夫肾者主水。脾胃主土。土性克水。脾与胃合。相为表里。胃为水谷之海。今胃虚。不
能传
水气
如卧
得正
唇黑
必
夫十水者。青水。赤水。黄水。白水。黑水。悬水。风水。石水。里水。气水是也。青
水者。先由面目。肿遍一身。其根在肝。赤水者。先从心肿。其根在心。黄水者。先从腹肿。
其
水
者
乍
令
治十水之病。百方不愈。面目四肢俱肿。气息喘急。寝卧不得。小便渐涩。肿胀气
闷。
甜葶苈（三两隔纸炒令紫色） 牵牛子（二两半微炒） 猪苓（二两去黑皮） 泽泻（二
两）
椒目（一两半微炒）
上件药。捣细罗为散。取葱白三茎切。以浆水一大盏。煎取半盏。入清酒半盏。搅令匀
。稍
合。
利。
治十水肿。大神验木通散方。
木通（一两半锉） 泽泻（三分） 苦瓠子（一两半） 猪苓（一两去黑皮） 汉防己
（三分）
海蛤（一两细研）
上件药。捣筛为散。每服四钱。以水酒各半中盏。入葱白五寸。煎至六分。去滓。食前
温服。当下小便数升。肿消大效。
治十种水气。证候极恶。诸医不疗。宜服芫花散方。
芫花（一分醋拌炒令干） 泽泻（一分） 郁李仁（一分汤浸去皮微炒） 牵牛子（一
分微炒）
甜
遂（半两
煨令
上件药。捣细罗为散。每服一钱。空心。以橘皮汤调下。当先泻下碧绿水。后下如烂羊
脂。即瘥。如未瘥。隔日再服之。
治十种水气。皮肤肿满。三焦壅闭。上喘咳嗽。大便不通。陈橘皮散方。
陈橘皮（一两汤浸去白瓤焙） 木香（半两） 牵牛子（一两微炒） 川大黄（一两锉
碎微炒）
枳实（半两麸炒微黄） 羌活（半两） 乌臼皮（半两锉） 汉防己（一两）
上件药。捣细罗为散。每日空心。浓煎桑根白皮汤。调下三钱。以利为度。
治十种水气。腹胀喘嗽。大小便涩。槟榔丸方。
槟榔（一两） 甜葶苈（一两隔纸炒令紫色） 甘遂（半两煨令微黄） 汉防己（半两）
川朴
硝（
两） 泽泻
（半
两汤浸
去白
上件药。捣罗为末。以醋饭和捣三五百杵。丸如梧桐子大。每日空心。以粥饮下二十丸
。以利为度。未得快利。即再服之。
治十种水气。遍身浮肿。大小便涩。喘促不止。牵牛子丸方。
牵牛子（三分微炒） 汉防己（一分） 椒目（一分微炒） 滑石（半两） 遽麦（半
两） 槟榔
（半两） 甘遂
两隔纸炒
令紫色） 郁李
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每服空腹。以木通灯心汤下二十丸。以利
为度。未得快利。即再服之。
治十种水气。遍身肿满。上气喘息。大小便俱涩。宜服大戟丸方。
大戟（一两锉碎微炒） 牵牛子（一两微炒） 皂荚（一两去皮涂酥炙令黄焦去子） 海
蛤（
一两
郁
李仁
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每日空心。以温水下二十丸。
以利为效。
治十种水气。喘息。腹胁鼓胀。小便不通。续随子丸方。
续随子 海蛤（细研） 甜葶苈（隔纸炒令紫色） 汉防己 甘遂（煨令微黄） 郁李
仁（汤
浸去皮微炒） 滑石（各半两） 腻粉（一分）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每日空心。以粥饮下七丸。当得快利。如
未利。晚食前再服。
治十种水气。此方出神仙密藏经。人间无本。因郑炼师。向天台金坛上石壁所
记。有数
疗。一瘥以后。永
有此灵验。有人先患脚
饮难下。靡觉饥渴。但喘粗不
须倚物而坐。羸弱异常。因服此药。当日气散。十日后肚硬消尽。二十余日后气力如
旧。既获神效。誓传于世。川朴硝丸方。
川朴硝（二两细研） 川芒硝（一两细研） 马牙硝（半两细研） 川乌头（一两生去
皮脐捣
罗为末） 椒目
去浮者
水煮牙出候干
上件。葶苈莨菪杏仁等相和。先捣一千杵。取大枣十枚。煮取肉。与上件药细研令匀。
然后入炼了蜜。和捣一千杵。丸如梧桐子大。每服空心。以桑根白皮汤下二十丸。
治十种水气。面目四肢肿满。心腹虚胀。三焦壅滞。坐卧喘急。川大黄丸方。
川大黄（一分锉碎微炒） 川朴硝（一分） 大戟（一分锉碎微炒） 甘遂（一分煨令
微黄）
芫花（一分醋拌炒令干） 椒目（一分微炒去汗） 甜葶苈（一分隔纸炒令紫色）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每服空心。以粥饮下十丸。当得快利。如
未利。晚食前再服。
治十种水气。遍身肿满。喘急烦闷。心腹壅滞。大小便不利。宜服此方。
大戟（一分锉碎微炒） 甜葶苈（一分隔纸炒令紫色） 芫花（一分醋拌炒令干） 甘
遂（
一分煨
（一分去
皮
心研纸
上件药。捣罗为末。入巴豆研令匀。炼蜜和丸。如梧桐子大。每服空心粥饮下三丸。
治十种水气。通身浮肿。食不消化。心腹胀满。宜服此方。
巴豆（十枚去皮心研纸裹压去油） 大戟（半两锉碎微炒） 甜葶苈（半两生用） 川
大黄（
锉碎微
炒微炒
别研）
七丸。如人行五里。以热茶投。利下粘滑物。
治十种水气。小便出水瘥方。
大戟（一两） 甘遂（一两）
上件药。生捣罗为末。每服取大麦面一两 药末一钱 以水和作饼子。烧熟徐徐吃尽。
以汤茶下之。五更后服。至晓下水极多。如病未退。隔日再服。
又方。
春大麦面（一两） 甘遂（一钱微炒）
上件药。相和用水和作饼子。以慢火烧令黄熟。碾为末。分为二服。空心以葱白汤调服
之。取下水三二升自定。
治十种水病。极甚。肿从脚起入腹。证候虽恶。宜服此方。
大戟（半两锉碎微炒） 当归（一两锉微炒） 陈橘皮（一两汤浸去白瓤焙）
上件药。捣筛为散。每服五钱。以水一大盏。煎至五分。去滓。夜临卧腹空时温服。
治水病瘥后。常服此药。永不复发方。
大麻仁（二两微炒研如膏） 黑豆（三两炒熟去皮）
上件药。捣罗为末。炼蜜和丸如梧桐子大。每日空腹。以粥饮下三十丸。
治十种水病。肿满喘促。不得眠卧方。
生大戟末（一钱） 荞麦面（二钱）
上件药。以水和作饼子。慢火烧令黄熟。碾为末。空心。以茶清调下。相次以大小肠通
利为效。
又方。
大戟（一两锉碎微炒） 芫花（一两醋拌炒令干） 苦葫芦子（一两微炒） 甜葶苈（一
两隔
纸炒令紫色）
上件药。捣细罗为散。每服一钱。以陈大麦面二钱。水一中盏。煎至四分。每日空心。
和滓温服。良久腹内作雷声。更吃热茶投之。使大小肠通利。不过三服效。
又方。
蝼蛄（五枚晒令干）
上研为末。食前。以暖水调下半钱至一钱。小便通利为效。
治十种水气方。
泽漆（一十斤于夏间拣取嫩叶入酒一斗研取汁约二斗）
上于银锅内。以慢火熬如稀饧。即止。于瓷器内收。每日空心。以温酒调下一茶匙。以
愈为度。
The Kidney governs water metabolism. The Spleen and Stomach govern the Earth element. Earth controls Water. The Spleen and Stomach are exteriorly-interiorly related. The Stomach is the sea of food and fluids. Now, if the Stomach is deficient, it cannot transmit fluid qi... (original text has omissions)... lips turn black, inevitably (death/severe illness).
The so-called ten types of edema refer to: Qing Shui (Green Water), Chi Shui (Red Water), Huang Shui (Yellow Water), Bai Shui (White Water), Hei Shui (Black Water), Xuan Shui (Hanging Water), Feng Shui (Wind Water), Shi Shui (Stone Water), Li Shui (Interior Water), and Qi Shui (Qi Water).
Qing Shui begins with swelling of the face and eyes, spreading over the whole body; its root lies in the Liver.
Chi Shui begins with swelling from the Heart region; its root lies in the Heart.
Huang Shui begins with abdominal swelling... (original text has omissions)... suddenly... causes...
Treating the disease of ten types of edema, when a hundred prescriptions fail, with swelling of the face, eyes, and four limbs, rapid breathing and panting, inability to sleep, gradual difficulty in urination, bodily swelling and chest oppression:
Tian Ting Li (Lepidii Semen, 3 liang, stir-fried between papers until purple), Qian Niu Zi (Pharbitidis Semen, 2.5 liang, lightly stir-fried), Zhu Ling (Polyporus, 2 liang, remove black skin), Ze Xie (Alismatis Rhizoma, 2 liang), Jiao Mu (Zanthoxyli Fructus, 1.5 liang, lightly stir-fried).
The above medicines are crushed and passed through a fine sieve to make a powder. Take three stalks of scallion white, chopped. Using one large cup of fermented grain water, decoct until half a cup remains. Add half a cup of clear wine, mix well. Slightly... combine... promote urination.
Prescription for Great Divine Efficacy Wood Vessel Powder to treat ten types of edema.
Mu Tong (Akebiae Caulis, 1.5 liang, sliced), Ze Xie (Alismatis Rhizoma, 3 qian), Ku Hu Zi (Benedictae Fructus, 1.5 liang), Zhu Ling (Polyporus, 1 liang, remove black skin), Han Fang Ji (Stephaniae Tetrandrae Radix, 3 qian), Hai Ge (Concha Arcae, 1 liang, finely ground).
The above medicines are crushed and sieved to make a powder. Each dose is 4 qian. Use half a medium cup of water and half a medium cup of wine, add five cun of scallion white, decoct until six parts remain. Remove dregs. Take warm before meals. It should induce several sheng of urine output, with significant effect in reducing swelling.
Prescription for Yuan Hua San to treat ten types of water qi, where symptoms are extremely severe and other physicians cannot treat them.
Yuan Hua (Genkwa Flos, 1 fen, mixed with vinegar and stir-fried until dry), Ze Xie (Alismatis Rhizoma, 1 fen), Yu Li Ren (Pruni Semen, 1 fen, soaked in water, peel removed, lightly stir-fried), Qian Niu Zi (Pharbitidis Semen, 1 fen, lightly stir-fried), Tian Sui (Kansui Radix, 0.5 liang, baked until... The above medicines are crushed and passed through a fine sieve to make a powder. Each dose is 1 qian. Take on an empty stomach, mixed with Tangerine Peel Decoction. It should first expel greenish water, then discharge material resembling rotten lard. The illness will then heal. If not healed, take again after two days.
Prescription for Chen Ju Pi San to treat ten types of water qi, characterized by swollen and full skin, obstruction of the Triple Burner, upper respiratory panting and coughing, and constipation.
Chen Ju Pi (Citri Reticulatae Pericarpium, 1 liang, soaked in water, white pith removed, dried), Mu Xiang (Aucklandiae Radix, 0.5 liang), Qian Niu Zi (Pharbitidis Semen, 1 liang, lightly stir-fried), Chuan Da Huang (Rhei Radix et Rhizoma, 1 liang, sliced and lightly stir-fried), Zhi Shi (Aurantii Fructus Immaturus, 0.5 liang, bran-fried until slightly yellow), Qiang Huo (Notopterygii Rhizoma et Radix, 0.5 liang), Wu Jiu Pi (Eucommiae Cortex? Note: Text says Wu Jiu Pi, likely distinct or typo for another bark, kept as Wu Jiu Pi), Han Fang Ji (Stephaniae Tetrandrae Radix, 1 liang).
The above medicines are crushed and passed through a fine sieve to make a powder. Every day on an empty stomach, decoct Mulberry Root Bark Decoction thickly, mix with 3 qian of powder, take until bowel movement is promoted.
Prescription for Bing Lang Wan to treat ten types of water qi, characterized by abdominal distension, panting and coughing, and sluggish urination and defecation.
Bing Lang (Arecae Semen, 1 liang), Tian Ting Li (Lepidii Semen, 1 liang, stir-fried between papers until purple), Gan Sui (Kansui Radix, 0.5 liang, baked until slightly yellow), Han Fang Ji (Stephaniae Tetrandrae Radix, 0.5 liang), Chuan Po Xiao (Natrii Sulfas, ... liang), Ze Xie (Alismatis Rhizoma, 0.5 liang, soaked in water... The above medicines are crushed into powder. Mix with vinegar-cooked rice and pound 300-500 times. Form pills the size of paulownia seeds. Every day on an empty stomach, take 20 pills with gruel drink, until bowel movement is promoted. If rapid purging does not occur, take again.
Prescription for Qian Niu Zi Wan to treat ten types of water qi, characterized by generalized edema, sluggish urination and defecation, and incessant panting.
Qian Niu Zi (Pharbitidis Semen, 3 fen, lightly stir-fried), Han Fang Ji (Stephaniae Tetrandrae Radix, 1 fen), Jiao Mu (Zanthoxyli Fructus, 1 fen, lightly stir-fried), Hua Shi (Talcum, 0.5 liang), Ju Mai (Hordei Fructus Germinatus, 0.5 liang), Bing Lang (Arecae Semen, 0.5 liang), Gan Sui (Kansui Radix, ... liang, stir-fried between papers until purple), Yu Li (Pruni Semen)... The above medicines are crushed into powder. Mix with refined honey and form pills the size of paulownia seeds. Each time on an empty stomach, take 20 pills with Akebia Caulis and Centella Decoction, until bowel movement is promoted. If rapid purging does not occur, take again.
Prescription for Da Ji Wan to treat ten types of water qi, characterized by generalized swelling and fullness, upward rushing of qi with panting, and sluggish urination and defecation.
Da Ji (Euphorbiae Pekinensis Radix, 1 liang, sliced and lightly stir-fried), Qian Niu Zi (Pharbitidis Semen, 1 liang, lightly stir-fried), Zao Jia (Gleditsiae Fructus, 1 liang, peel removed, coated with butter, roasted until yellow-brown, seeds removed), Hai Ge (Concha Arcae, ... 1 liang), Yu Li Ren (Pruni Semen)... The above medicines are crushed into powder. Mix with refined honey and pound 200-300 times. Form pills the size of paulownia seeds. Every day on an empty stomach, take 20 pills with warm water, until bowel movement is promoted.
Prescription for Xu Sui Zi Wan to treat ten types of water qi, characterized by panting, drum-like distension of abdomen and flanks, and urinary retention.
Xu Sui Zi (Euphorbiae Lathyridis Semen), Hai Ge (Concha Arcae, finely ground), Tian Ting Li (Lepidii Semen, stir-fried between papers until purple), Han Fang Ji (Stephaniae Tetrandrae Radix), Gan Sui (Kansui Radix, baked until slightly yellow), Yu Li Ren (Pruni Semen, soaked in water, peel removed, lightly stir-fried), Hua Shi (Talcum, 0.5 liang each), Ni Fen (Calomelas, 1 fen).
The above medicines are crushed into powder. Mix with refined honey and form pills the size of paulownia seeds. Every day on an empty stomach, take 7 pills with gruel drink, aiming for rapid purging. If no purging occurs, take again before evening meal.
Prescription for Chuan Po Xiao Wan to treat ten types of water qi. This prescription comes from "Shen Xian Mi Cang Jing" (Secret Storage of the Immortals), which is not available in the human world. It was recorded by Daoist Master Zheng on the cliff of Jintan Mountain in Tiantai. There are several... treatments. Once healed, it never recurs. This is truly efficacious. Someone previously suffered from foot... difficult to drink, unaware of hunger or thirst, only panting roughly... needing to sit leaning on objects, extremely emaciated. After taking this medicine, the qi dispersed that day, abdominal hardness disappeared after ten days, and strength returned to normal after twenty-plus days. Having obtained divine efficacy, I vow to pass it down to the world.
Chuan Po Xiao (Natrii Sulfas, 2 liang, finely ground), Chuan Mang Xiao (Natrii Sulfas, 1 liang, finely ground), Ma Ya Xiao (Natrii Sulfas, 0.5 liang, finely ground), Chuan Wu Tou (Aconiti Radix, 1 liang, raw, peel and navel removed, crushed into powder), Jiao Mu (Zanthoxyli Fructus)... remove floating ones... boil until teeth appear, wait until dry... The above. Tian Ting Li, Lang Dang, Xing Ren, etc., are mixed and pounded 1,000 times first. Take ten large dates, cook until soft, mix with the above medicines finely ground. Then add refined honey, mix and pound 1,000 times. Form pills the size of paulownia seeds. Each time on an empty stomach, take 20 pills with Mulberry Root Bark Decoction.
Prescription for Chuan Da Huang Wan to treat ten types of water qi, characterized by swelling of face, eyes, and limbs, empty distension of heart and abdomen, stagnation of the Triple Burner, and panting while sitting or lying.
Chuan Da Huang (Rhei Radix et Rhizoma, 1 fen, sliced and lightly stir-fried), Chuan Po Xiao (Natrii Sulfas, 1 fen), Da Ji (Euphorbiae Pekinensis Radix, 1 fen, sliced and lightly stir-fried), Gan Sui (Kansui Radix, 1 fen, baked until slightly yellow), Yuan Hua (Genkwa Flos, 1 fen, mixed with vinegar and stir-fried until dry), Jiao Mu (Zanthoxyli Fructus, 1 fen, lightly stir-fried to remove sweat), Tian Ting Li (Lepidii Semen, 1 fen, stir-fried between papers until purple).
The above medicines are crushed into powder. Mix with refined honey and form pills the size of paulownia seeds. Each time on an empty stomach, take 10 pills with gruel drink, aiming for rapid purging. If no purging occurs, take again before evening meal.
Prescription to treat ten types of water qi, characterized by generalized swelling and fullness, rapid panting and irritability, stagnation of heart and abdomen, and difficulty in urination and defecation.
Da Ji (Euphorbiae Pekinensis Radix, 1 fen, sliced and lightly stir-fried), Tian Ting Li (Lepidii Semen, 1 fen, stir-fried between papers until purple), Yuan Hua (Genkwa Flos, 1 fen, mixed with vinegar and stir-fried until dry), Gan Sui (Kansui Radix, ... 1 fen baked... (1 fen remove... peel heart grind paper... The above medicines are crushed into powder, mixed with Ba Dou (Crotonis Fructus) and ground evenly. Mix with refined honey and form pills the size of paulownia seeds. Each time on an empty stomach, take 3 pills with gruel drink.
Prescription to treat ten types of water qi, characterized by generalized edema, indigestion, and abdominal distension.
Ba Dou (Crotonis Fructus, 10 pieces, peel and heart removed, ground, wrapped in paper, pressed to remove oil), Da Ji (Euphorbiae Pekinensis Radix, 0.5 liang, sliced and lightly stir-fried), Tian Ting Li (Lepidii Semen, 0.5 liang, raw use), Chuan Da Huang (Rhei Radix et Rhizoma, ... sliced and lightly... stir-fried separately ground)... 7 pills. After walking for five li, take with hot tea, expelling sticky and slippery matter.
Prescription for resolving water qi via urination.
Da Ji (Euphorbiae Pekinensis Radix, 1 liang), Gan Sui (Kansui Radix, 1 liang).
The above medicines are raw-crushed and passed through a sieve to make a powder. Each dose takes 1 liang of barley flour and 1 qian of medicine powder. Mix with water to make cakes, roast thoroughly, and eat slowly until finished. Take with soup or tea. Take at the fifth watch (early morning). By dawn, a large amount of water will be expelled. If the disease does not recede, take again after two days.
Another prescription.
Spring Barley Flour (1 liang), Gan Sui (1 qian, lightly stir-fried).
The above medicines are mixed, kneaded with water to make cakes, roasted slowly until yellow and cooked, ground into powder, divided into two doses. Take on an empty stomach mixed with Scallion White Decoction. Aim to expel 2-3 sheng of water, adjusting as needed.
Prescription for treating ten types of water disease, extremely severe, swelling starting from feet entering the abdomen, despite severe symptoms.
Da Ji (Euphorbiae Pekinensis Radix, 0.5 liang, sliced and lightly stir-fried), Dang Gui (Angelicae Sinensis Radix, 1 liang, sliced and lightly stir-fried), Chen Ju Pi (Citri Reticulatae Pericarpium, 1 liang, soaked in water, white pith removed, dried).
The above medicines are crushed and sieved to make a powder. Each dose is 5 qian. Use one large cup of water, decoct until 0.5 cup remains. Remove dregs. Take warm at night before bed on an empty stomach.
Prescription for long-term use after recovery from water disease to prevent recurrence.
Da Ma Ren (Cannabis Fructus, 2 liang, lightly stir-fried and ground like paste), Hei Dou (Sojae Semen Nigrum, 3 liang, cooked熟, peel removed).
The above medicines are crushed and passed through a sieve to make a powder. Mix with refined honey and form pills the size of paulownia seeds. Every day on an empty stomach, take 30 pills with gruel drink.
Prescription for treating ten types of water disease, characterized by swelling, fullness, panting, and insomnia.
Raw Da Ji Powder (1 qian), Qiao Mai Mian (Fagopyri Dibotryis Semen Farina, 2 qian).
The above medicines are mixed with water to make cakes, roasted slowly until yellow and cooked, ground into powder. Take on an empty stomach mixed with clear tea. Effect is achieved when large and small intestines are unobstructed.
Another prescription.
Da Ji (Euphorbiae Pekinensis Radix, 1 liang, sliced and lightly stir-fried), Yuan Hua (Genkwa Flos, 1 liang, mixed with vinegar and stir-fried until dry), Ku Hu Lu Zi (Benincasae Fructus Seed, 1 liang, lightly stir-fried), Tian Ting Li (Lepidii Semen, 1 liang, stir-fried between papers until purple).
The above medicines are crushed and passed through a fine sieve to make a powder. Each dose is 1 qian. Use 2 qian of aged barley flour, one medium cup of water, decoct until 0.4 cup remains. Take every day on an empty stomach, including dregs, warm. After a while, thunderous sounds will be heard in the abdomen. Drink hot tea afterwards to promote unobstruction of large and small intestines. Effective within three doses.
Another prescription.
Lou Gu (Myrmecophila? Note: Lou Gu refers to Ant-eater or similar creature, here likely insect/animal based on context of diuresis, specifically *Gammarus* or similar aquatic creature often used in TCM for edema, literally "Ant-eater" but historically refers to *Gammarus* or similar crustaceans/insects in some contexts, or specifically *Myrmecophaga*. However, in Song dynasty texts, Lou Gu often refers to *Gammarus* or similar small aquatic creatures used for diuresis. WHO term might be specific. Let's stick to literal translation or common TCM name): 5 pieces, dried.
Grind into powder. Before meals, take 0.5-1 qian mixed with warm water. Effect is achieved when urination is unobstructed.
Prescription for treating ten types of water qi.
Ze Qi (Euphorbiae Helioscopii Herba, 10 jin, select tender leaves in summer, add one dou of wine, grind to extract juice, approx. 2 dou).
Above, in a silver pot, simmer slowly over low fire until like thin syrup, then stop. Store in a porcelain vessel. Every day on an empty stomach, take one tea spoon mixed with warm wine, until healed.