子和治一人，因道中渴饮水过多，渐成肿满。或用三花神 丸，惮其太峻；或用五苓散
分利水道，又太缓。淹延数多，终无一效。盖粗工之技，止于此耳。其后手足与肾皆肿，大
小便皆秘涩，常仲明求治于戴人。戴人令仲明敷药，未及至而殁。戴人曰∶病水人甚者势如
长川泛溢，欲以杯杓取之，难矣。必以神禹决水之法斯愈。
又治一人，病涌水，面黄而喘，两足皆肿，按之陷而复起，行则濯濯有声，常欲饮水，不能
睡卧。戴人令上涌去痰而汗之，次以舟车丸、浚川散下之，以益肾散复下之，以分阴阳利水
道之剂复下之，水尽瘥。（戴人治案皆初病而实，元虚未虚者，当如此治。今人盖谓子和之
法不善，岂理也哉？）
《集成》治一人，能大飧，食肉必泄，忽肿头目甚，目不能开，膈满如筑，足麻至膝，
恶风，阴器挺长，脉左沉，重取不应，右短涩。令单煮白术汤空心服，探吐之后，以白术二
钱、麻黄、川芎各五分、防风三分作汤，下保和丸五十丸，吐中得汗，上截居多，肿遂退，
眼开气顺食进。以前方去麻黄防风，加白术三钱、木通、通草各五分煎，下保和丸五十丸，
五日而安。
又治一妇人，素多怒，因食烧肉面肿不食，身倦，脉沉涩，左豁大。此体虚有痰气，为
痰所隔，不得下降，当补虚利痰为主。每早以二陈汤加参术大剂与之，后探出药，辰时后用
三和汤三倍术，睡，后以神 丸七丸挠其痰，一月而安。
张子和治疗一个人，因为他在路上口渴时饮水过多，逐渐形成了肿胀胀满的病证。有人使用三花神丸，但担心药性过于猛烈；有人使用五苓散来分利水道，但又觉得药力太缓。拖延了很长时间，始终没有效果。这大概是庸医的技术，只能做到这种程度罢了。后来此人的手足和肾脏都出现肿胀，大小便都闭塞不通，常仲明向戴人求治。戴人让常仲明敷药，但还没等到药敷上病人就去世了。戴人说：“患水病严重的人，病势如同长河泛滥，想要用杯勺去舀取它，太难了。必须采用大禹治水疏导水流的方法才能痊愈。”
又治疗一个人，患涌水病，面色发黄且气喘，两脚都肿胀，按压后凹陷随即恢复，行走时腹部有濯濯的水声，经常想喝水，不能躺卧睡觉。戴人让他先通过催吐去除痰涎并使其出汗，接着用舟车丸、浚川散攻下，再用益肾散攻下，最后用分阴阳、利水道的药物再次攻下，直到水邪排尽，病才痊愈。（戴人的医案都是针对初病而正气未虚的情况，应当这样治疗。现在的人却说张子和的方法不好，这难道是合理的吗？）
《集成》记载治疗一个人，食量很大，吃肉就会腹泻，忽然头部和眼睛严重肿胀，眼睛无法睁开，胸膈胀满如被捣击，腿部麻木直至膝盖，怕风，阴器挺长，脉象左侧沉取重按不应，右侧短涩。医生令其空腹单煮白术汤服用，探吐之后，用白术二钱、麻黄、川芎各五分、防风三分煎汤，送服保和丸五十丸，在呕吐中得汗，病势主要在上部，肿胀于是消退，眼睛睁开，气息顺畅，食欲增进。此后去掉前方中的麻黄、防风，加入白术三钱、木通、通草各五分煎汤，送服保和丸五十丸，五天病情安定。
又治疗一个妇人，平素易怒，因为吃了烤肉后面部肿胀、不进食，身体疲倦，脉象沉涩，左侧脉豁大。这是体质虚弱且有痰气，被痰邪阻隔，导致气机不得下降，应当以补虚、利痰为主。每天早晨用二陈汤加人参、白术的大剂量给她服用，随后探吐引出药液，辰时后用三和汤加倍白术的量，让她睡觉，之后用神祐丸七丸扰动其痰，一个月后病情安定。
Zi He treated a patient who, due to excessive drinking of water while thirsty on the road, gradually developed edema and distension. Someone used Sanhua Shenwan (Three-Flower Divine Pill), but feared its potency was too harsh; someone else used Wuling San (Five-Ingredient Powder for Dividing and Promoting Urination) to separate and promote the water passages, but it was considered too slow. The condition lingered for many days with no effect. This is merely the skill of unskilled physicians. Later, the patient's hands, feet, and kidneys all became swollen, and both urination and defecation were obstructed and difficult. Chang Zhongming sought treatment from Dai Ren. Dai Ren instructed Chang Zhongming to apply external medicine, but the patient died before the treatment could be administered. Dai Ren said: "For severe cases of water disease, the pathogenic force is like a overflowing river; trying to remove it with cups and ladles is extremely difficult. One must use the method of Yu the Great to dredge and drain the waters to achieve a cure."
He also treated another patient suffering from Yongshui (Surging Water), presenting with a yellowish complexion, panting, swelling in both legs that rebounded quickly after pressure, a gurgling sound in the abdomen when walking, frequent thirst, and an inability to lie down or sleep. Dai Ren instructed him to first induce vomiting to expel phlegm and then induce sweating. Subsequently, he administered Zhouche Wan (Boat Cart Pill) and Junchuan San (Dredging River Powder) to purge downward, followed by Yishen San (Kidney-Benefiting Powder) again to purge, and finally used agents that differentiate Yin and Yang and promote water metabolism to purge once more. Once the water evil was exhausted, the disease resolved. (Note: Dai Ren's cases all involve initial excess conditions where the primordial Qi has not yet been depleted; such cases should be treated this way. Modern people claim Zi He's methods are flawed; how can this be reasonable?)
The *Jicheng* records the treatment of a patient who had a large appetite but suffered diarrhea after eating meat. Suddenly, his head and eyes swelled severely, preventing him from opening them. His chest and diaphragm felt full as if beaten, his legs were numb up to the knees, he was aversive to wind, and his genitals appeared erect and elongated. His pulse was deep on the left side, unresponsive to heavy pressure, and short and choppy on the right. The physician ordered him to drink a decoction of Baizhu (Atractylodis Rhizoma) alone on an empty stomach, followed by inducing vomiting. Afterward, a decoction of Baizhu (2 qian), Mahuang (Ephedrae Herba), Chuanxiong (Chuanxiong Rhizoma, 5 fen), and Fangfeng (Saposhnikoviae Radix, 3 fen) was given, along with 50 pills of Baohe Wan (Preserve Harmony Pill). Sweating occurred during the vomiting process, with the pathogenic influence mostly located in the upper jiao. Consequently, the swelling subsided, the eyes opened, breathing smoothed, and appetite returned. In the subsequent prescription, Mahuang and Fangfeng were removed, and Baizhu (3 qian), Mutong (Akebiae Caulis), and Tongcao (Tetrapanacis Medulla, 5 fen each) were added to the decoction, again accompanied by 50 pills of Baohe Wan. The patient stabilized within five days.
He also treated a woman who was prone to anger. After consuming roasted meat, she developed facial swelling, loss of appetite, and body fatigue. Her pulse was deep and choppy, with a wide and empty quality on the left. This indicated a constitutionally weak state with phlegm and qi stagnation, blocked by phlegm, preventing qi from descending. The primary treatment strategy should be tonifying deficiency and promoting the resolution of phlegm. Every morning, a large dose of Erchen Tang (Two-Aged Decoction) supplemented with Renshen (Ginseng Radix et Rhizoma) and Baizhu (Atractylodis Rhizoma) was administered. She was then induced to vomit the medicine. After the Chen hour (7–9 AM), Sane Tang (Three-Harmony Decoction) with tripled Baizhu was given to induce sleep. Afterwards, Shenyou Wan (Divine Elixir Pill, 7 pills) was used to stir and resolve the phlegm. The patient recovered after one month.