夫肾主水。肾虚则水气妄行。不依经络。停在脐间。小腹肿大。结硬如石。故云石水。
其候。引胁下胀痛而不喘是也。脉沉者名曰石水。尺脉微大。亦为石水。肿起脐以下至小腹。
垂垂
治石水。四肢瘦细。腹独肿大。状如怀娠。心中妨闷。食即气急。白术散方。
白术（一两） 赤茯苓（一两） 桑根白皮（一两半锉） 楮白皮（一两半锉） 汉防
己（一两）
泽漆茎叶（锉二两半） 射干（一两） 槟榔（一两）
上件药。捣筛为散。每服三钱。以水酒各半中盏。煎至六分。去滓。温服。如人行十里
再服。以疏利为度。
治石水。病腹光紧。急如鼓大。小便涩。宜服此方。
槟榔末（半两） 甘草（一分炙微赤锉） 生姜（一两切） 桑根白皮（一两锉） 商
陆（一两
切）
上件药。除槟榔外。用水二大盏。煎取一大盏。去滓。五更初分作二服。每服调下槟榔
末一分。至平明当利。如未利。即再服之。
治石水。四肢瘦。腹大。胸中满闷。食即喘急。宜服此方。
桑根白皮（一两锉） 大腹皮（一两锉） 汉防己（一两） 泽漆（二两） 赤茯苓（二
两） 紫
苏茎叶（一两）
上件药。捣筛为散。每服四钱。以酒一大盏。入炒熟黑豆五十粒。煎至五分。去滓。不
计时候温服。
治石水。腹坚渐大。四肢肿满。宜服此方。
甜葶苈（二两隔纸炒令紫色） 川芒硝（三两） 椒目（二合微炒去汗） 水银（一两
以少枣
肉研令星尽） 汉防己（一两） 海蛤（一两细研）
上件药。捣罗为末。研入水银令匀。炼蜜和捣三二百杵。丸如梧桐子大。每服。以粥饮
下三十丸。日三四服。
治石水。脐腹妨闷。身体肿满。大小便不利。喘息。海蛤丸方。
海蛤（一两细研） 汉防己（半两） 桂心（半两） 木通（一两锉） 牵牛子（一两
微炒） 白
术（半两） 甘遂（半两煨令微黄）
上件药。捣罗为末。以枣肉和捣三二百杵。丸如梧桐子大。每服。煎香 汤下二十丸。
以利为度。不利再服。
治石水。腹胀。坐卧不得。小便涩少。宜服此方。
牵牛子（一两） 陈橘皮（三分汤浸去白瓤焙） 京三棱（一两炮锉） 诃黎勒皮（一
两） 吴
茱萸
甘
遂（
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以生姜橘皮汤下十
丸。以利为度。
治腹坚胀满。世号石水。宜服此方。
白石英（十两明净者）
上捶如大豆大。以瓷瓶盛。用好酒二斗。浸。以泥重封瓶口。以马粪及糠火烧之。长令
酒小
可
The Kidney governs water metabolism. When Kidney Qi is deficient, Water Qi acts recklessly, failing to follow the meridians and collaterals, and stagnates around the umbilicus, causing swelling and hardness of the lower abdomen like a stone; thus it is called "Stone Water" (Shi Shui).
Its manifestations include distending pain in the hypochondrium radiating from the sides without panting. A deep pulse indicates Stone Water; a slightly large pulse at the Chi position also indicates Stone Water. Edema rises from below the umbilicus to the lower abdomen, hanging down heavily.
To treat Stone Water, where the four limbs are thin while the abdomen alone is swollen, resembling pregnancy, with chest oppression and shortness of breath after eating, use Baizhu San (Atractylodes Macrocephala Powder).
Baizhu (Atractylodis Macrocephalae Rhizoma) (1 liang), Chifuling (Polyporus Umbellatus) (1 liang), Sanggenbaidpi (Mori Cortex) (1.5 liang, sliced), Chubai pi (Broussonetiae Albus Cortex) (1.5 liang, sliced), Hanfangji (Stephaniae Tetrandrae Radix) (1 liang), Zeqi jingye (Euphorbiae Helioscopiae Herba et Caulis) (2.5 liang, sliced), Shegan (Belamcandae Rhizoma) (1 liang), Binglang (Arecae Semen) (1 liang).
The above ingredients are crushed, sifted, and made into a powder. Take 3 qian per dose, decoct with half a cup of water and half a cup of wine until reduced to 60%, remove dregs, and take warm. Re-administer after walking approximately five kilometers, aiming for bowel unobstruction.
To treat Stone Water, characterized by a tight, shiny, drum-like abdomen and scanty, difficult urination, this formula is suitable.
Binglang mo (Arecae Semen Pulvis) (0.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (1 fen, stir-baked until slightly red and sliced), Shengjiang (Zingiberis Rhizoma Recens) (1 liang, sliced), Sanggenbaidpi (Mori Cortex) (1 liang, sliced), Shanglu (Phytolaccae Radix) (1 liang, sliced).
Excluding Binglang mo, decoct two large cups of water until one large cup remains, remove dregs. Divide into two doses taken at dawn (Wugeng), each mixed with 1 fen of Binglang mo. Bowel movement should occur by daybreak. If not, administer again.
To treat Stone Water, with thin limbs, a large abdomen, chest fullness, and rapid panting upon eating, this formula is suitable.
Sanggenbaidpi (Mori Cortex) (1 liang, sliced), Dafupi (Citri Reticulatae Pericarpium Viride) (1 liang, sliced), Hanfangji (Stephaniae Tetrandrae Radix) (1 liang), Zeqi (Euphorbiae Helioscopiae Herba et Caulis) (2 liang), Chifuling (Polyporus Umbellatus) (2 liang), Zisu jingye (Perillae Folium et Caulis) (1 liang).
The above ingredients are crushed, sifted, and made into a powder. Take 4 qian per dose, decoct with one large cup of wine and 50 fried black soybeans until reduced to 50%, remove dregs, and take warm at any time.
To treat Stone Water, with a hard, gradually enlarging abdomen and edematous limbs, this formula is suitable.
Tiantingli (Descurainiae Semen seu Lepidii Semen) (2 liang, stir-fried between papers until purple), Chuanniaoxiao (Natrii Sulfas) (3 liang), Jiaomu (Semen Zanthoxyli) (2 he, lightly stir-fried to remove moisture), Shuiyin (Hydrargyrum) (1 liang, ground with a small amount of Jujubae Fructus flesh until no particles remain), Hanfangji (Stephaniae Tetrandrae Radix) (1 liang), Haiha (Concha Meretricis et Cyprinae) (1 liang, finely ground).
The above ingredients are crushed, sifted into powder, and thoroughly mixed with ground Hydrargyrum. Combine with refined honey and pound 200-300 times to form pills the size of Sophora seeds. Take 30 pills per dose with rice soup, 3-4 times daily.
To treat Stone Water, with umbilical and abdominal oppression, whole-body edema, difficulty in urination and defecation, and panting, use Haiha Wan (Clam Shell Pill).
Haiha (Concha Meretricis et Cyprinae) (1 liang, finely ground), Hanfangji (Stephaniae Tetrandrae Radix) (0.5 liang), Guixin (Cinnamomi Ramulus) (0.5 liang), Mutong (Akebiae Caulis) (1 liang, sliced), Qianniuzi (Semen Pharbitidis) (1 liang, lightly stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma) (0.5 liang), Gansui (Kansui Radix) (0.5 liang, baked until slightly yellow).
The above ingredients are crushed, sifted into powder, combined with Jujubae Fructus flesh, and pounded 200-300 times to form pills the size of Sophora seeds. Take 20 pills per dose with aromatic soup, aiming for bowel unobstruction; if ineffective, re-administer.
To treat Stone Water, with abdominal distension, inability to sit or lie comfortably, and scanty, difficult urination, this formula is suitable.
Qianniuzi (Semen Pharbitidis) (1 liang), Chenjupi (Citri Reticulatae Pericarpium) (3 fen, soaked in hot water, white pith removed, dried), Jingsanleng (Sparganii Rhizoma) (1 liang, processed and sliced), Helile pi (Terminaliae Chebulae Pericarpium) (1 liang), Wuzhuyu (Evodiae Fructus) (1 liang), Gansui (Kansui Radix) (0.5 liang, baked until slightly yellow).
The above ingredients are crushed, sifted into powder, combined with refined honey, and pounded 200-300 times to form pills the size of Sophora seeds. Take 10 pills before meals with Ginger and Tangerine Peel soup, aiming for bowel unobstruction.
To treat abdominal hardness and distension, known as Stone Water, this formula is suitable.
Baishiyin (Quartzum Album) (10 liang, clear and pure pieces).
Crush into pieces the size of soybeans, place in a porcelain bottle, soak in 2 dou of good wine, seal the mouth tightly with mud, and heat slowly using horse manure and bran, maintaining a gentle simmer.