〔沈〕胃中津液水饮。外溢皮肤肌肉。不溉喉舌。故作消渴。诚非真消渴也。
千金云。凡水病之初。先两目下肿起。如老蚕色。挟颈
脉动。股里冷。胫中满。按之没指。腹内转侧有声。此其候也。
[沈] 胃中的津液和水饮外溢到皮肤和肌肉，不能滋润喉部和舌部，所以导致消渴。这确实不是真正的消渴病。
《千金方》说：凡是水气病初期，先出现两眼下方肿胀隆起，颜色像老蚕的颜色，伴有颈部脉搏跳动，大腿内侧发冷，小腿胀满，按压后凹陷不起，腹部转动时有声响。这是它的征候。
[Shen] The fluids and water retention in the Stomach overflow into the skin and muscles, failing to moisten the throat and tongue, thus causing Xiao Ke (wasting-thirst syndrome). This is indeed not true Xiao Ke.
The *Qianjin Fang* states: In the initial stage of any Water Disease (fluid retention disorders), swelling first appears under both eyes, resembling the color of an old silkworm. There is pulsation along the neck vessels, coldness in the inner thighs, fullness in the shins, pitting edema upon pressure, and audible sounds within the abdomen when turning or shifting position. These are its clinical signs.