夫水蛊之状。腹胀皮肤粗黑。摇动有声。此由脾肾气虚。湿气淫溢。久不瘥。则害人。
如蛊
无比丸（出圣济总录）治水蛊通身肿满。
京三棱（煨锉） 牵牛子 胆矾（研） 槟榔（锉） 芫花（醋浸炒各一两） 腻粉（一
分） 续
随子
肉烂研）
上
七
汤
槟榔丸 治蛊病。
槟榔 郁李仁（各一两） 续随子 甘遂（各半两炒黄） 茹（八钱） 樟柳根 黑
牵牛
大
大。每
服三
忌半
中隔丸（出圣济总录）治水蛊腹胀。消肿满痞气。
芫花（醋浸炒黄） 甘遂（炒黄为末） 大戟（炒各一两） 泽泻（锉） 青橘皮（汤
浸去白）
木香
为末。炼
蜜和
槟榔丸 治水蛊。
槟榔 郁李仁（各一两） 樟柳根 黑牵牛 大黄（各一两） 木通 海金砂（各半两）
滑
石（
服
只
瓠穣煎方（出圣济总录）治水蛊。遍体洪肿。
用瓠穣一枚。以水二升。煮一炊顷。去滓。煎至堪可以为丸。即丸如小豆大。每服米饮
下十
楮枝煎方 治蛊病水肿。
用楮枝锉半斤。以水五升。煎至二升半。去滓取汁。入黑豆末半升。同煎成汁。每服一
匙。
分气散（出圣济总录）治水蛊腹肿。利小便。
甘遂（炒） 商陆（锉炒） 白牵牛（炒各半两） 槟榔（锉一枚） 木香（一分） 白
丁香（研
五十
大黄汤
大黄（锉炒一两半） 麦门冬（去心焙三分） 甘遂（微炒） 茅根（锉） 黄连（去
须各一两）
贝
瞿麦汤（出圣济总录）治水肿。腹胀满急。小便不通。纵有而黄赤。
瞿麦穗 车前子 滑石（碎） 茅根（锉） 甘遂（微炒） 苦参 上等分捣筛。每服
三钱
匕。以
海蛤丸（出圣济总录）治水蛊。腹胀喘嗽。利水气。
海蛤（烧炙半两） 滑石（研） 凝水石（研各一两） 白丁香（研五十五个） 腻粉 粉
霜（各一
豆
大。温
经验白术散 治水蛊气蛊病。
白术（一两） 苦葶苈（一两） 穿山甲（五钱） 蛇蜕（一条全） 黑牵牛（末二两）
土牛儿（一
葶苈汤（出圣济总录）治水蛊。身体洪肿。喘满。
葶苈（纸上炒令黄紫色捣末一两） 上以水二盏。入葶苈五钱匕。大枣十枚擘破。同煎
至
一盏
葶苈丸
葶苈子（三两纸上炒紫色） 牵牛子（炒一两半） 海藻（洗去咸炒一两） 泽漆（一
两） 昆
布（
丸。
日
治积年水蛊。宜服此方。（出圣惠方）
大戟（半两炒锉） 甘遂（半两） 甜葶苈（半两） 巴豆（十四枚炒熟去皮油） 赤
小豆（五
十五
结水汤 治水蛊。内肿即冷。外肿即热。气急无力。
黄连（去须） 大黄（锉碎炒各二两） 甘遂（微炒） 葶苈（炒紫色各一两） 上捣
筛。每服
二钱
椒目丸（出圣济总录）治水蛊。遍身洪肿。
椒目（炒去汗） 牡蛎（研各二两） 葶苈（二两） 甘遂（二两） 上等分为末。炼
蜜和丸。
如小
治水蛊。
木香 黑牵牛（炒） 飞面（炒黄色各四两） 白牵牛（炒四两） 上为细末。用年深
陈米煎
汤和
物。
水银丸 治大腹水蛊。坚硬如石。宜利小便方。
水银（一两以煮枣肉研令星尽） 川芒硝（一两） 甜葶苈（五两炒紫） 上件药相和。
捣一
千杵
治腹肿重大。动摇有水声。皮肤黑色。名曰水蛊。宜服此方。
青蛙（二枚干者涂酥微炒） 蝼蛄（七枚干者炒） 苦葫芦（半两炒） 上为细末。每
日空
心。以
鼠尾草丸（出肘后方）治水蛊。亦治卒大腹水病。
鼠尾草 马鞭草（各五斤） 上用水。五斗。煮取二斗。去滓煎成膏为丸。小豆大。以
轻
粉为
治腹大。动摇水声。皮肤粗黑。如似肿状。名为水蛊。（出肘后方）
白茅根（一大把切） 小豆（三升赤者） 上件以水三升煮干。去茅根食豆。水随小便
下。
又方（出圣惠方）
用鬼扇捣绞取汁。服如鸡子大。即下水。更服取水尽。若渴。研麻子汁饮之为良。
又方（出肘后方）治腹胀大。动摇有水声。皮肤黑。名水蛊。
巴豆（九十枚去心皮炒黄） 杏仁（九十枚去皮尖炒令黄） 上捣和服。如小豆大一枚。
以
水下
又方
用兹弥草三十斤。水三石。煮取一石。去滓。更汤上煎令可丸。丸如皂荚子大。每服三
丸至
恶实丸（出圣济总录）治水蛊。身体洪肿。
用恶实微炒一两为末。面糊和丸。梧桐子大。每服十丸。米饮下。勿嚼破。
主腹肿大。动摇有水声。皮肤黑。名曰水蛊。
巴豆（九十枚去心皮熬黄） 捣丸如小豆大。每服一丸。以利为度。勿饮酒。
治水蛊（出百一选方）
用商陆根赤者杵烂。贴脐心。以绢系缚定。病自小水而出去。商陆有二种。白者不可用。
一
二圣散（一名二气散）治水气蛊胀满。
白牵牛 黑牵牛（各三两） 上为末。用大麦面四两。同一处为烧饼。临卧用茶一盏下。
降气
治水蛊腹胀。（出百一选方）
上取加味散。四桂散。细末等分和匀。根据法煎服。绍兴术士朱蓑衣名甫。苦此疾。医者
只令
治水蛊（出本草）
用山豆根末。酒下二钱。
Shui Gu (Water Distension) presents with symptoms such as abdominal distension, rough and dark skin, and a sloshing sound upon movement. This condition arises from the deficiency of Spleen and Kidney Qi, leading to the excessive overflow of Dampness. If left untreated for a long time, it harms the body, resembling the effects of Gu Poison (a traditional concept referring to diseases caused by toxins or parasites).
Wubi Wan (Peerless Pill) (from *Shengji Zonglu*): Treats Shui Gu characterized by generalized edema and fullness.
Ingredients: Jing San Leng (Rhizoma Bistortae, baked and crushed), Qian Niu Zi (Semen Pharbitidis), Dan Fan (Alum, ground), Bing Lang (Areca Seed, crushed), Yuan Hua (Flos Genkwa, vinegar-soaked and stir-fried, each 1 liang), Ni Fen (Calomel, 1 fen), Xu Sui Zi (Semen Euphorbiae Lathyridis, flesh ground until soft).
Preparation: The above seven ingredients are processed into decoction or pills.
Bing Lang Wan (Areca Pill): Treats Gu disease.
Ingredients: Bing Lang (Areca Seed), Yu Li Ren (Semen Pruni Persicae, each 1 liang), Xu Sui Zi (Semen Euphorbiae Lathyridis), Gan Sui (Radix Kansui, stir-fried yellow, each half liang), Ru Cao (Herba Siegesbeckiae, 8 qian), Zhang Liu Gen (Radix Salix Chosenensis), Hei Qian Niu (Black Semen Pharbitidis).
Usage: Take 3 qian per dose. Avoid certain foods.
Zhong Ge Wan (Middle Partition Pill) (from *Shengji Zonglu*): Treats abdominal distension due to Shui Gu, reducing swelling and qi stagnation.
Ingredients: Yuan Hua (Flos Genkwa, vinegar-soaked and stir-fried yellow), Gan Sui (Radix Kansui, stir-fried yellow and powdered), Da Ji (Radix Euphorbiae Pekinensis, stir-fried, each 1 liang), Ze Xie (Rhizoma Alismatis, crushed), Qing Ju Pi (Pericarpium Citri Reticulatae, soaked in water and white pith removed), Mu Xiang (Radix Aucklandiae).
Preparation: Powdered and mixed with refined honey to form pills.
Bing Lang Wan (Areca Pill): Treats Shui Gu.
Ingredients: Bing Lang (Areca Seed), Yu Li Ren (Semen Pruni Persicae, each 1 liang), Zhang Liu Gen (Radix Salix Chosenensis), Hei Qian Niu (Black Semen Pharbitidis), Da Huang (Radix et Rhizoma Rhei, each 1 liang), Mu Tong (Caulis Akebiae), Hai Jin Sha (Sporodium Lepidii), Hua Shi (Talcum).
Hu Rang Decoction (from *Shengji Zonglu*): Treats Shui Gu with generalized severe edema.
Usage: Take one piece of Hu Rang (pulp of bottle gourd), boil in 2 sheng of water for the duration of one meal. Strain the dregs and concentrate the liquid until it can be formed into pills. Make pills the size of small beans. Take 10 pills per dose with rice water.
Chu Zhi Decoction: Treats edema caused by Gu disease.
Usage: Take half a jin of Chu Zhi (branches of paper mulberry), crush them, and boil in 5 sheng of water until reduced to 2.5 sheng. Strain and take the juice. Add half a sheng of black soybean powder and boil together until it becomes a liquid. Take one spoonful per dose.
Fen Qi San (Qi-Dispersing Powder) (from *Shengji Zonglu*): Treats abdominal swelling due to Shui Gu and promotes urination.
Ingredients: Gan Sui (Radix Kansui, stir-fried), Shang Lu (Radix Phytolaccae, crushed and stir-fried), Bai Qian Niu (White Semen Pharbitidis, stir-fried, each half liang), Bing Lang (Areca Seed, crushed, one piece), Mu Xiang (Radix Aucklandiae, 1 fen), Bai Ding Xiang (Flos Caryophylli, ground).
Usage: Powdered; take approximately 50 units per dose.
Da Huang Tang (Rhubarb Decoction): Treats Shui Gu.
Ingredients: Da Huang (Radix et Rhizoma Rhei, crushed and stir-fried, 1.5 liang), Mai Men Dong (Radix Ophiopogonis, heart removed and baked, 3 fen), Gan Sui (Radix Kansui, slightly stir-fried), Mao Gen (Radix Imperatae, crushed), Huang Lian (Rhizoma Coptidis, whiskers removed, each 1 liang).
Qu Mai Tang (Persicaria Decoction) (from *Shengji Zonglu*): Treats edema with urgent abdominal fullness and urinary obstruction. If urine is present, it is yellow and red.
Ingredients: Qu Mai Sui (Spica Polygoni Avicularis), Che Qian Zi (Semen Plantaginis), Hua Shi (Talcum, crushed), Mao Gen (Radix Imperatae, crushed), Gan Sui (Radix Kansui, slightly stir-fried), Ku Shen (Radix Sophorae Flavescentis).
Usage: Equal parts, pounded and sifted. Take 3 qian bi per dose, decocted in water.
Hai Ge Wan (Clam Shell Pill) (from *Shengji Zonglu*): Treats Shui Gu with abdominal distension, wheezing, coughing, and promotes diuresis.
Ingredients: Hai Ge (Concha Meretricis, roasted, half liang), Hua Shi (Talcum, ground), Ning Shui Shi (Stalactitum, ground, each 1 liang), Bai Ding Xiang (Flos Caryophylli, ground, 55 pieces), Ni Fen (Calomel), Fen Shuang (Sublimated White Arsenic, each appropriate amount).
Preparation: Form pills the size of small beans. Take with warm water.
Jing Yan Bai Zhu San (Experienced Atractylodes Macrocephala Powder): Treats Shui Gu and Qi Gu disease.
Ingredients: Bai Zhu (Rhizoma Atractylodis Macrocephalae, 1 liang), Ku Ting Li (Semen Lepidii Descurainiae, 1 liang), Chuan Shan Jia (Squama Manis, 5 qian), She Tui (Skin of shed snake, one whole piece), Hei Qian Niu (Black Semen Pharbitidis, powdered, 2 liang), Tu Niu Er (Herba Veronicae, one piece).
Ting Li Tang (Lepidium Decoction) (from *Shengji Zonglu*): Treats Shui Gu with severe body edema, wheezing, and chest fullness.
Ingredients: Ting Li (Semen Lepidii Descurainiae, stir-fried on paper until yellow-purple, pounded into powder, 1 liang).
Usage: Use 2 zhan of water, add 5 qian bi of Ting Li and 10 broken dates. Decoct until reduced to 1 zhan. Take warm.
Ting Li Wan (Lepidium Pill): Treats Shui Gu.
Ingredients: Ting Li Zi (Semen Lepidii Descurainiae, 3 liang, stir-fried on paper until purple), Qian Niu Zi (Semen Pharbitidis, stir-fried, 1.5 liang), Hai Zao (Thallus Laminariae, washed to remove salt and stir-fried, 1 liang), Ze Qi (Herba Euphorbiae Helioscopiae, 1 liang), Kun Bu (Thallus Laminariae Japonicae).
Usage: Form pills. Take daily.
To treat chronic Shui Gu, this formula is suitable (from *Shenghui Fang*).
Ingredients: Da Ji (Radix Euphorbiae Pekinensis, half liang, stir-fried and crushed), Gan Sui (Radix Kansui, half liang), Tian Ting Li (Sweet Semen Lepidii, half liang), Ba Dou (Semen Crotonis, 14 seeds, cooked熟, peeled, oil removed), Chi Xiao Dou (Semen Phaseoli Uradis, 5 [text unclear]).
Jie Shui Tang (Water-Knotting Decoction): Treats Shui Gu. Internal swelling feels cold; external swelling feels hot. There is shortness of breath and weakness.
Ingredients: Huang Lian (Rhizoma Coptidis, whiskers removed), Da Huang (Radix et Rhizoma Rhei, crushed,碎, stir-fried, each 2 liang), Gan Sui (Radix Kansui, slightly stir-fried), Ting Li (Semen Lepidii, stir-fried purple, each 1 liang).
Usage: Pounded and sifted. Take 2 qian per dose.
Jiao Mu Wan (Pepper Seed Pill) (from *Shengji Zonglu*): Treats Shui Gu with generalized severe edema.
Ingredients: Jiao Mu (Semen Zanthoxyli, stir-fried to remove sweat), Mu Li (Concha Ostreae, ground, each 2 liang), Ting Li (Semen Lepidii, 2 liang), Gan Sui (Radix Kansui, 2 liang).
Usage: Powdered and mixed with refined honey to form pills the size of small beans.
To treat Shui Gu.
Ingredients: Mu Xiang (Radix Aucklandiae), Hei Qian Niu (Black Semen Pharbitidis, stir-fried), Fei Mian (Roasted flour, stir-fried yellow, each 4 liang), Bai Qian Niu (White Semen Pharbitidis, stir-fried, 4 liang).
Usage: Powdered finely. Mix with decoction of aged rice.
Shui Yin Wan (Mercury Pill): Treats large abdominal Shui Gu where the abdomen is hard as stone. Promotes urination.
Ingredients: Shui Yin (Hydrargyrum, 1 liang, ground with boiled jujube flesh until mercury stars disappear), Chuan Mang Xiao (Natrii Sulfas, 1 liang), Tian Ting Li (Sweet Semen Lepidii, 5 liang, stir-fried purple).
Usage: Mix ingredients and pound for 1,000 strokes to form pills.
To treat abdominal swelling and heaviness, sloshing sounds upon movement, and black skin, named Shui Gu. This formula is suitable.
Ingredients: Qing Wa (Rana temporaria, 2 dried specimens, coated with butter and slightly stir-fried), Lou Gu (Gryllotalpa, 7 dried specimens, stir-fried), Ku Hu Lu (Bitter Bottle Gourd, half liang, stir-fried).
Usage: Powdered finely. Take on an empty stomach daily.
Shu Wei Cao Wan (Mouse Tail Grass Pill) (from *Zhou Hou Fang*): Treats Shui Gu. Also treats acute large abdominal water disease.
Ingredients: Shu Wei Cao (Herba Teucrii Scorodoniae), Ma Bian Cao (Herba Verbena Officinalis, each 5 jin).
Usage: Boil in 5 dou of water to obtain 2 dou. Strain and reduce to a paste to form pills the size of small beans. Coat with Qing Fen (Calomel).
To treat abdominal enlargement, sloshing sounds upon movement, and rough, dark skin resembling swelling, named Shui Gu (from *Zhou Hou Fang*).
Ingredients: Bai Mao Gen (Radix Imperatae, one large bunch, cut), Xiao Dou (Red Adzuki Beans, 3 sheng).
Usage: Boil in 3 sheng of water until dry. Remove the roots and eat the beans. Water will exit via urination.
Another Formula (from *Shenghui Fang*)
Usage: Crush Gui Shan (likely referring to a specific herb, text ambiguous) and press to extract juice. Take an amount the size of a chicken egg to induce water discharge. Continue taking until water is exhausted. If thirsty, drink pressed hemp seed juice.
Another Formula (from *Zhou Hou Fang*): Treats abdominal distension, sloshing sounds, and black skin, named Shui Gu.
Ingredients: Ba Dou (Semen Crotonis, 90 seeds, heart and skin removed, stir-fried yellow), Xing Ren (Semen Armeniacae Amarum, 90 seeds, skin and tips removed, stir-fried yellow).
Usage: Pound and mix. Form pills the size of small beans. Take one pill at a time with water.
Another Formula
Usage: Take Zi Mi Cao (Herba Siegesbeckiae? Text ambiguous, likely distinct herb) 30 jin, boil in 3 shi of water to obtain 1 shi. Strain and reduce on heat until pillable. Form pills the size of soap pod seeds. Take 3 pills per dose up to [number missing].
E Shi Wan (Arctium Pill) (from *Shengji Zonglu*): Treats Shui Gu with severe body edema.
Usage: Lightly stir-fry 1 liang of E Shi (Fructus Arctii), powder it, and mix with dough paste to form pills the size of paulownia seeds. Take 10 pills per dose with rice water. Do not chew.
Main symptoms: Abdominal swelling, sloshing sounds upon movement, black skin, named Shui Gu.
Ingredients: Ba Dou (Semen Crotonis, 90 seeds, heart and skin removed, roasted yellow).
Usage: Pound into pills the size of small beans. Take one pill per dose. Stop when diarrhea occurs. Do not drink alcohol.
To treat Shui Gu (from *Bai Yi Xuan Fang*)
Usage: Take red Shang Lu root, pound until soft, apply to the umbilicus, and secure with silk. The disease will exit through urination. There are two types of Shang Lu; white ones should not be used.
Er Sheng San (Two Sages Powder, also known as Er Qi San): Treats water qi and gu distension.
Ingredients: Bai Qian Niu (White Semen Pharbitidis), Hei Qian Niu (Black Semen Pharbitidis, each 3 liang).
Usage: Powdered. Mix with 4 liang of barley flour to make baked cakes. Take one cup of tea before bed to wash down.
[Text fragment: Jiang Qi - Descend Qi]
To treat Shui Gu abdominal distension (from *Bai Yi Xuan Fang*)
Usage: Take Jia Wei San (Modified Powder) and Si Gui San (Four Cinnamon Powder), powder them finely, mix equally, and decoct according to method. Scholar Zhu Suoyi (courtesy name Fu) from Shaoxing suffered from this disease; physicians only instructed... [Text cuts off].
To treat Shui Gu (from *Ben Cao*)
Usage: Take Shan Dou Gen (Radix Sophorae Tonkinensis) powder, take 2 qian with wine.