夫身面卒浮肿者。亦水病之候也。此由肾脾虚弱之所为也。肾主于水。今肾虚。故水妄
行。脾主于土。脾虚不能制水。故水流溢散入皮肤。令身面卒然浮肿也。
治卒身面浮肿。小肠涩。大便难。上气喘息。鳢鱼汤方。
鳢鱼(二斤洗去鳞肠令净) 赤茯苓(一两) 泽漆(一两) 泽泻(一两) 杏仁(半
两汤浸
去皮尖双仁) 桑根白皮(一两锉) 紫苏茎叶(一两)
上件药。细锉。先以水五升。煮鱼取汁三升。去鱼纳药。煮取二升。去滓。每于食前温
服一中盏。其鱼亦宜食之。
治头面身体卒浮肿。喘息。宜服此方。
柴胡(三分去苗) 桑根白皮(一两锉) 汉防己(三分) 猪苓(三分去黑皮) 木
通(一两
半锉) 黄芩(三分) 川大黄(一两锉碎微炒) 川芒硝〔三(二)两〕
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。温服。日三四服。
治头面身体卒浮肿。赤茯苓散方。
赤茯苓(一两) 枳壳(一两麸炒微黄去瓤) 陈橘皮(半两汤浸去白瓤焙) 牵牛子
(二两
微炒) 甘草(半两炙微赤锉)
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。
治卒身面浮肿。喘息气促。小便赤涩方。
甘遂(一两煨令微黄) 麻黄(一两去根节) 桑根白皮(一两半锉)
上件药。捣细罗为散。每服。煮赤小豆汁。调下二钱。日再服。以利为度。
治卒身面浮肿。腹胀。大小便不利。喘息稍急。宜服饮子方。
商陆(一两) 构树根(一两) 嫩桑枝(一两) 桑根白皮(一两) 大麻仁(三两
捣碎) 桂
心(一两)
上件药。都细锉和匀。每服半两。以水一中盏。煎至五分。去滓。空心温服。如人行五
里。大小盒饭利。未利。晚再服之。
又方。
赤小豆(一升) 胡葱(十茎细切) 硝石(一两)
上件药。以水五升。并葱同煮。令豆熟。候水干。放砂盆中入硝石。研如膏。每日空腹。
以暖酒调下半匙。
治卒身面四肢浮肿。喘息急。葶苈丸方。
甜葶苈(半两隔纸炒令紫色捣如膏) 汉防己(一两末) 杏仁(半两汤浸去皮尖双仁
生捣
如膏)
上件药。都和令匀。以枣肉和捣三二百杵。丸如梧桐子大。每服。煎橘皮汤下三十丸。
日三四服。
治卒身面浮肿。上气喘息。甘遂丸方。
甘遂(半两煨令微黄) 蒜瓣(半两煨熟研) 黑豆(半两炒熟)
上件药。除蒜外。捣罗为末。用蒜并枣肉和丸。如梧桐子大。每服。以木通汤下十丸。
日二服。
治卒身面四肢浮肿。腹胁气胀满。小便不利。宜服甜葶苈丸方。
甜葶苈(二两隔纸炒令紫色) 汉防己(一两) 海蛤(一两细研) 椒目(一两微炒
去汗)
川芒硝(一两) 赤茯苓(一两)
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。以后四味汤下三十丸。
日三服。
下丸药汤方。
木通(一两锉) 桑根白皮(一两锉) 百合(一两) 郁李仁(半两汤浸去皮微炒)
上件药。捣粗罗为散。每服三钱。以水一中盏。
煎至六分。去滓。下前丸药。
治头面四肢卒浮肿。小便涩。及阴肾肿。宜服此方。
甜葶苈(二两隔纸炒令紫色) 海蛤(一两细研) 川大黄(三两锉碎微炒) 甘遂(二
两煨
令微黄) 杏仁(一两半汤浸去皮尖双仁麸炒微黄)
上件药。捣罗为末。以枣肉和丸。如梧桐子大。每日空心。以木通汤下十丸。以利为度
又方。
甜葶苈(二两隔纸炒令紫色) 牵牛子(二两微炒) 海藻(一两洗去咸味) 昆布(一
两洗
去咸味) 猪苓(二两去黑皮) 泽泻(二两)
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。以大麻子汤下二十丸。
日三四服。
治卒头面浮肿。小便涩方。
苦瓠瓤(一枚细切)
上以水一斗。煮一两炊久。去滓。煎汁成膏。可丸即丸。如梧桐子大。每服。以温水下
二十丸。日三服。当小便利。利后。便烂煮赤小豆粥食之。
治头面遍身卒浮肿。腹胀满方。\x
上取苦瓠白瓤实。捻如大豆大。以面裹。煮令熟。空腹吞七枚。至午时。当出水三五升
。三四日水自出不止。大瘦乃瘥。三年内慎口味也。苦瓠须好无 点者。不尔有毒。
凡是身体和面部突然发生浮肿的,也是水病的征候。这主要是由于肾和脾虚弱所导致的。肾主管水液代谢,现在肾虚,所以水液妄行;脾主管土(运化),脾虚不能制约水液,因此水流溢散进入皮肤,导致身体和面部突然浮肿。
治疗突然的身体和面部浮肿、小肠涩滞、大便困难、气逆喘息,用鳢鱼汤方。
鳢鱼(二斤,洗净去鳞肠使其干净) 赤茯苓(一两) 泽漆(一两) 泽泻(一两) 杏仁(半两,热水浸泡去皮尖双仁) 桑根白皮(一两,锉碎) 紫苏茎叶(一两)
以上药物,细锉。先用水五升,煮鱼取汁三升,去掉鱼放入药物,煮取二升,去渣滓。每次在饭前温服一中盏。那条鱼也适宜食用。
治疗头面身体突然浮肿、喘息,适宜服用此方。
柴胡(三分,去苗) 桑根白皮(一两,锉碎) 汉防己(三分) 猪苓(三分,去黑皮) 木通(一两半,锉碎) 黄芩(三分) 川大黄(一两,锉碎微炒) 川芒硝〔三(二)两〕
以上药物,捣成粗罗散。每次服四钱,用水一中盏,煎至六分,去渣滓,温服。每日三四次。
治疗头面身体突然浮肿,用赤茯苓散方。
赤茯苓(一两) 枳壳(一两,麸炒微黄去瓤) 陈橘皮(半两,热水浸泡去白瓤焙干) 牵牛子(二两,微炒) 甘草(半两,炙微赤锉)
以上药物,捣成粗罗散。每次服五钱,用水一大盏,煎至五分,去渣滓,温服。每日三四次。
治疗突然的身体和面部浮肿、喘息气促、小便赤涩,用方。
甘遂(一两,煨令微黄) 麻黄(一两,去根节) 桑根白皮(一两半,锉碎)
以上药物,捣成细罗散。每次服用时,用煮赤小豆的汁调下二钱。每日两次,以腹泻为度。
治疗突然的身体和面部浮肿、腹胀、大小便不利、喘息稍急,适宜服用饮子方。
商陆(一两) 构树根(一两) 嫩桑枝(一两) 桑根白皮(一两) 大麻仁(三两,捣碎) 桂心(一两)
以上药物,都细锉和匀。每次服半两,用水一中盏,煎至五分,去渣滓,空腹温服。如果人行走五里的时间,大小便应当通畅。若未通畅,晚上再服一次。
又一方。
赤小豆(一升) 胡葱(十茎,细切) 硝石(一两)
以上药物,用水五升,连同葱一起煮,让豆子煮熟。等水干后,放入砂盆中加入硝石,研磨如膏状。每天空腹,用暖酒调下半匙服用。
治疗突然的身体和面部四肢浮肿、喘息急促,用葶苈丸方。
甜葶苈(半两,隔纸炒令紫色捣如膏) 汉防己(一两,研末) 杏仁(半两,热水浸泡去皮尖双仁生捣如膏)
以上药物,混合均匀。用枣肉和捣三二百杵,制成梧桐子大小的丸药。每次服用,煎橘皮汤送下三十丸。每日三四次。
治疗突然的身体和面部浮肿、气逆喘息,用甘遂丸方。
甘遂(半两,煨令微黄) 蒜瓣(半两,煨熟研碎) 黑豆(半两,炒熟)
以上药物,除蒜以外,捣罗成末。用蒜和枣肉和丸,如梧桐子大小。每次服用,用木通汤送下十丸。每日两次。
治疗突然的身体和面部四肢浮肿、腹胁气胀满、小便不利,适宜服用甜葶苈丸方。
甜葶苈(二两,隔纸炒令紫色) 汉防己(一两) 海蛤(一两,细研) 椒目(一两,微炒去汗) 川芒硝(一两) 赤茯苓(一两)
以上药物,捣罗成末,炼蜜和捣三二百杵,制成梧桐子大小的丸药。每次服用,用后面四种药煎成的汤送下三十丸。每日三次。
下丸药的汤剂方。
木通(一两,锉碎) 桑根白皮(一两,锉碎) 百合(一两) 郁李仁(半两,热水浸泡去皮微炒)
以上药物,捣成粗罗散。每次服三钱,用水一中盏,煎至六分,去渣滓,用来送服前面的丸药。
治疗头面四肢突然浮肿、小便涩滞,以及阴器肾脏肿胀,适宜服用此方。
甜葶苈(二两,隔纸炒令紫色) 海蛤(一两,细研) 川大黄(三两,锉碎微炒) 甘遂(二两,煨令微黄) 杏仁(一两半,热水浸泡去皮尖双仁麸炒微黄)
以上药物,捣罗成末,用枣肉和丸,如梧桐子大小。每天空腹,用木通汤送下十丸,以腹泻为度。
又一方。
甜葶苈(二两,隔纸炒令紫色) 牵牛子(二两,微炒) 海藻(一两,洗去咸味) 昆布(一两,洗去咸味) 猪苓(二两,去黑皮) 泽泻(二两)
以上药物,捣罗成末,炼蜜和捣三二百杵,制成梧桐子大小的丸药。每次服用,用大麻子汤送下二十丸。每日三四次。
治疗突然的头面浮肿、小便涩滞,用方。
苦瓠瓤(一枚,细切)
以上用水一斗,煮很长时间。去渣滓,煎汁成膏。可以做成丸药,如梧桐子大小。每次服用,用温水送下二十丸。每日三次。应当使小便通畅。利后,就烂煮赤小豆粥食用。
治疗头面遍身突然浮肿、腹胀满,用方。
以上取苦瓠白瓤实,捻如大豆大小,用面包裹,煮令熟透。空腹吞服七枚。到中午时分,应当排出水液三五升。三四天水液自出不止,身体大瘦才痊愈。三年内要谨慎口味饮食。苦瓠必须是完好无斑点的,否则有毒。
Those with sudden edema of the body and face are also presenting signs of Water Disease (Shui Bing). This is caused by the deficiency of the Kidney and Spleen. The Kidney governs water; now, due to Kidney deficiency, water flows recklessly. The Spleen governs Earth (transformation and transportation); due to Spleen deficiency, it cannot control water, causing water to overflow and scatter into the skin, leading to sudden edema of the body and face.
For treating sudden edema of the body and face, astringency of the Small Intestine, difficulty in defecation, and upward Qi with panting, use Linyu Tang (Snakehead Fish Decoction).
Linyu (Snakehead Fish) (2 jin, washed, scales and entrails removed, cleaned), Chifuling (Red Poria) (1 liang), Zeqi (Euphorbia helioscopia), Zexie (Alisma), Xingren (Apricot Seed) (0.5 liang, soaked in hot water, peel and pointed end removed, double kernel), Sanggenbaipi (Mulberry Root Bark) (1 liang, chopped), Zisujingye (Perilla Stem and Leaf) (1 liang).
The above herbs are finely chopped. First, use 5 sheng of water to boil the fish until the liquid reduces to 3 sheng. Remove the fish, add the herbs, and boil until the liquid reduces to 2 sheng. Strain. Take one zhongzhan warm before meals. The fish is also suitable for consumption.
For treating sudden edema of the head, face, and body with panting, this formula is suitable.
Chaihu (Bupleurum Root) (3 qian, stem removed), Sanggenbaipi (Mulberry Root Bark) (1 liang, chopped), Hanfangji (Stephania Tetrandra) (3 qian), Zhuling (Polyporus) (3 qian, black skin removed), Mutong (Akebia Stem) (1.5 liang, chopped), Huangqin (Scutellaria Root) (3 qian), Chuan Dahuang (Rhubarb Root) (1 liang, chopped and lightly stir-fried), Chuanniaoxiao (Mirabilite) [3 (or 2) liang].
The above herbs are crushed into a coarse powder. Take 4 qian each time, decoct with 1 zhongzhan of water until it reduces to 6 fen. Strain and take warm. Take 3-4 times daily.
For treating sudden edema of the head, face, and body, use Chifuling San (Red Poria Powder).
Chifuling (Red Poria) (1 liang), Zhike (Immature Bitter Orange) (1 liang, stir-baked with bran until slightly yellow, pith removed), Chenjuapi (Dried Tangerine Peel) (0.5 liang, soaked in hot water, white pith removed, baked), Qianniuzi (Pharbitis Seed) (2 liang, lightly stir-fried), Gancao (Licorice Root) (0.5 liang, honey-fried until slightly red and chopped).
The above herbs are crushed into a coarse powder. Take 5 qian each time, decoct with 1 dazhan of water until it reduces to 5 fen. Strain and take warm. Take 3-4 times daily.
For treating sudden edema of the body and face, panting with rapid breathing, and red, astringent urination, use the following formula.
Gansui (Kansui Root) (1 liang, baked until slightly yellow), Mahuang (Ephedra Herb) (1 liang, roots and joints removed), Sanggenbaipi (Mulberry Root Bark) (1.5 liang, chopped).
The above herbs are crushed into a fine powder. For each dose, mix with juice from boiling Red Bean (Adzuki Bean) and take 2 qian orally. Take twice daily, stopping when diarrhea occurs.
For treating sudden edema of the body and face, abdominal distension, difficulty in urination and defecation, and slightly rapid panting, use Yinzi (Decoction Drink).
Shanglu (Phytolacca Root) (1 liang), Goushugen (Broussonetia Root Bark) (1 liang), Nensangzhi (Tender Mulberry Branch) (1 liang), Sanggenbaipi (Mulberry Root Bark) (1 liang), Damaren (Hemp Seed) (3 liang, crushed), Guixin (Cinnamon Twig Heart) (1 liang).
The above herbs are finely chopped and mixed evenly. Take 0.5 liang each time, decoct with 1 zhongzhan of water until it reduces to 5 fen. Strain and take warm on an empty stomach. If after walking for five li the bowels and urine do not clear, take again in the evening.
Another prescription.
Chixiaodou (Red Bean/Adzuki Bean) (1 sheng), Hucong (Allium Fistulosum) (10 stems, finely cut), Xiaoshi (Niter/Saltpeter) (1 liang).
The above herbs are boiled together with water (5 sheng) and the green onions until the beans are cooked. When the water is dry, place in a clay basin, add Xiaoshi, and grind into a paste. Take half a spoonful mixed with warm wine on an empty stomach daily.
For treating sudden edema of the body, face, and limbs with urgent panting, use Tingli Wan (Descurainia Pill).
Tian Tingli (Sweet Descurainia Seed) (0.5 liang, stir-fried between papers until purple, crushed into paste), Han Fangji (Stephania Tetrandra) (1 liang, powdered), Xingren (Apricot Seed) (0.5 liang, soaked in hot water, peel and pointed end removed, raw crushed into paste).
Mix the above herbs evenly. Combine with date flesh and pound 300-200 times. Form pills the size of Sophora seeds. Take 30 pills each time with decocted Citrus Peel Tea. Take 3-4 times daily.
For treating sudden edema of the body and face with upward Qi and panting, use Gansui Wan (Kansui Pill).
Gansui (Kansui Root) (0.5 liang, baked until slightly yellow), Suanban (Garlic Clove) (0.5 liang, baked ripe and crushed), Heidou (Black Soybean) (0.5 liang, roasted).
Except for garlic, crush the above herbs into powder. Mix with garlic and date flesh to form pills the size of Sophora seeds. Take 10 pills each time with Mutong (Akebia Stem) decoction. Take twice daily.
For treating sudden edema of the body, face, and limbs, abdominal and hypochondriac Qi distension, and difficult urination, use Tian Tingli Wan (Sweet Descurainia Pill).
Tian Tingli (Sweet Descurainia Seed) (2 liang, stir-fried between papers until purple), Han Fangji (Stephania Tetrandra) (1 liang), Hai Ge (Clam Shell) (1 liang, finely ground), Jiaomu (Sichuan Pepper Pit) (1 liang, lightly stir-fried to remove sweat/oil), Chuan Mangxiao (Mirabilite) (1 liang), Chifuling (Red Poria) (1 liang).
Crush the above herbs into powder. Combine with refined honey and pound 300-200 times. Form pills the size of Sophora seeds. Take 30 pills each time with the decoction of the last four ingredients. Take three times daily.
Decoction for administering the pills.
Mutong (Akebia Stem) (1 liang, chopped), Sanggenbaipi (Mulberry Root Bark) (1 liang, chopped), Baihe (Lily Bulb) (1 liang), Yuliren (Bush Cherry Seed) (0.5 liang, soaked in hot water, peel removed, lightly stir-fried).
Crush the above herbs into a coarse powder. Take 3 qian each time, decoct with 1 zhongzhan of water until it reduces to 6 fen. Strain and use to administer the previous pills.
For treating sudden edema of the head, face, and limbs, astringent urination, and swelling of the yin and kidney, use this formula.
Tian Tingli (Sweet Descurainia Seed) (2 liang, stir-fried between papers until purple), Hai Ge (Clam Shell) (1 liang, finely ground), Chuan Dahuang (Rhubarb Root) (3 liang, chopped and lightly stir-fried), Gansui (Kansui Root) (2 liang, baked until slightly yellow), Xingren (Apricot Seed) (1.5 liang, soaked in hot water, peel and pointed end removed, stir-baked with bran until slightly yellow).
Crush the above herbs into powder. Combine with date flesh to form pills the size of Sophora seeds. Take on an empty stomach daily, 10 pills with Mutong (Akebia Stem) decoction, stopping when diarrhea occurs.
Another prescription.
Tian Tingli (Sweet Descurainia Seed) (2 liang, stir-fried between papers until purple), Qianniuzi (Pharbitis Seed) (2 liang, lightly stir-fried), Haizao (Seaweed) (1 liang, washed to remove saltiness), Kunbu (Kelp) (1 liang, washed to remove saltiness), Zhuling (Polyporus) (2 liang, black skin removed), Zexie (Alisma) (2 liang).
Crush the above herbs into powder. Combine with refined honey and pound 300-200 times. Form pills the size of Sophora seeds. Take 20 pills each time with Hemp Seed decoction. Take 3-4 times daily.
For treating sudden edema of the head and face with astringent urination, use the following formula.
Ku Hu Rang (Bitter Bottle Gourd Rind) (1 piece, finely cut).
Boil in 1 dou of water for a long time. Strain and decoct the liquid into a paste. Form pills the size of Sophora seeds when possible. Take 20 pills each time with warm water. Take three times daily. Urination should become smooth. After urination, consume well-cooked Adzuki Bean porridge.
For treating sudden edema of the head, face, and whole body with abdominal distension, use the following formula.
Take the white rind and flesh of the bitter bottle gourd, shape into pills the size of soybeans, wrap in flour, and boil until cooked. Swallow seven pieces on an empty stomach. By noon, 3-5 sheng of fluid should be discharged. Over three to four days, the fluid discharge will continue naturally. Recovery occurs when the body becomes significantly emaciated. Be cautious with diet for three years. The bitter bottle gourd must be good and free of spots; otherwise, it is toxic.