（此膏通利水道治三焦肠胃湿热为病与金仙膏相辅而行如虚者参用健脾膏○
膏主纳凡胸膈不宽欲进饮食者须金仙此膏主出凡欲宣导二腑者须此膏二膏不可偏废）
统治暑
水停不散。（停水者饮水过多停蓄而成也在上干呕而阳水入则吐在中心下痞满而痛在下热入
膀胱小便不利○又水停心下上于头则眩凌于心则悸侵于肺则咳传于胃则呕溢于皮肤则为肿渍
胃则为泄膏分上中下贴再加药○按病必究其所因如水病不知其水见呕治呕见咳治咳见痞满泄
泻即治痞满泄泻袭用套头方药似是实非所谓粗工不识病源也录此以见因之不同宜审）或为怔忡。
（即悸也膏贴心口）干呕而吐。（用生姜半夏为团擦后贴）痞满而痛。（贴痛处或糁黄连半夏末）
痰饮。（用控诞丹加膏内贴）水气喘咳。（用苏子葶苈半夏桑皮木通黑丑椒目煎抹胸口再贴膏）
水结胸。（用生姜擦后贴或用文中凝雪汤法或即用十枣汤煎抹后贴）阳黄胆。（贴胸脐○文中
方）阳水肿满。（贴心脐○文中有方）热胀。（贴胸脐○文中有方或用白术浓朴姜黄黄芩黄连枳
实半夏知母青皮陈皮木通泽泻桔梗大黄木香砂仁煎抹后贴或研末加麝香以淡姜水调敷满腹○
以上皆参用金仙膏）小便黄赤。（湿热重膏贴胸脐及脐下用麦冬竹叶木通煎抹胸）或少腹满急
。（湿热下注膏贴少腹）或尿涩不行。（用黄芩车前子木通黑山栀等利水之药煎汤洗脐下贴）或
热淋。（糁硝石末贴脐下参用清阳金仙两膏贴胸脐二膏皆能通淋○文中亦有方）大便。溏泄。（
湿胜也膏贴脐上或用金仙膏）或便秘不通。（热胜也膏贴脐上及脐两旁即天枢穴也或糁芒硝贴
水气重者用枳壳槟榔大黄黑丑煎抹后贴或研末鸡清调敷参用文中通大便方）或肠痔。（湿热下
注膏贴脐上参用清阳膏贴肛门）又肩背沉重肢节疼痛。（湿热相搏膏贴背心及痛处）香港脚肿痛
。（湿热分争湿则肿热则痛膏贴脐上及痛处再加苍柏散敷香港脚入腹冲心者加吴萸木瓜槟榔大
黄食盐炒熨并缚或调敷腹入肾者目额黑腰肿尿闭上喘加附子津唾调涂足心引热下行）妇人带下
。（由湿热者膏贴脐上脐下再酌加药）○外症湿热凝结成毒。成湿热烂皮皆可用。○上贴心口
。中贴脐眼并脐两旁。下贴丹田及患处。
苍术（五两） 生半夏 防己 黄芩 黄柏 苦葶苈 甘遂 红芽大戟 芫花 木通（各
三两）
当归 赤芍 黄连 川郁金 苦参 知母 商陆 枳实 连翘 槟榔 郁李仁 大腹皮
防风 细辛 杏仁 胆南星 茵陈 白丑头 花粉 苏子 独活 青皮 广陈皮 本
栝蒌仁 柴胡 地骨皮 白藓皮 丹皮 灵仙 旋复花 生蒲黄 猪苓 牛蒡子 马兜铃
白芷 升麻 川楝子 地肤子 车前子 杜牛膝 香附子 莱菔子 土茯苓 川萆 生甘
草海藻 昆布 瞿麦 蓄 木鳖仁 蓖麻仁 干地龙 土狗 山甲（各一两） 发团（二
两） 浮藻（三两） 延胡 浓朴（附子） 乌药（各五钱） 龟板（三两） 飞滑石（四两）
生姜
母草 诸葛菜 车前草 马齿苋 黄花地丁（鲜者各一斤） 凤仙草全株（干者用二两） 九节
菖蒲 花椒 白芥子（各一两） 皂角 赤小豆（各二两）○两共享油三十斤分熬丹收○再入铅
粉（炒一斤） 提净松香（八两） 金陀僧 生石膏（各四两） 陈壁土 明矾 轻粉（各二两）
官桂 木香（各一两） 牛胶（四两酒蒸化如清阳实下法）○如外症拔毒收水可加黄蜡和用。又
龙骨牡蛎皆收水亦可酌用。
（此膏能通利水道，治疗因三焦和肠胃湿热引起的疾病，与金仙膏配合使用。如果是虚证，可参考使用健脾膏。○
该膏主要功能是“纳”，凡胸膈部感觉不宽畅、想要进食的人，必须用金仙膏；该膏主要功能是“出”，凡需要宣通导泻二腑（大肠和小肠）的人，必须用此膏。这两张膏方不可偏废任何一方。）
统管暑湿病。
水液停聚不散。（所谓停水，是指饮水过多，蓄积而成。若水气在上部，则干呕，且阳水侵入则呕吐；在中部，则心下痞满且疼痛；在下部，热邪侵入膀胱，导致小便不利。○另外，水气停聚在心下，上冲头部则眩晕，凌犯心脏则心悸，侵扰肺部则咳嗽，传至胃部则呕吐，溢于皮肤则为水肿，浸渍胃部则为泄泻。膏药分上、中、下三部贴敷，并可根据病情加用药粉。○按：治病必须探究其病因。如治水病，若不知是水邪所致，见到呕吐就治呕吐，见到咳嗽就治咳嗽，见到痞满泄泻就治痞满泄泻，袭用成套的固定方药，看似正确实则错误，这就是所谓的粗工不识病源。记录这些以说明病因不同，应当审慎辨别。）有的表现为怔忡。
（即心悸，膏药贴于心口部位）干呕而呕吐。（用生姜和半夏做成团块擦拭背部后贴敷）心下痞满且疼痛。（贴在疼痛处，或者撒布黄连和半夏末）痰饮。（在膏药中加入控涎丹，然后贴敷）水气导致的喘咳。（用苏子、葶苈子、半夏、桑白皮、木通、黑丑、椒目煎汤涂抹胸口，再贴膏药）水结胸。（先用生姜擦拭患处后贴敷，或者用文中提到的凝雪汤法，或者直接煎煮十枣汤涂抹后贴敷）阳黄胆。（贴在胸部和肚脐○文中另有方剂）阳水肿满。（贴在心口和肚脐○文中另有方剂）热胀。（贴在胸部和肚脐○文中另有方剂，或者用白术、厚朴、姜黄、黄芩、黄连、枳实、半夏、知母、青皮、陈皮、木通、泽泻、桔梗、大黄、木香、砂仁煎汤涂抹后贴敷，或者研成粉末加入麝香，用淡姜水调匀敷满腹部○以上情况都需参用金仙膏）小便黄赤。（湿热较重，膏药贴在胸部、肚脐及肚脐下方，用麦冬、竹叶、木通煎汤涂抹胸部）或少腹部胀满急迫。（湿热下注，膏药贴在少腹部）或者尿涩不通。（用黄芩、车前子、木通、黑山栀等利水药物煎汤清洗肚脐下方后贴敷）或者热淋。（撒布硝石末贴于肚脐下方，参用清阳膏和金仙膏贴在胸部和肚脐，两膏均能通淋○文中也有方剂）大便。溏泄。（湿气胜所致，膏药贴在脐上，或者用金仙膏）或者便秘不通。（热邪胜所致，膏药贴在脐上及脐两旁即天枢穴处，或者撒布芒硝贴敷。水气重者，用枳壳、槟榔、大黄、黑丑煎汤涂抹后贴敷，或者研成粉末用鸡蛋清调匀敷贴，参用文中通大便的方子）或者肠痔。（湿热下注，膏药贴在脐上，参用清阳膏贴在肛门）又见肩背沉重、肢节疼痛。（湿热相搏，膏药贴在背心及疼痛处）香港脚肿痛。（湿热分争，湿则肿，热则痛，膏药贴在脐上及疼痛处，再加苍柏散敷治香港脚。若病邪入腹冲心者，加吴茱萸、木瓜、槟榔、大黄、食盐炒热熨烫并缚扎，或者调匀敷于腹部。若病邪入肾者，出现目额发黑、腰部肿胀、尿闭、上气喘促，加附子用津唾调涂足心，以引热下行）妇人带下。（由湿热引起者，膏药贴在脐上和脐下，再酌情加药）○外症湿热凝结成毒。形成湿热烂皮症状，均可使用。○上部贴心口。中部贴脐眼及脐两旁。下部贴丹田及患处。
苍术（五两） 生半夏 防己 黄芩 黄柏 苦葶苈 甘遂 红芽大戟 芫花 木通（各三两）
当归 赤芍 黄连 川郁金 苦参 知母 商陆 枳实 连翘 槟榔 郁李仁 大腹皮
防风 细辛 杏仁 胆南星 茵陈 白丑头 花粉 苏子 独活 青皮 广陈皮 藁本
栝蒌仁 柴胡 地骨皮 白鲜皮 丹皮 威灵仙 旋复花 生蒲黄 猪苓 牛蒡子 马兜铃
白芷 升麻 川楝子 地肤子 车前子 杜牛膝 香附子 莱菔子 土茯苓 川萆薢 生甘草 海藻 昆布 瞿麦 蓄草 木鳖仁 蓖麻仁 干地龙 土狗 穿山甲（各一两） 头发团（二两） 浮藻（三两） 延胡索 厚朴（附子） 乌药（各五钱） 龟板（三两） 飞滑石（四两）
生姜
母草 诸葛菜 车前草 马齿苋 黄花地丁（鲜品各一斤） 凤仙草全株（干品用二两） 九节菖蒲 花椒 白芥子（各一两） 皂角 赤小豆（各二两）○两副药共用油三十斤，分别熬制，加入丹收膏○再加入铅粉（炒制一斤） 提净松香（八两） 金陀僧 生石膏（各四两） 陈壁土 明矾 轻粉（各二两） 官桂 木香（各一两） 牛胶（四两，酒蒸化，参照清阳膏实下法）○如果是外症拔毒收水，可以加入黄蜡混合使用。另外龙骨、牡蛎都有收敛水湿的作用，也可酌情使用。
(This plaster promotes the free flow of water passages and treats diseases caused by damp-heat in the Sanjiao (Triple Burner) and intestines/stomach, working in conjunction with Jin Xian Plaster. For deficiency patterns, Jian Pi Plaster may be referenced. ○
This plaster primarily functions to "receive" (Nà). For cases where the chest and diaphragm feel constrained and appetite is desired, Jin Xian Plaster must be used; this plaster primarily functions to "excrete" (Chū). For cases requiring the venting and guiding of the two fu organs (large and small intestines), this plaster must be used. Neither plaster should be neglected.)
It generally manages summerheat-dampness.
Water retention failing to disperse. (Water retention refers to accumulation caused by excessive drinking. If water qi affects the upper jiao, there is dry retching, and if yang-water invades, vomiting occurs; in the middle jiao, there is epigastric stuffiness, fullness, and pain; in the lower jiao, heat enters the Bladder causing difficult urination. ○ Additionally, if water stagnates below the heart, ascending to the head it causes dizziness; invading the Heart it causes palpitations; affecting the Lungs it causes coughing; transmitting to the Stomach it causes vomiting; overflowing into the skin it results in edema; soaking the Stomach it leads to diarrhea. The plaster is applied to the upper, middle, or lower regions according to the pathology, with additional medicated powders sprinkled as needed. ○ Note: In treating disease, one must investigate the etiology. When treating water disorders, if one does not recognize the pathogenic factor as water, treating retching for retching, coughing for coughing, or epigastric fullness/diarrhea for those symptoms, while applying fixed formulae blindly, appears correct but is actually erroneous. This is what is meant by a crude practitioner who fails to identify the source of disease. These records are provided to illustrate that etiologies differ and require careful discernment.) Some present as Zheng Tong (palpitations/anxiety).
(Which is Ji (palpitation); apply plaster to the chest/heart area.) Dry retching and vomiting. (Make balls of fresh Ginger Rhizome [Sheng Jiang] and Pinellia Tuber [Ban Xia], rub on the back, then apply plaster.) Epigastric stuffiness, fullness, and pain. (Apply to the painful area, or sprinkle Coptis Rhizome [Huang Lian] and Pinellia Tuber [Ban Xia] powder.) Phlegm-fluid retention. (Add Kong Xian Dan [Control Salivation Pill] into the plaster base, then apply.) Water-induced asthma and cough. (Decoct Perilla Seed [Su Zi], Lepidium Seed [Ting Li Zi], Pinellia Tuber [Ban Xia], Mulberry Bark [Sang Bai Pi], Akebia Caulis [Mu Tong], Morning Glory Seed [Hei Chou], and Piper Betle Seed [Jiao Mu]; apply the decoction to the chest, then overlay with plaster.) Water-binding in the Chest. (Rub with fresh Ginger Rhizome first, then apply; or use the Ning Xue Tang method from the text; or directly decoct Shi Zao Tang [Ten Date Decoction], apply the liquid, then overlay with plaster.) Yang Jaundice of the Gallbladder. (Apply to chest and umbilicus ○ See formulas in text.) Yang-type Edema and Fullness. (Apply to chest and umbilicus ○ See formulas in text.) Heat-distension. (Apply to chest and umbilicus ○ See formulas in text, or decoct Atractylodes Rhizome [Bai Zhu], Magnolia Bark [Hou Po], Turmeric Rhizome [Jiang Huang], Scutellaria Root [Huang Qin], Coptis Rhizome [Huang Lian], Immature Bitter Orange [Zhi Shi], Pinellia Tuber [Ban Xia], Anemarrhena Rhizome [Zhi Mu], Green Tangerine Peel [Qing Pi], Aged Tangerine Peel [Chen Pi], Akebia Caulis [Mu Tong], Alisma Rhizome [Ze Xie], Platycodon Root [Jie Geng], Rhubarb Rhizome [Da Huang], Costus Root [Mu Xiang], and Amomum Fruit [Sha Ren]; apply the decoction, then overlay with plaster; or grind into powder, add Moschus [She Xiang], mix with weak ginger water, and apply over the entire abdomen ○ All above conditions should be combined with Jin Xian Plaster.) Yellow-red urine. (Indicates heavy damp-heat; apply plaster to chest, umbilicus, and below umbilicus; decoct Ophiopogon Tuber [Mai Dong], Houttuynia Herb [Zhu Ye - *Note: Text says Zhu Ye which is Bamboo Leaf, usually Bambusae Caulis Internodium*, here interpreted as Bamboo Leaf based on context of clearing heat], and Akebia Caulis [Mu Tong]; apply decoction to chest.) Or lower abdominal fullness and urgency. (Damp-heat sinking downward; apply plaster to lower abdomen.) Or dysuria with inability to pass urine. (Decoct Scutellaria Root [Huang Qin], Plantago Seed [Che Qian Zi], Akebia Caulis [Mu Tong], and Gardenia Fruit [Hei Shan Zhi]; wash the lower umbilical area with the decoction, then apply plaster.) Or Heat-Lin syndrome. (Sprinkle Niter [Xiao Shi] powder below the umbilicus; combine with Qing Yang Plaster and Jin Xian Plaster applied to chest and umbilicus; both plasters can unblock Lin syndrome ○ Formulas also in text.) Stool. Loose diarrhea. (Caused by excess dampness; apply plaster above umbilicus, or use Jin Xian Plaster.) Or constipation with inability to pass stool. (Caused by excess heat; apply plaster above umbilicus and on both sides at Tian Shu acupoint, or sprinkle Mirabilite [Mang Xiao] for application. For severe water qi, decoct Magnolia Bark [Zhi Ke], Areca Seed [Bing Lang], Rhubarb Rhizome [Da Huang], and Morning Glory Seed [Hei Chou]; apply decoction then overlay with plaster; or grind into powder, mix with egg white, and apply; reference the bowel-unblocking formula in the text.) Or Intestinal Hemorrhoids. (Damp-heat sinking downward; apply plaster above umbilicus; combine with Qing Yang Plaster applied to anus.) Also heavy sensation in shoulders and back, pain in joints. (Damp-heat clashing; apply plaster to the back and painful areas.) Hong Jiao Jiao (Beriberi/Foot Rot) swelling and pain. (Damp-heat competing; damp causes swelling, heat causes pain; apply plaster to umbilicus and painful areas, plus Cang Bai San [Cang Zhu and Bai Zhu Powder] for foot rot. If pathogen enters abdomen and rushes to the heart, add Evodia Fruit [Wu Yu], Papaya [Mu Gua], Areca Seed [Bing Lang], Rhubarb Rhizome [Da Huang], and Salt; stir-fry hot, apply compress and bind, or mix and apply to abdomen. If pathogen enters Kidney, presenting with darkening of eyes/forehead, lumbar swelling, urinary obstruction, and upward rushing asthma, add Aconite Lateral Root [Fu Zi] mixed with saliva, apply to sole of foot to guide heat downward.) Women's leukorrhea. (If due to damp-heat, apply plaster above and below umbilicus, adding herbs as appropriate.) ○ External lesions where damp-heat condenses into toxin. Damp-heat causing skin ulceration can all be treated. ○ Upper region: apply to chest/heart area. Middle region: apply to umbilicus and flanks. Lower region: apply to Dan Tian and affected areas.
Atractylodes Rhizome [Cang Zhu] (5 liang) Raw Pinellia Tuber [Sheng Ban Xia] Stephania Root [Fang Ji] Scutellaria Root [Huang Qin] Phellodendron Bark [Huang Bo] Bitter Lepidium Seed [Ku Ting Li] Kansui Root [Gan Sui] Red-root Spurge [Hong Ya Da Ji] Genkwa Flower [Yuan Hua] Akebia Caulis [Mu Tong] (3 liang each)
Angelica Sinensis Root [Dang Gui] Red Peony Root [Chi Shao] Coptis Rhizome [Huang Lian] Curcuma Longa Rhizome [Chuan Yu Jin] Sophora Root [Ku Shen] Anemarrhena Rhizome [Zhi Mu] Phytolacca Root [Shang Lu] Immature Bitter Orange [Zhi Shi] Forsythia Fruit [Lian Qiao] Areca Seed [Bing Lang] Apricot Kernel [Yu Li Ren] Areca Nut [Da Fu Pi] Saposhnikovia Root [Fang Feng] Asarum Root [Xi Xin] Apricot Kernel [Xing Ren] Arisaema Cum Bile [Dan Nan Xing] Yinchen Artemisia [Yin Chen] White Morning Glory Seed [Bai Chou Tou] Polygonatum Rhizome [Hua Fen] Perilla Seed [Su Zi] Angelica Pubescens Root [Du Huo] Green Tangerine Peel [Qing Pi] Aged Tangerine Peel [Guang Chen Pi] Ligusticum Root [Ben] Trichosanthes Seed [Gua Lou Ren] Bupleurum Root [Chai Hu] Cortex Lycii [Di Gu Pi] Dictamnus Root Bark [Bai Xian Pi] Moutan Cortex [Dan Pi] Sichuan Notopterygium Root [Ling Xian] Inula Flower [Xuan Fu Hua] Raw Polygonum Multiflorum Root [Sheng Pu Huang] Polyporus [Zhu Ling] Arctium Fruit [Niu Bang Zi] Aristolochia Root [Ma Dou Ling] Angelica Dahurica Root [Bai Zhi] Cimicifuga Rhizome [Sheng Ma] Toosendan Fruit [Chuan Lian Zi] Kochia Fruit [Di Fu Zi] Plantago Seed [Che Qian Zi] Achyranthes Root [Du Niu Xi] Cyperus Rhizome [Xiang Fu] Radish Seed [Lai Fu Zi] Smilax Glabra Rhizome [Tu Fu Ling] Dioscorea Hypoglauca Rhizome [Chuan Bi] Raw Licorice Root [Sheng Gan Cao] Sargassum [Hai Zao] Kelp [Kun Bu] Dianthus Caulis [Qu Mai] Knotgrass Herb [Xu Shu] Bischofite Seed [Mu Die Ren] Castor Seed [Bi Ma Ren] Earthworm [Gan Di Long] Ground Beetle [Tu Gou] Pangolin Scales [Shan Jia] (1 liang each) Hair Ball [Fa Tuan] (2 liang) Floating Sargassum [Fu Zao] (3 liang) Corydalis Rhizome [Yan Hu] Magnolia Bark [Nong Po] (with Aconite [Fu Zi]) Lindera Root [Wu Yao] (5 qian each) Tortoise Shell [Gui Ban] (3 liang) Calcined Talc [Fei Hua Shi] (4 liang)
Fresh Ginger [Sheng Jiang]
Plantago Asiatica Herb [Mu Cao] Crucianella Herb [Zhu Ge Cai] Plantago Herb [Che Qian Cao] Purslane [Ma Chi Xian] Taraxacum [Huang Hua Di Ding] (fresh, 1 jin each) Impatiens Balsamina Whole Plant [Feng Xian Cao] (dried, 2 liang) Nine-joint Acorus [Jiu Jie Chang Pu] Sichuan Pepper [Hua Jiao] White Mustard Seed [Bai Jie Zi] (1 liang each) Soap Pod [Zao Jiao] Adzuki Bean [Chi Xiao Dou] (2 liang each) ○ Use 30 jin of oil for two batches, boil separately, add "Dan" (mineral ash/mineral salt mixture for hardening) to collect the plaster ○ Then add Lead Oxide [Qian Fen] (roasted, 1 jin) Purified Rosin [Ti Jing Song Xiang] (8 liang) Gold Silk Monk [Jin Tuo Seng] Raw Gypsum [Sheng Shi Gao] (4 liang each) Old Wall Soil [Chen Bi Tu] Alum [Ming Fan] Calomel [Qing Fen] (2 liang each) Cinnamon Twig [Guan Gui] Costus Root [Mu Xiang] (1 liang each) Bovine Glue [Niu Jiao] (4 liang, steamed in wine until dissolved, following the method for solidifying lower patterns in Qing Yang Plaster) ○ For external lesions requiring detoxification and fluid absorption, Beeswax [Huang La] may be added and mixed. Additionally, Dragon Bone [Long Gu] and Oyster Shell [Mu Li] both have fluid-absorbing properties and may be used as appropriate.