脉
水肿之证，有阴有阳，察脉观色，问证须详。阴脉沉迟，其色
青白，不渴而泻，小便清涩；脉或沉数，色赤而黄，燥粪赤溺，兼渴为阳。
病
夫肿者，钟也，寒热气所钟聚也，为病有十水之分。其本乃湿热所致，《内经》曰∶诸湿肿满，皆属
脾土。夫脾虚不能制水，水渍妄行，故通身面目四肢皆浮而肿，名曰水肿。或腹大如鼓，而
面目四肢不肿者，名曰蛊胀。朝宽暮急，是血虚；暮宽朝急，是气虚；朝暮急，血气俱虚。
治
治法∶身有热者，水气在表，可汗之；身无热者，水气在里，可下之。其间通利小便，顺气和脾，俱
不可缓。然证虽可下，又当度其轻重，不可过用大戟、芫花、甘遂等利水猛烈之剂，一发不收，
峻决者易，固闭者难，水气复来，而无可治之也。
一、凡肿病，见大便滑泄，与夫唇黑，缺盆平，脐突，足平，背平，或肉硬，或手掌平，又或男从脚下
肿而上，女从身上肿而下∶并不治也。又曰∶膨病水气，人面黑者，肝绝也；两眉凸起，肺绝
也；脐中突出者，脾绝也；两手无绞者，心绝也；下疰脚肿者，肾绝也。此五证内显一证，不可治也。
一、患人腹上用手按之有窝者，可治。脉壮者易治，脉微者难
痊。
一、遍身肿，烦渴，小便赤涩，大便闭，身热脉沉数者，此属阳水，以八正散主之。
一、遍身肿，不烦渴，大便溏，小便少不涩，身不热，脉沉者，此属阴水，以胃苓汤主之。
一、水气浮肿，因于气者，以分心气饮加猪苓、泽泻、车前子、葶苈子、木瓜、麦门冬。
一、通身皮肤光肿如泡，手按成窟，举手即满者，是因脾虚不能制水，水渍妄行故也。法当补脾，使
脾气得实，则自健运，切不可下，忌食羊肉。腰以上肿宜发汗，腰以下肿宜行小便，此仲景之妙法。
一、病患六脉数，四肢肿满，腹痛发热，小便少，大便闭，治以温中养胃，非也。皆由三焦蓄热，大
小便闭，无发泄，故流出经络，五脏充溢，而成肿胀，宜败毒散加麻黄、防风、枳实发散，次
以利气丸下之，或八正散。
方
消肿调脾顺气汤（刘司寇传） 治水肿，消胀满，顺气和脾，除湿利水。
苍术 陈皮 浓朴 草果 砂仁 猪苓 木香 槟榔（男雄女雌）
大腹皮 香附 枳壳 泽泻 桔梗 三棱 莪术 官桂 大茴香
木通 人参 木瓜 桑白皮 牵牛（女用黑，男用白） 大黄 甘草
上锉，生姜煎服。
加减胃苓汤（云林制）〔批〕（按此方消中利水和药之剂） 治肿。
苍术（米泔制，一钱半） 陈皮（去白，一钱） 浓朴（姜炒，八分） 甘草（炙，三分）
猪苓（八分） 泽泻（一钱） 白术（去芦，一钱） 赤茯苓（去皮，一钱） 神曲（炒，
八分） 山楂（去核，七分） 砂仁（炒，七分） 香附（姜汁炒，六分） 槟榔（八分） 木瓜
（一钱） 大腹皮（六分）
上锉一剂，生姜、灯心煎服。
苏沉破结汤（车少参传）
紫苏 薄荷 枳实 麦门冬 当归 川芎 大黄 木通 甘遂
白僵蚕 白豆蔻 木香 沉香（减半，以上三味另为末） 牙皂 生姜 细茶（各一钱）
上作二服，水煎，五更早服，忌口。
回生丹 治浮肿腹胀退水。
青皮 陈皮 三棱 莪术 连翘（以上各三钱，用巴豆去壳一两半，与砂
锅同炒入药） 木香 甘遂（炒） 商陆 泽泻 木通（炒） 干漆（炒尽烟） 萝卜
子（炒，各三钱） 赤茯苓 桑白皮（炒） 椒目（炒，各五钱） 胡椒（炒，一钱） 黑牵牛（一两，生）
上为末，醋糊为丸，如绿豆大。每服十五丸至二十丸，第一服
用生葱二十四根，擂碎同温酒五更下；第二服用陈皮、桑白皮煎汤；第三服用射干汤下。切忌食盐。
推车丸（毛惟中传）〔批〕（按此方治消肿峻攻之剂） 治水肿，气肿，单腹胀
沉香（一钱） 木香（一钱） 巴豆（一钱，半生半熟） 胡椒（一钱，炒爆）
上为末，枣肉为丸，如梧桐子大。每服五六十丸。消上，用葱白舂烂，热酒下；次日消中，用陈皮汤
下；三次消下，用牛膝汤下，去三五次，不补自止，后用拾皮散紧皮。
鸡醴饮（刘同知传） 治一切肚腹四肢发肿，不问水肿、气肿、湿肿，皆效。
干鸡粪一升，锅内炒黄，以好酒三碗淬下，煮作一碗，细滤去渣，令病患饮之。少顷腹中气大转动
作鸣，从大便利下，于脚膝及脐上下先作皱起，其肿渐消。复如利未尽，再服一剂，以田螺二
枚，用滚酒淖熟食之，即止，续以温粥调理愈。
秘方（吴友竹传） 治水肿胀满。
癞虾蟆二三枚，装在猪肚内，好酒煮一伏时，去虾蟆，将猪
肚与酒服尽，大便屁如雷，或水下，其肿自消，加砂仁尤妙，一方加胡椒，一岁一粒，同煮尤妙。
法蒸蓖麻膏〔批〕（按此方消肿专攻之剂） 治十肿水气，五蛊瘴气。
蓖麻子去壳，用麻布包压去油，薄摊在木杓内，仰放在锅中，水面上以锅排盖住，煮二十余沸，以药
无白色为度，取出。每服六钱，滚水化开，空心温服。不过二三剂，以小便太利为效。
导水饼（秘方） 治肿胀，不服药，自去水。
真水银粉（二钱） 巴豆肉（研，去油，四钱） 生硫黄（一钱）
上三味研成饼，令匀，先用新绵一块铺脐上，次以饼当脐掩
之，外用帛缚，如人行三五里，自然泻下恶水，待行三五次，除去药，以温白粥补之。
消河饼（秘方）〔批〕（按此方消肿外治之剂） 治水肿膨胀。
大田螺（四个） 大蒜（去皮，五个） 车前子（三钱，为末）
上三味研成饼，贴脐中，以手帕缚之。贴药后，少顷小便出。一二饼即愈。
水肿这一病证，有阴证和阳证之分，诊察时需详细观察脉象、面色并询问症状。阴证的脉象沉而迟缓，面色青白，口不渴且伴有腹泻，小便清长或涩滞；若脉象沉数，面色红黄，大便干燥色赤，小便短赤且伴有口渴，则属于阳证。
所谓“肿”，意为钟聚，是寒热之气聚集所致，疾病分为十种水病。其根本原因是湿热引起，《内经》说：“各种湿邪导致的肿胀胀满，都归属于脾土。”脾虚不能制约水液，水液泛滥妄行，导致全身、面目及四肢浮肿，称为水肿。如果腹部大如鼓，但面目四肢不肿的，称为蛊胀。早晨症状缓解傍晚加重，是血虚；傍晚症状缓解早晨加重，是气虚；早晚都加重，则是气血俱虚。
治疗原则：身体发热的，说明水气在表，可用发汗法；身体不发热的，说明水气在里，可用攻下法。其中通利小便、顺气和脾的方法，都不可以延误。然而虽然证候可以用攻下法，但也应当衡量病情的轻重，不可过度使用大戟、芫花、甘遂等猛烈利水的药物，一旦发作便难以收回。峻猛攻下容易做到，但固护正气很难，若水气复来，就无药可治了。
第一，凡是肿病患者，出现大便滑泄不禁，以及嘴唇发黑、缺盆（锁骨上窝）平陷、肚脐突出、足背平塌、背部平塌，或者肌肉坚硬，或者手掌平塌，又或者男性从脚部开始向上肿，女性从身体上部开始向下肿：这些情况都属于不治之症。又说：腹部膨隆的水气病，若人面黑色，是肝气绝的表现；两眉凸起，是肺气绝的表现；肚脐中突出，是脾气绝的表现；两手无力握持，是心气绝的表现；下部注毒脚肿，是肾气绝的表现。这五种证候中只要显现一种，就不可治愈。
第二，患者腹部用手按压后留有凹陷的，尚可治疗。脉象壮实的容易治愈，脉象微弱的难痊愈。
第三，遍身浮肿，烦躁口渴，小便赤涩，大便闭结，身体发热且脉象沉数的，这属于阳水，用八正散主治。
第四，遍身浮肿，不烦躁口渴，大便溏薄，小便量少但不涩滞，身体不发热且脉象沉的，这属于阴水，用胃苓汤主治。
第五，水气浮肿，因气机阻滞引起的，用分心气饮加猪苓、泽泻、车前子、葶苈子、木瓜、麦门冬。
第六，通身皮肤光亮浮肿如泡，手按下去成坑，抬手即恢复原状的，是因为脾虚不能制水，水液泛滥妄行所致。治法应当补脾，使脾气充实，自然健运，切不可用攻下法，忌食羊肉。腰部以上浮肿宜用发汗法，腰部以下浮肿宜用利小便法，这是张仲景的妙法。
第七，病患六脉皆数，四肢肿满，腹痛发热，小便少，大便闭，若用温中养胃法治是错误的。这都是因为三焦蓄积热邪，大小便闭塞，无法发泄，故热邪流出经络，五脏充溢，而成肿胀。宜用败毒散加麻黄、防风、枳实发散，随后以利气丸攻下，或用八正散。
方剂：
消肿调脾顺气汤（刘司寇传授） 治疗水肿，消除胀满，顺气和脾，除湿利水。
药材：苍术、陈皮、浓朴、草果、砂仁、猪苓、木香、槟榔（男用雄品，女用雌品）、大腹皮、香附、枳壳、泽泻、桔梗、三棱、莪术、官桂、大茴香、木通、人参、木瓜、桑白皮、牵牛（女用黑牵牛，男用白牵牛）、大黄、甘草。
用法：切碎，生姜煎服。
加减胃苓汤（云林配制）〔批注〕（此方为消中利水和药之剂） 治疗浮肿。
药材：苍术（米泔水制，一钱半）、陈皮（去白，一钱）、浓朴（姜炒，八分）、甘草（炙，三分）、猪苓（八分）、泽泻（一钱）、白术（去芦，一钱）、赤茯苓（去皮，一钱）、神曲（炒，八分）、山楂（去核，七分）、砂仁（炒，七分）、香附（姜汁炒，六分）、槟榔（八分）、木瓜（一钱）、大腹皮（六分）。
用法：切碎一剂，生姜、灯心草煎服。
苏沉破结汤（车少参传授）
药材：紫苏、薄荷、枳实、麦门冬、当归、川芎、大黄、木通、甘遂、白僵蚕、白豆蔻、木香、沉香（减半，以上三味另研为末）、牙皂、生姜、细茶（各一钱）。
用法：分为二服，水煎，五更时早服，忌口。
回生丹 治疗浮肿腹胀退水。
药材：青皮、陈皮、三棱、莪术、连翘（以上各三钱，用巴豆去壳一两半，与砂锅同炒入药）、木香、甘遂（炒）、商陆、泽泻、木通（炒）、干漆（炒尽烟）、萝卜子（炒，各三钱）、赤茯苓、桑白皮（炒）、椒目（炒，各五钱）、胡椒（炒，一钱）、黑牵牛（一两，生用）。
用法：研为末，醋糊为丸，如绿豆大。每服十五丸至二十丸，第一服用生葱二十四根，擂碎同温酒在五更时送下；第二服用陈皮、桑白皮煎汤送下；第三服用射干汤送下。切忌食盐。
推车丸（毛惟中传授）〔批注〕（此方为治消肿峻攻之剂） 治疗水肿，气肿，单腹胀。
药材：沉香（一钱）、木香（一钱）、巴豆（一钱，半生半熟）、胡椒（一钱，炒爆）。
用法：研为末，枣肉为丸，如梧桐子大。每服五六十丸。消上部肿胀，用葱白捣烂，热酒送下；次日消中部肿胀，用陈皮汤送下；第三次消下部肿胀，用牛膝汤送下，去三五次后，不补自止，后用拾皮散收紧皮肤。
鸡醴饮（刘同知传授） 治疗一切肚腹四肢发肿，不论水肿、气肿、湿肿，均有效。
药材：干鸡粪一升。
用法：锅内炒黄，用好酒三碗淬下，煮作一碗，细滤去渣，令病患饮之。少顷腹中气大转动作鸣，从大便排出，于脚膝及脐上下先作皱起，其肿渐消。若利未尽，再服一剂，以田螺二枚，用滚酒煮熟食之，即止，续以温粥调理痊愈。
秘方（吴友竹传授） 治疗水肿胀满。
药材：癞虾蟆二三枚。
用法：装在猪肚内，好酒煮一伏时，去虾蟆，将猪肚与酒服尽，大便屁如雷，或水下，其肿自消，加砂仁尤妙，一方加胡椒，一岁一粒，同煮尤妙。
法蒸蓖麻膏〔批注〕（此方为消肿专攻之剂） 治疗十肿水气，五蛊瘴气。
药材：蓖麻子去壳。
用法：用麻布包压去油，薄摊在木杓内，仰放在锅中，水面上以锅排盖住，煮二十余沸，以药无白色为度，取出。每服六钱，滚水化开，空心温服。不过二三剂，以小便太利为效。
导水饼（秘方） 治疗肿胀，不服药，自去水。
药材：真水银粉（二钱）、巴豆肉（研，去油，四钱）、生硫黄（一钱）。
用法：上三味研成饼，令匀，先用新绵一块铺脐上，次以饼当脐掩之，外用帛缚，如人行三五里，自然泻下恶水，待行三五次，除去药，以温白粥补之。
消河饼（秘方）〔批注〕（此方为消肿外治之剂） 治疗水肿膨胀。
药材：大田螺（四个）、大蒜（去皮，五个）、车前子（三钱，为末）。
用法：上三味研成饼，贴脐中，以手帕缚之。贴药后，少顷小便出。一二饼即愈。
Edema is a syndrome that can be classified into Yin and Yang types. Diagnosis requires detailed observation of the pulse, complexion, and inquiry into symptoms. A Yin type presents with a deep and slow pulse (Chen Chi Mai), bluish-white complexion, absence of thirst accompanied by diarrhea, and clear or scanty urine. If the pulse is deep and rapid (Chen Shu Mai), the complexion is red-yellow, there is dry dark stool, dark scanty urine, and thirst, it belongs to the Yang type.
The term "swelling" (Zhong) implies accumulation, caused by the gathering of cold and heat pathogens. The disease is divided into ten categories of water disorders. Its root cause lies in damp-heat. As stated in the *Nei Jing* (Inner Canon): "All dampness-induced swelling and fullness belong to Spleen Earth." When the Spleen is deficient and fails to control water metabolism, water fluids overflow and act recklessly, causing edema throughout the body, face, eyes, and limbs, termed Edema (Shui Zhong). If the abdomen is distended like a drum but the face, eyes, and limbs are not swollen, it is termed Gu Distension (Gu Zhang). Symptoms that ease in the morning and worsen in the evening indicate Blood Deficiency; those that ease in the evening and worsen in the morning indicate Qi Deficiency; symptoms worsening both morning and evening indicate combined Qi and Blood Deficiency.
Treatment principles: If the body has fever, the water pathogen is at the Exterior, and diaphoresis (sweating method) may be used. If there is no fever, the water pathogen is at the Interior, and purgation may be used. Methods to promote urination, regulate Qi, and harmonize the Spleen must not be delayed. However, even if purgation is indicated, one must assess the severity. One must not overuse harsh diuretics such as Daji (Kansui Root), Yuanhua (Genkwa Flower), or Gansui (Euphorbia Root), as their action is difficult to stop once initiated. Harsh purgation is easy to perform, but preserving the solidification of Zheng Qi (Upright Qi) is difficult. If water pathogens return after such treatment, there may be no remedy left.
First, for any edema patient presenting with loose stools/incontinence, black lips, flat supraclavicular fossae (Que Pen), protruding umbilicus, flat dorsum pedis, flat back, hard muscles, flat palms, or male patients swelling from feet upward, female patients swelling from upper body downward: these are all untreatable cases. Furthermore, in abdominal distension due to water qi, a black facial color indicates Liver Qi exhaustion; protruding eyebrows indicate Lung Qi exhaustion; protruding umbilicus indicates Spleen Qi exhaustion; inability to grip with hands indicates Heart Qi exhaustion; lower injection with foot swelling indicates Kidney Qi exhaustion. If any one of these five signs appears, the case is untreatable.
Second, if pressing the abdomen leaves an indentation, the case is treatable. Cases with a strong pulse are easier to cure; those with a faint pulse are difficult to recover from.
Third, generalized edema, irritability, thirst, dark and scanty urine, constipation, fever, and a deep-rapid pulse belong to Yang Water. It should be treated with Bazheng San (Eight-Item Decoction for Rectification).
Fourth, generalized edema without irritability or thirst, loose stools, scanty urine without dysuria, absence of fever, and a deep pulse belong to Yin Water. It should be treated with Weiling Tang (Stomach-Cinnamon Decoction).
Fifth, for edema caused by Qi stagnation, use Fenxin Qi Yin (Heart-Separating Qi Drink) added with Zhuling (Polyporus), Zexie (Alisma), Cheqianzi (Plantago Seed), Tinglizi (Lepidium Seed), Mugua (Chaenomeles Fruit), and Maimendong (Ophiopogon Tuber).
Sixth, generalized skin edema that is shiny and blister-like, where pressing creates a pit that fills immediately upon lifting the hand, is due to Spleen deficiency failing to control water, leading to reckless water overflow. The treatment should tonify the Spleen so that Spleen Qi becomes substantial and transportation functions normally. Purgation must strictly be avoided, and mutton should be forbidden. Edema above the waist should be treated with diaphoresis; edema below the waist should be treated by promoting urination. This is the brilliant method of Zhang Zhongjing.
Seventh, if a patient has rapid pulses in all six positions, swollen and full limbs, abdominal pain, fever, scanty urine, and constipation, treating with methods to warm the middle and nourish the Stomach is incorrect. This condition arises from heat accumulation in the Triple Burner, blocking urination and defecation, preventing discharge. The heat flows into the meridians, overflowing the five Zang organs, resulting in swelling. It should be treated with Baidu San (Defeat Toxin Powder) added with Mahuang (Ephedra Herb), Fangfeng (Saposhnikovia Root), and Zhishi (Immature Bitter Orange) to disperse externally, followed by Liqi Wan (Regulate Qi Pill) for purgation, or Bazheng San.
Formulas:
Xiaozhong Tiaopi Shunqi Tang (Swelling-Reducing, Spleen-Harmonizing, Qi-Regulating Decoction) [Transmitted by Vice Minister Liu] Treats edema, reduces distension, regulates Qi, harmonizes the Spleen, removes dampness, and promotes urination.
Ingredients: Cangzhu (Atractylodis Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Nongpo (Magnoliae Officinalis Cortex), Caoguo (Tsaoko Fructus), Sharen (Amomi Fructus Rotundus), Zhuling (Polyporus), Muxiang (Aucklandiae Radix), Binglang (Arecae Semen) (Male uses male fruit, female uses female fruit), Dafupi (Tangerine Peel pericarp), Xiangfu (Cyperi Rhizoma), Zhiqiao (Aurantii Fructus Immaturus), Zexie (Alismatis Rhizoma), Jiegeng (Platycodonis Radix), Sanleng (Sparganii Rhizoma), Ezhu (Curcumae Rhizoma), Guangui (Cinnamomi Cortex), Da Huixiang (Foeniculi Fructus), Mutong (Akebiae Caulis), Renshen (Ginseng Radix et Rhizoma), Mugua (Chaenomelis Fructus), Sangbaipi (Mori Cortex), Qianniu (Pharbitidis Semen) (Female uses black seed, male uses white seed), Dahuang (Rhei Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma).
Preparation: Coarsely powdered, decocted with fresh ginger.
Jiajian Weiling Tang (Modified Stomach-Cinnamon Decoction) [Prepared by Yunlin] [Commentary: A formula for reducing internal swelling, promoting urination, and harmonizing herbs.] Treats edema.
Ingredients: Cangzhu (prepared with rice wash water, 1.5 qian), Chenpi (peeled, 1 qian), Nongpo (stir-fried with ginger juice, 0.8 qian), Gancao (honey-fried, 0.3 qian), Zhuling (0.8 qian), Zexie (1 qian), Baizhu (rhizome removed, 1 qian), Chifuling (peeled, 1 qian), Shenqu (stir-fried, 0.8 qian), Shanzha (pitted, 0.7 qian), Sharen (stir-fried, 0.7 qian), Xiangfu (stir-fried with ginger juice, 0.6 qian), Binglang (0.8 qian), Mugua (1 qian), Dafupi (0.6 qian).
Preparation: Coarsely powdered for one dose, decocted with fresh ginger and Centella asiatica herb (Dengxin Cao).
Suchen Pojie Tang (Perilla-Agarwood Breaking Knots Decoction) [Transmitted by Vice Envoy Che]
Ingredients: Zisu (Perillae Folium), Bohe (Menthae Haplocalycis Herba), Zhishi (Aurantii Fructus Immaturus), Maimendong (Ophiopogonis Tuber), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Dahuang (Rhei Radix et Rhizoma), Mutong (Akebiae Caulis), Gansui (Euphorbiae Pekinensis Radix), Baijiangcan (Bombyx Batryticatus), Baidoukou (Cardamomi Fructus), Muxiang (Aucklandiae Radix), Chenxiang (Aquilariae Lignum Resinatum) (Halved, the above three separately powdered), Yazao (Gleditsiae Spina), Shengjiang (Zingiberis Rhizoma Recens), Xiacha (Fine Tea) (Each 1 qian).
Preparation: Divided into two doses, decocted in water, taken early at Wugeng time (3-5 AM), with dietary restrictions.
Huisheng Dan (Life-Restoring Pill) Treats edema, abdominal distension, and water retention.
Ingredients: Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium), Sanleng (Sparganii Rhizoma), Ezhu (Curcumae Rhizoma), Lianqiao (Forsythiae Fructus) (Each 3 qian above, stir-fried with 1.5 liang of Baiduo (Crotonis Fructus) shelled in a clay pot before adding to medicine), Muxiang (Aucklandiae Radix), Gansui (Euphorbiae Pekinensis Radix) (stir-fried), Shanglu (Phytolaccae Radix), Zexie (Alismatis Rhizoma), Mutong (Akebiae Caulis) (stir-fried), Ganqi (Drynariae Rhizoma? Note: Text says Ganqi, likely Drynariae Rhizoma or similar, but context suggests resinous wood or similar, actually Ganqi usually refers to Drynariae Rhizoma, but here might be a typo for Ganlan or similar resin? Standard interpretation of Ganqi in this context often implies Drynariae Rhizoma, but given "stir-fried until smoke gone", it might refer to a resinous substance. However, standard herb list includes Ganqi. Let's stick to text), Luobozhong (Brassicae Napus Semen) (stir-fried, each 3 qian), Chifuling (Polyporus), Sangbaipi (Mori Cortex) (stir-fried), Jiaomu (Zanthoxyli Pericarpium) (stir-fried, each 5 qian), Hujiao (Piperis Longi Fructus) (stir-fried, 1 qian), Hei Qianniu (Pharbitidis Semen Nigrum) (1 liang, raw).
Preparation: Powdered, mixed with vinegar paste to form pills the size of mung beans. Take 15-20 pills per dose. First dose: take with 24 raw green onions mashed and warm wine at Wugeng time. Second dose: take with decoction of Chenpi and Sangbaipi. Third dose: take with Shegan (Belamcandae Rhizoma) decoction. Strictly avoid salt.
Tuiche Wan (Cart-Pushing Pill) [Transmitted by Mao Weizhong] [Commentary: A harsh formula for reducing swelling.] Treats edema, Qi edema, and isolated abdominal distension.
Ingredients: Chenxiang (Aquilariae Lignum Resinatum) (1 qian), Muxiang (Aucklandiae Radix) (1 qian), Baiduo (Crotonis Fructus) (1 qian, half raw half cooked), Hujiao (Piperis Longi Fructus) (1 qian, stir-fried until popping).
Preparation: Powdered, mixed with jujube pulp to form pills the size of paulownia seeds. Take 50-60 pills per dose. For upper swelling: take with pounded scallion whites and hot wine. For middle swelling next day: take with Chenpi decoction. For lower swelling third time: take with Niuxi (Achyranthis Bidentatae Radix) decoction. After 3-5 courses, stopping supplementation will naturally cease the swelling. Afterwards, use Shipi San to tighten the skin.
Jili Yin (Chicken-Liquor Drink) [Transmitted by Liu Tongzhi] Treats all swellings of the abdomen and limbs, effective for edema, Qi edema, and damp edema.
Ingredients: Gan Jifen (Dried Chicken Manure) 1 sheng.
Preparation: Stir-fry in a pot until yellow, quench with 3 bowls of good wine, boil down to 1 bowl, filter finely to remove dregs. Patient drinks it. Soon, abdominal Qi moves loudly, expelling through large intestine. Wrinkling appears on knees and around umbilicus, swelling gradually subsides. If not fully resolved, take another dose. Then eat 2 field snails cooked in boiling wine to stop. Continue with warm porridge for recovery.
Secret Recipe [Transmitted by Wu Youzhu] Treats edema and distension.
Ingredients: 2-3 Bufo bufo gargarizans (Laixima).
Preparation: Stuff inside a pig stomach, cook in good wine for one Fu period (approx 2 hours). Remove the toads. Consume the pig stomach and wine completely. Loud flatulence or water discharge occurs, swelling subsides. Adding Sharen is excellent. Another variation adds Hujiao (1 grain per year of age), cooked together, which is also excellent.
Fa Zheng Bimagan Gao (Method-Steamed Castor Oil Paste) [Commentary: A specialized harsh formula for reducing swelling.] Treats ten types of water qi and five types of Gu miasma.
Ingredients: Ricinus communis seeds (Bimazi) shelled.
Preparation: Wrap in hemp cloth, press to remove oil, spread thinly on a wooden spoon. Place spoon upside down in a pot, cover with a pot lid over water surface. Boil for more than 20 boils until the medicine loses its white color. Remove. Take 6 qian per dose, dissolve in boiling water, take warm on an empty stomach. Within 2-3 doses, excessive urination indicates efficacy.
Daoshui Bing (Water-Guiding Cake) [Secret Recipe] Treats swelling, removing water without oral medication.
Ingredients: Zhen Shuiyinfen (Calomelas/Calomel powder, 2 qian), Badourou (Baiduo flesh, ground, oil removed, 4 qian), Sheng Liuhuang (Native Sulfur, 1 qian).
Preparation: Grind three ingredients into a uniform cake. Place a piece of new cotton on the umbilicus, then cover the umbilicus with the cake. Bind tightly with cloth. After walking 3-5 li, evil water will naturally purge. After 3-5 times, remove the medicine and replenish with warm white porridge.
Xiaohe Bing (River-Reducing Cake) [Secret Recipe] [Commentary: An external treatment formula for reducing swelling.] Treats edema and distension.
Ingredients: 4 Large field snails, 5 Garlic cloves (peeled), 3 qian Cheqianzi (Plantaginis Semen) powdered.
Preparation: Grind three ingredients into a cake, apply to the umbilicus, bind with a handkerchief. Shortly after application, urination occurs. 1-2 applications result in cure.