《产宝》论曰∶夫妊娠肿满，由脏气本弱，因产重虚，土不克水，血散入四肢，遂致腹
胀，手足面目皆浮肿，小便秘涩。陈无择云∶凡妇人宿有风寒冷湿，妊娠喜脚肿，俗呼为
皱脚。亦有通身肿满，心腹急胀，名曰胎水。
论曰∶凡妊娠之人，无使气极。若心静气和，则胎气安稳。若中风寒邪气及有所触
犯，则随邪而生病也。凡妊娠经血壅闭以养胎，若忽然虚肿，乃胎中挟水，水血相搏，脾
胃恶湿，主身之肌肉，湿渍气弱，则肌肉虚，水气流溢，故令身肿满也。然其由有自，或
因泄泻下痢，脏腑虚滑，耗损脾胃；或因寒热疟疾烦渴，引饮太过，湿渍脾胃，皆能使
头面或手足浮肿也。然水渍于胞，儿未成形而胎多损坏，及其临产日脚微肿，乃胞脏水
少血多，水出于外，故现微肿，则易生也。宿有寒气，因寒冷所触，故能令腹胀肿满也。
《产乳集》论妊娠自三月成胎之后，两足自脚面渐肿腿膝以来，行步艰辛，以至喘闷，
饮食不美，似水气状。至于脚指间有黄水出者，谓之子气，直至分娩方消。此由妇人素
有风气，或冲任经有血风，未可妄投汤药，亦恐大段甚者，虑将产之际费力，有不测之忧，
故不可不治于未产之前也。古方论中少有言者，按《名医录》宋少主元徽中，与徐文伯
微行学针法，文伯见一妊妇足肿不能行，少主脉之，此女形也。文伯诊之曰∶此男胎也，
在左则胎黑色。少主怒欲破之。文伯恻然曰∶臣请针之，胎遂堕，男形而色黑。此妊娠足
肿之说，见于古者。今巢氏《病源》中但有子烦之论，《千金》并《产宝》方亦略言之，
刘禹锡《续传广信方》以为妊妇有水气而成胎，《太平圣惠》亦言之，皆非也。元丰中，
淮南陈景初，名医也，独有方论治此病，方名初谓之香附散，李伯时易名曰天仙藤散也。
〔薛〕前证若胸满腹胀，小便不通，遍身浮肿，用鲤鱼汤。脾胃虚弱，佐以四君子。
若面目虚浮，肢体如水气，用全生白术散；如未应，用六君子汤。脾虚湿热，下部作肿，用
补中益气加茯苓。若饮食失宜，呕吐泄泻，用六君子汤。若腿足发肿，喘闷不安，或指缝
出水，用天仙藤散。脾胃虚弱，兼四君子汤；如未应，用补中益气汤。若脾肺气滞，用加
味归脾汤佐以加味逍遥散。一妊妇每胎至五月，肢体倦怠，饮食无味，先两足肿，渐
至遍身，后及头面，此是脾肺气虚，朝用补中益气，夕用六君子加苏梗而愈。凡治妊娠，
毋泥月数，但见某经证，即用本药为善。
一妊妇年三十八，妊娠水肿，以鲤鱼汤加五苓散、人参。湿加苍术一钱，浓朴、陈皮五
分，萝卜子炒、车前子、滑石各一钱，作一帖。若喘急加苦葶苈，小便不利加木通、灯草，甚者车前
子、浚川散，其湿毒自消。防己治腰以下湿热肿，如内伤胃弱者，不可用也。
天仙藤散
天仙藤（洗，略炒） 香附子（炒） 陈皮 甘草 乌药（不必天台者，但得软白辛而香者良）
上等分，净秤为细末，每服三钱，水一大盏，姜三片，木瓜三片，紫苏三叶，同煎
至七分，放温澄清，空心食前服，日三服。小便利，气脉通，体轻肿渐消，更不须多服。（元
丰末，王荆公居金陵，举家病，以诗赠景初曰∶举族贫兼病，烦君药石功，到家何所寄，一一问征鸿。因
此见方得于李伯时家传方，录于临川张右丞宅。）
《产宝》疗妊娠身肿有水气，心腹胀满，小便少。
茯苓（四两） 杏仁 槟榔（各三两） 旋复花 郁李仁（各一两）
上为粗末，以水六升，煮取二升，去滓分温三服。小便通即瘥。
崔氏疗妊娠体肿有水气，心腹急满。
茯苓 白术（四两） 旋复花（二两） 杏仁 黄芩（各三两）
上细切，以水七升，煮取二升半，分温三服。忌桃、李、雀肉。酢物。
疗妊娠遍身洪肿，葶苈子散二方。
葶苈子（一两） 白术（五两） 茯苓 桑白皮 郁李仁（各二两）
上为粗末，水六升，煮取二升，分三服，小便利即瘥。
又方
泽泻 葶苈（各二两） 茯苓 枳壳 白术（各六两）
上细切，以水六升，煮取二升，分温两服，小便利即瘥。
泽泻散 治妊娠气壅，身体腹胁浮肿，喘急，大便不通，小便赤涩，宜服。
泽泻 木通 桑白皮 赤茯苓 枳壳 槟榔（各一钱半）
上作一服，水二盅，生姜五片，煎至一盅，食前服。
防己汤 治妊娠脾虚，通身浮肿，心腹胀满，喘促，小便不利。
防己（一钱半） 桑白皮 赤茯苓 紫苏茎叶（各二钱） 木香（半钱）
作一服，煎服法同前。
千金鲤鱼汤 治妊娠腹大，胎间有水气。
白术（五两） 茯苓（四两） 当归 芍药（各三两）
上细锉片，以鲤鱼一尾，修事如食法，煮取汁，去鱼不用，每服四钱，入鱼汁一盏半，
生姜七片，橘皮少许，煎至七分，去滓空心服。《集验》同。
肾着汤 治妊娠腰脚肿。
茯苓 白术（各四两） 干姜 甘草（各二两） 杏仁（三两）
上 咀，每服四钱，水一盏半，煎至七分，食前服。
指迷五皮散 治胎水。寻常脾虚肿满亦治。
大腹皮 桑白皮 生姜皮 茯苓皮 橘皮（各等分）
上 咀，每服半两，水二盏，浓磨木香水一呷，同煎至八分，去滓空心温服。亦治
男子脾虚肿满。
治妊娠两脚浮肿，名曰脆脚。因脾衰不能制水，血化成水所致。用生料平胃散，姜、
枣水煎服。或为末，紫苏叶煎汤调下。
全生白术散 治妊娠面目虚浮，如水肿状。
白术（一两） 生姜皮 大腹皮 茯苓皮 陈皮（各半两）
上为细末，每服二钱，米饮调下，不拘时。
子和治妊娠从脚上至腹肿，小便不利，微渴。猪苓五两为末，以熟水服方寸匕，日三
服。
〔丹〕子肿多湿，用山栀一撮，米饮吞下。
《产宝》论述道：妊娠期间出现身体肿胀胀满，是由于脏腑之气原本虚弱，加上生育导致极度亏虚，脾土不能制约肾水，血液散乱进入四肢，从而导致腹部胀大，手足及面目全部浮肿，小便量少且排尿涩痛。陈无择说：凡是妇女素来有风、寒、冷、湿邪气滞留，怀孕后喜欢脚部肿胀，俗称“皱脚”。也有全身肿胀胀满，心腹急迫胀满的，称为“胎水”。
论述道：凡是怀孕的人，不要让情绪激动到极点。如果心情平静、气息调和，那么胎气就会安稳。如果感受了风、寒、邪气以及受到其他触犯，就会随着邪气而生病。凡是怀孕后经血闭止以滋养胎儿，如果突然发生虚肿，这是胎中挟带水湿，水与血相互搏结，脾胃厌恶湿气，主管身体的肌肉，湿气浸渍导致气弱，则肌肉虚弱，水流溢于肌肤，所以导致身体肿胀胀满。然而其病因各有不同，有的因为腹泻下痢，脏腑虚滑，耗损了脾胃；有的因为寒热疟疾、烦躁口渴，饮水过多，湿气浸渍脾胃，都能使头面或手足浮肿。如果水湿浸渍胞宫，胎儿尚未成形就容易损坏；等到临产时脚部轻微肿胀，这是因为胞脏水少血多，水液出于体外，所以呈现轻微肿胀，这就容易分娩。素来有寒气，因寒冷触动，所以能导致腹部胀满肿胀。
《产乳集》论述妊娠自三个月成胎之后，两足从脚面逐渐肿胀至腿膝，行走艰难，甚至气喘胸闷，饮食不佳，症状类似水气病。至于脚趾间有黄水渗出的，称为“子气”，直到分娩才消退。这是由于妇人素来有风气，或者冲任经脉中有血风，不可随意投用汤药，也担心病情特别严重时，顾虑到临产之际费力，会有不测之忧，所以在未生产之前就必须治疗。古代方论中很少提及此病，据《名医录》记载，宋少主元徽年间，他与徐文伯微服私访学习针法，徐文伯见到一位孕妇脚肿无法行走，少主为她诊脉，认为这是女胎。徐文伯诊断说：这是男胎，在左侧则胎色黑。少主愤怒想要剖开它。徐文伯怜悯地说：臣请求针刺，胎儿随即堕下，确为男形且色黑。这妊娠足肿的说法，见于古籍。现在巢元方《诸病源候论》中只有“子烦”的论述，《千金方》和《产宝》中的方剂也只是简略提及，刘禹锡《续传广信方》认为孕妇有水气而成胎，《太平圣惠方》也提到过，这些观点都不正确。元丰年间，淮南的陈景初是位名医，独有方论治疗此病，方名起初叫作香附散，李伯时改名为天仙藤散。
薛己评述：前述证候如果胸满腹胀，小便不通，遍身浮肿，使用鲤鱼汤（Carp Decoction）。脾胃虚弱，配合四君子汤（Four Gentlemen Decoction）。如果面目虚浮，肢体像水气一样，使用全生白术散（Quansheng Atractylodes Macrocephala Powder）；如果无效，使用六君子汤（Six Gentlemen Decoction）。脾虚湿热，下部肿胀，使用补中益气汤（Tonify the Middle and Augment the Qi Decoction）加茯苓（Poria）。如果饮食不当，呕吐泄泻，使用六君子汤。如果腿足发肿，气喘胸闷不安，或者指缝出水，使用天仙藤散（Aristolochiae Vine Decoction）。脾胃虚弱，兼用四君子汤；如果无效，使用补中益气汤。如果脾肺气滞，使用加味归脾汤（Modified Guipi Decoction）佐以加味逍遥散（Modified Xiaoyao Powder）。有一位孕妇每胎到了五个月，肢体倦怠，饮食无味，先两脚肿胀，逐渐蔓延至全身，后来波及头面，这是脾肺气虚，早晨服用补中益气汤，晚上服用六君子汤加紫苏梗（Perilla Stem），痊愈。凡是治疗妊娠，不要拘泥于月份，只要见到某一经的证候，就使用本经的药物为好。
另一位孕妇三十八岁，妊娠水肿，用鲤鱼汤加五苓散（Wu Ling San, Five-Ingredient Powder with Poria）、人参（Ginseng Root）。湿气重加苍术（Atractylodis Rhizoma）一钱，厚朴（Magnoliae Officinalis Cortex）、陈皮（Citri Reticulatae Pericarpium）五分，炒萝卜子（Radish Seed）、车前子（Plantaginis Semen）、滑石（Talcum）各一钱，做成一帖。如果喘急加苦葶苈（Lepidii Semen），小便不利加木通（Akebiae Caulis）、灯草（Juncus Effusus），严重的用车前子、浚川散（Jun Chuan San），湿毒自然消除。防己（Stephaniae Tetrandrae Radix）治疗腰以下湿热肿胀，如果是内伤胃弱者，不可使用。
天仙藤散
天仙藤（清洗，略炒） 香附子（炒） 陈皮 甘草 乌药（不必是天台产的，只要质地软白、气味辛香者就好）
以上等分，净秤研为细末，每次服用三钱，水一大盏，姜三片，木瓜三片，紫苏叶三片，同煎至七分，放温澄清，空腹饭前服用，每日三次。小便通利，气脉通畅，身体轻盈肿胀渐消，就不必再多吃。（元丰末年，王安石居住在金陵，全家生病，写诗赠给陈景初说：“举族贫兼病，烦君药石功，到家何所寄，一一问征鸿。”因此得知此方得自李伯时家传方，记录于临川张右丞宅。）
《产宝》治疗妊娠身体肿胀有水气，心腹胀满，小便少。
茯苓（四两） 杏仁 槟榔（各三两） 旋复花 郁李仁（各一两）
以上为粗末，用水六升，煮取二升，去渣分三次温服。小便通利即愈。
崔氏治疗妊娠身体肿胀有水气，心腹急满。
茯苓 白术（四两） 旋复花（二两） 杏仁 黄芩（各三两）
以上细切，用水七升，煮取二升半，分三次温服。忌食桃、李、雀肉及醋物。
治疗妊娠遍身洪肿，葶苈子散两个方子。
葶苈子（一两） 白术（五两） 茯苓 桑白皮 郁李仁（各二两）
以上为粗末，水六升，煮取二升，分三次服，小便通利即愈。
又一方
泽泻 葶苈（各二两） 茯苓 枳壳 白术（各六两）
以上细切，用水六升，煮取二升，分两次温服，小便通利即愈。
泽泻散 治疗妊娠气机壅滞，身体腹胁浮肿，喘急，大便不通，小便赤涩，适宜服用。
泽泻 木通 桑白皮 赤茯苓 枳壳 槟榔（各一钱半）
以上为一服量，水二盅，生姜五片，煎至一盅，饭前服用。
防己汤 治疗妊娠脾虚，通身浮肿，心腹胀满，喘促，小便不利。
防己（一钱半） 桑白皮 赤茯苓 紫苏茎叶（各二钱） 木香（半钱）
作一服，煎服法同上。
千金鲤鱼汤 治疗妊娠腹部增大，胎间有水气。
白术（五两） 茯苓（四两） 当归 芍药（各三两）
以上细锉成片，用鲤鱼一条，按食用方法处理，煮取汁，去掉鱼不用，每次服用四钱，加入鱼汁一盏半，生姜七片，橘皮少许，煎至七分，去渣空腹服用。《集验方》相同。
肾着汤 治疗妊娠腰脚肿胀。
茯苓 白术（各四两） 干姜 甘草（各二两） 杏仁（三两）
以上切碎，每次服用四钱，水一盏半，煎至七分，饭前服用。
指迷五皮散 治疗胎水。寻常脾虚肿胀胀满也治疗。
大腹皮 桑白皮 生姜皮 茯苓皮 橘皮（各等分）
以上切碎，每次服用半两，水二盏，浓磨木香水一呷，同煎至八分，去渣空腹温服。也治疗男子脾虚肿胀胀满。
治疗妊娠两脚浮肿，名叫“脆脚”。因脾衰不能制约水湿，血化成水所致。使用生料平胃散（Pingwei San），姜、枣水煎服。或者研为末，紫苏叶煎汤调服。
全生白术散 治疗妊娠面目虚浮，像水肿状。
白术（一两） 生姜皮 大腹皮 茯苓皮 陈皮（各半两）
以上为细末，每次服用二钱，米饮调服，不限时间。
The *Chanbao* (Treasures of Childbirth) states: Pregnancy edema and distension arise because the qi of the zang organs is originally weak, and childbirth causes extreme deficiency. Earth fails to control Water, blood scatters into the four limbs, leading to abdominal distension, generalized edema of the hands, feet, face, and eyes, along with scanty and difficult urination. Chen Wuyue said: Whenever a woman has pre-existing wind, cold, chill, or dampness pathogens, she tends to have swollen feet during pregnancy, commonly known as "wrinkled feet" (Zhoujiao). There are also cases of whole-body edema and distension with urgent fullness in the heart and abdomen, termed "fetal water" (Taishui).
It is stated that pregnant women should not allow their emotions to reach extremes. If the mind is calm and qi is harmonious, fetal qi will be stable. If exposed to wind-cold pathogens or other provocations, illness will follow the pathogen. During pregnancy, menstrual blood is retained to nourish the fetus; if sudden generalized edema occurs, it indicates water retained within the fetus, where water and blood contend. The Spleen and Stomach dislike dampness and govern the muscles of the body. Dampness infiltrates and weakens qi, causing muscle flaccidity, allowing water fluids to overflow, thus resulting in whole-body edema and distension. However, the etiology varies. Some cases result from diarrhea or dysentery, causing visceral laxity and depleting the Spleen and Stomach. Others result from chills, fever, malaria, restlessness, thirst, and excessive drinking, which dampens the Spleen and Stomach, all capable of causing edema of the head, face, hands, or feet. If water infiltrates the uterus, the fetus may be damaged before forming properly. When approaching delivery, slight swelling of the feet indicates that the uterine organ has less water and more blood, with water exiting outward, presenting as slight swelling, which facilitates easy delivery. Pre-existing cold pathogens, triggered by cold exposure, can cause abdominal distension and swelling.
The *Chanru Ji* (Collection on Childbirth and Nursing) states that after three months of gestation, when the fetus is formed, both feet gradually swell from the dorsum up to the calves and knees, making walking difficult, leading to asthma and chest oppression, and poor appetite, resembling water qi disease. If yellow fluid oozes from between the toes, it is called "child qi" (Ziqi), which subsides only after delivery. This is due to the woman's pre-existing wind pathogens or blood-wind in the Chong and Ren meridians. One should not rashly administer decoctions, especially if the condition is severe, for fear of exhausting energy during delivery and facing unforeseen dangers. Therefore, treatment is necessary before delivery. Ancient formulas rarely discuss this. According to the *Mingyi Lu* (Records of Famous Physicians), during the reign of Emperor Yuanhui of Song, the young emperor and Xu Wenbo practiced acupuncture incognito. Xu Wenbo saw a pregnant woman with swollen feet unable to walk. The emperor palpated her pulse and diagnosed a female fetus. Xu Wenbo diagnosed: "This is a male fetus; if on the left, the fetus is black." The emperor, angry, wanted to abort it surgically. Xu Wenbo compassionately said: "Let me treat it with acupuncture." The fetus was expelled, confirmed as male and black. This account of pregnancy foot edema appears in ancient texts. Currently, Chao Yuanfang's *Bingyuan* (Source of Diseases) only discusses "zi fan" (fetal restlessness). The *Qianjin Fang* (Thousand Gold Formulas) and *Chanbao* mention it briefly. Liu Yuxi's *Xu Zhuan Guangxin Fang* attributes fetal formation to water qi in pregnant women, and the *Taiping Shenghui Fang* also mentions it, but these views are incorrect. In the Yuanfeng era, Chen Jingchu of Huainan, a famous physician, had unique formulas for treating this disease. Initially named Xiangfu San, Li Boshi renamed it Tianxianteng San.
Xue Ji commented: For the aforementioned symptoms, if there is chest fullness, abdominal distension, urinary retention, and whole-body edema, use Likou Tang (Carp Decoction). If the Spleen and Stomach are weak, combine with Sijunzi Tang (Four Gentlemen Decoction). If the face and eyes are puffy and limbs feel like water, use Quansheng Baizhu San (Quansheng Atractylodes Macrocephala Powder); if ineffective, use Liujunzi Tang (Six Gentlemen Decoction). For Spleen deficiency with damp-heat causing lower body swelling, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) plus Fuling (Poria). If improper diet causes vomiting and diarrhea, use Liujunzi Tang. If legs and feet swell with asthma and chest oppression, or fluid oozes from finger webs, use Tianxianteng San (Aristolochiae Vine Decoction). If Spleen and Stomach are weak, combine with Sijunzi Tang; if ineffective, use Buzhong Yiqi Tang. If Spleen and Lung qi stagnation exists, use Jiaweigui Pi Tang (Modified Guipi Decoction) combined with Jiawei Xiaoyao San (Modified Xiaoyao Powder). One patient experienced limb fatigue and loss of taste at five months of each pregnancy, starting with bilateral foot swelling, spreading to the whole body and then the head and face. This indicated Spleen and Lung qi deficiency. She took Buzhong Yiqi Tang in the morning and Liujunzi Tang with Zisugeng (Perilla Stem) in the evening, resulting in recovery. In treating pregnancy, do not rigidly adhere to gestational months; instead, identify the meridian pattern and use corresponding herbs.
Another patient, aged thirty-eight, had pregnancy edema. She was treated with Likou Tang plus Wuling San (Five-Ingredient Powder with Poria) and Renshen (Ginseng Root). For heavy dampness, Cangzhu (Atractylodis Rhizoma) 1 qian, Houpo (Magnoliae Officinalis Cortex) and Chenpi (Citri Reticulatae Pericarpium) 0.5 qian were added, along with fried Lopizi (Radish Seed), Cheqianzi (Plantaginis Semen), and Huashi (Talcum) 1 qian each, prepared as one dose. For asthma and urgency, add Kutingli (Lepidii Semen). For difficult urination, add Mutong (Akebiae Caulis) and Dengcao (Juncus Effusus). For severe cases, use Cheqianzi and Jun Chuan San (Jun Chuan Powder) to eliminate damp-toxins naturally. Fangji (Stephaniae Tetrandrae Radix) treats damp-heat edema below the waist but is contraindicated in patients with internal injury and weak stomachs.
Tianxianteng San (Aristolochiae Vine Decoction):
Tianxianteng (washed, lightly stir-fried), Xiangfuzi (stir-fried), Chenpi, Gancao, Wuyao (preferably soft, white, and fragrant, regardless of origin).
Equal parts, finely powdered. Take 3 qian per dose with one large cup of water, three slices of ginger, three slices of papaya, and three leaves of Zisu (Perilla Leaf). Decoct to 70%, warm, clarify, and take on an empty stomach before meals, three times daily. When urination becomes smooth, qi and pulses flow freely, body feels light, and edema subsides, no further doses are needed. (At the end of the Yuanfeng era, Wang Anshi resided in Jinling. His family fell ill, and he wrote a poem to Jingchu: "The whole clan is poor and sick, troubling you with medicinal efficacy. What shall I send home? Ask the migrating geese." Thus, I learned this formula was passed down from Li Boshi's family and recorded at the residence of Vice Minister Zhang in Linchuan.)
*Chanbao* treats pregnancy body edema with water qi, heart/abdominal fullness, and scanty urination:
Fuling (4 liang), Xingren, Binglang (each 3 liang), Xuanjinhua, Yuliren (each 1 liang).
Coarsely powdered. Decoct 6 sheng of water to 2 sheng, remove dregs, divide into three warm doses. Cures when urination flows.
Cui Shi treats pregnancy body edema with water qi, urgent heart/abdominal fullness:
Fuling, Baizhu (4 liang), Xuanjinhua (2 liang), Xingren, Huangqin (each 3 liang).
Finely chopped. Decoct 7 sheng of water to 2.5 sheng, divide into three warm doses. Avoid peach, plum, sparrow meat, and vinegar.
For pregnancy generalized massive edema, Tinglizi San (Two Formulas):
Tinglizi (1 liang), Baizhu (5 liang), Fuling, Sangbaipi, Yuliren (each 2 liang).
Coarsely powdered. Decoct 6 sheng of water to 2 sheng, divide into three doses. Cures when urination flows.
Another Formula:
Zexie, Tingli (each 2 liang), Fuling, Zhike, Baizhu (each 6 liang).
Finely chopped. Decoct 6 sheng of water to 2 sheng, divide into two warm doses. Cures when urination flows.
Zexie San (Alisma Decoction): Treats pregnancy qi obstruction, body/abdomen/flank edema, asthma, constipation, red/scanty urination.
Zexie, Mutong, Sangbaipi, Chi Fuling, Zhike, Binglang (each 1.5 qian).
One dose. Decoct 2 zhong of water with five slices of ginger to 1 zhong. Take before meals.
Fangji Tang (Stephania Decoction): Treats pregnancy Spleen deficiency, whole-body edema, heart/abdominal fullness, asthma, difficult urination.
Fangji (1.5 qian), Sangbaipi, Chi Fuling, Zisu Jingye (Perilla Stem and Leaf, each 2 qian), Muxiang (0.5 qian).
One dose. Decoct and take as above.
Qianjin Likou Tang (Thousand Gold Carp Decoction): Treats pregnancy abdominal enlargement, water qi between fetus and mother.
Baizhu (5 liang), Fuling (4 liang), Danggui, Shaoyao (each 3 liang).
Finely sliced. Prepare one carp according to culinary methods, decoct to extract juice, discard fish. Take 4 qian of powder mixed with 1.5 cups of fish juice, seven slices of ginger, and a little Juopi (Tangerine Peel). Decoct to 70%, remove dregs, take on empty stomach. Same as *Jiyan Fang*.
Shenzhe Tang (Kidney Attaching Decoction): Treats pregnancy leg/foot edema.
Fuling, Baizhu (each 4 liang), Ganjiang, Gancao (each 2 liang), Xingren (3 liang).
Chopped. Take 4 qian per dose with 1.5 cups of water, decoct to 70%, take before meals.
Zhimi Wupi San (Finger-Bewildering Five-Peel Powder): Treats Taishui (Fetal Water). Also treats ordinary Spleen deficiency edema/distension.
Dafupi, Sangbaipi, Shengjiangpi, Fulingpi, Juopi (equal parts).
Chopped. Take 0.5 liang per dose with 2 cups of water and a sip of strong Mu Xiang (Magnolia/Aucklandaria) water. Decoct to 80%, remove dregs, take warm on empty stomach. Also treats male Spleen deficiency edema/distension.
Treats pregnancy bilateral foot edema, named "Cuojiao" (Brittle Feet). Caused by Spleen failure to control water, transforming blood into water. Use Shengliao Pingwei San (Raw Material Pingwei Powder) decocted with ginger and jujube water. Or powder it and take with Zisu Ye (Perilla Leaf) decoction.
Quansheng Baizhu San (Quansheng Atractylodes Macrocephala Powder): Treats pregnancy facial puffiness resembling edema.
Baizhu (1 liang), Shengjiangpi, Dafupi, Fulingpi, Chenpi (each 0.5 liang).
Finely powdered. Take 2 qian per dose mixed with rice drink, anytime.
Zihehe treated pregnancy edema from feet to abdomen, difficult urination, slight thirst. Zhu Ling (Polyporus) 5 liang powdered. Take one fangcun bi (square-inch spoonful) with cooked water, three times daily.
Danxi commented: Zi zhong (fetal edema) is mostly due to dampness. Use Shan Zhi (Gardeniae Fructus) one handful, swallowed with rice drink.