香附 黑牵牛 三棱 莪术 干生姜等一斤，入平胃散末半斤。每服二钱半，滚白水或
姜汤调下。
治水肿要方。
海金沙（一钱） 白术（一钱） 苍术（八分） 浓朴（一钱） 陈皮（八分） 泽泻
（七分） 猪苓（七分） 茯苓皮（一钱） 五加皮（五分） 生姜皮（五分） 大腹皮（五
分） 商陆（七分） 甘草皮（五分）
上水二钟，煎至一钟，稍热服。渣再煎服。
见湿门。
鼓胀，外坚中空，似鼓也。理宜补脾，又须养肺金，以制肝木，使脾无贼邪之虑。滋肾
水以制相火，使肺得清化之令。却盐味以防助邪，断妄想以保母气。切不可下，宜远音乐，
断浓味，戒暴怒，无有不安。脉浮大而滑实者生，濡小而虚微者死。胀满脉弦，脾制于肝。
洪数热胀，迟微冷寒。浮为虚满，紧则中实。浮则可治，虚则危恶。
治方
人参（八钱） 白术（一钱） 陈皮（一钱） 苍术（一钱） 浓朴（姜制，五分） 泽
泻（五分） 麦门冬（五分） 白茯苓（一钱）
上水一盏半，煎服。若朝急暮宽者，倍人参、白术，肥白人气虚者同。若朝宽暮急者，
加姜炒黄连、归身、酒芍药、香附、川芎、生地黄，去人参，黑瘦人气热者亦同。气下坠者，
宜加升麻。日夜急，气血皆虚，俱补之。如脉实坚人壮盛者，或按之不坚不痛，则可下之，
消之，以补之。
治一切蛊胀并气虚中满单腹胀方
茯苓皮 草果皮 五加皮 大腹皮 甘草皮 牡丹皮 地骨皮 生姜皮 木通皮 木瓜
皮大腹子 车前子 葶苈子 菟丝子 紫苏子
上各等分，水二盏，煎至八分服之。如要断根，将十五味药等分为细末，各一钱五分，
用雄猪肝一个，不见水者，先用温水煮一滚取出，用竹尖钻孔数个，入药在内，蒸熟切片，
捣蒜蘸食之。不过一二个，永不发也。
一方 治鼓胀气满。用苦丁香为末，枣肉为丸梧子大。每服三十丸，空心枣汤下，三服
见效
香附、黑牵牛、三棱、莪术、干生姜各等分共一斤，加入平胃散（燥湿健脾的方剂）粉末半斤。每次服用二钱半，用滚开的白水或姜汤调服。
这是治疗水肿的要方。
海金沙（一钱）、白术（一钱）、苍术（八分）、浓朴（一钱）、陈皮（八分）、泽泻（七分）、猪苓（七分）、茯苓皮（一钱）、五加皮（五分）、生姜皮（五分）、大腹皮（五分）、商陆（七分）、甘草皮（五分）。
以上药材加水两钟，煎煮至一钟，稍热时服用。药渣再次煎煮后服用。
此方见于“湿门”章节。
鼓胀病，表现为腹部外坚中空，形状像鼓一样。治疗原理应当补益脾土，同时滋养肺金，以制约肝木，使脾脏没有受到贼邪（相克之邪）侵害的忧虑。滋补肾水以制约相火（命门之火），使肺脏得到清肃化生的指令。戒除盐味以防助长邪气，断绝妄想以保全母气（先天元气）。切不可使用攻下法，宜远离音乐娱乐，断绝浓厚滋味，戒除暴怒，这样就没有不平安的道理。脉象浮大而滑实者预后良好，脉象濡小而虚微者预后不良。腹胀满且脉象弦，说明脾脏受制于肝脏。脉象洪数属于热性胀满，脉象迟微属于冷寒胀满。脉浮表示虚性胀满，脉紧表示中焦实证。脉浮则病情可治，脉虚则病情危重恶劣。
治疗方剂：
人参（八钱）、白术（一钱）、陈皮（一钱）、苍术（一钱）、浓朴（姜制，五分）、泽泻（五分）、麦门冬（五分）、白茯苓（一钱）。
以上药材加水一盏半，煎煮后服用。如果早晨急迫傍晚缓解的，加倍使用人参、白术，适用于形体肥胖白色皮肤者的气虚证。如果早晨缓解傍晚急迫的，加入姜炒黄连、当归身、酒芍药、香附、川芎、生地黄，去掉人参，适用于形体瘦黑体质偏热者同样适用。如果有气下坠感的，适宜加入升麻。日夜都急迫的，是气血皆虚，应当全面补益。如果脉象实坚、人体壮盛的，或者按压腹部不坚硬也不疼痛的，可以使用攻下法、消导法和补益法。
治疗一切蛊胀以及气虚导致的中满、单腹胀的方剂：
茯苓皮、草果皮、五加皮、大腹皮、甘草皮、牡丹皮、地骨皮、生姜皮、木通皮、木瓜皮、大腹子、车前子、葶苈子、菟丝子、紫苏子。
以上药材各等分，加水两盏，煎煮至八分服用。如果想要根治，将十五味药等分为细末，每味取一钱五分，用一个雄猪肝（不见水的），先用温水煮开取出，用竹签在肝上钻几个孔，将药粉装入其中，蒸熟切片，捣碎大蒜蘸着吃。不超过一两个猪肝，就永不复发。
另一个方子：治疗鼓胀气满。用苦丁香研为细末，枣肉制作成梧桐子大小的丸剂。每次服用三十丸，空腹时用枣汤送服，服用三次见效。
Xiangfu (Cyperi Rhizoma), Heiqianniu (Pharbitidis Semen Nigrum), Sanleng (Sparganii Rhizoma), Ezhu (Curcumae Rhizoma), and Ganshengjiang (Zingiberis Rhizoma Recens) each amounting to one jin, mixed with Ban jin of Pingwei San (Calm the Stomach Powder). Take two qian half per dose, administered with boiling water or ginger soup.
This is an essential prescription for treating edema.
Haijinsha (Lygodii Spora, 1 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 qian), Cangzhu (Atractylodis Rhizoma, 8 fen), Nongpo (Magnoliae Officinalis Cortex, 1 qian), Chenpi (Citri Reticulatae Pericarpium, 8 fen), Zexie (Alismatis Rhizoma, 7 fen), Zhuling (Polyporus, 7 fen), Fulingpi (Poria Cum Syllo, 1 qian), Wujiaopi (Acanthopanacis Cortex, 5 fen), Jiangshengpi (Zingiberis Pericarpium, 5 fen), Dafupi (Arecae Pericarpium, 5 fen), Shanglu (Phytolaccae Radix, 7 fen), Gancaopi (Glycyrrhizae Radix et Rhizoma Pericarpium, 5 fen).
Add two zhong of water, decoct until one zhong remains, take when slightly warm. Decoct the dregs again and take.
Refer to the "Dampness Section".
Gu Zhang (Drum Distension) presents with a hard exterior and hollow interior, resembling a drum. The treatment principle should involve tonifying Spleen Earth, while nourishing Lung Metal to control Liver Wood, thereby preventing the Spleen from being invaded by pathogenic factors (Thief Evil). Nourish Kidney Water to control Ministerial Fire, allowing the Lung to receive instructions for clear transformation. Avoid salty flavors to prevent assisting evil; cut off delusions to preserve Mother Qi (Pre-natal Qi). Do not use purgatives. It is advisable to stay away from music and entertainment, avoid rich flavors, and guard against violent anger; thus, peace will be achieved. A pulse that is floating, large, slippery, and solid indicates survival; a pulse that is soggy, small, deficient, and faint indicates death. Fullness with a wiry pulse indicates the Spleen is controlled by the Liver. A surging and rapid pulse indicates heat-type distension; a slow and faint pulse indicates cold-type distension. A floating pulse indicates deficiency-type fullness; a tight pulse indicates excess in the middle jiao. A floating pulse suggests the condition is treatable; a deficient pulse indicates critical danger.
Treatment Prescription:
Renshen (Ginseng Radix et Rhizoma, 8 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 qian), Chenpi (Citri Reticulatae Pericarpium, 1 qian), Cangzhu (Atractylodis Rhizoma, 1 qian), Nongpo (Magnoliae Officinalis Cortex, processed with ginger, 5 fen), Zexie (Alismatis Rhizoma, 5 fen), Maimendong (Ophiopogonis Radix, 5 fen), Bai Fuling (Poria, 1 qian).
Add one and a half zhan of water, decoct and take. If symptoms are urgent in the morning and relaxed in the evening, double the dosage of Renshen and Baizhu; this applies to qi deficiency in individuals with fair skin and robust build. If symptoms are relaxed in the morning and urgent in the evening, add Huanglian (Coptidis Rhizoma) stir-fried with ginger, Danggui Shen (Angelicae Sinensis Radix), Jiushaoyao (Paeoniae Radix Alba processed with wine), Xiangfu (Cyperi Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), and Shengdihuang (Rehmanniae Radix); remove Renshen. This also applies to heat constitution in thin, dark-skinned individuals. For sensation of qi sinking, add Shengma (Cimicifugae Rhizoma). For urgency day and night, indicating both qi and blood deficiency, tonify both. If the pulse is solid and firm, and the person is vigorous, or if abdominal palpation reveals hardness without pain, purgatives, resolving agents, and tonics may be used.
Prescription for all types of Gu Zhang (Parasitic Distension) as well as Qi deficiency leading to Middle Fullness and Monadic Abdominal Distension:
Fulingpi (Poria Cum Syllo), Caoguopi (unknown bark, likely a variant or typo for another cortex), Wujiaopi (Acanthopanacis Cortex), Dafupi (Arecae Pericarpium), Gancaopi (Glycyrrhizae Radix et Rhizoma Pericarpium), Mudanpi (Moutan Cortex), Digupi (Lycii Cortex), Jiangshengpi (Zingiberis Pericarpium), Mutongpi (Akebiae Caulis Cortex), Mugua pi (Chaenomelis Fructus Cortex), Dafuzi (Arecae Semen), Cheqianzi (Plantaginis Semen), Tinglizi (Descurainiae Semen seu Lepidii Semen), Tusizi (Cuscutae Semen), Zisuzi (Perillae Fructus).
All ingredients in equal proportions. Add two zhan of water, decoct until eight fen remain, and take. To eradicate the root cause, grind the fifteen herbs into fine powder, taking 1.5 qian of each. Use one male pig liver (not exposed to water), boil briefly in warm water, remove, pierce with bamboo skewers, insert the medicine inside, steam until cooked, slice, mash with garlic, and eat. Within one or two livers, it will never recur.
Another Prescription: Treats Gu Zhang with qi fullness. Grind Kudingxiang (Ilex kudingcha leaves) into powder, form pills with jujube paste the size of wutong seeds. Take thirty pills per dose, with jujube soup on an empty stomach. Visible effects after three doses.