夫水气心腹鼓胀者。由脾肾二脏俱虚故也。脾主于土。肾主于水。土能克水。今脾胃虚
弱。不能制于水。使水气停聚在于腹内。故令心腹鼓胀也。
治水气心腹鼓胀。喘息。大小便不利。大戟散方。
大戟（锉碎微炒） 甘遂（煨令微黄） 续随子 牵牛子（微炒） 葶苈子（隔纸炒令
紫色以
上各半两）
上件药。捣细。罗为散。每服。煎灯心汤。调下半钱。空心服。得通利水下。为效。
治水气。心腹鼓胀。大小便涩。宜服此方。
羊桃根（半斤锉） 桑根白皮（半两锉） 木通（半斤锉） 大戟（半斤锉碎微炒）
上件药。捣令碎。以水二斗。煮至五升。去滓。熬如稀饧。每服空心。以茶清调下一茶
匙。得大小便一时通利。三两行为效。宜且吃浆水粥补之。
治水气。心腹鼓胀。四肢羸瘦。喘息促急。食饮渐减。小便涩少。脐下妨闷。槟榔
丸方
槟榔（一两） 海蛤（一两细研） 桂心（半两） 诃黎勒皮（一两） 汉防己（一两）
木香（
一两） 桑根白皮（一两锉） 郁李仁（一两） 旋复花（半两）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。煎木通汤下三十丸。日
三服。
治水气。心腹鼓胀。木香丸方。
木香（半两） 槟榔（半两） 硼砂（三分细研） 青橘皮（三分汤浸去白瓤焙） 吴
茱萸（半
两汤浸七遍焙干微炒） 巴豆（三十枚去皮心研纸裹压去油）
上件药。捣罗为末。以酽醋一大盏。熬硼砂巴豆为膏。入末相和。丸如绿豆大。每服。
食前。煎青橘皮汤下五丸。
治水气。肿入腹。鼓胀。恶饮食方。
大戟（一两锉碎微炒） 皂荚（一两炙黄焦去皮子） 乌扇（一两）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每服空心。以温水下五丸。当下利一两行。
次日更服。以瘥为度。
甜葶苈（二两隔纸炒令紫色） 椒目（一两微炒去汗） 赤茯苓〔一（二）两〕 吴茱
萸（二
两
汤浸七遍焙干微炒）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。以温水下二十丸。日三
服。
治水气。心腹鼓胀。上气喘息。宜服此方。
吴茱萸（半两汤浸七遍焙干微炒） 甘遂（半两煨令微黄） 甜葶苈（三两隔纸炒令紫
色）
椒目
黄焦去
子）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每日空心。及晚食前。以粥饮下二十丸。
以利为度。
又方。\x
甘遂（半两煨令微黄） 槟榔（半两） 牛蒡子〔二（一）分微炒〕 商陆（一分）
上件药。捣细罗为散。每服。用猪肾一只。切作四五片。掺药半钱。用湿纸裹。 火中
煨熟。空心顿服。又微呷酒三二合。须臾下利为效。
Water qi (pathogenic water accumulation) causing distension of the heart and abdomen arises from the deficiency of both the Spleen and Kidney. The Spleen governs Earth, and the Kidney governs Water. Earth controls Water. Now, due to the weakness of the Spleen and Stomach, it fails to control Water, allowing water qi to stagnate and accumulate within the abdomen, thereby causing distension of the heart and abdomen.
For treating water qi causing distension of the heart and abdomen, panting, and difficulty in urination and defecation: Daji San Formula (Major Kick Powder).
Daji (Radix Euphorbiae Humifusae, crushed and lightly stir-fried), Gansui (Radix Kansui, baked until slightly yellow), Xuisuizi (Fructus Euphorbiae Lathyridis), Qianniu Zi (Semen Pharbitidis, lightly stir-fried), Tinglizi (Semen Lepidii seu Descurainiae, stir-fried between papers until purple; each of the above half liang).
Pulverize the above ingredients into a fine powder and sieve. Take half qian per dose, mixed with decoction of Jiaxin (Herba Centellae Asiaticae), taken on an empty stomach. Effect is indicated by free passage of stool and discharge of water.
For treating water qi, distension of the heart and abdomen, and sluggish urination and defecation, this formula is suitable.
Yangtao Gen (Cortex Radicis Pruni Yedoensis var. Formosana, half jin, crushed), Sanggen Baipi (Cortex Mori Radicis, half liang, crushed), Mutong (Caulis Akebiae Trifoliate, half jin, crushed), Daji (Radix Euphorbiae Humifusae, half jin, crushed and lightly stir-fried).
Pulverize the above ingredients. Boil in two dou of water until reduced to five sheng. Strain and simmer until resembling thin maltose syrup. Take one tea spoon per dose, mixed with clear tea, on an empty stomach. Effect is indicated by simultaneous free passage of urine and stool. Three to five doses are effective. It is advisable to consume Jiangshui congee (fermented rice gruel) for nourishment during this period.
For treating water qi, distension of the heart and abdomen, emaciation of the four limbs, rapid panting, gradual reduction of food intake, scanty and difficult urination, and fullness and oppression below the umbilicus: Binglang Wan Formula (Areca Nut Pill).
Binglang (Semen Arecae, one liang), Hai Ge (Concha Arcae, one liang, finely ground), Guixin (Cortex Cinnamomi, half liang), Helile Pi (Pericarpium Terminaliae Chebulae, one liang), Hanfangji (Radix Stephaniae Tetrandrae, one liang), Muxiang (Radix Aucklandiae, one liang), Sanggen Baipi (Cortex Mori Radicis, one liang, crushed), Yuzi Ren (Semen Pruni, one liang), Xuanjinhua (Flos Inulae, half liang).
Pulverize the above ingredients and sieve. Mix with refined honey and pound three or two hundred times. Shape into pills the size of paulownia seeds. Take thirty pills per dose, washed down with Mutong decoction, three times daily.
For treating water qi and distension of the heart and abdomen: Muxiang Wan Formula (Aucklandia Pill).
Muxiang (Radix Aucklandiae, half liang), Binglang (Semen Arecae, half liang), Pengsha (Borax, three fen, finely ground), Qingju Pi (Pericarpium Citri Reticulatae Viride, three fen, soaked in hot water, white pith removed, dried), Wuzhuyu (Fructus Evodiae, half liang, soaked in hot water seven times, dried, lightly stir-fried), Badou (Semen Crotonis, thirty kernels, skin and heart removed, pounded and pressed between paper to remove oil).
Pulverize the above ingredients. Use one large cup of strong vinegar to boil Pengsha and Badou into a paste. Mix with the powder and shape into pills the size of mung beans. Take five pills per dose before meals, washed down with Qingju Pi decoction.
For treating water qi, swelling entering the abdomen, distension, and aversion to food.
Daji (Radix Euphorbiae Humifusae, one liang, crushed and lightly stir-fried), Zaojiao (Fructus Gleditsiae Sinensis, one liang, roasted until yellow and scorched, skin and seeds removed), Wushan (Rhizoma Belamcandae, one liang).
Pulverize the above ingredients and sieve. Mix with refined honey and shape into pills the size of paulownia seeds. Take five pills per dose on an empty stomach, washed down with warm water. When loose stools occur once or twice, take again the next day. Continue until recovery.
Tiantingli (Semen Lepidii seu Descurainiae, two liang, stir-fried between papers until purple), Jiaomu (Semen Zanthoxyli, one liang, lightly stir-fried to remove moisture), Chi Fuling (Poria Cocos with Red Cortex, one or two liang), Wuzhuyu (Fructus Evodiae, two liang, soaked in hot water seven times, dried, lightly stir-fried).
Pulverize the above ingredients and sieve. Mix with refined honey and pound three or two hundred times. Shape into pills the size of paulownia seeds. Take twenty pills per dose, washed down with warm water, three times daily.
For treating water qi, distension of the heart and abdomen, rebellious qi causing panting, this formula is suitable.
Wuzhuyu (Fructus Evodiae, half liang, soaked in hot water seven times, dried, lightly stir-fried), Gansui (Radix Kansui, half liang, baked until slightly yellow), Tiantingli (Semen Lepidii seu Descurainiae, three liang, stir-fried between papers until purple), Jiaomu (Semen Zanthoxyli, one liang, lightly stir-fried to remove moisture).
Pulverize the above ingredients and sieve. Mix with refined honey and shape into pills the size of paulownia seeds. Take twenty pills per dose on an empty stomach in the morning and before evening meal, washed down with porridge drink. Continue until purgation occurs.
Another formula.
Gansui (Radix Kansui, half liang, baked until slightly yellow), Binglang (Semen Arecae, half liang), Niubangzi (Fructus Arctii, one or two fen, lightly stir-fried), Shanglu (Radix Phytolaccae Acinosa, one fen).
Pulverize the above ingredients into a fine powder and sieve. Take one pig kidney per dose, cut into four or five slices. Sprinkle half qian of the powder onto the kidney slices. Wrap in wet paper and roast in fire until cooked. Consume all at once on an empty stomach. Follow with drinking two or three he of wine. Loose stools should occur shortly thereafter, indicating efficacy.