龟板（酒炙） 柏叶（酒制） 香附（五钱） 辣芥子 凌霄花（一钱半）
上酒糊丸，煎四物汤加陈皮、甘草一分吞下。
痰积腰痛，二陈汤加南星。食积、痰积，如脉有力者宜下之。
〔《山》〕挫气腰痛。香茶内滴入菜油数点，顿服。
〔《素》〕北风生于冬，病在肾， 在腰。（金匮真言论）少阴所谓腰痛者，少阴者肾也，十月万物阳
气皆伤，故腰痛也。太阳所谓腰 痛者，正月太阳寅。寅，太阳也，正月阳气出在上而阴气盛，阳未得
自次，故肿腰 痛也。（脉解篇）
腰痛皆属肾虚，治法并见前阴阳虚条。
〔垣〕脊痛项强，腰似折，项似拔，冲头痛，乃足太阳经不行也，羌活胜湿汤主之。
羌活 独活（各一钱） 本 防风（各一钱） 蔓荆子（三分） 川芎（二分） 甘草（炙，五分）
上件 咀，都作一服，水二盏，煎去一半，去渣，温服食后。
运气腰痛有五∶
一曰寒。经云∶水郁之发，民病腰 痛，大关节不利，屈伸不便。又云∶太阳所至，为腰痛。又云∶
太阳之复，腰 反痛，屈伸不便，治以热剂是也。
二曰湿。经云∶太阴司天，湿气下临，肾气上从，当其时反腰 痛，动转不便。又曰∶太阳在泉，
湿淫所胜，病腰似折，亦治以热剂是也。
三曰寒湿杂合。经云∶太阴司天之政，终之气，寒大举，湿大化，病关节禁固，腰 痛，治以燥热
是也。
四曰燥。经云∶阳明司天，燥淫所胜，病腰痛，治以苦温是也。
五曰燥热风寒杂合。经云∶少阴司天之政，水火寒热，持于气交，民病腰痛。初之气，寒乃始，阳
气郁，民反周密，关节禁固，腰 痛，治以湿热多寒清少也。
〔丹〕摩腰丹 治老人腰痛，妇人白带。
附子尖 乌头尖 南星（各二钱半） 朱砂 樟脑 丁香（各一钱半） 干姜（一钱） 雄黄（一钱半）
麝香（五粒，大者，小则加之）
上为末，蜜丸，如龙眼大。每一丸用生姜汁化开如浓粥，火上烘热，放掌上摩腰中，候药尽贴腰上，即烘
绵衣缚定，腰热如火，间二日用一丸。
〔世〕皂角膏 治诸腰脚疼痛。
用好酒二大碗，皂角一斤，去皮弦捣碎，熬至一半，滤去渣，再用前汁入银石器内熬为膏子，随痛处贴之。
〔《圣》〕治风脚腰冷痹疼痛。川乌头三分，去皮脐，生为末，好醋调涂于布帛上贴之，痛即止。
〔《山》〕腰疼。用牛皮胶化开，生姜汁打匀，贴痛处。
〔《素》〕足太阳脉令人腰痛，引项脊尻背如重状，刺其 中。太阳正经出血，春无见血。（见刺腰痛篇 下同。
王注云∶ 中，委中穴也。）
腰背侠脊而痛，至头KT KT 然，目KT KT 欲僵仆，刺足太阳 中出血。（KT ，音殊，引颈之貌，项背强也。）
刺腰痛引项脊尻背三法。此二法，取足太阳出血也。经云∶邪在肾，腹胀腰痛，大便难，肩背颈项痛，
时眩，取之涌泉、昆仑，视有血者悉取之，此则足太阳少阴俱取血也。又云∶足太阳之脉，是动则病冲头
痛，目似脱，项似拔，脊痛，腰似折，此则视太阳盛虚热寒陷下，刺施补泻疾留灸以调之也。
足少阴令人腰痛，痛引脊内廉，刺少阴于内踝上二 ，春无见血，出血太多，不可复也。（王注云∶复溜穴也。）
刺腰痛引脊内廉，此法出足少阴经血也。经曰∶足少阴之别，名曰大钟，当踝后绕踝别走太阳，其病虚
则腰痛，取之所别也，此补足少阴络也。
少阳令人腰痛，如以针刺其皮中，循循然不可以俯仰，不可以顾，刺少阳成骨之端出血。成骨在膝外廉之
骨独起者，夏无见血。（王注云∶成骨谓膝外近下脚骨上端两起骨相并陷间容指者是，按此谓阳陵泉穴。）
阳明令人腰痛，不可以顾，顾如有见者，善悲，刺阳明于 前三 ，上下和之出血，秋无见血。（王注云∶
三里穴也。）
衡络之脉令人腰痛，不可以俯仰，仰则恐仆，得之举重伤腰，衡络绝，恶血归之，刺之在 阳筋之间，
上数寸，衡居为二 出血。（王注谓∶ 阳之间衡居二 ，为委阳、殷门二穴者非也。今详委阳正在
外廉横故尽处是穴，非上 也，殷门上 一尺是穴，非数寸也。盖 阳筋者，按 内外廉各有一大筋上结
于臀，今谓外廉之大筋，故曰阳筋也。上 数寸者，谓上 数寸于外廉大筋之两间，视其血络盛者，
横居为二 出血。
刺腰痛不可俯仰四法，上三法皆出血也。经云∶肝足厥阴之脉，是动则病腰痛，不可以俯仰，瘕疝，少
腹肿，此则视虚实寒热陷下，施补泻疾留灸以调之也。
腰痛引少腹控 ，不可以仰，刺腰尻交者，两髁胂上，以月生死为 数，发针立已，左取右，右取左。
（王注云∶此邪客于足太阴之络也。控，通引也。 ，谓季胁下之空软处也。腰尻交者，谓髁下尻骨两傍四
骨空左右八穴，俗呼此骨为八 骨也。此腰痛取腰髁下第四 ，即下 穴也。足太阴厥阴少阳三脉左右交结
于中，故曰腰尻交者也。两髁胂，谓两髁骨下坚起肉也。胂上非胂之上巅，正当刺胂肉夹直处，即脾上
也。何者？胂之上巅别有中膂肉俞，白环俞，虽并主腰痛，考其形，经症不相应矣。髁骨即腰脊两傍起骨也，
狭脊两傍，腰髁之下，各有胂肉陇起，而斜趣于髁骨之后内承其髁，故曰两髁胂也。下承髁胂肉，左右
两胂各有四骨空，故曰上 、次 、中 、下 ，上 当髁骨下陷者中，余三 少斜下按之陷中是也。
四空悉主腰痛，唯下 文与经同，即太阴厥阴少阳所结者也。胂，舒仁反。髁，若瓦反。
刺腰痛引少腹控 ，不可以仰，取腰尻分间，经文三出，此其一也。缪刺谕云∶腰痛引少腹控 ，不可
以仰息，刺腰尻之解，两胂之上是腰 ，以月死生为 数，发针立已，左刺右，右刺左。又骨空
论云∶腰痛不可以转摇，急引阴卵，剌八 与痛上，八 在腰尻分间。此三节经文大同小异，通一法也。
又足厥阴之脉，是动则病腰痛，不可以俯仰， 疝，少腹肿，视盛虚热寒陷下调之，此则证同法异。
阳维之脉令人腰痛，痛上怫然肿，刺阳维之脉，脉与太阳合 下间，去地一尺所。（林桂云∶承山穴也。）
飞阳之脉令人腰痛，痛上怫怫然，甚则悲以恐，刺飞阳之脉，在内踝上五寸，少阴之前，与阴维之会。（筑
宾穴也。筑宾穴在内踝上 肉分间是穴。）
同阴之脉令人腰痛，痛如小锤居其中，怫然肿，刺同阴之脉，在外踝上绝骨之端，为三 。（王注云∶
阳辅穴也。）
解脉令人腰痛，痛引肩，目KT KT 然，时遗溲，刺解脉，在膝筋肉分间 外廉之横脉出血，血变而
止。（王注云膝外两筋之间横文之处 肉高起，则 中之肉分也，当取 外廉有血络横见迢然紫黑而盛满者，
乃刺之当见黑血，必候其血色变赤乃止。愚按膝外廉筋肉分间，即委
阳穴是也。
散脉令人腰痛而热，热甚生烦，腰下如有横木居其中，甚则遗溲，刺散脉，在膝前骨肉分间，络外廉束脉，
为三 。（王注谓地机穴者，非也。既云膝前骨肉分间络外廉束脉，当当三里、阳陵泉二穴上之骨上与膝分
间是穴，横刺三 也。）
昌阳之脉令人腰痛，痛引膺，目KT KT 然，甚则反折，舌卷不能言，刺内筋为二 ，在内踝上大
筋前太阴后，上踝二寸所。（王注云∶交信穴也，在内踝上二寸。少阴前太阴筋骨间，阴跷之 也。）
刺腰痛目KT KT 有三，此其一也。若痛引肩，遗溲者，刺解脉，在 外廉筋肉分间委阳穴也；若痛引
项脊，欲僵仆者，刺足太阳委中出血也。
解脉令人腰痛如引带，常如折腰状，善恐，刺解脉，在 中结络如黍米，刺之血射以黑，见赤血而已。（王
注云∶ 中即委中穴也。）
会阴之脉令人腰痛，痛上漯漯然汗出，汗干令人欲饮，饮已欲走，刺直阳之脉上三 ，在跷上 下五寸横
居，视其盛者出血。（王注云∶承筋穴也，禁不可刺，可灸三壮。今云剌者，谓剌其血络之盛满者也。）
肉里之脉令人腰痛，不可以咳，咳则筋缩急，刺肉里之脉为二 ，在太阳之外，少阳绝骨之后。（王注
云∶分肉穴也，在足外踝直绝骨之端，如后同身寸之二分筋肉分间，阳维脉气所发也。《甲乙经》作阳辅穴也。）
厥阴之脉令人腰痛，腰中如张弓弩弦，刺厥阴之脉，在 踵鱼腹之外，循之累累然，乃刺之。其病令人善
言，嘿嘿然不慧，刺之三 。（王注云∶蠡阳穴分也。）
腰痛上寒，刺足太阳阳明。上热，刺足厥阴。不可以俯仰，刺足少阳。中热而喘，刺足少阴，刺 中出血。
（《灵枢》云∶ 中血络。）腰痛上寒不可顾，刺足阳明。上热，刺足太阴。
刺腰痛篇∶取足太阳 中间六法。 者，膝后屈处两筋之间，横文 内也。太阴正经二法，刺 中
央出血；解脉二法，刺 中横文出血；衡络一法，刺 上数寸出血；会阴一法，刺 中下五寸出血也。
〔罗〕张仲文传神仙灸法 疗腰重痛不可转侧，起坐艰难，及冷痹脚筋挛急，不可屈伸，灸曲瞅两文头，左
右脚四处各三壮，每灸一脚，二火齐下，艾炷才烧至肉，初觉疼，便用二人两边齐吹，至火灭。午时着灸，至
人定已来，脏腑自动一二行，或转动如雷声，其疾立愈。此法神效，卒不可量也。
〔《玉》〕肾虚腰痛∶肾 （取法以杖量与脐平去脊各一寸半，灸二七壮。） 人中 委中
〔《撮》〕腰强痛∶命门（灸二七壮，十四椎节下间，伏取之。）昆仑（泻之，灸亦泻。）
〔《摘》〕忽然气滞腰疼，不可俯仰∶志室（五分，得气即泻。）行间 腰脊内引痛，不可屈伸，近上痛∶
合谷近下痛∶昆仑 复溜 腰脊俱痛不可忍∶风池 合谷 昆仑
〔桑〕又法∶风池 承山 合谷 吕细 三间
〔东〕腰脊如 ∶涌泉（一分。） 阴谷（一寸半。） 京骨（一分。） 行间（五分。）
〔《集》〕腰闪挫气痛∶尺泽（忌灸。）委中 人中 阳陵泉 束骨 昆仑 下
〔罗〕腰痛不可俯仰，转侧难，身寒热，食倍多，身羸面黄黑，足冷不仁，腰重如石∶肾 （灸五壮。）
中膂 （灸五壮。） 腰 （灸五壮。）
〔《摘》〕肾虚腰痛久不已∶肩井 肾 （五分，七呼，灸随年壮。）腰痛刺之不定者，刺八 。（见前针灸上
条。）大虚腰痛，刺而复发，腰重不能举体，可刺委中动脉出血。
〔洁〕腰痛在身之前，足阳明原穴。身之后，足太阳原穴。身之侧，足少阳原穴。
〔《甲》〕腰痛脊急，胁中满，小腹坚急，志室主之。腰脊痛，恶寒，少腹满坚，癃闭下重，不得小便，
胞肓主之。腰痛 寒，俯仰急难，阴痛下重，不得小便，秩边主之。腰脊痛强引背，少腹俯仰难，不得仰息，
脚痿重，尻不举，溺赤，腰以下至足清不仁，不可以坐起，膀胱 主之。腰痛不可以俯仰，中膂内 主之。
腰脊痛，尻脊股臀阴寒大痛，虚则血动，实则并热痛，痔痛，尻 中肿，大便直出，扶承主之。腰痛颈顶痛，历
节汗出，而步履蹇复不仁， 中痛，飞阳主之。大肠实则腰背痹寒转筋，头眩痛，虚则鼻衄，巅疾，腰痛，
然汗出，令人饮食欲走，承筋主之。腰痛不可举足，跟中踝后痛，脚痿，仆参主之。腰痛不能举足，少坐，
若下车踬地，胫中矫矫然，申脉主之。腰痛如小锤居其中，怫然肿痛，不可以咳，咳则筋缩急，诸节痛，上下
无常，寒热，阳辅主之。腰痛控睾少腹及股，卒俯不得仰，刺气街。肠 肘寒，腰痛不得卧，手三里主之。
腰痛大便难，涌泉主之。腰痛不可转侧，章门主之。腰痛少腹痛，阴包主之。腰痛不可以久立俯仰，京门及
行间主之。腰痛少腹满，小便不利如癃，羸瘦，意恐惧，气不足，肠中悒怏，太冲主之。腰足痛而清泄善呕，
睾跳搴，上 主之。腰痛怏怏不可以俯仰，腰以下至足不仁，入脊，腰背寒，次 主之。腰痛大便难，飧泄，
腰尻中寒，中 主之。腰痛小腹痛，下 主之。肾腰痛不可俯仰，阴陵泉主之。
〔《摘》〕闪着腰疼∶气海（肥人一寸，瘦人五分，三补三泻，令人觉脐上下痛，停针候二十五息，左手
重按其穴，右手进针三息，又停二十五息，根据前进针，令人觉从外肾热气上入小腹，出针神效。）腰痛上
寒实，则脊急，长强主之。
〔《素》〕肾脉搏坚而长，其色黄而赤者，当病折腰。（脉要精微论）
帝曰∶有病厥者，诊上脉沉而紧，左脉浮而迟，不然，病主安在？岐伯曰∶冬诊之，上脉固当沉紧，
此应四时，左脉浮而迟，此逆四时，在左当主病在肾，颇关在肺，当腰痛也。（病能篇“不然”二字衍文。）
按之至骨，脉气少者，腰脊痛而身有痹也。（脉要精微论）黑色粗理，及耳后陷，耳偏一边高者，善
病腰痛。经云∶黑色粗理者肾大，肾大则善病腰痛，不可以俯仰。又云∶耳偏高者，肾偏倾，肾偏倾，则
苦腰尻痛是也。
肾惫及盛怒伤志，则腰失强，不能转摇而死。经云∶腰者肾之府，转摇不能，肾将惫矣。得强者生，失
龟板（用酒炙烤处理） 侧柏叶（用酒炮制） 香附（五钱） 辣芥子 凌霄花（一钱半）
以上药材制成酒糊丸，服用时煎煮四物汤，加入陈皮、甘草各一分，送服药丸。
痰湿积聚导致的腰痛，使用二陈汤加天南星。食积、痰积，如果脉象有力者，适宜采用攻下法治疗。
〔《山》〕气滞挫伤导致的腰痛。在香茶中滴入几滴菜籽油，一次性顿服。
〔《素问》〕北风生于冬季，病变部位在肾，表现在腰部。（出自《金匮真言论》）所谓少阴经腰痛，是因为少阴经对应肾脏，十月时万物阳气皆受损伤，所以出现腰痛。所谓太阳经腰痛，是因为正月对应太阳寅木。寅，代表太阳，正月阳气升发于上而阴气仍盛，阳气未能顺次运行，所以导致腰部肿胀疼痛。（出自《脉解篇》）
腰痛的病机大多属于肾虚，治疗方法并见前文阴阳虚损条目的论述。
〔李东垣〕脊痛项强，腰部像要折断一样，颈部像被拔起一样，冲头痛，这是足太阳经气血运行不畅所致，主方用羌活胜湿汤。
羌活 独活（各一钱） 藁本 防风（各一钱） 蔓荆子（三分） 川芎（二分） 甘草（炙，五分）
以上药材切碎，合并为一剂，用水两盏，煎至剩下一半，去渣，饭后温服。
运气学说中的腰痛有五种：
一是寒邪。经文说：水气郁结发作时，百姓患病腰痛，大关节不利，屈伸不便。又说：太阳之气所至，表现为腰痛。又说：太阳之复气，腰部反而疼痛，屈伸不便，治疗用热性药剂。
二是湿邪。经文说：太阴司天时，湿气下行临地，肾气上行顺应，在当时反而腰痛，转动不便。又说：太阳在泉时，湿气淫胜，病见腰部像折断一样，也是用热性药剂治疗。
三是寒湿夹杂。经文说：太阴司天之政，终之气时，寒气大举，湿气大化，病见关节僵硬固定，腰痛，治疗用燥热之法。
四是燥邪。经文说：阳明司天时，燥气淫胜，病见腰痛，治疗用苦温之法。
五是燥热风寒夹杂。经文说：少阴司天之政，水火寒热之气交争，百姓患病腰痛。初之气时，寒气始生，阳气郁结，百姓反而感到密闭闷热，关节僵硬固定，腰痛，治疗用湿热多、寒清少的方药。
〔朱丹溪〕摩腰丹 治疗老人腰痛，妇人白带。
附子尖 乌头尖 天南星（各二钱半） 朱砂 樟脑 丁香（各一钱半） 干姜（一钱） 雄黄（一钱半）
麝香（五粒，大的；小的则增加用量）
以上研为细末，蜂蜜炼丸，如龙眼大小。每一丸用生姜汁化开如浓粥状，在火上烘热，放在手掌中按摩腰部，待药力尽后贴敷在腰上，随即烘烤棉衣束缚固定，腰部感觉如火烧般热，每隔两天使用一丸。
〔世传〕皂角膏 治疗各种腰脚疼痛。
用好酒两大碗，皂角一斤，去掉皮和弦，捣碎，熬至剩下一半，滤去药渣，再用前面的药汁放入银器或石器中熬成膏状，贴在疼痛处。
〔《圣济总录》〕治疗风邪引起的脚部腰部冷痹疼痛。川乌头三分，去掉皮和脐，生研为末，用好醋调匀涂在布帛上贴敷，疼痛立即停止。
〔《山》〕腰痛。用牛皮胶融化，加入生姜汁打匀，贴在疼痛处。
〔《素问》〕足太阳经脉使人腰痛，牵引颈项、脊柱、尻背感觉沉重，针刺委中穴。刺太阳正经出血，春季不宜见血。（见《刺腰痛篇》，下同。王冰注云：中即委中穴。）
腰背夹脊而痛，直到头部，脖子僵硬，眼睛昏花想要跌倒，针刺足太阳经委中穴出血。（KT KT，音殊，引颈之貌，指项背强直的样子。）
刺腰痛牵引颈项、脊柱、尻背的三种方法。这第二种方法，是取足太阳经出血。经文说：邪气在肾，腹胀腰痛，大便困难，肩背颈项痛，时常眩晕，取涌泉、昆仑穴，看有瘀血的都取之，这是足太阳、足少阴两经都取血。又说：足太阳经脉，发生变动则病冲头痛，眼睛像要脱出，颈部像被拔起，脊痛，腰部像折断一样，这是观察太阳经的盛虚、热寒、陷下情况，施以补泻、疾留、灸法来调理。
足少阴经脉使人腰痛，疼痛牵引脊柱内侧，针刺足少阴经在内踝上二寸处，春季不宜见血，出血太多，就无法恢复了。（王冰注云：复溜穴。）
刺腰痛牵引脊柱内侧，此法出自足少阴经出血。经文说：足少阴之别络，名叫大钟，位于踝后绕踝别走太阳经，其病虚则腰痛，取其所别之处，这是补足少阴络脉。
少阳经脉使人腰痛，像针扎皮肤一样，缓缓不能俯仰，不能回头看，针刺少阳经成骨之端出血。成骨在膝外侧突出的骨头，夏季不宜见血。（王冰注云：成骨是指膝外近下脚骨上端两起骨相并陷间容指的地方，按此指阳陵泉穴。）
阳明经脉使人腰痛，不能回头看，回头看如有幻觉，容易悲伤，针刺阳明经三里穴前三寸处，上下调和出血，秋季不宜见血。（王冰注云：三里穴。）
衡络之脉使人腰痛，不能俯仰，仰视则恐跌倒，因举重重伤腰部，衡络断绝，恶血归聚于此，针刺在阳筋之间，向上数寸，横向居处以两穴出血。（王冰注认为：阳筋之间横居二穴，是委阳、殷门二穴，这是不对的。现在详细考证，委阳正在外廉横骨尽头处是穴，不在上方数寸；殷门在上肉分间一尺处是穴，不是数寸。所谓阳筋，按压内外廉各有一大筋上结于臀部，现在指外廉之大筋，故称阳筋。上数寸者，指向上数寸于外廉大筋的两间，看其血络盛满者，横向居处以两穴出血。
刺腰痛不可俯仰的四种方法，上面三种方法都是出血。经文说：肝足厥阴之脉，发生变动则病腰痛，不能俯仰，瘕疝，少腹肿，这是观察虚实寒热陷下，施以补泻、疾留、灸法来调理。
腰痛牵引少腹，控引睾丸，不能仰卧，针刺腰尻交会处，两髁胂肉之上，根据月亮的盈亏决定针刺次数，发针后疼痛立止，左病取右，右病取左。（王冰注云：这是邪气客于足太阴之络。控，通引也。睾，指季胁下之空软处。腰尻交者，指髁下尻骨两旁四骨空左右八穴，俗呼此骨为八髎骨。此腰痛取腰髁下第四髎，即下髎穴。足太阴、厥阴、少阳三脉左右交结于中，故曰腰尻交者也。两髁胂，指两髁骨下坚起之肉。胂上非胂之上巅，正当刺胂肉夹直处，即脾俞也。何者？胂之上巅别有中膂俞、白环俞，虽并主腰痛，考其形、经症不相应矣。髁骨即腰脊两旁起骨也，狭脊两旁，腰髁之下，各有胂肉隆起，而斜趣于髁骨之后内承其髁，故曰两髁胂也。下承髁胂肉，左右两胂各有四骨空，故曰上髎、次髎、中髎、下髎，上髎当髁骨下陷者中，余三髎稍斜下按之陷中是也。四空悉主腰痛，唯下髎与经文同，即太阴、厥阴、少阳所结者也。胂，舒仁反。髎，若瓦反。
刺腰痛牵引少腹控睾，不能仰卧，取腰尻分间，经文三次出现，这是其中一种。缪刺论说：腰痛牵引少腹控睾，不可以仰息，刺腰尻之解，两胂之上是腰髎，以月死生为数，发针立已，左刺右，右刺左。又骨空论说：腰痛不可以转摇，急引阴卵，刺八髎与痛上，八髎在腰尻分间。这三节经文大同小异，通一法也。又足厥阴之脉，发生变动则病腰痛，不能俯仰，疝，少腹肿，视盛虚热寒陷下调之，此则证同法异。
阳维之脉使人腰痛，痛处怫然肿胀，刺阳维之脉，脉与太阳合于腨下间，去地一尺所。（林桂云：承山穴。）
飞阳之脉使人腰痛，痛处怫怫然，甚至悲恐，刺飞阳之脉，在内踝上五寸，少阴之前，与阴维之会。（筑宾穴。筑宾穴在内踝上腨肉分间是穴。）
同阴之脉使人腰痛，痛如小锤居其中，怫然肿胀，刺同阴之脉，在外踝上绝骨之端，为三刺。（王冰注云：阳辅穴。）
解脉使人腰痛，疼痛牵引肩部，眼睛昏花，时常遗尿，刺解脉，在膝筋肉分间腘外廉之横脉出血，血色变红即止。（王冰注云膝外两筋之间横纹之处腘肉高起，则腘中之肉分也，当取腘外廉有血络横见迢然紫黑而盛满者，乃刺之当见黑血，必候其血色变赤乃止。愚按膝外廉筋肉分间，即委阳穴是也。
散脉使人腰痛且发热，热甚生烦，腰下如有横木居其中，甚则遗尿，刺散脉，在膝前骨肉分间，络外廉束脉，为三刺。（王冰谓地机穴者，非也。既云膝前骨肉分间络外廉束脉，当当三里、阳陵泉二穴上之骨上与膝分间是穴，横刺三刺也。）
昌阳之脉使人腰痛，疼痛牵引胸部，眼睛昏花，甚则角弓反张，舌卷不能言，刺内筋为二刺，在内踝上大筋前太阴后，上踝二寸所。（王冰注云：交信穴，在内踝上二寸。少阴前太阴筋骨间，阴跷之郄也。）
刺腰痛目KT KT有三种，这是其中一种。若痛引肩，遗尿者，刺解脉，在腘外廉筋肉分间委阳穴；若痛引项脊，欲僵仆者，刺足太阳委中出血。
解脉使人腰痛如引带，常如折腰状，善恐，刺解脉，在腘中结络如黍米，刺之血射以黑，见赤血而已。（王冰注云：腘中即委中穴也。）
会阴之脉使人腰痛，痛处漯漯然汗出，汗干令人想喝水，喝完后想走动，刺直阳之脉上三刺，在跷上腨下五寸横居，视其盛者出血。（王冰注云：承筋穴，禁不可刺，可灸三壮。今云刺者，谓刺其血络之盛满者也。）
肉里之脉使人腰痛，不可以咳嗽，咳则筋缩急，刺肉里之脉为二刺，在太阳之外，少阳绝骨之后。（王冰注云：分肉穴，在足外踝直绝骨之端，如后同身寸之二分筋肉分间，阳维脉气所发也。《甲乙经》作阳辅穴。）
厥阴之脉使人腰痛，腰中如张弓弩弦，刺厥阴之脉，在腨踵鱼腹之外，循之累累然，乃刺之。其病令人善言，嘿嘿然不慧，刺之三刺。（王冰注云：蠡沟穴之分也。）
腰痛上部寒冷，刺足太阳、足阳明。上部发热，刺足厥阴。不能俯仰，刺足少阳。中部发热而喘，刺足少阴，刺腘中出血。（《灵枢》云：腘中血络。）腰痛上部寒冷不可回顾，刺足阳明。上部发热，刺足太阴。
《刺腰痛篇》：取足太阳腘中间六法。腘者，膝后屈处两筋之间，横纹腘内也。太阴正经二法，刺腘中央出血；解脉二法，刺腘中横纹出血；衡络一法，刺腘上数寸出血；会阴一法，刺腘中下五寸出血。
〔罗〕张仲文传神仙灸法 治疗腰重痛不可转侧，起坐艰难，及冷痹脚筋挛急，不可屈伸，灸曲腘两纹头，左脚右脚四处各三壮，每灸一脚，二火齐下，艾炷才烧至肉，初觉疼，便用二人两边齐吹，至火灭。午时着灸，至人定以来，脏腑自动一二行，或转动如雷声，其疾立愈。此法神效，卒不可量也。
〔《玉》〕肾虚腰痛：肾俞（取法以杖量与脐平去脊各一寸半，灸二七壮。）人中 委中
〔《撮》〕腰强痛：命门（灸二七壮，十四椎节下间，伏取之。）昆仑（泻之，灸亦泻。）
〔《摘》〕忽然气滞腰疼，不可俯仰：志室（五分，得气即泻。）行间 腰脊内引痛，不可屈伸，近上痛：合谷 近下痛：昆仑 复溜 腰脊俱痛不可忍：风池 合谷 昆仑
〔桑〕又法：风池 承山 合谷 吕细 三间
〔东〕腰脊如弦：涌泉（一分。） 阴谷（一寸半。） 京骨（一分。） 行间（五分。）
〔《集》〕腰闪挫气痛：尺泽（忌灸。）委中 人中 阳陵泉 束骨 昆仑 下
〔罗〕腰痛不可俯仰，转侧难，身寒热，食倍多，身羸面黄黑，足冷不仁，腰重如石：肾俞（灸五壮。） 中膂俞（灸五壮。） 腰俞（灸五壮。）
〔《摘》〕肾虚腰痛久不已：肩井 肾俞（五分，七呼，灸随年壮。）腰痛刺之不定者，刺八髎。（见前针灸上条。）大虚腰痛，刺而复发，腰重不能举体，可刺委中动脉出血。
〔洁〕腰痛在身之前，取足阳明原穴。身之后，取足太阳原穴。身之侧，取足少阳原穴。
〔《甲乙经》〕腰痛脊急，胁中满，小腹坚急，志室主之。腰脊痛，恶寒，少腹满坚，癃闭下重，不得小便，胞肓主之。腰痛恶寒，俯仰急难，阴痛下重，不得小便，秩边主之。腰脊痛强引背，少腹俯仰难，不得仰息，脚痿重，尻不举，溺赤，腰以下至足清不仁，不可以坐起，膀胱俞主之。腰痛不可以俯仰，中膂内俞主之。
腰脊痛，尻脊股臀阴寒大痛，虚则血动，实则并热痛，痔痛，尻中肿，大便直出，扶承主之。腰痛颈顶痛，历节汗出，而步履蹇复不仁，腘中痛，飞阳主之。大肠实则腰背痹寒转筋，头眩痛，虚则鼻衄，巅疾，腰痛，然汗出，令人饮食欲走，承筋主之。腰痛不可举足，跟中踝后痛，脚痿，仆参主之。腰痛不能举足，少坐，若下车踬地，胫中矫矫然，申脉主之。腰痛如小锤居其中，怫然肿痛，不可以咳，咳则筋缩急，诸节痛，上下无常，寒热，阳辅主之。腰痛控睾少腹及股，卒俯不得仰，刺气街。肠肘寒，腰痛不得卧，手三里主之。
腰痛大便难，涌泉主之。腰痛不可转侧，章门主之。腰痛少腹痛，阴包主之。腰痛不可以久立俯仰，京门及行间主之。腰痛少腹满，小便不利如癃，羸瘦，意恐惧，气不足，肠中悒怏，太冲主之。腰足痛而清泄善呕，睾跳搴，上巨虚主之。腰痛怏怏不可以俯仰，腰以下至足不仁，入脊，腰背寒，次髎主之。腰痛大便难，飧泄，腰尻中寒，中髎主之。腰痛小腹痛，下髎主之。肾腰痛不可俯仰，阴陵泉主之。
〔《摘》〕闪着腰疼：气海（肥人一寸，瘦人五分，三补三泻，令人觉脐上下痛，停针候二十五息，左手重按其穴，右手进针三息，又停二十五息，根据前进针，令人觉从外肾热气上入小腹，出针神效。）腰痛上部寒冷实，则脊急，长强主之。
〔《素问》〕肾脉搏坚而长，其色黄而赤者，当病折腰。（《脉要精微论》）
黄帝问：有病厥逆者，诊得寸脉沉而紧，左脉浮而迟，不然，病主安在？岐伯答：冬诊之，寸脉固当沉紧，此应四时，左脉浮而迟，此逆四时，在左当主病在肾，颇关在肺，当腰痛也。（《病能篇》“不然”二字衍文。）
按之至骨，脉气少者，腰脊痛而身有痹也。（《脉要精微论》）黑色粗理，及耳后陷，耳偏一边高者，善病腰痛。经文说：黑色粗理者肾大，肾大则善病腰痛，不可以俯仰。又说：耳偏高者，肾偏倾，肾偏倾，则苦腰尻痛是也。
肾惫及盛怒伤志，则腰失强，不能转摇而死。经文说：腰者肾之府，转摇不能，肾将惫矣。得强者生，失
Tortoise Shell (Jia Ban, Rhinoplax Carapax et Plastrum, processed with wine) Cinnabar Leaf (Ce Bai Ye, Biota Tops, processed with wine) Cyperi Rhizoma (Xiang Fu, five qian) Mustard Seed (La Jie Zi) Calycoside Flower (Ling Xiao Hua, one and a half qian)
The above ingredients are made into pills using wine paste. Take the pills by swallowing them while decocting Si Wu Tang (Four Substances Decoction) with added Chen Pi (Citrus Reticulatae Pericarpium) and Gan Cao (Licorice Root), each in an amount of one fen.
For lower back pain caused by phlegm accumulation, use Er Chen Tang (Two Aged Ingredients Decoction) with added Nan Xing (Arisaema Cum Bile). For food stagnation and phlegm accumulation, if the pulse is forceful, purgative methods are appropriate.
[From "Shan"] Lower back pain due to qi stagnation and trauma. Add a few drops of vegetable oil to fragrant tea and take immediately.
[From "Su Wen"] North wind arises in winter, the disease is in the Kidney, manifesting in the waist. (From *Jin Gui Zhen Yan Lun*) The so-called Shaoyin meridian lower back pain is because Shaoyin corresponds to the Kidney. In the tenth lunar month, the yang qi of all things is injured, hence lower back pain occurs. The so-called Taiyang meridian lower back pain occurs in the first lunar month, corresponding to Yin. Yin belongs to the Taiyang meridian. In the first lunar month, yang qi rises upward while yin qi remains abundant; since yang qi cannot smoothly continue, swelling and lower back pain result. (From *Mai Jie Pian*)
Lower back pain mostly belongs to Kidney deficiency. Treatment methods are detailed in the preceding section on Yin and Yang deficiency.
[Li Dongyuan] Spine pain and neck stiffness, waist feeling as if broken, neck feeling as if pulled, headache striking upwards, this is due to the malfunction of the Foot-Taiyang meridian. It is primarily treated with Qiang Huo Sheng Shi Tang (Notopterygium and Drynaria Decoction to Overcome Dampness).
Qiang Huo (Notopterygii Rhizoma et Radix) Du Huo (Angelicae Pubescentis Radix) [each one qian] Gaoben (Ligustici Rhizoma et Radix) Fang Feng (Saposhnikoviae Radix) [each one qian] Man Jing Zi (Viticis Semen) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) [prepared as described]
The above ingredients are chopped and taken as one dose. Add two cups of water, decoct until half remains, strain, and take warm after meals.
There are five types of lower back pain according to the theory of Six Qi:
First is Cold. The classics state: When Water qi is depressed and erupts, people suffer from lower back pain, immobility of large joints, and difficulty in flexion and extension. It also states: When Taiyang qi arrives, it manifests as lower back pain. It further states: In the counter-qi of Taiyang, the waist painfully reverses, with difficulty in flexion and extension; this is treated with hot-natured agents.
Second is Dampness. The classics state: When Tainyin governs the year, dampness descends, and Kidney qi ascends to comply. At that time, there is contrary lower back pain and difficulty in movement. It also states: When Taiyang is in the Earthly Branch position, excessive dampness causes illness resembling a broken waist; this is also treated with hot-natured agents.
Third is a mixture of Cold and Dampness. The classics state: During the administration of Tainyin governing the year, in the final phase, cold qi prevails greatly, and dampness transforms greatly. Illness involves joint rigidity and lower back pain; this is treated with drying and heating methods.
Fourth is Dryness. The classics state: When Yangming governs the year, excessive dryness causes illness involving lower back pain; this is treated with bitter-warm methods.
Fifth is a mixture of Dryness, Heat, Wind, and Cold. The classics state: During the administration of Shaoyin governing the year, Water and Fire, Cold and Heat contend at the qi intersection, causing people to suffer from lower back pain. In the initial phase, cold begins, yang qi is depressed, and people feel unusually confined, with joint rigidity and lower back pain; treatment uses formulas with more heat-damp resolving properties and less cold-clearing properties.
[Zhu Danxi] Mo Yao Dan (Rubbing Waist Pill) treats lower back pain in the elderly and leukorrhea in women.
Fuzi Jian (Tip of Prepared Aconite Root) Wutou Jian (Tip of Prepared Aconite Lateral Root) Nan Xing (Arisaema Cum Bile) [each two and a half qian] Zhusha (Cinnabar) Zhang Nao (Borneolum Syntheticum) Ding Xiang (Caryophylli Flos) [each one and a half qian] Gan Jiang (Zingiberis Rhizoma) Xionghuang (Realgar) [each one and a half qian]
Musk (She Xiang, Moschus) (five grains for large musk, increase for smaller)
Grind the above into powder, form pills with honey, size of a longan. Dissolve one pill in fresh ginger juice to a thick porridge consistency, heat over fire, place in palm, and rub onto the waist. Wait for the medicine to adhere to the waist, then bind tightly with heated cotton clothing. The waist will feel hot like fire. Use one pill every two days.
[Worldly Transmission] Zao Jiao Gao (Gleditsia Sinensis Paste) treats various lower back and leg pains.
Take two large bowls of good wine, one jin of Gleditsia Sinensis (Zao Jiao, Gleditsiae Fructus), remove skin and strings, crush, and boil until reduced by half. Filter out dregs. Return the filtrate to a silver or earthenware vessel and boil into a paste. Apply to the painful area.
[From "Sheng Ji Zong Lu"] Treats wind-cold bi syndrome causing cold, numbness, and pain in the feet and waist. San Fen of Chuan Wu Tou (Aconiti Radix Preparata), remove skin and navel, grind raw into powder. Mix with good vinegar, apply on cloth, and patch. Pain stops immediately.
[From "Shan"] Lower back pain. Melt Ox Hide Glue (Niu Jiao, Colla Corii Asini), mix evenly with fresh ginger juice, and apply to the painful area.
[From "Su Wen"] The Foot-Taiyang meridian causes lower back pain, pulling the neck, spine, sacrum, and back, feeling heavy. Prick Zhong Wan (Weizhong, BL40). Bleed the regular Taiyang meridian; do not bleed in spring. (See *Ci Yao Tong Pian*, same below. Wang Bing's commentary notes: Zhong refers to Weizhong acupoint.)
Pain in the lower back and spine along the vertebral column extends to the head, with neck stiffness, blurred vision, and a desire to fall. Prick the Foot-Taiyang meridian at Weizhong (BL40) to bleed. (KT KT, pronounced shu, describes stretching the neck, indicating neck and back stiffness.)
Three methods for pricking lower back pain pulling the neck, spine, sacrum, and back. The second method takes bleeding from the Foot-Taiyang meridian. The classics state: Pathogenic factors in the Kidney cause abdominal distension, lower back pain, difficult defecation, shoulder/back/neck pain, and frequent dizziness. Select Yongquan (KI1) and Kunlun (BL60); if blood stasis is visible, extract it all. This involves taking blood from both Foot-Taiyang and Foot-Shaoyin meridians. It also states: When the Foot-Taiyang meridian moves abnormally, it causes headache striking upwards, eyes feeling as if protruding, neck feeling as if pulled, spine pain, and waist feeling as if broken. Observe whether the Taiyang meridian is excess, deficient, hot, cold, sunken, or collapsed, and apply tonification, drainage, rapid retention, or moxibustion to regulate it.
Foot-Shaoyin meridian causes lower back pain, with pain pulling along the inner aspect of the spine. Prick Foot-Shaoyin two cun above the medial malleolus. Do not bleed in spring; excessive bleeding cannot be replenished. (Wang Bing's commentary notes: Fuliu acupoint, KI7.)
Pricking lower back pain pulling along the inner aspect of the spine derives from bleeding the Foot-Shaoyin meridian. The classics state: The collateral branch of Foot-Shaoyin is named Dazhong (KI4). It runs behind the ankle, encircles it, and branches to connect with Taiyang. Deficiency causes lower back pain; treat its branching point. This tonifies the Foot-Shaoyin collateral.
Shaoyang meridian causes lower back pain, feeling like needles piercing the skin, slowly unable to bend or extend, unable to look back. Prick the end of Chenggu (Yanglingquan, GB34) to bleed. Chenggu is the prominent bone on the lateral side of the knee. Do not bleed in summer. (Wang Bing's commentary notes: Chenggu refers to the depression between the two rising bones near the lower end of the lateral leg bone where a finger fits; this refers to Yanglingquan acupoint.)
Yangming meridian causes lower back pain, inability to look back, visual hallucinations when looking back, prone to sadness. Prick Yangming three cun above Sanli (Zusanli, ST36) to harmonize upper and lower and bleed. Do not bleed in autumn. (Wang Bing's commentary notes: Zusanli acupoint, ST36.)
Hengluo meridian causes lower back pain, inability to bend or extend, fear of falling when extending. Caused by lifting heavy objects and injuring the waist severely, Hengluo is severed, and evil blood gathers here. Prick between the Yangjin tendon, several cun above, bleeding horizontally at two points. (Wang Bing's commentary claiming these are Weiyang (SB38) and Yinmen (BL37) is incorrect. Careful examination shows Weiyang is exactly at the end of the transverse crease on the lateral side, not several cun above; Yinmen is one cun above the popliteal fossa, not several cun. "Yangjin" refers to the large tendon on the lateral side of the popliteal fossa connecting to the buttocks. "Several cun above" means several cun above the lateral large tendon, between the two tendons, observing full blood vessels, bleeding horizontally at two points.
Four methods for pricking lower back pain with inability to bend or extend. The above three methods all involve bleeding. The classics state: The Foot-Jueyin Liver meridian, when moving abnormally, causes lower back pain, inability to bend or extend, hernia, and lower abdominal swelling. Observe excess, deficiency, heat, cold, sunken, or collapsed conditions, and apply tonification, drainage, rapid retention, or moxibustion to regulate it.
Lower back pain pulling the lower abdomen and hypochondrium, inability to lie supine. Prick the intersection of the lumbar and sacral regions, above the fleshy parts of the two femoral condyles. Determine the number of needle insertions based on the waxing and waning of the moon. Pain ceases immediately upon insertion. Treat left with right, right with left.
(Wang Bing's commentary: This pathogen resides in the Foot-Taiyin collateral. Kong means pulling. , refers to the soft hollow area below the costal margin. "Intersection of lumbar and sacral" refers to the four bony foramina on either side of the sacrum, totaling eight acupoints, commonly called the Eight Liao acupoints. This lower back pain selects the fourth Liao below the iliac crest, i.e., Xiagiao (BL32). The Foot-Taiyin, Jueyin, and Shaoyang meridians intersect on the left and right in the middle, hence called the intersection of lumbar and sacral. "Two femoral condyle muscles" refer to the firm muscular prominences below the two femoral condyles. "Above the muscle" does not mean the peak of the muscle, but directly pricking the straight part between the muscles, which is Pishu (BL20). Why? Above the peak of the muscle are Zhonglshu (BL29) and Baihuanshu (BL30); although they both treat lower back pain, their anatomical location does not correspond to the classic symptoms. The femoral condyle bone is the bone rising on both sides of the lumbar spine. Below the lumbar condyles, on both sides of the narrow spine, there are muscular prominences sloping towards the posterior inside of the condyles, hence called "two femoral condyle muscles." Below these muscles, on the left and right, there are four bony foramina each, hence Shangliao (BL31), Ciliao (BL32), Zhongliao (BL33), and Xiagiao (BL34). Shangliao is in the depression below the iliac crest; the other three are slightly oblique downwards, pressing into the depression.
All four Liao acupoints treat lower back pain, but only Xiagiao matches the text and classics, being the intersection of Taiyin, Jueyin, and Shaoyang. Shen, pronunciation shu ren fan. Liao, pronunciation ruo wa fan.
Pricking lower back pain pulling the lower abdomen and hypochondrium, inability to lie supine, selecting the interval between lumbar and sacral regions appears three times in the classics; this is one instance. *Miao Ci Lun* states: Lower back pain pulling the lower abdomen and hypochondrium, inability to breathe lying supine, prick the solution of the lumbar and sacral region, above the two muscles, which is Yaogao. Determine the number of needle insertions based on the waxing and waning of the moon. Pain ceases immediately upon insertion. Prick left for right, right for left. *Gu Kong Lun* also states: Lower back pain with inability to turn or shake, urgently pulling the scrotum, prick the Eight Liao and the painful area. The Eight Liao are in the interval between the lumbar and sacral regions. These three passages are largely similar, constituting one method. The Foot-Jueyin meridian, when moving abnormally, causes lower back pain, inability to bend or extend, hernia, and lower abdominal swelling. Observe excess, deficiency, heat, cold, sunken, or collapsed conditions to regulate. Here the symptoms are the same, but the method differs.
Yangwei meridian causes lower back pain, with local swelling. Prick the Yangwei meridian, where the meridian combines with Taiyang below the calf, about one chi from the ground. (Lin Gui notes: Chengshan acupoint, BL57.)
Feiyang meridian causes lower back pain, with local oppression, severe cases involving fear and terror. Prick the Feiyang meridian, five cun above the medial malleolus, anterior to Shaoyin, at the meeting with Yinwei. (Zhubin acupoint, GB37. Zubin is located in the gap between the muscles above the medial malleolus.)
Tongyin meridian causes lower back pain, pain like a small hammer lodged within, with local swelling. Prick the Tongyin meridian, at the end of Jiegu (Yangfu, GB38) above the lateral malleolus, three needle insertions. (Wang Bing's commentary notes: Yangfu acupoint, GB38.)
Jiemai causes lower back pain, pain pulling the shoulder, blurred vision, occasional urinary incontinence. Prick Jiemai, at the transverse vessel in the muscle-tendon interval on the lateral side of the knee, bleed until the blood color changes. (Wang Bing's commentary notes: The transverse line between the two tendons outside the knee, where the meat of Guozhong rises, is the muscle division. Select the transverse blood vessel on the lateral side of Guozhong that appears purple-black and full. Prick it; black blood will appear. Wait until the blood turns red to stop. I observe that the muscle-tendon interval on the lateral side of the knee is Weiyang acupoint, GB39.)
Sanmai causes lower back pain with heat, severe heat causing irritability, a sensation of a horizontal wood block in the lower waist, severe cases involving urinary incontinence. Prick Sanmai, in the bone-muscle interval anterior to the knee, binding the vessel on the lateral collateral, three needle insertions. (Wang Bing's commentary claiming Diji (SP8) is incorrect. Since it says "bone-muscle interval anterior to the knee, binding the vessel on the lateral collateral," the acupoint should be between the bones above Zusanli (ST36) and Yanglingquan (GB34), at the knee joint interval, pricked horizontally three times.)
Changyang meridian causes lower back pain, pain pulling the chest, blurred vision, severe cases involving opisthotonos, tongue retraction, and inability to speak. Prick the inner tendon for two needle insertions, anterior to the large tendon above the medial malleolus, posterior to Taiyin, two cun above the ankle. (Wang Bing's commentary notes: Jiaoxin acupoint, KI8, two cun above the medial malleolus. Between anterior Shaoyin and posterior Taiyin tendons and bones, it is the Xi-cleft point of the Yinqiao meridian.)
There are three instances of pricking lower back pain with blurred vision; this is one. If pain pulls the shoulder and causes urinary incontinence, prick Jiemai at Weiyang (GB39) in the muscle-tendon interval on the lateral side of the knee. If pain pulls the neck and spine, causing a desire to fall, prick Weizhong (BL40) on the Foot-Taiyang meridian to bleed.
Jiemai causes lower back pain like a drawn belt, often feeling like the waist is broken, prone to fear. Prick Jiemai, where the collateral knots in the popliteal fossa like a millet grain. Prick until black blood shoots out, stopping when red blood appears. (Wang Bing's commentary notes: Guozhong refers to Weizhong acupoint, BL40.)
Huiyin meridian causes lower back pain, with profuse sweating on the painful area. When sweat dries, thirst arises; after drinking, there is a desire to move. Prick Zhiyang meridian three needle insertions above, horizontally located five cun below the Yangqiao tendon, observing full vessels to bleed. (Wang Bing's commentary notes: Chengjin acupoint, BL56. Forbidden to prick, can moxa three cones. The text saying "prick" refers to pricking full blood vessels.)
Rouli meridian causes lower back pain, inability to cough; coughing causes tendon contraction and tightness. Prick Rouli meridian for two needle insertions, outside Taiyang, posterior to Shaoyang Jiegu. (Wang Bing's commentary notes: Fenrou acupoint, located at the end of Jiegu directly above the lateral malleolus, two cun equal to body measurement in the muscle-tendon interval, where Yangwei meridian qi emerges. *Jia Yi Jing* lists it as Yangfu acupoint, GB38.)
Jueyin meridian causes lower back pain, waist feeling like a drawn bowstring. Prick Jueyin meridian, outside the calf's fish-belly shape near the heel. Palpate until nodular, then prick. The disease causes excessive talking, muteness, and dullness. Prick three times. (Wang Bing's commentary notes: Ligou acupoint, KI5.)
Upper cold in lower back pain, prick Foot-Taiyang and Yangming meridians. Upper heat, prick Foot-Jueyin meridian. Inability to bend or extend, prick Foot-Shaoyang meridian. Internal heat with panting, prick Foot-Shaoyin meridian, bleed at Guazhong (popliteal fossa center).
(*Ling Shu* states: Blood vessels in Guazhong.) Upper cold in lower back pain with inability to look back, prick Foot-Yangming meridian. Upper heat, prick Foot-Taiyin meridian.
*Ci Yao Tong Pian*: Select six methods from the center of the Foot-Taiyang popliteal fossa. Guazhong refers to the space between the two tendons in the popliteal crease. Two methods from the regular Taiyin meridian: bleed the center of the popliteal fossa. Two methods from Jiemai: bleed the transverse line in the popliteal fossa. One method from Hengluo: bleed several cun above the popliteal fossa. One method from Huiyin: bleed five cun below the center of the popliteal fossa.
[Luo] Zhang Zhongwen's Passed-down Divine Moxibustion Method treats heavy lower back pain with inability to turn, difficulty rising and sitting, and cold bi syndrome with leg tendon spasms and inability to flex or extend. Moxa the two ends of the popliteal crease texture. Three cones at four points on both left and right feet. When moxa-ing one foot, apply two fires simultaneously. When the moxa cone touches the flesh and pain is initially felt, have two people blow on both sides simultaneously until the fire extinguishes. Perform moxibustion at noon. By human settlement time (evening), the zang-fu organs will automatically move one or two times, or rotate like thunder sounds. The disease will heal immediately. This method is divine and efficacious, beyond measure.
[From "Yu Han Jing"] Kidney deficiency lower back pain: Shenshu (BL23) (Measure with a stick level with the umbilicus, one and a half cun from the spine. Moxa fourteen cones.) Renzhong (GV26) Weizhong (BL40)
[From "Cuo Yao"] Stiff and painful waist: Mingmen (GV4) (Moxa fourteen cones, below the intervertebral space of the 14th vertebra, locate while prone.) Kunlun (BL60) (Drain, moxibustion also drains.)
[From "Zhai Xuan"] Sudden qi stagnation lower back pain, inability to bend or extend: Zhishi (BL52) (Five fen, drain upon obtaining Deqi.) Xingjian (LR2) Lower back pain pulling inward along the spine, inability to flex or extend, pain higher up: Hegu (LI4) Pain lower down: Kunlun (BL60) Fuliu (KI7) Unbearable pain in both spine and waist: Fengchi (GB20) Hegu (LI4) Kunlun (BL60)
[Sang] Another method: Fengchi (GB20) Chengshan (BL57) Hegu (LI4) Lvxi (LR5) Sanjian (LI3)
[Dong] Waist and spine like a bowstring: Yongquan (KI1) (One fen.) Yinggu (KI3) (One and a half cun.) Jinggu (BL64) (One fen.) Xingjian (LR2) (Five fen.)
[From "Ji Cheng"] Sudden twist and qi stagnation lower back pain: Chize (LU5) (Avoid moxibustion.) Weizhong (BL40) Renzhong (GV26) Yanglingquan (GB34) Shugu (BL65) Kunlun (BL60) Below...
[Luo] Lower back pain with inability to bend or extend, difficulty turning, alternating chills and fever, increased appetite, emaciation, yellow-black complexion, cold and insensible feet, heavy waist like stone: Shenshu (BL23) (Moxa five cones.) Zhonglvshu (BL27) (Moxa five cones.) Yaoshu (DU2) (Moxa five cones.)
[From "Zhai Xuan"] Chronic kidney deficiency lower back pain not healing: Jianjing (GB21) Shenshu (BL23) (Five fen, seven breaths, moxa according to age in cones.) For lower back pain where needling is uncertain, prick the Eight Liao. (See previous acupuncture section.) For severe deficiency lower back pain, recurring after needling, heavy waist unable to lift the body, prick Weizhong artery to bleed.
[Jie] Lower back pain in front of the body, select Foot-Yangming Yuan-source acupoint. Behind the body, select Foot-Taiyang Yuan-source acupoint. On the side of the body, select Foot-Shaoyang Yuan-source acupoint.
[From "Jia Yi Jing"] Lower back pain with stiff spine, fullness in hypochondrium, hardness and urgency in lower abdomen: Zhishi (BL52) governs. Lower back and spine pain, aversion to cold, fullness and hardness in lower abdomen, strangury with heaviness in lower jiao, inability to urinate: Baohuang (BL54) governs. Lower back pain with cold, urgent difficulty in bending and extending, genital pain with heaviness in lower jiao, inability to urinate: Zhibian (BL54) governs. Lower back and spine pain strongly pulling the back, difficulty in bending and extending lower abdomen, inability to breathe lying supine, leg atrophy and heaviness, inability to lift sacrum, dark urine, cold and insensitivity from waist to feet, inability to sit or stand: Pangguangshu (BL28) governs. Lower back pain with inability to bend or extend: Zhonglv Neishu (BL29) governs.
Lower back and spine pain, severe cold pain in sacrum, spine, thigh, buttocks, and genitals. Deficiency causes blood movement, excess causes combined heat pain, hemorrhoid pain, swelling in the sacral foramen, feces protruding directly: Fucheng (BL37) governs. Lower back pain with neck and vertex pain, sweating in joints, limping and insensitivity, pain in the popliteal fossa: Feiyang (BL58) governs. Large Intestine excess causes lower back and back bi-cold with cramps, dizziness and headache. Deficiency causes epistaxis, vertex disease, lower back pain, spontaneous sweating, and desire to walk after eating: Chengjin (BL56) governs. Lower back pain with inability to lift foot, pain in the heel and behind the ankle, leg atrophy: Pucan (BL63) governs. Lower back pain with inability to lift foot, slight sitting, or stumbling when getting off a cart, shin feeling rigid: Shenmai (BL62) governs. Lower back pain with a sensation of a small hammer lodged within, oppressive swelling and pain, inability to cough, coughing causes tendon contraction, pain in all joints, varying up and down, chills and fever: Yangfu (GB38) governs. Lower back pain pulling the testicles, lower abdomen, and thighs, sudden inability to bend or extend: Prick Qiejie (ST30). Intestinal and elbow cold, lower back pain preventing lying down: Shousanli (TE9) governs.
Lower back pain with difficult defecation: Yongquan (KI1) governs. Lower back pain with inability to turn: Zhangmen (LR13) governs. Lower back pain with lower abdominal pain: Yinbao (LR9) governs. Lower back pain with inability to stand or bend for long periods: Jingmen (GB25) and Xingjian (LR2) govern. Lower back pain with lower abdominal fullness, difficult urination resembling strangury, emaciation, fear, qi insufficiency, and intestinal stagnation: Taichong (LR3) governs. Lower back and foot pain with clear diarrhea, frequent vomiting, jumping testicles: Shangliao (BL31) governs. Lower back pain with oppression, inability to bend or extend, insensitivity from waist to feet, entering the spine, cold in lower back: Ciliao (BL32) governs. Lower back pain with difficult defecation, undigested food diarrhea, cold in the sacrum: Zhongliao (BL33) governs. Lower back pain with lower abdominal pain: Xiagiao (BL34) governs. Kidney lower back pain with inability to bend or extend: Yinlingquan (SP9) governs.
[From "Zhai Xuan"] Sprained lower back pain: Qihai (CV6) (One cun for fat people, five fen for thin people. Three tonifications and three drainings. Patient feels pain above and below the umbilicus. Stop needle, wait for twenty-five breaths. Press the acupoint heavily with left hand, insert needle with right hand for three breaths. Stop for twenty-five breaths. Advance needle again. Patient feels hot qi from external genitals entering lower abdomen. Extracting needle is divine.) Upper cold excess in lower back pain causes spinal stiffness: Changqiang (GV1) governs.
[From "Su Wen"] If the Kidney pulse is firm and long, and the complexion is yellow and red, one will suffer from broken waist pain. (*Mai Yao Jing Wei Lun*)
The Emperor said: There is a patient with jue syndrome. The upper pulse is deep and tight, the left pulse is floating and slow. Otherwise, where is the disease located? Qibo said: Diagnosing in winter, the upper pulse should indeed be deep and tight; this corresponds to the four seasons. The left pulse being floating and slow goes against the four seasons. Located on the left, it primarily indicates disease in the Kidney, somewhat related to the Lung, and will present as lower back pain. (*Bing Neng Pian*: The characters "bu ran" are superfluous.)
Pressing to the bone, if the pulse qi is scanty, there is lower back and spine pain with body bi syndrome. (*Mai Yao Jing Wei Lun*) Those with black complexion and coarse skin, depressions behind the ears, and one ear higher than the other, are prone to lower back pain. The classics state: Black complexion and coarse skin indicate enlarged Kidneys. Enlarged Kidneys are prone to lower back pain, with inability to bend or extend. It also states: Higher ear indicates tilted Kidney. Tilted Kidneys suffer from lower back and sacral pain.
Kidney exhaustion and extreme anger injuring the will cause loss of strength in the waist, inability to turn and shake, leading to death. The classics state: The waist is the mansion of the Kidney. Inability to turn and shake indicates the Kidney is exhausted. Retaining strength leads to life, losing...