病源此繇风湿毒瓦斯，搏于肾经，肾主水，今为邪所搏，则肾气不能宣通水液，水液不传
于小肠，致水气壅溢腑脏，浸渍皮肤，故肿满也。（出第十三卷中）
千金翼温肾汤，主腰脊膝脚浮肿不随方。
茯苓 干姜 泽泻（各二两） 桂心（三两）
上四味切。以水六升，煮取二升。分为三服。忌酢物生葱，又疗香港脚初发，从足起至膝
胫肿骨疼者方。
乌牛尿一服一升，日二服，肿消止，羸瘦者二分尿一分牛乳合煮，乳结乃服之。
又方
生猪肝一具细切，以淡蒜齑食之令尽，若不尽者，分再食之。（并出第十六卷中）
崔氏疗香港脚遍身肿方。
大豆（二大升以水一斗煮取五升去豆） 桑根白皮（一握切） 槟榔（二七枚碎） 茯
苓（二
两切）
上四味。将三物以前豆汁浸经宿，煮取二升，绞去滓，添酒二合，纳药中，随多少服之
，忌酢物。（救急同）
又疗遍身肿小便涩者，用麻豆方主之，疗脚肿气。
乌豆（一斗水四斗煮取一斗半去豆） 桑根白皮（切五升） 大麻子（二升熬研碎）
上三味。以豆汁纳药，煎取六升，一服一升，日二服，三日令尽。
又方
乌豆（五升） 桑根白皮（切四升二物以水二斗煮取一斗半去滓） 大麻子仁（一升熬）
橘
皮（二两） 升麻（二两） 杏仁（二两） 猪苓（二两） 丹参（三两） 生姜（二两切）
上九味切。将七物纳前桑皮豆汁中，煮取四升，朝二服，相去如三食久，药消进食，食
消又更进二服。（此二方并唐尚书送）
又疗香港脚，及腰肾膀胱宿水及痰饮，桃花散方。
收桃花阴干，量取一大升，但随虚满，不须按捺，捣为散，纱罗下之，温清酒和，一服
令尽
进
脚
大都消息，慎生。
冷酸滑五辛酒面，及粘食肥腻，四五日外，诸食复常，又余见古方论云
，香港脚但肿不闷，经服利药，法令人渴，但肿纵不服利药，亦遣人渴，宜利方。
取大麻子熬令香，和水研，取一大升，别以三大升水煮一大升赤小豆。取一升汁，即纳
麻汁，更煎三五沸，渴即饮之，冷热任取，安稳，饥时啖豆亦佳，而利小便止渴消肿，大良，
乌
二
六
文仲大麻子酒方，疗香港脚上，脚肿小腹痹。
大麻子一升碎研，清酒三升渍三宿，温服随性，兼疗头风，补益。此一方传用大良。（
备急同）
又疗香港脚满，小便少者方。
槟榔（四十枚切） 大豆（三升） 桑根白皮（切二升）
上三味。以水二斗，煮取六升，分六服，间粥亦得。若冷胀加吴茱萸二升，生姜二两用
亦良。（备急同）
又疗香港脚，非冷非热，老人弱人胀满者方。
槟榔壳汁中，或茶饮中豉汁中，服槟榔仁散方寸匕。利甚快稳良。（备急同）
又香港脚满方。
大豆一升，以水四升煮之令熟，去滓，取桑根白皮切一大升，和豆汁重煎之，浓薄如酪，
布绞去滓，空腹日再。（备急同）
又徐王枳实散，宜春秋服，消肿利小便，兼补疗风虚冷胀不能食方。
枳实（半斤炙） 桂心（一斤） 茯苓 白术（各五两）
上四味为散，酒服方寸匕，日三服，加至二匕，忌生葱酢物桃李雀肉等。（备急同）
又手脚酸痛兼微肿方。
乌麻（五升微熬碎之）
上一味。以酒一升渍一宿，随多少饮之，尽更作大佳。（备急同）
又若身肿气攻心者方。
生猪肉去脂，以浆水洗，于两板中压去汁，细切作脍，蒜齑啖之，日二顿，下气除风，
此方外国法。（备急同）
又捋脚方。
捣乌麻碎，水煮渍捋大验。
又方
水煮杉木浸捋脚，去肿满，大验。（备急同）
又脚洪肿方。
取小豆一升，和 楮心一握熟煮，吃三二升即瘥，如汤沃雪良。此二方经用效。（备急
同并出第九卷中）
救急疗风水毒瓦斯遍身肿方。
楮白皮（三两） 橘皮（一两） 桑根白皮（五两东引者） 紫苏 生姜（各四两） 大
豆（二
小升）
上六味切。以水九升，煮取一大升，绞去滓，分为四服，其药并须暖，不过三剂必当瘥
，百日来唯禁大酢。（出第七卷中）
必效主香港脚数发，通身满妨气急者方。
取大麻子一升碎，以小便二升煮，取一升，去滓，顿服之。（苏唐徐同出第三卷中）
苏恭疗下焦冷，肿满胸塞，吐不下食者，兼去温毒方。
防己 芍药（各二两） 枳实（炙） 独活 防风 桂心（各三两） 生姜（八两） 葛
根（三
两） 半夏（一升洗）
上九味切。以水九升，煮取三升，分作四服，相去八九里久，中间食少粥，一方无防己
枳实，加附子二两炮，余依本方，忌羊肉饧生葱。（出上卷中）
唐侍中疗苦香港脚攻心，此方甚散肿气，极验。
大槟榔（七枚合子碎） 生姜（各二两） 橘皮 吴茱萸 紫苏 木瓜（各一两）
上六味切。以水三升，煮取一升三合，分再服。忌如药法，又葶苈丸，疗水气，及脚并
虚肿方。
葶苈子（七分生用） 牵牛子 泽漆叶 海藻（洗去咸炙） 昆布（如上炙） 桑根白
皮（
炙） 甘遂（熬） 椒目 郁李仁（各三分去皮） 桂心（一分）
上十味捣筛，蜜和为丸，如梧子，一服十五丸，日再服，加至二十丸，其药用桑白皮
切五合，赤小豆一合，通草一两切，水二升，煮取一升下药，忌生葱。（出下卷中）
萧亮疗香港脚肿盛，因生疮积年不瘥，脓血长流，依状是风毒瓦斯，为冬间服药酒拥滞，散
在腠理，宜服此方，疗风痒及旧癣疥百病，轻腰脚，兼通大肠，疗肺中热毒瓦斯方。
漏芦 葳蕤 乌蛇脯（炙各二十四分） 枳实（十二分炙） 秦艽（九分） 苦参（一
斤捣去
筋脉取粉） 汉防己（八分） 玄参（二十二分） 干麦门冬（十二分去心） 白术 黄
（各十二
分） 大黄（二十四分） 黄芩（八分）
上十三味捣筛，蜜和丸如梧子，一服四十丸，日再，渐加至五十丸，无问食前食后服，
酒浸药下之。
又方
牛蒡根（切二大升） 枳实（八两炙） 磁石（一斤） 薏苡仁（一升） 玄参（六两）
乌蛇脯
（六两炙） 生地黄（切二大升） 乌豆（小粒者一大升）
上八味细切。绢袋盛，以好无灰酒一大斗，浸经三日，任性多少，将以下前药。
又洗方。
漏芦（一大升） 白蔹（五两） 甘草（三两炙） 蒺藜子 槐白皮 五加根皮（各一
大升）
上六味切。以水二大斗，煮取六升，纳芒硝半大升，痒即洗，其汤微温如人体，如疮热
湿布KT 上。忌海藻菘菜。
又解风毒入腰脚暴闷痛饮子方。
生犀角（屑） 蜀升麻 黄芩 干蓝 汉防己 枳实（炙各二两） 漏芦（三两炙） 白
蔹（
一两） 栀子仁（十个） 甘草（原缺分两）
上十味切。以水八升，煮取二升三合，绞去滓，分温三服，不问食前后。忌海藻菘菜酢
。（此方忌酢恐更有茯苓）
又KT 方。
取前方加大黄三两，栀子四十颗，取软白布剪作三二十筒孔，纳药汁中浸湿，敷疮上，
干即换。
近效疗香港脚，两脚肿满，暴破冲心，众医不瘥方。
小便（三升） 黍（三斤）
上二味相和煮三五沸，将浸脚，日三四度，极神效，其药于水盆中盛，下着火暖之，如
池瓮法，周回泥塞，然后浸脚，捋使汗出，立效。
The etiology stems from wind-dampness toxic qi invading the Kidney Meridian. The Kidney governs water metabolism; now obstructed by pathogenic factors, the Kidney Qi fails to circulate and unblock water fluids, preventing them from descending to the Small Intestine. This causes water qi to stagnate and overflow into the Zang-Fu organs, infiltrating the skin, resulting in swelling and distension. (From Volume 13)
Wen Shen Tang (Warm the Kidney Decoction) from *Qian Jin Yi Fang* treats edema of the lower back, spine, knees, and feet accompanied by immobility.
Poria (Fu Ling), Dried Ginger (Gan Jiang), Alisma (Ze Xie) (each 2 liang); Cinnamon Twig (Gui Xin) (3 liang).
Cut the above four herbs. Boil in 6 sheng of water until reduced to 2 sheng. Divide into three doses. Avoid vinegar products and raw green onions. This formula also treats early-stage Hong Jiao Jiao (Podagra/Gouty Arthritis) starting from the foot and extending to the knee and shin, with bone pain.
One sheng of urine from a black ox per dose, taken twice daily. Discontinue when swelling subsides. For emaciated patients, mix two parts urine with one part cow's milk, boil until the milk coagulates, then consume.
Another prescription:
One fresh pig liver, finely chopped. Consume completely mixed with mild minced garlic. If not finished, divide into two meals. (Both from Volume 16)
Cui Shi's Formula for Generalized Edema in Hong Jiao Jiao.
Soybean (Da Dou) (2 large sheng, boiled in 1 dou of water to yield 5 sheng, discard beans); Mulberry Root Bark (Sang Bai Pi) (one handful, cut); Areca Nut (Bing Lang) (14 pieces, crushed); Poria (Fu Ling) (2 liang, cut).
Combine the first three items in the soybean decoction and soak overnight. Boil to obtain 2 sheng of liquid, strain, add 2 he of wine, and mix with the medicine. Take appropriate amounts based on condition. Avoid vinegar. (Same as emergency treatment)
Another formula for generalized edema with scanty urination, called Ma Dou Fang, treating leg swelling and qi stagnation.
Black Soybean (Wu Dou) (1 dou, boiled in 4 dou of water to yield 1.5 dou, discard beans); Mulberry Root Bark (Sang Bai Pi) (cut 5 sheng); Hemp Seed (Da Ma Zi) (2 sheng, roasted and crushed).
Place the herbs in the bean decoction and boil to obtain 6 sheng. Take 1 sheng per dose, twice daily. Finish within three days.
Another prescription:
Black Soybean (Wu Dou) (5 sheng); Mulberry Root Bark (Sang Bai Pi) (cut 4 sheng, these two boiled in 2 dou of water to yield 1.5 dou, discard dregs); Hemp Seed Kernel (Da Ma Zi Ren) (1 sheng, roasted); Tangerine Peel (Ju Pi) (2 liang); Cimicifuga (Sheng Ma) (2 liang); Apricot Kernel (Xing Ren) (2 liang); Polyporus (Zhu Ling) (2 liang); Salvia Miltiorrhiza (Dan Shen) (3 liang); Fresh Ginger (Sheng Jiang) (2 liang, cut).
Cut the nine herbs. Place seven herbs (excluding Sang Bai Pi and bean juice) into the previous mulberry root bark and bean juice mixture. Boil to obtain 4 sheng. Take two doses in the morning, spaced about the time it takes to eat one meal. Eat after the medicine takes effect; eat again after digestion, taking two more doses. (These two formulas were sent by a Tang Dynasty Shangshu Minister)
Tao Hua San (Peach Blossom Powder) for treating Hong Jiao Jiao, as well as retained water and phlegm-fluids in the waist, kidneys, and bladder.
Collect peach blossoms and dry them in the shade. Measure out one large sheng. Take according to the degree of deficiency and distension; no need to press or rub. Grind into powder, sieve through gauze, and take with warm clear wine or rice wine. Consume in one dose.
Dietary management is crucial; be cautious with cold, sour, slippery, five-spice, alcoholic, and noodle foods, as well as sticky and fatty foods. After four or five days, resume normal diet. Ancient texts state that Hong Jiao Jiao presents with swelling but no stifling sensation. Diuretic therapy induces thirst; even without diuretics, thirst may occur. A suitable diuretic formula is recommended.
Roast hemp seeds until fragrant, grind with water to obtain one large sheng of juice. Separately, boil one large sheng of Adzuki Bean (Chi Xiao Dou) in three large sheng of water to obtain one sheng of juice. Mix the hemp seed juice into the bean juice and boil for three to five boils. Drink when thirsty, temperature as preferred. It provides comfort. Eating beans when hungry is also beneficial, promoting diuresis, quenching thirst, and reducing swelling. Highly effective.
Wen Zhong's Da Ma Zi Jiu (Hemp Seed Wine) for upper-rising Hong Jiao Jiao, leg swelling, and lower abdominal bi-syndrome.
Hemp Seed (Da Ma Zi) (1 sheng, crushed and ground). Soak in 3 sheng of clear wine for three nights. Warm and take according to tolerance. Also treats head wind and tonifies. This transmitted formula is highly effective. (Same as Bei Ji)
Formula for Hong Jiao Jiao distension with scanty urination.
Areca Nut (Bing Lang) (40 pieces, cut); Soybean (Da Dou) (3 sheng); Mulberry Root Bark (Sang Bai Pi) (cut 2 sheng).
Boil the three herbs in 2 dou of water to obtain 6 sheng. Divide into six doses. Porridge can be consumed between doses. For cold-type distension, add Evodia (Wu Zhu Yu) 2 sheng and Fresh Ginger (Sheng Jiang) 2 liang, which is also effective. (Same as Bei Ji)
Formula for Hong Jiao Jiao, neither cold nor hot, causing distension in the elderly and weak.
Take Areca Nut Kernel (Bing Lang Ren) powder, one fang cun bi, mixed in rice vinegar juice or fermented soybean (Dou Chi) juice in tea. Promotes rapid, steady, and good diuresis. (Same as Bei Ji)
Another formula for Hong Jiao Jiao distension.
Soybean (Da Dou) (1 sheng), boiled in 4 sheng of water until cooked. Strain. Add cut Mulberry Root Bark (Sang Bai Pi) (1 large sheng). Re-boil with the bean juice until thick like yogurt/curd. Strain through cloth. Take on an empty stomach, twice daily. (Same as Bei Ji)
Xu Wang's Zhi Shi San (Immature Bitter Orange Powder), suitable for spring and autumn use, reduces swelling, promotes diuresis, and treats loss of appetite due to wind-deficiency cold distension.
Immature Bitter Orange (Zhi Shi) (half jin, roasted); Cinnamon Twig (Gui Xin) (1 jin); Poria (Fu Ling); Atractylodes Macrocephala (Bai Zhu) (each 5 liang).
Grind the four herbs into powder. Take one fang cun bi with wine, three times daily. Increase to two bi if needed. Avoid raw green onion, vinegar, plums, peaches, and sparrow meat. (Same as Bei Ji)
Formula for soreness and pain in hands and feet with slight swelling.
Black Sesame (Wu Ma) (5 sheng, lightly roasted and crushed).
Soak one herb in 1 sheng of wine overnight. Drink appropriate amounts. Making more after finishing is excellent. (Same as Bei Ji)
Formula for body swelling with qi attacking the heart.
Remove fat from fresh pork. Wash with grain wash water. Press between two boards to remove juice. Cut into fine shreds for sashimi. Consume with minced garlic, twice daily. Moves qi and dispels wind. This is a foreign method. (Same as Bei Ji)
Tuojiao Fang (Leg Rubbing Formula).
Crush black sesame, boil in water, soak, and rub legs. Highly effective.
Another prescription:
Boil fir wood in water, soak, and rub legs to reduce swelling and distension. Highly effective. (Same as Bei Ji)
Formula for severe leg swelling.
Take 1 sheng of Adzuki Bean (Xiao Dou) and one handful of Catalpa Heart (Chu Xin). Boil thoroughly. Consume 2-3 sheng for recovery. Effective like pouring hot water on snow. These two formulas have proven efficacy. (Same as Bei Ji, from Volume 9)
Ji Jiu Formula for Wind-Water Toxic Qi causing generalized swelling.
Catalpa Bark (Chu Bai Pi) (3 liang); Tangerine Peel (Ju Pi) (1 liang); Mulberry Root Bark (Sang Bai Pi) (5 liang, from east-facing branches); Perilla (Zi Su); Fresh Ginger (Sheng Jiang) (each 4 liang); Soybean (Da Dou) (2 small sheng).
Cut the six herbs. Boil in 9 sheng of water to obtain 1 large sheng. Strain. Divide into four doses. Keep medicine warm. Cure expected within three doses. Prohibit strong vinegar for 100 days. (From Volume 7)
Bi Xiao Formula for recurrent Hong Jiao Jiao with full-body distension and shortness of breath.
Take 1 sheng of Hemp Seed (Da Ma Zi), crush, and boil in 2 sheng of urine to obtain 1 sheng. Strain and take in one dose. (Su Gong, Tang, Xu methods are same, from Volume 3)
Su Gong's Formula for Lower Jiao Cold, swelling/distension with chest oppression, vomiting, and inability to eat, also removing warm toxicity.
Stephania Tetrandra (Fang Ji); Peony Root (Shao Yao) (each 2 liang); Immature Bitter Orange (Zhi Shi, roasted); Angelica Pubescens (Du Huo); Saposhnikovia (Fang Feng); Cinnamon Twig (Gui Xin) (each 3 liang); Fresh Ginger (Sheng Jiang) (8 liang); Kudzu Root (Ge Gen) (3 liang); Pinellia (Ban Xia) (1 sheng, washed).
Cut the nine herbs. Boil in 9 sheng of water to obtain 3 sheng. Divide into four doses. Wait the time it takes to walk 8-1 li before next dose. Eat small amount of porridge in between. Another version omits Fang Ji and Zhi Shi, adds Prepared Aconite (Fu Zi) 2 liang. Follow original instructions otherwise. Avoid mutton, maltose, and raw green onion. (From Upper Volume)
Tang Shizhong's Formula for painful Hong Jiao Jiao attacking the heart, effectively dissipating swelling and qi. Highly effective.
Large Areca Nut (Da Bing Lang) (7 pieces, crushed with shell); Fresh Ginger (Sheng Jiang) (each 2 liang); Tangerine Peel (Ju Pi); Evodia (Wu Zhu Yu); Perilla (Zi Su); Quince (Mu Gua) (each 1 liang).
Cut the six herbs. Boil in 3 sheng of water to obtain 1 sheng 3 he. Divide into two doses. Observe medication contraindications.
Also Ting Li Wan (Descurainia Pill) for water qi, leg swelling, and general edema.
Descurainia Seed (Ting Li Zi) (7 parts, raw); Strychnos Seed (Qian Niu Zi); Euphorbia Leaf (Ze Qi Ye); Seaweed (Hai Zao, washed to remove saltiness, roasted); Kelp (Kun Bu, roasted as above); Mulberry Root Bark (Sang Bai Pi, roasted); Kansui (Gan Sui, roasted); Pepper Seed (Jiao Mu); Walnut Kernel? No, Prunus Seed (Yu Li Ren) (each 3 parts, peeled); Cinnamon Twig (Gui Xin) (1 part).
Grind ten herbs into powder, mix with honey to make pills the size of wutong seeds. Take 15 pills per dose, twice daily. Increase to 20 pills. Administer with decoction made from cut Sang Bai Pi (5 he), Chi Xiao Dou (1 he), Tong Cao (1 liang), boiled in 2 sheng of water to yield 1 sheng. Avoid raw green onion. (From Lower Volume)
Xiao Liang's Formula for severe Hong Jiao Jiao swelling with chronic sores, pus and blood discharge, identified as wind-toxic qi stagnating in cou-li due to winter medicinal wine. Treats wind-itch, old tinea versicolor, and other skin diseases, lightens waist and feet, unblocks Large Intestine, and clears lung heat-toxic qi.
Rhinanthus (Lou Lu); Anemarrhena (Wei Rui); Black Snake Flesh (Wu She Fu, roasted each 24 fen); Immature Bitter Orange (Zhi Shi, roasted 12 fen); Gentiana Macrophylla (Qin Jiao) (9 fen); Sophora Flavescens (Ku Shen) (1 jin, pounded to remove tendons, take powder); Stephania Tetrandra (Han Fang Ji) (8 fen); Scrophularia (Xuan Shen) (22 fen); Dried Ophiopogon (Gan Mai Dong Men Dong, 12 fen, remove heart); Atractylodes Macrocephala (Bai Zhu); Astragalus (Huang Qi) (each 12 fen); Rhubarb (Da Huang) (24 fen); Scutellaria (Huang Qin) (8 fen).
Grind thirteen herbs into powder, mix with honey to make pills the size of wutong seeds. Take 40 pills per dose, twice daily. Gradually increase to 50 pills. Take regardless of meals. Administer with wine-soaked medicine.
Another prescription:
Arctium Root (Niu Bang Gen) (cut 2 large sheng); Immature Bitter Orange (Zhi Shi) (8 liang, roasted); Magnetite (Ci Shi) (1 jin); Coix Seed (Yi Yi Ren) (1 sheng); Scrophularia (Xuan Shen) (6 liang); Black Snake Flesh (Wu She Fu) (6 liang, roasted); Fresh Rehmannia (Sheng Di Huang) (cut 2 large sheng); Black Soybean (Wu Dou) (small grains, 1 large sheng).
Finely cut eight herbs. Place in silk bag. Soak in 1 dou of good non-cloudy wine for three days. Take appropriate amounts to administer preceding medicines.
Another external wash formula.
Rhinanthus (Lou Lu) (1 large sheng); Ampelopsis (Bai Lian); Licorice (Gan Cao) (3 liang, roasted); Tribulus (Ji Li Zi); Locust Tree Bark (Huai Bai Pi); Fiveleaf Acanthopanax (Wu Jia Gen Pi) (each 1 large sheng).
Cut six herbs. Boil in 2 large dou of water to obtain 6 sheng. Add Mirabilite (Mang Xiao) half large sheng. Wash when itching. Water should be slightly warm, like human body temperature. If sores are hot/wet, apply wet cloth compress. Avoid seaweed and cabbage.
Another Yinzi for resolving wind-toxic qi sudden stabbing pain in waist and feet.
Fresh Rhinoceros Horn (Sheng Xi Jiao, shaved); Shu Sheng Ma; Scutellaria (Huang Qin); Dried Isatis Root (Gan Lan); Stephania Tetrandra (Han Fang Ji); Immature Bitter Orange (Zhi Shi, roasted each 2 liang); Rhinanthus (Lou Lu) (3 liang, roasted); Ampelopsis (Bai Lian) (1 liang); Gardenia Seed (Zhi Zi Ren) (10 pieces); Licorice (Gan Cao) (dose missing in original).
Cut ten herbs. Boil in 8 sheng of water to obtain 2 sheng 3 he. Strain. Divide into three warm doses. Regardless of meals. Avoid seaweed, cabbage, vinegar. (Vinegar avoided possibly due to additional Poria)
Another compress formula.
Take the above formula, add Rhubarb (Da Huang) 3 liang, Gardenia (Zhi Zi) 40 pods. Cut soft white cloth into 30-20 cylindrical holes. Soak in medicine juice until wet. Apply to sores. Change when dry.
Jin Xiao Formula for Hong Jiao Jiao with bilateral leg swelling/distension, sudden rupture attacking heart, refractory to other doctors.
Urine (3 sheng); Millet (Shu) (3 jin).
Mix and boil for 3-5 boils. Soak feet. Do this 3-4 times daily. Extremely effective. Place medicine in basin, heat underneath like a pool/pot, seal edges with mud. Soak feet, massage to induce sweating. Immediate effect.