滑石二分 乱发（烧）三分 白鱼二分
右三味，杵为散，饮服半钱匕，日三服。
茯苓半筋 白术二两 戎盐弹丸大一枚
右三味，以水五升，煮取三升，分温三服。
@@@
淋之为病，小便如粟状，少腹弦急，痛引脐中。
【注】
小便不利及淋病，皆或有少腹弦急，痛引脐中之证。然小便不利者，水道涩少而不痛
，淋则溲数水道涩少而痛，有不同也。小便溺出状如粟米者，即今之所谓石淋也。
@@@
淋家不可发汗，发汗必便血。
【注】
淋家，湿热蓄于膀胱之病也。若发其汗，湿从汗去，热则独留，水府告匮，热迫阴血
从小便出，即今之所谓血淋也。
【集注】
高世栻曰：淋家之膀胱津液先虚，故不可发汗，若发汗更夺其津液，则膀胱气竭，胞
中并虚，故必便血，便血溺血也。
@@@
少阴脉紧而沉，紧则为痛，沉则为水，小便即难，脉得诸沉者，当责有水，身体肿重
。
【按】
脉得诸沉者一条，乃始论水气病之脉，当列于篇首。但古本脉得诸沉之上，有「少阴
脉紧而沉……」四句，文义不属，并有脱简，不释。
【注】
欬喘而不肿胀，谓之痰饮：肿重而不欬喘，谓之水气。沉脉得于诸部，身体不肿重者
，当责为气也；肿重者当责有水也。以水蓄于里，故脉沉；水溢于表，故肿重也。
@@@
水病脉出者，死。
【注】
水病肉肿，脉当不见，今脉出者，是气外散也，故死。
【集注】
沈明宗曰：脉得诸沉，沉为气郁，不行于表，则络脉虚，虚即水泛皮肤肌肉，故身体
肿重，当责有水。但沉为正水，而正水乃阴盛阳郁，脉必沉极，若陡见浮起，是真气
离根之象，故曰：水病脉出者死。若风、皮二水脉浮洪，不在此例。
@@@
问曰：病下利后，渴饮水，小便不利，腹满阴肿者，何也？答曰：此法当病水，若小
便自利及汗出者，自当愈。
【注】
病下利则虚，其土伤其津也，土虚则水易妄行，津伤则必欲饮水。若小便自利及汗出
者，则水精输布，何水病之有？惟小便不利，则水无所从出，故必病水。病水者脾必
虚，不能制水，故腹满也；肾必虚，不能主水，故阴肿也。于此推之，凡病后伤津，
渴欲饮水，小便不利者，皆当防病水也。
【集注】
程林曰：病下利，则脾土衰而津液竭，故渴引饮；而土又不能制水，故小便不利，脾
恶湿，故腹满；肾主水，故阴肿，此为病水无疑。若小便利则水行，汗出则水散，虽
不药而亦自愈矣。
@@@
夫水病人，目下有卧蚕，而目鲜泽，脉伏，其人消渴。病水腹大，小便不利，其脉沉
绝者，有水，可下之。
【按】
其人消渴之下，古本有「病水腹大，小便不利，其脉沉绝者，有水可下之」四句，与
上文义不属，当另分为一条，在本门五条之次，始合里水脉证。
【注】
目下窠，太阴也。目下微肿，水也。惟土不能制水，则水泛溢为病，故水始病必先见
微肿于目下也。有卧蚕状，水病证也，面目鲜泽，水病色也；沉甚脉伏，水病脉也；
消渴引饮，水病因也，此皆水病先见之征也。
【集注】
赵良曰：『内经』：色泽者，病溢饮，溢饮者，渴而多饮，溢于肠胃之外，又曰：水
阴也，目下亦阴也，腹者至阴之所居也，故水在腹，便目下肿也。『灵枢』曰：水始
起也，目下微肿如蚕，如新卧起之状，其人初由水谷不化津液，以成消渴，必多饮，
多饮则水积，水积则气道不宣，故脉伏矣。
沈明宗曰：水外走则泛溢于皮肤肌肉，内逆则浸淫于脏腑肠胃，相随胃脉上注于面，
目下如卧蚕之状；水主明亮而光润，故面鲜泽，为水病之验也。然水病因阳微阴盛，
经隧不利，所以脉伏，而胃中津液水饮，外溢皮肤肌肉，不溉喉舌，故作消渴，诚非
真消渴也。
@@@
师曰：诸有水者，腰以下肿，当利小便；腰以上肿，当发汗乃愈。
【注】
诸有水者，谓诸水病也。治诸水之病，当知表里上下分消之法。腰以上肿者水在外，
当发其汗乃愈，越婢、青龙等汤证也；腰以下肿者水在下，当利小便乃愈，五苓、猪
苓等汤证也。
【集注】
赵良曰：身半以上，天之分，阳也；身半以下，地之分，阴也。而身之腠理行天分之
阳，小便通地分之阴。故水停于天者，开腠理而水从汗散；水停于地者，决其出关而
水自出矣。即『内经』开鬼门、洁净府法也。
尤怡曰：发汗利小便，因其势而利导之也。
@@@
病水腹大，小便不利，其脉沉绝者，有水，可下之。
【注】
上条为水之在外、在下者立法也。若水在里者，非其治矣。腹者至阴脾也，故病水必
腹大也。水蓄于内，故小便不利也。其脉沉绝，即伏脉也。脉伏腹大，小便不利，里
水已成，故可下之。十枣、神佑之类，酌而用之可也。
【集注】
程林曰：腹大者，为水在里，小便不利者，为水不行，是以脉必沉伏也，故宜下之以
利其水。
@@@
里水者，一身面目黄肿，其脉沉，小便不利，故令病水；假如小便自利，此亡津液，
故令渴也，越婢加术汤主之。
【按】
「越婢加术汤主之」七字，当在后「太阳病，脉浮而紧条，发汗即愈」之下，文义始
属，必是错简。在此观其里有水之文，自可知非越婢加术汤发表之药所能治矣。
【注】
此承上条言里水未实，不可下、不可利之义也。里水者，谓里有水也。一身面目黄肿
，有水之证也；脉沉，有水之脉也。虽有是证脉，犹必渴而小便不利腹大者，始为里
有水也。设不腹大满急，此里水未实，不可下也。若小便自利，此亡津液作渴，非里
有水作渴，亦不可利小便也。
【集注】
尤怡曰：里水，水从里积，与风水不同，故其脉不浮而沉，而盛于内者，必溢于外，
故一身面目悉黄肿也。水病小盒饭不利，今反自利，则津液消亡，水病已，而渴病起
矣。
蒲灰七分，滑石三分。
以上两味药，捣碎研成散剂，用米汤送服一方寸匕，每日服用三次。
滑石二分，乱发（烧焦）三分，白鱼二分。
以上三味药，捣碎研成散剂，用米汤送服半钱匕，每日服用三次。
茯苓半筋，白术二两，戎盐如弹丸大一枚。
以上三味药，加水五升，煮取三升药液，分三次温服。
@@@
淋病这种病症，小便排出物像粟米状，小腹部拘急紧绷，疼痛牵引至脐中。
【注】
小便不利和淋病，都可能出现小腹部拘急紧绷、疼痛牵引至脐中的症状。然而，小便不利的患者，水道涩滞且尿量少但不痛；而淋病患者则尿频、尿道涩滞且疼痛，二者有所不同。小便排出物形状像粟米的，就是现在所说的石淋。
@@@
患有淋病的人不可使用发汗法治疗，如果误用发汗法，必然导致尿血。
【注】
淋家，是指湿热蓄积在膀胱的病患。如果使用发汗法，湿气随汗液排出，但热邪独自留存，导致肾与膀胱津液枯竭，热邪逼迫阴血从小便排出，这就是现在所说的血淋。
【集注】
高世栻说：淋家的膀胱津液原本就虚弱，所以不可发汗，如果发汗会进一步耗夺其津液，导致膀胱气竭，胞中也变得空虚，所以必然出现尿血，即便血和溺血。
@@@
少阴脉紧而沉，紧主痛，沉主水，小便就会困难。脉象呈现各种沉象的，应当责问体内有水，身体会出现浮肿沉重。
【按】
“脉得诸沉者”这一条，是论述水气病脉象的开始，应当列在篇首。但古本在“脉得诸沉者”之上，有“少阴脉紧而沉……”这四句，文义不连贯，且有脱简，不予解释。
【注】
咳嗽气喘而不肿胀的，称为痰饮；浮肿沉重而不咳嗽气喘的，称为水气。如果在各部脉象中都见到沉脉，但身体不浮肿沉重的，应当责问为气滞；如果身体浮肿沉重的，应当责问为有水。因为水蓄积在体内，所以脉象沉；水溢出于体表，所以身体浮肿沉重。
@@@
水病患者，脉象浮大无根而出露于外的，预后不良，主死。
【注】
水病患者肌肉浮肿，脉象应当隐伏不见，现在脉象反而显露出来，这是正气外散的征象，所以主死。
【集注】
沈明宗说：脉象呈现各种沉象，沉主气郁，气不行于体表，则络脉空虚，空虚则水泛溢于皮肤肌肉，所以身体浮肿沉重，应当责问为有水。但这里的沉是正水之脉，正水是阴盛阳郁，脉象必定沉极，如果突然见到脉象浮起，这是真气离根的征象，所以说：水病患者脉象浮出者死。如果是风水、皮水两种水病，脉象浮洪，不在此例。
@@@
问：病后下利，口渴想喝水，小便不利，腹部胀满，阴部浮肿，这是什么原因？答：这应当是患水病，如果小便自然通利以及出汗的，自然会痊愈。
【注】
患病下利会导致虚损，损伤脾土和津液。脾土虚弱则水湿容易妄行，津液受伤则必然想要饮水。如果小便自然通利以及出汗，那么水精得以输布，哪里会有水病呢？只有当小便不利时，水没有出路，所以必然患水病。患水病的人脾必虚，不能制约水湿，所以腹部胀满；肾必虚，不能主司水液，所以阴部浮肿。由此推断，凡是病后伤津，口渴想喝水，小便不利的，都应当预防发生水病。
【集注】
程林说：患病下利，则脾土衰弱而津液枯竭，所以口渴引饮；而脾土又不能制约水湿，所以小便不利。脾恶湿，所以腹部胀满；肾主水，所以阴部浮肿，这无疑是水病。如果小便通利则水能运行，出汗则水能散发，即使不吃药也会自愈。
@@@
凡是水病患者，眼下像卧蚕一样微肿，眼睛色泽鲜明光亮，脉象伏匿，其人感到消渴。如果患水病腹部胀大，小便不利，脉象沉伏欲绝的，是有水邪，可以使用攻下法。
【按】
“其人消渴”之下，古本有“病水腹大，小便不利，其脉沉绝者，有水可下之”这四句，与上文文义不连贯，应当另分为一条，放在本篇第五条之后，才符合里水的脉证。
【注】
眼下的部位，属于太阴脾经。眼下轻微肿胀，是水邪的表现。只有脾土不能制约水湿，水湿泛溢成为疾病，所以水病初起必然先见眼下轻微肿胀。有像卧蚕一样的形状，是水病的证候；面目色泽鲜明光亮，是水病的色诊表现；脉象沉甚甚至伏匿，是水病的脉象；消渴引饮，是水病的病因，这些都是水病初现的征兆。
【集注】
赵良说：《内经》记载：色泽鲜明的是溢饮病，溢饮病表现为口渴多饮，水饮溢于肠胃之外。又说：水属阴，目下也属阴，腹部是至阴之所居，所以水在腹部，就会出现眼下肿胀。《灵枢》说：水病刚开始时，眼下轻微肿胀像蚕，像刚睡醒的样子，这是因为起初水谷不能化为津液，从而形成消渴，必然多饮，多饮则水积，水积则气道不通畅，所以脉象伏匿。
沈明宗说：水邪外走则泛溢于皮肤肌肉，内逆则浸淫于脏腑肠胃，随着胃脉上注于面部，眼下如卧蚕状；水主明亮光润，所以面色鲜明光亮，这是水病的验证。然而水病是因为阳微阴盛，经络隧道不利，所以脉象伏匿，而胃中的津液水饮，外溢于皮肤肌肉，不能滋润喉舌，所以产生消渴，这确实不是真正的消渴病。
@@@
医生说：凡是患水病的，腰部以下浮肿，应当通利小便；腰部以上浮肿，应当发汗才能痊愈。
【注】
“诸有水者”，指各种水病。治疗各种水病，应当知道表里上下分消的方法。腰部以上浮肿，说明水邪在表，应当发汗才能痊愈，如越婢汤、青龙汤等证的治法；腰部以下浮肿，说明水邪在下，应当通利小便才能痊愈，如五苓散、猪苓汤等证的治法。
【集注】
赵良说：身半以上是天的分野，属阳；身半以下是地的分野，属阴。而身体的腠理运行天分之阳，小便通地分之阴。所以水停在天分（上部），打开腠理则水从汗液消散；水停在地下分（下部），决开出口则水自然排出。这就是《内经》中“开鬼门、洁净府”的方法。
尤怡说：发汗和利小便，是顺应病势而引导它排出。
@@@
患水病腹部胀大，小便不利，脉象沉伏欲绝的，是有水邪，可以使用攻下法。
【注】
上一条是为水邪在表、在下的情况确立治法。如果水邪在里，就不适用那种治法了。腹部是至阴之地，对应脾脏，所以患水病必然腹部胀大。水蓄积在体内，所以小便不利。脉象沉伏欲绝，就是伏脉。脉伏、腹大、小便不利，说明里水已成，所以可以使用攻下法。十枣汤、神佑丸之类的方剂，酌情使用即可。
【集注】
程林说：腹部胀大，是因为水在里；小便不利，是因为水不行，所以脉象必定沉伏，因此适宜用攻下法来利水。
@@@
里水病，全身面目黄肿，脉象沉，小便不利，所以导致患水病；假如小便自利，这是津液亡失，所以导致口渴，用越婢加术汤主治。
【按】
“越婢加术汤主之”七个字，应当在后面“太阳病，脉浮而紧条，发汗即愈”的下面，文义才连贯，必然是错简。在这里看它有里有水的文字，自然就知道这不是越婢加术汤这种发表药物所能治疗的。
【注】
这里承接上一条，讲述里水未实，不可攻下、不可利小便的道理。里水，是指里有水邪。全身面目黄肿，是有水的证候；脉象沉，是有水的脉象。虽然有这些证候和脉象，但还必须兼见口渴、小便不利、腹部胀大的，才算是里有水邪。假设没有腹部胀满急迫，这说明里水未实，不可攻下。如果小便自利，这是亡失津液导致的口渴，不是里有水邪导致的口渴，也不可用利小便的方法。
【集注】
尤怡说：里水，是水从内部积聚，与风水不同，所以脉象不浮而沉，邪气盛于内部，必然溢于外部，所以全身面目都黄肿。水病通常小便不利，现在反而自利，则津液消亡，水病已去，而口渴的病却起来了。
Puhui (Tamarici Caulis) 7 fen, Huashi (Talcum) 3 fen.
The above two ingredients are pounded into a powder. Take one fangcun bi (a square-inch measure) with water, three times daily.
Huashi (Talcum) 2 fen, Luanfa (Burned Human Hair) 3 fen, Baiyu (Silverfish) 2 fen.
The above three ingredients are pounded into a powder. Take half a qian bi (a half-coin measure) with water, three times daily.
Fuling (Poria) ban jin, Baizhu (Atractylodis Rhizoma) 2 liang, Rongyan (Roc Salt) one piece the size of a bullet.
The above three ingredients are boiled in five sheng (liters) of water until three sheng remain. Divide into three warm doses.
@@@
In Lin syndrome (dysuria), urine is discharged like millet grains, and there is tension and urgency in the lower abdomen with pain radiating to the umbilicus.
[Note]
Both difficulty in urination and Lin syndrome may present with tension and urgency in the lower abdomen and pain radiating to the umbilicus. However, in difficulty in urination, the urinary pathway is obstructed with scanty urine but no pain; whereas in Lin syndrome, there is frequent urination, obstruction in the urinary pathway, and pain. They are different. Urine discharged in shapes resembling millet grains is what is currently called Shi Lin (Lithiasis Dysuria).
@@@
Patients with Lin syndrome should not be treated with sweating methods. If sweating is induced, hematuria will inevitably occur.
[Note]
Lin jia (patients with chronic Lin syndrome) suffer from damp-heat accumulating in the Bladder. If sweating is induced, dampness leaves with the sweat, but heat remains alone, depleting the fluids of the Water organ (Kidney/Bladder). Heat forces Yin blood to exit via urination, which is what is currently called Xue Lin (Hemorrhagic Dysuria).
[Collected Notes]
Gao Shishi said: The bladder fluids of patients with Lin syndrome are initially deficient, so sweating should not be used. If sweating is induced, it further deprives their fluids, leading to exhaustion of Qi in the Bladder and emptiness in the Baozhong (uterus/bladder). Thus, hematuria, including both fecal and urinary bleeding, must occur.
@@@
If the Shaoyin pulse is tight and deep, tight indicates pain, and deep indicates water retention, making urination difficult. When pulses of various types are found to be deep, one should attribute this to water retention, accompanied by bodily edema and heaviness.
[Commentary]
The statement "When pulses of various types are found to be deep" discusses the initial pulse patterns of Edema diseases and should be placed at the beginning of the chapter. However, in ancient texts, the four sentences "Shaoyin pulse tight and deep..." appear above this statement. The meaning does not connect smoothly, and there are missing bamboo slips, so they are not explained.
[Note]
Coughing and wheezing without swelling is called Phlegm-Fluid (Tan Yin); edema and heaviness without coughing and wheezing is called Water-Qi (Shui Qi). If deep pulses are found in all positions but the body is not swollen or heavy, one should attribute this to Qi stagnation; if the body is swollen and heavy, one should attribute this to water retention. Because water accumulates internally, the pulse is deep; because water overflows externally, the body is swollen and heavy.
@@@
In water diseases, if the pulse floats outwards without root, it indicates death.
[Note]
In water diseases with muscular edema, the pulse should be imperceptible. If the pulse now appears floating/outward, it indicates the dispersion of healthy Qi externally, hence indicating death.
[Collected Notes]
Shen Mingzong said: When pulses are deep, it indicates Qi stagnation not moving to the exterior, causing collateral vessels to become empty. Emptiness leads to water flooding the skin and muscles, resulting in bodily edema and heaviness, which should be attributed to water retention. However, deep here refers to Zheng Shui (True Water Retention), where Yin excess and Yang depression cause the pulse to be extremely deep. If it suddenly becomes floating, it is a sign of True Qi separating from its root, hence saying: "In water diseases, if the pulse floats outwards, it indicates death." This does not apply to Feng Shui (Wind Edema) and Pi Shui (Skin Edema), whose pulses are floating and surging.
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Question: After a disease involving diarrhea, the patient feels thirsty and desires to drink water, has difficulty urinating, abdominal distension, and genital edema. What is the cause? Answer: This condition should develop into Water Disease (Edema). If urination becomes spontaneous and free, or if sweating occurs, the condition will heal spontaneously.
[Note]
Diarrhea causes deficiency, damaging Spleen Earth and Body Fluids. When Spleen Earth is weak, water-dampness easily acts recklessly; when fluids are damaged, thirst arises. If urination is spontaneous and free, and sweating occurs, then water essence is distributed properly, and there would be no Water Disease. Only when urination is difficult does water have no outlet, inevitably leading to Water Disease. In Water Disease, the Spleen is necessarily deficient and cannot control water, causing abdominal distension; the Kidney is necessarily deficient and cannot govern water, causing genital edema. From this, we can infer that after any disease, if fluids are injured, thirst arises, and urination is difficult, one should prevent the onset of Water Disease.
[Collected Notes]
Cheng Lin said: Diarrhea causes Spleen Earth to decline and fluids to dry up, leading to thirst and desire to drink. Since Earth cannot control water, urination is difficult. Spleen dislikes dampness, causing abdominal distension; Kidney governs water, causing genital edema. This is undoubtedly Water Disease. If urination is free, water moves; if sweating occurs, water disperses. Even without medicine, it will heal itself.
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For patients with water disease, there is a silkworm-like swelling under the eyes, and the eyes appear bright and lustrous. The pulse is hidden (Fu), and the patient suffers from Xiao Ke (wasting-thirst). If the patient has abdominal distension due to water disease, difficulty urinating, and a pulse that is deep and nearly absent, there is water retention, and purgative methods may be used.
[Commentary]
Below "the patient suffers from Xiao Ke," ancient texts contain the four sentences: "If the patient has abdominal distension due to water disease, difficulty urinating, and a pulse that is deep and nearly absent, there is water retention, and purgative methods may be used." These do not connect well with the preceding text and should be separated into another paragraph, placed after the fifth item in this section, to conform to the pulse and symptoms of Li Shui (Interior Water).
[Note]
The area under the eyes belongs to the Taiyin (Spleen). Slight swelling under the eyes indicates water. Only when Spleen Earth cannot control water does water overflow and cause disease; thus, early water disease often presents with slight swelling under the eyes. A shape resembling a silkworm is a sign of water disease; bright and lustrous complexion is a color sign of water disease; a deep or hidden pulse is a pulse sign of water disease; and excessive thirst for drinking is an etiological factor of water disease. These are all early signs of water disease.
[Collected Notes]
Zhao Liang said: *Neijing* states: Bright luster indicates Yi Yin (Overflowing Fluid), where the patient is thirsty and drinks much, and fluid overflows outside the stomach and intestines. It also states: Water is Yin, and the area under the eyes is also Yin. The abdomen is the residence of extreme Yin. Therefore, when water is in the abdomen, swelling occurs under the eyes. *Ling Shu* states: When water disease begins, there is slight swelling under the eyes like a silkworm or like someone who just woke up. Initially, food and grain fail to transform into fluids, forming Xiao Ke, leading to excessive drinking. Excessive drinking leads to water accumulation, which blocks Qi channels, causing the pulse to become hidden.
Shen Mingzong said: When water moves outward, it floods the skin and muscles; when it reverses inward, it infiltrates the Zang-Fu organs and stomach/intestines. Following the Stomach channel, it rises to the face, causing a silkworm-like swelling under the eyes. Water is bright and lustrous, so the face appears shiny, verifying water disease. However, water disease is caused by Yang deficiency and Yin excess, blocking meridians, causing the pulse to be hidden. The fluids and water in the Stomach overflow to the skin and muscles but do not moisten the throat and tongue, causing Xiao Ke. This is indeed not true Xiao Ke disease.
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The Master said: For all cases of water disease, if edema is below the waist, promote urination; if edema is above the waist, induce sweating for recovery.
[Note]
"All cases of water disease" refers to various water disorders. Treating these requires understanding methods to drain water from the exterior/interior and upper/lower. Edema above the waist indicates water in the exterior; inducing sweating cures it, as seen in formulas like Yuebi Tang and Qinglong Tang. Edema below the waist indicates water in the lower jiao; promoting urination cures it, as seen in formulas like Wuling San and Zhuling Tang.
[Collected Notes]
Zhao Liang said: The upper half of the body corresponds to Heaven and Yang; the lower half corresponds to Earth and Yin. The pores circulate the Yang of Heaven, while urination connects to the Yin of Earth. Thus, when water stops in the Heavenly portion (upper body), opening the pores allows water to disperse via sweat; when water stops in the Earthly portion (lower body), opening the exit allows water to flow out. This follows the *Neijing* method of "opening the ghost gate (pores) and cleansing the palace (bladder)."
You Yi said: Inducing sweating and promoting urination are methods of guiding the pathogen along its natural tendency.
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In water disease with abdominal distension, difficulty urinating, and a pulse that is deep and nearly absent, there is water retention, and purgative methods may be used.
[Note]
The previous paragraph established treatment for water in the exterior and lower jiao. If water is in the interior, those treatments do not apply. The abdomen corresponds to the Spleen (Extreme Yin), so water disease inevitably causes abdominal distension. Water accumulating internally causes difficulty urinating. A pulse that is deep and nearly absent is a Fu (hidden) pulse. With a hidden pulse, abdominal distension, and difficulty urinating, Interior Water is established, so purgative methods can be used. Formulas like Shizao Tang or Shenyao Wan may be used酌情 (as appropriate).
[Collected Notes]
Cheng Lin said: Abdominal distension indicates water in the interior; difficulty urinating indicates water stagnation, hence the pulse must be deep and hidden. Therefore, purgatives are suitable to promote water drainage.
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Li Shui (Interior Water) presents with generalized yellowish edema of the body and face, a deep pulse, and difficulty urinating, leading to water disease. If urination is spontaneous and free, this indicates loss of body fluids, leading to thirst. Yuebi Jia Zhu Tang (Yuebi Decoction plus Atractylodes) is the primary formula.
[Commentary]
The seven characters "Yuebi Jia Zhu Tang is the primary formula" should follow the later passage "Taiyang disease, pulse floating and tight, curing by inducing sweat" to make logical sense; this is likely a misplaced slip. Reading the context here about interior water, it is clear that Yuebi Jia Zhu Tang, a releasing exterior formula, is not suitable for treatment.
[Note]
This continues the previous point, explaining that for unconsolidated Interior Water, neither purgation nor diuresis should be used. "Li Shui" means water in the interior. Generalized yellowish edema of the body and face is a sign of water; a deep pulse is a pulse sign of water. Although these signs exist, only if accompanied by thirst, difficulty urinating, and abdominal distension can it be confirmed as Interior Water. If there is no abdominal fullness or urgency, the Interior Water is not consolidated, and purgation is contraindicated. If urination is spontaneous, the thirst is due to fluid depletion, not interior water, so diuresis is also contraindicated.
[Collected Notes]
You Yi said: Li Shui involves water accumulating from within, differing from Feng Shui (Wind Edema), so the pulse is deep rather than floating. Pathogenic factors abundant internally overflow externally, causing generalized yellowish edema of the body and face. Water disease usually involves difficulty urinating; if urination is instead spontaneous, fluids are consumed. The water disease resolves, but thirst disease arises.