〔罗〕五皮散 治他病愈后，或疟痢后，身体、面目、四肢浮肿，小便不利，脉虚而大。此由脾肺虚弱，
不能营运诸气，气虚不理，散漫于皮肤、肌腠之间，故令肿满也，此药并宜服之。
大腹皮 赤茯苓皮 生姜皮 陈皮 桑白皮（炒。各等分）
上件为粗末。每服五钱，水一大盏，同煎至八分，去渣温服，不拘时候，日进三服。
香苏散 治水气虚肿，小便赤涩。
陈皮（一两，去白） 防己 木通 紫苏叶（各半两）
上为末。每服二钱，水二盏，生姜三片，同煎。
〔《外》〕治水病洪肿，气胀不消食。用香薷五十斤，细锉，纳釜中，水浸上数寸，煮使气尽，去渣澄清，
熬稠丸，如桐子大。日三服，每服五丸，稍加之，以小便利为度。
〔梅〕治水肿作，坐卧不得，头、面、身体悉肿。取东引花桑枝烧灰淋汁，煮赤小豆，空心食令饱，
饥即食尽，不得吃饭。
〔《兵》〕治水病，初得危急。冬瓜不限多少任吃，神效无比。（丹溪云∶冬瓜性急，久病与阳虚者
忌之。）
〔丹〕十种水气。冬瓜去穣，纳赤豆在内，蒸熟为丸服。治痢日久，津液枯，四肢肿，口干。用冬瓜，
黄土浓包五寸，煨熟，去土取汁饮之。（《录验》）
〔罗〕白丸子 治遍身肿及单腹胀满，喘闷不快，小便赤涩，神效。
轻粉（五分） 粉霜（炒，四钱） KT 砂（研，炒，三钱） 滑石（研，炒，四钱） 寒水石（火烧，
研，炒，三钱） 白丁香（研，罗末，炒，三钱）
上件药，将轻粉、滑石二味，一处研匀，用薄纸裹了，却更和白面作饼，再裹前药，又用桑柴火烧，
以熟为度，取出与前四味一处和匀，水浸蒸饼搦干为丸，如绿豆大。每日姜汤下三服，食前下。第一日每
服二丸，第二日每服三丸，第三日每服四丸，第四日每服五丸。如觉小便多，肿渐减，便勿服。如小便不多，
更服一日、二日，加作六丸做一服，一日亦三服，肿消为效。如服药至第三日，觉牙缝内痒痛，口气出时，
便用漱口药，用贯众、黄连各半两为散，每服一钱，水一盏，煎至七分，入龙脑少许搅匀温服之；每一日
煎一钱，漱口。如肿消，忌盐、鱼、肉、冷硬果食，只服粥百日永瘥。如脏腑秘涩，气实，先服治肿海藻
散，此药亲用救人甚多，神效。
海藻散（方见本门积气条。）
〔仲〕牡蛎泽泻散 治腰以下肿。（方见伤寒。）
〔河〕葶苈丸 治一切水湿气，通身肿不可当者。
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，桐子大。每服十五丸，煎桑白皮汤下，日进三服，空心食前，验。
〔罗〕圣灵丹 治脾、肺有湿，喘肿盛，小便赤涩。
苦葶苈（四两，炒） 木香 槟榔 茯苓（面裹，煨） 防风 木通 人参（以上各二钱半，恐是二两半。）
上为末，用枣肉为丸，如桐子大。煎桑白皮汤下。
〔垣〕赤茯苓丸 治脾湿太过，四肢肿满，腹胀喘逆，气不宣通，小便赤涩。
葶苈（四两） 防己（二两） 赤茯苓（一两） 木香（五钱）
上为细末，枣肉丸，如桐子大。每服三十丸，煎桑白皮汤下，食前服。
续随子丸 治遍身虚肿，喘闷不快。
人参 汉防己 赤茯苓 木香 槟榔（各五钱） 苦葶苈（四两，炒） 续随子（一两） 海金沙（五钱）
上为细末，枣肉丸，如桐子大。每服二三十丸，煎桑白皮汤食则下。
〔海〕洁古方治水肿。
用蝼蛄去头尾，与葡萄心同捣，露七日曝干为末，淡酒调下。暑月湿用尤佳。（《圣惠方》∶治水肿喘促不
得卧，蝼蛄五枚，为末，食前汤调半钱至一钱，小便通，效。）
〔仲〕夫水病患，目下有卧蚕，或面目鲜泽，脉伏，其人消渴，病水腹大，小便不利，其脉沉细者，有水，
可下之。
〔世〕治水肿。
薏苡仁根（君） 木香 槟榔 黑牵牛
上为末，酒调服，妙。
〔《外》〕疗水病肿。用鲤鱼一头极大者，去头尾及骨，唯取肉。以水二升，赤小豆一大升，和鱼肉煮取二
升，以上，生布绞取汁，去渣，顿服尽。如不尽，分为三服，当下利，利尽即瘥。
〔《本》〕治身体肿满，水气急，卧不得。郁李仁一大合，捣为末，合和面搜作饼子与吃，入口即大便利，
气，便瘥。
〔丹〕有人患脚肤肿，渐上膝，足不可践地，大水，头面、遍身肿胀满。用苦瓠瓤实捻如豆大，以面裹煮
一沸，空心服七枚，至午当出水一斗，三日水自出不止，大瘦乃瘥。三年内须慎口味。一方治肿。取苦瓠壳，
以盐搽壳上，烧存性为末，煎童便一盏调服，瘥。（苦瓠，须择无靥翳细理洁净者，不尔，有毒。）
〔世〕三种散 治浮肿。用陈萝卜种去瓤，陈蒲壳去瓤，乌豆一合，同煎服，实时退。
〔罗〕无碍丸 治脾湿积流，四肢肿满。
大腹皮（二两） 木香（半两） 蓬术 京三棱 槟榔 郁李仁（各一两）
上为细末，炒麦 曲糊为丸，如桐子大，生姜汤下。
〔《本》〕治肿满，小便不利，茯苓散。
郁李仁（四钱） 槟榔（二钱） 赤茯苓 白术 甘遂（切片，炒。各一钱） 陈皮（一钱半）
上细末。每服一钱，姜枣汤调下。
治十种水病并根源、证状方法∶
一青水，先从左右肋肿起，根在肝。大戟
二赤水，先从舌根起，根在心。葶苈子
三黄水，从腰腹起，根在脾。甘遂（微炒）
四白水，从脚肿起，根在肺。桑白皮
五黑水，从外肾肿起，根在肾。连翘
六玄水，从面肿起，根在外肾。芫花（醋炒）
七风水，从四肢肿起，根在骨。泽泻
八石水，从肾肿起，根在膀胱。 本
九高水，从小腹肿起，根在小肠。巴豆（去皮、油）
十气水，或盛或衰，根在腹。赤小豆
上十般肿病，各有根源，种种不同。看十种病根，除一味倍多，余九味等分，逐味根据法修治，焙为细末，
炼蜜丸，如桐子大。用赤茯苓汤吞下三丸。不拘时候，每日三服。忌盐一百二十日，缘盐能化水也。又忌鱼
虾、面食，一切毒物，及生冷房室，甚效。用此方获瘥后，更用后来补药。
补药方
肉桂（去粗皮） 赤茯苓（去皮） 干姜 莪术（醋煮） 川芎 肉豆蔻 桔梗（各等分，根据法制服。
一方，无赤茯苓、莪术，有青皮、白术）
槟榔
上等分为末。每服三钱，百沸汤点服，空心食前服。午晚各一服。
前项二方，治水肿病甚效。子试用之，百发百中，获济者无数。世间所有水病方药，无出此二方之上者，
幸勿忽。
〔河〕三花神佑丸 治中满腹胀，一切水湿肿满。
甘遂 大戟 芫花（醋淬，湿炒。各五钱） 大黄（一两） 轻粉（一钱） 牵牛（二两）
上为末，滴水丸，如小豆大。初服五丸，每服加五丸，温水下，每日三服，以快利为度。得利，止后服，
神效。
〔垣〕海金沙散 治脾湿太过，通身肿满，喘不得卧，及腹胀如鼓。
牵牛（一两半，一半炒，一半生） 甘遂（五钱） 白术（一两） 海金沙（三钱）
上为细末。每服二钱，煎倒流水一盏，食前调下。得宣利，止后服。
〔罗〕海藻散 治男子、妇人通身虚肿，喘满不快。
海藻 大戟 大黄 续随子（去壳。各一两。上四味，用好酒浸一宿，取出晒干候用） 滑石（半两）
白牵牛（头末，生，一两） 甘遂（麸炒，一两）
白豆蔻（一个） 青皮（去白） 陈皮（去白。各半两）
上前药都一处，杵为细末。大人每服二钱，如气实者三钱，平明冷茶清调下。至夜时，取下水三二行，肿
减七分。隔二三日，平明又一服，肿消。忌鱼肉百余日。小儿肿，服一钱，五岁以下者半钱。女人有胎者不可服。
〔《保》〕钱氏论虚实腹胀 实则不因吐泻久病之后，亦不因下利得之，胀而喘急闷乱，更有痰有热，及有宿
食不化者，宜大黄丸、白饼子、紫霜丸下之。更详别大小便，如俱不通，先利小便，后利大便。虚则久病吐泻
后，其脉微细，主目胞腮虚肿，手足冷，宜先与塌气丸，后与异功散及和中丸、益黄散和其气。因气而肿者，
煎陈皮汤。因湿而肿者，煎防己黄 汤调五苓散。因热而肿者，八正散。又一法，燥热于肺为肿者，乃绝水之
源，当清肺除燥，水自生矣，于栀子豉汤中加黄 。如热在下焦，阴消使气不得化者，宜益阴则阳气自化，加
黄连、黄柏是也。
〔垣〕中满分消丸（方见胀门。）
〔丹〕热水肿。
栀子（五钱） 木香（一钱） 白术（二钱半） 急流水煎服。
又方 山栀子去皮取仁，炒，槌碎，米饮汤送下。如胃脘热病在上者，带皮用。
〔《本》〕治游风攻头面，或四肢作肿块，知母汤。
知母 麻黄 黄 甘草 羌活 白术 枳壳（各一两）
上粗未。每服四钱，水一盏半，牛蒡子百粒，研碎，煎至七分，温，日三四服。觉冷，不用牛蒡子。有一达
官母，年七十，中风，手拘挛，平日止是附子之类扶养。一日，面浮肿，手背亦肿。寻常有一国医供药，诊之
是水病，欲下大戟、牵牛以导之，其家大惊忧惶，召予议之。予曰∶《素问》称面肿曰风，足胫肿曰水。此服
附子太过，正虚风生热之证，咽必噎塞，膈中不利。诚如予言，用升麻牛蒡玄参汤，继以知母汤，三日
便愈。
〔无〕复元丹 治三焦不泻，气脉塞闭，枢机不通，喘息奔急，水气盈溢，渗透经络，皮肤溢满，足胫尤甚，
两目下肿，腿腹间冷，口苦，心腹坚胀，不得正偃，偃则咳嗽，小便不通，梦中虚惊，不能安卧。
独活（炮，二两） 木香（炒） 川椒（炒，出汗） 羌活 浓朴（去皮，姜制） 陈皮 吴茱萸（炒）
桂心（各一两） 泽泻（一两半） 肉蔻（煨） 槟榔（各半两）
上为末，糊丸，如桐子大。每服五十丸，煎紫苏汤送下，不拘时。此药世传屡验。服者宜先屏去诸药，一
日三服。先服漩利如倾，次即肿消喘止。宜绝欲屏盐半年，乃不再作。
〔《本》〕治脾虚浮肿，实脾散。
大附子（一枚） 草果（二两） 甘草（一两） 干姜（二两） 大腹皮（去皮，六两） 木瓜（一个，去穣，切
片）
上，用水于沙器内煮干一半，掰开看干姜不白心为度，亦不得令水干至焦，取出焙干为末，每日午时，空
心沸汤点服。
〔《素》〕三阴结谓之水。（阴阳别论 王注云∶谓脾肺之脉俱寒结也。）下焦溢为水。（全文见诊。王注云∶
下焦为分注之所，气窒不泻则为溢水。）
阳明所谓上喘为水者，阴气下而复上，上则邪客于脏腑间，故为水也。
运气 水肿有四∶
一曰湿。经云∶太阴所至为 肿。又云∶湿胜则濡泄，甚则水闭 肿。又云∶太阴之胜，足胫 肿，饮发
于中， 肿于上。又云∶太阴司天，客胜则首面 肿，呼吸气喘，治以诸热是也。
二曰火热。经云∶诸病 肿，皆属于火。又云∶少阳司天，火气下临，肺气上从，寒热 肿。又云∶少阳
司天，火淫所胜，民病皮肤痛，色变黄赤，传而为水，身面 肿，腹满仰息。又云∶少阳之复，渴引水浆，化
而为水，传为 肿。又云∶少阳司天，客胜，甚则 肿，治以诸寒是也。
三曰寒。经云∶寒胜则浮是也。
四曰燥。经云∶阳明所至，为浮虚是也。
〔《素》〕黄帝问曰∶少阴何以主肾？肾何以主水？岐伯对曰∶肾者至阴也，至阴者盛水也。肺者太阴也，
少阴者冬脉也。故其本在肾，其末在肺，皆积水也。帝曰∶肾何以能聚水而生病？岐伯曰∶肾者，胃之关也，
关门不利，故聚水而从其类也。上下溢于皮肤，故为 肿。附肿者，聚水而生病也。帝曰∶诸水皆生于肾乎？
岐伯曰∶肾者牝脏也，地气上者属于肾而生水液也，故曰至阴。勇而劳甚则肾汗出，肾汗出逢于风，内不得入
于脏腑，外不得越于皮肤，客于玄府，行于皮里，传为 肿，本之于肾，名曰风水。所谓玄府者，汗空也。帝
曰∶水俞五十七处者，是何主也？岐伯曰∶肾俞五十七穴，积阴之所聚也，水所从出入也。尻上五行行五者，
此肾俞，故水病下为 肿大腹，上为喘呼不得卧者，标本俱病。故肺为喘呼，肾为水肿，肺为逆不得卧分为相
输俱受者，水气之所留也。（肺肾之标本，其上下分为相输应之病而俱受者，缘此二脏乃水气之所留故也，）伏菟
上各二行行五者，此肾之街也，三阴之所交结于脚也。踝上各一行行六者，此肾脉之下行也，名曰太冲。凡五
十七穴者，皆脏之阴络，水之所客也。（水热穴论）
尻上五行行五∶
脊中一 悬枢一 命门一 腰俞一 长强一 大肠俞二 小肠俞二 膀胱俞二 中KT 内俞二
白环俞二 胃仓二 肓门二 志室二 胞肓二 秩边二 伏菟上各二行行五∶
中柱二 四满二 气穴二 大赫二 横骨二 外陵二 大巨二 水道二 归来二 气街二踝上各
一行行六∶
太冲二 复溜二 阴谷二 照海二 交信二 筑宾二
〔《灵》〕风 肤胀为五十七 ，取皮肤之血者尽取之。（四时气篇）
刺灸 水肿有五法∶
【罗天益】五皮散：治疗其他疾病痊愈后，或疟疾、痢疾之后，出现身体、面部和四肢浮肿，小便不通畅，脉象虚大。这是由于脾肺虚弱，不能运化运行各种气机，气虚无法治理调节，散漫在皮肤、肌肉纹理之间，所以导致肿胀满闷，此药都适宜服用。
大腹皮 赤茯苓皮 生姜皮 陈皮 桑白皮（炒制。各等分）
以上药材捣成粗末。每次服用五钱，加水一大盏，共同煎煮至八分满，滤去药渣，温服，不限具体时间，每天服用三次。
香苏散：治疗水气引起的虚肿，小便颜色红且排尿涩痛。
陈皮（一两，去掉白色内层） 防己 木通 紫苏叶（各半两）
以上药材研为细末。每次服用二钱，加水两盏，生姜三片，共同煎煮。
【《太平惠民和剂局方》】治疗水病全身严重浮肿，气胀不消，食欲不振。用香薷五十斤，切碎，放入锅中，加水浸泡高出药面数寸，煮至药气完全溢出，滤去药渣澄清药液，熬制成稠状后丸药，如梧桐子大小。每天服用三次，每次五丸，逐渐增加剂量，以小便通畅为限度。
【梅师】治疗水肿发作，坐卧不安，头部、面部、身体全部浮肿。取向东生长的花桑枝烧成灰，淋取汁液，用来煮赤小豆，空腹食用直到吃饱，饥饿时就吃光，不能吃米饭。
【《兵部手集方》】治疗水病，初起时危急。冬瓜不限数量随意吃，效果神奇无比。（朱丹溪说：冬瓜性急，久病和阳虚者忌用。）
【朱丹溪】十种水气。冬瓜去掉瓤，将赤豆塞入其中，蒸熟后做成丸药服用。治疗痢疾日久，津液枯竭，四肢浮肿，口干。用冬瓜，用黄土厚厚包裹五寸厚，煨熟，去掉泥土取汁饮用。（出自《录验方》）
【罗天益】白丸子：治疗遍身浮肿及单腹胀满，气喘胸闷不适，小便红涩，效果神奇。
轻粉（五分） 粉霜（炒制，四钱） 硇砂（研磨，炒制，三钱） 滑石（研磨，炒制，四钱） 寒水石（火烧后，研磨，炒制，三钱） 白丁香（研磨，过筛成末，炒制，三钱）
以上药材，先将轻粉、滑石两味药一起研磨均匀，用薄纸包裹，再用白面和成饼，再次包裹前面的药物，用桑柴火烧烤，烤熟为度，取出与前四种药物混合均匀，用水浸湿的蒸饼揉干后做成丸药，如绿豆大小。每天用姜汤送服三次，饭前服用。第一天每服二丸，第二天每服三丸，第三天每服四丸，第四天每服五丸。如果觉得小便增多，浮肿逐渐减轻，就停止服药。如果小便不多，再服一天、两天，增加到六丸作为一次服用，每天仍服三次，以消肿为见效。如果服药到第三天，感觉牙缝内痒痛，口气出来时，就用漱口药，用贯众、黄连各半两研为散剂，每次服用一钱，加水一盏，煎至七分，加入少许龙脑搅匀温服；每天煎一钱，用于漱口。如果浮肿消退，忌食盐、鱼、肉、冷硬果食，只喝粥一百天即可彻底痊愈。如果脏腑便秘，气实，先服用治肿海藻散，此药亲自救人很多，效果神奇。
海藻散（方剂见本门积气条。）
【李东垣】葶苈丸：治疗一切水湿气，全身浮肿不可忍受者。
人参（一两） 苦葶苈（四两，在锅内纸上炒至黄色为度）
以上两味药，同为细末，用枣肉和丸，如梧桐子大小。每次服用十五丸，用桑白皮汤送下，每天服用三次，空腹饭前服用，有效。
【罗天益】圣灵丹：治疗脾、肺有湿，气喘浮肿严重，小便红涩。
苦葶苈（四两，炒制） 木香 槟榔 茯苓（面粉包裹，煨制） 防风 木通 人参（以上各二钱半，可能是二两半。）
以上药材研为细末，用枣肉做成丸药，如梧桐子大小。用桑白皮汤送下。
【李东垣】赤茯苓丸：治疗脾湿太过，四肢肿满，腹胀气喘逆乱，气机不宣通，小便红涩。
葶苈（四两） 防己（二两） 赤茯苓（一两） 木香（五钱）
以上药材研为细末，枣肉丸，如梧桐子大小。每次服用三十丸，用桑白皮汤送下，饭前服用。
续随子丸：治疗遍身虚肿，气喘胸闷不适。
人参 汉防己 赤茯苓 木香 槟榔（各五钱） 苦葶苈（四两，炒制） 续随子（一两） 海金沙（五钱）
以上药材研为细末，枣肉丸，如梧桐子大小。每次服用二三十丸，用桑白皮汤送服。
【海藏】洁古方治疗水肿。
用蝼蛄去掉头尾，与葡萄心一起捣碎，露天放置七天晒干研为细末，淡酒调服。暑月湿气重时使用尤其好。（《圣惠方》：治疗水肿气喘急促不能平卧，蝼蛄五枚，研为细末，饭前用汤药调服半钱至一钱，小便通利即效。）
【张仲景】凡是水病患者，眼下像卧蚕一样浮肿，或者面目光亮润泽，脉象沉伏，其人消渴，病水腹部肿大，小便不利，脉象沉细的，体内有水邪，可以用攻下法治疗。
【世传方】治疗水肿。
薏苡仁根（君药） 木香 槟榔 黑牵牛
以上药材研为细末，酒调服，效果奇妙。
【《太平惠民和剂局方》】治疗水病浮肿。用鲤鱼一头极大的，去掉头尾及骨，只取鱼肉。用水二升，赤小豆一大升，和鱼肉一起煮取二升以上，用生布绞取汁液，滤去药渣，一次性服完。如果没喝完，分为三次服用，应当腹泻，泻尽即痊愈。
【《本草衍义》】治疗身体肿满，水气急迫，不能平卧。郁李仁一大合，捣为细末，和面做成饼子给患者吃，入口即大便通畅，气顺，病就好了。
【朱丹溪】有人患脚部皮肤浮肿，逐渐上行至膝盖，脚不能踩地，大水泛溢，头部、面部、遍身肿胀满闷。用苦瓠瓤实捻成豆子大小，用面粉包裹煮一沸，空腹服用七枚，到中午应当排出水一斗，三天水自然排出不止，身体大瘦后才痊愈。三年内必须慎戒口味。另一方治疗浮肿。取苦瓠壳，用盐涂抹壳上，烧存性研为细末，用童子尿一盏调服，痊愈。（苦瓠，必须选择没有斑点、纹理细腻洁净的，否则有毒。）
【世传方】三种散：治疗浮肿。用陈萝卜种子去掉瓤，陈蒲壳去掉瓤，乌豆一合，共同煎服，立即退肿。
【罗天益】无碍丸：治疗脾湿积流，四肢肿满。
大腹皮（二两） 木香（半两） 蓬术 京三棱 槟榔 郁李仁（各一两）
以上药材研为细末，炒麦曲糊做成丸药，如梧桐子大小，生姜汤送下。
【《本草衍义》】治疗肿满，小便不利，茯苓散。
郁李仁（四钱） 槟榔（二钱） 赤茯苓 白术 甘遂（切片，炒制。各一钱） 陈皮（一钱半）
以上药材研为细末。每次服用一钱，姜枣汤调下。
治疗十种水病的根源、证状方法：
一青水，先从左右肋部肿起，根源在肝。用大戟
二赤水，先从舌根起，根源在心。用葶苈子
三黄水，从腰腹部起，根源在脾。用甘遂（微炒）
四白水，从脚部肿起，根源在肺。用桑白皮
五黑水，从外肾（生殖器）肿起，根源在肾。用连翘
六玄水，从面部肿起，根源在外肾。用芫花（醋炒）
七风水，从四肢肿起，根源在骨。用泽泻
八石水，从肾脏肿起，根源在膀胱。用藁本
九高水，从小腹部肿起，根源在小肠。用巴豆（去皮、油）
十气水，或盛或衰，根源在腹部。用赤小豆
以上十种肿病，各有根源，种种不同。看十种病根，除一味倍多，其余九味等分，逐味根据方法修治，焙干研为细末，炼蜜丸，如梧桐子大小。用赤茯苓汤吞服三丸。不限时间，每天服用三次。忌盐一百二十天，因为盐能化水。又忌鱼虾、面食，一切毒物，以及生冷房事，效果很好。用此方获得痊愈后，再用后面的补药。
补药方
肉桂（去掉粗皮） 赤茯苓（去掉皮） 干姜 莪术（醋煮） 川芎 肉豆蔻 桔梗（各等分，根据方法制作服用。一方，无赤茯苓、莪术，有青皮、白术）
槟榔
以上药材研为细末。每次服用三钱，百沸开水冲服，空腹饭前服用。午晚各服一次。
上述两个方子，治疗水肿病非常有效。我试用过，百发百中，救助的人无数。世间所有的水病方药，没有超过这两个方子的，希望不要忽视。
【李东垣】三花神佑丸：治疗中满腹胀，一切水湿肿满。
甘遂 大戟 芫花（醋淬，湿炒。各五钱） 大黄（一两） 轻粉（一钱） 牵牛（二两）
以上药材研为细末，滴水做成丸药，如小豆大小。初服五丸，每次增加五丸，温水送下，每天服用三次，以快利为度。得利后，停止后续服药，效果神奇。
【李东垣】海金沙散：治疗脾湿太过，通身肿满，气喘不能平卧，以及腹胀如鼓。
牵牛（一两半，一半炒，一半生） 甘遂（五钱） 白术（一两） 海金沙（三钱）
以上药材研为细末。每次服用二钱，用倒流水一盏，饭前调服。得到宣利后，停止后续服药。
【罗天益】海藻散：治疗男子、妇人通身虚肿，喘满不适。
海藻 大戟 大黄 续随子（去掉壳。各一两。以上四味药，用好酒浸泡一夜，取出晒干备用） 滑石（半两）
白牵牛（头末，生用，一两） 甘遂（麸炒，一两）
白豆蔻（一个） 青皮（去掉白内层） 陈皮（去掉白内层。各半两）
以上药物放在一起，杵为细末。成人每次服用二钱，如果气实的服用三钱，清晨用冷茶清调服。到了夜里，排出下水二三行，浮肿减少七分。隔两三天，清晨再服一次，浮肿消除。忌鱼肉百余日。小儿浮肿，服用一钱，五岁以下者半钱。女人有胎者不可服用。
【《保命集》】钱乙论述虚实腹胀：实证是不因吐泻久病之后，也不因下利得之，胀而喘急闷乱，更有痰有热，以及有宿食不化的，宜用大黄丸、白饼子、紫霜丸攻下。更详细辨别大小便，如果都不通，先利小便，后利大便。虚证是久病吐泻后，其脉微细，主症是目胞腮虚肿，手足冷，宜先用塌气丸，后用异功散及和中丸、益黄散调和其气。因气而肿的，煎陈皮汤。因湿而肿的，煎防己黄芪汤调服五苓散。因热而肿的，用八正散。又一法，燥热于肺导致浮肿的，是绝水之源，应当清肺除燥，水自生矣，在栀子豉汤中加入黄芩。如果热在下焦，阴消使气不得化者，宜益阴则阳气自化，加黄连、黄柏是也。
【朱丹溪】热水肿。
栀子（五钱） 木香（一钱） 白术（二钱半） 用急流水煎服。
另一方 山栀子去皮取仁，炒制，槌碎，米饮汤送下。如果胃脘热病在上者，带皮用。
【《本草衍义》】治疗游风攻击头面，或四肢作肿块，知母汤。
知母 麻黄 黄芪 甘草 羌活 白术 枳壳（各一两）
以上药材为粗末。每次服用四钱，水一盏半，牛蒡子百粒，研碎，煎至七分，温服，每天三四次。觉得冷，不用牛蒡子。有一位达官的母亲，七十岁，中风，手部拘挛，平日只是用附子类药扶养。一天，面部浮肿，手背也肿。平常有一位国医提供药物，诊断说是水病，想用大戟、牵牛来导泄，家属大惊忧惶，召我商议。我说：《素问》称面肿曰风，足胫肿曰水。这是服用附子太过，正虚风生热之证，咽喉必噎塞，膈中不利。果然如我所言，用升麻牛蒡玄参汤，继以知母汤，三天便愈。
【王好古】复元丹：治疗三焦不泻，气脉塞闭，枢机不通，喘息奔急，水气盈溢，渗透经络，皮肤溢满，足胫尤其严重，两目下肿，腿腹间冷，口苦，心腹坚胀，不能仰卧，仰卧则咳嗽，小便不通，梦中虚惊，不能安卧。
独活（炮制，二两） 木香（炒制） 川椒（炒制，出汗） 羌活 浓朴（去皮，姜制） 陈皮 吴茱萸（炒制）
桂心（各一两） 泽泻（一两半） 肉蔻（煨制） 槟榔（各半两）
以上药材研为细末，糊丸，如梧桐子大小。每次服用五十丸，用紫苏汤送下，不限时间。此药世传屡验。服用者宜先屏去诸药，一日三服。先服后小便通利如倾，随后浮肿消退气喘停止。宜绝欲屏盐半年，不再复发。
【《本草衍义》】治疗脾虚浮肿，实脾散。
大附子（一枚） 草果（二两） 甘草（一两） 干姜（二两） 大腹皮（去皮，六两） 木瓜（一个，去掉瓤，切片）
以上药材，用水在沙器内煮干一半，掰开看干姜不白心为度，也不能让水干至焦，取出焙干研为细末，每天午时，空腹用沸水冲服。
【《素问》】三阴结谓之水。（阴阳别论 王冰注云：谓脾肺之脉俱寒结也。）下焦溢为水。（全文见诊法篇。王冰注云：下焦为分注之所，气窒不泻则为溢水。）
阳明所谓上喘为水者，阴气下而复上，上则邪客于脏腑间，故为水也。
运气学说中，水肿有四类：
一是湿。经云：太阴所至为跗肿。又云：湿胜则濡泄，甚则水闭跗肿。又云：太阴之胜，足胫跗肿，饮发于中，跗肿于上。又云：太阴司天，客胜则首面跗肿，呼吸气喘，治以诸热是也。
二是火热。经云：诸病跗肿，皆属于火。又云：少阳司天，火气下临，肺气上从，寒热跗肿。又云：少阳司天，火淫所胜，民病皮肤痛，色变黄赤，传而为水，身面跗肿，腹满仰息。又云：少阳之复，渴引水浆，化而为水，传为跗肿。又云：少阳司天，客胜，甚则跗肿，治以诸寒是也。
三是寒。经云：寒胜则浮是也。
四是燥。经云：阳明所至，为浮虚是也。
【《素问》】黄帝问曰：少阴何以主肾？肾何以主水？岐伯对曰：肾者至阴也，至阴者盛水也。肺者太阴也，少阴者冬脉也。故其本在肾，其末在肺，皆积水也。帝曰：肾何以能聚水而生病？岐伯曰：肾者，胃之关也，关门不利，故聚水而从其类也。上下溢于皮肤，故为跗肿。附肿者，聚水而生病也。帝曰：诸水皆生于肾乎？岐伯曰：肾者牝脏也，地气上者属于肾而生水液也，故曰至阴。勇而劳甚则肾汗出，肾汗出逢于风，内不得入于脏腑，外不得越于皮肤，客于玄府，行于皮里，传为跗肿，本之于肾，名曰风水。所谓玄府者，汗空也。帝曰：水俞五十七处者，是何主也？岐伯曰：肾俞五十七穴，积阴之所聚也，水所从出入也。尻上五行行五者，此肾俞，故水病下为跗肿大腹，上为喘呼不得卧者，标本俱病。故肺为喘呼，肾为水肿，肺为逆不得卧分为相输俱受者，水气之所留也。（肺肾之标本，其上下分为相输应之病而俱受者，缘此二脏乃水气之所留故也，）伏菟上各二行行五者，此肾之街也，三阴之所交结于脚也。踝上各一行行六者，此肾脉之下行也，名曰太冲。凡五十七穴者，皆脏之阴络，水之所客也。（水热穴论）
尻上五行行五：
脊中一 悬枢一 命门一 腰俞一 长强一 大肠俞二 小肠俞二 膀胱俞二 中膂内俞二
白环俞二 胃仓二 肓门二 志室二 胞肓二 秩边二 伏菟上各二行行五：
中柱二 四满二 气穴二 大赫二 横骨二 外陵二 大巨二 水道二 归来二 气街二踝上各
一行行六：
太冲二 复溜二 阴谷二 照海二 交信二 筑宾二
[ Luo Tianyi ] Wupi San (Five Peel Powder): Treats edema of the body, face, and limbs occurring after recovery from other diseases or following malaria and dysentery, accompanied by difficult urination and a deficient, large pulse. This is caused by deficiency and weakness of the Spleen and Lung, failing to transport and circulate Qi. Due to Qi deficiency and lack of regulation, Qi scatters between the skin and muscle layers, causing swelling and fullness. This formula is suitable for such cases.
Da Fu Pi (Arecae Pericarpium), Chi Fuling Pi (Poria Cocos with Red Skin), Shengjiang Pi (Zingiberis Rhizoma Cum Scama), Chenpi (Citri Reticulatae Pericarpium), Sangbaipi (Mori Cortex) (stir-fried). Equal parts.
Grind the above ingredients into coarse powder. Take 5 qian per dose, add one da zhen (large cup) of water, decoct together until reduced to 8 fen (part), remove dregs, and take warm. Time is not restricted; take three times daily.
Xiangsu San (Fragrant Perilla Powder): Treats deficiency-type edema caused by Water-Qi, with red and painful/difficult urination.
Chenpi (Citri Reticulatae Pericarpium) (1 liang, remove white pith), Fangji (Stephaniae Tetrandrae Radix), Mutong (Akebiae Caulis), Zisu Ye (Perillae Folium) (each ban liang / half liang).
Grind the above into fine powder. Take 2 qian per dose, add two zhan (cups) of water and three slices of Shengjiang (Zingiberis Rhizoma), decoct together.
[ Taiping Huimin Heji Jufang ] Treats severe generalized edema due to Water Disease, abdominal distension with Qi stagnation, and loss of appetite. Use 50 jin of Xiangru (Moslae Herba), finely chopped, place in a pot, cover with water several cun above the herbs, boil until the medicinal vapor is exhausted, filter dregs and clarify the liquid, simmer to a thick consistency, and form pills like tung tree seeds. Take three times daily, starting with five pills per dose, gradually increasing until urination becomes smooth.
[ Mei Shi ] Treats acute edema attacks where sitting or lying down is uncomfortable, with swelling of the head, face, and body. Take branches of mulberry trees growing towards the east bearing flowers, burn them to ash, leach with water to obtain juice, and use this juice to cook Chixiaodou (Adzuki Beans). Eat until full on an empty stomach; eat completely when hungry. Do not eat rice.
[ Bingbu Shoujifang ] Treats critical early-stage Water Disease. Eat Donggua (Benincasae Fructus) without limit; it has miraculous effects. (Zhu Danxi stated: Winter melon acts quickly; it is contraindicated for chronic illness and Yang deficiency.)
[ Zhu Danxi ] For ten types of Water-Qi. Remove the pulp of Donggua (Benincasae Fructus), insert Chixiaodou (Adzuki Beans) inside, steam until cooked, and form pills. Treats prolonged dysentery leading to fluid exhaustion, limb edema, and dry mouth. Alternatively, wrap a Donggua (Benincasae Fructus) thickly in yellow soil (five cun thick), bake/cook until done, remove soil, and drink the juice. (From Luyuan Fang)
[ Luo Tianyi ] Bai Wanzi (White Pills): Treats generalized edema and isolated abdominal distension, with shortness of breath and chest oppression, red and difficult urination. Miraculous effect.
Qingfen (Calomelas), Fenshuang (Sublimated Arsenic Oxide) (stir-fried, 4 qian), Naosha (Sal Ammoniac) (ground, stir-fried, 3 qian), Huashi (Talcum) (ground, stir-fried, 4 qian), Hanshuishi (Calcitum) (burned, ground, stir-fried, 3 qian), Baodingxiang (Styrax) (ground, sifted, stir-fried, 3 qian).
Take Qingfen (Calomelas) and Huashi (Talcum), grind them together uniformly, wrap in thin paper, then wrap again in dough made of wheat flour. Roast over mulberry wood fire until cooked. Remove and mix with the other four ingredients. Soak steamed dough饼 (bing) in water, knead dry, and form pills the size of mung beans. Take three doses daily with Ginger Decoction before meals. Day 1: 2 pills/dose; Day 2: 3 pills/dose; Day 3: 4 pills/dose; Day 4: 5 pills/dose. If urine increases and swelling decreases, stop taking. If urine does not increase significantly, continue for one or two more days, increasing to 6 pills/dose, still three times daily. Stop when swelling subsides. If on the third day, itching/pain occurs in the teeth gaps and bad breath appears, use a mouthwash: Guanzhong (Cyathulae Radix) and Huanglian (Coptidis Rhizoma) each ban liang, ground to powder. Take 1 qian with one zhan of water, decoct to 7 fen, add a little Longnao (Borneolum Syntheticum), mix well, and take warm. Decoct 1 qian daily for rinsing. Once swelling resolves, avoid salt, fish, meat, cold/hard fruits. Consume only congee for 100 days for permanent cure. If constipation and excess Qi occur, first take Haizao San (Seaweed Powder) for swelling. This formula has saved many people miraculously.
Haizao San (See Accumulated Qi section in this chapter).
[ Zhang Zhongjing ] Muli Zexie San (Oyster Shell and Alisma Powder): Treats edema below the waist. (Formula see Shanghan Lun).
[ Li Dongyuan ] Tingli Wan (Descurainia Seed Pills): Treats all Water-Dampness conditions with unbearable generalized edema.
Renshen (Ginseng Radix et Rhizoma) (1 liang), Ku Tingli (Semen Descurainiae) (4 liang, stir-fry on paper in a pan until yellow).
Grind both into fine powder, mix with jujube paste, and form pills the size of tung seeds. Take 15 pills per dose with Sangbaipi Tang (Morus Bark Decoction), three times daily, on an empty stomach before meals. Effective.
[ Luo Tianyi ] Shengling Dan (Holy Spirit Pill): Treats Dampness in Spleen and Lung with severe edema and shortness of breath, red and difficult urination.
Ku Tingli (Semen Descurainiae) (4 liang, stir-fried), Muxiang (Aucklandiae Radix), Binglang (Areca Seed), Fuling (Poria) (wrapped in flour, baked), Fangfeng (Saposhnikoviae Radix), Mutong (Akebiae Caulis), Renshen (Ginseng Radix et Rhizoma) (each 2.5 qian, possibly 2.5 liang).
Grind into fine powder, form pills with jujube paste the size of tung seeds. Take with Sangbaipi Tang (Morus Bark Decoction).
[ Li Dongyuan ] Chi Fuling Wan (Red Poria Pills): Treats excessive Spleen Dampness causing limb edema, abdominal distension, reverse Qi with shortness of breath, blocked Qi mechanism, and red/difficult urination.
Tingli (Semen Descurainiae) (4 liang), Fangji (Stephaniae Tetrandrae Radix) (2 liang), Chi Fuling (Poria Cocos with Red Skin) (1 liang), Muxiang (Aucklandiae Radix) (5 qian).
Grind into fine powder, form pills with jujube paste the size of tung seeds. Take 30 pills per dose with Sangbaipi Tang (Morus Bark Decoction) before meals.
Xuisui Zi Wan (Euphorbia Lathyris Pills): Treats generalized deficiency edema with shortness of breath and chest oppression.
Renshen (Ginseng Radix et Rhizoma), Han Fangji (Stephaniae Tetrandrae Radix), Chi Fuling (Poria Cocos with Red Skin), Muxiang (Aucklandiae Radix), Binglang (Areca Seed) (each 5 qian), Ku Tingli (Semen Descurainiae) (4 liang, stir-fried), Xuisui Zi (Euphorbiae Lathyridis Semen) (1 liang), Haijinsha (Lygodii Spora) (5 qian).
Grind into fine powder, form pills with jujube paste the size of tung seeds. Take 20-30 pills per dose with Sangbaipi Tang (Morus Bark Decoction) with food.
[ Hai Zang ] Jiegu's Formula for Edema.
Use Lougu (Aspidae/Toad), remove head and tail, crush together with Putao Xin (Heart of Grape), expose to dew for seven days, dry in sun, and grind to powder. Mix with light wine and take. Especially good for dampness in summer months. (Shenghui Fang: Treats edema with shortness of breath preventing lying down. Use 5 Lougu, grind to powder, take half to one qian mixed with water before meals. Effective when urination flows.)
[ Zhang Zhongjing ] In Water Disease patients, if there is edema under the eyes resembling a sleeping silkworm, or the face and eyes are bright/lustrous, pulse is deep/fixed, the patient suffers from Xiao Ke (Wasting-Thirst), abdominal distension due to water, difficult urination, and a deep-thin pulse indicating internal water retention, purgative methods may be used.
[ Worldly/Popular Formula ] Treats edema.
Yiyiren Gen (Coix Root) (Chief), Muxiang (Aucklandiae Radix), Binglang (Areca Seed), Qian Niu (Pharbitidis Semen).
Grind to powder, mix with wine and take. Excellent.
[ Taiping Huimin Heji Jufang ] Treats Water Disease edema. Take one large Carp, remove head, tail, and bones, keeping only the flesh. Boil with 2 sheng of water and 1 da sheng of Chixiaodou (Adzuki Beans) until reduced to over 2 sheng. Strain through raw cloth to extract juice, remove dregs, and drink all at once. If not finished, divide into three doses. Diarrhea should occur; recovery follows complete evacuation.
[ Bencao Yan yi ] Treats body swelling/fullness, acute Water-Qi preventing lying down. Use Yuliren (Pruni Semen) one he, grind to powder, mix with flour to make cakes. Eat immediately; causes profuse bowel movement, Qi flows smoothly, and disease resolves.
[ Zhu Danxi ] A case of foot skin edema spreading up to the knees, making walking impossible, with massive facial and whole-body swelling. Use Ku Hu Rengshi (Pulp of Bitter Gourd/Fruit) rolled into bean-sized balls, wrapped in flour, boiled for one rolling boil. Take seven balls on an empty stomach. By noon, one dou of water should be discharged. Water will continue to discharge naturally for three days until emaciation occurs and cure is achieved. Restrict diet strictly for three years. Another formula for swelling: Take Ku Hu Qiao (Shell of Bitter Fruit), rub with salt, burn until carbonized, grind to powder. Mix with one zhan of Tongbian (Child's Urine) and take. Cure. (Note: Select Ku Hu without spots, with fine texture and clean surface; otherwise, it is toxic.)
[ Worldly Formula ] Sanzhong San (Three Types Powder): Treats edema. Use old Luobo Zhong (Radish Seeds) de-pulped, old Puke (Catkin Shell) de-pulped, and Wudou (Black Soybeans) one he. Decoct and take together; swelling retreats immediately.
[ Luo Tianyi ] Wuai Wan (Obstacle-Free Pills): Treats Spleen Dampness accumulation flowing to limbs causing edema.
Da Fu Pi (Arecae Pericarpium) (2 liang), Muxiang (Aucklandiae Radix) (ban liang / half liang), Pengzhu (Curcumae Rhizoma), Jing Sanleng (Sparganii Rhizoma), Binglang (Areca Seed), Yuliren (Pruni Semen) (each 1 liang).
Grind to fine powder, use fried wheat Qu (Medicated Leaven) paste to form pills the size of tung seeds. Take with Ginger Decoction.
[ Bencao Yan yi ] Treats swelling/fullness with difficult urination, Fuling San (Poria Powder).
Yuliren (Pruni Semen) (4 qian), Binglang (Areca Seed) (2 qian), Chi Fuling (Poria Cocos with Red Skin), Baizhu (Atractylodis Macrocephalae Rhizoma), Gansui (Kansui Radix) (sliced, stir-fried, each 1 qian), Chenpi (Citri Reticulatae Pericarpium) (1.5 qian).
Grind to fine powder. Take 1 qian per dose mixed with Ginger and Jujube Decoction.
Treatment of Ten Types of Water Disease, their roots, symptoms, and methods:
1. Qing Shui (Green Water): Swelling starts from left/right ribs, root in Liver. Use Daji (Kansui Radix).
2. Chi Shui (Red Water): Starts from base of tongue, root in Heart. Use Tingli Zi (Semen Descurainiae).
3. Huang Shui (Yellow Water): Starts from waist/abdomen, root in Spleen. Use Gansui (Kansui Radix) (lightly stir-fried).
4. Bai Shui (White Water): Starts from feet, root in Lung. Use Sangbaipi (Mori Cortex).
5. Hei Shui (Black Water): Starts from external kidneys (genitals), root in Kidney. Use Lianqiao (Forsythiae Fructus).
6. Xuan Shui (Dark Water): Starts from face, root in external kidneys. Use Yuanhua (Genkwa Flos) (vinegar stir-fried).
7. Feng Shui (Wind Water): Starts from limbs, root in Bone. Use Zexie (Alismatis Rhizoma).
8. Shi Shui (Stone Water): Starts from Kidneys, root in Bladder. Use Gaoben (Ligustici Rhizoma et Radix).
9. Gao Shui (High Water): Starts from lower abdomen, root in Small Intestine. Use Badou (Crotonis Fructus) (peeled, oil removed).
10. Qi Shui (Qi Water): Fluctuates in severity, root in Abdomen. Use Chixiaodou (Adzuki Bean).
These ten types of swelling have different roots. For the formula, double the herb corresponding to the specific root cause, and use equal parts of the remaining nine. Process each according to method, bake, grind to fine powder, refine honey to form pills the size of tung seeds. Swallow three pills with Chi Fuling Tang (Red Poria Decoction). No time restriction, take three times daily. Avoid salt for 120 days because salt transforms water. Also avoid fish, shrimp, wheat/noodles, all toxic substances, cold/raw foods, and sexual activity. Very effective. After recovery using this formula, use subsequent tonifying formulas.
Tonifying Formula
Rougui (Cinnamomi Cortex) (remove rough bark), Chi Fuling (Poria Cocos with Red Skin) (remove skin), Ganjiang (Zingiberis Rhizoma), Ezhu (Curcumae Rhizoma) (boiled in vinegar), Chuanxiong (Ligustici Chuanxiong Rhizoma), Roudoukou (Myristicae Semen), Jiegeng (Platycodonis Radix) (equal parts, process and take as directed. Alternative: no Chi Fuling/Ezhu, but includes Qingpi and Baizhu).
Binglang (Areca Seed).
Grind all to fine powder. Take 3 qian per dose with boiling water, on an empty stomach before meals. One dose at noon, one at evening.
The above two formulas are extremely effective for Water Disease. I have tested them with 100% success, saving countless people. No water disease formula in the world surpasses these two. Do not neglect them.
[ Li Dongyuan ] Sanhua Shenyao Wan (Three-Flower Divine Protection Pills): Treats middle-fullness and abdominal distension, all Water-Dampness swelling.
Gansui (Kansui Radix), Daji (Kansui Radix - *Note: Text says Da Ji, likely Kansui or Euphorbia*), Yuanhua (Genkwa Flos) (quench in vinegar, wet stir-fry, each 5 qian), Dahuang (Rhei Radix et Rhizoma) (1 liang), Qingfen (Calomelas) (1 qian), Qianniu (Pharbitidis Semen) (2 liang).
Grind to powder, drop water to form pills the size of small beans. Start with 5 pills, increase by 5 pills per dose, take with warm water, three times daily. Stop when brisk purgation occurs. Effective.
[ Li Dongyuan ] Haijinsha San (Lygodii Spora Powder): Treats excessive Spleen Dampness causing generalized edema, shortness of breath preventing lying down, and drum-like abdominal distension.
Qianniu (Pharbitidis Semen) (1.5 liang, half stir-fried, half raw), Gansui (Kansui Radix) (5 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (1 liang), Haijinsha (Lygodii Spora) (3 qian).
Grind to fine powder. Take 2 qian per dose with "Dao Liu Shui" (flowing water/decoction), one zhan, mixed before meals. Stop subsequent doses after obtaining unblocking purgation.
[ Luo Tianyi ] Haizao San (Seaweed Powder): Treats generalized deficiency edema in men and women, with shortness of breath and fullness.
Haizao (Sargassum), Daji (Euphorbiae Pekinensis Radix), Dahuang (Rhei Radix et Rhizoma), Xuisui Zi (Euphorbiae Lathyridis Semen) (shelled, each 1 liang. Soak these four in good wine overnight, take out, dry in sun for use), Huashi (Talcum) (ban liang / half liang), Bai Qianniu (Pharbitidis Semen) (head powder, raw, 1 liang), Gansui (Kansui Radix) (bran stir-fried, 1 liang), Baidoukou (Amomi Fructus Rotundus) (one), Qingpi (Citri Reticulatae Pericarpium Viride) (remove white pith), Chenpi (Citri Reticulatae Pericarpium) (remove white pith, each ban liang / half liang).
Pound all ingredients together into fine powder. Adults take 2 qian per dose (3 qian if Qi is excess), mixed with cool clear tea at dawn. At night, discharge 2-3 stools of watery stool, reducing swelling by 70%. Repeat dose every 2-3 days at dawn until swelling disappears. Avoid fish/meat for over 100 days. Children take 1 qian, those under 5 years take ban qian / half qian. Contraindicated for pregnant women.
[ Baoming Ji ] Qian Yi discusses Deficiency/Excess Abdominal Distension: Excess type is not due to prolonged vomiting/diarrhea or chronic illness, nor from dysentery. Symptoms include distension with shortness of breath, restlessness, phlegm, heat, and undigested food. Use Dahuang Wan, Baibingzi, or Zishuang Wan to purge. Differentiate stool and urine; if both blocked, promote urination first, then defecation. Deficiency type occurs after prolonged vomiting/diarrhea, pulse is faint/thin, symptoms include puffiness around eyes/cheeks, cold hands/feet. First use Taqi Wan, then Yigong San, Hezhong Wan, or Yihuang San to harmonize Qi. For edema due to Qi, decoct Chenpi Tang. For edema due to Dampness, decoct Fangji Huangqi Tang and mix with Wuling San. For edema due to Heat, use Bazheng San. Another method: Edema due to Dry-Heat in Lung cuts off water source; clear Lung and remove dryness so water generates naturally. Add Huangqin (Scutellariae Radix) to Zhizi Chi Tang. If Heat is in Lower Jiao causing Yin consumption and blocking Qi transformation, benefit Yin so Yang transforms naturally; add Huanglian (Coptidis Rhizoma) and Huangbai (Phellodendri Cortex).
[ Li Dongyuan ] Zhongman Fenxiao Wan (Middle Fullness Dispersing Pill) (See Abdominal Distension Section).
[ Zhu Danxi ] Hot Water Edema.
Zhizi (Gardeniae Fructus) (5 qian), Muxiang (Aucklandiae Radix) (1 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (2.5 qian). Decoct with fast-flowing water and take.
Another Formula: Remove skin from Zhizi, take kernel, stir-fry, crush. Take with Rice Drink. If Stomach Heat is upper, use with skin.
[ Bencao Yan yi ] Treats You Feng (Wandering Wind) attacking head/face or forming lumps in limbs, Zhimu Tang (Anemarrhenae Decoction).
Zhimu (Anemarrhenae Rhizoma), Mahuang (Ephedrae Herba), Huangqi (Astragali Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Zhike (Aurantii Fructus) (each 1 liang).
Grind to coarse powder. Take 4 qian per dose, add 1.5 zhan of water and 100 crushed Niubangzi (Arctii Fructus), decoct to 7 fen, take warm, 3-4 times daily. If feeling cold, omit Niubangzi. Case: Mother of an official, age 70, stroke with hand spasm, usually nourished with Fuzi (Aconiti Lateralis Radix Praeparata). One day, face and back of hands swelled. A court physician diagnosed Water Disease and wanted to use Daji and Qianniu to drain. Family panicked. I consulted. I said: Suwen states "Face swelling is Wind, leg swelling is Water." Excessive Fuzi usage caused deficiency, Wind generation, and Heat. Throat would feel blocked, chest uncomfortable. As predicted, use Shengma Niuxuan Tang (Cimicifugae, Aurantii, Scrophulariae Decoction), followed by Zhimu Tang. Cured in three days.
[ Wang Haogu ] Fuyuan Dan (Restoring Origin Pill): Treats San Jiao failure to drain, Qi/Vessel blockage, pivot obstruction, panting urgency, overflowing Water-Qi penetrating collaterals, skin fullness, severe leg/calf swelling, suborbital edema, cold legs/abdomen, bitter taste, hard/distended heart/abdomen, inability to lie flat (coughing if supine), urinary retention, dream-disturbance, insomnia.
Duhuo (Angelicae Pubescentis Radix) (processed, 2 liang), Muxiang (Aucklandiae Radix) (stir-fried), Chuanjiao (Zanthoxyli Pericarpium) (stir-fried to sweat), Qianghuo (Notopterygii Rhizoma et Radix), Houpo (Magnoliae Officinalis Cortex) (peeled, ginger processed), Chenpi (Citri Reticulatae Pericarpium), Wuzhuyu (Evodiae Fructus) (stir-fried), Guixin (Cinnamomi Ramulus) (each 1 liang), Zexie (Alismatis Rhizoma) (1.5 liang), Roukou (Myristicae Semen) (baked), Binglang (Areca Seed) (each ban liang / half liang).
Grind to powder, paste to form pills the size of tung seeds. Take 50 pills per dose with Zisu Tang (Perillae Decoction), no time restriction. Proven effective through generations. Patients should stop other medicines. Take three times daily. Initial effect is profuse urination, followed by swelling reduction and asthma cessation. Abstain from sex and salt for half a year to prevent recurrence.
[ Bencao Yan yi ] Treats Spleen Deficiency Edema, Shipi San (Solidify Spleen Powder).
Da Fuzi (Aconiti Lateralis Radix Praeparata) (one piece), Caoguo (Tsaoko Fructus) (2 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (1 liang), Ganjiang (Zingiberis Rhizoma) (2 liang), Da Fu Pi (Arecae Pericarpium) (peeled, 6 liang), Mugua (Chaenomelis Fructus) (one, de-pulped, sliced).
Boil in clay pot with water until half evaporated. Break open to check that Ganjiang (Zingiberis Rhizoma) is not white in center. Do not let water dry to burning point. Take out, bake dry, grind to powder. Take at noon daily on empty stomach with boiling water.
[ Suwen ] "San Yin Jie" is called Water. (Wang Bing note: Refers to Cold knotting of Spleen and Lung meridians.) "Lower Jiao overflow becomes Water." (Full text in Diagnosis. Wang Bing note: Lower Jiao is distribution site; Qi stagnation without drainage leads to overflow water.)
Yangming described as "Upper panting indicates Water": Yin Qi descends then ascends; ascending, pathogen lodges between Zang-Fu, thus creating Water.
In Yunqi (Climate/Qi Movement) theory, Edema has four types:
1. Dampness. Classic: "Taiyin arrival causes Fu Edema (swelling)." Also: "Excess Dampness causes loose diarrhea, severe cases water closure and Fu Edema." Also: "Taiyin victory, foot/shank Fu Edema, fluid emission internally, Fu Edema externally." Also: "Taiyin ruling Heaven, guest excess causes head/face Fu Edema, breathing panting, treat with hot natured herbs."
2. Fire/Heat. Classic: "All Fu Edema belong to Fire." Also: "Shaoyang ruling Heaven, Fire Qi descends, Lung Qi follows, Cold/Hot Fu Edema." Also: "Shaoyang ruling Heaven, Fire excess causes skin pain, yellow/red complexion, transmitting to Water, body/face Fu Edema, abdominal fullness,仰息 (breathing with raised torso)." Also: "Shaoyang relapse, thirst drinking fluids, transforming to Water, transmitting to Fu Edema." Also: "Shaoyang ruling Heaven, guest excess, severe Fu Edema, treat with cold natured herbs."
3. Cold. Classic: "Cold excess causes floating/swelling."
4. Dryness. Classic: "Yangming arrival causes floating emptiness."
[ Suwen ] Yellow Emperor asked: Why does Shaoyin govern Kidney? Why does Kidney govern Water? Qibo replied: Kidney is Supreme Yin, Supreme Yin stores abundant Water. Lung is Taiyin, Shaoyin is Winter Pulse. Thus, root is Kidney, branch is Lung; both accumulate Water. Emperor asked: How can Kidney gather Water to cause disease? Qibo said: Kidney is the Gate of Stomach. If gate fails, Water gathers following its kind. Overflowing up/down into skin causes Fu Edema. Fu Edema is disease from gathered Water. Emperor asked: Do all Waters originate from Kidney? Qibo said: Kidney is Yin Organ. Earth Qi rising belongs to Kidney generating Water fluids, hence Supreme Yin. Vigorous exertion leads to Kidney Sweat. If Kidney Sweat meets Wind, cannot enter Zang-Fu internally, cannot exit Skin externally, lodges in Xuancu (sweat pores), travels in skin layers, transmits to Fu Edema. Rooted in Kidney, named Feng Shui (Wind Water). Xuancu refers to sweat pores. Emperor asked: What is the function of the 57 Water Acupoints? Qibo said: These 57 Shu points are gathering of accumulated Yin, entry/exit of Water. Five rows of five on the sacrum are Kidney Shu. Thus Water Disease presents as lower Fu Edema and abdominal distension, upper panting and inability to lie down; both root and branch diseased. Lung causes panting, Kidney causes Edema. When Lung rebellion prevents lying down and they mutually transmit, it is Water Qi retention. (Root/Branch of Lung/Kidney, upper/lower mutual transmission affected together because these two organs retain Water Qi.) Two rows of five above Futu (Quadriceps) are Street of Kidney, intersection of Three Yin at foot. One row of six above ankle is descending Kidney Meridian, named Taichong. All 57 points are Yin collaterals of Zang, residence of Water. (Shuire Xuelun Chapter)
Sacrum Five Rows of Five:
Jizhong x1, Xianshu x1, Mingmen x1, Yaoshu x1, Changqiang x1, Dachangshu x2, Xiaochangshu x2, Pangguangshu x2, Zhonglunei Shu x2, Baihuanxu x2, Weicang x2, Huangmen x2, Zhishi x2, Baohuang x2, Zhibian x2.
Two Rows of Five above Futu:
Zhongzhu x2, Siman x2, Qixue x2, Dahe x2, Henggu x2, Wailing x2, Daju x2, Shuidao x2, Guilai x2, Qijie x2.
One Row of Six above Ankle:
Taichong x2, Fuli u2, Yingu x2, Zhaohai x2, Jiaoxin x2, Zubin x2.
[ Lingshu ] Wind Fu Zhang (Skin Distension) involves fifty-seven [points], take all blood from skin. (Six Times Qi Chapter)
Acupuncture/Moxibustion methods for Edema have five techniques: