论曰肾主要脚,腰为肾府,肾既虚弱,风邪乘之,入于经络,气血留滞,故腰脚疼痛。
治腰脚疼痛,行步艰难,桂姜丸方
桂(去粗皮) 干姜(炮各半两) 丹参 杜仲(去粗皮锉炒) 牛膝(酒浸切焙) 续
断(各
三分)
上六味,捣罗为末,炼蜜丸如梧桐子大,每服二十丸,温酒下不拘时。
治肾伤腰脚疼痛,羌活汤方
羌活(去芦头) 桂(去粗皮各一两) 附子(炮裂去皮脐) 当归(切焙) 防风(去
叉) 牛
膝(酒浸切焙各三分)
上六味,锉如麻豆,每服三钱匕,水一盏,煎七分,去滓温服不拘时。
治肾伤腰脚疼痛,举动艰难,牛膝丸方
牛膝(酒浸切焙) 虎胫骨(酥炙) 羚羊角(镑) 松节(锉) 附子(炮裂去皮脐)
威灵仙
(去土) 桂(去粗皮各二两) 当归(切炒一两)
上八味,捣罗为末,用酒二升,煮黑豆半升令熟,滤去黑豆,将酒入面,煮糊为丸,如
梧桐子大,每服三十丸,温酒下不拘时。
治肾虚腰脚疼痛,巴戟汤方
巴戟天(去心) 桂(去粗皮) 萆 牛膝(酒浸切焙) 石槲(去根各三分) 防
风(去叉)
上九味,锉如麻豆,每服三钱匕,水七分,酒三分,同煎七分,去滓温服不拘时。
治腰脚冷滞疼痛,牛膝丸方
牛膝(酒浸切焙) 桂(去粗皮各三分) 木香 吴茱萸(汤洗焙干炒) 干姜(炮各
半两)
牵牛子(炒) 附子(炮裂去皮脐各一两)
上七味,捣罗为末,炼蜜丸如梧桐子大,每服三十丸,温酒下不拘时。
治腰脚疼痛,摇转不能,杜仲丸方
杜仲(去粗皮锉炒) 枳壳(去瓤麸炒) 马芹子(炒) 萆 续断 橘子仁 牛膝
(酒浸
切焙) 牵牛子(炒各一两)
上八味,捣罗为末,炼蜜丸如梧桐子大,每服二十丸,温酒下,空心日午临卧服。
治腰脚连骨疼痛,摇转不能,独活汤方
独活(去芦头三分) 麻黄(去根节一两) 细辛(去苗叶半两) 丹参 牛膝(酒浸
切焙)
萆 黄 桂(去粗皮各三分) 防风(去叉) 附子(炮裂去皮脐) 赤茯苓(去黑皮)
羚羊
角(镑各一两) 当归(切焙) 芎 (各半两) 赤芍药(三分)
上一十五味,锉如麻豆,每服三钱匕,水一盏,煎七分,去滓温服不拘时。
治肾气虚弱,腰脚疼痛,或因寒湿久滞,鹿角胶丸方
鹿角胶(炙燥一两) 附子(炮裂去皮脐) 干姜(炮各半两) 桂(去粗皮三分) 杜
仲(去
粗皮锉炒一两一分) 菟丝子(酒浸一宿焙干一两) 山茱萸 五味子(各三分) 熟干地
黄(焙
)肉苁蓉(酒浸切焙) 巴戟天(去心) 牛膝(酒浸切焙各一两)
上一十二味,捣罗为末,炼蜜丸如梧桐子大,每服二十至三十丸,温酒下不拘时。
治腰脚疼痛, 痹不仁,骨髓中冷,久立不得羸瘦,羌活汤方
羌活(去芦头) 防风(去叉) 木通(锉) 五加皮(锉) 芍药 牛膝(酒浸切焙)
桂(去
粗皮各一两半) 酸枣仁(炒) 当归(切焙各一两) 丹参 麻黄(去节各一两一分) 白
槟榔
(四枚煨锉) 黄 (锉二两半)
上一十三味,粗捣筛,每服五钱匕,水一盏半,煎取八分,去滓温服,日二。
治腰膝冷疼,气闷烦热,枳壳丸方
枳壳(去瓤麸炒) 人参 甘草(炙锉) 石槲(去根) 牛膝(酒浸切焙) 桃仁(汤
浸去皮
尖双仁炒研) 鹿角胶(炙燥) 薏苡仁 当归(切焙) 犀角屑(各一两半) 槟榔仁(锉)
诃
黎勒皮(各二两)
上一十二味,捣罗为末,炼蜜和丸,如梧桐子大,每服二十丸,加至三十丸,温酒下,
空心食前,日再服。
治五种积冷,腰痛脚膝酸痿,狗脊丸方
狗脊(去毛锉) 萆 (锉焙) 菟丝子(酒浸三宿焙干)
上三味各等分,捣罗为细末,炼蜜和丸,梧桐子大,别用新萆 三五两,酒浸三日,空
心旋暖萆 酒,下三十丸,服经年之后,行及奔马,久立不倦。
治腰脚沉重,及劳伤痛香港脚等疾,独栗丸方
栗(不拘多少)
上一味,取肉焙干,捣罗为末,炼蜜丸如梧桐子大,每服二十丸,温酒下,空心日午服,
渐加至五十丸。
论述说:肾主要主管脚部,腰部是肾的府库。如果肾脏虚弱,风邪就会趁机侵入,进入经络,导致气血停滞,因此出现腰部和脚部的疼痛。
治疗腰脚疼痛、行走困难的桂姜丸方:
桂枝(去除粗皮)半两,干姜(炮制)半两,丹参,杜仲(去除粗皮,切碎后炒制),牛膝(用酒浸泡,切片后焙干),续断(各三分)。
以上六味药,捣碎过筛成粉末,用炼蜜制成如梧桐子大小的药丸。每次服用二十丸,用温酒送服,时间不限。
治疗因肾损伤导致的腰脚疼痛的羌活汤方:
羌活(去除芦头),桂枝(去除粗皮,各一两),附子(炮裂,去除皮和脐),当归(切片焙干),防风(去除叉枝状部分),牛膝(用酒浸泡,切片后焙干,各三分)。
以上六味药,切碎如麻豆大小。每次服用三钱匕,加水一盏,煎至七分,去渣后温服,时间不限。
治疗因肾损伤导致的腰脚疼痛、活动困难的牛膝丸方:
牛膝(用酒浸泡,切片后焙干),虎胫骨(用酥油炙烤),羚羊角(镑成片),松节(切碎),附子(炮裂,去除皮和脐),威灵仙(去除泥土),桂枝(去除粗皮,各二两),当归(切片炒制,一两)。
以上八味药,捣碎过筛成粉末。用酒二升,煮黑豆半升至熟,滤去黑豆,将酒与面粉混合,煮成糊状来制作药丸,如梧桐子大小。每次服用三十丸,用温酒送服,时间不限。
治疗肾虚导致的腰脚疼痛的巴戟汤方:
巴戟天(去除心),桂枝(去除粗皮),萆薢,牛膝(用酒浸泡,切片后焙干),石槲(去除根,各三分),防风(去除叉枝状部分)。
以上九味药,切碎如麻豆大小。每次服用三钱匕,用水七分、酒三分,共同煎至七分,去渣后温服,时间不限。
治疗腰脚冷滞疼痛的牛膝丸方:
牛膝(用酒浸泡,切片后焙干),桂枝(去除粗皮,各三分),木香,吴茱萸(用汤洗后焙干炒制),干姜(炮制,各半两),牵牛子(炒制),附子(炮裂,去除皮和脐,各一两)。
以上七味药,捣碎过筛成粉末,用炼蜜制成如梧桐子大小的药丸。每次服用三十丸,用温酒送服,时间不限。
治疗腰脚疼痛、转动困难的杜仲丸方:
杜仲(去除粗皮,切碎后炒制),枳壳(去除瓤,麸炒),马芹子(炒制),萆薢,续断,橘子仁,牛膝(用酒浸泡,切片后焙干),牵牛子(炒制,各一两)。
以上八味药,捣碎过筛成粉末,用炼蜜制成如梧桐子大小的药丸。每次服用二十丸,用温酒送服,分别在空腹、中午、睡前服用。
治疗腰脚连骨疼痛、转动困难的独活汤方:
独活(去除芦头,三分),麻黄(去除根节,一两),细辛(去除苗叶,半两),丹参,牛膝(用酒浸泡,切片后焙干),萆薢,黄芩,桂枝(去除粗皮,各三分),防风(去除叉枝状部分),附子(炮裂,去除皮和脐),赤茯苓(去除黑皮),羚羊角(镑成片,各一两),当归(切片焙干),川芎(各半两),赤芍药(三分)。
以上十五味药,切碎如麻豆大小。每次服用三钱匕,加水一盏,煎至七分,去渣后温服,时间不限。
治疗肾气虚弱、腰脚疼痛,或因寒湿久留不散的鹿角胶丸方:
鹿角胶(炙干,一两),附子(炮裂,去除皮和脐),干姜(炮制,各半两),桂枝(去除粗皮,三分),杜仲(去除粗皮,切碎后炒制,一两一分),菟丝子(用酒浸泡一夜后焙干,一两),山茱萸,五味子(各三分),熟干地黄(焙干),肉苁蓉(用酒浸泡,切片后焙干),巴戟天(去除心),牛膝(用酒浸泡,切片后焙干,各一两)。
以上十二味药,捣碎过筛成粉末,用炼蜜制成如梧桐子大小的药丸。每次服用二十至三十丸,用温酒送服,时间不限。
治疗腰脚疼痛、麻木不仁、骨髓寒冷、久立不能、身体消瘦的羌活汤方:
羌活(去除芦头),防风(去除叉枝状部分),木通(切碎),五加皮(切碎),芍药,牛膝(用酒浸泡,切片后焙干),桂枝(去除粗皮,各一两半),酸枣仁(炒制),当归(切片焙干,各一两),丹参,麻黄(去除节,各一两一分),白槟榔(四枚,煨后切碎),黄芪(切碎,二两半)。
以上十三味药,粗捣过筛。每次服用五钱匕,加水一盏半,煎取八分,去渣后温服,每日两次。
治疗腰膝冷痛、气闷烦热的枳壳丸方:
枳壳(去除瓤,麸炒),人参,甘草(炙后切碎),石槲(去除根),牛膝(用酒浸泡,切片后焙干),桃仁(用汤浸泡,去皮尖及双仁者,炒后研碎),鹿角胶(炙干),薏苡仁,当归(切片焙干),犀角屑(各一两半),槟榔仁(切碎),诃黎勒皮(各二两)。
以上十二味药,捣碎过筛成粉末,用炼蜜调和制成如梧桐子大小的药丸。每次服用二十丸,可加至三十丸,用温酒送服,在空腹食前服用,每日两次。
治疗五种积冷、腰痛脚膝酸软痿弱的狗脊丸方:
狗脊(去除毛,切碎),萆薢(切碎焙干),菟丝子(用酒浸泡三夜后焙干)。
以上三味药各等分,捣碎过筛成细末,用炼蜜调和制成如梧桐子大小的药丸。另外取新的萆薢三五两,用酒浸泡三天,空腹时加热萆薢酒,送服三十丸。服药经年之后,行走如奔马,久站也不疲倦。
治疗腰脚沉重,以及劳伤痛、香港脚等疾病的独栗丸方:
栗子(数量不限)。
以上一味药,取果肉焙干,捣碎过筛成粉末,用炼蜜制成如梧桐子大小的药丸。每次服用二十丸,用温酒送服,空腹、中午服用,逐渐增加至五十丸。
Commentary states: The Kidney primarily governs the feet, and the waist is the mansion of the Kidney. When the Kidney is deficient, wind-pathogen takes advantage to invade, entering the meridians and collaterals, causing stagnation of Qi and Blood, thus resulting in pain in the waist and feet.
Guizhi Wan (Cinnamon Twig Pill) for treating pain in the waist and feet with difficulty in walking:
Guizhi (Cinnamomi Ramulus, remove coarse bark), Ganjiang (Zingiberis Rhizoma Praeparatum, each half liang), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Duzhong (Eucommiae Cortex, remove coarse bark, cut and stir-fry), Niuxi (Achyranthis Bidentatae Radix, soak in wine, slice and dry-bake), Xuduan (Dipsaci Radix, each three qian).
The above six herbs are crushed, sieved into powder, and made into pills with refined honey, sized like wutong seeds. Take twenty pills per dose, administered with warm wine at any time.
Qianghuo Tang (Notopterygii Decoction) for treating pain in the waist and feet due to Kidney injury:
Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome head), Guizhi (Cinnamomi Ramulus, remove coarse bark, each one liang), Fuzi (Aconiti Lateralis Radix Praeparata, roast until cracked, remove skin and umbilicus), Danggui (Angelicae Sinensis Radix, slice and dry-bake), Fangfeng (Saposhnikoviae Radix, remove forked parts), Niuxi (Achyranthis Bidentatae Radix, soak in wine, slice and dry-bake, each three qian).
The above six herbs are cut like hemp or soybeans. Take three qianbi per dose, add one sheng of water, decoct until seven-tenths remain, remove dregs, and take warm at any time.
Niuxi Wan (Achyranthes Pill) for treating pain in the waist and feet with difficulty in movement due to Kidney injury:
Niuxi (Achyranthis Bidentatae Radix, soak in wine, slice and dry-bake), Hujinggu (Ossis Tigris, roast with butter), Lingyangjiao (Ceratitiss Bubali Cornu, shaved), Songjie (Pini Massula, cut), Fuzi (Aconiti Lateralis Radix Praeparata, roast until cracked, remove skin and umbilicus), Weilingxian (Clematidis Radix et Rhizoma, remove soil), Guizhi (Cinnamomi Ramulus, remove coarse bark, each two liang), Danggui (Angelicae Sinensis Radix, slice and stir-fry, one liang).
The above eight herbs are crushed, sieved into powder. Use two sheng of wine to cook half a sheng of black beans until cooked, filter out the beans, mix the wine with flour, cook into a paste to make pills, sized like wutong seeds. Take thirty pills per dose, administered with warm wine at any time.
Baji Tang (Morinda Decoction) for treating pain in the waist and feet due to Kidney deficiency:
Bajitian (Morindae Officinalis Radix, remove heart), Guizhi (Cinnamomi Ramulus, remove coarse bark), Bibi (Dioscoreae Hypoglaucae Rhizoma), Niuxi (Achyranthis Bidentatae Radix, soak in wine, slice and dry-bake), Shihu (Quercus infectoria, remove roots, each three qian), Fangfeng (Saposhnikoviae Radix, remove forked parts).
The above nine herbs are cut like hemp or soybeans. Take three qianbi per dose, use seven-tenths water and three-tenths wine, decoct together until seven-tenths remain, remove dregs, and take warm at any time.
Niuxi Wan (Achyranthes Pill) for treating cold stagnation and pain in the waist and feet:
Niuxi (Achyranthis Bidentatae Radix, soak in wine, slice and dry-bake), Guizhi (Cinnamomi Ramulus, remove coarse bark, each three qian), Muxiang (Aucklandiae Radix), Wuzhuyu (Evodiae Fructus, wash with hot water, dry-bake and stir-fry), Ganjiang (Zingiberis Rhizoma Praeparatum, roast, each half liang), Qianniuzi (Pharbitidis Semen, stir-fry), Fuzi (Aconiti Lateralis Radix Praeparata, roast until cracked, remove skin and umbilicus, each one liang).
The above seven herbs are crushed, sieved into powder, and made into pills with refined honey, sized like wutong seeds. Take thirty pills per dose, administered with warm wine at any time.
Duzhong Wan (Eucommia Pill) for treating pain in the waist and feet with inability to twist:
Duzhong (Eucommiae Cortex, remove coarse bark, cut and stir-fry), Zhike (Aurantii Fructus, remove pulp, stir-fry with bran), Maqinzi (Carotae Fructus, stir-fry), Bibi (Dioscoreae Hypoglaucae Rhizoma), Xuduan (Dipsaci Radix), Juziren (Citri Reticulatae Pericarpium), Niuxi (Achyranthis Bidentatae Radix, soak in wine, slice and dry-bake), Qianniuzi (Pharbitidis Semen, stir-fry, each one liang).
The above eight herbs are crushed, sieved into powder, and made into pills with refined honey, sized like wutong seeds. Take twenty pills per dose, administered with warm wine, on an empty stomach, at noon, and before sleep.
Duhuo Tang (Saussureae Decoction) for treating pain in the waist and feet extending to bones with inability to twist:
Duhuo (Angelicae Pubescentis Radix, remove rhizome head, three qian), Mahuang (Ephedrae Herba, remove roots and joints, one liang), Xixin (Asari Radix et Rhizoma, remove seedlings and leaves, half liang), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Niuxi (Achyranthis Bidentatae Radix, soak in wine, slice and dry-bake), Bibi (Dioscoreae Hypoglaucae Rhizoma), Huangqi (Astragali Radix), Guizhi (Cinnamomi Ramulus, remove coarse bark, each three qian), Fangfeng (Saposhnikoviae Radix, remove forked parts), Fuzi (Aconiti Lateralis Radix Praeparata, roast until cracked, remove skin and umbilicus), Chifuling (Poria Cocos with Red Skin, remove black skin), Lingyangjiao (Ceratitiss Bubali Cornu, shaved, each one liang), Danggui (Angelicae Sinensis Radix, slice and dry-bake), Xiong (Ligustici Chuanxiong Rhizoma, each half liang), Chishao (Paeoniae Radix Rubra, three qian).
The above fifteen herbs are cut like hemp or soybeans. Take three qianbi per dose, add one sheng of water, decoct until seven-tenths remain, remove dregs, and take warm at any time.
Lujiaojiao Wan (Deer Antler Glue Pill) for treating pain in the waist and feet due to weakness of Kidney Qi, or prolonged stagnation of cold-dampness:
Lujiaojiao (Corpus Cornus Cervi Gelatinum, roasted dry, one liang), Fuzi (Aconiti Lateralis Radix Praeparata, roast until cracked, remove skin and umbilicus), Ganjiang (Zingiberis Rhizoma Praeparatum, roast, each half liang), Guizhi (Cinnamomi Ramulus, remove coarse bark, three qian), Duzhong (Eucommiae Cortex, remove coarse bark, cut and stir-fry, one liang and one fen), Tusizi (Cuscutae Semen, soak in wine overnight, dry-bake, one liang), Shanzhuyu (Corni Fructus), Wuweizi (Schisandrae Chinensis Fructus, each three qian), Shudihuang (Rehmanniae Radix Praeparata, bake), Rongshong (Cynomorchii Herba, soak in wine, slice and dry-bake), Bajitian (Morindae Officinalis Radix, remove heart), Niuxi (Achyranthis Bidentatae Radix, soak in wine, slice and dry-bake, each one liang).
The above twelve herbs are crushed, sieved into powder, and made into pills with refined honey, sized like wutong seeds. Take twenty to thirty pills per dose, administered with warm wine at any time.
Qianghuo Tang (Notopterygii Decoction) for treating pain in the waist and feet, numbness, cold in the bone marrow, inability to stand for long periods, emaciation:
Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome head), Fangfeng (Saposhnikoviae Radix, remove forked parts), Mutong (Akebiae Caulis, cut), Wujiapi (Acanthopanacis Cortex, cut), Shaoyao (Paeoniae Radix Alba), Niuxi (Achyranthis Bidentatae Radix, soak in wine, slice and dry-bake), Guizhi (Cinnamomi Ramulus, remove coarse bark, each one liang and half), Szaoren (Ziziphi Spinosae Semen, stir-fry), Danggui (Angelicae Sinensis Radix, slice and dry-bake, each one liang), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Mahuang (Ephedrae Herba, remove joints, each one liang and one fen), Baibinglang (Arecae Semen, four pieces, roast and cut), Huangqi (Astragali Radix, cut, two liang and half).
The above thirteen herbs are coarsely crushed and sieved. Take five qianbi per dose, add one and a half sheng of water, decoct until eight-tenths remain, remove dregs, take warm, twice daily.
Zhike Wan (Aurantium Pill) for treating cold pain in the waist and knees, chest stuffiness, and irritability with heat:
Zhike (Aurantii Fructus, remove pulp, stir-fry with bran), Renshen (Ginseng Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, roast and cut), Shihu (Quercus infectoria, remove roots), Niuxi (Achyranthis Bidentatae Radix, soak in wine, slice and dry-bake), Taoren (Persicae Semen, soak in hot water, remove skin and tips, discard double-kernel ones, stir-fry and grind), Lujiaojiao (Corpus Cornus Cervi Gelatinum, roasted dry), Yiyiren (Coicis Semen), Danggui (Angelicae Sinensis Radix, slice and dry-bake), Xijiaoxie (Rhinocerotis Cornu, sliced, each one liang and half), Binglangren (Arecae Semen, cut), Helilepi (Terminaliae Chebulae Pericarpium, each two liang).
The above twelve herbs are crushed, sieved into powder, and mixed with refined honey to make pills, sized like wutong seeds. Take twenty pills per dose, increasing to thirty, administered with warm wine on an empty stomach before meals, twice daily.
Gouji Wan (Drynaria Pill) for treating five types of accumulated cold, lower back pain, soreness and weakness of the legs and knees:
Gouji (Cibotii Rhizoma, remove hairs, cut), Bibi (Dioscoreae Hypoglaucae Rhizoma, cut and dry-bake), Tusizi (Cuscutae Semen, soak in wine for three nights, dry-bake).
The above three herbs are in equal proportions, crushed, sieved into fine powder, and mixed with refined honey to make pills, sized like wutong seeds. Separately, take three to five liang of fresh Bibi, soak in wine for three days. On an empty stomach, warm the Bibi wine and take thirty pills with it. After taking this medicine for years, one can walk as fast as a galloping horse and stand for long periods without fatigue.
Duli Wan (Castanea Pill) for treating heaviness in the waist and feet, as well as injuries from labor, painful Hong Kong foot (podagra), etc.:
Lizi (Castaneae Nucleus, any amount).
Take the flesh of the above single herb, dry-bake, crush, and sieve into powder. Make pills with refined honey, sized like wutong seeds. Take twenty pills per dose, administered with warm wine on an empty stomach and at noon, gradually increasing to fifty pills.