论曰∶水蛊之状，腹膜肿胀，皮肤粗黑，摇动有声，此由脾肾气虚，湿气淫溢，久不瘥，
则害人如蛊之毒，故谓之水蛊也。
治水蛊通身肿满。无比丸方。
京三棱（煨，锉） 牵牛子 胆矾（研） 槟榔（锉） 芫花（醋浸，炒各一两） 腻
粉（一分）
续随子（去皮） 砂（研） 木香（各半两） 铁粉（研三分） 大枣（三十枚汤内略煮
过，剥
去皮
上一十一味，除胆矾、 砂、枣肉外，同捣罗为末，用酽醋二大升，先下 砂、胆矾、
枣肉于银石器内，煎五七沸，次下诸药末，一处搅匀，慢火熬候可丸，丸如豌豆大。每服十
丸，丈夫温酒下，妇人醋汤下。
治水蛊腹胀。消肿满痞气。中膈丸方。
芫花（醋浸，炒黄） 甘遂（炒黄为末） 大戟（煨各一两） 泽泻 青橘皮（汤浸去
白，焙）
二十一枚）
上九味，捣研为末，炼蜜和丸如绿豆大。每服三丸至五丸，温酒下。
治水蛊水肿。甘遂散方。
甘遂（炒） 蓬莪术（炮） 青橘皮（汤浸去白，焙各一两） 大戟（微煨） 桂（去
粗皮各三
分） 石菖蒲（米泔浸，炒干） 木香（各半两）
上七味，捣罗为散。每服用葱汤调一钱匕，空腹，渐加至二钱匕，微吐泻为度。亦治脚
气。
治水蛊身体洪肿，喘满。葶苈汤方。
葶苈（纸上炒令紫色，捣末一两）
上一味，以水二盏，入葶苈五钱匕，大枣十枚劈破，同煎至一盏，去滓，分为二服，
以利为度。后服葶苈丸。
葶苈丸方。
葶苈子（纸上炒令紫色三两） 牵牛子（微炒一两半） 海藻（洗去咸，炒） 昆布（洗
去咸，
炒） 猪苓（去黑皮） 泽漆（各一两）
上六味，捣罗为末，炼蜜和丸如小豆大。每服米饮下十五丸，日再，稍加至二十丸，以
知为度。
治水蛊腹肿。利小便。分气散方。
甘遂（炒） 商陆（锉，炒） 白牵牛（炒各半两） 槟榔（炮，锉一枚） 木香（一
分） 白
丁香
上七味，捣研为散。每服半钱匕，温酒调下。实者，加至一钱匕。
治水蛊大小便不通，急胀壅塞。大黄汤方。
大黄（锉碎，醋拌，炒干一两半） 麦门冬（去心，焙三分） 甘遂（微炒） 茅根（锉）
黄
上六味，粗捣筛。每服二钱匕，水一盏，煎至七分，去滓温服。
治水蛊腹胀满急，小便不通，纵有少而黄赤。瞿麦汤方。
瞿麦穗 车前子 滑石（碎） 茅根（锉） 甘遂（微炒） 苦参
上六味等分，粗捣筛。每服二钱匕，以水二盏，煎至七分，去滓温服，日三，以利为度
治水蛊腹胀喘嗽。分水气。海蛤丸方。
海蛤（烧灰）半两 滑石（研） 凝水石（研各一两） 白丁香（研五十枚） 腻粉 粉
霜（各一
上六味，一处研匀，面糊和作饼子，以湿纸裹烧熟，捣罗为末，薄面糊和丸如绿豆大。
温酒下二十丸。
治水蛊内肿即冷，外肿即热，气急无力。结水汤方。
黄连（去须） 大黄（锉碎，醋拌，炒干各一两） 甘遂（微炒） 葶苈（炒令紫各一
两）
上四味，粗捣筛。每服二钱匕，水一盏半，煎至七分，去滓温服，日二。
治水蛊遍身洪肿。椒目丸方。
椒目（微炒出汗） 牡蛎（ ） 葶苈（纸上炒） 甘遂（炒）
上四味等分，捣罗为末，炼蜜和丸如小豆大。每服米饮下十丸取利。利后服白米粥养之
治水蛊水肿。大戟汤方。
大戟（去皮炒） 甘遂（炒）
上二味等分，粗捣筛。每服一钱匕，水一盏半，入大枣三枚劈破，煎至七分，去滓温
服。
治水蛊。鼠尾草丸方。
鼠尾草 马鞭草（各五斤）
上二味，用水五斗，煮取二斗，去滓，再煎成膏，为丸如小豆大，以轻粉为衣。每服米
饮下三丸至六丸。
治水蛊身体洪肿。恶实丸方。
恶实（微炒一两）
上一味为末，面糊和丸如梧桐子大。每服十丸，米饮下，勿嚼破。
治水蛊遍体洪肿。瓠瓤煎方。
瓠瓤（一枚）
上一味，以水二升，煮一炊顷，去滓，煎堪丸即丸如小豆大。每服米饮下十丸，取小便
利。利后作小豆羹食之，勿饮水。
治蛊病水肿。楮枝煎方。
楮枝（锉半升）
上一味，以水五升，煎至二升半，去滓取汁，入黑豆末半升，煎成煎，每用一匙，空腹
服之。
Discourse states: The manifestation of Shui Gu (Water Distension) involves swelling and tightness of the abdominal skin, rough and darkened skin texture, and audible fluid sounds upon shaking the body. This condition arises from deficiency of Qi in the Spleen and Kidney, leading to the excessive overflow of Dampness. If it persists without resolution, it harms the body akin to the toxicity of Gu (Parasitic Disease), hence it is termed Shui Gu.
Wubi Wan (Peerless Pill) for treating Shui Gu with generalized edema and fullness.
Sanleng Rhizoma (Sparganii Rhizoma, prepared by roasting and crushed) Qianqiu Semen (Pharbitidis Semen) Danfan (Calamina or Alum? Note: Danfan usually refers to Chalcanthite/Copper Sulfate in ancient texts, but WHO term might vary. Let's use Chalcanthite) Binglang Fructus (Arecae Fructus) Yuanhua Genkwa Flos (soaked in vinegar and roasted, each 1 liang) Nifen (Calomel) Xuisui Zi Euphorbiae Lathyridis Semen (peeled) Sha (Sand? Or a typo for another mineral? Context suggests a mineral. Likely 'Sha' as in Sandstone or similar, but often 'Sha' refers to specific minerals in formulas. Let's keep as Sha) Muxiang Radix Aucklandiae (each 0.5 liang) Tiefen (Iron Powder) Dazao Fructus Jujubae (30 pieces, briefly boiled in water, peeled).
The above eleven ingredients, except for Danfan, Sha, and Dazao flesh, are pounded and sifted into powder. Using two large sheng of strong vinegar, first add Sha, Danfan, and Dazao flesh into a silver or earthenware vessel, boil for five to seven boils. Then add all the medicinal powders, stir evenly, and simmer slowly until suitable for pill formation. Form pills the size of pea seeds. Take ten pills per dose; men take with warm wine, women take with vinegar-infused water.
Zhongge Wan (Middle Diaphragm Pill) for treating Shui Gu abdominal distension, reducing edema and fullness/stagnation.
Yuanhua Genkwa Flos (soaked in vinegar and roasted yellow) Gansui Radix Kansui (roasted yellow and powdered) Daji Radix Euphorbiae Humifusae (roasted, each 1 liang) Zexia Rhizoma Alismatis Qingju Pi Citri Reticulatae Pericarpium (soaked in water, white pith removed, dried).
The above nine ingredients are pounded and ground into powder, mixed with refined honey to form pills the size of mung beans. Take three to five pills per dose with warm wine.
Gansui San (Kansui Powder) for treating Shui Gu edema.
Gansui Radix Kansui (roasted) Peng'e Zhu Rhizoma Curcumae Phaeocaulis (processed) Qingju Pi Citri Renculatae Pericarpium (soaked in water, white pith removed, dried, each 1 liang) Daji Radix Euphorbiae Humifusae (slightly roasted) Gui Cortex Cinnamomi (outer bark removed, each 3 fen) Shichangpu Rhizoma Acori Tatarinowii (soaked in rice wash water, dried) Muxiang Radix Aucklandiae (each 0.5 liang).
The above seven ingredients are pounded and sifted into powder. Take one qian bi per dose, mixed with scallion-infused water, taken on an empty stomach. Gradually increase to two qian bi, stopping when mild vomiting or diarrhea occurs. Also treats Jiaoqi (Foot Qi).
Tingli Tang (Descurainiae Decoction) for treating Shui Gu with severe body swelling, wheezing, and chest fullness.
Tingli Fructus Descurainiae Semen (roasted on paper until purple, powdered, 1 liang).
The above single ingredient is decocted with two zhan of water, adding Tingli powder (five qian bi) and ten broken Dazao Fructus Jujubae. Simmer until one zhan remains, strain, and divide into two doses. Stop when urination improves. Follow with Tingli Wan.
Tingli Wan (Descurainiae Pill).
Tingli Zi Descurainiae Semen (roasted on paper until purple, 3 liang) Qianqiu Semen Pharbitidis Semen (slightly roasted, 1.5 liang) Haizao Sargassum (washed to remove saltiness, roasted) Kunbu Eckloniae Thallus (washed to remove saltiness, roasted) Zhuling Polyporus (black skin removed) Zeqi Euphorbiae Helioscopiae Herba (each 1 liang).
The above six ingredients are pounded and sifted into powder, mixed with refined honey to form pills the size of small beans. Take fifteen pills per dose with rice drink, twice daily. Gradually increase to twenty pills, stopping when effective.
Fenqi San (Qi-Dispersion Powder) for treating Shui Gu abdominal swelling and promoting urination.
Gansui Radix Kansui (roasted) Shanglu Rhizoma Phytolaccae (crushed, roasted) Bai Qianqiu Semen Pharbitidis Semen (white, roasted, each 0.5 liang) Binglang Fructus Arecae (processed, crushed, one piece) Muxiang Radix Aucklandiae (1 fen) Baidingxiang Flos Caryophylli.
The above seven ingredients are pounded and ground into powder. Take half a qian bi per dose, mixed with warm wine. For excess patterns, increase to one qian bi.
Dahuang Tang (Rhei Decoction) for treating Shui Gu with obstruction of both bowel and bladder, acute distension, and blockage.
Dahuang Radix et Rhizoma Rhei (crushed, mixed with vinegar, dried, 1.5 liang) Maimendong Radix Ophiopogonis (heart removed, dried, 3 fen) Gansui Radix Kansui (slightly roasted) Maogen Imperatae Rhizoma (crushed)... Huang [Text incomplete here].
The above six ingredients are coarsely crushed and sieved. Take two qian bi per dose, decoct with one zhan of water until 0.7 zhan remains, strain, and take warm.
Qumai Tang (Persicariae Decoction) for treating Shui Gu abdominal distension and urgency, urinary obstruction, where any urine present is scanty, yellow, and red.
Qumai Herba Persicariae Caoye (auricles) Cheqianzi Plantaginis Semen Huashi Talcum Maogen Imperatae Rhizoma (crushed) Gansui Radix Kansui (slightly roasted) Kushen Cortex Sophorae Flavescentis.
The above six ingredients in equal parts are coarsely crushed and sieved. Take two qian bi per dose, decoct with two zhan of water until 0.7 zhan remains, strain, and take warm, three times daily. Stop when urination improves.
Haige Wan (Clam Shell Pill) for treating Shui Gu with abdominal distension, wheezing, and coughing, dividing water qi.
Haige Concha Meretricis et Cyclinae (burned to ash, 0.5 liang) Huashi Talcum (powdered) Ningshuishi Calcitum (powdered, each 1 liang) Baidingxiang Flos Caryophylli (powdered, 50 pieces) Nifen Calomel Fenjiang Frostum Stibii.
The above six ingredients are ground uniformly together, mixed with wheat paste to form cakes, wrapped in wet paper and roasted until cooked, then pounded and sifted into powder. Mixed with thin wheat paste to form pills the size of mung beans. Take twenty pills with warm wine.
Jieshui Tang (Water-Coagulation Decoction) for treating Shui Gu where internal swelling feels cold, external swelling feels hot, accompanied by shortness of breath and weakness.
Huanglian Rhizoma Coptidis (mustards removed) Dahuang Radix et Rhizoma Rhei (crushed, mixed with vinegar, dried, each 1 liang) Gansui Radix Kansui (slightly roasted) Tingli Fructus Descurainiae (roasted until purple, each 1 liang).
The above four ingredients are coarsely crushed and sieved. Take two qian bi per dose, decoct with 1.5 zhan of water until 0.7 zhan remains, strain, and take warm, twice daily.
Jiaomu Wan (Sesame Seed Pill) for treating Shui Gu with generalized severe swelling.
Jiaomu Fructus Zanthoxyli (slightly roasted to release sweat) Muli Concha Ostreae [Text incomplete, likely processed] Tingli Fructus Descurainiae (roasted on paper) Gansui Radix Kansui (roasted).
The above four ingredients in equal parts are pounded and sifted into powder, mixed with refined honey to form pills the size of small beans. Take ten pills per dose with rice drink to induce urination. After urination, nourish with white rice porridge.
Daji Tang (Euphorbia Decoction) for treating Shui Gu edema.
Daji Radix Euphorbiae Humifusae (skin removed, roasted) Gansui Radix Kansui (roasted).
The above two ingredients in equal parts are coarsely crushed and sieved. Take one qian bi per dose, decoct with 1.5 zhan of water and three broken Dazao Fructus Jujubae until 0.7 zhan remains, strain, and take warm.
Shuweicao Wan (Mouse-tail Grass Pill) for treating Shui Gu.
Shuweicao Herba Teucrii Scorodoniae Biancaosu Herba Viticis Negundo (each 5 jin).
The above two ingredients are boiled in 5 dou of water until reduced to 2 dou, strained, and further concentrated into a paste. Form pills the size of small beans, coated with Qingfen (Calomel). Take three to six pills per dose with rice drink.
Esuo Wan (Arctii Pill) for treating Shui Gu with severe body swelling.
Esuo Fructus Arctii (slightly roasted, 1 liang).
The above single ingredient is powdered, mixed with wheat paste to form pills the size of aralia seeds. Take ten pills per dose with rice drink, do not chew.
Hurang Jian (Bottle Gourd Peel Decoction) for treating Shui Gu with generalized severe swelling.
Hurang Pericarpium Trichosanthis Cucumerinae (one piece).
The above single ingredient is boiled in 2 sheng of water for the time it takes to cook a meal, strained, and concentrated until suitable for pill formation. Form pills the size of small beans. Take ten pills per dose with rice drink to promote urination. After urination, eat adzuki bean soup, and do not drink water.
Chuzhi Jian (Paper Mulberry Branch Decoction) for treating Gu disease edema.
Chuzhi Ramulus Broussonetiae Papyriferae (crushed, 0.5 sheng).
The above single ingredient is decocted in 5 sheng of water until reduced to 2.5 sheng, strained to obtain juice. Add 0.5 sheng of black soybean powder, and boil into a syrup. Take one spoon per dose on an empty stomach.