大意
诸湿肿满。皆属于脾。（内经）脾主水谷。虚而失运。水湿停留。大经小络。尽皆浊腐。津液与血。悉化为水。故面
目四肢浮肿。（汇补）
内因
人身真水火。消化万物以养身。（入门）故水则肾主之。土则火生之。惟肾虚不能行水。脾虚不能制水。故肾
水泛滥。反得浸渍脾土。是以三焦停滞。经络壅塞。水渗于皮肤。注于肌肉而为肿。（心法）
外候
水始起也。目窠下微肿。如新卧起状。颈脉动时咳。阴股间寒。足胫肿。腹乃大。以手按其腹。随手而起。如裹
水之状。皮薄而光。（针经）
阳水阴水
若遍身肿。皮色黄赤。烦渴溺涩。大便闭。脉沉数。此为阳水。若遍身肿。皮色青白。不渴。大便溏。小便少不涩。
此属阴水。（丹溪）阳水外因涉水冒雨。或兼风寒暑气。先肿上体。肩背手面。手之三阳经。阴水内因冷水酒
茶。或兼劳欲房色。先肿下体。腰腹胫 。足之三阴经。（入门）
气肿水肿
皮浓色苍。四肢削瘦。胸腹痞满。自上而下者。多属气。皮薄色嫩。肿有分界。自下而上者。多属水。又按之不
成凹而即起者气也。按之成凹不即起者湿也。（入门）
风肿瘀肿
风肿走注疼痛。皮粗麻木。即痛风身肿是也。瘀肿皮肤光亮。现赤痕血缕。乃血化为水也。（入门）
风水石水
风水面浮身肿。自汗恶风。脉浮体重。骨节疼痛。不渴。宜表散。石水腹满不喘。其脉沉。宜利便。（准绳）
水分血分
妇人身肿。有水分血分之殊。水分者。中州停湿。心下坚大。病发于上。先水肿而后经断。治在中焦。血分者。
血结胞门。脐下胀。病发于下。先经断而后水肿。治在下焦。且血分之病。小腹硬痛。手不可按。而水道清长。
与脾虚之候。大腹柔软。水道涩滞者各别。宜破瘀之剂。若属怀孕。亦有气遏水道而肿者。但宜顺气安胎。
俟产而肿自消。（汇补）
喘胀相因
先喘后肿。此肺不化气。水流为肿。治在肺。先肿后喘者。乃脾不运化。水泛为喘。治在脾。（杂着）治肺宜清金
降气。而行水次之。治脾宜实脾理湿。而降气兼之。（汇补）
肺肾相传
脾病则肺金失养。不但肺气孤危。且浊气上升。喘急咳嗽者有之。必土实而后肺金清肃。以滋化源。又脾
病则津液不化。不特肾精损削。且湿热下注。足跗浮肿者有之。必土强而后肾水收摄。以归隧道。（入门）
脉法
脉洪大者。易治。微细者。难治。又脉乍出者。死。（脉经）
治法
大法。宜调中健脾。脾气实。自能升降营运。则水湿自除。此治其本也。（丹溪）
分治六法
治水之法。行其所无事。随表里寒热上下。因其势而利导之。故宜汗。宜下。宜渗。宜清。宜燥。宜温。六者之中。
变化莫拘。（汇补）
治分阴阳
阳水。宜辛寒散结行气。苦寒泻火燥湿。阴水。宜苦温燥脾胜湿。辛热导气扶阳。（入门）
治分汗渗
身有热者。可汗。身无热者。可利。肌肤痛者。可汗。溺赤涩者。可利。腰上肿者。可汗。腰下肿者。可利。所谓
开鬼门。洁净府。上下分消之也。（汇补）
湿热宜清
湿者土之气。土者火之子。故湿每生热。热亦成湿。母子相感。气之变也。故湿热太盛。火势乘脾而肿者。宜
清心火。降肺金。俾肝木有制。脾无贼邪之患。清浊营运。湿热气化。而渗道又且开通。其败浊之气。清者复
回而为气为血为津液。浊者在上为汗。在下为溺以渐去矣。（丹溪）
寒湿宜温
水虽制于脾。实则统于肾。肾本水藏。元阳寓焉。命门火衰。不能自制阴寒。温养脾土。则阴不从阳精化为
水。故水肿有属火衰者。外症肢体肿胀。手足并冷。饮食难化。大便泄泻。呼吸气冷。此真阳衰败。脾肺肾俱
虚。（立斋）法当暖中州。温下焦。俾少火生气。上蒸脾土。元阳复而阴翳消。三焦有所禀命。决渎得宜。水道自
通。（必读）
阴虚宜补
肾者。胃之关。关门不利。聚水生病。故水肿有属阴虚者。肺金不降而浮肿。其症腹大脐肿。腰痛足硬。小水
短涩。咳嗽有痰。不得卧倒。面赤口渴。但饮食知味。大便反燥。此水附龙起。相火溢水故也。宜滋阴补肾。兼
以保肺化气。（准绳）
邪实当攻
有外触怒气。内伤饮食而肿者。盍肝常有余。触怒则益旺而伤脾。脾愈不足。伤食则不运而生湿。湿热太
盛。郁极而发。上达于头。下流于足。中满于身之前后。浮肿如匏。坚实如石。寒冷如冰。坐卧不得者。最难论
治。本当利便。然内而膀胱。外而阴囊。相连紧急。阻塞道路。苦无一线之通。病何由去。必开其大便。以逐其
水。随下而随补。则邪去而正无损。渐为调理。庶可得生。（寓意章）
渗忌太过
治湿当利小便。虽为常法。然执此一说以治虚症。往往多死。盖脾气虚败。愈下愈虚。虽劫效目前。而正气
阴损。（丹溪）
水肿禁法
水肿初起。其势方锐。最忌甘温助湿作满之药。尤戒针刺。犯之流水而死。当绝酒色。却盐酱。戒忿怒。以全
太和。否则不治。（入门）
水肿死症
先腹胀而后散于四肢者。可治。先肢肿而后归于腹者。难治。若唇黑耳焦。人中胀满。背平肉硬。赤肿如绯。
腹多青筋。阴囊无纵。五谷不化。大便滑泻者。俱危。又面黧黑者。肝绝。掌无纹者。心绝。神阙突者。脾绝。缺盆
平者。肺绝。涌泉平者。肾绝。断绝饮食者。死。胃气已亡也。又股间出水者。死。脾伤KT 破也。（汇补）
水肿用药
主以四苓散。加苍术、木香、陈皮、浓朴、枳壳、姜皮。阳水。加黄芩、山栀、防己。阴水。加椒目、干姜、肉桂。
肿在上。加苏叶、防风汗之。肿在下。加木通、木瓜利之。中满。加腹皮、浓朴泄之。便溺闭。加牵牛下之。肺气喘。
加葶苈泻之。气下陷。升柴提之。脾虚羸弱。加人参、白术补之。脉实便实者。用牵牛、甘遂、大戟、芫花泻之。脾肾
两虚者。用金匮肾气丸救之。阳衰水冷者。术附汤主之。阴虚水溢者。地黄汤加门冬、五味主之。血瘀成水者。椒仁
丸主之。虚弱泻利脬肿者。四君加减治之。
【附肺胀身肿】
肺主皮毛。风邪入肺。不得宣通。肺胀叶举。不能通调水道。下输膀胱。亦能作肿。其症眼胞先肿。初起即喘
急不卧。小腹无恙。宜清肺葶苈丸主之。
清肺葶苈丸
葶苈（隔纸炒） 贝母（煨黄色） 木通（各一两） 杏仁 防己（各二两）
为末。枣肉丸。每服五十丸。桑白皮汤下。
水肿选方
加减胃苓汤 统治水肿。随症虚实寒热加减用之。
苍术 茯苓 大腹皮 猪苓 陈皮 泽泻 浓朴 砂仁 桑皮
水煎。加生姜皮三分。实滞。减去白术。虚寒。加肉桂。
金匮肾气丸 治脾肾两败。水溢于外。土囚于中而成水肿。（方见湿症）
复元丹（三因） 治脾肾俱虚。发为水肿。四肢浮。心腹坚。小便不通。
附子（炮） 南木香（煨） 茴香（炒） 川椒（炒） 浓朴（炒） 独活 白术（炒） 桂心 陈皮 吴萸（炒
各一两） 泽泻（半两） 肉豆蔻
槟榔（各半两）
为末。糊丸桐子大。每服五十丸。紫苏汤下。
实脾散（济生） 治阴水发肿。
白术 茯苓 木香 浓朴（姜炒） 炮姜 陈皮 大腹皮 草果 木瓜（去穣） 附子（炮各一两） 甘草（五钱
炙）
加姜、枣。水煎。
四将军汤 人壮病实。便闭可下者。先攻后补。
甘遂（下） 大戟（下） 苦葶苈（中） 大黄（上）
水煎服。待大便行二三次后。用
实脾调气丸
白术（上） 陈皮（中） 人参（中） 神曲（下）
水丸。米饮送下二钱。
牵牛散 治脾湿太过。遍身浮肿。喘不得卧。腹胀如鼓。大便不溏。小便涩滞。
黑牵牛 白牵牛（各一两半生半炒） 大豆（一合） 白术（五钱） 甘遂（二钱五分）
为末。米饮调下三钱。以利为度。
琥珀丸（秘方）
沉香（镑） 木香 乳香（箬上炙） 没药（各三钱箬上炙） 琥珀（一钱半研） 白丑（六钱生用）
黑丑（一钱六分去头末一半生用一半用牙皂水浸） 槟榔（一两一半生一半用牙皂煎汁浸焙熟）
上为末。牙皂水打糊为丸。每服二钱七分。砂糖汤下一服。稍行其水。即服补剂二三帖。再下琥珀丸一
服。又去水后。仍复补剂二三帖。以行尽水为度。
椒仁丸 治水气太盛。泛滥皮肉。挟血化瘀而成水肿。
椒仁 甘遂 续随子 附子 郁李仁 黑牵牛 五灵脂 当归 吴萸 延胡索（各五钱） 芫花（一钱） 石膏
青（十枚） 斑蝥（十个） 胆矾 人言（各一钱）
上末之。糊丸如豌豆大。每服一丸。虚者人参汤下。
快捷方式方 用大戟、牵牛各一两。大枣二斤同煮。去药食枣。又法。用田鸡和黄瓜煮食亦好。
外治法 用商陆根打烂。入麝香少许。贴脐中。外以绵裹暖。引水下行。又用蝼蛄劈作四块。分上下左右
烘脆。研末和入药中。术家以此称奇。终非正法。又法。用田螺、大蒜、车前草研为膏。作大饼。敷于脐上。
使从便旋出。数日可愈。
[General Principle]
All swellings and fullness caused by dampness are primarily attributed to the Spleen. (From *Neijing*) The Spleen governs the transformation and transportation of water and grain. When deficient and failing to transport, water-dampness stagnates. Both large meridians and small collaterals become filled with turbid corruption. Body fluids and blood all transform into water. Consequently, swelling occurs in the face, eyes, and four limbs. (From *Huibu*)
[Internal Causes]
The True Water (Yin) and True Fire (Yang) of the human body digest all things to nourish the body. (From *Rumen*) Therefore, water metabolism is governed by the Kidney, while Earth (Spleen) is generated by Fire. Only when Kidney deficiency fails to move water, and Spleen deficiency fails to control water, does Kidney water overflow and soak the Spleen Earth. Thus, the Triple Burner stagnates, meridians are obstructed, water seeps into the skin, and pours into the muscles, causing edema. (From *Xinfa*)
[External Manifestations]
When edema first begins, the eye sockets swell slightly, resembling the appearance after just waking up. The neck pulse throbs, accompanied by occasional coughing. There is coldness between the thighs, swelling of the calves, and abdominal distension. Pressing the abdomen with the hand causes the indentation to rebound immediately upon release, resembling a state wrapped in water. The skin is thin and shiny. (From *Zhenjing*)
[Yang Edema and Yin Edema]
If the whole body is swollen, with yellow-red skin color, irritability, thirst, scanty and difficult urination, constipation, and a deep, rapid pulse, this is Yang Edema. If the whole body is swollen, with blue-white skin color, no thirst, loose stools, and scanty urine without difficulty, this is Yin Edema. (From Zhu Danxi) Yang edema is externally caused by wading in water or exposure to rain, or combined with wind-cold-summerheat pathogens; it usually starts from the upper body, involving the shoulders, back, hands, and face, corresponding to the Three Yang Meridians of the Hand. Yin edema is internally caused by cold water, wine, tea, or combined with fatigue and excessive sexual activity; it usually starts from the lower body, involving the waist, abdomen, shins, and feet, corresponding to the Three Yin Meridians of the Foot. (From *Rumen*)
[Qi Swelling and Water Swelling]
Thick skin with dark complexion, emaciated limbs, chest and abdominal bloating, with swelling developing from top to bottom, mostly belongs to Qi swelling. Thin, tender skin with distinct boundaries of swelling, developing from bottom to top, mostly belongs to Water swelling. Additionally, pressing leaves no depression and rebounds immediately indicates Qi swelling; pressing forms a depression that does not rebound immediately indicates Dampness. (From *Rumen*)
[Wind Swelling and Blood Stasis Swelling]
Wind swelling features wandering pain, rough and numb skin, which is also known as gout with body swelling. Blood stasis swelling features shiny skin with red marks and blood threads, indicating blood transforming into water. (From *Rumen*)
[Fengshui and Shuishui]
Fengshui (Wind Edema) presents with facial swelling and whole-body edema, spontaneous sweating, aversion to wind, floating pulse, heavy body, bone and joint pain, and no thirst; it is suitable for exterior-dispersing treatment. Shuishui (Stone Edema) presents with abdominal fullness but no panting, with a deep pulse; it is suitable for promoting urination. (From *Zhunsheng*)
[Shuifen and Xuefen]
Women's body swelling differs between Shuifen (Water Factor) and Xuefen (Blood Factor). Shuifen involves dampness retention in the Middle Jiao, hardness and enlargement under the heart, disease originating above, with edema appearing before menstruation stops; treatment focuses on the Middle Jiao. Xuefen involves blood knotting at the uterine gate, abdominal distension below the navel, disease originating below, with menstruation stopping before edema appears; treatment focuses on the Lower Jiao. Furthermore, Xuefen disease features hard and painful lower abdomen, intolerable to touch, with clear and long urinary flow, which differs greatly from Spleen deficiency patterns featuring soft large abdomen and obstructed, scanty urinary flow; it is suitable for blood-breaking formulas. If due to pregnancy, there may also be swelling caused by qi obstruction in the water passages, but only qi-smoothing and fetal-anchoring methods should be used; swelling will subside naturally after delivery. (From *Huibu*)
[Interrelation of Panting and Distension]
Panting first, then swelling: this is Lung failure to transform qi, leading to water accumulation as swelling; treatment focuses on the Lung. Swelling first, then panting: this is Spleen failure to transport, leading to water flooding causing panting; treatment focuses on the Spleen. (From *Zazhe*) Treating the Lung requires clearing Metal and descending qi, with promoting water as secondary. Treating the Spleen requires strengthening the Spleen and resolving dampness, with descending qi as an adjunct. (From *Huibu*)
[Lung-Kidney Transmission]
Spleen disease causes Lung Metal to lose nourishment; not only is Lung qi isolated and critical, but turbid qi rises, causing panting and cough. Only when Earth is solid can Lung Metal be clear and肃 (descending), thereby nourishing the source of transformation. Also, Spleen disease causes body fluids to fail to transform; not only is Kidney essence damaged, but damp-heat pours downward, causing dorsal foot swelling. Only when Earth is strong can Kidney water be retained and return to its proper channels. (From *Rumen*)
[Pulse Diagnosis]
A洪大 (Huge and Large) pulse indicates easy treatment. A微细 (Fine and Thready) pulse indicates difficult treatment. A pulse that suddenly appears and disappears indicates death. (From *Maiejing*)
[General Treatment Principles]
The general principle is to regulate the Middle Jiao and strengthen the Spleen. When Spleen qi is solid, it naturally ascends and descends, transporting and circulating, so water-dampness eliminates itself. This treats the root cause. (From Zhu Danxi)
[Six Methods of Differentiated Treatment]
The method for treating water disease is to act according to natural principles, following the exterior-interior, cold-heat, and upper-lower dynamics, guiding the pathogen along its trend. Thus, sweating, purging, draining, clearing, drying, and warming are appropriate. Among these six methods, changes should not be rigidly adhered to. (From *Huibu*)
[Treatment Divided by Yin and Yang]
Yang Edema: Suitable for acrid-cold herbs to dissipate nodules and move qi, and bitter-cold herbs to drain fire and dry dampness. Yin Edema: Suitable for bitter-warm herbs to dry the Spleen and overcome dampness, and acrid-hot herbs to guide qi and support Yang. (From *Rumen*)
[Treatment Divided by Sweating and Draining]
Body heat: suitable for sweating. No body heat: suitable for promoting urination. Muscle pain: suitable for sweating. Red and difficult urination: suitable for promoting urination. Swelling above the waist: suitable for sweating. Swelling below the waist: suitable for promoting urination. This is called "opening the ghost door" (sweating) and "cleaning the clean mansion" (promoting urination), eliminating from both upper and lower. (From *Huibu*)
[Clearing Damp-Heat]
Dampness is the qi of Earth, and Earth is the child of Fire; thus, dampness often generates heat, and heat often becomes dampness. Mother and child influence each other, representing a change in qi. When damp-heat is excessive, fire attacks the Spleen causing swelling, it is suitable to clear Heart fire and descend Lung Metal, ensuring Liver Wood is controlled and the Spleen is free from thief pathogens. With normal ascending-descending circulation of clear and turbid, damp-heat transforms, and the drainage channels open. The败浊 (decayed/turbid) qi, the clear part returns to become qi, blood, and body fluids; the turbid part becomes sweat above and urine below, gradually exiting. (From Zhu Danxi)
[Warming Cold-Dampness]
Although water is controlled by the Spleen, it is actually governed by the Kidney. The Kidney is originally a Water organ, housing Yuan Yang (Primordial Yang). If Mingmen Fire declines, it cannot control yin-cold or warm-nourish Spleen Earth, so yin does not follow yang, and essence transforms into water. Thus, some edema is due to fire decline. External symptoms include limb swelling, cold hands and feet, indigestion, loose stools, and cold breath. This is true Yang collapse with Spleen, Lung, and Kidney deficiency. (From Xue Ji *Lizhai*) The method should warm the Middle Jiao and warm the Lower Jiao, allowing Shaohuo (Ministerial Fire) to generate qi, steaming Spleen Earth upward. When Yuan Yang recovers and yin shadows dissipate, the Triple Burner receives orders, the Juedu (waterways) function properly, and water passages naturally unblock. (From *Bidu*)
[Nourishing Yin Deficiency]
The Kidney is the gate of the Stomach. If the gate is not smooth, water accumulates causing disease. Thus, some edema is due to Yin deficiency. Lung Metal fails to descend, causing swelling. Symptoms include large abdomen, swollen umbilicus, low back pain, stiff feet, short and difficult urination, cough with phlegm, inability to lie flat, red face, thirst, yet appetite remains, and stool is dry. This is water rising with Dragon, and Ministerial Fire overflowing water. It is suitable to nourish Yin and tonify the Kidney, while protecting the Lung and transforming qi. (From *Zhunsheng*)
[Attacking Excess Pathogens]
Swelling caused by external anger and internal dietary injury: Why? Because Liver is often in excess; anger makes it flourish further, injuring the Spleen, making Spleen more deficient. Dietary injury leads to non-transportation and dampness generation. Excessive damp-heat,郁极 (stagnating to extreme), erupts, reaching the head above, flowing to the feet below, filling the front and back of the body in the middle. Swelling like a gourd, firm like stone, cold like ice, unable to sit or lie down, is hardest to treat. Although promoting urination is indicated, the bladder inside and scrotum outside are tightly connected, blocking the path, with no passage. How can the disease leave? One must open the large intestine to expel water, supplementing as one purges, so pathogens go and healthy qi is undamaged, followed by gradual regulation, hoping for survival. (From Zhao Xianke *Yuyi Cao*)
[Warning Against Over-Draining]
Treating dampness by promoting urination is a common method, but sticking to this for deficiency syndromes often leads to death. Because Spleen qi is deficient and failing, further draining makes it more deficient. Although immediate effect is achieved, healthy qi and Yin are damaged. (From Zhu Danxi)
[Contraindications for Edema]
At the onset of edema, when the pathogen is sharp, one must strictly avoid sweet-warm herbs that aid dampness and cause fullness. Acupuncture is especially forbidden; violating this leads to fatal fluid loss. Alcohol and sex should be abstained from, salt and soy sauce avoided, and anger restrained, to preserve Taihe (Great Harmony). Otherwise, it is incurable. (From *Rumen*)
[Prognosis of Fatal Edema Cases]
Abdominal distension first, then spreading to limbs: treatable. Limb swelling first, then returning to abdomen: difficult to treat. Black lips, scorched ears, fullness in the philtrum, flat and hard back flesh, red swelling like crimson, many green veins on abdomen, scrotum without wrinkles, inability to digest five grains, and slippery diarrhea are all critical. Dark black face indicates Liver extinction. Palm without lines indicates Heart extinction. Protruding Shenque point indicates Spleen extinction. Flat Quepen point indicates Lung extinction. Flat Yongquan point indicates Kidney extinction. Cessation of food intake indicates death, as Stomach qi is exhausted. Fluid leaking from the thighs indicates death, as Spleen is injured and ruptured. (From *Huibu*)
[Medication for Edema]
Main formula: Siling San (Four-Poria Powder) added with Cangzhu (Atractylodis Rhizoma), Muxiang (Aucklandiae Radix), Chenpi (Citri Reticulatae Pericarpium), Houpo (Magnoliae Officinalis Cortex), Zhike (Aurantii Fructus), Jiangpi (Zingiberis Pericarpium). For Yang Edema, add Huangqin (Scutellariae Radix), Shanzhi (Gardeniae Fructus), Fangji (Stephaniae Tetrandrae Radix). For Yin Edema, add Jiaomu (Zanthoxyli Semen), Ganjiang (Zingiberis Rhizoma), Rougui (Cinnamomi Cortex). Swelling in the upper body: add Ziye (Perillae Folium), Fangfeng (Saposhnikoviae Radix) to induce sweating. Swelling in the lower body: add Mutong (Akebiae Caulis), Mugua (Chaenomelis Fructus) to promote urination. Middle fullness: add Fupi (Tangerinae Fructus Pericarpium), Houpo to purge. Urinary/fecal obstruction: add Qianniu (Pharbitidis Semen) to purge. Lung panting: add Tinglizi (Descurainiae Semen seu Lepidii Semen) to drain. Qi sinking: use Shengma and Chaihu to lift. Spleen deficiency and emaciation: add Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) to tonify. Pulse excess and stool excess: use Qianniu, Gansui (Kansui Radix), Daji (Euphorbiae Pekinensis Radix), Yuanhua (Genkwa Flos) to purge. Spleen-Kidney dual deficiency: use Jin Gui Shenqi Wan to rescue. Yang decline and cold water: Shu Fu Tang is main. Yin deficiency and water overflow: Dihuang Tang added with Maidong (Ophiopogonis Radix) and Wuweizi (Schisandrae Fructus) is main. Blood stasis forming water: Jiaoren Wan is main. Weakness, diarrhea, and bladder swelling: Si Jun Zi Tang modified treats.
[Appendix: Lung Distension with Body Swelling]
The Lung governs skin and hair. Wind pathogen enters the Lung, failing to diffuse and unblock. Lung distension and leaf elevation prevent regulating water passages and transmitting downward to the Bladder, also causing swelling. Symptoms: eyelids swell first, initial panting and inability to lie flat, lower abdomen unaffected. Qingfei Tingli Wan is main.
Qingfei Tingli Wan
Tinglizi (Stir-fried between paper) 1 liang, Beimu (Roasted until yellow) 1 liang, Mutong 1 liang, Xingren 2 liang, Fangji 2 liang.
Grind into powder, make pills with jujube paste. Take 50 pills per dose, washed down with Sangbaipi Decoction.
Selected Formulas for Edema
Jiajian Weiling Tang: Governs all edema, modified according to syndrome excess-deficiency and cold-heat.
Cangzhu, Fuling, Dafupi, Zhuling, Chenpi, Zexie, Houpo, Sharen, Sangpi.
Decoct in water, add Jiangpi (3 fen). For excess stagnation, remove Baizhu. For deficiency-cold, add Rougui.
Jin Gui Shenqi Wan: Treats Spleen-Kidney dual failure, water overflowing outward, Earth imprisoned inward causing edema. (Formula seen in Dampness chapter)
Fuyuan Dan (from *San Yin Fang*): Treats Spleen-Kidney dual deficiency causing edema, limb floatiness, heart-abdomen hardness, urinary obstruction.
Fuzi (Prepared) 1 liang, Nanmuxiang (Roasted) 1 liang, Huixiang (Stir-fried) 1 liang, Chuanjiao (Stir-fried) 1 liang, Houpo (Stir-fried) 1 liang, Duhuo, Baizhu (Stir-fried) 1 liang, Guixin, Chenpi, Wuyu (Stir-fried) 1 liang, Zexie (0.5 liang), Roudoukou, Binglang (0.5 liang each).
Grind into powder, make pills with paste size of paulownia seeds. Take 50 pills per dose, washed down with Zisu Decoction.
Shi Pi San (from *Jisheng Fang*): Treats Yin Water swelling.
Baizhu, Fuling, Muxiang, Houpo (Stir-fried with ginger), Paojiang, Chenpi, Dafupi, Caoguo, Mugua (De-seeded), Fuzi (Prepared) 1 liang each, Gancao (Honey-fried) 5 qian.
Add ginger and jujube, decoct in water.
Si Jiangjun Tang: For robust patients with excess disease and constipation suitable for purging, purge first then tonify.
Gansui (Lower), Daji (Lower), Ku Tingli (Middle), Dahuang (Upper).
Decoct and take. After 2-3 bowel movements, use:
Shi Pi Tiaoqi Wan
Baizhu (Upper), Chenpi (Middle), Renshen (Middle), Shenqu (Lower).
Make water pills. Take 2 qian with rice drink.
Qianniu San: Treats excessive Spleen dampness, whole-body edema, panting unable to lie flat, drum-like abdominal distension, non-loose stool, obstructed urination.
Hei Qianniu, Bai Qianniu (1.5 liang each, half raw half stir-fried), Dadou (1 he), Baizhu (5 qian), Gansui (2.5 qian).
Grind into powder, mix with rice drink, take 3 qian, stop when purged.
Hupo Wan (Secret Recipe)
Chenxiang (Sliced), Muxiang, Ruxiang (Roasted on bamboo leaf), Moyao (3 qian each, roasted on bamboo leaf), Hupo (1.5 qian, ground), Bai Chou (6 qian, raw), Hei Chou (1.6 qian, half raw half soaked in Glycyrrhiza aqueous solution), Binglang (1 liang, half raw half soaked in Glycyrrhiza decoction and roasted).
Grind into powder, make pills with Glycyrrhiza paste. Take 2.7 qian per dose, washed down with sugar water. After slight water movement, take 2-3 doses of tonics, then another dose of Hupo Wan. After water removal, take 2-3 doses of tonics again, until water is completely expelled.
Jiaoren Wan: Treats excessive water qi overflowing skin and muscle, mixing with blood to form stasis causing edema.
Jiaoren, Gansui, Xuisui Zi, Fuzi, Yuli Ren, Hei Qianniu, Wulingzhi, Danggui, Wuyu, Yanhusuo (5 qian each), Yuanhua (1 qian), Shigaoqing (10 pieces), Banmao (10), Danfan, Renyan (1 qian each).
Grind into powder, make pills like pea size. Take 1 pill per dose, washed down with Renshen decoction for deficiency.
Quick Method Formula: Use Daji and Qianniu (1 liang each), boil with 2 jin of Jujube. Remove herbs, eat dates. Another method: Boil and eat bullfrog with cucumber.
External Treatment: Mash Phytolacca radix, add a little Moschus, apply to umbilicus, wrap with cotton to keep warm, drawing water downward. Or split earthworm into four parts, roast until crisp, grind, mix into medicine; practitioners marvel at this, though it is not orthodox. Another method: Grind apple snail, garlic, and Plantago herb into paste, make large cake, apply to umbilicus, allowing fluid to exit via urine; heals in several days.