主风水肿方。
取商陆,切一升,以酒二升,渍三宿,服一升当下,下者减之,从半升起,日三,尽更
合服。
又方
取大豆一升,以水四升,煮取二升,去滓,纳上酒一升,合煎取一升,随能杯饮之,日
三服,常令有酒势。
主水胀大。甄主簿与康公处得效方。
茯苓 白术 椒目(各一两) 葶苈子(一两半,熬) 桂心(三分) 芒硝 泽泻 木
防己
(各五分) 甘遂(三分) 赤小豆 前胡 荛花(各半两,熬。《千金》作芫花)
上一十二味,捣筛为末,炼蜜和丸,如梧子。蜜汤服五丸,日一,稍加,以知为度。
主水肿上气方(褚澄秘之)。
汉防己 泽漆叶 石苇(去毛) 桑白皮 泽泻 丹参 茯苓 橘皮 白术(各三两) 生
姜(十两,切) 郁李仁(五两) 通草(一两)
上一十二味,捣筛为散。以水一升七合,纳四方寸匕,煮取八合,顿服,日二,小便利
为度。
第一之水,先从面目肿遍一身,名曰青水,其根在肝,大戟主之;第二之水,先从心肿
,名曰赤水,其根在心,葶苈主之;第三之水,先从腹肿,名曰黄水,其根在脾,甘遂主之
;第四之水,先从脚肿,上气而咳,名曰白水,其根在肺, 本主之;第五之水,先从足趺
肿,名曰黑水,其根在肾,连翘主之;第六之水,先从面至足肿,名曰玄水,其根在胆,芫
花主之;第七之水,先从四肢起,腹满大,身尽肿,名曰风水,其根在胃,泽漆主之;第八
之水,先四肢小肿,其腹肿独大,名曰石水,其根在膀胱,桑根白皮主之;第九之水,先从
小肠满,名曰果水,其根在小肠,巴豆主之;第十之水,乍盛乍虚,乍来乍去,名曰气水,
其根在大肠,赤小豆主之。
上十病,皆药等分,与病状同者则倍之,白蜜和,先食,服一丸如小豆,日三,欲下病
者,服三丸,弱者当以意节之。
治宿食、流饮、寒热、温病、水肿方∶
郁李仁(十枚,熟研) 粳米(三合,研,令中断)
上二味,以水四升合煮取二升,顿服,此粥日三度作服之,人强用十五枚,羸者五、六
枚,不知者稍加之,以知为度。
炙鲤鱼主肿满方
取鲤鱼长一尺五寸,以尿渍令没一宿,平旦以木篦从口贯之至尾,炙令黄熟,去皮,宿
勿食,空腹顿服之,不能者再服令尽,勿与盐,神方。
男女新久肿得恶,暴风入腹,妇人新产上溷,清风入脏腹中如马鞭者,嘘吸短气,咳嗽
,一味大豆煎方。
大豆(一斗,择令净)
上以水五斗,煮之得一斗三升,澄清去下浊者,纳釜中,以一斗半美酒纳汁中,煎取九
升,宿勿食,旦服三升,温覆取汗两食顷,当下去风气肿减。慎风冷。十日平复如故,
除日服之佳。若急不可待除日,逐急令服合时,于清净无人处,令童子一人视之,不用六畜
妇人见之,自度身中肿未尽退,更服三升,瘥了了者,勿服也,神验,千金不传。
又方
楮皮叶(一大束)
上二味,切。以水一斗,煮取五升,去滓,服之不过三四日,面肿乃减,虽得瘥,常可
服之
主治风水引起的浮肿的方剂。
取商陆,切碎一升,用酒二升浸泡三个晚上,服用一升,服药后应当腹泻,如果腹泻则减少剂量,从半升开始增加,每天三次,服完后重新配制服用。
另一个方子:
取大豆一升,用水四升,煮取二升药液,去掉药渣,加入前面制备的酒一升,一起煎煮取一升,根据患者承受能力分杯饮用,每天三次,保持体内常有酒力作用。
主治水胀腹部膨大的方剂。这是甄主簿在康公处得到的有效方子。
茯苓、白术、椒目(各一两)、葶苈子(一两半,炒制)、桂心(三分)、芒硝、泽泻、木防己(各五分)、甘遂(三分)、赤小豆、前胡、荛花(各半两,炒制。《千金方》中作芫花)。
以上十二味药,捣碎过筛成粉末,用炼蜜调和制成丸药,大小如梧桐子。用蜜汤送服五丸,每天一次,逐渐增加剂量,以见效为限度。
主治水肿伴呼吸急促的方剂(褚澄秘传)。
汉防己、泽漆叶、石苇(去毛)、桑白皮、泽泻、丹参、茯苓、橘皮、白术(各三两)、生姜(十两,切碎)、郁李仁(五两)、通草(一两)。
以上十二味药,捣碎过筛成散剂。用水一升七合,放入四方寸大小的药匙量药粉,煮取八合,一次性服下,每天两次,以小便通畅为度。
第一种水病,先从面目浮肿蔓延至全身,名叫青水,病根在肝,大戟主治;第二种水病,先从心脏部位肿胀,名叫赤水,病根在心,葶苈子主治;第三种水病,先从腹部肿胀,名叫黄水,病根在脾,甘遂主治;第四种水病,先从脚部肿胀,伴有气逆咳嗽,名叫白水,病根在肺,本方(指前文汉防己等方)主治;第五种水病,先从足背肿胀,名叫黑水,病根在肾,连翘主治;第六种水病,先从面部蔓延至足部肿胀,名叫玄水,病根在胆,芫花主治;第七种水病,先从四肢发起,腹部胀满巨大,全身浮肿,名叫风水,病根在胃,泽漆主治;第八种水病,先四肢轻微肿胀,唯独腹部肿大,名叫石水,病根在膀胱,桑根白皮主治;第九种水病,先从小肠胀满,名叫果水,病根在小肠,巴豆主治;第十种水病,时轻时重,时来时去,名叫气水,病根在大肠,赤小豆主治。
上述十种水病,药物分量相等,若与病症相符则加倍使用,用白蜜调和,饭前服用,每次服用如小豆大小的丸药,每天三次,想要通过泻下排出病邪者,服用三丸,体质虚弱者应酌情减量。
治疗积食、痰饮、寒热往来、温病、水肿的方剂:
郁李仁(十枚,煮熟研碎)、粳米(三合,研碎,使其断开)。
以上两味药,用水四升合煮取二升,一次性服下,这种粥每天做三次服用,身体强壮者用十五枚,体弱者用五到六枚,不确定者稍加用量,以见效为度。
炙鲤鱼主治肿满方:
取长一尺五寸的鲤鱼,用尿液浸泡使其完全淹没一个晚上,清晨用木梳从鱼口贯穿至尾部,烤至金黄熟透,去皮,前一晚不要进食,空腹一次性服完,不能吃完者可再服直至吃完,不要吃盐,这是神方。
男女新久浮肿伴有恶疾,暴风侵入腹部,妇人新产后上厕所得病,清风侵入脏腑腹部如马鞭抽打般疼痛,呼吸短促,咳嗽,单味大豆煎方。
大豆(一斗,挑选干净)。
以上用水五斗,煮取一斗三升,澄清去掉底部的浑浊物,倒入釜中,加入一斗半美酒于药汁中,煎取九升,前一晚不要进食,早晨服用三升,温暖覆盖身体约吃两顿饭的时间,应当能排出风气和减轻肿胀。注意防风受冷。十天恢复如初,选择吉日服用更佳。如果急切不可等待吉日,就按紧急需要随时服用,在清净无人的地方,让一名童子看护,不要让六畜和妇人看见,自己衡量身体肿胀未尽退,再服用三升,痊愈了就不要再服,此方神验,千金不传。
另一个方子:
楮皮叶(一大束)。
以上两味(注:原文此处可能有误,仅列一味,或隐含其他),切碎。用水一斗,煮取五升,去掉药渣,服用不超过三四天,面部肿胀就会减轻,即使痊愈,也可以常服。
Formulas for treating edema caused by Wind-Water.
Take *Phytolaccae Radix* (Shanglu), cut one sheng, soak in two sheng of wine for three nights. Take one sheng; it should induce diarrhea. If diarrhea occurs, reduce the dose, starting from half a sheng and increasing gradually, taken three times a day. After finishing, prepare a new batch to take.
Another formula:
Take one sheng of soybeans (*Glycine max*), boil in four sheng of water until reduced to two sheng. Remove the dregs, add one sheng of the aforementioned wine, and decoct together until one sheng remains. Drink according to tolerance, divided into cups, taken three times a day. Maintain a state of mild intoxication.
Formula for treating abdominal distension due to fluid retention. This effective formula was obtained by Supervisor Zhen from Duke Kang.
*Poria* (Fuling), *Atractylodis Rhizoma* (Baizhu), *Zanthoxyli Fructus* (Jiaomu) (each 1 liang); *Descurainiae Semen Lepidii Semens* (Tinglizi) (1.5 liang, stir-fried); *Cinnamomi Ramulus* (Guixin) (3 fen); *Natrii Sulfas* (Mangxiao), *Alismatis Rhizoma* (Zexie), *Stephaniae Tetrandrae Radix* (Mufangji) (each 5 fen); *Kansui Radix* (Gansui) (3 fen); *Phaseoli Semen Rubrum* (Chixiaodou), *Peucedani Radix* (Qianhu), *Euphorbiae Pekinensis Radix* (Ranghua) (each 0.5 liang, stir-fried. In *Qianjin Fang*, it is written as *Genkwa Flos*).
The above twelve ingredients are crushed, sifted into powder, mixed with refined honey to form pills the size of a Chinese quince seed. Take five pills with honey water, once a day. Gradually increase the dose until the desired effect is achieved.
Formula for treating edema with dyspnea (Secretly transmitted by Chu Cheng).
*Stephaniae Tetrandrae Radix* (Hanfangji), *Phytolaccae Folium* (Zeqiye), *Pyri Folium* (Shiwei) (deprived of hairs), *Mori Cortex* (Sangbaipi), *Alismatis Rhizoma* (Zexie), *Salviae Miltiorrhizae Radix* (Danshen), *Poria* (Fuling), *Citri Reticulatae Pericarpium* (Jupi), *Atractylodis Rhizoma* (Baizhu) (each 3 liang); *Zingiberis Rhizoma Recens* (Shengjiang) (10 liang, sliced); *Pruni Semen* (Yuliren) (5 liang); *Tetrapanacis Medulla* (Tongcao) (1 liang).
The above twelve ingredients are crushed and sifted into powder. Take an amount equivalent to a square-inch spoonful, boiled in one sheng seven he of water until reduced to eight he. Take all at once, twice a day. Stop when urination becomes smooth.
The first type of water disease starts with swelling of the face and eyes spreading over the whole body, named "Green Water," rooted in the Liver, treated primarily with *Euphorbiae Humifusae Radix* (Daji); the second type starts with swelling of the heart region, named "Red Water," rooted in the Heart, treated primarily with *Descurainiae Semen Lepidii Semens* (Tinglizi); the third type starts with abdominal swelling, named "Yellow Water," rooted in the Spleen, treated primarily with *Kansui Radix* (Gansui); the fourth type starts with leg swelling accompanied by rebellious Qi and coughing, named "White Water," rooted in the Lung, treated primarily with the aforementioned formula; the fifth type starts with swelling of the dorsum of the foot, named "Black Water," rooted in the Kidney, treated primarily with *Forsythiae Fructus* (Lianqiao); the sixth type starts with swelling from the face down to the feet, named "Dark Water," rooted in the Gallbladder, treated primarily with *Genkwa Flos* (Yuanhua); the seventh type starts from the limbs, with abdominal fullness and massive swelling over the body, named "Wind Water," rooted in the Stomach, treated primarily with *Phytolaccae Folium* (Zeqiye); the eighth type starts with slight limb swelling but distinct abdominal enlargement, named "Stone Water," rooted in the Bladder, treated primarily with *Mori Radicis Cortex* (Sangbaipi); the ninth type starts with fullness of the Small Intestine, named "Fruit Water," rooted in the Small Intestine, treated primarily with *Crotonis Fructus* (Badou); the tenth type fluctuates between excess and deficiency, coming and going intermittently, named "Qi Water," rooted in the Large Intestine, treated primarily with *Phaseoli Semen Rubrum* (Chixiaodou).
For these ten diseases, use equal parts of the medicines. If the symptoms match, double the dosage. Mix with white honey. Take before meals, one pill the size of a small bean, three times a day. To promote evacuation of pathogenic factors, take three pills. Weaker patients should adjust the dose according to their condition.
Formula for treating retained food, flowing fluids, alternating cold and heat, warm diseases, and edema:
*Pruni Semen* (Yuliren) (10 seeds, cooked and ground); *Oryza Sativa* (Jingmi) (3 he, ground until broken).
Boil the above two ingredients in four sheng of water until reduced to two sheng. Take all at once. Make this porridge three times a day. Strong individuals use fifteen seeds, weak individuals use five or six. For uncertain cases, slightly increase the dose until the effect is achieved.
Roasted Carp Formula for treating abdominal distension and fullness:
Take a carp one chi five cun long. Soak it in urine overnight until fully submerged. At dawn, skewer it from mouth to tail with a wooden comb. Roast until golden brown and cooked through. Remove the skin. Do not eat the night before. Take on an empty stomach in one sitting. If unable to finish, take again until complete. Do not consume salt. This is a miraculous formula.
Single-ingredient Soybean Decoction for men and women with new or chronic edema complicated by evil pathogens, wind-stroke invading the abdomen, postpartum women suffering from toilet-related illness where clear wind invades the viscera causing pain like a horse whip, shortness of breath, and coughing:
Soybeans (*Glycine max*) (one dou, carefully selected and cleaned).
Boil in five dou of water until reduced to one dou three sheng. Clarify and remove the sediment at the bottom. Pour into a cauldron and add one dou and a half of fine wine to the liquid. Decoct until nine sheng remain. Do not eat the night before. Take three sheng in the morning. Cover warmly to induce sweating for about the time it takes to eat two meals. The wind and fluid retention should decrease. Avoid wind and cold. Recovery occurs in ten days. It is best to take on auspicious days. If urgent, do not wait; administer immediately. Perform in a quiet, secluded place with a young boy watching. Ensure no livestock or women see it. If swelling has not subsided, take another three sheng. Once cured, stop taking. This is highly effective, a secret worth more than a thousand gold.
Another formula:
*Broussonetiae Folium* (Chupiye) (one large bundle).
Cut the above ingredients (Note: Text implies cutting the leaves). Boil in one dou of water until reduced to five sheng. Remove dregs. Take within three to four days. Facial swelling will subside. Even after recovery, it can be taken regularly.