治阴水,先实脾土。
浓朴(去皮,姜制,炒) 白术 木瓜(去瓤) 木香(不见火) 草果仁 大腹子 附
子(炮,去皮脐) 白茯苓(去皮) 干姜(炮,各一两) 甘草(炙,半两)
上 咀,每服四钱,水一盏半,生姜五片,枣子一枚,煎至七分,去滓,温服,不拘时
候。
治阴水,次温肾水。
附子(炮,二两) 木香(煨) 茴香(炒) 川椒(炒出汗) 独活(去芦) 浓朴
(姜制,炒) 橘红 吴茱萸(炒) 桂心(不见火) 白术 肉豆蔻(面裹煨) 槟榔(各
半两) 泽泻(一两)
上为细末,面糊为丸,如梧桐子大,每服七十丸,用紫苏汤送下,空心食前。
治水气,通身洪肿,喘呼气急,烦躁多渴,大小便不利,服热药不得者。
泽泻 赤小豆(炒) 商陆 羌活(去芦) 大腹皮 椒目 木通 秦艽(去芦) 槟
榔茯
苓皮
上等分, 咀,每服四钱,水一盏半,生姜五片,煎至七分,去滓,温服,不拘时候。
治肿满,水气蛊胀。
甜葶苈(半两) 白术(半两) 桑白皮 赤茯苓 防己(三分) 牵牛(半两,半生
半熟) 羌活 陈皮 泽泻(各三分) 郁李仁(汤去皮,熬紫色,称三分,与葶苈二味别
研如膏,令极细)
上为细末,与上二味同研,炼蜜和,入臼内杵之,丸如桐子大,初服十丸,空心晚食前,
一日二服,生姜橘皮汤下,不知加至二三十丸,以知为度。或加萝卜子、甘遂二分,切片炒。
治疗阴水证,首先应当充实脾土。
厚朴(去除外皮,用生姜汁炮制后炒干)一两、白术一两、木瓜(去除内部瓤核)一两、木香(避免高温烘烤)一两、草果仁一两、大腹子一两、附子(炮制后去除外皮和脐部)一两、白茯苓(去除外皮)一两、干姜(炮制)一两、甘草(蜜炙)半两。
以上药材切碎,每次服用四钱,加水一盏半,生姜五片,大枣一枚,煎煮至剩余七分药液,滤去药渣,温服,不限定具体时间。
治疗阴水证,其次应当温补肾水。
附子(炮制)二两、木香(煨制)、茴香(炒制)、川椒(炒至出油)、独活(去除芦头)、厚朴(用姜汁炮制后炒干)、橘红、吴茱萸(炒制)、桂心(避免高温烘烤)、白术、肉豆蔻(用面粉包裹后煨制)、槟榔(各半两)、泽泻(一两)。
以上药材研成细末,用面糊作为粘合剂制成丸药,大小如梧桐子,每次服用七十丸,用紫苏汤送服,空腹或进食前服用。
治疗水气病,全身严重浮肿,呼吸急促气喘,烦躁且多口渴,大小便不通利,且无法耐受热性药物者。
泽泻、赤小豆(炒制)、商陆、羌活(去除芦头)、大腹皮、椒目、木通、秦艽(去除芦头)、槟榔、茯苓皮(各等分)。
以上药材等量分配,切碎,每次服用四钱,加水一盏半,生姜五片,煎煮至剩余七分药液,滤去药渣,温服,不限定具体时间。
治疗肿胀满闷,水气蛊胀。
甜葶苈(半两)、白术(半两)、桑白皮、赤茯苓、防己(三分)、牵牛子(半两,一半生用一半炒熟)、羌活、陈皮、泽泻(各三分)、郁李仁(用水浸泡去皮,熬至紫色,称取三分,与葶苈这两味药分别研磨成极细的膏状)。
以上药材研成细末,与前两味药膏混合,用炼蜜调和,放入臼中捣匀,制成如桐子大小的丸药。初次服用十丸,空腹及晚饭前服用,每日两次,用生姜橘皮汤送服。若无效,可加量至二三十丸,以见效为限度。或者加入萝卜子、甘遂二分,切片炒制。
To treat Yin Edema (Yin Shui, edema characterized by cold deficiency), first strengthen the Spleen Earth.
Houpo (Cortex Magnoliae Officinalis, peeled, processed with ginger juice, stir-fried) 1 liang, Baizhu (Atractylodis Macrocephalae Rhizoma) 1 liang, Mugua (Fructus Chaenomelis, pulp removed) 1 liang, Muxiang (Radix Aucklandiae) 1 liang, Caoguo Ren (Semen Tsaoko) 1 liang, Dafuzi (Fructus Arecae) 1 liang, Fuzi (Radix Aconiti Lateralis Preparata, processed, peeled and navel removed) 1 liang, Bai Fuling (Poria) 1 liang, Ganjiang (Rhizoma Zingiberis Preparatum, processed) 1 liang, Gancao (Radix Glycyrrhizae Preparata, honey-fried) half liang.
Crush the above herbs. For each dose, take 4 qian, add 1.5 zhan of water, 5 slices of fresh ginger, and 1 jujube. Decoct until 0.7 zhan remains, strain, and take warm at any time.
To treat Yin Edema, secondly warm the Kidney Water.
Fuzi (Radix Aconiti Lateralis Preparata, processed) 2 liang, Muxiang (Radix Aucklandiae, baked) half liang, Huixiang (Fructus Foeniculi, stir-fried) half liang, Chuanjiao (Pericarpium Zanthoxyli, stir-fried until oil appears) half liang, Duhuo (Radix Angelicae Pubescentis, radicle removed) half liang, Houpo (Cortex Magnoliae Officinalis, processed with ginger juice, stir-fried) half liang, Juhong (Exocarpium Citri Reticulatae Rubrum) half liang, Wuzhuyu (Fructus Evodiae, stir-fried) half liang, Guixin (Cortex Cinnamomi) half liang, Baizhu (Atractylodis Macrocephalae Rhizoma) half liang, Roudoukou (Semen Myristicae, wrapped in flour and baked) half liang, Binglang (Semen Arecae) half liang, Zexie (Rhizoma Alismatis) 1 liang.
Grind the above herbs into a fine powder. Use wheat paste to make pills the size of sophora seeds. Take 70 pills per dose, administered with Perilla Soup on an empty stomach or before meals.
To treat Water Qi disease (Shuiqi, pathological fluid retention), characterized by severe generalized edema, rapid breathing and asthma, irritability with excessive thirst, and difficulty in urination and defecation, especially for patients who cannot tolerate hot-natured medicines.
Zexie (Rhizoma Alismatis), Chixiaodou (Semen Phaseoli Uriginis, stir-fried), Shanglu (Radix Phytolaccae), Qianghuo (Rhizoma et Radix Notopterygii, radicle removed), Dafupi (Pericarpium Citri Grandis), Jiaomu (Semen Zanthoxyli) half liang, Mutong (Caulis Akebiae), Qinjiao (Radix Gentianae Macrophyllae, radicle removed) half liang, Binglang (Semen Arecae), Fulingpi (Poria) equal parts.
Take equal parts of the above herbs, crush them. For each dose, take 4 qian, add 1.5 zhan of water and 5 slices of fresh ginger. Decoct until 0.7 zhan remains, strain, and take warm at any time.
To treat swelling and fullness, and Water Qi Gu Distension (ascites due to water qi).
Tiantingli (Semen Lepidii Desmidiati, sweet variety) half liang, Baizhu (Atractylodis Macrocephalae Rhizoma) half liang, Sangbaipi (Cortex Mori Radicis), Chi Fuling (Poria with red wood), Fangji (Radix Stephaniae Tetrandrae) 3 fen, Qianniu (Semen Pharbitidis, half raw, half cooked) half liang, Qianghuo (Rhizoma et Radix Notopterygii) 3 fen, Chenpi (Pericarpium Citri Reticulatae) 3 fen, Zexie (Rhizoma Alismatis) 3 fen, Yuliren (Semen Pruni Armeniacae, soaked in water, skin removed, roasted until purple, weighed 3 fen). The Tingli and Yuliren should be ground separately into a very fine paste.
Grind the remaining herbs into a fine powder and mix with the two pastes. Combine with refined honey, pound in a mortar, and form pills the size of paulownia seeds. Start with 10 pills, taken on an empty stomach and before evening meal, twice daily, administered with Ginger and Tangerine Peel Soup. If ineffective, increase to 20-30 pills, stopping when efficacy is achieved. Alternatively, add Luobozizi (Semen Raphani) and Gansui (Radix Euphorbiae Kansui) 2 fen, sliced and stir-fried.