论曰脾土也，土气弱则不能制水，消渴饮水过度，脾土受湿而不能有所制，则泛溢妄行
于皮肤肌肉之间，聚为浮肿胀满而成水也。
治消渴后四肢浮肿，小便不利，渐成水病。猪苓散方
猪苓（去黑皮） 人参（各三分） 木通（锉一两一分） 黄连（去须一两半） 麦门
冬（去心
焙） 栝蒌根（各二两）
上六味，捣罗为细散，每服一钱匕，温浆水调下。日三、以瘥为度。
治消渴欲成水气，面目并膝胫浮肿，小便不利。瞿麦汤方
瞿麦穗 滑石 泽泻（各半两） 防己（三分） 大黄（锉炒） 黄芩（去黑心各一分）
桑螵
蛸（炒一十四枚）
上七味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓空心温服，良久再服。
治消渴后数饮呕逆，虚羸欲成水病。茯苓散方
赤茯苓（去黑皮） 栝蒌根 麦门冬（去心焙各一两半） 升麻（一两） 桑根白皮（锉
二两）
上六味，捣罗为细散，每服一钱匕，清水调下，日再。
治消渴后，遍身浮肿，心膈不利。紫苏汤方
紫苏茎叶 桑根白皮（锉） 赤茯苓（去黑皮各一两） 羚羊角（镑） 槟榔（锉各三
分） 木
香桂（去粗皮） 独活（去芦头） 枳壳（去瓤麸炒各半两） 郁李仁（汤浸去皮尖炒二
两）
上一十味，粗捣筛，每服四钱匕，水一盏半，生姜半分切，煎至八分，去滓温服。不拘
时。
治三焦气不宣通，膈壅停水，不下至肾，肾消肌肉化为小便。茯苓汤方
赤茯苓（去黑皮） 泽泻 麦门冬（去心焙） 杜仲（去粗皮炙各二两） 桑白皮（锉
三两）
桂
上七味，粗捣筛，每六钱匕，水二盏，枣三枚劈破，薤白五茎细切，煎至一盏，去滓分
二服，空腹温服，如人行十里再服，至晚亦然，此药内消，不吐利，服一剂讫，津液未通。
血脉未行，肌肤未润，更服一剂。
治消渴瘥后，津液枯竭，身体虚浮，欲成水病。防己丸方
防己 猪苓（去黑皮） 郁李仁（汤浸去皮尖炒） 杏仁（去皮尖双仁炒各一两半） 栝
蒌根
上九味，为细末，炼蜜丸如梧桐子大，每服二十丸，空腹浆水下，日一服，肿消小便快
为度。
治消渴后，头面脚膝浮肿，胃虚不能下食，心胸不利，或时吐逆。赤茯苓汤方
赤茯苓（去黑皮） 紫苏子 白术 前胡（去芦头） 人参（各一两） 陈橘皮（汤浸
去白焙）
上一十味，粗捣筛，每服三钱匕，水一盏半，生姜半分拍碎，枣二枚劈破，煎至一盏，
去滓温服，不拘时。
Commentary states: The Spleen belongs to Earth. When Earth Qi is weak, it cannot control Water. Patients with Xiao Ke (Wasting and Thirsting Syndrome) drink excessive amounts of water, causing the Spleen Earth to be dampened and lose its controlling function. Consequently, Water overflows and moves recklessly between the skin and muscles, accumulating to form edema, distension, and fullness, thereby evolving into Shui Bing (Water Disease).
Formula for treating limb edema, dysuria, and gradual progression to water disease after Xiao Ke: Zhu Ling San (Polyporus Powder).
Herbs: Zhu Ling (Polyporus), Ren Shen (Ginseng Radix et Rhizoma) (each 3 fen); Mu Tong (Akebiae Caulis), Huang Lian (Coptidis Rhizoma) (1 liang 1 fen, crushed); Mai Men Dong (Ophiopogonis Tuber), Gua Lou Gen (Trichosanthis Radix) (each 2 liang).
Preparation and Administration: The above six herbs are crushed, sifted, and made into a fine powder. Take one qian bi per dose, mixed with warm Jiang Shui (fermented rice water). Administer three times daily, until recovery.
Formula for treating impending water qi disease characterized by facial and lower limb edema and dysuria after Xiao Ke: Qu Mai Tang (Dianthus Decoction).
Herbs: Qu Mai Sui (Dianthi Flos), Hua Shi (Talcum), Ze Xie (Alismatis Rhizoma) (each 0.5 liang); Fang Ji (Stephaniae Tetrandrae Radix) (3 fen); Da Huang (Rhei Radix et Rhizoma, crushed and stir-fried); Huang Qin (Scutellariae Radix) (1 fen, black heart removed); Sang Piao Xiao (Mantis Ootheca) (fried, 14 pieces).
Preparation and Administration: The above seven herbs are coarsely crushed and sifted. Take three qian bi per dose, add one zhan of water, decoct to 0.7 zhan, remove dregs, and take warm on an empty stomach. Repeat administration after a while.
Formula for treating frequent drinking with vomiting and regurgitation, emaciation, and impending water disease after Xiao Ke: Fu Ling San (Poria Powder).
Herbs: Chi Fu Ling (Poria with Red Cortex, black skin removed), Gua Lou Gen (Trichosanthis Radix), Mai Men Dong (Ophiopogonis Tuber, heart removed and dried) (each 1.5 liang); Sheng Ma (Cimicifugae Rhizoma) (1 liang); Sang Gen Bai Pi (Mori Cortex) (crushed, 2 liang).
Preparation and Administration: The above six herbs are crushed, sifted, and made into a fine powder. Take one qian bi per dose, mixed with clear water. Administer twice daily.
Formula for treating generalized edema and chest-diaphragm discomfort after Xiao Ke: Zi Su Tang (Perilla Decoction).
Herbs: Zi Su Jing Ye (Perillae Caulis et Folium), Sang Gen Bai Pi (Mori Cortex, crushed), Chi Fu Ling (Poria with Red Cortex, black skin removed) (each 1 liang); Ling Yang Jiao (Saigae Tataricae Cornu, shaved); Bin Lang (Arecae Semen), Mu Xiang (Aucklandiae Radix), Gui Zhi (Cinnamomi Ramulus, bark removed), Du Huo (Angelicae Pubescentis Radix) (each 3 fen); Zhi Ke (Aurantii Fructus, pith removed, bran-fried), Yu Li Ren (Pruni Semen, soaked in hot water, skin and tip removed, fried) (2 liang).
Preparation and Administration: The above ten herbs are coarsely crushed and sifted. Take four qian bi per dose, add one and a half zhan of water and half a fen of sliced fresh ginger, decoct to 0.8 zhan, remove dregs, and take warm. No specific time restriction.
Formula for treating obstruction of San Jiao (Triple Burner) Qi circulation, diaphragmatic stagnation with water retention, failure of water to descend to the Kidney, and muscle wasting due to Xiao Ke manifesting as urine production: Fu Ling Tang (Poria Decoction).
Herbs: Chi Fu Ling (Poria with Red Cortex, black skin removed), Ze Xie (Alismatis Rhizoma), Mai Men Dong (Ophiopogonis Tuber, heart removed and dried), Du Zhong (Eucommiae Cortex, bark removed and roasted) (each 2 liang); Sang Bai Pi (Mori Cortex, crushed) (3 liang); Gui Zhi (Cinnamomi Ramulus).
Preparation and Administration: The above seven herbs are coarsely crushed and sifted. Take six qian bi per dose, add two zhan of water, three cracked jujubes, and five finely cut stalks of Scallion White (Xie Bai). Decoct to one zhan, remove dregs, and divide into two doses to take warm on an empty stomach. Re-administer after walking approximately five kilometers (ten li), and again at night. This medication resolves water internally without inducing vomiting or diarrhea. If after one dose the body fluids remain unsmoothed, blood vessels un-circulated, and skin/muscles un-moistened, administer another dose.
Formula for treating dryness of body fluids, bodily flaccidity/edema, and impending water disease following the resolution of Xiao Ke: Fang Ji Wan (Stephania Pill).
Herbs: Fang Ji (Stephaniae Tetrandrae Radix), Zhu Ling (Polyporus, black skin removed), Yu Li Prunus Semen (Pruni Semen, soaked in hot water, skin and tip removed, fried), Xing Ren (Armeniacae Semen Amarum, skin and tip removed, double-kernel fried) (each 1.5 liang), Gua Lou Gen (Trichosanthis Radix).
Preparation and Administration: The above nine herbs are ground into a fine powder and formed into pills the size of Sophora seeds using refined honey. Take twenty pills per dose, swallowed with Jiang Shui (fermented rice water) on an empty stomach, once daily. Continue until swelling subsides and urination becomes smooth.
Formula for treating head, face, foot, and knee edema, gastric deficiency preventing food intake, chest discomfort, and occasional vomiting/regurgitation after Xiao Ke: Chi Fu Ling Tang (Red Poria Decoction).
Herbs: Chi Fu Ling (Poria with Red Cortex, black skin removed), Zi Su Zi (Perillae Fructus), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Qian Hu (Peucedani Radix, rhizome removed), Ren Shen (Ginseng Radix et Rhizoma), Chen Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried) (each 1 liang).
Preparation and Administration: The above ten herbs are coarsely crushed and sifted. Take three qian bi per dose, add one and a half zhan of water, half a fen of smashed fresh ginger, and two cracked jujubes. Decoct to one zhan, remove dregs, and take warm. No specific time restriction.