臌胀经年而不死，必非水臌，乃气臌、血臌、食臌、虫臌也，但得小便利，而胃口开者，
俱可治。茯苓五两，人参一两，雷丸三钱，甘草二钱，萝卜子一两，白术五钱，大黄一两，
附子一钱，水拾碗，煎成二碗。早晨服一碗，必腹内雷鸣，少顷下恶物满桶，急倾去，另换
一桶；再以第二碗服之，必又大泻，至黄昏而止。以淡米汤饮之，不再泻矣。然病患惫乏已
甚，急服后方，以调理之。
人参一钱，茯苓五钱，苡仁一两，山药四钱，陈皮五分，白芥子一钱，水煎服，一剂即
愈。
庚生按∶此方出《石室秘录》，又见于《观聚方要补》，予尝试之，极有效。《观聚方》
茯苓用五两，宜从之，此物淡而无味也。《观聚方》陈皮用五分，宜从之，否则太嫌破气矣。
雄黄一两，白矾一两，为末，面糊调膏摊贴。未效再贴，数月必愈。
疑似者，以秦艽牛乳煎服，得快利三五行即愈。
治小儿黄胆，眼黄脾热。瓜蒌焙干，每服一钱。水半升，煎七分，卧时服，五更泻下黄
物，立愈。
马粪一两（炒黑），入黄土一撮（微炒），黄酒乘热服五钱，即痛去如失，非吐即泻，气
一通而痛辄定矣。
按此方兼治霍乱，奏效甚神，滚水亦可调服，不必定用黄酒也。
硫黄半斤，桑柴灰五斗，淋取汁。煮三周时，以铁匙抄于火上试之，伏火即止，候干以
大火 之；如未伏，更煮以伏为度。 好研末，穿地坑一尺二寸，投水于中，待水清，取
和硫磺末，锅内煎如膏，铁匙抄出，细研饭丸如麻子大。每空心盐汤服十丸，极有效验。
鼓胀病持续多年而没有死亡，必定不是水臌（以腹水为主要表现的鼓胀），而是气臌（以气滞为主的鼓胀）、血臌（以瘀血为主的鼓胀）、食臌（以食积为主的鼓胀）或虫臌（以寄生虫为主的鼓胀）。只要患者小便通利，且胃口能开，这些情况都可以治疗。
方药：茯苓五两，人参一两，雷丸三钱，甘草二钱，萝卜子一两，白术五钱，大黄一两，附子一钱。加水十碗，煎煮至剩余两碗药液。早晨服用一碗，必然会出现肠鸣音亢进，不久后排出大量污秽之物装满一桶，需立即倒掉并换一个新的桶；接着服用第二碗药，必然再次发生剧烈腹泻，直到黄昏时停止。此时用清淡的米汤饮用，腹泻就会停止。然而病人已经极度疲惫虚弱，必须紧急服用后面的调理方剂来恢复身体。
调理方：人参一钱，茯苓五钱，薏苡仁一两，山药四钱，陈皮五分，白芥子一钱。加水煎服，服用一剂即可痊愈。
庚生按语：此方出自《石室秘录》，也见于《观聚方要补》。我曾尝试使用此方，效果极佳。《观聚方》中茯苓用量为五两，应当遵循这一用法，因为茯苓性味淡而无味。《观聚方》中陈皮用量为五分，应当遵循这一用法，否则陈皮用量过大会过于耗散正气。
雄黄一两，白矾一两，研成细末，用面糊调制成膏状外敷贴患处。如果未见效可再次贴敷，数月内必定痊愈。
对于症状疑似者，用秦艽和牛乳煎煮后服用，若能顺利排便三四五次即可痊愈。
治疗小儿黄疸，症见眼黄、脾热。将瓜蒌焙干，每次服用一钱。加水半升，煎煮至七分量，在睡前服用，五更天（凌晨3-5点）会泻下黄色物质，立刻痊愈。
马粪一两（炒至黑色），加入黄土一撮（微炒），趁热用黄酒送服五钱，疼痛即刻消失，表现为呕吐或腹泻，一旦气机通畅，疼痛随即缓解。
按语：此方兼治霍乱，疗效神奇，用滚开水调服也可以，不一定非要用黄酒。
硫黄半斤，桑柴灰五斗，用水淋取灰汁。熬煮三个时辰，用铁勺舀起药液在火上试验，若火被抑制则停止加热，待药液变干后用大火烘干；如果火仍未被抑制，继续熬煮直到火被抑制为止。将成品研磨成细末，在地上挖一个深一尺二的坑，向坑中注水，待水澄清后，取出清水与硫磺末混合，在锅内煎煮成膏状，用铁勺舀出，细细研磨后制成如麻子大小的饭丸。每次空腹用盐汤送服十丸，极有效验。
Abdominal distension (Gu Zhang) persisting for years without death is certainly not Water Distension (abdominal distension characterized primarily by ascites), but rather Qi Distension (distension primarily due to qi stagnation), Blood Distension (distension primarily due to blood stasis), Food Distension (distension primarily due to food retention), or Worm Distension (distension primarily due to parasitic infection). As long as the patient's urination is unobstructed and their appetite opens, all these conditions are treatable.
Prescription: Poria (Fuling) five taels, Ginseng Root (Renshen) one tael, Omphalia Fungus (Leiwuan) three qian, Licorice Root (Gancao) two qian, Radish Seed (Luobozhi) one tael, Atractylodes Rhizome (Baizhu) five qian, Rhubarb (Dahuang) one tael, Aconite Root (Fuzi) one qian. Add ten bowls of water, decoct until two bowls of liquid remain. Take one bowl in the morning; there will inevitably be borborygmus (intestinal rumbling), and shortly after, a large amount of foul matter will be discharged, filling a bucket. Discard it immediately and replace with a new bucket; then take the second bowl. There will inevitably be another severe diarrhea, which stops by dusk. Drink light rice soup thereafter, and the diarrhea will cease. However, since the patient is extremely exhausted, urgently administer the following conditioning prescription to regulate the body.
Conditioning Prescription: Ginseng Root (Renshen) one qian, Poria (Fuling) five qian, Coix Seed (Yiren) one tael, Chinese Yam (Shanyao) four qian, Tangerine Peel (Chenpi) five fen, White Mustard Seed (Baijiezi) one qian. Decoct in water and take; one dose results in complete recovery.
Note by Gengsheng: This prescription originates from *Shishi Milu* and also appears in *Guanju Fang Yaobu*. I have tried it and found it highly effective. In *Guanju Fang*, Poria is used at five taels; this dosage should be followed, as Poria is bland and tasteless. In *Guanju Fang*, Tangerine Peel is used at five fen; this dosage should be followed, otherwise it is too harsh in dispersing qi.
Realgar (Xionghuang) one tael, Alum (Baifan) one tael, grind into powder, mix with wheat paste to form a paste, and apply externally. If ineffective, reapply; it will surely heal within several months.
For cases with ambiguous symptoms, decoct Gastrodia Rhizome (Qinjiao) with cow's milk and take orally. Recovery occurs quickly after three to five bowel movements.
To treat pediatric jaundice (Xiao'er Huangdan), characterized by yellow eyes and spleen heat: Roast dried Trichosanthes Fruit (Gualou) to dryness. Take one qian per dose. Add half a sheng of water, decoct until seven-tenths remains, and take at bedtime. During the fifth watch (5:00–7:00 AM), yellow matter will be discharged, leading to immediate recovery.
Horse manure one tael (stir-fried until black), mixed with a pinch of yellow earth (lightly stir-fried). Take five qian while hot with yellow wine. Pain disappears instantly, manifesting as vomiting or diarrhea; once qi circulation is restored, pain resolves.
Note: This prescription also treats Cholera-like syndrome (Huoluan) with miraculous efficacy. Boiling water can be used for mixing instead of yellow wine.
Sulfur (Liuhuang) half a jin, Mulberry branch ash (Sangcha Hui) five dou. Leach the ash with water to obtain the lye. Boil for three zhou periods. Test with an iron spoon over fire; if the fire subsides, stop heating. Dry the residue using high heat. If the fire does not subside, continue boiling until it does. Grind the product into fine powder. Dig a pit one chi two cun deep, fill with water, wait for the water to clarify, then mix the clear water with sulfur powder. Decoct in a pot until it forms a paste. Scoop out with an iron spoon, grind finely, and make pills the size of hemp seeds using rice flour. Take ten pills on an empty stomach with salt water. Extremely effective.