病源风水者，由肾脾气虚弱所为也，肾劳则虚，虚则汗出，汗出逢风，风气内入，还客
于肾，脾虚又不能制于水，故水散溢皮肤。又与风湿相搏，故云风水也。令人身浮肿，如里
水之
第二
深师疗大风水脉浮，浮为在表，其人或头汗出，表无他病，但下重，故知从腰以上为和
，腰以下当肿及阴，难以屈伸。木防己汤方。
生姜（三两） 大枣（十二枚擘） 白术（四两） 木防己（四两） 甘草（二两炙） 黄
（五
两）
上六味切，以水六升，煮取二升，分三服，喘者加麻黄，身重胃中不和者，加芍药，气
上冲者加桂心，下久寒者加细辛防己黄 。为本服药欲解，当如虫行皮中状，从腰以下冷如
冰，服汤后坐被上，又以一被绕腰温下，令得汗，汗出则愈也。忌海藻菘菜桃李雀肉等。（
此本仲景伤寒论方）
又疗风水气，举身肿满，短气欲绝。大豆汤方。
大豆（一升） 杏仁（一升去尖皮熬） 黄 （二两） 防风（三两） 白术（五两） 木
防己（
四两） 茯苓（四两） 麻黄（四两去节） 甘草（四两炙） 生姜（六两） 清酒（一升）
上十一味切，以水三斗，先煮豆取一斗，去滓，纳酒及药，煮取七升，分七服，一日一
夜令尽，当下，小便极利，神验。忌大醋，余忌同前。
又疗暴水风水气水肿，或疮中水，通身皆肿，香薷术丸方。
干香薷（一斤） 白术（七两）
上二味捣术下筛，浓煮香薷取汁，和术为丸，饮服如梧子十丸，日夜四五服，利小便极
良，夏取花叶合用亦佳。忌青鱼，余忌同前。
崔氏疗风水肿，毒瓦斯遍身方。
楮白皮（三两） 桑根白皮（五两） 橘皮（一两） 紫苏（四两） 生姜（四两） 大
豆（三升）
上六味切，以水九升，煮取一升，绞去滓，分温为四服，与三剂佳，百日内忌咸酢。（
出第六卷中）
古今录验疗风水恶风，举身悉肿，脉浮不渴，欲自有汗而无大热，越婢汤方。
麻黄（六两去节） 生姜（三两） 甘草（二两炙） 石膏（半斤碎） 大枣（十五枚
擘）
上五味切，以水六升，先煮麻黄再沸，去上沫，纳诸药，煮取三升，分三服，恶风加附
子一枚炮，风水加术四两，服如上法，咳肺胀加半夏五合洗，一服五合，稍稍增之。忌猪羊
肉，余忌同前。（此本仲景伤寒论方云里水越婢加术汤主之）
又疗风水肿，症癖酒癖方。
商陆根（一斤薄切）
上一味，以淳酒二斗渍三宿，服一升当下，下者减从半升起，日三服尽，更合，不堪酒
者，以意减之。忌犬肉。
又甘遂丸，疗人风水黄胆，体大如囊，面目皆合，阴肿如斗，正如霜瓜方。
甘遂（二两熬） 葶苈子（二两熬） 杏仁（五十枚熬） 巴豆（四十枚去心皮熬）
上四味下筛，蜜和丸如大豆，一服三丸，饮下当吐，不知，可至五丸。禁野猪肉芦笋。
又麻黄汤，疗风水，身体面目尽浮肿，腰背牵引髀股，不能食方。
麻黄（五两去节） 桂心（四两） 生姜（三两） 甘草（二两炙） 附子（二枚炮）
上五味切，以水一斗，先煮麻黄减二升，纳药，煎取三升，一服一升，日三。忌同前。
【背景信息】
书名：外台秘要 作者：王焘 朝代：唐·天宝十一年 章节：风水方八首 类别：方剂
【原文翻译】
病因方面，所谓风水病，是由于肾气和脾气虚弱所致。肾气劳损则虚，虚则汗出，汗出时若逢风邪，风气内入，又客居于肾；脾虚又不能制约水液，因此水液散溢于皮肤之中。再加上与风湿之邪相互搏结，所以称为“风水”。此病使人身体浮肿，如同里水病一样。
第二首方剂：深师疗大风水脉浮，浮脉表示病在表。患者或许头面部有汗出，体表没有其他病症，但感觉下身沉重，因此可知腰部以上尚属正常，腰部以下应当出现肿胀及阴部肿大，且难以屈伸活动。使用木防己汤方。
药材：生姜（三两）、大枣（十二枚，掰开）、白术（四两）、木防己（四两）、甘草（二两，炙烤）、黄芪（五两）。
以上六味药切碎，用水六升，煮取药液二升，分三次服用。若有喘息者，加麻黄；身体沉重、胃中不和者，加芍药；气上冲者，加桂心；久寒在下焦者，加细辛。服用防己黄芪汤后，药效发作时，应当感觉像虫子在皮中游走一样，腰部以下冷如冰。服药后坐在被子上，再用一条被子缠绕腰部以温暖下半身，令其出汗，汗出则痊愈。忌食海藻、菘菜、桃李、雀肉等。（此方本出自张仲景《伤寒论》）
药材：大豆（一升）、杏仁（一升，去尖皮并炒制）、黄芪（二两）、防风（三两）、白术（五两）、木防己（四两）、茯苓（四两）、麻黄（四两，去节）、甘草（四两，炙烤）、生姜（六两）、清酒（一升）。
以上十一味药切碎，用水三斗，先煮大豆取汁一斗，去渣，加入酒及药物，煮取七升，分七次服用，一日一夜内服完。服药后应当大便通下，小便极利，效果神验。忌食大醋，其余禁忌同前。
又一首方剂治疗暴发性水肿、风水气水肿，或疮疡中的水毒，通身皆肿。使用香薷术丸方。
以上两味药捣碎白术过筛，浓煮香薷取汁，调和白术粉制成丸药，用温水送服，每次十丸，日夜服用四五次，利小便效果极佳，夏季取香薷花叶合用也很好。忌食青鱼，其余禁忌同前。
药材：楮白皮（三两）、桑根白皮（五两）、橘皮（一两）、紫苏（四两）、生姜（四两）、大豆（三升）。
以上六味药切碎，用水九升，煮取一升，绞去药渣，分四次温服，服用三剂为佳。百日内忌食咸味和醋。（出自第六卷中）
古今录验治疗风水恶风，全身悉肿，脉浮不渴，想要自然出汗但没有大热。使用越婢汤方。
药材：麻黄（六两，去节）、生姜（三两）、甘草（二两，炙烤）、石膏（半斤，打碎）、大枣（十五枚，掰开）。
以上五味药切碎，用水六升，先煮麻黄至再次沸腾，去掉上面的沫，加入其他药物，煮取三升，分三次服用。恶风者加炮附子一枚，风水者加白术四两，服用方法如上。咳嗽、肺胀者加半夏五合（洗），每次服五合，逐渐增加剂量。忌食猪羊肉，其余禁忌同前。（此方本出自张仲景《伤寒论》，云里水由越婢加术汤主治）
药材：商陆根（一斤，薄切）。
以上一味药，用纯酒二斗浸泡三个夜晚，服用一升，应当大便通下。如果通便效果不强，可从半升开始增加，每日三次服完，再重新配制。不能饮酒者，酌情减量。忌食犬肉。
又一首甘遂丸，治疗人的风水、黄疸，身体大如囊状，面目紧闭，阴部肿大如斗，正如霜瓜形状。
药材：甘遂（二两，熬制）、葶苈子（二两，熬制）、杏仁（五十枚，熬制）、巴豆（四十枚，去心皮并熬制）。
以上四味药过筛，用蜂蜜调和制成如大豆大小的丸药，每次服用三丸，饮水送下，应当呕吐。若无反应，可增至五丸。禁食野猪肉、芦笋。
又一首麻黄汤，治疗风水，身体面目尽皆浮肿，腰背牵引髀股疼痛，不能进食。
药材：麻黄（五两，去节）、桂心（四两）、生姜（三两）、甘草（二两，炙烤）、附子（二枚，炮制）。
以上五味药切碎，用水一斗，先煮麻黄减少二升，加入药物，煎取三升，每次服用一升，每日三次。禁忌同前。
[Background Information]
Book: *Waitai Miyao* (Essential Prescriptions Worth a Thousand Gold for Emergencies)
Author: Wang Tao
Dynasty: Tang Dynasty, Tianbao 11th Year
Chapter: Eight Formulas for Wind-Water (Fengshui)
Category: Formulas
[Etiology]
Regarding the etiology of wind-water disease, it is caused by the deficiency of Kidney Qi and Spleen Qi. When the Kidneys are overworked, they become deficient; deficiency leads to sweating. If sweating occurs while exposed to wind, the wind pathogen enters internally and lodges in the Kidneys. The Spleen, being deficient, fails to control water metabolism, causing water to scatter and overflow into the skin. Furthermore, this condition involves an interaction with wind-dampness pathogens, hence it is termed "Wind-Water" (Fengshui). This disease causes bodily edema, resembling interior water retention diseases.
[Formula 2]
Shenshi's treatment for severe wind-water presenting with a floating pulse. A floating pulse indicates the pathology is at the exterior level. The patient may have sweating on the head, with no other exterior symptoms, but feels heaviness in the lower body. Thus, it is known that the area above the waist is relatively normal, while swelling and yin organ enlargement should occur below the waist, accompanied by difficulty in flexion and extension. Use Mugongji Decoction (Mufangji Tang).
Ingredients: Fresh Ginger (3 liang), Jujube (12 pieces, split), Atractylodis Macrocephalae Rhizoma (Bai Zhu, 4 liang), Stephaniae Tetrandrae Radix (Mu Fang Ji, 4 liang), Glycyrrhizae Radix et Rhizoma (Gan Cao, 2 liang, honey-fried), Astragali Radix (Huang Qi, 5 liang).
Cut the six ingredients. Decoct in 6 sheng of water until 2 sheng remains. Divide into three doses. For patients with wheezing, add Ephedrae Herba (Ma Huang); for those with heavy body sensation and stomach disharmony, add Paeoniae Radix Alba (Shao Yao); for those with qi rushing upward, add Cinnamomi Cortex (Gui Xin); for those with chronic cold in the lower jiao, add Asari Radix (Xi Xin). After taking Mufangji Huangqi Decoction, when the therapeutic effect manifests, one should feel as if insects are crawling under the skin, and the lower waist will feel cold as ice. After taking the decoction, sit on a quilt, and wrap another quilt around the waist to warm the lower body, inducing sweat. Recovery occurs upon sweating. Avoid consuming Algae (Haizao), Chinese Cabbage (Song Cai), Peaches, Plums, and Sparrow Meat. (This formula originally comes from Zhang Zhongjing's *Treatise on Cold Damage Diseases*).
[Formula 3]
Another formula treats wind-water qi, characterized by generalized edema and fullness, shortness of breath approaching suffocation. Use Soybean Decoction (Dadou Tang).
Ingredients: Soybean (Dadou, 1 sheng), Apricot Seed (Xing Ren, 1 sheng, remove tips and skins, stir-fry), Astragali Radix (Huang Qi, 2 liang), Saposhnikoviae Radix (Fang Feng, 3 liang), Atractylodis Macrocephalae Rhizoma (Bai Zhu, 5 liang), Stephaniae Tetrandrae Radix (Mu Fang Ji, 4 liang), Poria (Fu Ling, 4 liang), Ephedrae Herba (Ma Huang, 4 liang, remove joints), Glycyrrhizae Radix et Rhizoma (Gan Cao, 4 liang, honey-fried), Fresh Ginger (Sheng Jiang, 6 liang), Clear Wine (Qing Jiu, 1 sheng).
Cut the eleven ingredients. Decoct in 3 dou of water. First, boil the soybeans to obtain 1 dou of liquid, discard the dregs, then add the wine and remaining herbs. Decoct until 7 sheng remains. Divide into seven doses. Consume all within one day and night. The patient should experience bowel movement and very profuse urination. This is highly effective. Avoid strong vinegar; other dietary restrictions are the same as before.
[Formula 4]
Another formula treats sudden water retention, wind-water edema, or water toxicity from sores, resulting in generalized edema. Use Xiangru Shu Pill (Xiangru Zhu Wan).
Ingredients: Dry Moslae Herba (Gan Xiang Ru, 1 jin), Atractylodis Macrocephalae Rhizoma (Bai Zhu, 7 liang).
Pulverize the Bai Zhu and sieve it. Boil the Gan Xiang Ru thickly to extract the juice. Mix the juice with the Bai Zhu powder to form pills. Take ten pills with warm water, four to five times a day. This effectively promotes urination. Using Xiang Ru flowers and leaves in summer is also beneficial. Avoid Green Fish; other restrictions are the same as before.
[Cui Shi's Formula]
Cui Shi's formula for wind-water edema where toxic qi spreads throughout the body.
Ingredients: Broussonetiae Cortex (Chu Bai Pi, 3 liang), Mulberry Root Bark (Sang Gen Bai Pi, 5 liang), Citri Reticulatae Pericarpium (Ju Pi, 1 liang), Perillae Folium (Zi Su, 4 liang), Fresh Ginger (Sheng Jiang, 4 liang), Soybean (Dadou, 3 sheng).
Cut the six ingredients. Decoct in 9 sheng of water until 1 sheng remains. Strain to remove dregs. Divide into four warm doses. Three courses of treatment are optimal. Avoid salty foods and vinegar for 100 days. (From Volume 6).
[Gujin Luyan's Formula]
Gujin Luyan treats wind-water with aversion to wind, generalized edema, floating pulse, no thirst, desire for spontaneous sweating, but without high fever. Use Yebi Decoction (Yuebi Tang).
Ingredients: Ephedrae Herba (Ma Huang, 6 liang, remove joints), Fresh Ginger (Sheng Jiang, 3 liang), Glycyrrhizae Radix et Rhizoma (Gan Cao, 2 liang, honey-fried), Gypsum Fibrosum (Shi Gao, 0.5 jin, crushed), Jujube (Da Zao, 15 pieces, split).
Cut the five ingredients. Decoct in 6 sheng of water. First, boil Ma Huang until it boils again, skim off the foam, then add the other herbs. Decoct until 3 sheng remains. Divide into three doses. For aversion to wind, add one prepared Aconiti Lateralis Radix (Fu Zi). For wind-water, add 4 liang of Atractylodis Macrocephalae Rhizoma (Bai Zhu). Administer as above. For cough and lung distension, add 5 he of Pinelliae Tuber (Ban Xia, washed). Start with 5 he per dose and increase gradually. Avoid Pork and Mutton; other restrictions are the same as before. (This formula originates from Zhang Zhongjing's *Treatise on Cold Damage Diseases*, which states that Interior Water is treated by Yuebi Jia Zhu Tang).
[Formula 6]
Another formula treats wind-water edema, mass accumulation (Zheng Xi), and alcohol-induced masses (Jiu Xi).
Ingredients: Phytolaccae Radix (Shang Lu Gen, 1 jin, thinly sliced).
Soak the single ingredient in 2 dou of pure wine for three nights. Take 1 sheng. It should induce bowel movement. If the effect is insufficient, increase the dose starting from half a sheng. Take three times a day until finished, then prepare a new batch. Reduce the dose for those who cannot tolerate alcohol. Avoid Dog Meat.
[Formula 7]
Another Gan Sui Pill treats wind-water and jaundice in humans, where the body swells like a sack, eyes and face are swollen shut, and the genitals swell like a bowl, resembling a frost melon.
Ingredients: Kansui Radix (Gan Sui, 2 liang, processed), Lepidii Fructus (Ting Li Zi, 2 liang, processed), Apricot Seed (Xing Ren, 50 pieces, processed), Crotonis Fructus (Ba Dou, 40 pieces, remove heart, skin, and process).
Pulverize the four ingredients. Mix with honey to form pills the size of soybeans. Take three pills per dose with water. Vomiting should occur. If there is no reaction, the dose can be increased to five pills. Avoid Wild Boar Meat and Reed Shoots.
[Formula 8]
Another Mahuang Tang treats wind-water, where the body and face are completely swollen, the lower back and hips pull and ache, and appetite is lost.
Ingredients: Ephedrae Herba (Ma Huang, 5 liang, remove joints), Cinnamomi Cortex (Gui Xin, 4 liang), Fresh Ginger (Sheng Jiang, 3 liang), Glycyrrhizae Radix et Rhizoma (Gan Cao, 2 liang, honey-fried), Aconiti Lateralis Radix Praeparata (Fu Zi, 2 pieces, prepared).
Cut the five ingredients. Decoct in 1 dou of water. First, boil Ma Huang until reduced by 2 sheng, then add the other herbs. Decoct until 3 sheng remains. Take 1 sheng per dose, three times a day. Dietary restrictions are the same as before.