病源水症者，由经络痞涩，水气停聚，在于腹内，大小肠不利所为也，其病腹内有结块
，坚强在两胁间，膨膨胀满，遍身肿，所以谓之水症。（出第二十一卷中）
深师疗水症，腹内胸胁牢强，通身肿，不能食，海藻丸方。
海藻（一两洗） 水银（一两） 椒目（一两） 芒硝（一两） 葶苈（一两熬） 大
黄（一两）
甘遂（一两熬） 杏仁（三十枚去尖皮熬） 桂心（一两） 附子（一两炮） 茯苓（一两）
大戟（
一两） 松萝（一两） 干姜（一两） 巴豆（三十枚去心皮熬）
上十五味下筛，蜜和服如小豆二丸，日三，不知，稍稍加之。忌猪肉大酢生葱芦笋。（
范汪同出第十九卷中）
范汪疗水肿大腹水症丸方。
矾石（十分熬） 踯躅花（十分） 细辛（十分） 半夏（十分洗） 藜芦（十分） 丹
参（十分） 承露（十分承露是落葵） 巴豆（十枚去心皮熬） 苦参（十分） 雄黄（十
分） 大黄（十分）
芒硝（十分） 大戟（十分） 乌头（二十分炮） 野狼毒（十分） 野葛（二分）
上十六味捣下筛，蜜和药成，以置肿上，并服如黍米三丸，日三。欲取下者服五丸。禁
食生鱼生菜肥肉，千金不传，谓之千金丸。（并出第三十五卷中）
病源水瘕者，由经络痞涩，水气停聚，在于心下，肾经又虚，不能宜利溲便，致令水气
结聚而成形，瘕在于心腹之间，抑按作水声，但欲饮而不用食，遍身虚肿是也。（出第二十
一卷
古今录验水瘕病，心下如数升油囊，荥荥作声，日饮三斗，不用食，但欲饮，久病则为
瘕，坚有虾 鳖，疗之方。
取蓖麻成熟好者二十枚去皮，杯中研令熟，不用捣，水解得三合，宿不餐，清旦一顿服
尽，日中许当吐下青黄如葵汁，当囊结裹，其病不尽，即三日更增服三十枚蓖麻如上法。若
病如
慎不
[Pathogenesis] The so-called "Shui Zheng" (Water Syndrome) arises from the obstruction and stagnation of meridians and collaterals, where water qi accumulates within the abdomen, causing dysfunction of the large and small intestines. Its clinical manifestations include intra-abdominal masses that are hard and distended between the two hypochondria, along with generalized edema; hence it is termed "Shui Zheng" (Water Syndrome). (From Volume 21)
The *Shen Shi Fang* treats "Shui Zheng" (Water Syndrome) characterized by rigidity and hardness in the abdomen and chest/hypochondrium, generalized edema, and anorexia, using the *Haizao Wan* (Seaweed Pill) formula.
*Algae* (Haizao, 1 liang, washed) *Hydrargyrum* (Shuiyin, 1 liang) *Zanthoxylum semen* (Jiaomu, 1 liang) *Natrii Sulfas* (Mangxiao, 1 liang) *Lepidii Semen* (Tinglizi, 1 liang, processed) *Rhei Radix et Rhizoma* (Dahuang, 1 liang)
*Kansui Radix* (Gansui, 1 liang, processed) *Pruni Semen Armeniacae Amarum* (Xingren, 30 seeds, tip and skin removed, processed) *Cinnamomi Ramulus* (Guixin, 1 liang) *Aconiti Lateralis Radix Praeparata* (Fuzi, 1 liang, processed) *Poria* (Fuling, 1 liang)
*Euphorbiae Pekinensis Radix* (Daji, 1 liang) *Usnea* (Songluo, 1 liang) *Zingiberis Rhizoma* (Ganjiang, 1 liang) *Crotonis Fructus* (Badou, 30 seeds, heart and skin removed, processed)
The above fifteen ingredients are sifted into fine powder, mixed with honey to form pills the size of small beans. Take two pills per dose, three times daily. If ineffective, gradually increase the dosage. Avoid pork, vinegar, raw green onions, and asparagus shoots. (Fan Wang's view is identical; From Volume 19)
Fan Wang's pill formula for treating edema, abdominal distension, and water syndrome.
*Alumen* (Fanshi, 10 fen, processed) *Daphne genkwa* (Zhizhuhua, 10 fen) *Asari Radix et Rhizoma* (Xixin, 10 fen) *Pinelliae Tuber* (Banxia, 10 fen, washed) *Veratrum nigrum* (Lilu, 10 fen) *Salvia miltiorrhiza* (Danshen, 10 fen) *Malva verticillata* (Chenglu, 10 fen; Chenglu refers to Malva verticillata) *Crotonis Fructus* (Badou, 10 seeds, heart and skin removed, processed) *Sophorae Flavescentis Radix* (Kushen, 10 fen) *Realgar* (Xionghuang, 10 fen) *Rhei Radix et Rhizoma* (Dahuang, 10 fen)
*Natrii Sulfas* (Mangxiao, 10 fen) *Euphorbiae Pekinensis Radix* (Daji, 10 fen) *Aconiti Radix* (Wutou, 20 fen, processed) *Stellerae Radix* (Yelangdu, 10 fen) *Gelsemii Radix* (Yege, 2 fen)
The above sixteen ingredients are crushed, sifted into fine powder, and mixed with honey to form pills. Apply some externally to the swollen areas and take some internally: three pills the size of millet seeds per dose, three times daily. To promote purgation, take five pills. Contraindicated foods include raw fish, raw vegetables, and fatty meat. This formula was not passed down from Qianjin and is called *Qianjin Wan* (Thousand Gold Pill). (All from Volume 35)
[Pathogenesis] The so-called "Shui Jia" (Water Mass) arises from the obstruction and stagnation of meridians and collaterals, where water qi accumulates below the heart (epigastrium). Due to deficiency of the Kidney meridian, which fails to facilitate urination, water qi condenses and forms a mass. The Jia mass lies between the heart and abdomen; pressing it produces a splashing sound. The patient desires only to drink and not to eat, accompanied by generalized flaccid edema. This constitutes the pathology of Shui Jia. (From Volume 21)
The *Gu Jin Lu Yan* treats Water Jia disease, characterized by a sensation in the epigastrium like several sheng of oil bladders, producing a faint gurgling sound, drinking three dou of water daily without eating food, desiring only to drink. Long-standing illness leads to the formation of Jia, which becomes hard and resembles shrimp or turtles. The treatment formula is as follows.
Select twenty mature, high-quality *Ricini Fructus* (Biban/Castor Bean seeds), remove the husks, grind them thoroughly in a cup until smooth, do not pound them. Dilute with water to obtain three he of liquid. Fast overnight, and consume the entire amount in one dose early in the morning. Around noon, one should vomit or purge green and yellow fluids resembling okra juice, at which point the mass will congeal and wrap up. If the disease is not fully cured, repeat the administration of thirty castor bean seeds after three days using the same method. If the condition is like... (Text ends abruptly)