（附论）
夫脾土也。土气弱则不能治水。消渴饮水过度。脾土受湿而不能有所制。则泛溢妄行
于
皮
五脏六腑。皆有津液。若脏腑因虚实而生热者。热气在内。则津液竭少。故渴也。夫渴
数饮
或为
方
紫苏汤（出圣惠方）治消渴后。遍身浮肿。心膈不利。
紫苏茎叶 桑根白皮（锉） 赤茯苓（去黑皮各一两） 羚羊角（镑） 槟榔（锉各三
分） 木
香
二两）
上咀。每服四钱。水一盏。生姜半分切。煎至八分。去滓温服。不拘时。
赤茯苓汤（出圣惠方）治消渴后。头面脚膝浮肿。胃虚不能下食。心胃不和
。或吐逆。
赤茯苓（去黑皮） 紫苏子 白术 前胡（去芦头） 人参（各一两） 陈橘皮（汤洗
去白焙）
桂
盏半。
生姜半分拍碎。枣二枚擘破。煎至一盏。去滓温服。不拘时。
防己丸（出圣惠方）治消渴瘥后。津液枯竭。身体浮虚。欲成水病。
防己 猪苓（去黑皮） 郁李仁（汤浸去皮尖炒） 杏仁（去皮尖双仁炒各一两半） 栝
蒌根
赤
炼蜜丸梧
桐
瞿麦汤（出圣济总录）治消渴欲成水气。面目并膝胫浮肿。小便不利。
瞿麦穗 滑石 泽泻（各半两） 防己（三分） 黄芩（去黑心一分） 桑螵蛸（炒十
四枚）
大黄
猪苓散（出圣惠方）治消渴后。四肢浮肿。小便不利。渐成水病。
猪苓（去黑皮） 人参（各三分） 木通（锉一两一分） 黄连（去须一两半） 麦门
冬（去心
焙）
茯苓散（出圣惠方）治消渴后数饮呕逆。虚羸欲成水病。
赤茯苓（去黑皮） 栝蒌根 麦门冬（去心焙各一两半） 升麻（一两） 桑根白皮（锉
二两）
陈
葶苈丸（出圣惠方）治消渴后浮肿成水病。
甜葶苈（一两隔纸炒令紫色） 杏仁（汤浸去皮尖双仁麸炒微黄一两） 栝蒌子（一两）
汉防己
三四服。
萝苏散（出圣惠方）治消渴后。变成水气。令作小便出。
萝卜子（三两炒令黄） 紫苏子（三两微炒） 上为细散。每服煎桑根白皮汤。调下二
钱。日三
(Attached Discussion)
The Spleen belongs to Earth. When the Qi of Earth is weak, it cannot control water metabolism. In cases of Xiao Ke (Xiao Ke Syndrome / Diabetes Mellitus), excessive drinking leads to dampness encumbering the Spleen Earth, impairing its controlling function. Consequently, fluids overflow and act recklessly within the skin and among the Zang-Fu organs. The Five Zang and Six Fu organs all possess Jin Ye (Body Fluids). If heat arises internally due to deficiency or excess in these organs, the internal heat depletes and reduces the Jin Ye, resulting in thirst. Therefore, frequent drinking...
Zisu Tang (Perilla Stem and Leaf Decoction) [Source: *Shenghui Fang*]: Treats generalized edema of the whole body and obstruction of Qi in the chest and diaphragm following Xiao Ke syndrome.
Ingredients: Perilla Stem and Leaf (Zi Su Jing Ye), Mulberry Root Bark (Sang Gen Bai Pi, crushed), Red Poria (Chi Fu Ling, black skin removed, each 1 liang), Antelope Horn (Ling Yang Jiao, shaved), Areca Seed (Bing Lang, crushed, each 3 fen), Aucklandia Root (Mu Xiang, 2 liang).
Preparation and Administration: Coarsely crush the above ingredients. For each dose, take 4 qian, add 1 zhan of water, half a slice of fresh ginger, and decoct until 0.8 zhan remains. Strain and take warm. No specific time restriction.
Chifu Ling Tang (Red Poria Decoction) [Source: *Shenghui Fang*]: Treats edema of the head, face, knees, and feet, inability to eat due to deficient Stomach Qi, disharmony between Heart and Stomach, or vomiting and regurgitation following Xiao Ke syndrome.
Ingredients: Red Poria (Chi Fu Ling, black skin removed), Perilla Seed (Zi Su Zi), Atractylodes Macrocephala Rhizome (Bai Zhu), Peucedanum Root (Qian Hu, radix removed), Ginseng Radix et Rhizoma (Ren Shen, each 1 liang), Dried Tangerine Peel (Chen Ju Pi, washed with hot water, white pith removed, dried), Cinnamon Twig (Gui Zhi...), half zhan.
Half a piece of fresh ginger, smashed; two dates, split open. Decoct until 1 zhan remains. Strain and take warm. No specific time restriction.
Fang Ji Wan (Stephania Tetrandra Pill) [Source: *Shenghui Fang*]: Treats depletion of Jin Ye after recovery from Xiao Ke, floating emptiness of the body, and impending formation of Shui Bing (Water Disease / Edema).
Ingredients: Stephania Tetrandra (Fang Ji), Polyporus (Zhu Ling, black skin removed), Prunus Armeniaca Seed (Yu Li Ren, soaked in hot water, skin and tip removed, stir-fried), Apricot Seed (Xing Ren, skin and tip removed, double-kernel, stir-fried, each 1.5 liang), Trichosanthes Root (Gua Lou Gen), Red...
Refined honey is used to form pills the size of paulownia seeds.
...
Qumai Tang (Knotweed Decoction) [Source: *Shengji Zonglu*]: Treats impending formation of Water Qi in Xiao Ke, characterized by edema of the face and eyes as well as shins and knees, and difficult urination.
Ingredients: Knotweed Herb (Qu Mai Sui), Talcum (Hua Shi), Alisma Rhizome (Ze Xie, each 0.5 liang), Stephania Tetrandra (Fang Ji, 3 fen), Scutellaria Root (Huang Qin, black heart removed, 1 fen), Mantis Egg Case (Sang Piao Xiao, stir-fried, 14 pieces), Rheum Palmatum Root and Rhizome (Da Huang)...
Zhuling San (Polyporus Powder) [Source: *Shenghui Fang*]: Treats edema of the four limbs, difficult urination, and gradual formation of Shui Bing following Xiao Ke syndrome.
Ingredients: Polyporus (Zhu Ling, black skin removed), Ginseng Radix et Rhizoma (Ren Shen, each 3 fen), Akebia Stem (Mu Tong, crushed, 1 liang 1 fen), Coptis Rhizome (Huang Lian, whiskers removed, 1.5 liang), Ophiopogon Tuber (Mai Men Dong, heart removed... dried)...
Fuling San (Poria Powder) [Source: *Shenghui Fang*]: Treats frequent drinking with vomiting and regurgitation, emaciation and weakness, and impending formation of Shui Bing following Xiao Ke syndrome.
Ingredients: Red Poria (Chi Fu Ling, black skin removed), Trichosanthes Root (Gua Lou Gen), Ophiopogon Tuber (Mai Men Dong, heart removed and dried, each 1.5 liang), Cimicifuga Rhizome (Sheng Ma, 1 liang), Mulberry Root Bark (Sang Gen Bai Pi, crushed, 2 liang), Dried Tangerine Peel (Chen...)
Ting Li Wan (Descurainia Seed Pill) [Source: *Shenghui Fang*]: Treats edema forming Shui Bing following Xiao Ke syndrome.
Ingredients: Sweet Descurainia Seed (Tian Ting Li, 1 liang, stir-fried between papers until purple), Apricot Seed (Xing Ren, soaked in hot water, skin and tip removed, double-kernel, bran-stir-fried until slightly yellow, 1 liang), Trichosanthes Seed (Gua Lou Zi, 1 liang), Han Fang Ji (Han Fang Ji)...
Take 3-4 doses.
Luosu San (Radish and Perilla Powder) [Source: *Shenghui Fang*]: Treats transformation into Water Qi following Xiao Ke syndrome, promoting elimination through urination.
Ingredients: Radish Seed (Luo Bo Zi, 3 liang, stir-fried until yellow), Perilla Seed (Zi Su Zi, 3 liang, lightly stir-fried). Grind into a fine powder. For each dose, mix 2 qian with a decoction of Mulberry Root Bark and swallow. Take three times daily.