论曰∶十水之病，肿从脚起，上气而咳，名为白水，其根在肺；肿从面目起，名为青水，
其根在肝；肿从腹起，名为黄水，其根在脾；肿从脚趺起，名为黑水，其根在肾；肿从心起，
名为赤水，其根在心；肿从腹起，名为气水，乍实乍虚，乍去乍来，其根在大肠；肿从头面
起至足，名为垂水，其根在胆；肿从内起，坚块四肢小肿，名为石水，其根在膀胱；肿从四
肢起，腹大，名为风水，其根在胃；肿从腹内起，名为里水，其根在小肠。凡此十水，生于
脏腑，各从其根，究其所本，则肺与肾而已。故《内经》曰∶其本在肾，其末在肺，皆积水
也。又曰∶津液充郭，其魄独居，精孤于内，气耗于外，形不可与衣相保。盖肾气虚弱，水
气胀满，上攻于肺，肺气孤危，肾为水害，子不救母，故阴精损于内，阳气减于外。三焦闭
溢，水道不通，水满皮肤，身体痞肿。治之之法，备见于《内经》。故曰平治权衡，去菀陈
，微动四极，温衣缪刺其处，以复其形。开鬼门，洁净府，精以时服，五阳已布，疏涤五
脏，故精自生、形自盛，骨肉相保，巨气乃平也。
治水肿。十水丸方。
椒目（微炒，治白水） 大戟（炒，治青水） 甘遂（麸炒，治黄水） 玄参（治黑水）
葶苈
（炒，治赤水） 芫花（醋炒，治气水） 赤小豆（治垂水） 桑根白皮（炙，锉，治石水）
泽泻
（治风水） 巴豆（去心、皮、膜，研，出油，治里水）
上一十味等分，随病所在，增其所主药一分，巴豆四分，去心皮，压去油，捣研为末，
炼蜜丸如梧桐子大。每服三丸，米饮下，以水下为度。未下日三服；既下，当节饮食。但得
食干物耳。
又。十水丸方。
大戟（炒，治清水） 葶苈（炒，治赤水） 甘遂（炒，治黄水） 本（去苗土，治
白水）
连翘（去梗，治黑水） 芫花（炒令焦，治垂水） 泽漆（叶，治风水） 桑根白皮（炙，
锉，治
石水） 巴豆（去皮、心，研，出油，治里水） 赤小豆（治气水）
上一十味等分，随证所主倍之，捣罗为细末，炼蜜丸如小豆大。每服三丸至五丸，米饮
下，日三，人弱者以意节之。
治十种水病，百方不愈，面目四肢俱肿，气息喘急，寝卧不得，小便渐涩，腹胀气闷，
水不入口，垂命欲死者。旧名葶苈散，赐名神助散方。
椒目（微炒三两） 猪苓（去黑皮） 泽泻（各四两） 牵牛（炒令香五两） 苦葶苈
（纸上炒六
上五味，捣罗为散。每服三钱匕，以葱白三茎，浆水一盏，煎取半盏，入清酒半盏搅匀。
稍热调下，空心服。良久即熟煮浆水葱白粥二盏，更入清酒一盏搅匀，面东热吃令尽。至午
后，小便或大便通利，喘定肿减。隔日再服，百日消尽。
治十种水气。槟榔丸方。
槟榔（炮，锉三个） 大戟（锉，炒半两） 牵牛子（炒） 滑石（碎） 海蛤 瞿麦
穗旋复
花甘遂（炒各一分）
上八味，捣罗为末，用软饭和丸如绿豆大。每服七丸至十丸，煎商陆汤下。若作散，每
服一钱匕，亦煎商陆汤调下，如躁，米饮调下。如取利后，继服葶苈丸。
葶苈丸方。
葶苈（炒） 杏仁（不去皮各一分）
上二味，捣研为细末，面糊和丸如小豆大。每服十五丸，煎杏仁汤下。
治十种水病。三消丸方。
朴硝（色青白者，炼熟二两） 芒硝（色青白者） 硝石（色青白烧之有金色者各一两
同
上二味研令极细） 犀角（镑） 椒目（微炒各一两捣罗为末，合三硝，重研令匀） 葶苈
（纸
上炒） 莨菪子（炒各一两） 杏仁（去皮尖、双仁，炒二两以上三味别捣末，更与诸药合
捣
千杵）
上八味，用大枣十一枚，煮熟，去皮核，炒令水尽和为剂，或硬即添少许熟蜜，杵千下
为丸，如小豆大。每服十五丸，空心煎生姜汤下，加至二十丸，以利为度。不宜食饱，冲冒
霜寒，并单衣受风冷，虽夏中亦宜就温。禁食咸味难消之物，不宜悲喜忧劳。兼不得近生产
房室等事。惟得吃粳米、粟米、葱、薤、生姜、橘皮。禁盐一年，永不发动。
治十种水病。大海藻汤方。
海藻（洗去咸，焙） 芫花（炒焦） 猪苓（去黑皮） 连翘 泽漆（炒） 郁李仁（去
皮尖、
双仁，研） 陈橘皮（汤浸去白，焙） 桑根白皮（锉，炒） 白蒺藜（炒各一两） 本
（去苗土
）昆布（洗去咸，焙） 大戟（炒） 防己 葶苈（炒） 朴硝 甘遂（炒） 杏仁（去
皮尖、双仁，
炒各半两） 槟榔（煨，锉七枚）
上一十八味，粗捣筛。每服四钱匕，水一盏半，生姜一枣大拍碎，同煎至八分，去滓，
空服温服，日三，以利为度。
治十种水气，遍身洪肿，气喘小便赤涩。槟榔汤方。
槟榔（煨，锉三枚） 牵牛子（炒） 葶苈（隔纸炒） 桑根白皮（炙，锉各一两） 赤
小豆（炒
半合） 郁李仁（去皮尖，炒一两） 防己 猪苓（去黑皮各三分）
上八味，粗捣筛。每服五钱匕，水二盏，生姜一枣大拍碎，同煎至一盏，去滓，空心
温服，日三，以利为度。
治十种水气。防己槟榔丸方。
防己 槟榔（煨，锉） 郁李仁（去皮尖，炒，研各三分） 葶苈（纸上炒半两）
上四味，捣罗为细末，炼蜜和丸，如小豆大。每服十丸至二十丸，空心用后方葶苈汤下
葶苈汤方。
葶苈子（炒） 桑根白皮（炙，锉） 百合（各一两）
上三味，粗捣筛。每服三钱匕，水一盏，煎至六分，下前丸药，日三，以小便利为度。
若鼓气微结，加甘遂一两。
治十水。大黄丸方。
大黄（锉，炒） 硝石 大戟（去皮，炒） 甘遂（炒） 芫花（醋炒焦） 椒目（炒
出汗） 葶
苈（炒各一分）
上七味，捣罗为末，炼蜜和丸如小豆大。每服一丸，空心桑根白皮汤下，日再，渐增，
以知为度。
治十种水气。木香汤方。
木香 陈橘皮（汤浸去白，焙） 白术 桑根白皮（炙，锉） 桂（去粗皮各半两） 木
通（
锉，炒三分）
上六味，粗捣筛，别用牵牛子二两，于铁铫内，以纸衬手搅，乘热捣罗为末，每服以前
药末三钱匕，同牵牛末一钱半匕，水一盏半，煎至八分，去滓，五更温服。平明时吃热生姜
茶粥，次用芜荑、桑根白皮各一分，煮白羯羊肉半斤烂熟与吃。
治十种水气。神妙汤方。
香子（炒） 乌药 青橘皮（汤浸去白，焙） 高良姜（各一两）
上四味，粗捣筛。每服五钱匕，用童子小便半盏，酒一盏，同煎至一盏，去滓，稍热服，
不拘时。
治十水。定喘急。防己丸方。
防己 陈橘皮（汤浸去白焙） 大戟（炒） 苦葶苈（纸上炒各半两）
上四味，捣罗为细末，枣肉和丸如梧桐子大。每服二十丸，温熟水下，不拘时。
治十种水气腹胀。比圣饼子方。
大戟 甘遂（各一两）
上二味，生捣罗为细末。每服一钱匕，以大麦面一两，新水和作饼子烧熟。每五更徐徐
烂嚼茶下，移时小便多是效，未退再服。
治十种水气。四石丸方。
滑石 井泉石（研） 白石英（研） 寒水石（研） 砂（研细，水和作饼子，用湿
面四两
裹药饼烧紫色去面各二钱） 白丁香（半两） 续随子仁（二钱）
上七味，捣研为末，面糊丸如梧桐子大。每服五丸，生姜汤下，第一日三服，第二日四
服，第三日五服，以利为度，利已用次药补之。
治下水气补药。木香丸方。
木香 青橘皮（汤浸去白焙各一钱） 蓬莪术（二钱）
上三味，同为末，面糊丸如绿豆大。每服十丸，白汤下。
治十种水气。灵宝丸方。
滑石（好白者二两） 腻粉（一两）
上二味，先捣研滑石令极细，次入腻粉和匀，熬木瓜浓汁成膏，和丸如绿豆大。每服七
丸，五更空心温米饮下，日只一服。服至五七日，觉脐腹撮痛，小便多为效。忌盐一百日，
觉效便服补脾胃药。
治十种水气，大通三焦。此方《神仙经》中所载，天台山金坛石室中镌纪。但令人忌口，
无不瘥者。再苏丸方。
大戟（炒） 甘遂（炒） 春大麦面（炒） 巴豆（去心、膜，麸炒出油尽） 干姜（炒）
桂（去
粗皮） 大黄（锉，炒各半两）
上七味，捣罗为末，炼蜜丸如小豆大。每服十丸，空心茶下，以利为度。
治水气心下痞紧，喘息气急，大肠秘结。鳖甲饮方。
鳖甲（去裙 ，醋炙） 诃黎勒皮（煨） 郁李仁（研） 赤茯苓（去黑皮各一两半） 桑
根白
皮（锉，炒） 吴茱萸（汤洗焙干，炒各一两） 槟榔（锉四枚）
上七味，粗捣筛。每服三钱匕，水一盏半，煎至一盏，去滓，食前温服，如人行五里再
服。
治水气头面俱肿，四肢无力，小便涩。海蛤丸方。
海蛤（研一两半） 硝石（研二两） 葶苈（微炒，研一两半） 杏仁（汤去皮尖、双
仁，炒
黄，研一两）
上四味，捣罗为细末，枣肉和丸如梧桐子大。每服十丸，食前煎木通汤下，日二服。
治水气四肢不和，面目浮肿，小便涩，气急促。槟榔饮方。
槟榔（锉五枚） 桑根白皮（锉，炒） 陈橘皮（汤去白，焙） 防己 郁李仁（研各
一两半）
吴茱萸（汤洗，焙干，炒半两） 木通（锉二两）
上七味，粗捣筛。每服三钱匕，水一盏半，煎至一盏，去滓，食前温服，如人行五里再
服。
治水气面目浮肿，胸满短气，小便不利。桑白皮饮方。
桑根白皮（锉，炒） 赤芍药 郁李仁（研） 百合（各一两半） 木通（锉二两） 大
腹（五
枚）
上六味，粗捣筛。每服三钱匕，水一盏半，煎至一盏，去滓，食前温服，如人行五里再
服。
论述说：十种水病中，水肿从脚部开始，伴有气逆上冲和咳嗽，称为白水，其根源在肺；水肿从面部和眼部开始，称为青水，其根源在肝；水肿从腹部开始，称为黄水，其根源在脾；水肿从足背开始，称为黑水，其根源在肾；水肿从心胸部开始，称为赤水，其根源在心；水肿从腹部开始，时胀时消，时去时来，称为气水，其根源在大肠；水肿从头面蔓延至足部，称为垂水，其根源在胆；水肿从体内深处开始，四肢出现坚硬肿块且轻微肿胀，称为石水，其根源在膀胱；水肿从四肢开始，腹部膨大，称为风水，其根源在胃；水肿从腹腔内部开始，称为里水，其根源在小肠。以上这十种水病，都产生于脏腑，各自有其根本原因，探究其本源，不过是肺与肾罢了。所以《黄帝内经》说：“病的根本在肾，病的标象在肺，都是由于积水所致。”又说：“津液充满胸廓，魄独存而神不守舍，精气孤立于内，阳气耗散于外，形体消瘦以至于衣服显得宽大不合身。”这是因为肾气虚弱，水气胀满，向上攻冲于肺，导致肺气孤立危急，肾受水邪侵害，子脏不能救助母脏，因此阴精在内受损，阳气在外衰减。三焦闭塞溢泄失常，水道不通畅，水液充满皮肤，身体痞塞肿胀。治疗的方法，详细记载于《黄帝内经》中。所以说要平调阴阳、权衡轻重，去除郁积的陈腐之物，轻微活动四肢，穿着温暖衣物并用缪刺法针刺相应部位，以恢复形体。打开汗孔（发汗），洁净膀胱（利小便），使精气按时恢复，五脏阳气得以布散，疏通涤荡五脏，因此精气自然滋生，形体自然强盛，骨肉相互保全，正气于是平和。
治疗水肿的十水丸方。
椒目（微炒，用于治疗白水） 大戟（炒，用于治疗青水） 甘遂（麸炒，用于治疗黄水） 玄参（用于治疗黑水） 葶苈子（炒，用于治疗赤水） 芫花（醋炒，用于治疗气水） 赤小豆（用于治疗垂水） 桑根白皮（炙，锉碎，用于治疗石水） 泽泻（用于治疗风水） 巴豆（去心、皮、膜，研碎，榨出油，用于治疗里水）
以上十味药等分，根据病情所在部位，增加所主药物一分量，巴豆四分，去心皮，压榨去油，捣研成细末，用炼蜜制成梧桐子大小的丸剂。每次服用三丸，米汤送下，以水湿排出为度。若未排水，每日服三次；既已排水，应当节制饮食，只吃干食即可。
又一方，十水丸方。
大戟（炒，用于治疗清水） 葶苈子（炒，用于治疗赤水） 甘遂（炒，用于治疗黄水） 藁本（去苗土，用于治疗白水） 连翘（去梗，用于治疗黑水） 芫花（炒至焦，用于治疗垂水） 泽漆（叶，用于治疗风水） 桑根白皮（炙，锉碎，用于治疗石水） 巴豆（去皮、心，研碎，榨出油，用于治疗里水） 赤小豆（用于治疗气水）
以上十味药等分，根据证候所需加倍剂量，捣筛成细末，用炼蜜制成小豆大小的丸剂。每次服用三至五丸，米汤送下，每日三次，体弱者酌情减量。
治疗十种水病，百方无效，面目四肢全部肿胀，呼吸喘急，无法安睡，小便逐渐涩滞，腹胀气闷，水饮难入，命悬一线者。旧名葶苈散，赐名神助散方。
椒目（微炒三两） 猪苓（去黑皮） 泽泻（各四两） 牵牛子（炒至香五两） 苦葶苈子（纸上炒六两）
以上五味药，捣筛成散剂。每次服用三钱匕，用葱白三茎，浆水一盏，煎取半盏，加入清酒半盏搅匀。稍热时调服，空腹服用。过一段时间后，再熟煮浆水葱白粥二盏，加入清酒一盏搅匀，面向东方热服尽。到午后，小便或大便通利，喘息停止，肿胀减退。隔日再服，百日可消除殆尽。
治疗十种水气。槟榔丸方。
槟榔（炮，锉碎三个） 大戟（锉，炒半两） 牵牛子（炒） 滑石（碎） 海蛤 瞿麦穗 旋覆花 甘遂（炒各一分）
以上八味药，捣筛成末，用软饭和丸如绿豆大小。每次服用七至十丸，煎商陆汤送下。若作散剂，每次服用一钱匕，也煎商陆汤调下，若患者烦躁，用米饮调下。若通便后，继服葶苈丸。
葶苈丸方。
葶苈子（炒） 杏仁（不去皮各一分）
以上两味药，捣研成细末，面糊和丸如小豆大小。每次服用十五丸，煎杏仁汤送下。
治疗十种水病。三消丸方。
朴硝（色青白者，炼熟二两） 芒硝（色青白者） 硝石（色青白烧之有金色者各一两，同研令极细） 犀角（镑片） 椒目（微炒各一两，捣罗成末，合三硝，重研令均匀） 葶苈子（纸上炒） 莨菪子（炒各一两） 杏仁（去皮尖、双仁，炒二两，以上三味别捣末，更与诸药合捣千杵）
以上八味药，用大枣十一枚，煮熟，去皮核，炒至水分尽干和为药剂，若太硬即添少许熟蜜，杵千下为丸，如小豆大小。每次服用十五丸，空腹煎生姜汤送下，加至二十丸，以利下为度。不宜吃饱，避免冒霜寒，以及单衣受风冷，即使在夏天也应注意保暖。禁食咸味及难消化之物，不宜悲伤喜悦忧劳。同时不得接近产房等事。只可吃粳米、粟米、葱、薤、生姜、橘皮。禁盐一年，永不复发。
治疗十种水病。大海藻汤方。
海藻（洗去咸味，焙干） 芫花（炒焦） 猪苓（去黑皮） 连翘 泽漆（炒） 郁李仁（去皮尖、双仁，研碎） 陈橘皮（汤浸去白，焙干） 桑根白皮（锉碎，炒） 白蒺藜（炒各一两） 藁本（去苗土） 昆布（洗去咸味，焙干） 大戟（炒） 防己 葶苈子（炒） 朴硝 甘遂（炒） 杏仁（去皮尖、双仁，炒各半两） 槟榔（煨，锉碎七枚）
以上十八味药，粗捣筛。每次服用四钱匕，水一盏半，生姜一块枣大拍碎，同煎至八分，去滓，空腹温服，每日三次，以利下为度。
治疗十种水气，遍身洪肿，气喘小便赤涩。槟榔汤方。
槟榔（煨，锉碎三枚） 牵牛子（炒） 葶苈子（隔纸炒） 桑根白皮（炙，锉碎各一两） 赤小豆（炒半合） 郁李仁（去皮尖，炒一两） 防己 猪苓（去黑皮各三分）
以上八味药，粗捣筛。每次服用五钱匕，水二盏，生姜一块枣大拍碎，同煎至一盏，去滓，空腹温服，每日三次，以利下为度。
治疗十种水气。防己槟榔丸方。
防己 槟榔（煨，锉碎） 郁李仁（去皮尖，炒，研各三分） 葶苈子（纸上炒半两）
以上四味药，捣罗成细末，炼蜜和丸，如小豆大小。每次服用十至二十丸，空腹用后方葶苈汤送下。
葶苈汤方。
葶苈子（炒） 桑根白皮（炙，锉碎） 百合（各一两）
以上三味药，粗捣筛。每次服用三钱匕，水一盏，煎至六分，下前丸药，每日三次，以小便利为度。若鼓胀气微结，加甘遂一两。
治疗十水。大黄丸方。
大黄（锉碎，炒） 硝石 大戟（去皮，炒） 甘遂（炒） 芫花（醋炒焦） 椒目（炒出汗） 葶苈子（炒各一分）
以上七味药，捣罗成末，炼蜜和丸如小豆大小。每次服用一丸，空腹桑根白皮汤送下，每日两次，逐渐增加，以见效为度。
治疗十种水气。木香汤方。
木香 陈橘皮（汤浸去白，焙干） 白术 桑根白皮（炙，锉碎） 桂枝（去粗皮各半两） 木通（锉碎，炒三分）
以上六味药，粗捣筛，另取牵牛子二两，在铁铫内，以纸衬手搅动，趁热捣罗成末，每次以前药末三钱匕，同牵牛末一钱半匕，水一盏半，煎至八分，去滓，五更时分温服。天亮时吃热生姜茶粥，随后用芜荑、桑根白皮各一分，煮白羯羊肉半斤烂熟食用。
治疗十种水气。神妙汤方。
香子（炒） 乌药 青橘皮（汤浸去白，焙干） 高良姜（各一两）
以上四味药，粗捣筛。每次服用五钱匕，用童子小便半盏，酒一盏，同煎至一盏，去滓，稍热服，不拘时间。
治疗十水。定喘急。防己丸方。
防己 陈橘皮（汤浸去白焙干） 大戟（炒） 苦葶苈子（纸上炒各半两）
以上四味药，捣罗成细末，枣肉和丸如梧桐子大小。每次服用二十丸，温熟水送下，不拘时间。
治疗十种水气腹胀。比圣饼子方。
大戟 甘遂（各一两）
以上两味药，生捣罗成细末。每次服用一钱匕，以大麦面一两，新水和作饼子烧熟。每五更时分慢慢嚼烂茶送下，过一段时间小便多即为有效，未退再服。
治疗十种水气。四石丸方。
滑石 井泉石（研） 白石英（研） 寒水石（研） 砂（研细，水和作饼子，用湿面四两裹药饼烧紫色去面各二钱） 白丁香（半两） 续随子仁（二钱）
以上七味药，捣研成末，面糊丸如梧桐子大小。每次服用五丸，生姜汤送下，第一日三服，第二日四服，第三日五服，以利下为度，利后用药补之。
治疗下水气补药。木香丸方。
木香 青橘皮（汤浸去白焙干各一钱） 蓬莪术（二钱）
以上三味药，同为末，面糊丸如绿豆大小。每次服用十丸，白开水送下。
治疗十种水气。灵宝丸方。
滑石（好白者二两） 腻粉（一两）
以上两味药，先捣研滑石令极细，次入腻粉和匀，熬木瓜浓汁成膏，和丸如绿豆大小。每次服用七丸，五更空腹温米饮送下，每日只服一次。服至五七日，觉脐腹撮痛，小便多为有效。忌盐一百日，觉效便服补脾胃药。
治疗十种水气，大通三焦。此方载于《神仙经》，天台山金坛石室中镌纪。只要让人忌口，无不痊愈者。再苏丸方。
大戟（炒） 甘遂（炒） 春大麦面（炒） 巴豆（去心、膜，麸炒出油尽） 干姜（炒） 桂枝（去粗皮） 大黄（锉碎，炒各半两）
以上七味药，捣罗成末，炼蜜丸如小豆大小。每次服用十丸，空腹茶送下，以利下为度。
治水气心下痞紧，喘息气急，大肠秘结。鳖甲饮方。
鳖甲（去裙襕，醋炙） 诃黎勒皮（煨） 郁李仁（研） 赤茯苓（去黑皮各一两半） 桑根白皮（锉碎，炒） 吴茱萸（汤洗焙干，炒各一两） 槟榔（锉碎四枚）
以上七味药，粗捣筛。每次服用三钱匕，水一盏半，煎至一盏，去滓，食前温服，如人行走五里路的时间再服。
治水气头面俱肿，四肢无力，小便涩。海蛤丸方。
海蛤（研一两半） 硝石（研二两） 葶苈子（微炒，研一两半） 杏仁（汤去皮尖、双仁，炒黄，研一两）
以上四味药，捣罗成细末，枣肉和丸如梧桐子大小。每次服用十丸，食前煎木通汤送下，每日二次。
治水气四肢不和，面目浮肿，小便涩，气急促。槟榔饮方。
槟榔（锉碎五枚） 桑根白皮（锉碎，炒） 陈橘皮（汤去白，焙干） 防己 郁李仁（研各一两半） 吴茱萸（汤洗，焙干，炒半两） 木通（锉碎二两）
以上七味药，粗捣筛。每次服用三钱匕，水一盏半，煎至一盏，去滓，食前温服，如人行走五里路的时间再服。
治水气面目浮肿，胸满短气，小便不利。桑白皮饮方。
桑根白皮（锉碎，炒） 赤芍药 郁李仁（研） 百合（各一两半） 木通（锉碎二两） 大腹子（五枚）
以上六味药，粗捣筛。每次服用三钱匕，水一盏半，煎至一盏，去滓，食前温服，如人行走五里路的时间再服。
Discussion states: Among the ten types of edema diseases, swelling starting from the feet, accompanied by rebellious Qi and coughing, is called White Water (Bai Shui), with its root in the Lung; swelling starting from the face and eyes is called Green Water (Qing Shui), with its root in the Liver; swelling starting from the abdomen is called Yellow Water (Huang Shui), with its root in the Spleen; swelling starting from the dorsum of the foot is called Black Water (Hei Shui), with its root in the Kidney; swelling starting from the chest/heart area is called Red Water (Chi Shui), with its root in the Heart; swelling starting from the abdomen, alternating between fullness and emptiness, coming and going intermittently, is called Qi Water (Qi Shui), with its root in the Large Intestine; swelling spreading from the head and face to the feet is called Drooping Water (Chui Shui), with its root in the Gallbladder; swelling originating internally with hard masses in the limbs and slight swelling is called Stone Water (Shi Shui), with its root in the Bladder; swelling starting from the limbs with abdominal distension is called Wind Water (Feng Shui), with its root in the Stomach; swelling originating within the abdominal cavity is called Interior Water (Li Shui), with its root in the Small Intestine. All these ten types of water diseases arise from the Zang-Fu organs, each having its own root cause. Investigating their origin reveals that it is essentially the Lung and Kidney. Thus, the *Nei Jing* (Inner Canon) states: "The root lies in the Kidney, the branch lies in the Lung; all are due to water accumulation." It also says: "Body fluids fill the thoracic cavity, the Po (Corporeal Soul) exists alone while the Shen (Spirit) does not reside, essence is isolated internally, and Yang Qi is exhausted externally, so the body becomes emaciated such that clothes no longer fit." This is because Kidney Qi is weak, causing water Qi to swell and attack the Lung upward, leading to the Lung Qi being isolated and critical. The Kidney suffers from water pathogenic factors; as the child organ fails to assist the mother organ, Yin Essence is damaged internally, and Yang Qi diminishes externally. The San Jiao (Triple Burner) becomes blocked and overflow occurs, water pathways are obstructed, water fills the skin, resulting in bodily stagnation and swelling. The methods of treatment are detailed in the *Nei Jing*. Therefore, it is said to balance and weigh the condition, remove accumulated stale pathogens, slightly move the four extremities, wear warm clothing, and apply Miu Ci (diagonal needle insertion) at corresponding sites to restore the form. Open the ghost gates (induce sweating), purify the clean mansion (promote urination), allow essence to recover in time, distribute the five Yang energies, and dredge and cleanse the five Zang organs. Consequently, essence generates naturally, the form prospers, bones and flesh protect each other, and the Great Qi becomes peaceful.
Formula for Ten Water Pills to treat edema.
Zhaomu (Cannabis Seed, lightly fried, treats White Water) Daji (Kansui Root, fried, treats Green Water) Gansui (Euphorbia Lathyris Root, bran-fried, treats Yellow Water) Xuanshen (Scrophularia Root, treats Black Water) Tinglizi (Descurainia Seed, fried, treats Red Water) Yuanhua (Genkwa Flower, vinegar-fried, treats Qi Water) Chixiaodou (Adzuki Bean, treats Drooping Water) Sangbaipipi (Mulberry Root Bark, roasted, sliced, treats Stone Water) Zexie (Alisma Rhizome, treats Wind Water) Badou (Croton Seed, de-heart, de-skin, de-membrane, ground, oil removed, treats Interior Water)
Take the above ten herbs in equal proportions. According to the location of the disease, increase the dosage of the primary herb by one part, and Badou by four parts. Remove heart and skin, press to remove oil, grind into powder, and mix with refined honey to make pills the size of paulownia seeds. Take three pills per dose, administered with rice drink. Stop when water is discharged. If discharge has not occurred, take three times daily. Once discharged, regulate diet, consuming only dry foods.
Another formula, Ten Water Pills.
Daji (Kansui Root, fried, treats Clear Water) Tinglizi (Descurainia Seed, fried, treats Red Water) Gansui (Euphorbia Lathyris Root, fried, treats Yellow Water) Gaoben (Ligusticum Root, de-tubers and soil, treats White Water) Lianqiao (Forsythia Fruit, de-stem, treats Black Water) Yuanhua (Genkwa Flower, fried until scorched, treats Drooping Water) Zeqi (Phytolacca Leaf, treats Wind Water) Sangbaipipi (Mulberry Root Bark, roasted, sliced, treats Stone Water) Badou (Croton Seed, de-skin and heart, ground, oil removed, treats Interior Water) Chixiaodou (Adzuki Bean, treats Qi Water)
Take the above ten herbs in equal proportions, double the dosage according to the syndrome, grind and sieve into fine powder, and mix with refined honey to make pills the size of small beans. Take three to five pills per dose, administered with rice drink, three times daily. Reduce dosage for weak individuals as appropriate.
To treat ten types of water disease where hundred prescriptions have failed, with swelling of face, eyes, and limbs, rapid breathing, inability to sleep, gradual urinary obstruction, abdominal distension and stifling sensation, inability to ingest water, and impending death. Formerly named Tingli San, bestowed name Shenzhu San Formula.
Zhaomu (Cannabis Seed, lightly fried, 3 liang) Zhuling (Polyporus, de-black skin) Zexie (Alisma Rhizome, 4 liang each) Qianniu (Pharbitis Seed, fried until fragrant, 5 liang) Ku Tinglizi (Descurainia Seed, fried on paper, 6 liang)
Grind the above five herbs into powder. Take 3 qianbi per dose. Boil three stalks of scallion white in one zhan of jiangshui (fermented grain liquid) to obtain half a zhan. Add half a zhan of clear wine, stir well. Take slightly warm on an empty stomach. After some time, cook two zhan of jiangshui and scallion white porridge, add one zhan of clear wine, stir well, and drink hot facing east until finished. By afternoon, if urine or stool becomes unobstructed, wheezing stops, and swelling decreases, take again every other day. Complete elimination within one hundred days.
Binglang Wan Formula to treat ten types of water qi.
Binglang (Areca Seed, processed, sliced, 3 pieces) Daji (Kansui Root, sliced, fried, 0.5 liang) Qianniu Zi (Pharbitis Seed, fried) Huashi (Talcum, crushed) Hai Ge (Clam Shell) Qumai (Shepherd's Purse Herb) Xuanfu Hua (Inula Flower) Gansui (Euphorbia Lathyris Root, fried, 1 fen each)
Grind the above eight herbs into powder. Mix with soft rice to make pills the size of mung beans. Take seven to ten pills per dose, administered with decoction of Phytolacca Root. If made into powder, take 1 qianbi per dose, mixed with Phytolacca decoction. If restless, administer with rice drink. After purgation, continue with Tingli Wan.
Tingli Wan Formula.
Tinglizi (Descurainia Seed, fried) Xingren (Apricot Kernel, skin not removed, 1 fen each)
Grind the above two herbs into fine powder. Mix with flour paste to make pills the size of small beans. Take fifteen pills per dose, administered with Apricot Kernel decoction.
Sanxiao Wan Formula to treat ten types of water disease.
Puxiao (Niter, refined, 2 liang) Mangxiao (Mirabilite) Xiaoshi (Niter, 1 liang each, those that turn golden when burned) Xi Jiao (Rhinoceros Horn, shaved) Zhaomu (Cannabis Seed, lightly fried, 1 liang each) Tinglizi (Descurainia Seed, fried on paper) Langdang Zi (Datura Seed, fried, 1 liang each) Xingren (Apricot Kernel, de-skin, de-point, de-double kernel, fried, 2 liang)
Process the above three groups separately into powder, then combine with other herbs and pound for a thousand strokes. Use eleven large dates, cooked until soft, de-skin and de-pit, stir-fry until moisture is gone, and mix with the powder. If too hard, add a little refined honey. Pound for a thousand strokes to make pills the size of small beans. Take fifteen pills per dose on an empty stomach with Ginger decoction. Increase to twenty pills if necessary, stopping when purged. Avoid overeating, exposure to frost/cold, and wind chill even in summer; keep warm. Ban salty and indigestible foods. Avoid excessive emotion and labor. Avoid proximity to maternity rooms. Only consume japonica rice, millet, scallion, wild garlic, ginger, and tangerine peel. Ban salt for one year to prevent recurrence.
Da Haizao Tang Formula to treat ten types of water disease.
Haizao (Sargassum, washed to remove salt, dried) Yuanhua (Genkwa Flower, fried until scorched) Zhuling (Polyporus, de-black skin) Lianqiao (Forsythia Fruit) Zeqi (Phytolacca, fried) Yuliren (Bush Cherry Seed, de-skin, de-point, de-double kernel, ground) Chenjupi (Aged Tangerine Peel, soaked in water, de-white pith, dried) Sangbaipipi (Mulberry Root Bark, sliced, fried) Bjlili (Tribulus Fruit, fried, 1 liang each) Gaoben (Ligusticum Root, de-tubers and soil) Kunbu (Kelp, washed to remove salt, dried) Daji (Kansui Root, fried) Fangji (Stephania Root) Tinglizi (Descurainia Seed, fried) Puxiao (Niter) Gansui (Euphorbia Lathyris Root, fried) Xingren (Apricot Kernel, de-skin, de-point, de-double kernel, fried, 0.5 liang each) Binglang (Areca Seed, baked, sliced, 7 pieces)
Coarsely crush and sieve the above eighteen herbs. Take 4 qianbi per dose. Boil with 1.5 zhan of water and one date-sized piece of smashed ginger until reduced to 0.8 zhan. Strain and take warm on an empty stomach, three times daily, stopping when purged.
Binglang Tang Formula to treat ten types of water qi with generalized severe edema, wheezing, and dark scanty urine.
Binglang (Areca Seed, baked, sliced, 3 pieces) Qianniu Zi (Pharbitis Seed, fried) Tinglizi (Descurainia Seed, fried on paper) Sangbaipipi (Mulberry Root Bark, roasted, sliced, 1 liang each) Chixiaodou (Adzuki Bean, fried, 0.5 he) Yuliren (Bush Cherry Seed, de-skin, de-point, fried, 1 liang) Fangji (Stephania Root) Zhuling (Polyporus, de-black skin, 3 fen each)
Coarsely crush and sieve the above eight herbs. Take 5 qianbi per dose. Boil with 2 zhan of water and one date-sized piece of smashed ginger until reduced to 1 zhan. Strain and take warm on an empty stomach, three times daily, stopping when purged.
Fangji Binglang Wan Formula to treat ten types of water qi.
Fangji (Stephania Root) Binglang (Areca Seed, baked, sliced) Yuliren (Bush Cherry Seed, de-skin, de-point, fried, ground, 3 fen each) Tinglizi (Descurainia Seed, fried on paper, 0.5 liang)
Grind the above four herbs into fine powder. Mix with refined honey to make pills the size of small beans. Take ten to twenty pills per dose on an empty stomach, administered with the following Tingli Tang.
Tingli Tang Formula.
Tinglizi (Descurainia Seed, fried) Sangbaipipi (Mulberry Root Bark, roasted, sliced) Baihe (Lily Bulb, 1 liang each)
Coarsely crush and sieve the above three herbs. Take 3 qianbi per dose. Boil with 1 zhan of water until reduced to 0.6 zhan. Add the previously mentioned pills. Take three times daily, stopping when urination improves. If abdominal drum-like distension with slight knotting occurs, add 1 liang of Gansui.
Dahuang Wan Formula to treat ten types of water.
Dahuang (Rhubarb Root, sliced, fried) Xiaoshi (Niter) Daji (Kansui Root, de-skin, fried) Gansui (Euphorbia Lathyris Root, fried) Yuanhua (Genkwa Flower, vinegar-fried until scorched) Zhaomu (Cannabis Seed, fried until sweat appears) Tinglizi (Descurainia Seed, fried, 1 fen each)
Grind the above seven herbs into powder. Mix with refined honey to make pills the size of small beans. Take one pill per dose on an empty stomach with Mulberry Root Bark decoction, twice daily. Gradually increase until effect is achieved.
Muxiang Tang Formula to treat ten types of water qi.
Muxiang (Costus Root) Chenjupi (Aged Tangerine Peel, soaked in water, de-white pith, dried) Baizhu (Atractylodes Macrocephala Rhizome) Sangbaipipi (Mulberry Root Bark, roasted, sliced) Guizhi (Cinnamon Twig, de-bark, 0.5 liang each) Mutong (Akebia Stem, sliced, fried, 3 fen)
Coarsely crush and sieve the above six herbs. Separately, take 2 liang of Qianniu Zi, place in an iron pot lined with paper, stir by hand, and while hot, grind into powder. Take 3 qianbi of the previous herb powder mixed with 1.5 qianbi of Qianniu powder. Boil with 1.5 zhan of water until reduced to 0.8 zhan. Strain and take warm at wugeng (3-5 AM). At dawn, eat hot ginger tea porridge. Subsequently, boil 1 fen of Wuyi and 1 fen of Sangbaipipi with 0.5 jin of boiled white ram meat and consume.
Shenmiao Tang Formula to treat ten types of water qi.
Xiangzi (likely Anise or similar aromatic seed, fried) Wuyao (Litsea Root) Qingjupi (Green Tangerine Peel, soaked in water, de-white pith, dried) Gaoliangjiang (Galangal Rhizome, 1 liang each)
Coarsely crush and sieve the above four herbs. Take 5 qianbi per dose. Boil with half a zhan of boy's urine and one zhan of wine until reduced to one zhan. Strain and take slightly warm at any time.
Fangji Wan Formula to treat ten types of water and stabilize urgent wheezing.
Fangji (Stephania Root) Chenjupi (Aged Tangerine Peel, soaked in water, de-white pith, dried) Daji (Kansui Root, fried) Ku Tinglizi (Descurainia Seed, fried on paper, 0.5 liang each)
Grind the above four herbs into fine powder. Mix with date pulp to make pills the size of paulownia seeds. Take twenty pills per dose with warm water at any time.
Bisheng Bingzi Formula to treat ten types of water qi and abdominal distension.
Daji (Kansui Root) Gansui (Euphorbia Lathyris Root, 1 liang each)
Grind the above two raw herbs into fine powder. Take 1 qianbi per dose. Mix with 1 liang of barley flour and fresh water to make cakes, bake until cooked. Chew slowly with tea at wugeng (3-5 AM). Increased urination after some time indicates efficacy. Repeat if swelling persists.
Six Stones Wan Formula to treat ten types of water.
Huashi (Talcum) Jingquanshi (Well Spring Stone, ground) Baishiying (White Quartz, ground) Hanshuishi (Cold Water Stone, ground) Sha (Realgar, ground finely, mixed with water to make cake, wrapped in 4 liang wet flour dough, baked until purple, de-dough, 2 qian each) Baixiangding (Stole White Dung, 0.5 liang) Xuisui Zi Ren (Spurflower Seed Kernel, 2 qian)
Grind the above seven herbs into powder. Mix with flour paste to make pills the size of paulownia seeds. Take five pills per dose with Ginger decoction. Day 1: three doses; Day 2: four doses; Day 3: five doses. Stop when purged. After purging, use subsequent tonic medicine.
Muxiang Wan Formula (Tonic for draining water qi).
Muxiang (Costus Root) Qingjupi (Green Tangerine Peel, soaked in water, de-white pith, dried, 1 qian each) Peng Ezhu (Curcuma Zedoaria Rhizome, 2 qian)
Grind the above three herbs into powder. Mix with flour paste to make pills the size of mung beans. Take ten pills per dose with plain warm water.
Lingbao Wan Formula to treat ten types of water qi.
Huashi (Talcum, high quality white, 2 liang) Nifen (Calomel, 1 liang)
First grind Huashi extremely fine, then mix evenly with Nifen. Boil Quince juice to a paste consistency. Mix with powder to make pills the size of mung beans. Take seven pills per dose at wugeng (3-5 AM) on an empty stomach with warm rice drink. One dose daily. After five to seven days, feeling of pulling pain in umbilical/abdominal area and increased urination indicate efficacy. Ban salt for one hundred days. Once effective, switch to Spleen/Stomach tonics.
Zaisu Wan Formula to treat ten types of water qi and unblock San Jiao. Recorded in *Shenxian Jing*, engraved in Jintan Stone Cave, Tiantai Mountain. Effective if dietary restrictions are observed.
Daji (Kansui Root, fried) Gansui (Euphorbia Lathyris Root, fried) Chun Damaimian (Spring Barley Flour, fried) Badou (Croton Seed, de-heart, de-membrane, bran-fried until oil is out) Ganjiang (Dried Ginger, fried) Guizhi (Cinnamon Twig, de-bark) Dahuang (Rhubarb Root, sliced, fried, 0.5 liang each)
Grind the above seven herbs into powder. Mix with refined honey to make pills the size of small beans. Take ten pills per dose on an empty stomach with tea, stopping when purged.
Biejia Yin Formula to treat water qi with epigastric tightness, wheezing, and intestinal constipation.
Biejia (Turtle Shell, de-skirt, vinegar-roasted) Helilepi (Chebulic Myrobalan Pericarp, baked) Yuliren (Bush Cherry Seed, ground) Chifuling (Red Polyporus, de-black skin, 1.5 liang each) Sangbaipipi (Mulberry Root Bark, sliced, fried) Wuzhuyu (Evodia Fruit, washed in water, dried, fried, 1 liang each) Binglang (Areca Seed, sliced, 4 pieces)
Coarsely crush and sieve the above seven herbs. Take 3 qianbi per dose. Boil with 1.5 zhan of water until reduced to 1 zhan. Strain and take warm before meals. Take again after walking five li.
Haige Wan Formula to treat water qi with facial/ocular swelling, limb weakness, and scanty urine.
Haige (Clam Shell, ground, 1.5 liang) Xiaoshi (Niter, ground, 2 liang) Tinglizi (Descurainia Seed, lightly fried, ground, 1.5 liang) Xingren (Apricot Kernel, blanched de-skin/de-point/de-double kernel, fried yellow, ground, 1 liang)
Grind the above four herbs into fine powder. Mix with date pulp to make pills the size of paulownia seeds. Take ten pills per dose before meals with Akebia Stem decoction, twice daily.
Binglang Yin Formula to treat water qi with limb discomfort, facial swelling, scanty urine, and rapid breathing.
Binglang (Areca Seed, sliced, 5 pieces) Sangbaipipi (Mulberry Root Bark, sliced, fried) Chenjupi (Aged Tangerine Peel, blanched de-white pith, dried) Fangji (Stephania Root) Yuliren (Bush Cherry Seed, ground, 1.5 liang each) Wuzhuyu (Evodia Fruit, washed, dried, fried, 0.5 liang) Mutong (Akebia Stem, sliced, 2 liang)
Coarsely crush and sieve the above seven herbs. Take 3 qianbi per dose. Boil with 1.5 zhan of water until reduced to 1 zhan. Strain and take warm before meals. Take again after walking five li.
Sangbaipi Yin Formula to treat water qi with facial swelling, chest fullness, shortness of breath, and difficult urination.
Sangbaipipi (Mulberry Root Bark, sliced, fried) Chishaoyao (Red Peony Root) Yuliren (Bush Cherry Seed, ground) Baihe (Lily Bulb, 1.5 liang each) Mutong (Akebia Stem, sliced, 2 liang) Dafu (Betel Nut, 5 pieces)
Coarsely crush and sieve the above six herbs. Take 3 qianbi per dose. Boil with 1.5 zhan of water until reduced to 1 zhan. Strain and take warm before meals. Take again after walking five li.