夫小儿水气肿满者。由将养不调。肾脾二脏俱虚故也。肾主水。其气下通于阴。脾主土。
候于肌肉而克水。肾虚不能传其水液。脾虚不能克制于水。故水气流溢于皮肤。故令肿也。
其水肿者。则皮薄如熟李之状也。若皮肤虚受风。风搏于气致肿者。俱虚肿如吹。此风气
肿也
治小儿水气肿满。上气喘促。小便赤涩。大便稍难。桑根白皮散方。
桑根白皮（半两锉） 海蛤（一分） 汉防己（一分） 赤茯苓（一分） 白术（一分）
甜葶苈
（一
上件药。捣粗罗为散。每服一钱。以水一小盏。煎至五分。去滓。温服。日三四服。更
量儿
治小儿水气。肿满喘促。坐卧不安。宜服槟榔散方。
槟榔（半两） 川大黄（半两锉碎微炒） 牵牛子（半两微炒） 甜葶苈（半两隔纸炒
令紫色）
上件药。捣细罗为散。每服。以温水调下半钱。日二三服。量稍大增之。以利为效。
治小儿水气肿满。喘嗽不止。赤茯苓散方。
赤茯苓（半两） 桑根白皮（半两锉） 川升麻（一分） 甜葶苈（一分隔纸炒令紫色）
杏仁
（一
上件药。捣粗罗为散。每服一钱。以水一小盏。煎至五分。去滓。温服。日三四服。更
量儿
治小儿水气肿满不消。楮皮汤方。
楮树白皮（锉一合） 赤小豆（一合） 赤茯苓（一两锉）
上件药。都和令匀。每取一分。以水一小盏。煎至五分。去滓。分为二服。日三四服。
随儿
治小儿水气肿满。小便涩。狸豆根汤方。
狸豆根（半两） 车前草（半两） 葵子（半两） 桑根白皮〔锉半合（两）〕 赤小
豆（半合）
上件药。细锉和匀。每取一分。以水一小盏。煎至五分。去滓。分为二服。日三四服。
随儿
治小儿水气肿满。小便不利。脐腹妨闷。喘促。猪苓散方。
猪苓（一分去黑皮） 桑根白皮（一分锉） 赤茯苓（一分） 海蛤（一分细研） 甜
葶苈（一
分隔
上件药。捣粗罗为散。每服一钱。以水一小盏。煎至五分。去滓。温服。日三四服。更
随儿
治小儿水气。遍身肿满。喘促。小便不利。桑根白皮散方。
桑根白皮（半两锉） 射干（半两） 赤茯苓（半两） 黄芩（半两） 木通（半两锉）
泽漆
（半两）
上件药。捣细罗为散。每服。以煮赤小豆汤。调下半钱。日三四服。看儿大小。增减服
之。
治小儿水气。面目肿。小便涩。心腹胀满方。
赤茯苓（半两） 杏仁（半两汤浸去皮尖双仁麸炒微黄） 陈橘皮（半两汤浸去白瓤焙）
汉
防己
上件药。捣罗为末。炼蜜和丸。如绿豆大。每服。煎桑根白皮汤。下十丸。日三服。五
岁以
治小儿水气。通身肿满。心腹妨闷。坐卧不安。宜服甜葶苈丸方。
甜葶苈（半两隔纸炒令紫色） 牵牛子（半两微炒） 大戟（一分） 腻粉（一钱研入）
雄雀
粪（
上件药。捣罗为末。都研令匀。用枣瓤和丸。如绿豆大。每服。以温茶下一丸。日二服。
五
治小儿水气。遍身肿满。大小便难。喘促不得睡卧。宜服甘遂散方。
甘遂（一分煨令微黄） 槟榔（一分） 川大黄（一分锉碎微炒） 牵牛子（半两微炒）
甜葶
苈（
上件药。捣细罗为散。每服。以温水调下一字。以利为效。随儿大小。以意加减。
治小儿水气。四肢浮肿。腹胁妨闷。宜服木香散方。
木香（一分） 鳖甲（半两涂醋炙令黄去裙 ） 赤茯苓（一分） 牵牛子（二分微炒）
川大
黄（
上件药。捣细罗为散。每服。以温水调下半钱。以利为度。随儿大小。加减服之。
又方。
槟榔〔一两（分）〕 郁李仁（半两汤浸去皮微炒）
上件药。捣罗为末。以大麦面一两。和作饼子。 灰火内煨熟。量儿大小。与吃。即得
通利
又方。
甜葶苈（半两隔纸炒令紫色）
上捣罗为末。以枣瓤和丸。如绿豆大。每服。煎桑白皮汤下五丸。日三四服。看儿大小。
以
The condition of pediatric edema and distension due to water qi arises from improper nursing and care, resulting in deficiency of both the Kidney and Spleen organs. The Kidney governs water metabolism, with its qi extending downward to the yin regions; the Spleen belongs to Earth, controls the muscles, and has the function of restraining water dampness. If the Kidney is deficient, it fails to transmit fluids properly; if the Spleen is deficient, it lacks the strength to control water dampness. Consequently, water qi overflows into the skin, leading to swelling. This type of edema presents as thin skin resembling a ripe plum. If swelling occurs because wind pathogens invade the deficient skin and contend with healthy qi, causing generalized soft swelling as if inflated by blowing, this is classified as wind-induced swelling.
To treat pediatric edema and distension due to water qi, accompanied by upper body asthma and rapid breathing, red and turbid urine, and slightly difficult defecation, use Sanggen Baipi San (Mulberry Root Bark Powder).
Ingredients: Sanggen Baipi (Cortex Mori Radicis, half liang, sliced), Hai Ge (Concha Arcae, one fen), Han Fangji (Radix Stephaniae Tetrandrae, one fen), Chi Fuling (Poria Cocos with Red Hosta Root, one fen), Baizhu (Rhizoma Atractylodis Macrocephalae, one fen), Tiantingli (Semen Lepidii et Descurainiae, one fen).
Preparation and Administration: Crush the above ingredients and sieve them coarsely to make a powder. Take one qian per dose, add one small cup of water, decoct until five parts remain, strain, and take warm. Administer three to four times daily, adjusting the dosage according to the child's age.
For pediatric water qi presenting with edema, distension, asthma, restlessness in sitting or lying, Binglang San (Areca Seed Powder) is suitable.
Ingredients: Binglang (Semen Arecae, half liang), Chuan Dahuang (Radix et Rhizoma Rhei, half liang, sliced and lightly stir-fried), Qianniu Zi (Semen Pharbitidis, half liang, lightly stir-fried), Tiantingli (Semen Lepidii et Descurainiae, half liang, stir-fried between papers until purple).
Preparation and Administration: Crush the above ingredients finely and sieve them to make a powder. For each dose, mix half a qian with warm water and administer. Take two to three times daily, increasing the dose appropriately. Efficacy is indicated by loose stools.
To treat pediatric edema and distension due to water qi with incessant asthma and coughing, use Chifuling San (Red Poria Powder).
Ingredients: Chifuling (Poria Cocos with Red Hosta Root, half liang), Sanggen Baipi (Cortex Mori Radicis, half liang, sliced), Chuan Shengma (Rhizoma Cimicifugae, one fen), Tiantingli (Semen Lepidii et Descurainiae, one fen, stir-fried between papers until purple), Xingren (Semen Armeniacae Amarum, one fen, peeled, de-embryoned, bran-stir-fried until slightly yellow).
Preparation and Administration: Crush the above ingredients and sieve them coarsely to make a powder. Take one qian per dose, add one small cup of water, decoct until five parts remain, strain, and take warm. Administer three to four times daily, adjusting the dosage according to the child's age.
For persistent pediatric edema and distension due to water qi that does not subside, use Chupi Tang (Broussonetia Bark Decoction).
Ingredients: Chushu Baipi (Cortex Broussonetiae Papyriferae, one he, sliced), Chixiaodou (Semen Phaseoli Angularis, one he), Chifuling (Poria Cocos with Red Hosta Root, one liang, sliced).
Preparation and Administration: Mix the above ingredients evenly. Take one portion per dose, add one small cup of water, decoct until five parts remain, strain, and divide into two doses. Administer three to four times daily, adjusting according to the child's age.
To treat pediatric edema and distension due to water qi with turbid and difficult urination, use Lidougen Tang (Millettia Root Decoction).
Ingredients: Lidougen (Radix Millettiae Speciosae, half liang), Cheqiancao (Herba Plantaginis, half liang), Kuizi (Semen Malvae, half liang), Sanggen Baipi (Cortex Mori Radicis, half he, sliced), Chixiaodou (Semen Phaseoli Angularis, half he).
Preparation and Administration: Finely slice and mix the above ingredients evenly. Take one portion per dose, add one small cup of water, decoct until five parts remain, strain, and divide into two doses. Administer three to four times daily, adjusting according to the child's age.
To treat pediatric edema and distension due to water qi with difficulty in urination, abdominal fullness and oppression, and asthma, use Zhuling San (Polyporus Powder).
Ingredients: Zhuling (Polyporus, one fen, remove black skin), Sanggen Baipi (Cortex Mori Radicis, one fen, sliced), Chifuling (Poria Cocos with Red Hosta Root, one fen), Hai Ge (Concha Arcae, one fen, finely ground), Tiantingli (Semen Lepidii et Descurainiae, one fen, stir-fried between papers until purple).
Preparation and Administration: Crush the above ingredients and sieve them coarsely to make a powder. Take one qian per dose, add one small cup of water, decoct until five parts remain, strain, and take warm. Administer three to four times daily, adjusting according to the child's age.
For pediatric water qi manifesting as generalized edema, asthma, and difficulty in urination, use Sanggen Baipi San (Mulberry Root Bark Powder).
Ingredients: Sanggen Baipi (Cortex Mori Radicis, half liang, sliced), Shegan (Rhizoma Belamcandae, half liang), Chifuling (Poria Cocos with Red Hosta Root, half liang), Huangqin (Radix Scutellariae, half liang), Mutong (Caulis Akebiae, half liang, sliced), Zeqi (Herba Euphorbiae Heloscopyi, half liang).
Preparation and Administration: Crush the above ingredients finely and sieve them to make a powder. For each dose, mix half a qian with decoction of Chixiaodou (Semen Phaseoli Angularis) and administer. Take three to four times daily, adjusting the dosage based on the child's size.
To treat pediatric water qi with facial and ocular edema, turbid urination, and abdominal distension and fullness, use this formula.
Ingredients: Chifuling (Poria Cocos with Red Hosta Root, half liang), Xingren (Semen Armeniacae Amarum, half liang, soaked in hot water, peeled, de-embryoned, bran-stir-fried until slightly yellow), Chen Ju Pi (Pericarpium Citri Reticulatae, half liang, soaked in hot water, white pith removed, dried), Han Fangji (Radix Stephaniae Tetrandrae, half liang).
Preparation and Administration: Grind the above ingredients into powder, mix with refined honey, and form pills the size of mung beans. Take ten pills per dose with Sanggen Baipi Tang (Mulberry Root Bark Decoction). Administer three times daily. Adjust for children under five years old.
For pediatric water qi presenting with generalized edema, abdominal fullness and oppression, and restlessness in sitting or lying, Tian Ting Li Wan (Lepidium Pill) is suitable.
Ingredients: Tiantingli (Semen Lepidii et Descurainiae, half liang, stir-fried between papers until purple), Qianniu Zi (Semen Pharbitidis, half liang, lightly stir-fried), Daji (Radix Euphorbiae Pekinensis, one fen), Nifen (Calomel, one qian, ground), Xiongque Fen (Excrement Passer Domesticus Masculinus, half liang, soaked in wine and dried).
Preparation and Administration: Grind the above ingredients into powder, mix thoroughly, and combine with date pulp to form pills the size of mung beans. Take one pill per dose with warm tea. Administer twice daily. Adjust for children under five years old.
For pediatric water qi presenting with generalized edema, difficulty in both large and small bowel movements, asthma, and inability to sleep, Gan Sui San (Kansui Powder) is suitable.
Ingredients: Gansui (Radix Kansui, one fen, baked until slightly yellow), Binglang (Semen Arecae, one fen), Chuan Dahuang (Radix et Rhizoma Rhei, one fen, sliced and lightly stir-fried), Qianniu Zi (Semen Pharbitidis, half liang, lightly stir-fried), Tiantingli (Semen Lepidii et Descurainiae, one fen, stir-fried between papers until purple).
Preparation and Administration: Crush the above ingredients finely and sieve them to make a powder. For each dose, mix a "yi zi" amount with warm water and administer. Efficacy is indicated by loose stools. Adjust the dosage based on the child's age and condition.
For pediatric water qi presenting with edema of the four limbs and abdominal and hypochondriac oppression, Muxiang San (Aucklandia Powder) is suitable.
Ingredients: Muxiang (Radix Aucklandiae, one fen), Biejia (Carapax et Plastrum Testudinis, half liang, coated with vinegar, roasted until yellow, remove skirt), Chifuling (Poria Cocos with Red Hosta Root, one fen), Qianniu Zi (Semen Pharbitidis, two fen, lightly stir-fried), Chuan Dahuang (Radix et Rhizoma Rhei, one fen, sliced and lightly stir-fried).
Preparation and Administration: Crush the above ingredients finely and sieve them to make a powder. For each dose, mix half a qian with warm water and administer. Stop when loose stools occur. Adjust the dosage based on the child's age.
Another formula:
Ingredients: Binglang (Semen Arecae, one liang), Yuli Ren (Semen Pruni Persicae, half liang, soaked in hot water, peeled, lightly stir-fried).
Preparation and Administration: Grind the above ingredients into powder, mix with one liang of barley flour to make cakes, and bake in ash fire until cooked. Give to the child according to age to promote bowel movement and diuresis.
Yet another formula:
Ingredients: Tiantingli (Semen Lepidii et Descurainiae, half liang, stir-fried between papers until purple).
Preparation and Administration: Grind the above ingredient into powder, mix with date pulp to form pills the size of mung beans. Take five pills per dose with Sangbai Pi Tang (Morus Alba Bark Decoction). Administer three to four times daily, adjusting according to the child's age.