附浮肿。
凡患鼓胀,隔食,愈后必戒杀放生,方免复发,至要至要。
手指按之下陷不起者,水鼓也。随手即起者,气鼓也。周身老黑色,皮内有紫黑斑点者
,血鼓也。身大热如火者难治。身发寒热如疟者难治。四肢发黑者难治。肠胀、脉大命绝者
,难治。唇口黑暗脾绝者,难治。缺盆平心绝者,难治。手足心平肾绝者,难治。肚脐翻突
肺绝者,难治。背平肝绝者,难治。泻后身有青筋起者,难治。大便滑泄者,难治。周身有
破皮者,难治。先起于四肢,后散于腹者,难治。先起于腹,后散于四肢者,易治。
手按之下陷不起者是。雄猪肚一个(去净内秽),老丝瓜筋半条,土狗子(又名蝼蛄)
十个
水,
赤茯
芫花
次或三
百二十
小便通者亦可治。大田螺四个去壳,大蒜五个去皮,车前子二钱,研末,共为饼,贴脐
中,以带缚定,水从小便出,渐消,终身戒食田螺。
又方∶商陆根,葱白,捣填脐中,小便利,肿自消。
又方∶甘遂末,水调,涂肚腹周遭。另煎生甘草汤服之,其肿自消。
川椒(选用闭口者,不选开口者)研磨成粉末,用水冲服即可痊愈。同时用川椒含在口中效果更佳。
附:浮肿证。
凡是患有鼓胀病、隔食病的患者,病愈后必须戒杀生、放生,这样才能避免疾病复发,这一点至关重要。
用手指按压腹部,凹陷不能立即恢复的,是水鼓。按压后凹陷随手即起的,是气鼓。全身皮肤呈老黑色,皮内有紫黑色斑点的,是血鼓。身体发热如火烧般的,难治。身体出现寒热往来如疟疾症状的,难治。四肢发黑的,难治。肠道胀满、脉象大而生命垂危的,难治。嘴唇和口唇周围发黑,提示脾脏功能衰竭的,难治。锁骨上窝(缺盆)平坦,提示心脏功能衰竭的,难治。手足心平坦无纹,提示肾脏功能衰竭的,难治。肚脐向外翻突,提示肺脏功能衰竭的,难治。背部平坦无骨节隆起,提示肝脏功能衰竭的,难治。腹泻后身上出现青色筋脉显露的,难治。大便滑脱不禁的,难治。全身有破溃皮肤的,难治。水肿先从四肢开始,随后扩散至腹部的,难治。水肿先从腹部开始,随后扩散至四肢的,易治。
手指按压腹部凹陷不起的是水鼓证。取一个雄猪肚(彻底清除内部污秽),半条老丝瓜筋,十个土狗子(又名蝼蛄),加水煎煮,加入赤茯苓、芫花等药,煎至一定次数或水量剩余百二十单位(原文此处有缺漏,依文意推测为煎煮过程)。
小便通畅的患者也可以治疗。取大田螺四个去壳,大蒜五个去皮,车前子二钱,研磨成粉末,混合做成饼状,贴在肚脐中,用带子固定,使水从小便排出,肿胀逐渐消退,终身禁止食用田螺。
又一方:商陆根、葱白,捣碎后填入肚脐中,小便利通,肿胀自然消除。
又一方:甘遂粉末,用水调匀,涂抹于肚腹周围。另外煎煮生甘草汤服用,其肿胀自然消除。
鲫鱼两斤,食盐三斤,共同用黄泥包裹牢固,用白炭火煨烤一周时(或指一段时间),去掉泥土,将鱼和盐一起研磨细,用此盐调味,吃完后再吃生盐,这样才能保证周身经络坚固,永不复发。
Chuanjiao (Sichuan Pepper) [Zanthoxyli Pericarpium] (those with closed pores should be used, not those with open pores) is ground into powder and taken with water to achieve a cure. It is even more effective to hold Chuanjiao in the mouth simultaneously.
Appendix: Edema.
For patients suffering from Drum Distension (Gu Zhang, abdominal distension resembling a drum) or Ge Shi (food blockage), after recovery, one must abstain from killing living beings and practice releasing life to prevent recurrence; this is of utmost importance.
If pressing the abdomen with a finger leaves an indentation that does not rise immediately, it is Water Drum (Shui Gu). If the indentation rises immediately upon release, it is Qi Drum (Qi Gu). If the entire body skin is dark black with purple-black spots within the skin, it is Blood Drum (Xue Gu). If the body is extremely hot like fire, it is difficult to treat. If the body exhibits alternating chills and fever similar to malaria, it is difficult to treat. If the four limbs turn black, it is difficult to treat. If there is intestinal distension and the pulse is large indicating impending death, it is difficult to treat. If the lips and mouth are dark, indicating Spleen exhaustion, it is difficult to treat. If the supraclavicular fossa (Quepen) is flat, indicating Heart exhaustion, it is difficult to treat. If the palms of hands and soles of feet are flat, indicating Kidney exhaustion, it is difficult to treat. If the umbilicus everts, indicating Lung exhaustion, it is difficult to treat. If the back is flat, indicating Liver exhaustion, it is difficult to treat. If green veins appear on the body after diarrhea, it is difficult to treat. If there is slippery incontinence of stool, it is difficult to treat. If there are broken skins all over the body, it is difficult to treat. If edema starts in the four limbs and then spreads to the abdomen, it is difficult to treat. If edema starts in the abdomen and then spreads to the four limbs, it is easy to treat.
The condition where pressing the abdomen leaves an indentation that does not rise is Water Drum. Take one male pig stomach (cleaned thoroughly of internal impurities), half a strip of old loofah fiber, ten earth dogs (also known as mole crickets, *Gryllotalpa*), add water, [decoct], add Chi Fuling (Red Poria) and Yuanhua (Kansui Root), [decoct until reduced].
Patients whose urination is unobstructed can also be treated. Take four large river snails (shelled), five garlic cloves (peeled), and two qian of Cheqianzi (Plantago Seed), grind them into powder, form into a cake, apply to the center of the umbilicus, and secure with a belt. Water will exit through urination, and the swelling will gradually subside. One must avoid eating river snails for life.
Another prescription: Shanglu root (Phytolaccae Radix) and scallion white (Cong Bai), crushed and stuffed into the umbilicus. Once urination becomes smooth, the swelling will naturally disappear.
Another prescription: Gansui powder (Radix Euphorbiae Pekinensis), mixed with water, applied around the abdomen. Separately decoct Sheng Gancao (Raw Licorice Root) soup and take it orally; the swelling will naturally disappear.
Two jin of crucian carp and three jin of salt are wrapped tightly together with yellow mud. Roast over white charcoal fire for a week (or specific duration), remove the mud, and grind the fish and salt together finely. Use this salt for cooking; after finishing this salt, consume raw salt again. This ensures the solidity of meridians throughout the body and prevents recurrence forever.