论曰∶《内经》论水病，谓其本在肾，其末在肺。又曰∶肺为喘呼，肾为水肿，今肿气
痞满塞于胸中，故有胸中满急之证。盖由肾虚既成聚水之病，上攻于肺，肺布叶举在于胸背，
背者，胸中之府也。
治水气肿满，肺气喘急，咳嗽胀闷，坐卧不得，喉中作声，心胸痞滞。防己丸方。
防己 白前 五味子 紫菀（去苗土各半两） 桑根白皮（锉） 马兜铃 麻黄（去根
节）
桔梗（炒） 柴胡（去苗） 大腹皮（锉各三分） 赤茯苓（去黑皮） 陈橘皮（汤浸去白，
焙各一
两） 甘草（炙，锉一分） 杏仁（五十粒汤浸去皮尖、双仁，炒）
上一十四味，捣罗为细末，炼蜜和丸如梧桐子大。每服十五丸至二十丸，温生姜汤下，
不拘时。
治水气腿股肿满，喘促咳嗽，坐卧不得。泽泻丸方。
泽泻 芫花（醋炒） 郁李仁（汤浸去皮尖，炒） 牵牛子（炒） 防己 苦葶苈（纸
上炒各
一分） 滑石（研） 大戟（锉，炒各三分） 海蛤（研） 甘遂（炒） 瞿麦穗 槟榔（锉
各半两）
上一十二味，捣罗为细末，炼蜜和丸如梧桐子大。每服二十丸，食前煎陈橘皮汤下。
治水病喘急上气。消肿满。十圣丸方。
大戟（炒） 桑根白皮（锉，炒） 甘遂（炒） 甜葶苈（纸上炒） 巴豆（去皮、心、
膜，炒
榔（锉
各一分） 杏仁（去皮尖、双仁，炒，研三分） 牵牛子（炒二两取末三分）
上一十味，为细末，炼蜜丸如鸡头大。每服一丸，生姜汤化下，更量病势加减。
治水肿，胸满气急。甘遂汤方。
甘遂（炒一两半） 赤茯苓（去黑皮） 郁李仁（汤浸去皮尖，研） 黄芩（去黑心） 杏
仁（
去皮尖、双仁，炒，研各二两） 泽泻叶 泽漆（微炙） 陈橘皮（汤浸去白，炒干各一两
半
上八味，粗捣筛。每服五钱匕，水三盏，煎至一盏半，去滓，分温二服。
治水气。消肿定喘。黄 丸方。
黄 （锉） 甘遂（炒） 青橘皮（汤浸去白，焙） 麦 大戟（炒） 陈橘皮（汤
浸去白，
焙） 陈曲（炒各半两）
上七味，为细末，炼蜜丸如梧桐子大。煎木通桑根白皮汤下。
治水气肿满，气急喘嗽，小便赤涩。桑根白皮汤方。
桑根白皮（锉四两） 葶苈（纸上炒） 泽漆茎叶 郁李仁（汤浸去皮尖各二两） 杏
仁（一
百
上六味，粗捣筛。每服三钱匕，水一盏半，生姜一枣大切，煎至八分，去滓温服，以
小便利为度。
治水气喘满，小便赤涩，腰腿浮肿，不得眠睡。苦葶苈丸方。
苦葶苈（纸上炒一两三分） 杏仁（汤浸去皮尖、双仁，炒，研三钱） 陈橘皮（汤浸
去白，
焙四钱） 防己（一两） 赤茯苓（去黑皮） 紫苏叶 郁李仁（汤浸去皮尖，炒，研各半
两）
上七味，捣罗五味为末，与二味研者和匀，炼蜜丸如梧桐子大。每服二十丸，食后煎橘
皮汤下，日再。
治水肿胸满气急。郁李仁汤方。
郁李仁（汤浸去皮尖，炒） 桑根白皮（炙，锉） 赤小豆（炒各三两） 陈橘皮（汤
浸去白，
炒二两） 紫苏（一两半） 茅根（切四两）
上六味，粗捣筛。每服五钱匕，水三盏，煎至一盏，去滓温服。
治十种水气，喘急，坐卧不得，小便淋涩。葶苈散方。
苦葶苈（纸上炒一两半） 牵牛子（炒一两二钱） 猪苓（去黑皮） 泽泻（各一两） 椒
目
（炒
上五味，捣罗为细散。每用葱白三茎切，浆水一盏，煎至半盏，去滓，调药二钱匕，
空心临卧服，以大小便利为度。
治水肿胸中气满喘急。茯苓汤方。
赤茯苓（去黑皮） 杏仁（去皮尖、双仁，炒各四两） 陈橘皮（汤浸去白，炒二两）
上三味，粗捣筛。每服五钱匕，水三盏。煎至一盏，去滓温服，日再，病随小便下，饮
尽更作。
Commentary states: The *Huangdi Neijing* (Yellow Emperor's Inner Canon) discusses water diseases, stating that their root lies in the Kidney and their branch in the Lung. It also says: "The Lung governs panting and breathing; the Kidney governs edema." Currently, swelling qi obstructs and fills the chest, thus causing symptoms of fullness and urgency in the chest. This is likely because Kidney deficiency has already formed a disease of accumulated water, which attacks upward to the Lung. The Lung's distribution function is blocked, and its leaf-like structures rise to the chest and back. The back is the mansion of the chest (a region reflecting the condition of the chest).
Formula for treating water qi causing swelling and fullness, Lung Qi panting and urgency, cough with distension and stuffiness, inability to sit or lie comfortably, sounds in the throat, and chest/heart palpitations and stagnation: Fangji Wan (Stephania Pill).
Fangji (Stephaniae Tetrandrae Radix), Baiqian (Cynanchi Stauntonii Rhizoma), Wuweizi (Schisandrae Chinensis Fructus), Ziwan (Asteris Radix), Sangbaipí (Morus Albae Cortex Radicis - prepared by chopping), Madangling (Dentariae Radix), Mahuang (Ephedrae Herba - roots and nodes removed), Jiegeng (Platycodonis Radix - stir-fried), Chaihu (Bupleuri Radix - roots removed), Dafupi (Arecae Pericarpium - chopped), Chifuling (Polypori Cum Rhamno - black skin removed), Chenjupi (Citri Reticulatae Pericarpium - soaked in water, white pith removed, dried), Gancao (Glycyrrhizae Radix et Rhizoma - honey-fried, chopped), Xingren (Armeniacae Semen Amarum - fifty grains, soaked in water, skins and tips removed, twin kernels removed, stir-fried).
The above fourteen ingredients are crushed, sifted into fine powder, and mixed with refined honey to form pills the size of paulownia seeds. Take 15 to 20 pills each time, washed down with warm ginger decoction, at any time.
Formula for treating water qi causing swelling and fullness in the legs and thighs, panting and coughing, inability to sit or lie comfortably: Zexie Wan (Alisma Pill).
Zexie (Alismatis Rhizoma), Yuanhua (Genkwa Flos - stir-fried with vinegar), Yuliren (Pruni Persicae Semen - soaked in water, skins and tips removed, stir-fried), Qianniuzi (Semen Imperatoriae - stir-fried), Fangji (Stephaniae Tetrandrae Radix), Kutinglei (Lepidii Semen - stir-fried on paper), Huashi (Talcum - ground), Daji (Euphorbiae Pekinensis Radix - chopped, stir-fried), Haihai (Concha Meretricis et Cyprinae - ground), Gansui (Kansui Radix - stir-fried), Qumaishui (Agrostidis Spica), Binglang (Arecae Semen - chopped).
The above twelve ingredients are crushed, sifted into fine powder, and mixed with refined honey to form pills the size of paulownia seeds. Take 20 pills each time, washed down with Chenjipi decoction before meals.
Formula for treating water disease causing panting, urgency, and rising Qi. Eliminating swelling and fullness: Shisheng Wan (Ten Sages Pill).
Daji (Euphorbiae Pekinensis Radix - stir-fried), Sangbaipí (Morus Albae Cortex Radicis - chopped, stir-fried), Gansui (Kansui Radix - stir-fried), Tiantinglei (Lepidii Semen - stir-fried on paper), Badou (Crotonis Fructus - skins, hearts, and membranes removed, stir-fried), [Text missing/error], Lang (Arecae Semen - chopped), Xingren (Armeniacae Semen Amarum - skins and tips removed, twin kernels removed, stir-fried, ground), Qianniuzi (Semen Imperatoriae - stir-fried, two taels, take three fen of powder).
The above ten ingredients are made into fine powder and mixed with refined honey to form pills the size of a cock's head. Take one pill each time, dissolved and taken with ginger decoction. Adjust dosage according to the severity of the disease.
Formula for treating edema, chest fullness, and urgent Qi: Gansui Tang (Kansui Decoction).
Gansui (Kansui Radix - stir-fried, one tael and half), Chifuling (Polypori Cum Rhamno - black skin removed), Yuliren (Pruni Persicae Semen - soaked in water, skins and tips removed, ground), Huangqin (Scutellariae Radix - black heart removed), Xingren (Armeniacae Semen Amarum - skins and tips removed, twin kernels removed, stir-fried, ground), Zexiye (Alismatis Folium), Zeqi (Euphorbiae Helioscopiae Herba - slightly roasted), Chenjupi (Citri Reticulatae Pericarpium - soaked in water, white pith removed, dried).
The above eight ingredients are coarsely crushed and sifted. Take five qianbi each time, with three lamps of water, decoct until one and a half lamps remain. Remove dregs and divide into two warm doses.
Formula for treating water qi. Eliminating swelling and calming panting: [Name Missing] Wan.
[Name Missing] (chopped), Gansui (Kansui Radix - stir-fried), Qingjupi (Citri Reticulatae Pericarpium - soaked in water, white pith removed, dried), Mai [Dong?] (Ophiopogonis Radix), Daji (Euphorbiae Pekinensis Radix - stir-fried), Chenjupi (Citri Reticulatae Pericarpium - soaked in water, white pith removed, dried), Chenqu (Massa Medicata Fermentata - stir-fried).
The above seven ingredients are made into fine powder and mixed with refined honey to form pills the size of paulownia seeds. Wash down with Mutong and Sangbaipí decoction.
Formula for treating water qi swelling and fullness, urgent Qi, panting and coughing, red and scanty urine: Sangbaipí Tang (Mulberry Root Bark Decoction).
Sangbaipí (Morus Albae Cortex Radicis - chopped, four taels), Tingli (Lepidii Semen - stir-fried on paper), Zeqijingye (Euphorbiae Helioscopiae Caulis et Folium), Yuliren (Pruni Persicae Semen - soaked in water, skins and tips removed), Xingren (Armeniacae Semen Amarum - hundred [grains]).
The above six ingredients are coarsely crushed and sifted. Take three qianbi each time, with one and a half lamps of water, one piece of fresh ginger cut as large as a jujube. Decoct until eight parts remain. Remove dregs and take warm. Stop when urination becomes smooth.
Formula for treating water disease with panting and fullness, red and scanty urine, swelling of waist and legs, and insomnia: Kutinglei Wan (Bitter Lepidium Pill).
Kutinglei (Lepidii Semen - stir-fried on paper, one tael and three fen), Xingren (Armeniacae Semen Amarum - soaked in water, skins and tips removed, twin kernels removed, stir-fried, ground), Chenjupi (Citri Reticulatae Pericarpium - soaked in water, white pith removed, dried), Fangji (Stephaniae Tetrandrae Radix), Chifuling (Polypori Cum Rhamno - black skin removed), Zisuye (Perillae Folium), Yuliren (Pruni Persicae Semen - soaked in water, skins and tips removed, stir-fried, ground).
The above seven ingredients: crush five into powder, mix evenly with the other two ground ingredients, and combine with refined honey to form pills the size of paulownia seeds. Take 20 pills each time, washed down with Jupi decoction after meals, twice daily.
Formula for treating edema, chest fullness, and urgent Qi: Yuliren Tang (Prunus Seed Decoction).
Yuliren (Pruni Persicae Semen - soaked in water, skins and tips removed, stir-fried), Sangbaipí (Morus Albae Cortex Radicis - roasted, chopped), Chixiaodou (Phaseoli Angularis Semen - stir-fried), Chenjupi (Citri Reticulatae Pericarpium - soaked in water, white pith removed, stir-fried), Zisu (Perillae Fructus), Maogen (Imperatae Rhizoma - cut).
The above six ingredients are coarsely crushed and sifted. Take five qianbi each time, with three lamps of water, decoct until one lamp remains. Remove dregs and take warm.
Formula for treating ten types of water qi, panting and urgency, inability to sit or lie comfortably, and dribbling scanty urine: Tingli San (Lepidium Powder).
Kutinglei (Lepidii Semen - stir-fried on paper, one tael and half), Qianniuzi (Semen Imperatoriae - stir-fried, one tael and two qian), Zhuling (Polyporus), Zexie (Alismatis Rhizoma), Jiaomu (Zanthoxyli Pericarpium - stir-fried).
The above five ingredients are crushed into fine powder. For use, take three stalks of scallion white, cut them, add one lamp of sour rice water, decoct until half a lamp remains. Remove dregs, mix with two qianbi of medicine, and take on an empty stomach and before sleep. Stop when bowel and bladder movements are smooth.
Formula for treating edema, chest Qi fullness, and panting urgency: Fuling Tang (Poria Decoction).
Chifuling (Polypori Cum Rhamno - black skin removed), Xingren (Armeniacae Semen Amarum - skins and tips removed, twin kernels removed, stir-fried), Chenjupi (Citri Reticulatae Pericarpium - soaked in water, white pith removed, stir-fried).
The above three ingredients are coarsely crushed and sifted. Take five qianbi each time, with three lamps of water. Decoct until one lamp remains. Remove dregs and take warm, twice daily. The disease pathogen exits via urine. If not cured, prepare another dose.