此症满身皆肿，按之如泥者是。若不急治，水流四肢，不得从膀胱而出，则为死症矣。
方用
黑丑（二钱） 甘遂（二钱） 肉桂（三分） 车前子（一两） 水煎服
一剂而水流斗余，二剂而痊愈，断不可与三剂也，与三剂反杀之矣！盖牵牛、甘遂，最
善利
后，
昔元鲜子伯机，记杭医宋会之者，善治水臌，以干丝瓜一枚，去皮剪碎，入巴豆十四粒
同炒
之为末
不用，藉
此症乃气虚作肿，似水而非水也，但按之不如泥耳。必先从脚面起，后渐肿至上身，于
是头
方用
白术（一两） 薏米（一两） 茯苓（一两） 枳壳（五分） 萝卜子（一钱） 人参
（一
煎
初服若碍，久则竟有功效，不过卅剂而痊愈。忌食盐三月，秋石亦不可用。
小腹作痛，而四肢浮肿，不十分之甚，面色红而有白点，如虫食之状，眼下无卧蚕微肿
之形
雷丸（三钱） 当归（一两） 鳖甲（醋炙一两） 地栗粉（一两，鲜者取汁一盅）
神曲（三钱）
一剂下虫无数，二剂虫尽出而臌消，不用三剂。但病好〔后〕必用六君子汤调理，去甘
草。
此症或〔因〕跌闪而瘀血不散，或忧郁而结血不行，或风邪而蓄血不发，留在腹中，致
成血
水，
水蛭（炒黑，三钱） 当归（二两） 雷丸（三钱） 红花（三钱） 枳实（三钱） 白
芍（三钱） 牛膝（三钱） 桃仁（四十个，去皮尖研） 水煎服
即（衍文）一剂血尽而愈，一剂之后，切勿与三（二）剂，即改用四物汤调理，于补血
内加白术
如鼓，而
这种病症表现为全身浮肿，按压后凹陷如泥的是血臌症。如果不紧急治疗，水湿流注四肢，无法通过膀胱排出，就会成为死症。
处方用：
黑丑（二钱） 甘遂（二钱） 肉桂（三分） 车前子（一两） 水煎服
服用一剂后，排出的水液有一斗多，两剂后即可痊愈，绝对不可以服用第三剂，如果服用三剂反而会致死！因为牵牛子、甘遂，最善于利水通便，
以前元代鲜于枢（字伯机），记载杭州医生宋会之，擅长治疗水臌症，用干丝瓜一根，去皮切碎，加入巴豆十四粒
一起炒制成粉末，
不使用此方，借以说明……
这种病症是由于气虚导致的肿胀，看起来像水肿但并非真正的水肿，只是按压后不像泥那样凹陷罢了。必定先从脚面开始肿胀，然后逐渐向上蔓延至全身，于是头部
处方用：
白术（一两） 薏米（一两） 茯苓（一两） 枳壳（五分） 萝卜子（一钱） 人参
（一钱） 水煎服
初服时如果觉得不适，久服之后竟然会有功效，不过三十剂即可痊愈。忌食食盐三个月，秋石也不可用。
小腹部疼痛，四肢浮肿，程度不十分严重，面色红且带有白点，像被虫蛀蚀的样子，眼下没有卧蚕微肿的形态
处方用：
雷丸（三钱） 当归（一两） 鳖甲（醋炙一两） 地栗粉（一两，鲜者取汁一盅）
神曲（三钱）
服用一剂后排出无数虫子，两剂后虫子排尽而腹胀消除，不需要服用第三剂。但是病好后必须用六君子汤调理，去掉甘草。
这种病症或者是因为跌打闪挫导致瘀血不散，或者因为忧郁导致结血不行，或者因为风邪导致蓄血不发，留在腹中，致使形成血
水蛭（炒黑，三钱） 当归（二两） 雷丸（三钱） 红花（三钱） 枳实（三钱） 白
芍（三钱） 牛膝（三钱） 桃仁（四十个，去皮尖研碎） 水煎服
立即一剂药后瘀血排尽而痊愈，一剂之后，千万不要再服用第二剂，随即改用四物汤调理，在补血药中加入白术
腹部胀大如鼓，而……
This condition presents with edema throughout the body, where pressing leaves an indentation like mud. If not treated urgently, water-dampness flows to the four limbs and cannot exit via the Bladder (Bladder), resulting in a fatal condition.
Prescription:
Black Morning Glory Seed (Qian Niu Zi, *Pharbitidis Semen*), two qian; Kansui Root (Gan Sui, *Kansui Radix*), two qian; Cinnamon Twig (Rou Gui, *Cinnamomi Cortex*), three fen; Plantago Seed (Che Qian Zi, *Plantaginis Semen*), one liang. Decoct in water and take orally.
After one dose, more than one dou of fluid is discharged; after two doses, recovery is complete. Do not administer a third dose under any circumstances, as doing so may be fatal! This is because Qian Niu Zi and Gan Sui are most effective at promoting urination and purging bowels.
Previously, Xianyu Ji (courtesy name Boji) of the Yuan Dynasty recorded that Song Huizhi, a physician from Hangzhou, was skilled in treating Water Distension (Shui Gu). He used one dried loofah, peeled and chopped, stir-fried together with fourteen bitter bean seeds (Ba Dou, *Crotonis Fructus*) into a powder... [text incomplete]
This condition is swelling caused by Qi deficiency, resembling water edema but not being true water retention; it simply lacks the mud-like indentation upon pressure. It must begin with swelling on the dorsum of the feet, gradually spreading upwards to the upper body, thus affecting the head...
Prescription:
Atractylodes Macrocephala Rhizome (Bai Zhu, *Atractylodis Macrocephalae Rhizoma*), one liang; Coix Seed (Yi Mi, *Coicis Semen*; Poria (Fu Ling, *Poria*); Bitter Orange Fruit (Zhi Ke, *Citri Reticulatae Pericarpium Viride*), five fen; Radish Seed (Luo Bo Zi, *Raphani Semen*), one qian; Ginseng Root (Ren Shen, *Panacis Ginseng Radix*)... [text incomplete]
Decoct in water and take orally.
If discomfort occurs initially, efficacy will eventually manifest with prolonged use. Recovery typically occurs within thirty doses. Avoid salt for three months; Shi Hu (Niter) should also be avoided.
Lower abdominal pain accompanied by edema in the four limbs, not severe; the complexion is red with white spots, resembling insect damage; there is no slight swelling of the "sleeping silkworm" area under the eyes...
Prescription:
Omphalia Lapponica (Lei Wan, *Omphaliae Spora*), three qian; Angelica Sinensis Root (Dang Gui, *Angelicae Sinensis Radix*), one liang; Turtle Shell (Bie Jia, *Testudinis Carapax et Plastrum*, vinegar-processed), one liang; Water Chestnut Powder (Di Li Fen, *Eleocharis Tuberosa Powder*), one liang (use juice from fresh ones, one zhong); Medicated Leaven (Shen Qu, *Massa Medicata Fermentata*), three qian.
After one dose, countless parasites are expelled; after two doses, all parasites are eliminated and distension subsides. A third dose is unnecessary. However, after recovery, the condition must be regulated using Liu Jun Zi Tang (Six Gentlemen Decoction), removing Licorice Root (Gan Cao, *Glycyrrhizae Radix et Rhizoma*).
This condition arises either from blood stasis due to falls or sprains that does not dissipate, or from stagnation of congealed blood due to melancholy, or from retained blood due to wind pathogens that fails to manifest, remaining in the abdomen and leading to Blood Distension (Xue Gu)...
Leech (Shui Zhi, *Hirudo*, stir-fried until black), three qian; Angelica Sinensis Root (Dang Gui, *Angelicae Sinensis Radix*), two liang; Omphalia Lapponica (Lei Wan, *Omphaliae Spora*), three qian; Safflower Flower (Hong Hua, *Carthami Flos), three qian; Immature Bitter Orange Fruit (Zhi Shi, *Citri Reticulatae Fructus Immaturus*), three qian; White Peony Root (Bai Shao, *Paeoniae Radix Alba*), three qian; Achyranthes Root (Niu Xi, *Achyranthis Bidentatae Radix*), three qian; Peach Kernel (Tao Ren, *Persicae Semen*), forty kernels (skin and tips removed, ground). Decoct in water and take orally.
Immediately, after one dose, blood stasis is cleared and recovery ensues. After one dose, do not administer a second dose; instead, switch to Si Wu Tang (Four Substance Decoction) for regulation, adding Atractylodes Macrocephala Rhizome (Bai Zhu, *Atractylodis Macrocephalae Rhizoma*) to the blood-nourishing formula...
Abdominal distension like a drum, and...