夫诸湿者，湿为土气，火热能生土湿也。故夏热则万物湿润，秋凉则湿物燥干也。
湿病本不自生，因于大热怫郁，水液不能宣通，即停滞而生水湿也。
凡病湿者，多自热生，而热气尚多，以为兼证，云湿热，亦犹风热义同。虽病水寒，
不得宣行，亦能为湿，虽有此异，亦以鲜矣。或跗肿体寒，而有水者，以蓄热入里极深，
本非病寒也。
三花神 丸 治中满腹胀，喘嗽淋 ，一切水湿肿满，湿热肠垢沉积，变生疾病。久
病不已，黄瘦困倦，气血壅滞，不得宣通。或风热燥郁，肢体麻痹，走注疼痛，风痰涎嗽，
头目旋运。疟疾不已， 瘕积聚，坚满痞闷，酒积食积，一切痰饮呕逆。及妇人经病不快，
带下淋沥，无问赤白。并男子妇人伤寒湿热，腹满实痛，久新瘦弱。俗不能别。辨或寻
常，只为转动之药。兼泻久新腰痛，并一切下痢，及小儿惊疳积热乳癖满，并宜服之。
甘遂 大戟 芫花（醋拌湿，炒。各半两） 牵牛（二两） 大黄（一两，为细末） 轻粉（一钱）
上为细末，滴水为丸，如小豆大，初服五丸，每服加五丸，温水下，每日三服。
加至快利，利后却常服，病去为度。
设病愈后，老弱虚人常人，常服保养，宣通气血，消进酒食。病癖闷极甚者，便
多服，则顿攻不开，转加痛闷。则初服两丸，每服加两丸，至快利为度，以意消息。
小儿丸如麻子大，随强弱增损。三四岁者，三五丸，根据前法。
崔宣武神 丸，加黄柏一两，牵牛四两，大黄二两，轻粉二钱，甘遂、大戟、
芫花各一分，根据前法。刘庭瑞神 丸，用此药治水气，常得效。贾同知称之不已，乃神仙
奇绝之药也。
葶苈木香散 治湿热内外甚，水肿腹胀，小便赤涩，大便滑泄。
葶苈 茯苓（去皮） 猪苓（去皮） 白术（各一分） 木香（半钱） 泽泻 木通
甘草（各半两） 辣桂（一分） 滑石（三两） 上为末，每服三钱，白汤调下，食前。
此药下水湿，消肿胀，止泄泻，利小便。若小便不得通利，而反转泄者，此乃湿热
痞极深，而攻之不开，是能反为注泄。此正气已衰，而多难救也。慎不可攻之，而无益耳。
白术木香散 治喘嗽肿满，欲变成水病者。不能卧，不敢食，小便 者。
白术 木猪苓（去皮） 甘草 赤茯苓 泽泻（各半两） 木香 槟榔（各三钱）
陈皮（二两，去白） 官桂（二钱） 滑石（三两）
上为末，每服五钱，水一盏，生姜三片，同煎至六分，食后，去滓，温服。
大橘皮汤 治湿热内甚，心腹胀满，水肿，小便不利，大便滑泄。
橘皮（一两，去白） 木香（一分） 滑石（六两） 槟榔（三钱） 茯苓（一两，去皮）
木猪苓（去皮） 泽泻 白术 官桂（各半两） 甘草（二钱）
上为末，每服五钱，水一盏，生姜五片，煎至六分，去滓，温服。
大小便秘，先服十枣汤，二三日后，再服此药。
葶苈膏 治水肿腹胀。
牛黄 麝香 龙脑（各一分） 昆布 海藻（上同。二十分，洗） 牵牛 桂心（各八分）
椒目（三分） 葶苈（六分，炒）
上为末，别捣葶苈，熬成膏，丸如桐子大，每服十丸，日再服。稍利小便为度。详虚实
加减。
茯苓散 治诸般气肿等疾。
芫花（醋拌，炒） 泽泻 郁李仁 甜葶苈 汉防己（各钱半） 陈皮（去白） 白槟榔
瞿麦（各半两） 本（二钱半） 滑石（三分） 大戟（炒，三分）
上为细末，每服一钱，取桑白皮，浓煎汤，空心调下。取下碧绿水，如烂羊脂，即瘥。
如未尽，膈日又服。肿消如故，不用服。忌盐百日。
调胃散 治胸膈痞闷，不思饮食，胁肋硬痛，消腹胀。
半夏（制） 甘草（炙） 浓朴（去皮） 陈皮（去白） 藿香（各等分）
上为末，每服一钱，生姜三片、枣二枚，水一盏，同煎，温服，食前。
二气散 治水气，蛊，胀满。
白牵牛 黑牵牛（各二钱）
上为末，用大麦面四两，同一处，为烧饼，临卧，用茶汤一盏下。降气为验。
雄黄神金散 治十种水气。
雄黄 葶苈（用糯米和，炒半熟，米不用。各一两） 泽泻（一两） 椒目（半两） 大戟
巴戟（去心） 茯苓（去黑皮） 芫花（醋五升，浸一日，炒） 甘遂 桑白皮（以上各一两）
上为末，空心，用井花水调下，每服一钱，加至五钱，以利为度。忌盐、醋、生冷、
毒物、油腻、血物。从发处加药一分。从脚肿，根在心，加葶苈。从肚肿，根在腹，加椒目。
从阴肿，根在胸，加泽泻。从膝肿，根在肝，加
芫花。从面肿，根在肺，加桑白。从心肿，根在肋，加雄黄。从肢肿，根在脾，加甘遂。
从口肿，根在小肠，加巴戟。从腰肿，根在肾，加大戟。从四肢肿，根在胃，加茯苓。
万胜散 治十种水气，不可愈者。
海带 海藻 海蛤 芫花（醋浸，炒） 甘遂 大戟 甜葶苈 樟柳根 续随子
巴戟（去心。各等分）
上为末，每服三钱至五钱，温酒调下，临卧。间日再服。
牵牛丸 治一切湿热肿满等疾。
黑牵牛 黄芩 大黄 大椒 滑石（各等分）
上为细末，酒煮面糊和丸，如桐子大，每服五丸至七丸，生姜汤下，食后。虚实加减。
栀子柏皮汤 治头微汗，小便利而微发黄者。湿热相抟微者宜服。
大栀子（十五个） 黄柏（半两） 甘草（一分）
上锉如麻豆大，水三盏，煮至一盏，绞汁，分三次，作一日服，温吃，不计时候。
大戟丸 治十种水气，肿胀喘满，热寒咳嗽，心胸痞闷，背项拘急，膀胱紧肿于小腹，
小便不通，反转大便溏泄，不能坐卧。
大戟 芫花（醋炒） 甘遂 海带 海藻 郁李仁 续随子（各半两） 樟柳根（一两。
以上八味为末，每料抄药末十五钱七分，便入后药） 砂 轻粉（各一钱） 粉霜（一钱）
水银砂子（一皂子大） 龙脑（半钱） 巴豆（二十一个，生用，去皮）
上八味已下，同研匀，用枣肉为丸，如绿豆大，每服五丸至七丸，龙脑、腊茶送下，
食后临卧。虚实加减。
粉霜丸 治病水鼓满不食，四肢浮肿，大小便 ，不进饮食。
粉霜 砂 海蛤 玄精石 寒水石（烧，粉） 白丁香 头白面（各一钱） 轻粉（三钱）
海金砂（一钱）
上研匀，着纸裹数重，上使面裹，又纸裹，冷酒蘸了，桑柴火烧，面熟为度，宿
饼和丸，如桐子大，每服三丸，生姜汤下，一日三服。一日加一丸，至六日不加，即止以
补之，妙。
苦葶苈丸 治一切水湿气，通身肿满，不可当者。
人参（一两） 苦葶苈（四两，于锅内纸上，炒黄色为度）
上二味同为细末，用枣肉和丸，如桐子大，每服十五丸，煎桑白皮汤下，日进三服，
空心食前。
此药恐君子不信，试验之。
肉豆蔻丸 治水湿，腹胀如鼓，不食者。病可下。
肉豆蔻 槟榔 轻粉（各一分） 黑牵牛（一两半，取头末）
上为末，面糊为丸，如绿豆大，每服十丸至二十丸，煎连翘汤下，食后，日三服。
General Treatise on Water and Dampness
Various dampnesses originate from the fact that dampness is the qi transformation of Earth; fire-heat can generate Earth-dampness. Therefore, when summer is hot, all things are moist; when autumn is cool, damp objects become dry.
Dampness diseases do not arise spontaneously but are caused by intense heat leading to qi stagnation, where body fluids cannot circulate freely, thus stagnating and generating water-dampness.
Those suffering from dampness diseases mostly develop it from heat, and heat qi often exists as a concurrent syndrome, termed "damp-heat," which follows the same logic as "wind-heat." Even in cases of cold-water pathology, if circulation is obstructed, it can transform into dampness. Although such variations exist, they are rare. Alternatively, one may present with edema of the dorsum pedis, cold body, and fluid retention; this occurs because accumulated heat has penetrated deeply into the interior, and it was originally not a cold disease.
Sanhua Shen Wan (Three Flowers Divine Pill): Treats abdominal fullness and distension, wheezing and coughing, stranguria, and all swellings and fullness caused by water-dampness; sedimentation of damp-heat intestinal filth transforming into diseases. For chronic illnesses that do not resolve, presenting with sallow emaciation, fatigue, qi-blood stagnation, and lack of free circulation. Or due to wind-heat dryness and stagnation, causing limb numbness, wandering pain, wind-phlegm salivary cough, dizziness, and vertigo. Intractable malaria, mass accumulations (Zheng Jia), hardness, fullness, and stifling sensation; wine accumulation and food stagnation; all phlegm-fluid retentions and vomiting/nausea. Also for women's menstrual irregularities, dribbling leukorrhea, whether red or white. And for men and women with shanghan (cold damage) damp-heat, abdominal fullness and solid pain, new or old thinness and weakness. Laypeople often fail to distinguish these, treating them merely as ordinary qi-moving medicines. It also treats new or old lower back pain, all types of dysentery, and pediatric jing-gan (malnutrition with accumulation) heat and breast distension; all are suitable for taking this pill.
Ingredients: Kansui Radix (Gansui), Kansui Root (Daji), Genkwa Flos (Yuanhua) [soaked in vinegar until moist, stir-fried, each 0.5 liang]; Salviae Miltiorrhizae Seed? No, *Liqian Niu* refers to *Arctii Fructus*? No, *Qian Niu Zi* is *Pharbitidis Semen* (Morning Glory Seed) (2 liang); Rhubarb (Dahuang) (1 liang, ground into fine powder); Calomel (Qingfen) (1 qian).
Preparation and Administration: Grind the above ingredients into a fine powder, mix with drops of water to form pills the size of small beans. Start with 5 pills, increasing by 5 pills per dose, taken with warm water, three times daily. Increase until there is rapid and profuse bowel movement. Afterward, continue regular administration until the disease is eliminated.
If the illness has resolved, elderly, weak, deficient individuals, and normal people may take it regularly for maintenance, to promote qi-blood circulation and aid digestion of wine and food. If the condition involves extreme stifling and oppression from masses, taking more medicine may cause violent purgation that fails to clear the obstruction,反而 worsening pain and distress. In such cases, start with 2 pills, increasing by 2 pills per dose, until rapid bowel movement is achieved, adjusting according to judgment.
For children, make pills the size of sesame seeds, adjusting dosage based on strength. Children aged 3-4 years should take 3-5 pills, following the aforementioned method.
Cui Xuanwu Shen Wan (Cui Xuanwu Divine Pill): Add Coptidis Rhizome (Huangbo) 1 liang, Pharbitidis Semen (Qianniu) 4 liang, Rhubarb (Dahuang) 2 liang, Calomel (Qingfen) 2 qian, Kansui Radix (Gansui), Kansui Root (Daji), Genkwa Flos (Yuanhua) each 1 fen. Prepare according to the previous method. Liu Tingrui Shen Wan (Liu Tingrui Divine Pill): Using this medicine to treat water-qi pathology often yields effective results. Jia Tongzhi praised it endlessly, calling it a miraculous divine medicine.
Tingli Mixiang San (Descurainia and Costus Powder): Treats severe internal and external damp-heat, edema, abdominal distension, dark and scanty urination, and loose stools.
Ingredients: Descurainiae Semen Lepidii et Lepidii Semen (Tingli), Poria (Fuling) [peeled], Polyporus (Zhuling) [peeled], Atractylodis Macrocephalae Rhizoma (Baizhu) [each 1 fen], Costi Radix (Muxiang) [0.5 qian], Alismatis Rhizoma (Zexie), Akebia Caulis (Mutong), Licorice Root (Gancao) [each 0.5 liang], Cassia Twig (Lagui) [1 fen], Talcum (Huashi) [3 liang].
Preparation and Administration: Grind the above into powder. Take 3 qian per dose, mixed with plain boiled water, before meals.
This medicine drains water-dampness, reduces swelling, stops diarrhea, and promotes urination. If urination is obstructed yet diarrhea reverses, this indicates deep-seated damp-heat stenosis that cannot be cleared by attack, resulting in flooding diarrhea. At this point, healthy qi is depleted, and rescue is difficult. Do not attack further, as it will be of no benefit.
Baizhu Mixiang San (Atractylodes and Costus Powder): Treats wheezing, coughing, swelling, and fullness, conditions prone to transforming into water diseases. Symptoms include inability to lie flat, fear of eating, and urinary difficulty.
Ingredients: Atractylodis Macrocephalae Rhizoma (Baizhu), Polyporus (Muzhuling) [peeled], Licorice Root (Gancao), Red Poria (Chifuling), Alismatis Rhizoma (Zexie) [each 0.5 liang], Costi Radix (Muxiang), Areca Seed (Binglang) [each 3 qian], Tangerine Peel (Chenpi) [2 liang, peeled], Official Cinnamon (Guangui) [2 qian], Talcum (Huashi) [3 liang].
Preparation and Administration: Grind into powder. Take 5 qian per dose, with one cup of water and three slices of fresh ginger, decoct until reduced to 60%, strain after meals, and take warm.
Da Jupi Tang (Large Citrus Peel Decoction): Treats severe internal damp-heat, epigastric and abdominal fullness, edema, difficult urination, and loose stools.
Ingredients: Tangerine Peel (Jupi) [1 liang, peeled], Costi Radix (Muxiang) [1 fen], Talcum (Huashi) [6 liang], Areca Seed (Binglang) [3 qian], Poria (Fuling) [1 liang, peeled], Polyporus (Muzhuling) [peeled], Alismatis Rhizoma (Zexie), Atractylodis Macrocephalae Rhizoma (Baizhu), Official Cinnamon (Guangui) [each 0.5 liang], Licorice Root (Gancao) [2 qian].
Preparation and Administration: Grind into powder. Take 5 qian per dose, with one cup of water and five slices of fresh ginger, decoct until reduced to 60%, strain, and take warm.
If both large and small bowels are constipated, first take Shizao Tang (Ten Date Decoction); after two or three days, then take this medicine.
Tingli Gao (Descurainia Ointment/Pill): Treats edema and abdominal distension.
Ingredients: Calculus Bovis (Niuhuang), Moschus (Shexiang), Borneolum Syntheticum (Longnao) [each 1 fen], Laminaria Thallus (Kunbu), Sargassum Thallus (Haizao) [these two combined total 20 fen, washed], Pharbitidis Semen (Qianniu), Cinnamomi Cortex (Guixin) [each 8 fen], Zanthoxyli Pericarpium (Jiaomu) [3 fen], Descurainiae Semen Lepidii et Lepidii Semen (Tingli) [6 fen, stir-fried].
Preparation and Administration: Grind the above into powder. Separately grind Descurainiae Semen and cook into an ointment/paste. Form pills the size of paulownia seeds. Take 10 pills per dose, twice daily. Stop when slight diuresis is achieved. Adjust details based on deficiency or excess.
Fuling San (Poria Powder): Treats various qi-swelling disorders.
Ingredients: Genkwa Flos (Yuanhua) [soaked in vinegar, stir-fried], Alismatis Rhizoma (Zexie), Pruni Semen (Yuliren), Sweet Descurainiae Semen (Tian Tingli), Stephaniae Tetrandrae Rhizoma (Han Fangji) [each 1.5 qian], Tangerine Peel (Chenpi) [peeled], White Areca Seed (Bai Binglang), Dianthus Caulis (Qumai) [each 0.5 liang], Ligustici Rhizoma et Radix (Ben) [2.5 qian], Talcum (Huashi) [3 fen], Kansui Root (Daji) [stir-fried, 3 fen].
Preparation and Administration: Grind into fine powder. Take 1 qian per dose, decoct Mulberry Root Bark (Sangbaipi) thickly, and take mixed with the decoction on an empty stomach. Passing green-black water resembling rotten sheep fat indicates recovery. If not fully cleared, take again after a day. Once swelling subsides to normal, stop taking. Avoid salt for 100 days.
Tiaowei San (Stomach-Regulating Powder): Treats chest and diaphragm oppression, loss of appetite, hard and painful hypochondrium, reducing abdominal distension.
Ingredients: Pinelliae Rhizoma (Banxia) [processed], Licorice Root (Gancao) [roasted], Magnoliae Officinalis Cortex (Houpo) [peeled], Tangerine Peel (Chenpi) [peeled], Pogostemonis Herba (Huoxiang) [equal parts].
Preparation and Administration: Grind into powder. Take 1 qian per dose, with three slices of fresh ginger and two dates, add one cup of water, decoct together, take warm, before meals.
Erqi San (Two Qi Powder): Treats water-qi, gu-zhang (parasitic distension), and fullness.
Ingredients: White Pharbitidis Semen (Bai Qianniu), Black Pharbitidis Semen (Hei Qianniu) [each 2 qian].
Preparation and Administration: Grind into powder. Mix with 4 liang of barley flour to make baked cakes. Take one cup of tea soup before sleep. The sign of efficacy is descending qi.
Xionghuang Shenjin San (Realgar Divine Metal Powder): Treats ten types of water-qi.
Ingredients: Realgar (Xionghuang), Descurainiae Semen Lepidii et Lepidii Semen (Tingli) [mixed with glutinous rice, stir-fried until half-cooked, discard rice, each 1 liang], Alismatis Rhizoma (Zexie) [1 liang], Zanthoxyli Pericarpium (Jiaomu) [0.5 liang], Kansui Root (Daji), Morinda Officinalis Radix (Baji) [core removed], Poria (Fuling) [black skin removed], Genkwa Flos (Yuanhua) [soaked in 5 sheng of vinegar for one day, stir-fried], Kansui Radix (Gansui), Mori Cortex (Sangbaipi) [each 1 liang].
Preparation and Administration: Grind into powder. Take on an empty stomach mixed well-water. Start with 1 qian per dose, increase to 5 qian, stopping at the onset of purgation. Avoid salt, vinegar, raw/cold foods, toxic substances, greasy foods, and blood products. Add 1 fen of specific herbs based on the site of onset: If swelling starts from feet (root in Heart), add Tingli. If from abdomen (root in Fu), add Jiaomu. If from genitals (root in Chest), add Zexie. If from knees (root in Liver), add Yuanhua. If from face (root in Lung), add Sangbai. If from heart region (root in ribs), add Xionghuang. If from limbs (root in Spleen), add Gansui. If from mouth/lips (root in Small Intestine), add Baji. If from waist (root in Kidney), add Daji. If from four limbs (root in Stomach), add Fuling.
Wansheng San (Myriad Victories Powder): Treats ten types of water-qi that are incurable.
Ingredients: Kelp (Haidai), Sargassum (Haizao), Concha Meretricis (Hai Ge), Genkwa Flos (Yuanhua) [vinegar soaked, stir-fried], Kansui Radix (Gansui), Kansui Root (Daji), Sweet Descurainiae Semen (Tian Tingli), Cinnamomi Ramulus? No, Zhangliugen (Cinnamomum camphora root?), Euphorbiae Pekinensis Radix (Xuisuizi), Morinda Officinalis Radix (Baji) [core removed] [equal parts].
Preparation and Administration: Grind into powder. Take 3-5 qian per dose, mixed with warm wine, before sleep. Take every other day.
Qianniu Wan (Pharbitis Pill): Treats all damp-heat swelling and fullness disorders.
Ingredients: Black Pharbitidis Semen (Hei Qianniu), Scutellariae Radix (Huangqin), Rhubarb (Dahuang), Piper Longum (Dajiao), Talcum (Huashi) [equal parts].
Preparation and Administration: Grind into fine powder. Mix with dough made by boiling flour in wine to form pills the size of paulownia seeds. Take 5-7 pills per dose, with ginger soup, after meals. Adjust based on deficiency/excess.
Zhizi Bopi Tang (Gardenia and Phellodendron Decoction): Treats slight sweating on the head, free urination, and slight yellowing of the skin. Suitable for mild cases where damp-heat is intertwined.
Ingredients: Gardeniae Fructus (Zhizi) [15 fruits], Phellodendri Cortex (Huangbo) [0.5 liang], Licorice Root (Gancao) [1 fen].
Preparation and Administration: Cut into sizes like hemp seeds. Add three cups of water, boil down to one cup, strain juice. Divide into three doses, take within one day, warm, at any time.
Daji Wan (Kansui Root Pill): Treats ten types of water-qi, swelling, wheezing, and fullness, alternating cold and heat, coughing, chest/diaphragm oppression, stiffness of back and neck, tight swelling of bladder in lower abdomen, urinary obstruction, reverse loose stools, inability to sit or lie down.
Ingredients: Kansui Root (Daji), Genkwa Flos (Yuanhua) [vinegar stir-fried], Kansui Radix (Gansui), Kelp (Haidai), Sargassum (Haizao), Pruni Semen (Yuliren), Euphorbiae Pekinensis Radix (Xuisuizi) [each 0.5 liang], Cinnamomum Camphora Root (Zhangliugen) [1 liang. Grind the above eight into powder, take 15 qian 7 fen per batch, then add the following]: Sandarac? No, Sha (Arsenic sulfide?), Calomel (Qingfen) [each 1 qian], Calomel Frost? Fen Shuang (Mercury subchloride?) [1 qian], Mercury amalgam (Shuiyin Shazi) [size of a soap bean], Borneolum Syntheticum (Longnao) [0.5 qian], Crotonis Fructus (Badou) [21 fruits, raw, peeled].
Preparation and Administration: Grind the latter eight ingredients uniformly. Mix with date pulp to form pills the size of mung beans. Take 5-7 pills per dose, with Borneolum and aged tea, after meals and before sleep. Adjust based on deficiency/excess.
Fenshuang Wan (Calomel Frost Pill): Treats water-drum fullness, anorexia, four-limb edema, urinary and fecal obstruction, inability to eat.
Ingredients: Calomel Frost (Fenshuang), Sandarac (Sha), Concha Meretricis (Hai Ge), Xuanjing Stone (Xuanjingshi), Cold Water Stone (Hanshuishi) [burnt, powdered], Bai Dingxiang (White Dung?), Head White Flour (Toubaimian) [each 1 qian], Calomel (Qingfen) [3 qian], Semina Loranthi? No, Huijinsha (Semina Lygodii Sporarum) [1 qian].
Preparation and Administration: Grind uniformly. Wrap in paper multiple layers, then wrap in dough, then paper again. Dip in cold wine, burn with mulberry wood until dough is cooked. Mix with leftover bread to form pills the size of paulownia seeds. Take 3 pills per dose, with ginger soup, three times daily. Add one pill each day until the sixth day, then stop to supplement. This is excellent.
Ku Tingli Wan (Bitter Descurainia Pill): Treats all water-dampness qi, whole-body swelling and fullness that is unbearable.
Ingredients: Ginseng Radix et Rhizoma (Renshen) [1 liang], Bitter Descurainiae Semen (Ku Tingli) [4 liang, stir-fried on paper in a pot until yellow].
Preparation and Administration: Grind both into fine powder. Mix with date pulp to form pills the size of paulownia seeds. Take 15 pills per dose, with decoction of Mulberry Root Bark (Sangbaipi), three times daily, on an empty stomach before meals.
This medicine may be doubted by gentlemen, but please test it.
Roudoukou Wan (Myristica Pill): Treats water-dampness, drum-like abdominal distension, anorexia. Conditions suitable for purgation.
Ingredients: Myristicae Semen (Roudoukou), Areca Seed (Binglang), Calomel (Qingfen) [each 1 fen], Black Pharbitidis Semen (Hei Qianniu) [1.5 liang, take the first extraction powder].
Preparation and Administration: Grind into powder. Mix with dough paste to form pills the size of mung beans. Take 10-20 pills per dose, with Forsythia Decoction (Lianqiao Tang), after meals, three times daily.