论曰石发而身体肿者，以食饮过温，不能劳动，致热气蓄壅于肌肉，不得宣散故也。亦
有外感风湿，内有停水，与石势相搏，其气滞塞致浮肿者，然食饮过温，不自劳动，其为肿
也。但体热虚肿而已，若风湿停水而发肿，则必心中烦满，小便涩，不可不辨也。
治乳石发热肿，初觉壅宜服。升麻汤方
升麻 大黄（锉碎微炒） 黄芩（去黑心） 枳实（去瓤麸炒） 芍药（各二两） 甘
草（炙）
当归（切焙各一两）
上七味，粗捣筛，每服三钱匕，以水一盏，煎至七分，去滓温服。
治乳石热肿。茯苓汤方
赤茯苓（去黑皮） 淡竹叶（一握切碎） 白术 甘草（炙） 枳实（去瓤麸炒） 人
参栀
子仁（各一两） 大黄（锉炒二两） 黄芩（去黑心三两）
上九味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服。
治钟乳，发寒热，胸中壅塞，面肿，手足烦疼。生麦门冬汤方
生麦门冬（去心焙一两） 豉（微炒一合）
上二味，粗捣筛，每服三钱匕，水一盏。葱白三茎拍碎，同煎至六分，去滓，空心温服。
治乳石发热坚肿。芍药汤方
芍药 枳实（去瓤麸炒） 大黄（锉炒） 升麻（各二两） 当归（切焙一两）
上五味，粗捣筛，每服三钱匕，水一大盏，煎至七分，去滓温服，空心食前日午各一服。
治服石人水气内积，面目 膝肿硬，小便涩。木通汤方
木通（锉） 桑根白皮（炙锉各半两） 桔梗（锉炒） 赤芍药（各三分） 葶苈子（隔
纸炒）
白茅根（微炒各一两）
上六味，粗捣筛，每服五钱匕，水一盏半，煎至七分，去滓，空腹温服，日再。
治服石人风湿外搏，水饮内停，身面微肿，小便涩。紫苏子丸方
紫苏子（微炒一合半） 陈橘皮（去白焙） 杏仁（去皮尖双仁炒） 赤茯苓（去黑皮）
防己
（各一两） 葶苈（隔纸炒三分）
上六味，捣罗为末，炼蜜丸如小豆大，每服十五丸，加至三十丸，空心用桑根白皮赤小
豆煎汤下，日再。
治服石人水气内积，面肿。赤茯苓散方
赤茯苓（去黑皮） 牵牛子（炒各一两半） 枳壳（去瓤麸炒） 陈橘皮（去白炒） 甘
草（炙
各三分）
上五味，捣罗为散，每服二钱匕，如茶点服，不拘时。
治乳石发动上攻，头面浮肿。硝石汤方
硝石 萆 防风（去叉） 黄连（去须炒） 大黄（锉炒） 甘草（炙锉） 枳壳（去
瓤
麸炒各一两） 地榆（锉）羌活（去芦头） 龙骨 代赭（ ） 桑根白皮（锉焙各一两半）
桂（去
粗皮） 黄芩（去黑心各半两） 石苇（去毛二两）
上一十五味，粗捣筛，每服五钱匕，水一盏半，入生姜三片，同煎至八分，去滓温服。
治乳石发热，初欲作肿。石燕子淋洗方
石燕子（七枚）
上一味，粗捣筛，以水三升，煮取二升，频淋洗痈肿处，以瘥为度
治乳石发动，周体患肿，不能回转者，为久坐不行。又饮酒，药气滞在皮肤之内，血脉
不通也。方
上宜饮酒，冷水洗，自劳即瘥。若不能行者，遣人扶持强行，使肢节调畅乃止，亦不得
过度，使反发热，倘反热者，还当洗之。
治乳石发动，四肢面目浮肿者，为饮食温，久不自劳力，药与正气相隔也。方
上但饮热酒，冷食自劳，及洗浴即瘥。
治乳石发动，腹背热，如手如杯如盘许大者。方
上但以冷石，随热处熨之。
It is discussed that when stone medicine (Rushi) induces edema of the body, it is due to excessive intake of warm food and drink combined with a lack of physical labor, causing heat qi to accumulate and obstruct within the muscles without being able to disperse. There are also cases where external contraction of wind-dampness and internal retention of water interact with the pathogenic potential of the stone medicine, leading to stagnation and obstruction of qi, resulting in edema. However, edema caused by excessive warmth in diet and lack of labor manifests merely as body heat and flaccid swelling. In contrast, edema triggered by wind-dampness and water retention must be accompanied by vexation and fullness in the heart/chest region and painful, difficult urination; these conditions must not be confused.
Shengma Tang (Cimicifugae Decoction), suitable for initial stages of stone medicine-induced heat swelling with a sensation of obstruction:
Cimicifugae Rhizoma (Shengma), Rheum Palmatum Radix et Rhizoma (Dahuang, crushed and slightly stir-fried), Scutellariae Radix (Huangqin, blackened center removed), Immature Bitter Orange (Zhishi, pith removed and stir-fried), Paeoniae Radix (Shaoyao), each 2 liang; Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried); Angelicae Sinensis Radix (Danggui, sliced and baked), 1 liang.
The above seven herbs are coarsely pounded and sieved. Take 3 qianbi per dose, decoct with one sheng of water until reduced to 70%, strain, and take warm.
Fuling Tang (Poria Decoction) for treating stone medicine-induced heat swelling:
Red Poria (Chifuling, black skin removed), Bamboo Leaves (Danzhuye, one handful chopped), Atractylodis Macrocephalae Rhizoma (Baizhu), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried), Immature Bitter Orange (Zhishi, pith removed and stir-fried), Ginseng Radix (Renshen), Gardeniae Fructus (Zhizi), Semen Pericarpii Ziziphi Spinosae (Ziren), each 1 liang; Rheum Palmatum Radix et Rhizoma (Dahuang, crushed and stir-fried), 2 liang; Scutellariae Radix (Huangqin, blackened center removed), 3 liang.
The above nine herbs are coarsely pounded and sieved. Take 3 qianbi per dose, decoct with one sheng of water until reduced to 70%, strain, and take warm.
Sheng Maidong Tang (Fresh Ophiopogonis Decoction) for treating Zhuru (Stalactite) medicine inducing chills and fever, chest oppression, facial edema, and vexing pain in hands and feet:
Fresh Ophiopogonis Radix (Sheng Maidong, heart removed and baked), 1 liang; Fermented Soybean (Chi), 1 he.
The above two herbs are coarsely pounded and sieved. Take 3 qianbi per dose, decoct with one sheng of water, add three stems of Scallion White (Congbai) smashed, decoct together until reduced to 60%, strain, and take warm on an empty stomach.
Shaoyao Tang (Peony Decoction) for treating stone medicine-induced hard heat swelling:
Paeoniae Radix (Shaoyao), Immature Bitter Orange (Zhishi, pith removed and stir-fried), Rheum Palmatum Radix et Rhizoma (Dahuang, crushed and stir-fried), Cimicifugae Rhizoma (Shengma), each 2 liang; Angelicae Sinensis Radix (Danggui, sliced and baked), 1 liang.
The above five herbs are coarsely pounded and sieved. Take 3 qianbi per dose, decoct with one large sheng of water until reduced to 70%, strain, and take warm. Administer once on an empty stomach, before meals, and at noon.
Mutong Tang (Akebia Decoction) for treating water accumulation internally in patients taking stone medicine, presenting with hard edema of face, eyes, and knees, and difficult urination:
Akebiae Caulis (Mutong, crushed), Cortex Morus Radicis (Sangbaipi, honey-fried and crushed), Platycodonis Radix (Jiegeng, crushed and stir-fried), Red Paeoniae Radix (Chishaoyao), each 3 fen; Lepidii Semen (Tinglizi, stir-fried between papers), White Imperata Rhizome (Baimaogen, slightly stir-fried), each 1 liang.
The above six herbs are coarsely pounded and sieved. Take 5 qianbi per dose, decoct with one and a half sheng of water until reduced to 70%, strain, and take warm on an empty stomach. Twice daily.
Zisuzi Wan (Perilla Seed Pills) for treating patients taking stone medicine who suffer from external wind-dampness invasion and internal water retention, presenting with slight edema of body and face and difficult urination:
Perillae Fructus (Zisuzi, slightly stir-fried), Expressed Tangerine Peel (Chenpi, white pith removed and baked), Apricot Seed (Xingren, skin and tip removed, double-kernel seeds discarded and stir-fried), Red Poria (Chifuling, black skin removed), Stephaniae Tetrandrae Radix (Fangji), each 1 liang; Lepidii Semen (Tingli, stir-fried between papers), 3 fen.
The above six herbs are pounded into powder, mixed with refined honey to form pills the size of small beans. Take 15 pills per dose, increasing up to 30 pills. Take on an empty stomach with decoction of Cortex Morus Radicis and Adzuki Bean (Chixiaodou). Twice daily.
Chifuling San (Red Poria Powder) for treating water accumulation internally in patients taking stone medicine, presenting with facial edema:
Red Poria (Chifuling, black skin removed), Iptomopsis Semen (Qianniuzi, stir-fried), Aurantii Fructus Immaturus (Zhike, pith removed and stir-fried), Expressed Tangerine Peel (Chenpi, white pith removed and stir-fried), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried), each 3 fen.
The above five herbs are pounded into powder. Take 2 qianbi per dose, administered like tea, at any time.
Xiaoshi Tang (Niter Decoction) for treating stone medicine pathogenic potential rising upward, causing edema of head and face:
Natrii Sulfas (Xiaoshi), Dioscoreae Hypoglaucae Rhizoma (Bixie), Saposhnikoviae Radix (Fangfeng, forked parts removed), Coptidis Rhizoma (Huanglian, whiskers removed and stir-fried), Rheum Palmatum Radix et Rhizoma (Dahuang, crushed and stir-fried), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried and crushed), Aurantii Fructus Immaturus (Zhike, pith removed and stir-fried), each 1 liang; Sanguisorbae Radix (Diyu, crushed), Notopterygii Rhizoma et Radix (Qianghuo, rhizome removed), Dragon Bone (Longgu), Haematitum (Daizhe), Cortex Morus Radicis (Sangbaipi, crushed and baked), each 1.5 liang; Cinnamomi Ramulus (Guizhi, rough bark removed), Scutellariae Radix (Huangqin, blackened center removed), each 0.5 liang; Pyri Folium (Shiwei, hairs removed), 2 liang.
The above fifteen herbs are coarsely pounded and sieved. Take 5 qianbi per dose, decoct with one and a half sheng of water, add three slices of Ginger (Shengjiang), decoct together until reduced to 80%, strain, and take warm.
Shiyanzi Wash (Stone Swallow Stone Rinse) for treating early-stage stone medicine heat swelling about to manifest:
Stone Swallow Stone (Shiyanzi), 7 pieces.
The above single herb is coarsely pounded and sieved. Boil with three sheng of water until reduced to two sheng. Frequently wash the abscessed or swollen area until healed.
For cases where stone medicine pathogenic potential induces whole-body edema preventing movement, this is due to prolonged sitting without activity. Additionally, alcohol consumption causes medicinal qi to stagnate within the skin, blocking blood vessels. Treatment:
Drink alcohol, wash with cold water, and engage in self-labor to recover. If unable to walk, have someone support and force movement until joints are smooth and free, but do not overdo it to avoid inducing fever. If fever occurs, wash again.
For cases where stone medicine pathogenic potential induces edema of limbs and face, this is due to warm diet and prolonged lack of physical labor, causing the medicine to separate from healthy qi. Treatment:
Drink hot wine, eat cold food, engage in self-labor, and bathe to recover.
For cases where stone medicine pathogenic potential induces heat in abdomen and back, with local redness and swelling resembling the size of a hand, cup, or plate:
Use cold stones to apply moxibustion-like warming/cooling therapy (ironing) to the heated areas.