（河间仿仲景十枣例制此汤，治一切水湿，）治水肿水胀，形气俱实。（肿胀者，水道
壅遏也。形气俱实者，口渴，面赤，气粗，腹坚，大小便秘也。阳水先肿上体，肩背手膊，
手三阳经。阴水先肿下体，腰腹胫 ，足三阴经。肿属脾，胀属肝，肿则阳气犹行。如单胀
而不肿者，名鼓胀。为木横克土，难治。肿胀朝宽暮急为血虚，暮宽朝急为气虚，朝暮俱急
为气血俱虚。肿胀由心腹而散四肢者吉，由四肢而入心腹者危。男自下而上，女自上而下者，
皆难治。肿胀唇黑，则伤肝。缺盆平，则伤心。脐出，则伤脾。足心平，则伤肾。背平，
则伤肺，皆不可治。腹胀身热脉大者，是逆也，多死。）
黑牵牛（炒四两） 大黄（二两酒浸） 甘遂（面裹煨） 大戟（面裹煨） 芫花（醋
炒） 青皮（炒）
牵牛大黄大戟芫花甘遂，皆行水之厉剂，能通行十二经之水。然肿属于脾，胀属于肝，
水之
香，
不入
减芫花大戟青皮陈皮木香，加芒硝郁李仁，名浚川散。姜汤下五分，治同。
治遍身水肿，喘呼口渴，大小便秘。（上证为湿热甚而气实也。此为阳水。阳水
脉必沉数。阴水见阴证。脉必沉迟。）
羌活 秦艽 槟榔 商陆 椒目 大腹皮 茯苓皮 木通 泽泻 赤小豆 等分。加姜
皮煎
外而一身尽肿，内而口渴便秘，是上下表里俱病也。羌活秦艽，解表疏风，使湿以风胜，
邪
榔
通于
（河间仿照仲景十枣汤的体例创制此方，治疗各种水湿病证。）治疗水肿和水胀，患者形体壮实、正气充足。（所谓肿胀，是因为水道壅塞阻滞。所谓形气俱实，表现为口渴、面红、呼吸粗重、腹部坚硬、大小便不通。阳水先从上半身开始肿胀，涉及肩背和手臂，属于手三阳经；阴水先从下半身开始肿胀，涉及腰腹和小腿，属于足三阴经。肿归属于脾，胀归属于肝，出现肿胀说明阳气尚能运行。如果只有腹胀而没有肿胀，称为鼓胀。这是由于肝木横逆克制脾土，难以治疗。肿胀早晨减轻晚上加重属于血虚，晚上减轻早晨加重属于气虚，早晚都加重属于气血俱虚。肿胀从心腹部向四肢消散为吉兆，从四肢向内传入心腹部为危象。男性病情自下向上发展，女性病情自上向下发展，都属于难治之症。肿胀伴有嘴唇发黑，说明伤及肝脏；锁骨上窝（缺盆）平坦，说明伤及心脏；肚脐突出，说明伤及脾脏；脚心平坦，说明伤及肾脏；背部平坦，说明伤及肺脏，这些情况都不可治愈。腹胀且身体发热、脉象大的，属于逆证，大多死亡。）
黑牵牛（炒四两） 大黄（二两，酒浸） 甘遂（面粉包裹后煨） 大戟（面粉包裹后煨） 芫花（醋炒） 青皮（炒）
牵牛子、大黄、大戟、芫花、甘遂，都是峻烈的逐水药，能够通行十二经脉的水湿。然而肿归属于脾，胀归属于肝，……（此处原文有缺漏或排版错误，根据上下文推测意为：若不加节制则损伤脾胃之气）。减去芫花、大戟、青皮、陈皮、木香，加入芒硝、郁李仁，名为浚川散。用姜汤送服五分，主治相同。
治疗遍身水肿，气喘呼叫，口渴，大小便不通。（上述症状是由于湿热严重且正气充实所致。这属于阳水。阳水的脉象必定沉数。阴水出现阴证，脉象必定沉迟。）
羌活 秦艽 槟榔 商陆 椒目 大腹皮 茯苓皮 木通 泽泻 赤小豆 （各等分）。加生姜皮煎煮。
外则一身尽肿，内则口渴便秘，这是上下表里都患病了。羌活、秦艽，解除表邪、疏散风邪，使湿气随风邪而胜散，邪气……（此处原文截断，意为通过发汗祛湿）……通过……（原文未完）
(Hejian imitated Zhongjing's Ten Jujube Decoction to formulate this decoction, treating all types of water-dampness pathologies.) It treats edema and abdominal distension with fluid accumulation, where both the physical constitution and vital qi are excess. (Swelling and distension refer to the obstruction of water pathways. "Excess in both form and qi" manifests as thirst, red face, coarse breathing, hard abdomen, and constipation of both stool and urine. Yang-edema begins swelling on the upper body, involving the shoulders, back, and arms, corresponding to the Hand-Taiyang meridians. Yin-edema begins swelling on the lower body, involving the waist, abdomen, and calves, corresponding to the Foot-Yin meridians. Swelling is associated with the Spleen, distension with the Liver; when swelling occurs, yang qi still circulates. If there is only distension without swelling, it is called Drum Distension. This results from Liver Wood overacting upon Spleen Earth and is difficult to treat. Distension that improves in the morning and worsens at night indicates Blood deficiency; one that improves at night and worsens in the morning indicates Qi deficiency; one that worsens at both times indicates combined Qi and Blood deficiency. If distension spreads from the heart/abdomen to the limbs, it is auspicious; if it moves from the limbs into the heart/abdomen, it is critical. In men, progression from below upward, and in women, from above downward, are both difficult to treat. Distension accompanied by black lips indicates Liver injury; a flat supraclavicular fossa (Quepen) indicates Heart injury; everted umbilicus indicates Spleen injury; flat soles indicate Kidney injury; a flat back indicates Lung injury. All these conditions are incurable. Abdominal distension with fever and a large pulse is a counter-indication, often leading to death.)
Black Qian Niu (炒 four liang) Da Huang (two liang, soaked in wine) Gan Sui (wrapped in flour and baked) Da Ji (wrapped in flour and baked) Yuan Hua (stir-fried with vinegar) Qing Pi (stir-fried)
Qian Niu, Da Huang, Da Ji, Yuan Hua, and Gan Sui are all potent purgatives for water retention, capable of circulating water through the twelve meridians. However, swelling relates to the Spleen, and distension to the Liver... [Text fragment] ...Reduce Yuan Hua, Da Ji, Qing Pi, Chen Pi, and Mu Xiang; add Mang Xiao and Yu Li Ren, named Jun Chuan San. Take five fen with ginger soup; indications are the same.
Treats generalized edema, wheezing and crying out, thirst, and constipation of stool and urine. (The above symptoms arise from severe damp-heat and excess Zheng Qi. This belongs to Yang Edema. The pulse in Yang Edema must be deep and rapid. Yin Edema presents with Yin syndromes, and the pulse must be deep and slow.)
Qiang Huo Qin Jiao Bing Lang Shang Lu Jiao Mu Da Fu Pi Fu Ling Pi Mu Tong Ze Xie Chi Xiao Dou (equal parts). Decoct with Sheng Jiang Pi.
Externally, the whole body is swollen; internally, there is thirst and constipation. This indicates pathology affecting both the exterior and interior, as well as the upper and lower jiaos. Qiang Huo and Qin Jiao release the exterior and disperse wind, allowing dampness to be overcome by wind, and pathogens... [Text cuts off] ...through...