内经言。水病下为附肿大腹。又曰。上下溢于皮肤故为附肿。其证腹大四肢小。阴下湿。
手
。或体虚劳损。或食毕入水。致令水气不散使然也。
赤茯苓散（出圣惠方）治大腹水肿。大便涩。气满闷。
赤茯苓（二两） 桂心（一两） 川大黄（二两锉碎微炒） 甘草（一两炙微赤锉） 大
腹皮（一两
（三两锉）
上为散
治大腹水肿。气息不通。命在旦夕。宜服此药。（出圣惠方）
桑根白皮（二两锉） 昆布（一两洗去咸味） 桂心（一两去粗皮） 牵牛子（二两微
炒） 甜
葶苈
子大。
每
牛黄丸（一名海藻丸出圣惠方）治腹大水肿。气息不通。并风水。皮肤肿满
。喘急不能眠卧
牛黄（二分研） 桂心（去皮） 牵牛子（各八分） 椒目（三分） 昆布（洗去咸炙）
海藻（各十
桐子大。
粥饮
贞观
雄黄丸（出圣惠方）治卒大腹水病。
雄黄（六分） 麝香（三分） 甘遂 芫花 人参（各二分） 上捣蜜和丸如豆大。每
服二
丸。加
鲤鱼茯苓汤 治水肿。腹苦满急。妨害饮食。凡此满。或者虚气。或者风冷气。或
是饮气。
鲤鱼（一头重五斤者以水二斗煮取一斗去鱼） 茯苓（三两） 桑白皮（切炙） 泽泻
（各五
两）
甘甜丸（出经验良方）治水肿腹胀。
甘遂（半两水煮） 甜葶苈（一两炒） 细辛（去苗一两半） 川椒（二两炒） 上为
末。蜜
丸如梧
防己丸（出圣济总录）治大腹水肿。口中干燥。此肠间有水。
防己 椒目 葶苈（炒令紫色） 大黄（锉醋拌炒干一两） 上为末。炼蜜为丸。如小
豆大。
每
麝香丸（出圣济总录）治水气大腹肿。
麝香（一钱研） 甘遂（炒） 芫花（醋炒各半两） 人参（一两） 上捣罗为末。炼
蜜为丸。
如小
葶苈丸（出圣惠方）治水肿腹苦满急。妨害饮食。凡此满。或者虚气。或者风
冷气。
葶苈（七两） 椒目（三两） 茯苓（三两） 上捣筛。蜜和丸。如梧桐子大。每服十
丸。
日三。
水银丸（出圣济总录）治大腹水肿。利小便。
水银（水煮一日一夜研十两） 葶苈（炒令紫色） 椒目（各一升） 上为末。炼蜜丸。
如
小豆大
甘草丸（出圣惠方）治水气腹肿大。
甘草（炙锉） 防己 葶苈（炒令紫色各一两） 上为末。用酒熬为丸。如小豆大。每
服二
十丸
苏合香丸（出圣济总录）治大腹水肿。利小便。
苏合香 水银（水煮一复时入） 白蔹（为末各一两一方作白薇） 上合研令匀。炼蜜
为
丸。如
大枣葶苈丸 疗大腹水病。身体肿。上气。小便涩赤。脐深。颈上有两大脉动。涎
稠。不得
便利。脐凸。
大枣（四十枚肥不 者先以暖水浸令软以饭甑里蒸方剥去皮核焙） 葶苈（五两隔纸炒）
杏仁（五两不取双仁者以汤浸去皮麸炒令黄色去尖） 上先捣葶苈子一万杵倾出之。乃捣杏
仁三百杵讫。总和枣膏合捣一万杵。药成为丸。小豆大。平旦空腹服八
丸。
服此
勿以
佳
大戟丸（出肘后方）治水肿入腹苦满急。妨害饮食。凡此满。或者风冷气。或
是水饮气。
大戟 乌翅 白术（各二两） 上捣筛。蜜和丸。如梧桐子大。旦服二丸。当下。渐退。
更服
葶苈大丸（出三因方）治肿满腹大。四肢枯瘦。小便涩浊。
甜葶苈（隔纸炒） 芥菜根（等分） 上为末。蜜丸弹子大。每服一丸。陈皮汤嚼下。
只三
丸小
葶苈散（出肘后方）治大腹水肿。小便涩。
葶苈（炒紫色一两） 杏仁（二十枚汤浸去皮尖双仁炒） 上捣令极烂。分为十服。每
米饮
下。
治疗卒大腹水病。
牵牛子（二分熬） 浓朴（一分炙） 上捣筛。强人服三棱角壳。弱人二壳。酒饮随意。
治久水腹肚如鼓者。（出千金方）
葶苈 苍耳子灰（各二十七粒） 上水调和服之。日二。
又方（出千金方）
用椒目水洗。煮熬。捣如膏。酒服方寸匕。
又方（出千金方）
用水煮马兜铃服之。
治大腹水肿。诸药无效。宜服此方。（出圣惠方）
苦葫芦（二两微炒） 上为细末。不计时候。粥饮调下二钱。
皂荚酒方（出肘后方）治水肿入腹苦满急。妨害饮食。
上皂荚剥去筋皮炙令黄。锉三升。酒一斗渍入石器煮令沸。服一升。日三服。
治卒大腹水病。盖水病之初。先自目上肿起。如老蚕色。颈头脉动。股里冷。胫中
满。按之
手起。则病已
焦受之。小便不利
用葶苈一升。熬捣之。臼上。割生雄、鸭鸡。合血共头捣万杵为丸。服如梧桐子大五丸。
稍
又方（出肘后方）
用取柯枝皮锉浓煮。煎令可丸。服如梧桐子大三丸。须臾下之。又服一丸。当下小水后。
将
又方（出肘后方）
用蓖麻子熟者二十枚。去皮研之。水解得之三盏。旦服至日中许。当吐下诸水。水结于
里若
又方（出肘后方）
用小豆一升。白鸡一头。治如食法。以水三斗煮熟食。饮汁稍稍令尽。
治水胀腹满（出本草）
用蓖麻子细研水服。壮人可五粒。
又方（出肘后方）
用蛤蝼炙令熟。日食十个。
治大腹水病。（出肘后方）
用青雄鸭一只。以水五升煮取一升。饮尽浓盖之。取汗佳。
葶苈汤治支饮。久不瘥。大腹水肿。喘促不止。
大豆散（出千金方）治久水肿。腹肚如鼓者。
用乌豆一斗熬令香。勿令太熟。去皮为末。筛下饧粥皆食之。初服一合。稍加之。若初
服多
食浆水粥。牛羊兔鹿肉。此散大饥渴时。食之可忍。亦勿食也。此病难治。虽诸大药丸散
膏。当时暂瘥。过后复发。惟服此散。瘥后不发。终身服之。终身不发矣。其所禁食物。
须少啖。莫随意食咸物诸杂食等。
天雄丸（出指南方）治脾胀。
天雄 枳实 橘皮（各半两） 甘遂（一分） 牵牛（酒浸一宿煮令熟即去酒空干再炒
取起）
连
神 丸（出儒门事亲）
甘遂（根据前） 大戟（醋浸煮焙干） 芫花（醋浸煮各半两） 黑牵牛（一两） 大黄
（一两）
上为
治卒大腹水病。（出肘后方）
以春酒五升浸葶苈子二升。隔宿服一合。小盒饭利。
治支饮久不瘥。大腹水肿。喘促不止。\x（出本草）
用甜葶苈三两隔纸炒令紫色。捣如膏。丸如弹子大。每服一丸。以水一中盏。入枣四枚。
煎
*Neijing* states: Water disease manifests below as *fuzhong* (edema/swelling) and a large abdomen. It also says: When water qi overflows up and down into the skin, it is called *fuzhong*. The symptoms include a distended abdomen with thin limbs, dampness in the genital area, and edema of the hands and feet. This may be caused by physical weakness and exhaustion, or by entering water immediately after eating, leading to the failure of water qi to dissipate.
Chifuling San (Caulis Poriae Dispersion, from *Taiping Shenghui Fang*) treats large abdominal edema. Symptoms include dry and difficult defecation, and a sensation of Qi stagnation and fullness in the chest.
Ingredients: Chifuling (Poria with Red Core, 2 liang), Guixin (Cinnamon Twig Heart, 1 liang), Chuandahuang (Rhubarb Root and Rhizome, 2 liang, crushed and slightly stir-fried), Gancao (Licorice Root, 1 liang, honey-fried until slightly red then crushed), Dafupi (Areca Peel, 1 liang), [text missing] (3 liang, crushed).
The above ingredients are processed into a powder.
[Another formula] treats large abdominal edema where Qi and respiration are blocked, with life hanging in the balance. It is suitable to take this medicine. (From *Taiping Shenghui Fang*)
Ingredients: Sanggenbaidi (Mulberry Root Bark, 2 liang, crushed), Kunbu (Kelp, 1 liang, washed to remove saltiness), Guixin (Cinnamon Twig Heart, 1 liang, coarse bark removed), Qianniuzi (Seed of Morning Glory, 2 liang, slightly stir-fried), Tiantinglizi (Seed of Lepidium, sweet variety).
Processed into pills the size of Sophora seeds.
Take per dose...
Niuhuang Wan (Ox Bezoar Pill, also known as Haizao Wan, from *Taiping Shenghui Fang*) treats large abdominal edema, blocked Qi and respiration, and Fengshui (wind-water edema). Symptoms include swollen and full skin, rapid panting, and inability to sleep.
Ingredients: Niuhuang (Calculus Bovis/Ox Bezoar, 2 fen, ground), Guixin (Cinnamon Twig Heart, peeled), Qianniuzi (Seed of Morning Glory), Jiaomu (Seed of Zanthoxylum, 8 fen each), Kunbu (Kelp, washed and fried), Haizao (Sargassum, 10 ...).
Processed into pills the size of Sophora seeds.
Take with gruel broth.
Zhen Guan era...
Xionghuang Wan (Realgar Pill, from *Taiping Shenghui Fang*) treats sudden onset of large abdominal water disease.
Ingredients: Xionghuang (Realgar, 6 fen), Shexiang (Musk, 3 fen), Gansui (Root of Kansui, Yuanhua (Flower of Genkwa), Renshen (Ginseng Root, 2 fen each).
The above ingredients are pounded and mixed with honey to form pills the size of bean seeds. Take per dose...
Take this...
Do not use...
Good.
Liyu Fuling Tang (Carps and Poria Decoction) treats edema. Symptoms include abdominal fullness and urgency that hinder eating. Such fullness may be due to deficiency Qi, cold wind Qi, or retained fluid Qi.
Ingredients: Liyu (Common Carp, one head weighing five jin, boiled in two dou of water to obtain one dou, fish removed), Fuling (Poria, 3 liang), Sangbaipi (Mulberry Root Bark, sliced and fried), Zexie (Rhizoma Alismatis, 5 liang each).
Gantian Wan (Sweet and Bitter Pill, from *Jingyan Liangfang*) treats edema and abdominal distension.
Ingredients: Gansui (Root of Kansui, half liang, water-boiled), Tiantingli (Seed of Lepidium, sweet variety, 1 liang, stir-fried), Xixin (Asarum, 1.5 liang, weeds removed), Chuanjiao (Sichuan Pepper, 2 liang, stir-fried).
The above ingredients are powdered and mixed with honey to form pills the size of Sophora seeds.
Fangji Wan (Stephania Tetrandra Pill, from *Shengji Zonglu*) treats large abdominal edema and dry mouth. This indicates water retention in the intestines.
Ingredients: Fangji (Radix Stephaniae Tetrandrae), Jiaomu (Seed of Zanthoxylum), Tingli (Seed of Lepidium, stir-fried until purple), Dahuang (Rhubarb Root and Rhizome, crushed, mixed with vinegar and stir-fried until dry, 1 liang).
The above ingredients are powdered and made into pills with refined honey, the size of small beans.
Take per dose...
Shexiang Wan (Musk Pill, from *Shengji Zonglu*) treats large abdominal swelling caused by water qi.
Ingredients: Shexiang (Musk, 1 qian, ground), Gansui (Root of Kansui, stir-fried), Yuanhua (Flower of Genkwa, vinegar-fried, half liang each), Renshen (Ginseng Root, 1 liang).
The above ingredients are pounded into powder and made into pills with refined honey, the size of small beans.
Tingli Wan (Seed of Lepidium Pill, from *Taiping Shenghui Fang*) treats edema with abdominal fullness and urgency that hinders eating. Such fullness may be due to deficiency Qi or cold wind Qi.
Ingredients: Tingli (Seed of Lepidium, 7 liang), Jiaomu (Seed of Zanthoxylum, 3 liang), Fuling (Poria, 3 liang).
The above ingredients are pounded and sifted, mixed with honey to form pills the size of Sophora seeds. Take ten pills per dose, three times a day.
Shuiyin Wan (Mercury Pill, from *Shengji Zonglu*) treats large abdominal edema and promotes urination.
Ingredients: Shuiyin (Mercury, boiled in water for one day and night, ground, 10 liang), Tingli (Seed of Lepidium, stir-fried until purple), Jiaomu (Seed of Zanthoxylum, 1 sheng each).
The above ingredients are powdered and made into pills with refined honey, the size of small beans.
Gancao Wan (Licorice Pill, from *Taiping Shenghui Fang*) treats abdominal enlargement caused by water qi.
Ingredients: Gancao (Licorice Root, fried and crushed), Fangji (Radix Stephaniae Tetrandrae), Tingli (Seed of Lepidium, stir-fried until purple, 1 liang each).
The above ingredients are powdered and made into pills with wine, the size of small beans. Take twenty pills per dose.
Suhexiang Wan (Styrax Pill, from *Shengji Zonglu*) treats large abdominal edema and promotes urination.
Ingredients: Suhexiang (Styrax), Shuiyin (Mercury, added after boiling in water for one shichen), Bailian (Rhizoma Belamcandae, powdered, 1 liang each; one prescription uses Baiwei instead).
The above are mixed and ground evenly, then made into pills with refined honey, the size of...
Dazao Tingli Wan (Jujube and Seed of Lepidium Pill) treats large abdominal water disease. Symptoms include body swelling, upward rushing of Qi, astringent and red urine, deep umbilicus, pulsation of two major vessels on the neck, thick saliva, difficulty in bowel and bladder movements, and protruding umbilicus.
Ingredients: Dazao (Chinese Jujube, 40 pieces, plump and intact, soaked in warm water until soft, steamed in a rice steamer, then peeled and pitted and dried), Tingli (Seed of Lepidium, 5 liang, stir-fried between papers), Xingren (Apricot Seed, 5 liang, do not use double-kernel ones, soaked in hot water, peeled, stir-fried with bran until yellow, tips removed).
First pound the Tingli seeds ten thousand times, pour out, then pound the Xingren three hundred times. Finally, mix with jujube paste and pound ten thousand times. Form into pills the size of small beans. Take eight pills on an empty stomach at dawn.
Take this...
Do not use...
Good.
Daji Wan (Root of Kansui Pill, from *Zhouhou Beiji Fang*) treats edema entering the abdomen with fullness and urgency that hinders eating. Such fullness may be due to cold wind Qi or water-drinking Qi.
Ingredients: Daji (Radix Euphorbiae Pekinensis), Wu Chi (Wu Chou, likely referring to a specific ingredient or typo in original text, kept as is), Baizhu (Atractylodes Macrocephala Rhizome, 2 liang each).
The above ingredients are pounded and sifted, mixed with honey to form pills the size of Sophora seeds. Take two pills in the morning to induce purging, gradually subsiding. Take again...
Tingli Da Wan (Large Seed of Lepidium Pill, from *San Yin Fang*) treats swelling, large abdomen, emaciated limbs, and turbid, astringent urination.
Ingredients: Tiantingli (Seed of Lepidium, sweet variety, stir-fried between papers), Jiecaigen (Root of Mustard Vegetable, equal parts).
The above ingredients are powdered and made into pills the size of bullet seeds with honey. Take one pill per dose, chewed down with Chenpi (Citrus Reticulata Peel) decoction. Only take three small pills...
Tingli San (Seed of Lepidium Powder, from *Zhouhou Beiji Fang*) treats large abdominal edema and astringent urination.
Ingredients: Tingli (Seed of Lepidium, stir-fried until purple, 1 liang), Xingren (Apricot Seed, 20 pieces, soaked in hot water, peeled, tips and double kernels removed, stir-fried).
The above are pounded until extremely fine, divided into ten doses. Take each dose with rice drink.
Treatment for sudden onset of large abdominal water disease.
Ingredients: Qianniuzi (Seed of Morning Glory, 2 fen, roasted), Houpo (Magnolia Bark, 1 fen, fried).
The above ingredients are pounded and sifted. For strong persons, take the shell of three angles; for weak persons, take the shell of two angles. Take with wine as desired.
Treatment for long-standing water disease with a drum-like abdomen. (From *Qianjin Fang*)
Ingredients: Tingli (Seed of Lepidium), Cang'erzi Hui (Ash of Xanthium Fruit, 27 grains each).
Mix with water and take orally, twice a day.
Another prescription (From *Qianjin Fang*)
Use Jiaomu (Seed of Zanthoxylum) water wash, boil and simmer, pound into a paste, and take with wine using a square-inch measure.
Another prescription (From *Qianjin Fang*)
Boil Madouling (Aristolochia Manshuriensis) in water and take.
Treatment for large abdominal edema when all other medicines fail. It is suitable to take this prescription. (From *Taiping Shenghui Fang*)
Ingredients: Ku Hulu (Bitter Calabash, 2 liang, slightly stir-fried).
The above is ground into fine powder. Take at any time, mixed with gruel broth, two qian per dose.
Zaojia Jiu Formula (Soap Pod Wine, from *Zhouhou Beiji Fang*) treats edema entering the abdomen with fullness and urgency that hinders eating.
Take Zaojia (Soap Pod), remove tendons and skin, fry until yellow, crush three sheng. Soak in one dou of wine, boil in a stone vessel until boiling. Take one sheng, three times a day.
Treatment for sudden onset of large abdominal water disease. Generally, at the beginning of water disease, swelling starts from above the eyes, with color like an old silkworm, pulsation of neck and head vessels, coldness in the inner thighs, fullness in the calves, and upon pressing, the hand rises (referring to pitting edema or rebound), then the disease has...
Burnt receiving, urination is difficult.
Use Tingli (Seed of Lepidium) one sheng, roast and pound. On a mortar, cut open raw male duck and chicken, mix blood together, pound ten thousand times to form pills. Take five pills the size of Sophora seeds. Slightly...
Another prescription (From *Zhouhou Beiji Fang*)
Use Kezhi Pi (Bark of Branches), crush and boil strongly, simmer until it can be formed into pills. Take three pills the size of Sophora seeds, will purge shortly. Take another pill, will purge small water afterwards...
Another prescription (From *Zhouhou Beiji Fang*)
Use twenty ripe Bibaizi (Castor Seeds), remove skin and grind. Dissolve in water to get three cups. Take in the morning until around noon, should vomit and purge various waters. If water accumulates internally...
Another prescription (From *Zhouhou Beiji Fang*)
Use one sheng of Xiaodou (Adzuki Beans), one white chicken. Prepare as food, boil in three dou of water until cooked and eat. Drink the juice slowly until finished.
Treatment for water distension and abdominal fullness (From *Bencao*)
Grind Bibaizi (Castor Seeds) finely and take with water. Strong persons may take five grains.
Another prescription (From *Zhouhou Beiji Fang*)
Roast Halou (Toad/Bufo) until cooked, eat ten daily.
Treatment for large abdominal water disease. (From *Zhouhou Beiji Fang*)
Use one young male duck, boil in five sheng of water to obtain one sheng. Drink completely, cover tightly to induce sweating, which is good.
Tingli Tang (Seed of Lepidium Decoction) treats Zhiyin (fluid retention under the diaphragm). If not cured for a long time, causing large abdominal edema and continuous panting.
Daybean San (Black Soybean Powder, from *Qianjin Fang*) treats long-standing edema with a drum-like abdomen.
Use one dou of Wudou (Black Soybeans), roast until fragrant, do not let them become too cooked. Remove skin and powder, sift. Eat with maltose gruel. Initially take one ge, gradually increase. If initially taking more...
Eat Jiangshui Zhou (fermented grain water porridge), beef, mutton, rabbit, deer meat. This powder, when very hungry and thirsty, can be endured, but do not eat. This disease is difficult to treat. Although major medicinal pills, powders, and pastes may temporarily cure it initially, it recurs later. Only by taking this powder, it will not recur after cure. Take it for life, and it will never recur. Regarding forbidden foods, eat sparingly, do not casually eat salty foods or miscellaneous foods.
Tianxiong Wan (Aconite Lateralis Radix Preparata Pill, from *Zhinan Fang*) treats Pi Zhang (Spleen distension).
Ingredients: Tianxiong (Radix Aconiti Lateralis Preparata), Zhishi (Immature Bitter Orange), Ju Pi (Citrus Reticulata Peel, half liang each), Gansui (Root of Kansui, 1 fen), Qianniu (Seed of Morning Glory, soaked in wine overnight, boiled until cooked, remove wine, dry, then stir-fry and take).
Connect...
Shen Wan (God Pill, from *Rumen Shiqin*)
Ingredients: Gansui (Root of Kansui, according to previous method), Daji (Radix Euphorbiae Pekinensis, soaked in vinegar, boiled, baked dry), Yuanhua (Flower of Genkwa, soaked in vinegar, boiled, half liang each), Hei Qianniu (Black Seed of Morning Glory, 1 liang), Dahuang (Rhubarb Root and Rhizome, 1 liang).
The above are...
Treatment for sudden onset of large abdominal water disease. (From *Zhouhou Beiji Fang*)
Soak Tingli Zi (Seed of Lepidium) two sheng in five sheng of Spring Wine, take one ge after staying overnight, small box meal benefit (likely typo for "small urination benefits").
Treatment for Zhiyin not cured for a long time, large abdominal edema, continuous panting. (From *Bencao*)
Use Tiantingli (Seed of Lepidium, sweet variety) three liang, stir-fried between paper until purple, pound into paste, make into pills the size of bullet seeds. Take one pill per dose, with one zhong zhan of water, add four dates, decoct...