（河间仿仲景十枣例制此汤，治一切水湿，）治水肿水胀，形气俱实。（肿胀者，水道
壅遏也。形气俱实者，口渴，面赤，气粗，腹坚，大小便秘也。阳水先肿上体，肩背手膊，
手三阳经。阴水先肿下体，腰腹胫 ，足三阴经。肿属脾，胀属肝，肿则阳气犹行。如单胀
而不肿者，名鼓胀。为木横克土，难治。肿胀朝宽暮急为血虚，暮宽朝急为气虚，朝暮俱急
为气血俱虚。肿胀由心腹而散四肢者吉，由四肢而入心腹者危。男自下而上，女自上而下者，
皆难治。肿胀唇黑，则伤肝。缺盆平，则伤心。脐出，则伤脾。足心平，则伤肾。背平，
则伤肺，皆不可治。腹胀身热脉大者，是逆也，多死。）
黑牵牛（炒四两） 大黄（二两酒浸） 甘遂（面裹煨） 大戟（面裹煨） 芫花（醋
炒） 青皮（炒）
牵牛大黄大戟芫花甘遂，皆行水之厉剂，能通行十二经之水。然肿属于脾，胀属于肝，
水之
香，
不入
减芫花大戟青皮陈皮木香，加芒硝郁李仁，名浚川散。姜汤下五分，治同。
治遍身水肿，喘呼口渴，大小便秘。（上证为湿热甚而气实也。此为阳水。阳水
脉必沉数。阴水见阴证。脉必沉迟。）
羌活 秦艽 槟榔 商陆 椒目 大腹皮 茯苓皮 木通 泽泻 赤小豆 等分。加姜
皮煎
外而一身尽肿，内而口渴便秘，是上下表里俱病也。羌活秦艽，解表疏风，使湿以风胜，
邪
榔
通于
(Hejian imitated Zhongjing's Ten Jujube Decoction to formulate this decoction, treating all types of water-dampness pathologies.) It treats edema and abdominal distension with fluid accumulation, where both the physical constitution and vital qi are excess. (Swelling and distension refer to the obstruction of water pathways. "Excess in both form and qi" manifests as thirst, red face, coarse breathing, hard abdomen, and constipation of both stool and urine. Yang-edema begins swelling on the upper body, involving the shoulders, back, and arms, corresponding to the Hand-Taiyang meridians. Yin-edema begins swelling on the lower body, involving the waist, abdomen, and calves, corresponding to the Foot-Yin meridians. Swelling is associated with the Spleen, distension with the Liver; when swelling occurs, yang qi still circulates. If there is only distension without swelling, it is called Drum Distension. This results from Liver Wood overacting upon Spleen Earth and is difficult to treat. Distension that improves in the morning and worsens at night indicates Blood deficiency; one that improves at night and worsens in the morning indicates Qi deficiency; one that worsens at both times indicates combined Qi and Blood deficiency. If distension spreads from the heart/abdomen to the limbs, it is auspicious; if it moves from the limbs into the heart/abdomen, it is critical. In men, progression from below upward, and in women, from above downward, are both difficult to treat. Distension accompanied by black lips indicates Liver injury; a flat supraclavicular fossa (Quepen) indicates Heart injury; everted umbilicus indicates Spleen injury; flat soles indicate Kidney injury; a flat back indicates Lung injury. All these conditions are incurable. Abdominal distension with fever and a large pulse is a counter-indication, often leading to death.)
Black Qian Niu (炒 four liang) Da Huang (two liang, soaked in wine) Gan Sui (wrapped in flour and baked) Da Ji (wrapped in flour and baked) Yuan Hua (stir-fried with vinegar) Qing Pi (stir-fried)
Qian Niu, Da Huang, Da Ji, Yuan Hua, and Gan Sui are all potent purgatives for water retention, capable of circulating water through the twelve meridians. However, swelling relates to the Spleen, and distension to the Liver... [Text fragment] ...Reduce Yuan Hua, Da Ji, Qing Pi, Chen Pi, and Mu Xiang; add Mang Xiao and Yu Li Ren, named Jun Chuan San. Take five fen with ginger soup; indications are the same.
Treats generalized edema, wheezing and crying out, thirst, and constipation of stool and urine. (The above symptoms arise from severe damp-heat and excess Zheng Qi. This belongs to Yang Edema. The pulse in Yang Edema must be deep and rapid. Yin Edema presents with Yin syndromes, and the pulse must be deep and slow.)
Qiang Huo Qin Jiao Bing Lang Shang Lu Jiao Mu Da Fu Pi Fu Ling Pi Mu Tong Ze Xie Chi Xiao Dou (equal parts). Decoct with Sheng Jiang Pi.
Externally, the whole body is swollen; internally, there is thirst and constipation. This indicates pathology affecting both the exterior and interior, as well as the upper and lower jiaos. Qiang Huo and Qin Jiao release the exterior and disperse wind, allowing dampness to be overcome by wind, and pathogens... [Text cuts off] ...through...