治脾元虚浮肿。
大附子(一个,炮,去皮脐) 草果子(去皮) 干姜(炮,各二两) 甘草(一两,
炙) 大
腹(连皮,六个) 木瓜(一个,去穣,切片)
上用水于砂器内同煮,一半以来,擘开干姜,心内不白为度,不得全令水干,恐近底焦
,取出锉焙为末,每服空心日午,用沸汤点服。
治水气。
羌活(洗去土) 萝卜子(各等分)
上同炒香熟,去萝卜子不用,末之,温酒调下二钱,一日一服,二日二服,三日三服,
取效。嘉兴主簿张昌时传方。
治四肢肿满。
白术三两, 咀。每服半两,水一盏半,大枣三枚,拍破,同煎至九分,去滓温服,日
三四服,不拘时候。
治肿满小便不利。
郁李仁(去皮尖,微炒,四钱) 槟榔(二个) 赤茯苓(去皮) 白术 甘遂(切片,
炒,
各二钱) 橘皮(一钱半,去白)
上细末。每服一钱,姜枣汤调下。
又方
浓朴(去皮,姜汁制,炒,半两) 牵牛子(五两,炒取末二两)
上细末。每服二钱,煎姜枣汤调下。
治游风攻头面,或四肢作肿块。
知母(一两) 麻黄(去根节) 黄 (蜜炙) 甘草(炙) 羌活(洗去土) 白术 枳
壳(去
穣,锉,麸炒,各半两)
上粗末。每服四钱,水一盏半,牛蒡子百粒,研碎,煎至七分温服,日三四,觉冷不用
牛蒡子。
有一达官,其母年七十中风,手足拘挛,平日只是附子之类扶养。一日面浮肿,手背亦
肿,寻常有一国医供药,诊云是水病,欲下大戟牵牛以导之,其家大惊忧惶,召予议之。予
曰∶《素问》称面肿曰风,足胫肿曰水。此服附子大过,正虚风生热之证,咽必噎塞,膈中
不利。诚言,予乃进升麻牛蒡团参汤,继以知母汤,三日悉愈。
治疗脾阳虚衰引起的浮肿。
大附子(一个,炮制,去皮和脐),草果子(去皮),干姜(炮制,各二两),甘草(一两,炙),大腹皮(连皮,六个),木瓜(一个,去瓤,切片)。
以上药物放入砂器中用水同煮,煮至水量剩下一半左右时,掰开干姜,直到切面中心不再发白为止,不能让水完全烧干,恐怕底部烧焦,取出切碎焙干研为细末。每次空腹或中午时,用沸水冲服。
治疗水气病。
羌活(洗去泥土),萝卜子(各等分)。
以上药物同炒至香熟,去掉萝卜子不用,将羌活研为细末,用温酒调服二钱,第一天服一次,第二天服两次,第三天服三次,以见效为准。此方由嘉兴主簿张昌时传授。
治疗四肢肿胀满闷。
白术三两,锉碎。每次取半两,加水一盏半,大枣三枚,拍破,一同煎煮至剩余九分时,去渣温服,每天三四次,不拘时间。
治疗肿胀满闷且小便不利。
郁李仁(去皮尖,微炒,四钱),槟榔(二个),赤茯苓(去皮),白术,甘遂(切片,炒,各二钱),橘皮(一钱半,去白)。
以上药物研为细末。每次服一钱,用姜枣汤调下。
另一个方子:
厚朴(去皮,姜汁制,炒,半两),牵牛子(五两,炒后取末二两)。
以上药物研为细末。每次服二钱,煎姜枣汤调下。
治疗游风侵袭头面,或者四肢出现肿块。
知母(一两),麻黄(去根节),黄芪(蜜炙),甘草(炙),羌活(洗去泥土),白术,枳壳(去瓤,锉碎,麸炒,各半两)。
以上药物制成粗末。每次服四钱,加水一盏半,牛蒡子一百粒,研碎,煎煮至剩余七分时温服,每天三四次,如果感觉冷就不再用牛蒡子。
有一位达官贵人,他的母亲七十岁中风,手足拘挛,平时只用附子之类的药物调养。一天面部浮肿,手背也肿,平常有一位国医提供药物,诊断说是水病,想用大戟、牵牛来攻下导滞,家属非常惊恐忧虑,召我商议。我说:“《素问》称面部浮肿叫风,足胫浮肿叫水。这是服用附子过多,导致正气虚弱而生内热生风的证候,咽喉必定噎塞,胸膈中不畅。确实如此。”于是我进升麻牛蒡团参汤,接着用知母汤,三天全部痊愈。
Treats edema caused by deficiency of Spleen Yuan Qi (Primordial Qi of the Spleen).
Da Fuzi (Aconiti Lateralis Radix Praeparata, one piece, processed, peel and navel removed), Cao Guo (Tsao-ko Fruit, peeled), Gan Jiang (Zingiberis Rhizoma, processed, each two liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, one liang, honey-fried), Da Fu Pi (Arecae Pericarpium, with peel, six pieces), Mu Gua (Chaenomelis Fructus, one piece, pulp removed, sliced).
Place the above ingredients in a clay vessel with water and boil together. When the water reduces to about half, break open the Gan Jiang until the center is no longer white. Do not allow the water to dry up completely to avoid scorching the bottom. Remove, chop, bake, and grind into fine powder. Take on an empty stomach or at noon, mixed with boiling water.
Treats Shui Qi (Water Qi disorder).
Qiang Huo (Notopterygii Rhizoma et Radix, washed to remove soil), Luo Bo Zi (Raphani Semen, equal parts).
Stir-fry together until fragrant. Discard the Luo Bo Zi. Grind the Qiang Huo into powder. Mix with warm wine and take two qian. Take once on the first day, twice on the second day, and three times on the third day, until efficacy is achieved. This formula was transmitted by Zhang Changshi, Chief Clerk of Jiaxing.
Treats swelling and fullness of the four limbs.
Bai Zhu (Atractylodis Macrocephalae Rhizoma, three liang, cut into small pieces). Take half a liang per dose. Add one dan and a half of water and three large dates (pounded). Decoct together until nine-tenths remains. Strain and take warm. Take three to four times daily, without restriction on time.
Treats swelling, fullness, and difficult urination.
Yu Li Ren (Pruni Semen, peel and tip removed, slightly stir-fried, four qian), Bing Lang (Areca Seed, two pieces), Chi Fu Ling (Poria Cocos with Red Bark, peel removed), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Sui (Kansui Radix, sliced, stir-fried, each two qian), Ju Pi (Citri Reticulatae Pericarpium, one and a half qian, white pith removed).
Grind into fine powder. Take one qian per dose, mixed with Ginger and Date Decoction.
Another formula:
Hou Po (Magnoliae Officinalis Cortex, peel removed, prepared with ginger juice, stir-fried, half a liang), Qian Niu Zi (Pharbitidis Semen, five liang, stir-fried to obtain two liang of powder).
Grind into fine powder. Take two qian per dose, mixed with Ginger and Date Decoction.
Treats You Feng (Wandering Wind) attacking the head and face, or lumps appearing on the four limbs.
Zhi Mu (Anemarrhenae Rhizoma, one liang), Ma Huang (Ephedrae Herba, roots and joints removed), Huang Qi (Astragali Radix, honey-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Qiang Huo (Notopterygii Rhizoma et Radix, washed to remove soil), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Zhi Ke (Aurantii Fructus Immaturus, pulp removed, cut, bran-fried, each half a liang).
Make into coarse powder. Take four qian per dose. Add one dan and a half of water and one hundred crushed Niubangzi (Arctii Fructus). Decoct until seven-tenths remains. Take warm. Take three to four times daily. If feeling cold, do not use Niubangzi.
There was a high official whose mother, aged seventy, suffered from stroke with spasm of hands and feet. She had been nourished with Fang Zi (Aconite) type medicines. One day, her face became swollen, and the backs of her hands also swelled. A national physician who usually provided medicine diagnosed it as a Shui Bing (Water Disease) and wanted to use Da Ji (Euphorbiae Pekinensis Radix) and Qian Niu to purge and guide it out. The family was greatly alarmed and anxious, summoning me to discuss. I said, "Su Wen states that facial swelling is called Feng (Wind), and swelling of the calves is called Shui (Water). This is due to excessive consumption of Aconite, leading to a syndrome of deficiency generating internal wind and heat. There must be choking in the throat and discomfort in the chest diaphragm." He agreed. I then administered Sheng Ma Niu Bang Tuan Shen Tang (Cimicifugae, Arctii, and Codonopsis Decoction), followed by Zhi Mu Tang (Anemarrhenae Decoction). All were cured within three days.