〔云〕防己汤 治妊娠脾虚，遍身浮肿，心腹胀满喘促，小便不利。
防己（七钱半） 桑白皮 赤茯苓 紫苏（茎叶。各一两） 木香（二钱半）
上为粗末。每服四钱，姜四片，水同煎，食前服。
葶苈散 治妊娠遍身洪肿。
葶苈子（一两） 白术（五两） 茯苓 桑白皮 郁李仁（各二两）
上为粗末，水六升，煎取二升，分三服，小便利即瘥。
又方
泽泻 葶苈（各二两） 茯苓 枳壳 白术（各六两）
上细切，以水六升，煮取二升半，分温二服。
〔子和〕治妊娠从脚上至腹肿，小便不利，微渴。猪苓五两末，以熟水服方寸匕，日三服。
〔丹〕子肿多湿。用山栀一撮，米饮吞下。
〔丹〕产后肿，必用大补气血为主，少佐以苍术、茯苓，使水自利。
〔《大》〕大调经散 治产后肿满，喘急烦渴，小便不利。
大豆（一两半，炒，去皮） 茯神（一两） 真琥珀（一钱）
上为细末，浓煎，乌豆、紫苏汤调下。
产后四肢浮肿者，败血循经，流入四肢，淫留日深，腐烂如水，故令四肢肿，面黄。宜服小调经散，
血行肿消则愈。
没药 琥珀 桂心 芍药 当归（各一钱） 细辛 麝香（各五分）
上为细末。每服半钱，姜汁酒各少许，调停服。
〔丹〕妇人产后浮肿，小便少，口渴，恶寒无力，脉皆沉，此体虚而有湿热之积，必上焦满闷，宜补中导
水行气可也。
白术（二两半） 陈皮（一两） 川芎（半两） 木通（六钱） 茯苓（三钱）
下与点丸二十五丸。
〔《大》〕夺魂散 治产后虚肿喘促，利小便则愈。
生姜（三两，取汁） 白面（三两） 半夏（七个）
上以生姜汁搜面裹半夏为七饼子，煨焦熟为末，水调一盏，小便利为效。
〔洁〕如产后风寒在表，面目四肢浮肿，宜《局方》中七圣丸，白汤下，日加，以利为度。（七圣丸方见痔。）如
浮肿至膝，喘嗽，加木香、槟榔倍之，谓气多也。如浮肿，又头痛昏冒，加羌活、川芎，谓风多也。如只浮肿，
止七圣丸本方服之。
〔垣〕中满分消丸（方见胀门热条，用四物汤吞之。）
〔杜〕张宣徽侍宠，产后半月，忽患浮肿。急召产科医治，经半月不瘥，病势转剧，召杜治之。杜至曰∶
诸医作何病？张曰∶皆云水气浮肿。杜曰∶非也。且水气发咳嗽，小便涩是也。今爱宠小便不涩，不作咳嗽，
惟手足寒。乃血藏虚，气塞不通流，面生浮肿。遂用益血和气药治之。旬日病去七八，经半月全愈。所用之药，
乃《灵苑方》牡丹散也。其方云治血藏风虚冷。今产科家多用此药治产后诸病如神，更名曰损金汤者是也。
牡丹散（方见产后血晕门。）
〔《大》〕加减吴茱萸汤 治妇人血藏虚，宿挟风冷，身面虚浮等疾。
吴茱萸（一两半） 桔梗 干姜 甘草 麦门冬 防风 半夏 细辛 当归 赤茯苓 牡丹皮
桂心（各半两）
上为粗未。每服四钱，水一盏半，煎至七分，去渣，食前热服。
〔丹〕产后风肿水肿。泽兰、防己等分，温酒调下二钱。如不能饮者，醋调下亦可。（成氏方。）
【云岐子】防己汤：治疗妊娠期间脾虚，全身浮肿，心腹部胀满且气喘急促，小便不通利。
药材：防己（七钱半）、桑白皮、赤茯苓、紫苏（茎和叶，各一两）、木香（二钱半）。
制法与用法：将上述药材捣成粗末。每次服用四钱，加入生姜四片，加水同煎，饭前服用。
葶苈散：治疗妊娠期间全身严重浮肿。
药材：葶苈子（一两）、白术（五两）、茯苓、桑白皮、郁李仁（各二两）。
制法与用法：将上述药材捣成粗末，用水六升，煎煮至剩余二升，分三次服用，待小便通利后病即痊愈。
又一方：
药材：泽泻、葶苈（各二两）、茯苓、枳壳、白术（各六两）。
制法与用法：将上述药材细细切碎，用水六升，煮至剩余二升半，分两次温服。
【张子和】治疗妊娠从脚部向上蔓延至腹部的浮肿，小便不利，轻微口渴。用猪苓五两研成粉末，用熟水送服方寸匕大小的药量，每日服用三次。
【朱丹溪】产后浮肿，必须以大补气血为主，少量佐以苍术、茯苓，使水湿自然排出。
【《妇人大全良方》】大调经散：治疗产后肿胀满闷，气喘急促，心烦口渴，小便不利。
药材：大豆（一两半，炒制，去皮）、茯神（一两）、真琥珀（一钱）。
制法与用法：将上述药材研成细末，浓煎乌豆和紫苏汤，用药汤调服药粉。
产后四肢浮肿者，是因为败血沿着经络流入四肢，滞留日久深入，腐烂如水，导致四肢浮肿，面色发黄。适宜服用小调经散，血液运行通畅则浮肿消退而痊愈。
药材：没药、琥珀、桂心、芍药、当归（各一钱）、细辛、麝香（各五分）。
制法与用法：将上述药材研成细末。每次服用半钱，加入少许姜汁和酒，调和后服用。
【朱丹溪】妇人产后出现浮肿，小便量少，口渴，怕冷无力，脉象均沉，这是体质虚弱且有湿热积聚所致，必然伴有上焦满闷，应当采用补中气、导水利、行气的方法治疗。
药材：白术（二两半）、陈皮（一两）、川芎（半两）、木通（六钱）、茯苓（三钱）。
用法：随后给予点丸二十五丸。
【《妇人大全良方》】夺魂散：治疗产后虚性浮肿伴气喘急促，小便通利后痊愈。
药材：生姜（三两，取汁）、白面（三两）、半夏（七个）。
制法与用法：用生姜汁调和面粉包裹半夏，做成七个饼子，煨烤至焦熟后研成粉末，用水调服一盏，以小便利为见效标准。
【李东垣】如果产后风寒在表，导致面目四肢浮肿，适宜服用《局方》中的七圣丸，用白开水送服，剂量逐渐增加，以利为度。（七圣丸的方剂见痔疮门。）如果浮肿延伸至膝盖，伴有气喘咳嗽，加倍使用木香、槟榔，这是因为气滞较多。如果仅有浮肿，又伴有头痛昏晕，加用羌活、川芎，这是因为风邪较多。如果只是单纯浮肿，只服用七圣丸原方即可。
【杜清碧】张宣徽的宠妾，产后半个月，突然患上浮肿。急忙召请产科医生医治，经过半个月未愈，病情加重，于是召请杜清碧诊治。杜清碧到达后问：“其他医生诊断为何病？”张宣徽说：“都说是水气浮肿。”杜清碧说：“不对。通常水气病会引发咳嗽，小便涩痛。现在您的宠妾小便不涩，也不咳嗽，只有手脚寒冷。这是血海空虚，气机堵塞不通流，面部产生浮肿。”于是使用益血和气的药物进行治疗。十天后病去七八，半个月后完全痊愈。所使用的药物，乃是《灵苑方》中的牡丹散。该方记载治疗血海风虚冷。如今产科医生多用此药治疗产后各种疾病，效果如神，改名为损金汤。
牡丹散（方剂见产后血晕门。）
【《妇人大全良方》】加减吴茱萸汤：治疗妇人血海虚弱，宿有风冷夹杂，身体面部虚浮等疾病。
药材：吴茱萸（一两半）、桔梗、干姜、甘草、麦门冬、防风、半夏、细辛、当归、赤茯苓、牡丹皮、桂心（各半两）。
制法与用法：将上述药材捣成粗末。每次服用四钱，用水一盏半，煎至七分，去渣，饭前热服。
[Yun Qizi] Fangji Tang: Treats spleen deficiency during pregnancy, characterized by generalized edema, abdominal distension and fullness with panting, and difficult urination.
Ingredients: Pheretima (Fangji) (7.5 qian), Mulberry Root Bark (Sangbaipi), Red Poria (Chifuling), Perilla (Zisu) (stem and leaves, 1 liang each), Costus Root (Muxiang) (2.5 qian).
Preparation and Administration: Grind the above ingredients into a coarse powder. Take 4 qian per dose, add four slices of ginger, decoct in water, and take before meals.
Tingli San: Treats severe generalized edema during pregnancy.
Ingredients: Lepidium Seed (Tinglizi) (1 liang), Atractylodes Macrocephala Rhizome (Baizhu) (5 liang), Poria (Fuling), Mulberry Root Bark (Sangbaipi), Prunus Seed (Yuliren) (2 liang each).
Preparation and Administration: Grind the above ingredients into a coarse powder. Decoct in 6 sheng of water until 2 sheng remains, divide into three doses. The condition resolves when urination becomes free.
Another Prescription:
Ingredients: Alisma Rhizome (Zexie), Lepidium Seed (Tingli) (2 liang each), Poria (Fuling), Bitter Orange (Zhike), Atractylodes Macrocephala Rhizome (Baizhu) (6 liang each).
Preparation and Administration: Finely chop the above ingredients. Decoct in 6 sheng of water until 2.5 sheng remains, divide into two warm doses.
[Zhang Hezi] Treats pregnancy-induced edema spreading from the feet to the abdomen, difficult urination, and slight thirst. Use 5 liang of Polyporus (Zhuling) ground into powder, taken as a "fangcunbi" (a square-inch measure) dose with cooked water, three times daily.
[Zhu Danxi] Submolar edema (Zizhong) is mostly due to dampness. Use Gardenia Fruit (Shanzhi), one handful, swallowed with rice water.
[Zhu Danxi] Postpartum edema must be treated primarily by greatly tonifying Qi and Blood, with small adjunctive doses of Atractylodes Lancea Rhizome (Cangzhu) and Poria (Fuling), to allow natural diuresis.
*[Da Quan Liang Fang]* Da Tiaojing San: Treats postpartum swelling and fullness, panting, irritability, thirst, and difficult urination.
Ingredients: Soybean (Dadou) (1.5 liang, stir-fried, skin removed), Spirit Poria (Fushen) (1 liang), Real Amber (Zhen Hupo) (1 qian).
Preparation and Administration: Grind into a fine powder. Decoct black soybeans and Perilla (Zisu) strongly; mix the powder with this decoction for administration.
In cases of postpartum edema of the four limbs, it is caused by failed blood flowing along the meridians into the limbs, stagnating deeply over time, rotting like water, thus causing limb edema and yellow complexion. It is suitable to administer Xiao Tiaojing San; once blood circulation resumes, the edema subsides and the patient recovers.
Ingredients: Myrrh (Moyao), Amber (Hupo), Cinnamon Heart (Guixin), Peony Root (Shaoyao), Angelica Sinensis Radix (Danggui) (1 qian each), Asarum (Xixin), Musk (Shexiang) (0.5 qian each).
Preparation and Administration: Grind into a fine powder. Take 0.5 qian per dose, mixed with a little ginger juice and wine.
[Zhu Danxi] In women with postpartum edema, scanty urine, thirst, aversion to cold, weakness, and deep pulses, this indicates constitutional deficiency with accumulation of damp-heat, inevitably accompanied by upper jiao stuffiness. Treatment should involve tonifying the middle, guiding out water, and moving Qi.
Ingredients: Atractylodes Macrocephala Rhizome (Baizhu) (2.5 liang), Tangerine Peel (Chenpi) (1 liang), Ligusticum Chuanxiong Rhizome (Chuanxiong) (0.5 liang), Akebia Stem (Mutong) (6 qian), Poria (Fuling) (3 qian).
Administration: Followed by administering 25 pills of Dian Wan.
*[Da Quan Liang Fang]* Duohun San: Treats postpartum vacuity-type edema with panting; recovery occurs when urination becomes free.
Ingredients: Fresh Ginger (Shengjiang) (3 liang, juice extracted), Wheat Flour (Baimian) (3 liang), Pinellia Tuber (Banxia) (7 pieces).
Preparation and Administration: Knead the flour with fresh ginger juice to wrap the Pinellia, forming seven cakes. Roast until charred and cooked, then grind into powder. Mix with water to drink one cup; effectiveness is indicated by free urination.
[Li Dongyuan] If postpartum wind-cold is on the exterior, causing edema of the face, eyes, and four limbs, use Qisheng Wan from *Ju Fang*, taken with plain warm water. Increase dosage gradually until bowel movement or diuresis occurs. (See Qisheng Wan formula under Hemorrhoids section.) If edema extends to the knees with panting and cough, double the dose of Costus Root (Muxiang) and Areca Seed (Binglang), indicating excessive Qi stagnation. If there is only edema accompanied by headache and dizziness, add Notopterygium Rhizome (Qianghuo) and Ligusticum Chuanxiong Rhizome (Chuanxiong), indicating excessive Wind. If there is only simple edema, take the original Qisheng Wan formula alone.
[Li Dongyuan] Zhongman Fenxiao Wan (Formula seen under Distention/Fullness section, Heat category; swallow with Siwu Tang.)
[Du Qingbi] The favored concubine of Marshal Zhang Xuanhui suffered sudden edema half a month after childbirth. Obstetricians were summoned urgently but failed to cure her after half a month; the condition worsened, so Du Qingbi was summoned. Upon arrival, Du asked, "What diagnosis did other physicians make?" Zhang replied, "All said it was Water-Qi edema." Du said, "Incorrect. Typically, Water-Qi disease causes coughing and painful/difficult urination. Now your concubine has no difficulty urinating and no cough, only cold hands and feet. This is emptiness of the Blood Sea (Uterus) with blocked Qi flow, causing facial edema." He then treated her with herbs that nourish blood and harmonize Qi. After ten days, the illness had receded by seventy to eighty percent; after half a month, she fully recovered. The medicine used was Mudan San from *Ling Yuan Fang*. That prescription states it treats Wind-Cold Vacuity Cold of the Blood Sea. Currently, obstetricians often use this herb to treat various postpartum conditions with miraculous effect, renaming it Sunjin Tang.
Mudan San (Formula seen under Postpartum Blood Fainting section.)
*[Da Quan Liang Fang]* Jiajian Wuzhuyu Tang: Treats gynecological conditions such as Blood Sea (Uterus) deficiency, chronic Wind-Cold retention, and vacuity-type floating edema of the body and face.
Ingredients: Evodia Fruit (Wuzhuyu) (1.5 liang), Platycodon Root (Jiegeng), Dried Ginger (Ganjiang), Licorice Root (Gancao), Ophiopogon Tuber (Mendong), Saposhnikovia Root (Fangfeng), Pinellia Tuber (Banxia), Asarum (Xixin), Angelica Sinensis Radix (Danggui), Red Poria (Chifuling), Moutan Cortex (Mudanpi), Cinnamon Heart (Guixin) (0.5 liang each).
Preparation and Administration: Grind into a coarse powder. Take 4 qian per dose, decoct in 1.5 cups of water until 0.7 cups remain, strain, and take hot before meals.
[Zhu Danxi] Postpartum Wind-Edema and Water-Edema. Equal parts of Lycopodium Herb (Zelan) and Pheretima (Fangji), mixed with warm wine and taken as 2 qian. If alcohol cannot be consumed, mixing with vinegar is also acceptable. (From Cheng Shi's Formula.)