〔沈〕胃中津液水饮。外溢皮肤肌肉。不溉喉舌。故作消渴。诚非真消渴也。
千金云。凡水病之初。先两目下肿起。如老蚕色。挟颈
脉动。股里冷。胫中满。按之没指。腹内转侧有声。此其候也。
[Shen] The fluids and water retention in the Stomach overflow into the skin and muscles, failing to moisten the throat and tongue, thus causing Xiao Ke (wasting-thirst syndrome). This is indeed not true Xiao Ke.
The *Qianjin Fang* states: In the initial stage of any Water Disease (fluid retention disorders), swelling first appears under both eyes, resembling the color of an old silkworm. There is pulsation along the neck vessels, coldness in the inner thighs, fullness in the shins, pitting edema upon pressure, and audible sounds within the abdomen when turning or shifting position. These are its clinical signs.