夫水气遍身浮肿者。由脾肾俱虚。故肾虚不能宣通水气。脾虚又不能制水。故水气盈溢
。流
治水气遍身浮肿。气息喘急。小便赤涩。宜服牵牛散方。
牵牛子（二两微炒） 甜葶苈（一两隔纸炒令紫色） 桑根白皮（二两锉） 槟榔（一
两） 郁
李仁（二两汤浸去皮微炒） 汉防己（一两） 猪苓（一两去黑皮） 木通（一两锉）
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。空腹温
服。如人行十里。当利三两行。如未利即再服。
治水气遍身浮肿。心胸急硬。气满上喘。大小便涩。甘遂散方。
甘遂（一两煨令微黄） 杏仁（一两汤浸去皮尖双仁麸炒微黄） 泽泻（三两） 黄芩
（一两）
泽
瓤焙）
川朴
上件药。捣细罗为散。每五更初。煎桑根白皮汤调下一钱。以利为效。
又方。
桑根白皮（三两锉） 赤小豆（一升以水五升煮熟取汁二升） 郁李仁（二两汤浸去皮
微炒）
陈橘皮（二两汤浸去白瓤焙） 紫苏叶（二两） 白茅根（三两锉）
上件药。捣筛为散。每服五钱。以小豆汁一大盏。煎至五分。去滓温服。日三服。
治水气遍身浮肿。小便不利。宜服此方。
大戟（半两锉碎微黄） 海蛤（一两细研） 滑石（一两） 甘遂（一分煨令微黄） 汉
防己（
半两） 续随子（一分）
上件药。捣细罗为散。每日空心。以温葱汤调下一钱。以快利为度。
治水气遍身浮肿。按之没指。心腹气胀。大小便涩方。
赤茯苓（一两） 汉防己（一两） 川大黄（二两锉碎微炒） 槟榔（一两） 甜葶苈
（一两隔
纸炒
李仁（一
两汤
上件药。捣粗罗为散。每服五钱。以水一大盏。煎至五分。去滓。食前温服。以大小便
通利为效。
治水气遍身浮肿。宜利三焦通水道。猪苓散方。
猪苓（半两去黑皮） 赤茯苓（半两） 甜葶苈（半两隔纸炒令紫色） 川大黄（半两
锉碎微
炒） 五味
心（半
两） 白术（
裂锉）
大戟（半两锉
上件药。捣细罗为散。每于食前。以葱白汤调下二钱。得大小便利为度。
治水气遍身浮肿。大麻子散方。
大麻子（三升捣碎） 商陆（四两） 防风（三两去芦头） 附子（一两去皮脐生用） 赤
小豆
（一升） 桑根白皮（二两锉）
上件药。以水二斗。先煮麻子至一斗。入药并小豆同煮取四升。去滓。每于食前饮汁一
小盏。相次任性随多少食小豆。
治水气遍身浮肿。利小便。及疗酒客虚热。当风饮冷水。腹胀满阴肿。并宜服商陆
丸方
商陆（一两） 川芒硝（半两） 甘遂（半两煨令黄色） 芫花（半两醋拌炒令干） 荛
花（半
两微炒） 麝香（一分细研） 猪苓（半两去黑皮）
上件药。捣罗为末。研入麝香令匀。炼蜜和丸如梧桐子大。每于食前。以粥饮下三丸。
治水气遍身浮肿。皮肤欲裂。心腹气急胀大。小便不利。宜服此方。
郁李仁（一两汤浸去皮微炒） 陈橘皮（一两汤浸去白瓤焙） 甘遂（一两煨令微黄） 赤
茯
苓（一两） 甜葶苈（二两隔纸炒令紫色） 蘧麦（一两）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。空心以温水下十丸。良
久。当利三两行。如不利。即加丸再服。以利即效。
治水气遍身浮肿。上喘。小便不通。海蛤丸方。
海蛤（一两细研） 甜葶苈（一两隔纸炒令紫色） 海藻（一两洗去咸味） 昆布（一
两洗去
咸味） 赤茯苓（一两） 汉防己（二两） 泽漆（一两） 桑根白皮（二两锉） 木通（二
两锉）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。不计时候。以粥饮下三
十丸。
又方。
桑枝（二两） 楮枝（二两） 商陆（一两）
上件药。细锉。都以水五大盏。入大麻仁半两。赤小豆一合。同煮至二盏半。去滓。分
为六服。二日服尽。
治水气。遍身浮肿。坐卧不得。宜服此方。
杏仁（五两汤浸去皮尖双仁研） 桃仁（五两汤浸去皮尖双仁研） 昆布（二
咸）
赤小豆（半两） 郁李仁〔二（三）两汤浸去皮脐〕
上件药。以水一斗。煮诸药及豆。以豆烂为度。滤取汁。时复暖半中盏服之。豆亦渐渐
食之。小盒饭利即效。
治水气。遍身浮肿。气促。坐卧不得方。
牵牛子（二两微炒）
上捣罗为末。以乌牛尿一升。浸一宿。平旦入葱白一握。煎十余沸。去滓。空腹分为二
服。水从小便利下大效。
治水气。遍身浮肿方。
上取 葱根叶。不限多少。细切。晒干。杵罗为末。每用葱末二钱。席下尘半钱。相和
作散。每于食前。以清粥饮调服之。
治水气。坐卧不得。面身体悉浮肿方。
蒴 根（刮去黑皮）
上捣绞取汁半合。酒二合相和。暖令温。食前服之。良久当吐利三五行。若吐利较少。
即更服之。
又方。\x
葱白七斤和须分作两塌子
上先以炭火烧一处净地令赤。即以葱塌子安在地上。令病患脱袜。以人扶着踏葱上蹲坐
。即以被衣围裹。勿令透风。待汗通。小便出黄水。葱冷即止。小便多即瘥矣。
Water Qi disease manifesting as generalized edema is caused by the deficiency of both the Spleen and Kidney. Therefore, Kidney Qi deficiency fails to disseminate and unblock Water Qi, while Spleen Qi deficiency fails to control water dampness, leading to the overflow and dispersion of Water Qi.
For Water Qi disease presenting with generalized edema, panting and rapid breathing, red and scanty or painful urination, the Qian Niu San (Purslane Seed Powder) formula is indicated.
Qian Niu Zi (B Semen, 2 liang, lightly stir-fried), Ting Li Zi (Semen Lepidii, 1 liang, stir-fried between papers until purple), Sang Bai Pi (Cortex Mori Radicis, 2 liang, sliced), Bing Lang (Areca Seed, 1 liang), Yu Li Ren (Semen Pruni, 2 liang, soaked in decoction, peeled, lightly stir-fried), Han Fang Ji (Radix Stephaniae Tetrandrae, 1 liang), Zhu Ling (Polyporus, 1 liang, black skin removed), Mu Tong (Caulis Akebiae, 1 liang, sliced).
The above herbs are coarsely crushed and sieved into a powder. Take 3 qian per dose. Add 1 zhong of water and half a fen of fresh ginger, decoct until reduced to 6 fen. Strain and take warm on an empty stomach. After walking approximately 5 kilometers (10 li), one should experience defecation or urination about three times. If not effective, administer another dose.
For Water Qi disease presenting with generalized edema, tightness and hardness in the chest and heart region, abdominal fullness with upward rushing Qi causing panting, and obstructed urination and defecation, the Gan Sui San (Kansui Root Powder) formula is indicated.
Gan Sui (Radix Kansui, 1 liang, baked until slightly yellow), Xing Ren (Semen Armeniacae Amarum, 1 liang, soaked in decoction, peeled, core removed, stir-fried with bran until slightly yellow), Ze Xie (Rhizoma Alismatis, 3 liang), Huang Qin (Radix Scutellariae, 1 liang). [Note: The original text contains fragmented characters such as "Ze", "Rang Bei", "Chuan Pu" which appear to be textual errors or omissions; only clearly listed items are translated here].
The above herbs are finely crushed and sieved into a powder. At dawn (Wu Geng period, 3-5 AM), take 1 qian mixed with Sang Bai Pi (Cortex Mori Radicis) decoction. Effect is achieved when bowels move freely.
Another prescription.
Sang Bai Pi (Cortex Mori Radicis, 3 liang, sliced), Chi Xiao Dou (Semen Phaseoli Uradis, 1 sheng, boiled in 5 sheng of water, juice extracted is 2 sheng), Yu Li Ren (Semen Pruni, 2 liang, soaked in decoction, peeled, lightly stir-fried), Chen Pi (Pericarpium Citri Reticulatae, 2 liang, soaked in decoction, white pith removed, dried), Zi Su Ye (Folium Perillae, 2 liang), Bai Mao Gen (Rhizoma Imperatae, 3 liang, sliced).
The above herbs are crushed and sieved into a powder. Take 5 qian per dose. Add 1 zhong of the red bean juice, decoct until reduced to 5 fen. Strain and take warm. Take three times daily.
For Water Qi disease presenting with generalized edema and difficult urination, this formula is indicated.
Da Ji (Radix Euphorbiae Pekinensis, 0.5 liang, sliced and lightly stir-fried until yellow), Hai Ge (Concha Arcae, 1 liang, finely ground), Hua Shi (Talcum, 1 liang), Gan Sui (Radix Kansui, 1 fen, baked until slightly yellow), Han Fang Ji (Radix Stephaniae Tetrandrae, 0.5 liang), Xu Sui Zi (Semen Euphorbiae Lathyridis, 1 fen).
The above herbs are finely crushed and sieved into a powder. Take 1 qian on an empty stomach daily, mixed with warm scallion decoction. Effect is achieved when there is rapid and free discharge.
For Water Qi disease presenting with generalized edema where pressing leaves an indentation, abdominal distension due to Qi stagnation, and obstructed urination and defecation.
Chi Fu Ling (Poria cum Radice Pini, 1 liang), Han Fang Ji (Radix Stephaniae Tetrandrae, 1 liang), Da Huang (Radix et Rhizoma Rhei, 2 liang, sliced and lightly stir-fried), Bing Lang (Areca Seed, 1 liang), Ting Li Zi (Semen Lepidii, 1 liang, stir-fried between papers until purple). [Note: Original text has fragments like "Li Ren"].
The above herbs are coarsely crushed and sieved into a powder. Take 5 qian per dose. Add 1 zhong of water, decoct until reduced to 5 fen. Strain and take warm before meals. Effect is achieved when urination and defecation become free.
For Water Qi disease presenting with generalized edema, aiming to benefit the Triple Burner and unblock water passages, the Zhu Ling San (Polyporus Powder) formula is indicated.
Zhu Ling (Polyporus, 0.5 liang, black skin removed), Chi Fu Ling (Poria cum Radice Pini, 0.5 liang), Ting Li Zi (Semen Lepidii, 0.5 liang, stir-fried between papers until purple), Da Huang (Radix et Rhizoma Rhei, 0.5 liang, sliced and lightly stir-fried). [Note: Original text contains fragmented characters like "Wu Wei", "Xin", "Bai Zhu", "Lie Cuo", "Da Ji"].
The above herbs are finely crushed and sieved into a powder. Take 2 qian before meals, mixed with scallion white decoction. Effect is achieved when urination and defecation become free.
For Water Qi disease presenting with generalized edema, the Da Ma Zi San (Hemp Seed Powder) formula is indicated.
Da Ma Zi (Semen Cannabis, 3 sheng, crushed), Shang Lu (Radix Phytolaccae, 4 liang), Fang Feng (Radix Saposhnikoviae, 3 liang, rhizome removed), Fu Zi (Radix Aconiti Lateralis Preparata, 1 liang, skin and umbilicus removed, used raw), Chi Xiao Dou (Semen Phaseoli Uradis, 1 sheng), Sang Bai Pi (Cortex Mori Radicis, 2 liang, sliced).
Add 2 dou of water, first boil hemp seeds until reduced to 1 dou. Then add the herbs and red beans, boil until liquid reduces to 4 sheng. Strain. Drink 1 small cup of the liquid before meals. Subsequently, eat the cooked red beans as desired.
For Water Qi disease presenting with generalized edema, promoting diuresis, and treating deficiency heat in alcoholics, abdominal fullness, and genital swelling caused by drinking cold water while exposed to wind, the Shang Lu Wan (Phytolacca Pill) formula is indicated.
Shang Lu (Radix Phytolaccae, 1 liang), Mang Xiao (Natrii Sulfas, 0.5 liang), Gan Sui (Radix Kansui, 0.5 liang, baked until yellow), Yuan Hua (Flos Genkwa, 0.5 liang, mixed with vinegar and stir-fried until dry), Rao Hua (Flos Sparagii, 0.5 liang, lightly stir-fried), She Xiang (Moschus, 1 fen, finely ground), Zhu Ling (Polyporus, 0.5 liang, black skin removed).
The above herbs are crushed into powder. Mix in the finely ground Moschus evenly. Blend with refined honey to make pills the size of Sophora seeds. Take 3 pills before meals with rice broth.
For Water Qi disease presenting with generalized edema, skin cracking, urgent abdominal distension, and difficult urination, this formula is indicated.
Yu Li Ren (Semen Pruni, 1 liang, soaked in decoction, peeled, lightly stir-fried), Chen Pi (Pericarpium Citri Reticulatae, 1 liang, soaked in decoction, white pith removed, dried), Gan Sui (Radix Kansui, 1 liang, baked until slightly yellow), Chi Fu Ling (Poria cum Radice Pini, 1 liang), Ting Li Zi (Semen Lepidii, 2 liang, stir-fried between papers until purple), Ju Mai (Frumentum Hordei Germinatum, 1 liang).
The above herbs are crushed into powder. Blend with refined honey and pound for 300-200 strikes. Make pills the size of Sophora seeds. Take 10 pills on an empty stomach with warm water. Good effect. Soon after, expect defecation/urination about three times. If not effective, increase dosage and take again. Effective when discharge occurs.
For Water Qi disease presenting with generalized edema, upper body panting, and complete urinary retention, the Hai Ge Wan (Arca Shell Pill) formula is indicated.
Hai Ge (Concha Arcae, 1 liang, finely ground), Ting Li Zi (Semen Lepidii, 1 liang, stir-fried between papers until purple), Hai Zao (Thallus Sargassii, 1 liang, washed to remove saltiness), Kun Bu (Thallus Laminariae, 1 liang, washed to remove saltiness), Chi Fu Ling (Poria cum Radice Pini, 1 liang), Han Fang Ji (Radix Stephaniae Tetrandrae, 2 liang), Ze Qi (Herba Euphorbiae Helioscopii, 1 liang), Sang Bai Pi (Cortex Mori Radicis, 2 liang, sliced), Mu Tong (Caulis Akebiae, 2 liang, sliced).
The above herbs are crushed into powder. Blend with refined honey and pound for 300-200 strikes. Make pills the size of Sophora seeds. Take 30 pills at any time with rice broth.
Another prescription.
Sang Zhi (Ramulus Mori, 2 liang), Chu Zhi (Ramulus Broussonetiae, 2 liang), Shang Lu (Radix Phytolaccae, 1 liang).
Finely slice the above herbs. Add 5 zhong of water, 0.5 liang of Hemp Seeds, and 1 ge of Red Beans. Boil together until reduced to 2.5 zhong. Strain. Divide into six doses. Finish within two days.
For Water Qi disease presenting with generalized edema, inability to sit or lie down comfortably, this formula is indicated.
Xing Ren (Semen Armeniacae Amarum, 5 liang, soaked in decoction, peeled, core removed, pounded), Tao Ren (Semen Persicae, 5 liang, soaked in decoction, peeled, core removed, pounded), Kun Bu (Thallus Laminariae, 2 liang, [text missing regarding washing]), Chi Xiao Dou (Semen Phaseoli Uradis, 0.5 liang), Yu Li Ren (Semen Pruni, 2-3 liang, soaked in decoction, peeled).
Add 1 dou of water. Boil all herbs and beans until beans are soft. Filter and extract the juice. Warm and drink half a zhong occasionally. The beans can also be eaten gradually. Effective when urination becomes free.
For Water Qi disease presenting with generalized edema, shortness of breath, and inability to sit or lie down.
Qian Niu Zi (B Semen, 2 liang, lightly stir-fried).
Crush into powder. Soak overnight in 1 sheng of urine from a black ox. At dawn, add one handful of scallion whites, boil for ten boils. Strain. Divide into two doses, take on an empty stomach. Significant effect when urine flows freely from the lower jiao.
For Water Qi disease presenting with generalized edema.
Take scallion roots and leaves, any amount. Finely chop, sun-dry, crush and sieve into powder. Use 2 qian of scallion powder mixed with 0.5 qian of dust from under the mat. Mix into a powder. Take before meals, mixed with clear rice broth.
For Water Qi disease presenting with inability to sit or lie down, and generalized facial and bodily edema.
Shuo Di Gen (Radix Datiscae, scrape off black skin).
Crush and press to extract half a he of juice. Mix with 2 he of wine. Warm it. Take before meals. After some time, expect vomiting and diarrhea 3-5 times. If less, take again.
Another prescription.
Scallion whites 7 jin, including roots, divided into two piles.
First, burn a patch of ground clean with charcoal until red. Place the scallion piles on the ground. Have the patient remove socks and squat/sit on the scallions with assistance. Wrap the patient in clothes to prevent wind exposure. Wait until sweating profusely and yellow fluid is excreted via urination. Stop when scallions cool. If urination increases, the disease will heal.