【风寒身肿之症】恶寒身热，身首皆肿，风胜多汗，寒胜无汗，此外感风寒，即《金匮
》风水、皮水，从太阳经主治之症也。
【风寒身肿之因】表气素虚，肺气素热，表气虚则外邪易入，肺气热则皮毛易开；寒袭
于肌表，郁而不散，则发热身肿之症作矣。
【风寒身肿之脉】多见浮大，或见浮数，或见浮紧。浮缓为风，浮紧为寒，浮数为热。
【风寒身肿之治】浮缓散风，浮紧散寒。仲景防己黄 汤，治风者也。甘草麻黄汤、杏
子汤，
肺经，兼喘咳，泻白散加防风。寒入肺经，而发热喘咳者，泻白散加麻黄。
防己黄 汤
防己 黄 甘草 白术
上用七钱，加姜、枣煎服，以绵被围腰，微汗为度，洁古用此汤调五苓散。
《金匮》甘草麻黄汤
甘草 麻黄
《金匮》杏子汤
麻黄 杏子 甘草
越婢汤
麻黄 石膏 生姜 大枣 甘草
桂枝芍药汤
桂枝 白芍药 甘草
大腹皮散
青皮 桑皮 槟榔 川芎 羌活 大腹皮 防己
木香丸
木香（五钱） 槟榔（五钱）
二味同研，水为丸。
朱砂（五分） 为衣。
泻白散
桑白散 地骨皮 甘草
风加防风。寒加羌活、麻黄。
【寒湿身肿之症】身重身痛，足胫冷，胸满闷，遍身肿，此寒湿肿之症也。
【寒湿身肿之因】或时令阴雨，天气寒冷；或居处阴湿，阴寒之气，袭于肌表；或因汗
出遇水，水寒所伤，则寒湿肿之症成矣。
【寒湿身肿之脉】脉多沉小，或见沉迟，或见沉濡。
【寒湿身肿之治】恶寒身痛，先宜温经散湿，冬月麻黄桂枝汤，余月羌独败毒散。湿气
壅滞者，胜湿汤。肺经伤湿，喘咳水肿，导水茯苓汤。
麻黄桂枝汤
麻黄 桂枝 白芍药 甘草
羌独败毒散 见后湿热痿。
羌活胜湿汤 见后湿热肿。
导水茯苓汤 原文治遍身肿，喘满倚息，不能转身，饮食不下，小便溺出如割而
麦冬 泽泻 白术 紫苏 陈皮 赤茯苓 柴胡 槟榔 木瓜 砂仁 木香 桑白皮
【风寒所致身体肿胀的症状】恶寒发热，头身皆肿，风邪偏盛则多汗，寒邪偏盛则无汗，这是外感风寒之邪，即《金匮要略》中所述的风水、皮水病证，应从太阳经进行主治的病证。
【风寒所致身体肿胀的病因】体表之气素来虚弱，肺脏之气素来有热；表气虚则外邪容易侵入，肺气热则皮毛腠理容易开泄；寒邪侵袭肌表，郁结而不能发散，于是发热、身体肿胀的症状就产生了。
【风寒所致身体肿胀的脉象】多见浮大脉，或见浮数脉，或见浮紧脉。浮缓脉主风，浮紧脉主寒，浮数脉主热。
【风寒所致身体肿胀的治疗】浮缓脉宜疏散风邪，浮紧脉宜疏散寒邪。张仲景的防己黄芪汤，是治疗风邪的方剂。（若风邪入肺经，兼见喘咳者，用泻白散加防风。）寒邪入肺经，而见发热、喘咳者，用泻白散加麻黄。
防己黄芪汤
组成：防己、黄芪、甘草、白术。
用法：以上药材取七钱，加入生姜、大枣煎服，用绵被围住腰部，以微微出汗为度。洁古（张元素）曾用此汤调服五苓散。
大腹皮散
组成：青皮、桑白皮、槟榔、川芎、羌活、大腹皮、防己。
木香丸
组成：木香（五钱）、槟榔（五钱）。
制法：将上述两味药共同研细，用水泛为丸。
衣料：朱砂（五分），作为丸药的外衣。
泻白散
组成：桑白皮、地骨皮、甘草。
加减：风邪加防风。寒邪加羌活、麻黄。
【寒湿所致身体肿胀的症状】身体沉重疼痛，足胫发冷，胸部满闷，全身肿胀，这是寒湿所致肿胀的症状。
【寒湿所致身体肿胀的病因】或者是时令阴雨连绵，天气寒冷；或者是居住处所阴暗潮湿，阴寒之气侵袭肌表；或者是因出汗后遇水，被水寒之气所伤，于是寒湿肿胀的症状就形成了。
【寒湿所致身体肿胀的脉象】脉象多沉小，或见沉迟脉，或见沉濡脉。
【寒湿所致身体肿胀的治疗】恶寒身体疼痛，先宜温经散湿，冬季可用麻黄桂枝汤，其他月份可用羌活胜湿汤（注：原文此处可能有误，通常羌独败毒散用于此类情况，但依原文翻译）。湿气壅滞者，用胜湿汤。肺经受湿邪所伤，出现喘咳水肿者，用导水茯苓汤。
导水茯苓汤
原文主治遍身肿胀，喘满倚息，不能转身，饮食不下，小便排出如刀割般疼痛。
组成：麦冬、泽泻、白术、紫苏、陈皮、赤茯苓、柴胡、槟榔、木瓜、砂仁、木香、桑白皮。
[Symptoms of Body Swelling due to Wind-Cold] Aversion to cold with fever, swelling of the head and body. When wind predominates, there is excessive sweating; when cold predominates, there is no sweating. This is a condition caused by external contraction of wind-cold, corresponding to "Wind Water" (Feng Shui) and "Skin Water" (Pi Shui) described in the *Jin Gui Yao Lue* (Essential Prescriptions of the Golden Cabinet), which should be treated via the Taiyang Meridian (Taiyang Channel).
[Etiology of Body Swelling due to Wind-Cold] The defensive qi (Wei Qi) is inherently deficient, and lung qi is inherently hot. Deficiency of defensive qi allows external pathogens to easily invade; heat in the lung causes the skin pores (Mao Li) to open easily. When cold attacks the muscle surface, it becomes stagnant and fails to dissipate, resulting in symptoms of fever and body swelling.
[Pulse of Body Swelling due to Wind-Cold] The pulse is mostly floating and large, or floating and rapid, or floating and tight. Floating and slow indicates wind; floating and tight indicates cold; floating and rapid indicates heat.
[Treatment of Body Swelling due to Wind-Cold] For a floating and slow pulse, disperse wind; for a floating and tight pulse, disperse cold. Zhang Zhongjing's Fangji Huangqi Tang (Stephania and Astragalus Decoction) treats wind pathogen. (If wind enters the Lung Meridian accompanied by wheezing and cough, use Xiebai San plus Fangfeng.) If cold enters the Lung Meridian accompanied by fever, wheezing, and cough, use Xiebai San plus Mahuang.
Fangji Huangqi Tang (Stephania and Astragalus Decoction)
Ingredients: Fangji (Stephaniae Tetrandrae Rhizoma), Huangqi (Astragali Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma).
Usage: Take 7 qian of the above herbs, add Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus), decoct and take orally. Wrap the waist with a cotton quilt until slight sweating occurs. Jiegu (Zhang Yuansu) used this decoction to mix with Wuling San (Five-Ingredient Powder with Poria).
*Jin Gui Yao Lue* Gancao Mahuang Tang (Licorice and Ephedra Decoction)
Ingredients: Gancao (Glycyrrhizae Radix et Rhizoma), Mahuang (Ephedrae Herba).
*Jin Gui Yao Lue* Xingzi Tang (Apricot Seed Decoction)
Ingredients: Mahuang (Ephedrae Herba), Xingren (Armeniacae Semen Amarum), Gancao (Glycyrrhizae Radix et Rhizoma).
Yueshi Tang (Dispersing the Tyrant Decoction)
Ingredients: Mahuang (Ephedrae Herba), Shigao (Gypsum Fibrosum), Shengjiang (Zingiberis Rhizoma Recens), Dazao (Jujubae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma).
Guizhi Shaoyao Tang (Cinnamon Twig and Peony Decoction)
Ingredients: Guizhi (Cinnamomi Ramulus), Baishaoyao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma).
Dafupi San (Greater Abdominal Peel Powder)
Ingredients: Qingpi (Citri Reticulatae Pericarpium Viride), Sangbaipi (Mori Cortex), Binglang (Arecae Semen), Chuanxiong (Chuanxiong Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Dafupi (Aquatica Petiolus), Fangji (Stephaniae Tetrandrae Rhizoma).
Muxiang Wan (Costus Pill)
Ingredients: Muxiang (Aucklandiae Radix) (5 qian), Binglang (Arecae Semen) (5 qian).
Preparation: Grind the two ingredients together finely, form pills using water as a binder.
Coating: Zhusha (Cinnabaris) (5 fen), used as the coating for the pills.
Xiebai San (Draining White Powder)
Ingredients: Sangbaipi (Mori Cortex), Digupi (Lycii Cortex), Gancao (Glycyrrhizae Radix et Rhizoma).
Modifications: Add Fangfeng (Saposhnikoviae Radix) for wind. Add Qianghuo (Notopterygii Rhizoma et Radix) and Mahuang (Ephedrae Herba) for cold.
[Symptoms of Body Swelling due to Cold-Dampness] Heavy and painful body, cold calves and shins, chest fullness and oppression, generalized body swelling. These are symptoms of swelling caused by cold-dampness.
[Etiology of Body Swelling due to Cold-Dampness] It may be due to seasonal continuous rain and cold weather; or living in damp and yin environments where yin-cold qi attacks the muscle surface; or getting wet after sweating, injuring the body with cold water. Thus, the condition of cold-damp swelling forms.
[Pulse of Body Swelling due to Cold-Dampness] The pulse is mostly deep and small, or deep and slow, or deep and soggy.
[Treatment of Body Swelling due to Cold-Dampness] With aversion to cold and body pain, first warm the meridians and dispel dampness. In winter, use Mahuang Guizhi Tang (Ephedra and Cinnamon Twig Decoction); in other months, use Qianghuo Dusheng Baidu San (Notopterygium and Angelica Pubescens Decoction to Overcome Toxins). For stagnation of dampness, use Shengshi Tang (Decoction to Overcome Dampness). For lung injury by dampness with wheezing, cough, and edema, use Daoshui Fuling Tang (Water-Guiding Poria Decoction).
Mahuang Guizhi Tang (Ephedra and Cinnamon Twig Decoction)
Ingredients: Mahuang (Ephedrae Herba), Guizhi (Cinnamomi Ramulus), Baishaoyao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma).
Qianghuo Dusheng Baidu San (Notopterygium and Angelica Pubescens Decoction to Overcome Toxins)
See section on Damp-Heat Flaccidity below.
Daoshui Fuling Tang (Water-Guiding Poria Decoction)
Original text indicates treatment for generalized body swelling, wheezing and suffocation requiring leaning support, inability to turn over, inability to eat or drink, and dysuria resembling cutting pain.
Ingredients: Maidong (Ophiopogonis Tuber), Zexie (Alismatis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Zisu (Perillae Folium), Chenpi (Citri Reticulatae Pericarpium), Chi Fuling (Poria cum Rubo), Chaihu (Bupleuri Radix), Binglang (Arecae Semen), Mugua (Chaenomelis Fructus), Sharen (Amomi Fructus Rotundus), Muxiang (Aucklandiae Radix), Sangbaipi (Mori Cortex).