石发而身体肿者。以食饮过温。不能劳动。致热气蓄壅于肌肉。木得宣散故也。亦有外
感风
但体
方
硝石汤（出圣济总录）治乳石发动。上攻头面浮肿。
硝石 萆 防风（去叉） 黄连（去须炒） 大黄（锉炒） 甘草（炙锉各一两） 地
榆（锉） 羌活（去芦头） 桑根白皮（锉焙） 龙骨（各一两半） 代赭石（煨一两半） 桂
（去粗皮锉碎）
粗捣筛。每服五钱。水
一盏半。入生姜三片。同煎至八分。去滓温服。
赤茯苓散（出圣惠方）治乳石发动。心神烦躁闷乱。身体面目浮肿。喘促坐
卧不得。
赤茯苓 泽泻 柴胡（去苗） 汉防风 猪苓（去黑皮） 麦门冬（去心） 桑根 白
皮（锉）
犀
为
散。
防风汤（出圣济总录）治乳石发动。上冲头面。疼痛浮肿。心神恍惚。
防风（去叉） 当归（切焙） 泽泻 葳灵仙（去土） 甘草（炙锉） 黄连（去须） 虎
杖（各
一两
石膏（碎
三两
一两） 上
咀
汉防风散（出圣惠方）治乳石发动。身体浮肿。痰结不食。腹血满闷。喘息
气阻。
汉防风 赤茯苓 木通（锉） 枳壳（麸炒去瓤各三分） 桑根白皮（锉） 紫苏茎叶
（锉）
大腹
两） 上
为散
枳壳散（出圣惠方）治乳石发热。心神烦躁。身体赤肿。胸中烦闷。
枳壳（麸炒微黄色去瓤一两） 桑根白皮（锉） 牛蒡子（微炒） 川升麻 黄芩 赤
茯苓
（各一
草（半两
锉）
茯苓汤（出圣济总录）治乳石发肿。
赤茯苓（去黑皮） 淡竹叶（一握切碎） 白术 甘草（炙） 人参 枳实（去瓤麸炒）
栀子
仁（
煎至七
分
升麻汤（出圣济总录）治乳石发热。身体觉壅者。
升麻 大黄（锉碎微炒） 黄芩（去黑皮） 枳实（去瓤麸炒） 芍药（各三两） 当
归（切焙）
甘
紫雪散（出圣惠方）治乳石发热。身体微肿。头面疮出。
紫雪（二两） 川升麻 黄芩 葳蕤（各一两） 犀角屑 甘草（生锉） 栀子仁（各
半两）
上为
木通汤（出圣济总录）治服石人水气内积。面目腰膝肿硬。小便涩。
木通（炙锉） 桑根白皮（炙锉各半两） 赤芍药 桔梗（锉炒各三两） 葶苈子（隔
纸炒）
白茅
再。
紫苏子丸（出圣济总录）治乳石风湿外搏。水饮内停。身貌微肿。小便涩。
紫苏子（微炒一合半） 陈橘皮（去心焙） 杏仁（去皮尖双仁炒） 防己 赤茯苓（去
黑皮
各一
空心
吴蓝散（出圣惠方）治乳石毒瓦斯攻注。皮肤浮肿。心神烦躁。体热不得睡卧。
吴蓝 汉防风 黄芩 栀子仁 玄参 犀角屑 川升麻 白藓皮 甘草（生锉各半两）
川大
中盏。
煎至
芍药汤（出圣济总录）治乳石发热坚肿。
芍药 枳实（去瓤麸炒） 大黄（锉炒） 升麻（各二两） 当归（切焙一两） 上粗
捣筛。每
服三
赤茯苓散（出圣济总录）治服石人水气内积。面肿。
赤茯苓（去黑心） 牵牛子（炒各一两半） 枳壳（去瓤麸炒） 陈橘皮（去白焙） 甘
草（炙
各三
生麦门冬汤（出圣惠方）治钟乳发寒热。胸中壅塞。面肿手足烦痛。
生麦门冬（去心微焙一两） 豉（微炒一合） 上粗捣筛。每服三钱。水一盏。葱白三
茎拍
碎。
槟榔汤（出千金方）凡服散之后。忽身体浮肿。多是取冷过度所致。
用槟榔三十枚。捣碎。水八升煮取二升。分再服。一方用子捣作末。其皮 咀。以汤七
升。
治乳石发动。周体患肿。不能回转者。（出圣济总录）为久坐不行。又饮酒
药气滞在皮肤之
宜饮酒。冷水洗。自劳即瘥。不能行者。遣人扶持强行。使支节调畅乃止。亦不得过度。
使
治乳石发动。四肢面目浮肿者。（出圣济总录）为饮食温。久不自劳力。药
与正气相隔也。
但饮热酒。冷食自劳。及洗浴即瘥。
治乳石发动。腹背热如杯、如盘许大者。（出圣济总录）
但以冷石随热处熨之。
治乳石发热肿（出本草）
用夏冰熨之
治患丹石发肿（出本草）
以肿处于湿地上卧熨之。地热易之。
Background Information:
Book: Puji Fang (Universal Essential Prescriptions)
Author: Zhu Zi
Dynasty: Ming Dynasty, Yongle 4th Year
Chapter: Ru Shi Fa Fu Zhong (Appendix on Lactostone-Induced Edema)
Category: Formulas
[Translation of Original Text]
When taking stone medicines and experiencing body edema, it is because the diet and drinks were too warm, and physical labor was lacking, causing heat qi to accumulate and obstruct in the muscles. This occurs because the nature of Wood governs dispersion and diffusion. There are also cases caused by external wind contraction, but the body... [Text fragment incomplete].
Xiaoshi Tang (Niter Decoction), from *Shengji Zonglu*, treats lactostone activation where medicinal qi attacks upward causing head and facial edema.
Herbs: Xiaoshi (Natrii Sulfas), Bixie (Dioscoreae Hypoglaucae Rhizoma), Fangfeng (Saposhnikoviae Radix, remove cross-roots), Huanglian (Coptidis Rhizoma, remove mustache and stir-fry), Dahuang (Rhei Radix et Rhizoma, cut into pieces and stir-fry), Gancao (Licorice Root, honey-fried and cut into pieces, each 1 liang), Diyü (Sanguisorbae Radix, cut into pieces), Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome head), Sanggen Baipi (Mori Cortex, cut into pieces and baked), Longgu (Fossilized Bones, each 1.5 liang), Daizheshi (Hematitum, calcined, 1.5 liang), Guizhi (Cinnamomi Ramulus, remove rough bark and cut into pieces).
Preparation and Administration: Coarsely crush and sieve the above herbs. Take 5 qian per dose, add 1.5 zhan of water, place 3 slices of Shengjiang (Zingiberis Rhizoma Recens), decoct together until 0.8 portion remains, strain, and take warm.
Chifuling San (Red Poria Powder), from *Taiping Shenghui Fang*, treats lactostone activation causing mental restlessness and confusion, body and facial edema, panting so severe that sitting or lying down is impossible.
Herbs: Chifuling (Poria with Red Hosta Root), Zexie (Alismatis Rhizoma), Chaihu (Bupleuri Radix, remove seedlings), Hanfangji (Stephaniae Tetrandrae Radix), Zhuling (Polyporus), Maidong (Ophiopogonis Radix, remove heart), Sanggen Baipi (Mori Cortex, cut into pieces), Xijiao (Rhinocerotis Cornu, implied context).
Preparation and Administration: Grind into powder.
Fangfeng Tang (Saposhnikovia Decoction), from *Shengji Zonglu*, treats lactostone activation where medicinal qi rushes upward to the head and face, causing pain, edema, and mental trance.
Herbs: Fangfeng (Saposhnikoviae Radix, remove cross-roots), Danggui (Angelicae Sinensis Radix, slice and bake), Zexie (Alismatis Rhizoma), Weilingxian (Salviae Miltiorrhizae Radix et Rhizoma, remove soil), Gancao (Licorice Root, honey-fried and cut into pieces), Huanglian (Coptidis Rhizoma, remove mustache), Huzhang (Polygoni Cuspidati Rhizoma et Radix, each 1 liang), Shigao (Gypsum Fibrosum, crushed, 3 liang), [Other herbs missing].
Preparation and Administration: Cut the above herbs coarsely, [decoction method omitted].
Hanfangji San (Stephania Powder), from *Taiping Shenghui Fang*, treats lactostone activation causing body edema, phlegm accumulation leading to anorexia, abdominal blood stasis and fullness, panting, and airway obstruction.
Herbs: Hanfangji (Stephaniae Tetrandrae Radix), Chifuling (Poria with Red Hosta Root), Mutong (Akebiae Caulis, cut into pieces), Zhike (Aurantii Fructus, bran-fried, remove pith, each 3 fen), Sanggen Baipi (Mori Cortex, cut into pieces), Zisu Jingye (Perillae Caulis et Folium, cut into pieces), Dafupi (Arecae Pericarpium, [weight missing]).
Preparation and Administration: Grind the above herbs into powder.
Zhike San (Aurantium Powder), from *Taiping Shenghui Fang*, treats lactostone fever, mental restlessness, red and swollen body, and chest oppression.
Herbs: Zhike (Aurantii Fructus, bran-fried to light yellow, remove pith, 1 liang), Sanggen Baipi (Mori Cortex, cut into pieces), Niubangzi (Arctii Fructus, lightly stir-fried), Chuanshengma (Bupleuri Radix), Huangqin (Scutellariae Radix), Chifuling (Poria with Red Hosta Root), [Gancao?], Gancao (Licorice Root, half liang, cut into pieces).
Preparation and Administration: [Omitted].
Fuling Tang (Poria Decoction), from *Shengji Zonglu*, treats lactostone-induced edema.
Herbs: Chifuling (Poria with Red Hosta Root, remove black skin), Danzhuye (Lophatheri Folium, one handful, chopped), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Licorice Root, honey-fried), Renshen (Ginseng Radix et Rhizoma), Zhishi (Aurantii Fructus Immaturus, remove pith and bran-fry), Zhizi (Gardeniae Fructus), [Other herbs].
Preparation and Administration: Decoct until 0.7 portion remains.
Shengma Tang (Bupleuri Decoction), from *Shengji Zonglu*, treats lactostone fever where the body feels obstructed and uncomfortable.
Herbs: Shengma (Bupleuri Radix), Dahuang (Rhei Radix et Rhizoma, cut into pieces and lightly stir-fried), Huangqin (Scutellariae Radix, remove black skin), Zhishi (Aurantii Fructus Immaturus, remove pith and bran-fry), Shaoyao (Paeoniae Radix Alba, each 3 liang), Danggui (Angelicae Sinensis Radix, slice and bake), Gancao (Licorice Root).
Preparation and Administration: [Omitted].
Zixue San (Purple Snow Powder), from *Taiping Shenghui Fang*, treats lactostone fever, slight body swelling, and sores on the head and face.
Herbs: Zixue (Zixue San, 2 liang), Chuanshengma (Bupleuri Radix), Huangqin (Scutellariae Radix), Weirui (Polygonati Odorati Rhizoma, each 1 liang), Xijiao Xie (Rhinocerotis Cornu, shaved), Gancao (Licorice Root, raw and cut into pieces), Zhizi Ren (Gardeniae Fructus, each half liang).
Preparation and Administration: Grind the above herbs into powder.
Mutong Tang (Akebia Decoction), from *Shengji Zonglu*, treats water qi accumulation internally in patients who took stone medicines, causing hard edema of the face, eyes, waist, and knees, and dysuria.
Herbs: Mutong (Akebiae Caulis, honey-fried and cut into pieces), Sanggen Baipi (Mori Cortex, honey-fried and cut into pieces, each half liang), Chishaoyao (Paeoniae Radix Rubra), Jiegeng (Platycodonis Radix, cut into pieces and stir-fried, each 3 liang), Tinglizi (Descurainiae Semen, stir-fried between papers), Baimaogen (Imperatae Rhizoma).
Preparation and Administration: [Omitted].
Zisuzi Wan (Perilla Seed Pill), from *Shengji Zonglu*, treats lactostone wind-dampness attacking externally and fluid retention internally, causing slight body swelling and dysuria.
Herbs: Zisuzi (Perillae Fructus, lightly stir-fried, 1.5 he), Chenjupi (Citri Reticulatae Pericarpium, remove heart and bake), Xingren (Pruni Semen, remove skin and tips, stir-fry), Fangji (Stephaniae Tetrandrae Radix), Chifuling (Poria with Red Hosta Root, remove black skin).
Preparation and Administration: Equal parts, take on an empty stomach.
Wulan San (Isatis Powder), from *Taiping Shenghui Fang*, treats lactostone toxic vapors attacking and injecting, causing skin edema, mental restlessness, body heat, and inability to sleep.
Herbs: Wulan (Isatis Folium), Hanfangji (Stephaniae Tetrandrae Radix), Huangqin (Scutellariae Radix), Zhizi Ren (Gardeniae Fructus), Xuanshen (Scrophulariae Radix), Xijiao Xie (Rhinocerotis Cornu, shaved), Chuanshengma (Bupleuri Radix), Baixianpi (Dictamni Cortex), Gancao (Licorice Root, raw and cut into pieces, each half liang), Chuandahuang (Rhei Radix et Rhizoma).
Preparation and Administration: One zhanchen of water, decoct to [portion].
Shaoyao Tang (Peony Decoction), from *Shengji Zonglu*, treats lactostone fever with hard swelling.
Herbs: Shaoyao (Paeoniae Radix), Zhishi (Aurantii Fructus Immaturus, remove pith and bran-fry), Dahuang (Rhei Radix et Rhizoma, cut into pieces and stir-fry), Shengma (Bupleuri Radix, each 2 liang), Danggui (Angelicae Sinensis Radix, slice and bake, 1 liang).
Preparation and Administration: Coarsely crush and sieve the above herbs. Take 3 qian per dose.
Chifuling San (Red Poria Powder), from *Shengji Zonglu*, treats water qi accumulation internally in patients who took stone medicines, causing facial edema.
Herbs: Chifuling (Poria with Red Hosta Root, remove black heart), Qianniuzi (Pharbitidis Semen, stir-fried, each 1.5 liang), Zhike (Aurantii Fructus, remove pith and bran-fry), Chenjupi (Citri Reticulatae Pericarpium, remove white pith and bake), Gancao (Licorice Root, honey-fried).
Preparation and Administration: Three equal parts.
Sheng Maidong Tang (Fresh Ophiopogon Decoction), from *Taiping Shenghui Fang*, treats Zhongruishi (Cloud Milk Stone) inducing chills and fever, chest congestion, facial edema, and painful heat in hands and feet.
Herbs: Sheng Maidong (Ophiopogonis Radix, remove heart and lightly bake, 1 liang), Chi (Fermented Soybean, lightly stir-fried, 1 he).
Preparation and Administration: Coarsely crush and sieve the above herbs. Take 3 qian per dose, add 1 zhan of water, 3 stalks of Congbai (Allii Fistulosi Bulbus, smashed).
Binglang Tang (Betel Nut Decoction), from *Qianjin Fang*, after taking powder medicines, if sudden body edema occurs, it is mostly due to excessive exposure to cold.
Usage: Use 30 Binglang (Arecae Semen), crush them, boil in 8 sheng of water to obtain 2 sheng, divide into two doses. Another formula uses the seeds ground into powder, and the peel cut into pieces, boiled in 7 sheng of water.
To treat lactostone activation causing generalized edema and inability to turn over (*Shengji Zonglu*): This is due to prolonged sitting without movement and drinking alcohol, causing medicinal qi to stagnate in the skin. It is advisable to drink wine, wash with cold water, and engage in self-exertion to recover. If unable to move, have someone support and force movement until the joints are smooth and free. Do not overdo it to avoid injury.
To treat lactostone activation causing edema of the limbs and face (*Shengji Zonglu*): This is due to warm diet and lack of physical exertion for a long time, separating the medicine from the healthy qi. Simply drink hot wine, eat cold food, exert oneself, and bathe to recover.
To treat lactostone activation causing heat in the abdomen and back, the size of a cup or plate (*Shengji Zonglu*): Apply cold stones to the hot areas as compresses.
To treat lactostone fever and swelling (*Ben Cao*): Apply summer ice as a compress.
To treat Dan Shi (Dan Stone) induced edema (*Ben Cao*): Lie on wet ground to compress the swollen area. Replace when the ground heats up.