈之后，断不可遽施正病之时，此屡验之论也。予尝患此症，按书载各方治之，勿瘥。
遇一云游疡医，教服雷音丸而痊。
*Locusta* (five specimens), known in the North as "Lala Hu," is dried by roasting and ground into powder. Take half a qian, mixed with rice water for administration. Administer one dose every two days, gradually increasing the dosage up to one qian. Efficacy is observed once urination becomes unobstructed.
Hongya Daji (Radix Rhizoma Euphorbiae Hongya, 1 liang; the Hangzhou variety is superior), Lianzhu Gansui (Radix Rhizoma Kansui, 1 liang), Yuanhua (Flos Genkwa, 1 liang, stir-fried with vinegar), Dan Zexie (Rhizoma Alismatis, 1 liang 5 qian), Ku Tingli (Semen Lepidii et Descurainiae, 5 qian, ground separately).
First, grind the first four herbs into fine powder, then add the Tingli powder and mix evenly. Boil with wine to form a paste, shape into pills the size of *Cerasus pseudocerasus* seeds. Take twenty pills per dose, adjusting according to the patient's deficiency or excess condition. The decoctions used as guides should be prepared the night before for use; administer on an empty stomach at the fifth watch (approx. 3-5 AM) the next day.
On the first day, take with *Phytolaccae Radix* (Shanglu) decoction to expel yellow fluid.
On the second day, take with *Junci Medulla* (Dengxin) decoction to expel yellow fluid.
On the third day, take with *Ophiopogonis Radix* (Maidong) decoction to expel white fluid.
On the fourth day, take with four *Ciprynidae* (Tianluo, river snails) boiled in wine to expel ascitic fluid.
On the fifth day, take with three large *Cyprinus carpio* (Dajiyu, crucian carp) boiled in wine. (This aims to exhaust water accumulation from all five zang and six fu organs.)
On the sixth day, take with *Akebiae Caulis* (Mutong) decoction.
On the seventh day, take with *Gardeniae Fructus* (Zhizi) decoction; at this point, swelling subsides and distension dissipates.
Avoid salt and soy sauce, abstain from sexual intercourse, and subsequently take post-treatment conditioning medicines. Salt and soy sauce may only be consumed after the seven-day course is completed.
Chishao (Radix Paeoniae Rubra), Baizhu (Rhizoma Atractylodis Macrocephalae, stir-fried with soil), Yunfuling (Poria, cloud variety), Zexie (Rhizoma Alismatis).
Grind equal parts of the above herbs into powder. Take one fresh crucian carp, gut it, and insert a small amount of salt and Moschus (Shexiang). Fill the fish belly with the four herb powders, roast over fire until dry, and grind into powder. Take 2-3 qian per dose, administered with *Bombyx Batryticatus* (Jiangcan) decoction.
Gong Fangsui, a student of Yuzhou Prefecture, stated: Water distension (Shuigu) results from the accumulation of cold tea and cold water within the body, overflowing into the skin. This constitutes water distension, which is not caused by external wind-cold invasion, but rather by internal spleen-stomach deficiency-cold. Only by purging the accumulated pathogens can water exit via the bowels, thereby facilitating urination and curing the disease. Tonifying medicines should only be mildly used after recovery; they must absolutely not be applied during the acute phase of the illness. This is a theory verified through repeated experience. I once suffered from this condition and treated it according to various formulas recorded in books without improvement. I encountered a wandering surgeon who instructed me to take *Leiyin Wan* (Thunder Sound Pill), from which I recovered.