水气小便涩者。由荣卫不调。经络痞涩脾肾虚弱。使水气流溢于皮肤四肢。肾与膀胱有
热故
故令
\x方\
海蛤丸 主下水气。治小便涩身肿。气闷妨食。
昆布（洗） 橘皮 赤茯苓 汉防己 海蛤（研） 郁李仁 桑根白皮 泽漆（炙） 槟
榔
杏仁
米饮服
梧桐
海蛤丸（出圣济总录）治水肿腹满。四肢黄瘦。喘促。小便涩。
海蛤（二两研） 木香 诃黎勒皮 防己 浓朴（去粗皮生姜汁炙） 旋复花（各一两）
白
槟榔
末。炼蜜
为
海蛤丸（出圣惠方）治大腹水肿。四肢洪满。小便涩少。
海蛤（一两研） 甜葶苈（一两隔纸炒令黄色） 赤茯苓（一两去皮） 桑根白皮（一
两锉）
郁李
上捣
罗为
丸。
又方（出圣惠方）
槟榔（一两） 牵牛子（一两微炒） 赤茯苓（一两） 桑根白皮（一两锉） 甜葶苈
（一两隔
纸炒
桐
子大
汉防己散（出圣惠方）治水气。四肢肿满。上气喘急。小便秘涩。
汉防己（一两） 木通（一两） 桑根白皮（一两锉） 赤茯苓（一两） 甘草（半两
锉炙微赤）
大
分。
葱
商陆丸（出圣惠方）治水肿。利小便。消胀满。
商陆（一两） 川芒硝（半两） 甘遂（一分微炒黄） 川大黄（半两锉碎微炒） 芫
花（半两
醋拌
瞿麦散（出圣惠方）治水气。面目腿膝肿硬。小便赤涩。
瞿麦（一两） 滑石（一两） 汉防己（一两） 川大黄（一两锉微炒） 川芒硝（一
两） 上为
散
又方（出圣惠方）
木通（二两锉） 桔梗（一两去芦头） 赤芍药（一两） 桑根白皮（一两） 甜葶苈
（一两）
上为
大戟散（出圣惠方）治水气肿满。大小便涩。
大戟（一两汤浸去白微炒） 陈橘皮（一两汤浸去白） 商陆（一两锉） 木通（一两
锉） 瞿
麦
再
服
水银丸（出圣惠方）治水气。腹胀气促。小便涩。
水银（一两用炒内研令星尽） 甜葶苈（一两用隔纸炒令紫色） 椒目（半两微炒去汗）
浮
萍草
十五
丸。
香苏散（出卫生宝鉴）治水气虚肿。小便赤涩。
陈皮（一两去白） 防己 木通 紫苏叶（各半两） 上为散。每服二钱。水二盏。生
姜三
片。
治水气。小便涩。身体虚肿。宜服此方。（出圣惠方）
乌 皮（一两炙） 木通（一两锉） 槟榔（一两） 上为细末。每服二钱。粥饮下。
不计时
候。
涂脐膏（出德生堂）治水肿。小便绝少。
地龙（生者好研） 猪苓 针砂（ 红研） 上各一两。为末。擂葱涎。研成膏。敷脐
中。
约一
治水气。小便涩。喘息气促。四肢无力。宜服此方。
沙牛尿（一斗） 诃黎勒皮（半斤捣末） 上先以牛尿于铜器中。煎至二升。入诃黎末。
热
令硬
治水气洪肿。小便涩方。（出圣惠方）
芫花根（一两锉炒） 上为末。每服空心以温水调下一钱匕。得小便大利瘥。
治水肿烦渴。小便赤涩方。
冬瓜白穣（不限多少） 上以水煮令熟和。淡食之。
治水气遍身肿。小便赤涩方。
甜葶苈（二两隔纸炒令紫色） 上捣如膏。煮枣肉和丸。如梧桐子大。每服三十丸。煎
桑
根白
治气喘促。浮肿。小便涩。
用杏仁一两。去皮尖熬研。和米煮粥极熟。空心吃二合。
十金散 治小便不利。水气流滞膀胱。
用浮萍草日干为末。服方寸匕。日一二服。
Water qi disease causing obstructed urination results from disharmony of Ying and Wei (nutritive and defensive qi), obstruction in the meridians, and deficiency of the Spleen and Kidney. This causes water fluid to overflow into the skin and limbs. Due to heat in the Kidney and Bladder, this condition arises.
Prescriptions:
Hai Ge Wan (Clam Shell Pill): Governs the downward discharge of water qi. Treats edema, obstructed urination, body swelling, chest tightness, and loss of appetite.
Herbs: Kelp (Seaweed, *Laminaria japonica*), Tangerine Peel (*Citrus reticulata* pericarpium), Red Poria (*Poria cocos* with red bark), Han Fang Ji (*Stephania tetrandra*), Clam Shell (*Arca granosa*, ground), Apricot Kernel (*Prunus armeniaca* seed), Mulberry Root Bark (*Morus alba* root cortex), Ze Qi (*Euphorbia lathyris*, roasted), Areca Nut (*Areca catechu* seed).
Usage: Take with rice water.
Wu Tong Zi Da Hai Ge Wan (Clam Shell Pill, size of Chinese Pistachio seeds) (from *Shengji Zonglu*): Treats edema, abdominal fullness, yellowish emaciation of limbs, panting, and obstructed urination.
Herbs: Clam Shell (*Arca granosa*, 2 liang, ground), Musk (*Moschus*), Terminalia Fruit Peel (*Terminalia chebula* pericarpium), Fang Ji (*Stephania tetrandra* or *Cocculus trilobus*), Magnolia Bark (*Magnolia officinalis* cortex, coarse skin removed, roasted with ginger juice), Inula Flower (*Inula japonica*, each 1 liang).
Usage: Grind into fine powder, mix with refined honey to form pills the size of Chinese Pistachio seeds.
Hai Ge Wan (Clam Shell Pill) (from *Shenghui Fang*): Treats massive abdominal edema, severe swelling of limbs, and scanty obstructed urination.
Herbs: Clam Shell (*Arca granosa*, 1 liang, ground), Sweet Descurainia Seed (*Descurainia sophia* seed, 1 liang, stir-fried between papers until yellow), Red Poria (*Poria cocos* with red bark, 1 liang, peeled), Mulberry Root Bark (*Morus alba* root cortex, 1 liang, sliced), Apricot Kernel (*Prunus armeniaca* seed, 1 liang, skin and tip removed, stir-fried with bran until slightly yellow), Agastache Spike (*Agastache rugosa* inflorescence, 1 liang), Areca Nut (*Areca catechu* seed, 0.5 liang), Aged Tangerine Peel (*Citrus reticulata* pericarpium, 0.5 liang, soaked in water, white pith removed, dried).
Usage: Pound and sieve into fine powder, mix with refined honey to form pills the size of Chinese Pistachio seeds.
Another Prescription (from *Shenghui Fang*):
Herbs: Areca Nut (*Areca catechu* seed, 1 liang), Morning Glory Seed (*Ipomoea nil* seed, 1 liang, lightly stir-fried), Red Poria (*Poria cocos* with red bark, 1 liang), Mulberry Root Bark (*Morus alba* root cortex, 1 liang, sliced), Sweet Descurainia Seed (*Descurainia sophia* seed, 1 liang, stir-fried between papers until purple), Agastache Spike (*Agastache rugosa* inflorescence, 1 liang), Aged Tangerine Peel (*Citrus reticulata* pericarpium, 1 liang, soaked in water, white pith removed, dried), Evodia Fruit (*Evodia rutaecarpa* fruit, 1 liang, soaked in water seven times, dried, lightly stir-fried to remove sweat).
Usage: Pound and sieve into fine powder, mix with refined honey to form pills the size of Chinese Pistachio seeds. Take 20 pills at a time with warm water, without restriction on timing.
Han Fang Ji San (Stephania Powder) (from *Shenghui Fang*): Treats water qi disease, swelling and fullness of limbs, upper body panting and urgency, and constipation/obstructed urination.
Herbs: Han Fang Ji (*Stephania tetrandra*, 1 liang), Akebia Stem (*Akebia quinata* stem, 1 liang), Mulberry Root Bark (*Morus alba* root cortex, 1 liang, sliced), Red Poria (*Poria cocos* with red bark, 1 liang), Licorice Root (*Glycyrrhiza uralensis* root, 0.5 liang, sliced, roasted until slightly red).
Usage: Pound and sieve into fine powder. Take 3 qian each time with one cup of water, add half a cun of fresh ginger, decoct to six parts, remove dregs, take warm, without restriction on timing.
Shang Lu Wan (Phytolacca Root Pill) (from *Shenghui Fang*): Treats edema, promotes urination, reduces bloating and fullness.
Herbs: Phytolacca Root (*Phytolacca acinosa* root, 1 liang), Sichuan Mirabilite (*Natrii Sulfas*, 0.5 liang), Kansui Root (*Euphorbia lathyris* root, 1 fen, lightly stir-fried until yellow), Sichuan Rhubarb (*Rheum palmatum* root and rhizome, 0.5 liang, sliced, lightly stir-fried), Genkwa Flower (*Daphne genkwa* flower bud, 0.5 liang, mixed with vinegar, stir-fried until dry).
Usage: Pound and sieve into fine powder, mix with refined honey to form pills the size of Chinese Pistachio seeds. Take 5 pills at a time with warm water, three times daily, until bowel movement is unobstructed.
Qumai San (Persicaria Powder) (from *Shenghui Fang*): Treats water qi disease, hardness and swelling of face, eyes, legs, and knees, and red, obstructed urination.
Herbs: Persicaria (*Persicaria orientalis* herb, 1 liang), Talcum (*Talcum*, 1 liang), Han Fang Ji (*Stephania tetrandra*, 1 liang), Sichuan Rhubarb (*Rheum palmatum* root and rhizome, 1 liang, sliced, lightly stir-fried), Sichuan Mirabilite (*Natrii Sulfas*, 1 liang).
Usage: Pound and sieve into fine powder. Take 3 qian each time with one cup of water, decoct to six parts, remove dregs, take warm, without restriction on timing.
Another Prescription (from *Shenghui Fang*):
Herbs: Akebia Stem (*Akebia quinata* stem, 2 liang, sliced), Platycodon Root (*Platycodon grandiflorus* root, 1 liang, remove radicle), Red Peony Root (*Paeonia lactiflora* root, 1 liang), Mulberry Root Bark (*Morus alba* root cortex, 1 liang), Sweet Descurainia Seed (*Descurainia sophia* seed, 1 liang, stir-fried between papers until purple).
Usage: Pound and sieve into fine powder. Take 3 qian each time with one cup of water, add half a cun of fresh ginger, decoct to six parts, remove dregs, take warm, without restriction on timing.
Da Ji San (Kansui Powder) (from *Shenghui Fang*): Treats water qi edema and fullness, obstructed urination and defecation.
Herbs: Kansui Root (*Euphorbia lathyris* root, 1 liang, soaked in water, remove white pith, lightly stir-fried), Aged Tangerine Peel (*Citrus reticulata* pericarpium, 1 liang, soaked in water, remove white pith), Phytolacca Root (*Phytolacca acinosa* root, 1 liang, sliced), Akebia Stem (*Akebia quinata* stem, 1 liang, sliced), Persicaria (*Persicaria orientalis* herb, 1 liang).
Usage: Pound and sieve into fine powder. Take 3 qian each time with one cup of water, decoct to six parts, remove dregs, take warm, without restriction on timing. If stool is not unobstructed, add 1 liang of Rhubarb, slice, lightly stir-fry, and decoct as above.
Shui Yin Wan (Mercury Pill) (from *Shenghui Fang*): Treats water qi disease, abdominal distension, shortness of breath, and obstructed urination.
Herbs: Mercury (*Hydrargyrum*, 1 liang, ground with stir-fried Cinnabar until no mercury stars remain), Sweet Descurainia Seed (*Descurainia sophia* seed, 1 liang, stir-fried between papers until purple), Pepper Eye (*Zanthoxylum bungeanum* seed, 0.5 liang, lightly stir-fried to remove sweat), Floating Duckweed (*Lemna minor* herb, 1 liang, sun-dried).
Usage: Pound and sieve into fine powder, mix with refined honey to form pills the size of Chinese Pistachio seeds. Take 5 pills at a time with warm water, three times daily.
Xiang Su San (Costus and Perilla Powder) (from *Weisheng Baojian*): Treats water qi deficiency edema, red and obstructed urination.
Herbs: Chen Pi (*Citrus reticulata* pericarpium, 1 liang, remove white pith), Fang Ji (*Stephania tetrandra*), Mu Tong (*Akebia quinata* stem), Zi Su Ye (*Perilla frutescens* leaf, each 0.5 liang).
Usage: Pound and sieve into fine powder. Take 2 qian each time with two cups of water, add three slices of fresh ginger, decoct to one cup, remove dregs, take warm, without restriction on timing.
To treat water qi disease, obstructed urination, and body deficiency edema, this prescription is suitable. (from *Shenghui Fang*)
Herbs: Wu Mei Pi (*Mume* fruit pericarpium, 1 liang, roasted), Mu Tong (*Akebia quinata* stem, 1 liang, sliced), Areca Nut (*Areca catechu* seed, 1 liang).
Usage: Pound and sieve into fine powder. Take 2 qian each time with porridge drink, without restriction on timing.
Tu Qi Gao (Umbilical Application Paste) (from *Deshengtang*): Treats edema, extremely scanty urination.
Herbs: Earthworm (*Pheretima* earthworm, fresh, finely ground), Polyporus (*Polyporus umbellatus* sclerotium), Needle Sand (*Ferrum oxydatum rubrum*, heated red, ground). Each 1 liang.
Usage: Make into powder, grind with scallion juice into a paste. Apply to the umbilicus, leave for about one night, then remove.
To treat water qi disease, obstructed urination, panting and shortness of breath, weakness of limbs, this prescription is suitable.
Herbs: Cow Urine (one dou), Terminalia Fruit Peel (*Terminalia chebula* pericarpium, half jin, pounded into powder).
Usage: First, decoct cow urine in a copper vessel until reduced to two sheng, add Terminalia peel powder, boil until hard like maltose. Take one spoonful each time, dissolved in warm water, three times daily.
Treatment for massive water qi edema and obstructed urination. (from *Shenghui Fang*)
Herbs: Genkwa Root (*Daphne genkwa* root, 1 liang, sliced, stir-fried).
Usage: Make into powder. Take one qian bi (measure) with warm water on an empty stomach. The illness resolves when urination becomes profuse.
Treatment for edema with irritability and thirst, red and obstructed urination.
Herbs: Winter Melon White Pith (*Benincasa hispida* mesocarp, unlimited amount).
Usage: Boil in water until cooked, eat blandly.
Treatment for water qi causing whole-body swelling and red, obstructed urination.
Herbs: Sweet Descurainia Seed (*Descurainia sophia* seed, 2 liang, stir-fried between papers until purple).
Usage: Pound into paste, mix with jujube meat to form pills the size of Chinese Pistachio seeds. Take 30 pills each time, taken with decoction of Mulberry Root Bark.
Treatment for panting and shortness of breath, edema, and obstructed urination.
Use 1 liang of Apricot Kernel (*Prunus armeniaca* seed), remove skin and tip, roast and grind. Mix with rice to cook into very soft porridge. Eat two he (measure) on an empty stomach.
Shi Jin San (Ten Metals Powder): Treats difficult urination, water qi stagnating in the Bladder.
Use sun-dried Floating Duckweed (*Lemna minor* herb) ground into powder. Take one fang cun bi (square inch measure). Take once or twice daily.