(杂肿 四肢肿 石水)
水通身肿。灸足第二指上一寸随年壮。又灸两手大指缝头七壮。(千)虚劳、浮肿、灸
太冲百壮。又灸肾俞。凡头目痈肿。留饮胸胁支满。刺陷谷。出血立已。陷谷、列缺、主面
目痈肿。阳陵泉、公孙、主头面肿。完骨、巨 、主头面气。 肿。天枢、丰隆、
厉兑、陷谷、冲阳、主面浮肿。中府、间使、合谷、主面腹肿。解溪、主风水。面 肿。
黑。气舍、主肩肿不得顾。三里、主水腹胀。皮肿。曲泉、主腹肿。阴谷、主寒热
腹偏肿。大敦、主大腹肿胀。脐腹邑邑。阴交、石门、主水胀。水气行皮中。小腹皮敦
敦然。小便黄。气满。屋翳、主身肿。皮痛不可近衣。关门、主身肿身重。
天府、主身胀逆息不得卧。风汗身肿。喘息多唾。上星、治头风、面虚肿。(铜)囟
会、
治目眩面肿。前顶、治目眩。面赤肿。小儿顶肿。脑户、治目黄头肿。水沟、治水气
遍身肿。(明云。若是水气。唯得针此。若针余穴。水尽即死。)胃仓、治水肿。(见腹胀
。)缺盆、治水气。(见瘰 。)屋翳、治身体肿。皮肤痛不可近。及淫泺螈 不仁。
肾俞、治身肿。(见劳瘵。)建里、治腹胀身肿。神阙、治水肿鼓胀。肠鸣如流水声。
中极、石门、治水肿。(见腹胀)四满、治大腹有水。(见积聚。)章门、治腹肿脊强。四
肢伤惰。涌泉、治男子如蛊。女子如妊娠。五指端尽痛。足不得践地。(阴谷同上。)三
里、治水气。(明同。)复溜、治十水病。(见鼓胀。)维道、治水肿。不嗜食。(见呕吐
。)地机、治丈夫溏泄腹胁胀。水肿腹坚。不嗜食。小便不利。阴陵泉、治腹中寒。不
嗜食。鬲下满。水胀腹坚。喘逆不得卧。腰痛难俯仰。陷谷、治面目浮肿。及水病善噫。
肠鸣腹痛。分水、疗腹肿不能食。若是水病。灸大良。(明)下云、疗水病腹肿。绕脐痛。
冲胸不得息。甄权云、主水气浮肿。鼓胀。肠鸣如雷声。时上冲心。(铜见鼓胀。)曲骨
、疗水病胀满。(下)小儿水气。四肢尽肿。及腹大。灸分水三壮。胃仓、主水肿胪胀。食
饮不下。恶寒。(千)水沟、主水肿。人中满。关元、主妇人小腹满。石水。(见无子。)
章门、主身润、石水身肿。关元、主小腹满。石水。四满、然谷、主大腹石水。气
冲、主大气石水。丰隆、主四肢肿。身湿。(铜同。)丰隆、复溜、主风逆四肢肿。列
缺、主汗出四肢肿。复溜、治四肢肿。(铜见鼓胀。)
水肿惟得针水沟。若针余穴。水尽即死。此明堂铜人所戒也。庸医多为人针水分。杀人
多矣。若其它穴。亦有针得瘥者。特幸焉耳。不可为法也。或用药、则禹余粮元为第一。(见既
效方。)予屡见人服验。故书于此。然灸水分。则最为要穴也。有里医为李生治水肿。以药
饮之。久之不效。以受其延待之勤。一日忽为灸水分与气海穴。翌早观面如削矣。信乎水分
之能治水肿也。明堂固云若是水病、灸大良。盖以此穴能分水。不使妄行云焉耳。但不知明
堂又云针四分者。岂治其它病当针四分耶。
百病水肿。肾俞百壮。胃仓随年。水肿。陷谷随年。水肿上下。阴交百壮。水肿
大腹。阴市随年。人中满、唇肿。及水肿大水。脐中、石门百壮。风水。上廉随年
。水肿不得卧。阴陵泉百壮。石水。灸然谷、气冲、四满、章门。水分、主水肿。腹满不
能食。坚硬。日七壮至四百止。忌针。针水尽即死。水病灸至瘥止。(千翼)
(Miscellaneous Edema, Edema of the Four Limbs, Stone Water)
Generalized edema. Moxibustion at a point one cun above the second toe on the foot, with the number of moxa cones (Zhuang) corresponding to the patient's age. Also, moxibustion at the tip of the webbing between the thumbs of both hands, seven Zhuang each. (From *Qianjin Fang*) For deficiency consumption (Xu Lao) and generalized edema, moxibustion at Taichong (LR3) for one hundred Zhuang. Also, moxibustion at Shenshu (BL23). For any carbuncles and swellings of the head and face, or fullness and distension in the chest and hypochondrium due to retained fluid (Liu Yin), needle Xiangu (ST41); bleeding will cause immediate relief. Xiangu (ST41) and Lieque (LU7) mainly treat carbuncles and swellings of the head and face. Yanglingquan (GB34) and Gongsun (SP4) mainly treat swelling of the head and face. Wanggu (GB12) and Juliao (ST3) mainly treat swelling of the head and face due to Qi stagnation. Tianshu (ST25), Fenglong (ST40), Lidui (ST45), Xiangu (ST41), and Chongyang (ST42) mainly treat facial edema. Zhongfu (LU1), Jianshi (PC5), and Hegu (LI4) mainly treat swelling of the face and abdomen. Jiexi (ST41) mainly treats wind-water (Feng Shui) causing facial edema and blackening. Qishe (ST11) mainly treats shoulder swelling preventing turning the head. Zusanli (ST36) mainly treats abdominal distension due to water-dampness and skin edema. Ququan (LR8) mainly treats abdominal swelling. Yinggu (KI10) mainly treats alternating cold and heat with unilateral abdominal swelling. Dazhun (LR1) mainly treats great abdominal swelling and oppression around the umbilicus. Yinjiao (CV13) and Shimen (CV5) mainly treat water distension, water qi circulating in the skin, tight drum-like tension of the lower abdomen skin, yellow urine, and Qi fullness. Wuyi (ST15) mainly treats whole-body edema and skin pain so severe that clothing cannot touch it. Guanmen (ST22) mainly treats whole-body edema and heaviness of the body. Tianfu (LU3) mainly treats body distension, rebellious breathing preventing lying down, edema from wind-sweat, panting with excessive saliva. Shangxing (GV23) treats head wind and deficient swelling of the face. (From *Tongren Shuxue Zhenjiu Tujing*) Xinhui (GV22) treats dizziness and facial swelling. Qanding (GV21) treats dizziness, red and swollen face, and swelling of the vertex in children. Naohu (GV17) treats yellow eyes and head swelling. Shuigou (GV26) treats generalized edema due to water qi. (Ming Dynasty physicians state: If it is water qi disease, only this point should be needled; if other points are needled, death will occur once the water is exhausted.) Weicang (BL50) treats edema. (See Abdominal Distension entry) Quepen (ST12) treats water qi. (See Scrofula entry) Wuyi (ST15) treats body edema, skin pain intolerable to touch, as well as weakness, spasms, and numbness. Shenshu (BL23) treats body edema. (See Consumption entry) Jianli (CV11) treats abdominal distension and body edema. Shenque (CV8) treats edema,鼓胀 (Gu Zhang/Tympanites), and borborygmus sounding like flowing water. Zhongji (CV3) and Shimen (CV5) treat edema. (See Abdominal Distension entry) Siman (CV4) treats water accumulation in the great abdomen. (See Accumulation-Mass entry) Zhangmen (LR13) treats abdominal swelling, stiffness of the spine, and lassitude of the four limbs. Yongquan (KI1) treats men presenting with symptoms like Gu poisoning, women presenting with symptoms like pregnancy, pain at the tips of all five toes, and inability to walk. (Yinggu KI10 has the same indication.) Zusanli (ST36) treats water qi. (Ming Dynasty view is the same.) Fuliou (KI7) treats the ten types of water diseases. (See Tympanites entry) Weidao (GB28) treats edema and poor appetite. (See Vomiting entry) Diji (SP8) treats loose stools and hypochondriac distension in men, edema with hard abdomen, poor appetite, and difficult urination. Yinlingquan (SP9) treats cold in the abdomen, poor appetite, fullness below the diaphragm, water distension with hard abdomen, rebellious panting preventing lying down, and low back pain making flexion and extension difficult. Xiangu (ST41) treats facial and ocular edema, as well as water diseases characterized by frequent belching, borborygmus, and abdominal pain. Fen Shui (Extra point) treats abdominal swelling and inability to eat. If it is a water disease, moxibustion is highly effective. (Ming Dynasty text states: Treats water disease with abdominal swelling, periumbilical pain, Qi rushing to the chest causing dyspnea. Zhen Quan states: Mainly treats water qi edema, tympanites, borborygmus sounding like thunder, and Qi frequently rushing up to the heart.) (*Tongren* text seen in Tympanites entry) Qugu (CV2) treats water disease with distension and fullness. (Lower section) For pediatric water qi, swelling of all four limbs, and abdominal enlargement, moxibustion at Fen Shui for three Zhuang. Weicang (BL50) mainly treats edema, lumbar distension, inability to eat or drink, and aversion to cold. (From *Qianjin Fang*) Shuigou (GV26) mainly treats edema, fullness of the philtrum. Guanyuan (CV4) mainly treats fullness of the lower abdomen in women and stone water. (See Infertility entry) Zhangmen (LR13) mainly treats moist skin and stone water with body swelling. Guanyuan (CV4) mainly treats lower abdominal fullness and stone water. Siman (CV4) and Ranggu (KI2) mainly treat great abdominal stone water. Qichong (ST30) mainly treats major Qi stone water. Fenglong (ST40) mainly treats swelling of the four limbs and dampness of the body. (*Tongren* view is the same.) Fenglong (ST40) and Fuliou (KI7) mainly treat edema of the four limbs due to rebellious wind. Lieque (LU7) mainly treats edema of the four limbs due to sweating. Fuliou (KI7) treats edema of the four limbs. (*Tongren* text seen in Tympanites entry)
For edema, only Shuigou (GV26) should be needled. If other points are needled, death will occur once the water is exhausted. This is the warning from *Mingtang* and *Tongren*. Quack doctors often needle Fen Shui (CV9) for patients, killing many. If other points are needled, there are cases of recovery, but these are merely lucky exceptions and should not be taken as standard practice. Alternatively, using herbs, Yuyuliang (Hematitum) is the primary first choice. (See *Jixiao Fang*). I have repeatedly seen people taking it with verified efficacy, so I record it here. However, moxibustion at Fen Shui (CV9) is the most crucial point. A country doctor treated Mr. Li for edema with herbal medicine for a long time without effect. Out of gratitude for his hospitality, one day he suddenly performed moxibustion on Fen Shui (CV9) and Qihai (CV6). The next morning, his face looked emaciated as if shaved. Indeed, Fen Shui (CV9) can treat edema. *Mingtang* originally stated that for water disease, moxibustion is highly effective, likely because this point can separate and drain water, preventing its reckless flow. It is just unknown whether *Mingtang*'s mention of needling four fen deep refers to treating other diseases requiring that depth.
For edema caused by various diseases, moxibustion at Shenshu (BL23) for one hundred Zhuang. Weicang (BL50) according to age. For edema, needle Xiangu (ST41) according to age. For edema spreading up and down, moxibustion at Yinjiao (CV13) for one hundred Zhuang. For edema with great abdominal swelling, moxibustion at Yinshi (ST32) according to age. For fullness of the philtrum, lip swelling, and severe water edema, moxibustion at Shenque (CV8) and Shimen (CV5) for one hundred Zhuang each. For wind-water, moxibustion at Shanglian (EX-LE6) according to age. For edema preventing lying down, moxibustion at Yinlingquan (SP9) for one hundred Zhuang. For stone water, moxibustion at Ranggu (KI2), Qichong (ST30), Siman (CV4), and Zhangmen (LR13). Fen Shui (CV9) mainly treats edema, abdominal fullness, inability to eat, and hardness. Moxibustion seven times daily up to four hundred times is allowed. Needling is contraindicated; needling leads to death when water is exhausted. For water disease, continue moxibustion until recovery. (From *Qianjin Yifang*)