夫水病者。皆由荣卫痞涩。肾脾虚弱所为。而大腹水肿者。或因大病之后。或积虚劳损
。或
聚于
治大腹水肿。大便涩。气满闷。赤茯苓散方。
赤茯苓（二两） 桂心（一两） 川大黄（二两锉碎微炒） 甘草（一两炙微赤锉） 大
腹皮（
一两半锉） 枳壳（一两半麸炒微黄去瓤） 桑根白皮〔一（三）两锉〕 细辛（一两） 前
胡（一
两
去芦
上件药。捣粗罗为散。每服五钱。以水一大盏。煎至五分。去滓。温服。日三四服。
治大腹水肿胀满。上气。坐卧不得方。
甜葶苈（一两半隔纸炒令紫色） 椒目（一两微炒去汗） 浮萍草（三分） 水银〔半
分
（两）〕
书中白鱼（七枚） 瓜蒂（半两） 川芒硝（二两） 滑石（二两）
上件药。先将葶苈和水银。研令星尽。即都捣罗为末。炼蜜和捣二三百杵。丸如梧桐子
大。初服。以茅根汤下一丸。次日二丸。每日累至七丸。又还从一丸再起服之。以瘥为度。
治大腹水肿。气息不通。命在旦夕。宜服此方。
桑根白皮（二两锉） 昆布（一两洗去咸味） 海藻（一两洗去咸味） 牵牛子（二两
微炒）
桂心（一两） 椒目（一两微炒去汗） 甜葶苈（半两隔纸炒令紫色）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。不计时候。以粥饮下二十丸。
又方。
汉防己（二两） 甜葶苈（二两隔纸炒令紫色） 甘草（二两炙微赤锉）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。不计时候。以生姜橘皮汤下三十丸。
又方。
雄黄（一两细研水飞过） 麝香（一分细研） 甘遂（半两煨令微黄） 芫花（半两醋
拌炒令
人参（半两去芦头）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。不计时候。以温酒下五丸。
又方。
甜葶苈（一升隔纸炒令紫色）
上以酒五升。渍一宿。不计时候。一小盏服之。
治大腹水肿。诸药无效。宜服此方。
苦葫芦子（二两微炒）
上件药。捣细罗为散。不计时候。以粥饮调下二钱。
水病，都是由于营卫之气阻滞涩滞、肾脾两脏虚弱所导致的。而大腹水肿这一病症，有的因为大病之后，有的因长期积虚劳损所致。
治疗大腹水肿，伴有大便干涩不通、气机胀满闷痛的症状，使用赤茯苓散方。
药材：赤茯苓（二两）、桂心（一两）、川大黄（二两，锉碎后微炒）、甘草（一两，炙至微红后锉碎）、大腹皮（一两半，锉碎）、枳壳（一两半，麸炒至微黄并去除瓤）、桑根白皮（三两，锉碎）、细辛（一两）、前胡（一两，去除芦头）。
以上药材，捣碎过粗筛制成散剂。每次服用五钱，用水一大盏，煎煮至五分水量，滤去药渣，温服。每日服用三到四次。
治疗大腹水肿胀满，伴有上气（气逆），无法坐卧的症状，使用此方。
药材：甜葶苈（一两半，隔纸炒至紫色）、椒目（一两，微炒去汗）、浮萍草（三分）、水银（半分）、书中白鱼（七枚）、瓜蒂（半两）、川芒硝（二两）、滑石（二两）。
以上药材，先将葶苈子与水银研磨，直至水银星点消失。然后将所有药材一起捣碎过筛制成粉末。用炼蜜调和，捣杵二三百下，制成梧桐子大小的丸剂。初次服药，用茅根汤送服一丸；第二天服两丸；每天逐渐增加，直到服七丸；然后又从一丸开始重新递增服用。以病愈为度。
治疗大腹水肿，气息不通，生命垂危的情况，适宜服用此方。
药材：桑根白皮（二两，锉碎）、昆布（一两，洗去咸味）、海藻（一两，洗去咸味）、牵牛子（二两，微炒）、桂心（一两）、椒目（一两，微炒去汗）、甜葶苈（半两，隔纸炒至紫色）。
以上药材，捣碎过筛制成粉末。用炼蜜调和，捣杵三二百下，制成梧桐子大小的丸剂。不限时间，用米粥饮送服二十丸。
又一方。
药材：汉防己（二两）、甜葶苈（二两，隔纸炒至紫色）、甘草（二两，炙至微红后锉碎）。
以上药材，捣碎过筛制成粉末。用炼蜜调和制成丸剂，如梧桐子大小。不限时间，用生姜橘皮汤送服三十丸。
又一方。
药材：雄黄（一两，细研后水飞法处理）、麝香（一分，细研）、甘遂（半两，煨至微黄）、芫花（半两，醋拌炒令干）、人参（半两，去除芦头）。
以上药材，捣碎过筛制成粉末。用炼蜜调和制成丸剂，如梧桐子大小。不限时间，用温酒送服五丸。
又一方。
药材：甜葶苈（一升，隔纸炒至紫色）。
以上药材，用酒五升，浸泡一夜。不限时间，每次服用一小盏。
治疗大腹水肿，其他药物无效的情况，适宜服用此方。
药材：苦葫芦子（二两，微炒）。
以上药材，捣细过筛制成散剂。不限时间，用米粥饮调服二钱。
Water diseases are all caused by the stagnation and涩ness (sluggish flow) of Ying and Wei (nutritive and defensive qi), along with the deficiency of the Kidney and Spleen. Abdominal edema, specifically, may result from post-illness debility or chronic accumulation of deficiency and consumptive damage.
For treating abdominal edema accompanied by constipation, abdominal distension, and fullness/stuffiness, use the Chifuling San (Red Poria Powder) formula.
Ingredients: Chifuling (Poria cocos, 2 liang), Guixin (Cinnamomi Cortex, 1 liang), Chuandahuang (Rhei Radix et Rhizoma, 2 liang, sliced and lightly stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, honey-fried until slightly red and sliced), Dafupi (Tangerine Peel, 1.5 liang, sliced), Zhike (Aurantii Fructus, 1.5 liang, bran-fried until slightly yellow and pith removed), Sanggenbaipi (Morus Albae Cortex, 3 liang, sliced), Xixin (Asari Radix et Rhizoma, 1 liang), Qianhu (Peucedani Radix, 1 liang, radix head removed).
Process the above ingredients by crushing and sieving through a coarse sieve to make a powder. Take 5 qian per dose, decoct in one large cup of water until reduced to 0.5 cups, strain, and take warm. Administer three to four times daily.
For treating abdominal edema with distension and fullness, accompanied by rebellious Qi (dyspnea/shortness of breath) such that sitting or lying down is intolerable, use this formula.
Ingredients: Tiantingli (Semen Lepidii seu Descurainiae, 1.5 liang, stir-fried between papers until purple), Jiaomu (Semen Lepidii seu Descurainiae, 1 liang, lightly stir-fried to remove moisture), Fupingcao (Herba Lemnae, 3 fen), Shuiyin (Hydrargyrum, 0.5 fen), Shuzhong Baiyu (Bookworms, 7 pieces), Gudi (Cucumeris Fructus, 0.5 liang), Chuanmangxiao (Natrii Sulfas, 2 liang), Huashi (Talcum, 2 liang).
Process the above ingredients: First, grind Tingli and Hydrargyrum together until the mercury particles disappear. Then, crush and sieve all ingredients into a fine powder. Mix with refined honey and pound for two to three hundred strokes to form pills the size of Sophora japonica seeds. For the initial dose, swallow one pill with Mugeng Tang (Imperatae Rhizoma Decoction). On the second day, take two pills. Gradually increase the dosage daily up to seven pills, then restart from one pill and increase again. Continue until the disease is cured.
For treating severe abdominal edema with blocked Qi respiration, where life is in imminent danger, this formula is suitable.
Ingredients: Sanggenbaipi (Morus Albae Cortex, 2 liang, sliced), Kunbu (Laminariae Thallus, 1 liang, washed to remove saltiness), Haizao (Sargassum Thallus, 1 liang, washed to remove saltiness), Qianniuzi (Semen Pharbitidis, 2 liang, lightly stir-fried), Guixin (Cinnamomi Cortex, 1 liang), Jiaomu (Semen Lepidii seu Descurainiae, 1 liang, lightly stir-fried to remove moisture), Tiantingli (Semen Lepidii seu Descurainiae, 0.5 liang, stir-fried between papers until purple).
Process the above ingredients by crushing and sieving into a powder. Mix with refined honey and pound for three to two hundred strokes to form pills the size of Sophora japonica seeds. Take twenty pills at any time with porridge drink.
Another prescription.
Ingredients: Hanfangji (Stephaniae Tetrandrae Radix, 2 liang), Tiantingli (Semen Lepidii seu Descurainiae, 2 liang, stir-fried between papers until purple), Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang, honey-fried until slightly red and sliced).
Process the above ingredients by crushing and sieving into a powder. Mix with refined honey to form pills the size of Sophora japonica seeds. Take thirty pills at any time with Shengjiang Jupi Tang (Fresh Ginger and Tangerine Peel Decoction).
Another prescription.
Ingredients: Xionghuang (Realgar, 1 liang, finely ground and processed by water flotation), Shexiang (Moschus, 1 fen, finely ground), Gansui (Radix Kansui, 0.5 liang, baked until slightly yellow), Yuanhua (Flos Genkwa, 0.5 liang, mixed with vinegar and stir-fried until dry), Renshen (Ginseng Radix, 0.5 liang, radix head removed).
Process the above ingredients by crushing and sieving into a powder. Mix with refined honey to form pills the size of Sophora japonica seeds. Take five pills at any time with warm wine.
Another prescription.
Ingredients: Tiantingli (Semen Lepidii seu Descurainiae, 1 sheng, stir-fried between papers until purple).
Soak the above ingredient in five sheng of wine overnight. Take one small cup at any time.
For treating abdominal edema when other medicines are ineffective, this formula is suitable.
Ingredients: Kuhu Luizi (Fructus Benincasae, 2 liang, lightly stir-fried).
Process the above ingredient by crushing and sieving finely into a powder. Take 2 qian at any time, mixed with porridge drink.