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Five waters

五水 〔五水〕 wǔ shuǐ

From Essential Prescriptions of the Golden Cabinet (金匮要略 jīn guì yào lüè, shuǐ qì bìng mài zhèng bìng zhì). Water swelling manifesting in different ways depending on which viscus it affects.

Patterns

Heart water (心水 xīn shuǐ) is characterized by a heavy body and scantness of breath, heart vexation and sleeplessness, and swelling of the lower yīn.

Liver water (肝水 gān shuǐ) is characterized by distension, fullness, and pain beneath the rib-side and in the abdomen preventing the patient from turning sides, and by urine that is sometimes copious and sometimes scant.

Spleen water (脾水 pí shuǐ) is characterized by abdominal fullness and difficult urination, and by heavy cumbersome limbs.

Lung water (肺水 fèi shuǐ) is characterized by inhibited breathing, heavy body, difficult urination, and duck slop stool.

Kidney water (肾水 shèn shuǐ) is marked by lumbar pain, difficult urination, enlarged abdomen and swollen umbilicus, by exudation of water-damp from the lower yīn, cold lower extremities, and emaciated face and body.

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