夫肾主水。脾主土。若脾虚则土不能克制于水。肾虚则水气流溢。散于皮肤。故令身体
浮肿
治虚劳通体洪满。腹坚胀喘急。不能饮食。宜服郁李仁散方。
郁李仁（一两汤浸去皮尖微炒） 川大黄（一两锉碎微炒） 柴胡（三分去苗） 泽泻
（三分）
赤
（半两汤
浸
分去根
节
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。不计时
候。
治虚劳四肢浮肿。喘息促。小便不利。坐卧不安。汉防己散方。
汉防己（三分） 猪苓（三分去黑皮） 海蛤（一两） 陈橘皮（一两汤浸去白瓤焙） 木
香
（半两）
叶（一两）
木通（
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。不计时
候。
治虚劳心胸壅闷。喘促。四肢肿。宜服细辛散方。
细辛（半两） 枳壳（三分麸炒微黄去瓤） 汉防己（半两） 桂心（半两） 黄 （一
两锉）
白术
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候。
温
治虚劳损。脐下痛。抽肾入腹。四肢浮肿。宜服木香散方。
木香（一两） 五加皮（一两） 松节〔一（二）两锉〕 桑根白皮（一两锉） 薏苡
仁（三分）
槟
仁（一
两汤
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候。稍热服。
治虚劳四肢浮肿。宜服麻仁散方。
大麻仁（一两） 商陆（一两） 防风（一两去芦头） 附子（一两炮裂去皮脐） 陈
橘皮（一
两汤
上件药。捣粗罗为散。每服五钱。以水一大盏。入赤小豆一百粒。煎至五分。去滓。食
前温
治虚劳四肢浮肿。心胸满闷。不欲饮食。宜服前胡丸方。
前胡（一两去芦头） 旋复花（半两） 人参（三两去芦头） 槟榔（一两） 木香（半
两） 陈
橘皮
李仁
（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。煎姜枣汤下三十丸。日
三服
治虚劳心胸壅闷。喘促。大小便不利。四肢浮肿。宜服陈橘皮丸方。
陈橘皮（二两汤浸去白瓤焙） 紫苏子（三分微炒） 郁李仁（一两汤浸去皮尖微炒） 甘
遂
（半
茯苓
（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。空心及晚食前。以姜枣
汤下
The Kidney governs water metabolism, and the Spleen governs the transformation of Earth Qi. If the Spleen is deficient, Earth Qi cannot control Water dampness; if the Kidney is deficient, Water Qi overflows and scatters into the skin, thereby causing generalized edema (swelling).
For treating generalized severe swelling due to deficiency-wasting (Xu Lao), abdominal hardness and distension, rapid breathing, and inability to eat, it is appropriate to take Yuli Ren San (Dried Peach Seed Powder).
Ingredients: Yuli Ren (Semen Pruni Persicae, 1 liang, soaked in hot water, skin and tip removed, lightly stir-fried); Chuan Dahuang (Radix et Rhizoma Rhei, 1 liang, crushed and lightly stir-fried); Chaihu (Radix Bupleuri, 3 qian, radix removed); Zexie (Rhizoma Alismatis, 3 qian).
Preparation and Administration: The above ingredients are coarsely ground into a powder. Take 3 qian per dose. Add 1 zhong of water and 0.5 fen of fresh ginger, decoct until 0.6 zhong remains, strain, and take warm at any time.
For treating limb edema, rapid breathing, difficult urination, and restlessness in sitting or lying down due to deficiency-wasting, it is appropriate to take Han Fangji San (Stephania Tetrandra Powder).
Ingredients: Han Fangji (Radix Stephaniae Tetrandrae, 3 qian); Zhuling (Polyporus, 3 qian, black skin removed); Hai Ge (Concha Meretricis, 1 liang); Chen Jupi (Pericarpium Citri Reticulatae, 1 liang, soaked in hot water, white pith removed, baked); Muxiang (Radix Aucklandiae, 0.5 liang); [Leaf herb missing in text] (1 liang); Mutong (Caulis Akebiae seu Cynanchi Stauntonii, dosage missing).
Preparation and Administration: The above ingredients are coarsely ground into a powder. Take 3 qian per dose. Add 1 zhong of water and 0.5 fen of fresh ginger, decoct until 0.6 zhong remains, strain, and take warm at any time.
For treating chest and heart oppression and stuffiness, rapid breathing, and limb edema due to deficiency-wasting, it is appropriate to take Xixin San (Asarum Powder).
Ingredients: Xixin (Herba Asari, 0.5 liang); Zhiqiao (Fructus Aurantii, 3 qian, bran-fried until slightly yellow, pith removed); Han Fangji (Radix Stephaniae Tetrandrae, 0.5 liang); Guixin (Cortex Cinnamomi, 0.5 liang); Huang [missing character, likely Huangqi or Huangqin] (1 liang, crushed); Baizhu (Rhizoma Atractylodis Macrocephalae, dosage missing).
Preparation and Administration: The above ingredients are ground and sifted into a powder. Take 3 qian per dose. Add 1 zhong of water and 0.5 fen of fresh ginger, decoct until 0.6 zhong remains, strain, and take warm at any time.
For treating damage from deficiency-wasting manifesting as pain below the umbilicus, sensation of Qi pulling from the Kidneys into the abdomen, and limb edema, it is appropriate to take Muxiang San (Aucklandia Powder).
Ingredients: Muxiang (Radix Aucklandiae, 1 liang); Wujia Pi (Cortex Acanthopanacis, 1 liang); Songjie (Ramulus Pinus, 1 or 2 liang, crushed); Sanggenbaidi (Cortex Morus Radicis, 1 liang, crushed); Yiyiren (Semen Coicis, 3 qian); Bing [missing character, likely Binglang] Ren (Semen Arecae, dosage missing, hot water treatment implied).
Preparation and Administration: The above ingredients are coarsely ground into a powder. Take 3 qian per dose. Add 1 zhong of water, decoct until 0.6 zhong remains, strain, and take warm while slightly hot, at any time.
For treating limb edema due to deficiency-wasting, it is appropriate to take Maren San (Hemp Seed Powder).
Ingredients: Dama Ren (Semen Cannabis, 1 liang); Shanglu (Radix Phytolaccae, 1 liang); Fangfeng (Radix Saposhnikoviae, 1 liang, radix capillitium removed); Fuzi (Radix Aconiti Lateralis Preparata, 1 liang, processed until cracked, skin and navel removed); Chen Jupi (Pericarpium Citri Reticulatae, dosage missing, hot water treatment implied).
Preparation and Administration: The above ingredients are coarsely ground into a powder. Take 5 qian per dose. Add 1 large zhong of water and 100 Chi Xiaodou (Vigna angularis), decoct until 0.5 zhong remains, strain, and take warm before meals.
For treating limb edema, chest fullness and stuffiness, and loss of appetite due to deficiency-wasting, it is appropriate to take Qianhu Wan (Peucedanum Pill).
Ingredients: Qianhu (Radix Peucedani, 1 liang, radix capillitium removed); Xuanjinhua (Flos Inulae, 0.5 liang); Renshen (Radix Ginseng, 3 liang, radix capillitium removed); Binglang (Semen Arecae, 1 liang); Muxiang (Radix Aucklandiae, 0.5 liang); Chen [Jupi] (Pericarpium Citri Reticulatae, missing); Li Ren [Yuli Ren] (Semen Pruni Persicae, 1 liang).
Preparation and Administration: The above ingredients are finely ground into powder. Mix with refined honey and pound for three to two hundred strokes to form pills the size of Sophora seeds. Take 30 pills per dose, washed down with decoction of ginger and jujube, three times daily.
For treating chest and heart oppression and stuffiness, rapid breathing, difficulty in urination and defecation, and limb edema due to deficiency-wasting, it is appropriate to take Chen Jupi Wan (Citrus Peel Pill).
Ingredients: Chen Jupi (Pericarpium Citri Reticulatae, 2 liang, soaked in hot water, white pith removed, baked); Zisu Zi (Fructus Perillae, 3 qian, lightly stir-fried); Yuli Ren (Semen Pruni Persicae, 1 liang, soaked in hot water, skin and tip removed, lightly stir-fried); Gansui (Radix Euphorbiae Kansui, 0.5 liang); Fuling (Poria, 1 liang).
Preparation and Administration: The above ingredients are finely ground into powder. Mix with refined honey and pound for three to two hundred strokes to form pills the size of Sophora seeds. Take on an empty stomach and before evening meal, washed down with decoction of ginger and jujube.