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Chen Zishan said: Ancient prescriptions include ten types of syndrome discussions. However, a floating pulse indicates wind or deficiency, while a deep and hidden pulse indicates water-dampness disease; a deep pulse suggests empty meridians, and a hidden pulse suggests difficulty in urination, which is termed Zheng Shui (True Water edema); a deficient and large spleen pulse often indicates splenic swelling. If left untreated over time, it develops into generalized edema. Since the spleen belongs to Earth, it prefers dryness and dislikes dampness. When Earth fails to control Water, fluid accumulation stagnates and remains in the skin, causing swelling. At the onset of the disease, the eyelids swell suddenly in the morning and subside slightly by afternoon. This condition is relatively easy to treat in summer, autumn, and winter, but difficult in spring. Among the four seasons, no water qi is as rampant as in spring; combined with the flourishing Liver Wood overcoming Spleen Earth, preventing Earth from controlling Water, treatment becomes challenging. The condition fluctuates irregularly, requiring gradual regulation for efficacy. Generally, for pediatric edema, one should first use dispersing methods, followed by draining methods.

Treatment methods: Push San Guan (Three Gates), push Pi Tu (Spleen Earth), Huang Feng Chu Dong (Yellow Bee Exits Cave), move Wu Jing Wen (Five Meridian Lines), Er Feng Men (Two Gate Doors), pinch Wei Ling, Tian Men Ru Hu Kou (Heaven's Door Enters Tiger's Mouth), Dou Shi (Fight Time). In spring and summer, use water for mixing; in autumn and winter, use scallion and ginger. Mix with pure Sesame Oil (Sesamum indicum), add one cup of wine, a little refined salt, one piece of Gleditsia sinensis (Zao Jiao) powder, and one bell full of yellow soil. Stir-fry together, wrap in cloth, invert onto the palm, and pinch the thumb joint to reduce swelling.

Tu Weisheng said: "Swelling" refers to symptoms in the four limbs, while "distension" refers to symptoms in the heart and abdomen. Although both are primarily diseases governed by the Spleen and Stomach, cold, heat, deficiency, and excess are invariably mixed within them. Swelling caused by external pathogens accounts for only one or two out of ten cases. Practitioners must carefully determine whether the swelling involves cold, heat, deficiency, or excess, and apply corresponding treatments based on these patterns. Only then can one avoid being misled by Chen Zishan’s assertion of using dispersing methods first and draining methods later.

Chen Zishan said: Sudden redness in children's eyes is due to Liver heat combined with wind. Dispersing wind and clearing fire is the best approach; for sequelae after smallpox/variolous eruptions, different attacking methods are required. For Huo Yan (Fire Eye), treatment should tonify Kidney Water, push Tian He Shui (River of Heaven), Liu Fu (Six Fathoms), Fen Yin Yang (Separate Yin and Yang), move Ba Gua (Eight Trigrams), push Pi Tu (Spleen Earth), perform Shui Di Lao Ming Yue (Fishing the Bright Moon from the Bottom of the Water), and stimulate He Gu (Hegu, LI4), Qu Chi (Quchi, LI11), and Jian Jing (Jianjing, GB21).

For Feng Yan (Wind Eye), treatment should push San Guan (Three Gates), knead the Kidney, pinch Wu Zhi Jie (Five Finger Joints), separate Yin and Yang, move Ba Gua (Eight Trigrams), push Tian He Shui (River of Heaven), Liu Fu (Six Fathoms), perform Shui Di Lao Ming Yue (Fishing the Bright Moon from the Bottom of the Water), and stimulate He Gu (Hegu, LI4), Qu Chi (Quchi, LI11), and Jian Jing (Jianjing, GB21).

Tu Weisheng said: Zishan mentioned Wind Eye and Fire Eye syndromes but failed to describe their specific characteristics, making them hard to distinguish. In reality, Fire Eye presents with extreme redness and dryness, whereas Wind Eye presents with bright redness and excessive tearing. However, intense fire can generate wind, and strong wind often contains fire elements.