论曰虚劳腰痛者，劳伤于肾也，肾主腰脚，若其气不足，风邪乘之，故令人腰痛引少腹，
不可以仰息，诊其脉尺沉者是也。
治虚劳伤惫，腰脚疼痛，精神不爽，饮食减退，驻颜益气，鹿茸丸方
鹿茸（去毛酥炙二两） 防风（去叉） 桂（去粗皮） 羌活（去芦头） 萆 （锉） 酸
枣仁（
（微炒） 桃仁
（切焙） 牛膝（酒浸切
上一十七味，捣研为末，炼蜜和丸，如梧桐子大，每服二十丸，空心食前温酒下。
治虚劳腰痛，利腰膝，石斛丸方
石槲（去根） 肉苁蓉（酒浸切焙） 桂（去粗皮） 山茱萸 五味子 白茯苓（去黑
皮） 山
丝子（酒浸
香子（舶上者炒）
肉豆蔻仁 防风（去叉）
上二十八味，捣罗为末，炼蜜丸如梧桐子大，每服三十丸，空心煎姜枣汤，或盐汤温酒
任下。
治虚劳腰脚疼痛，肿满沉重，行步艰难，羌活丸方
羌活（去芦头） 天雄（炮裂去皮脐） 香子（炒） 木香 天麻 硫黄（生研各一
两） 干
上八味，捣罗五味为末，用木瓜一枚，切下顶，去子入硫黄艾叶 砂在内，再以元顶密
盖，就饭甑蒸熟研烂，与羌活等末和丸，如梧桐子大，每服二十丸，温酒或盐汤下。
治虚劳腰膝无力，元气虚惫，行步艰难， 股疼痛。寸金丸方
吴茱萸（汤洗焙干炒） 青橘皮（汤浸去白焙） 牛膝（酒浸切焙） 肉苁蓉（酒浸切
焙）
上六味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，至三十丸，空心盐汤下。
治元脏气虚，脐腹紧痛，腰脚少力，行步艰难，面黄肌瘦，耳内虚鸣，精神不爽。肉苁
蓉丸方
肉苁蓉（酒浸一宿切焙） 磁石（ 醋淬） 威灵仙（去土各一两） 槟榔（三枚炮锉）
肉豆
焙） 远志
裂去皮脐各半两） 生姜（二两切焙） 沉香（一分）
上一十七味，捣研为末，炼蜜和丸，如梧桐子大，每服十五丸，空心食前温酒下。
治虚劳腰脚疼痛，羸瘦不能食，干地黄丸方
熟干地黄（焙一两） 细辛（去苗叶） 附子（炮裂去皮脐各一分） 白茯苓（去黑皮）
山芋
上九味，捣罗为末，炼蜜和丸，如梧桐子大，每服三十丸，空腹夜卧、温酒下，渐加至
五十丸。
治虚劳肾气不足，腰痛无力，手脚酸疼，状似骨蒸，羊肾汤方
磁石（三两 醋淬） 桂（去粗皮） 甘草（炙锉各一两） 五味子 白茯苓（去黑皮
各二两）
上六味，粗捣筛，每服五钱匕，水二盏，先取羊肾一只细切，煎三五沸，次下药，煎至
一盏，去滓空腹温服。良久再服。
治虚劳肾气内伤，腰痛不能转侧，壮筋骨，暖肾脏，养精神，润颜色，鹿茸丸方
鹿茸（去毛酥炙五两） 石槲（去根） 山茱萸 远志（去心） 杜仲（去粗皮炙） 巴
戟天（
上七味，捣罗为末，面糊和丸，如梧桐子大，每服二十丸，空心温酒下。
治下元久虚，腰脚无力，步履甚艰，或发疼痛，饮食进退，久服诸药，未成痊效。附子
木瓜丸方。
附子（重半两者十枚以黑豆一升水三碗银石器慢火煮之候豆熟附子软切焙干） 牛膝（酒
浸切焙六两） 羌活（去芦头四两） 香子（舶上者炒） 青橘皮（汤浸去白焙） 巴戟
天（去心
上七味，捣罗六味为末，将木瓜膏和丸，如梧桐子大，每服二十丸，至三十丸，空心食
前盐汤下，中病即止，不必常服。
治肾风劳、两 冷疼，腰脊不可俯仰，行履不得，酸枣仁汤方
酸枣仁（生研） 羌活（去芦头） 杜仲（去粗皮酥炙） 五加皮（各一两半） 萆 桂
（去粗皮各一两） 茯神（去木三两）
上七味，粗捣筛，每服五钱匕，水一盏半，入竹沥一合，煎至一盏，去滓空心温服。
治虚劳腰脚疼痛，下元冷惫，阳气衰弱，牛膝酒方
牛膝 山芋 芎 （各三两） 附子（炮裂去皮脐） 巴戟天（去心） 五味子 黄 山
茱
粗皮） 茵
上一十八味 咀，贮以生绢袋，用无灰酒三斗浸之，秋冬七日，春夏三日，每服半盏，
不拘时频温饮之，常令有酒气。
治五劳七伤，腰膝疼痛，鬓发早白，面色萎黄，水脏久冷，疝气下坠，耳聋眼暗，痔漏
肠风，凡百疾病，悉能疗除，兼治女人子脏久冷，头鬓疏薄，面生 ，风劳血气，产后诸
疾，赤白带下，大补益摩膏方
木香 丁香 零陵香 附子（炮裂） 沉香 吴茱萸 干姜（炮） 舶上硫黄（研） 桂
（去
上一十二味，捣罗八味为末，与四味研者和匀炼蜜，丸如鸡头实大，每先取生姜自然汁
一合，煎沸，投水一盏，药一丸同煎，良久化破，以指研之，就温室中蘸药摩腰上。药尽为
度。仍加绵裹肚系之，有顷腰上如火，久用之，血脉舒畅，容颜悦泽。
治五劳虚损，腰膝疼痛，五味子丸方
五味子 菟丝子（酒浸别捣） 肉苁蓉（酒浸切焙各二两） 白茯苓（去黑皮一两） 车
前子
上六味，捣罗为末，炼蜜和捣三百杵，丸如梧桐子大，每服三十丸，食前温酒下。
治虚劳腰膝痛， 香鳖甲丸方
香子（舶上者炒） 鳖甲（去裙 醋炙各一两） 附子（大者一枚炮裂去皮脐） 葫
芦巴（
上七味为细末，面糊和丸，如梧桐子大，每服十丸至二十丸，食前温酒下。
治虚劳腰痛，四肢无力，山芋丸方
山芋 熟干地黄（焙各二两） 黄 （锉） 巴戟天（去心各一两） 远志（去心） 牛
膝（酒浸切焙） 五味子（各半两） 柏子仁 桂（去粗皮各三分）
上九味为细末，炼蜜和捣三百杵，丸如梧桐子大，每服三十丸，食前温酒下。
治虚劳腰痛，不能运动，及男子五劳七伤，下元虚损，令人肥健，复盆子丸方
覆盆子（去萼） 巴戟天（去心） 山芋 泽泻 附子（炮裂去皮脐各一两半） 白术
（炒）
浓朴（去粗皮
（炙锉） 五味子 陈
干地黄（焙） 赤石脂 陈
皮酒浸切焙） 黄 （锉各二两）
上三十二味，捣罗为末，炼蜜和丸，如梧桐子大，每服空心食前，温酒下四十丸。
治虚劳腰痛，补益经脉，安和脏腑，除心中伏热，强筋骨，轻身明目去冷除风，苁蓉丸
方
肉苁蓉（酒浸去皴皮切焙四两） 山芋 五味子（各二两半） 杜仲（去粗皮炙锉三两）
牛膝（酒浸切焙） 菟丝子（酒浸别捣） 赤石脂 白茯苓（去黑皮） 泽泻 熟干地黄（焙）
山
上一十二味，捣罗为末，炼蜜和丸，如梧桐子大，每日空心温酒下三十丸。
治五劳七伤，阳气不足，腰脚酸痛，补益干地黄丸方
熟干地黄（焙四两） 五味子 鹿茸（去毛酥炙） 桂（去粗皮） 巴戟天（去心） 远
志（去
上八味，捣罗为末，炼蜜和丸，如梧桐子大，每服三十丸，食前枣汤或黄 汤下。
治肾劳腰脚疼痛及脾胃极冷，猪肚丸方
猪肚（一枚净洗） 附子（炮裂去皮脐） 泽泻 肉苁蓉（去皴皮酒浸切焙） 干姜（炮
裂）
槟榔（锉）
上一十四味，除猪肚外，捣罗为末，将猪肚入熟艾十两，以米醋一斗烂煮，取出捣研令
细，入诸药末，及余醋和硬软得所，杵数千下，众手为丸，如梧桐子大，每服空心、米饮下
三十丸，加至四十丸。
治虚劳腹内冷气，补腰膝，填骨髓，令人悦泽，四味地黄丸方
熟干地黄（焙） 白术 白茯苓（去黑皮） 菟丝子（酒浸两宿别捣等分）
上四味，捣罗为末，炼蜜丸梧桐子大，温酒下三十丸，日再服，空腹服。
【论述】所谓虚劳腰痛，是由于肾气因过度劳累而受损。肾主管腰部和下肢，如果肾气不足，风邪便会趁虚侵袭，从而导致腰痛并牵引至小腹，身体无法仰卧呼吸。诊察其脉象，尺部脉沉即是此证的表现。
治疗虚劳导致的身体衰弱、腰脚疼痛、精神不振、饮食减少，以及具有驻颜益气功效的鹿茸丸方：
鹿茸（去毛，用酥油炙烤，二两）、防风（去枝叉）、桂（去粗皮）、羌活（去芦头）、萆薢（切碎）、酸枣仁（微炒）、桃仁（切片焙干）、牛膝（酒浸后切片）。以上十七味药，捣碎研成细末，用炼蜜调和制成丸药，大小如梧桐子。每次服用二十丸，空腹且在进食前，用温酒送服。
治疗虚劳腰痛，通利腰膝的石斛丸方：
石斛（去根）、肉苁蓉（酒浸后切片焙干）、桂（去粗皮）、山茱萸、五味子、白茯苓（去黑皮）、菟丝子（酒浸）、茴香子（选用进口者并炒制）、肉豆蔻仁、防风（去枝叉）。以上二十八味药，捣碎过筛成细末，用炼蜜调和制成丸药，大小如梧桐子。每次服用三十丸，空腹时煎姜枣汤，或用盐汤、温酒任一种送服。
治疗虚劳引起的腰脚疼痛、肿胀沉重、行走困难，羌活丸方：
羌活（去芦头）、天雄（炮裂后去皮脐）、茴香子（炒）、木香、天麻、硫黄（生研，各一两）、干姜（炮裂）。以上八味药，将其中七味捣碎过筛成细末，取一个木瓜，切下顶部，去掉籽，放入硫黄和艾叶，再用原来的顶部盖好，放在饭甑中蒸熟，研烂，与羌活等药的细末混合制成丸药，大小如梧桐子。每次服用二十丸，用温酒或盐汤送服。
治疗虚劳导致的腰膝无力、元气极度虚弱、行走困难、大腿疼痛的寸金丸方：
吴茱萸（用汤洗后焙干炒制）、青橘皮（用汤浸泡去白瓤后焙干）、牛膝（酒浸后切片焙干）、肉苁蓉（酒浸后切片焙干）。以上六味药，捣碎过筛成细末，用炼蜜调和制成丸药，大小如梧桐子。每次服用二十至三十丸，空腹时用盐汤送服。
治疗元脏气虚，导致脐腹紧绷疼痛、腰脚无力、行走困难、面色萎黄肌肉消瘦、耳内虚鸣、精神不振的肉苁蓉丸方：
肉苁蓉（酒浸一夜后切片焙干）、磁石（用醋淬炼）、威灵仙（去土，各一两）、槟榔（三枚，炮裂切碎）、肉豆蔻（炮裂去壳）、远志（去心）、附子（炮裂去皮脐，各半两）、生姜（二两，切片焙干）、沉香（一分）。以上十七味药，捣碎研成细末，用炼蜜调和制成丸药，大小如梧桐子。每次服用十五丸，空腹且在进食前，用温酒送服。
治疗虚劳腰脚疼痛、形体消瘦不能进食的干地黄丸方：
熟干地黄（焙干，一两）、细辛（去苗叶）、附子（炮裂去皮脐，各一分）、白茯苓（去黑皮）、山芋（山药）。以上九味药，捣碎过筛成细末，用炼蜜调和制成丸药，大小如梧桐子。每次服用三十丸，空腹及夜间睡觉前，用温酒送服，逐渐增加剂量至五十丸。
治疗虚劳肾气不足，腰痛无力，手脚酸痛，症状类似骨蒸潮热，羊肾汤方：
磁石（三两，用醋淬炼）、桂（去粗皮）、甘草（炙后切碎，各一两）、五味子、白茯苓（去黑皮，各二两）。以上六味药，粗捣筛选，每次服用五钱匕，加水两盏。先取一只羊肾细细切碎，煎煮三五沸，然后加入药物，煎至一盏，去渣，空腹温服。隔一段时间后再服一次。
治疗虚劳肾气内伤，腰痛无法转身，具有强筋骨、暖肾脏、养精神、润颜色的功效，鹿茸丸方：
鹿茸（去毛，用酥油炙烤，五两）、石斛（去根）、山茱萸、远志（去心）、杜仲（去粗皮炙烤）、巴戟天（去心）。以上七味药，捣碎过筛成细末，用面糊调和制成丸药，大小如梧桐子。每次服用二十丸，空腹用温酒送服。
治疗下元长期虚弱，腰脚无力，步履非常艰难，或者发作疼痛，饮食时多时少，久服各种药物均未痊愈的附子木瓜丸方：
附子（重半两者十枚，用黑豆一升、水三碗，在银石器中慢火煮，待豆熟附子变软后切片焙干）、牛膝（酒浸切片焙干，六两）、羌活（去芦头，四两）、茴香子（选用进口者并炒制）、青橘皮（汤浸去白瓤焙干）、巴戟天（去心）。以上七味药，将除木瓜外的六味捣碎过筛成细末，用木瓜膏调和制成丸药，大小如梧桐子。每次服用二十至三十丸，空腹且在进食前，用盐汤送服，病愈即止，不必常服。
治疗肾风劳损，两足冰冷疼痛，腰脊不可俯仰，行走受限，酸枣仁汤方：
酸枣仁（生研）、羌活（去芦头）、杜仲（去粗皮，酥油炙烤）、五加皮（各一两半）、萆薢、桂（去粗皮，各一两）、茯神（去木，三两）。以上七味药，粗捣筛选，每次服用五钱匕，加水一盏半，加入竹沥一合，煎至一盏，去渣，空腹温服。
治疗虚劳腰脚疼痛，下元寒冷衰弱，阳气衰弱的牛膝酒方：
牛膝、山芋、川芎（各三两）、附子（炮裂去皮脐）、巴戟天（去心）、五味子、黄芪、山茱萸、桂（去粗皮）、茵陈。以上十八味药，切碎，装入生绢袋中，用无灰酒三斗浸泡，秋冬季节七日，春夏季节三日。每次服用半盏，不拘时间，频繁温热饮用，常令体内有酒气。
治疗五劳七伤，腰膝疼痛，鬓发早白，面色萎黄，肾脏久冷，疝气下坠，耳聋眼暗，痔漏肠风，各种疾病都能治疗消除，兼治女子子宫久冷，头发稀疏单薄，面部生斑，风劳血气，产后诸疾，赤白带下，大补益摩膏方：
木香、丁香、零陵香、附子（炮裂）、沉香、吴茱萸、干姜（炮制）、舶上硫黄（研细）、桂（去粗皮）。以上十二味药，将其中八味捣碎过筛成细末，与另外四味研细混合均匀，用炼蜜调和，制成如鸡头实大小的丸药。每次先取生姜自然汁一合，煮沸，投入水一盏，放入药丸一同煎煮，良久化开，用手指研磨，在温室中蘸药液按摩腰部。药尽为止。之后加上棉布包裹腹部系好，不久腰部感觉如火烧，长期使用可使血脉舒畅，容颜光润。
治疗五劳虚损，腰膝疼痛的五味子丸方：
五味子、菟丝子（酒浸后单独捣碎）、肉苁蓉（酒浸切片焙干，各二两）、白茯苓（去黑皮，一两）、车前子。以上六味药，捣碎过筛成细末，用炼蜜调和捣击三百杵，制成如梧桐子大小的丸药。每次服用三十丸，食前用温酒送服。
治疗虚劳腰膝痛，茴香鳖甲丸方：
茴香子（选用进口者并炒制）、鳖甲（去裙边，醋炙，各一两）、附子（大者一枚，炮裂去皮脐）、葫芦巴。以上七味药制成细末，用面糊调和制成丸药，大小如梧桐子。每次服用十至二十丸，食前用温酒送服。
治疗虚劳腰痛，四肢无力的山芋丸方：
山芋、熟干地黄（焙干，各二两）、黄芪（切碎）、巴戟天（去心，各一两）、远志（去心）、牛膝（酒浸切片焙干）、五味子（各半两）、柏子仁、桂（去粗皮，各三分）。以上九味药制成细末，用炼蜜调和捣击三百杵，制成如梧桐子大小的丸药。每次服用三十丸，食前用温酒送服。
治疗虚劳腰痛，不能运动，以及男子五劳七伤，下元虚损，使人肥壮健壮的复盆子丸方：
覆盆子（去萼）、巴戟天（去心）、山芋、泽泻、附子（炮裂去皮脐，各一两半）、白术（炒制）、厚朴（去粗皮）、枳实（炙切碎）、五味子、陈皮（陈年者，酒浸切片焙干）、熟干地黄（焙干）、赤石脂、陈皮（陈年者，酒浸切片焙干）、黄芪（切碎，各二两）。以上三十二味药，捣碎过筛成细末，用炼蜜调和制成丸药，大小如梧桐子。每次空腹且在进食前，用温酒送服四十丸。
治疗虚劳腰痛，补益经脉，安和脏腑，清除心中伏热，强筋骨，轻身明目，祛冷除风，苁蓉丸方：
肉苁蓉（酒浸去皴皮切片焙干，四两）、山芋、五味子（各二两半）、杜仲（去粗皮炙切碎，三两）、牛膝（酒浸切片焙干）、菟丝子（酒浸后单独捣碎）、赤石脂、白茯苓（去黑皮）、泽泻、熟干地黄（焙干）、山茱萸。以上十二味药，捣碎过筛成细末，用炼蜜调和制成丸药，大小如梧桐子。每日空腹用温酒送服三十丸。
治疗五劳七伤，阳气不足，腰脚酸痛，补益干地黄丸方：
熟干地黄（焙干，四两）、五味子、鹿茸（去毛，酥油炙烤）、桂（去粗皮）、巴戟天（去心）、远志（去心）。以上八味药，捣碎过筛成细末，用炼蜜调和制成丸药，大小如梧桐子。每次服用三十丸，食前用枣汤或黄酒送服。
治疗肾劳腰脚疼痛及脾胃极冷的猪肚丸方：
猪肚（一枚，洗净）、附子（炮裂去皮脐）、泽泻、肉苁蓉（去皴皮，酒浸切片焙干）、干姜（炮裂）、槟榔（切碎）。以上十四味药，除猪肚外，其余捣碎过筛成细末。将猪肚放入熟艾十两，用米醋一斗烂煮，取出后捣研细腻，加入诸药细末，以及剩余的醋，调和至软硬适中，捣数千下，众人合力做成丸药，大小如梧桐子。每次空腹用米饮送服三十丸，可加至四十丸。
治疗虚劳腹内冷气，补腰膝，填骨髓，使人容颜悦泽的四味地黄丸方：
熟干地黄（焙干）、白术、白茯苓（去黑皮）、菟丝子（酒浸两夜后单独捣碎，等分）。以上四味药，捣碎过筛成细末，用炼蜜制成如梧桐子大小的丸药。用温酒送服三十丸，每日两次，空腹服用。
[Discussion] The condition of lower back pain due to deficiency consumption (Xu Lao) is caused by kidney damage from overexertion. The Kidney governs the waist and legs; if its Qi is insufficient, Wind pathogen may invade, causing lower back pain that radiates to the hypochondrium or abdomen, making it impossible to lie flat and breathe deeply. Palpation reveals a deep pulse at the Chi position, which confirms this diagnosis.
**Lurong Wan Formula** for treating deficiency consumption with physical exhaustion, lower back and leg pain, mental fatigue, reduced appetite, as well as for preserving youth and tonifying Qi:
Deer Antler Glue (Lu Rong) [Cervum Nipponium Cornu Colla], processed by removing hair and roasting with butter (2 liang); Fangfeng [Saposhnikoviae Radix] (remove twigs); Rougui [Cinnamomi Cortex] (remove rough bark); Qianghuo [Notopterygii Rhizoma et Radix] (remove rhizome head); Bibi [Dioscoreae Hypoglaucae Rhizoma] (cut into pieces); Suanzaoren [Ziziphi Spinosae Semen] (lightly stir-fried); Taoren [Persicae Semen] (slice and roast); Niuxi [Achyranthis Bidentatae Radix] (soak in wine and slice).
The above seventeen ingredients are crushed, ground into fine powder, mixed with refined honey, and formed into pills the size of Sophora seeds. Take 20 pills per dose, before meals on an empty stomach, washed down with warm wine.
**Shihu Wan Formula** for treating deficiency consumption lower back pain, promoting flexibility in the waist and knees:
Shihu [Dendrobii Caulis] (remove roots); Roushouyu [Cynomorii Fructus] (soak in wine, slice, and roast); Rougui [Cinnamomi Cortex] (remove rough bark); Shanzhuyu [Corni Fructus]; Wuweizi [Schisandrae Chinensis Fructus]; Baifuling [Poria] (remove black skin); Tusizi [Cuscutae Semen] (soak in wine); Huoxiang [Piperis Kadsurae Fructus] (use imported variety and stir-fry); Roudoukou [Myristicae Semen] (kernel); Fangfeng [Saposhnikoviae Radix] (remove twigs).
The above twenty-eight ingredients are crushed, sifted into fine powder, mixed with refined honey, and formed into pills the size of Sophora seeds. Take 30 pills per dose, before meals on an empty stomach, washed down with decoction of ginger and jujube, or salt water, or warm wine.
**Qianghuo Wan Formula** for treating deficiency consumption with lower back and leg pain, swelling and heaviness, and difficulty walking:
Qianghuo [Notopterygii Rhizoma et Radix] (remove rhizome head); Tianxiong [Aconiti Lateralis Radix Preparata] (processed until cracked, remove skin and navel); Huoxiang [Piperis Kadsurae Fructus] (stir-fried); Muxiang [Aucklandiae Radix]; Tianma [Gastrodiae Rhizoma]; Liuhuang [Sulfur] (raw, ground, each 1 liang); Ganjiang [Zingiberis Rhizoma] (processed).
The above eight ingredients: process seven of them into fine powder. Take one papaya, cut off the top, remove seeds, insert sulfur and mugwort leaves, cover tightly with the original top, and steam in a rice steamer until cooked. Mash it and mix with the powder of the other herbs to form pills the size of Sophora seeds. Take 20 pills per dose, washed down with warm wine or salt water.
**Cunjin Wan Formula** for treating deficiency consumption with weakness in waist and knees, extreme depletion of Yuan Qi, difficulty walking, and thigh pain:
Wuzhuyu [Evodiae Fructus] (wash with water, dry, stir-fry); Qingju pi [Citri Reticulatae Pericarpium Viride] (soak in water, remove white pith, dry); Niuxi [Achyranthis Bidentatae Radix] (soak in wine, slice, roast); Roushouyu [Cynomorii Fructus] (soak in wine, slice, roast).
The above six ingredients are crushed, sifted into fine powder, mixed with refined honey, and formed into pills the size of Sophora seeds. Take 20 to 30 pills per dose, before meals on an empty stomach, washed down with salt water.
**Roushouyu Wan Formula** for treating deficiency of Yuan Zang Qi, causing tightness and pain in the umbilical and abdominal region, weakness in waist and legs, difficulty walking, sallow complexion, emaciation, tinnitus, and mental fatigue:
Roushouyu [Cynomorii Fructus] (soak in wine overnight, slice, roast); Cishi [Magnetitum] (quench in vinegar); Weilingxian [Salviae Miltiorrhizae Radix et Rhizoma] (remove soil, each 1 liang); Binglang [Arecae Semen] (three pieces, processed, cut); Roudoukou [Myristicae Semen] (processed, remove shell); Yuanzhi [Polygalae Radix] (remove heart); Fuzi [Aconiti Lateralis Radix Preparata] (processed, remove skin and navel, each half liang); Shengjiang [Zingiberis Rhizoma Recens] (two liang, slice, roast); Chenxiang [Aquilariae Lignum Resinatum] (one fen).
The above seventeen ingredients are crushed, ground into fine powder, mixed with refined honey, and formed into pills the size of Sophora seeds. Take 15 pills per dose, before meals on an empty stomach, washed down with warm wine.
**Gan Dihuang Wan Formula** for treating deficiency consumption with lower back and leg pain, emaciation, and inability to eat:
Shu Gan Dihuang [Rehmanniae Radix Praeparata] (roasted, 1 liang); Xixin [Asari Radix et Rhizoma] (remove seedlings and leaves); Fuzi [Aconiti Lateralis Radix Preparata] (processed, remove skin and navel, each one fen); Baifuling [Poria] (remove black skin); Shanyu [Dioscoreae Rhizoma].
The above nine ingredients are crushed, sifted into fine powder, mixed with refined honey, and formed into pills the size of Sophora seeds. Take 30 pills per dose, on an empty stomach and before bed, washed down with warm wine. Gradually increase the dosage to 50 pills.
**Yangshen Tang Decoction** for treating deficiency consumption with insufficient Kidney Qi, lower back pain and weakness, soreness and pain in hands and feet, resembling bone-steaming fever:
Cishi [Magnetitum] (3 liang, quench in vinegar); Rougui [Cinnamomi Cortex] (remove rough bark); Gancao [Glycyrrhizae Radix et Rhizoma] (roasted, cut, each 1 liang); Wuweizi [Schisandrae Chinensis Fructus]; Baifuling [Poria] (remove black skin, each 2 liang).
The above six ingredients are coarsely crushed and sifted. Take five qianbi per dose, add two zhan of water. First, finely chop one sheep kidney, boil for three to five boils, then add the medicinal herbs. Simmer until one zhan remains, strain, and take warm on an empty stomach. Repeat after some time.
**Lurong Wan Formula** for treating internal injury of Kidney Qi due to deficiency consumption, lower back pain preventing turning, strengthening sinews and bones, warming the Kidneys, nourishing spirit, and moistening complexion:
Deer Antler Glue (Lu Rong) [Cervum Nipponium Cornu Colla] (remove hair, roast with butter, 5 liang); Shihu [Dendrobii Caulis] (remove roots); Shanzhuyu [Corni Fructus]; Yuanzhi [Polygalae Radix] (remove heart); Duzhong [Eucommiae Cortex] (remove rough bark, roast); Bajitian [Morindae Officinalis Radix] (remove heart).
The above seven ingredients are crushed, sifted into fine powder, mixed with flour paste, and formed into pills the size of Sophora seeds. Take 20 pills per dose, before meals on an empty stomach, washed down with warm wine.
**Fuzi Mugua Wan Formula** for treating long-term deficiency of Lower Yuan, weakness in waist and legs, severe difficulty in walking, or onset of pain, fluctuating appetite, where previous medications have failed to cure:
Fuzi [Aconiti Lateralis Radix Preparata] (ten pieces weighing half liang each; cook slowly in silver or earthenware vessel with one sheng of black beans and three bowls of water until beans are cooked and Fuzi is soft; slice, dry, and roast); Niuxi [Achyranthis Bidentatae Radix] (soak in wine, slice, roast, 6 liang); Qianghuo [Notopterygii Rhizoma et Radix] (remove rhizome head, 4 liang); Huoxiang [Piperis Kadsurae Fructus] (use imported variety and stir-fry); Qingju pi [Citri Reticulatae Pericarpium Viride] (soak in water, remove white pith, dry); Bajitian [Morindae Officinalis Radix] (remove heart).
The above seven ingredients: crush six of them into fine powder. Mix with papaya paste to form pills the size of Sophora seeds. Take 20 to 30 pills per dose, before meals on an empty stomach, washed down with salt water. Stop when the disease is cured; do not take regularly.
**Suanzaoren Tang Decoction** for treating Kidney Wind and consumption, cold and painful feet, inability to bend or extend the waist and spine, and restricted walking:
Suanzaoren [Ziziphi Spinosae Semen] (raw, ground); Qianghuo [Notopterygii Rhizoma et Radix] (remove rhizome head); Duzhong [Eucommiae Cortex] (remove rough bark, roast with butter); Wujia pi [Acanthopanacis Cortex] (each 1.5 liang); Bibi [Dioscoreae Hypoglaucae Rhizoma]; Rougui [Cinnamomi Cortex] (remove rough bark, each 1 liang); Fushen [Poria cum Pinodi] (remove wood, 3 liang).
The above seven ingredients are coarsely crushed and sifted. Take five qianbi per dose, add one and a half zhan of water and one he of bamboo sap. Simmer until one zhan remains, strain, and take warm on an empty stomach.
**Niuxi Jiu Preparation** for treating deficiency consumption with lower back and leg pain, cold and exhaustion of Lower Yuan, and decline of Yang Qi:
Niuxi [Achyranthis Bidentatae Radix]; Shanyu [Dioscoreae Rhizoma]; Chuanxiong [Ligustici Chuanxiong Rhizoma] (each 3 liang); Fuzi [Aconiti Lateralis Radix Preparata] (processed, remove skin and navel); Bajitian [Morindae Officinalis Radix] (remove heart); Wuweizi [Schisandrae Chinensis Fructus]; Huangqi [Astragali Membranacei Radix]; Shanzhuyu [Corni Fructus]; Rougui [Cinnamomi Cortex] (remove rough bark); Yichen [Artemisiae Scopariae Herba].
The above eighteen ingredients are chopped, stored in a raw silk bag, and soaked in three dou of unadulterated wine. Soak for seven days in autumn/winter, three days in spring/summer. Take half zhan per dose, frequently drink warm at any time, maintaining a sensation of alcohol in the body.
**Dayibei Mogao Ointment** for treating Five Labors and Seven Injuries, lower back and knee pain, premature graying of temples, sallow complexion, chronic cold of the Water Organ (Kidney), hernia descent, deafness, dim vision, hemorrhoids, fistulas, intestinal wind, and all diseases; also treats women's chronic cold uterus, thinning hair, facial spots, Wind-Consumption Blood-Qi disorders, postpartum diseases, red and white leukorrhea:
Muxiang [Aucklandiae Radix]; Dingxiang [Syzygii Aromatisati Flos]; Linglingxiang [Lingzhicao]; Fuzi [Aconiti Lateralis Radix Preparata] (processed); Chenxiang [Aquilariae Lignum Resinatum]; Wuzhuyu [Evodiae Fructus]; Ganjiang [Zingiberis Rhizoma] (processed); Boshang Liuhuang [Sulfur] (ground); Rougui [Cinnamomi Cortex] (remove rough bark).
The above twelve ingredients: crush eight into fine powder, mix with the remaining four ground powders, blend with refined honey, and form pills the size of a chicken head fruit. Before use, take one he of fresh ginger juice, boil it, add one zhan of water, put in one pill, simmer until dissolved, grind with finger, and apply to the waist while in a warm room. Continue until the medicine is used up. Wrap the abdomen with cotton afterward. Soon the waist will feel hot like fire. Long-term use promotes smooth blood vessels and lustrous complexion.
**Wuweizi Wan Formula** for treating Five Labors and deficiency consumption, lower back and knee pain:
Wuweizi [Schisandrae Chinensis Fructus]; Tusizi [Cuscutae Semen] (soak in wine, grind separately); Roushouyu [Cynomorii Fructus] (soak in wine, slice, roast, each 2 liang); Baifuling [Poria] (remove black skin, 1 liang); Cheqianzi [Plantaginis Semen].
The above six ingredients are crushed, sifted into fine powder, mixed with refined honey, and pounded three hundred times. Form into pills the size of Sophora seeds. Take 30 pills per dose, before meals, washed down with warm wine.
**Huoxiang Biejia Wan Formula** for treating deficiency consumption lower back and knee pain:
Huoxiang [Piperis Kadsurae Fructus] (use imported variety and stir-fry); Biejia [Trionycis Carapax et Plastrum] (remove skirt edge, roast in vinegar, each 1 liang); Fuzi [Aconiti Lateralis Radix Preparata] (large piece, one piece, processed, remove skin and navel); Huluba [Trigonellae Foenum-Graeci Semen].
The above seven ingredients are made into fine powder, mixed with flour paste, and formed into pills the size of Sophora seeds. Take 10 to 20 pills per dose, before meals, washed down with warm wine.
**Shanyu Wan Formula** for treating deficiency consumption lower back pain and weakness in four limbs:
Shanyu [Dioscoreae Rhizoma]; Shu Gan Dihuang [Rehmanniae Radix Praeparata] (roasted, each 2 liang); Huangqi [Astragali Membranacei Radix] (cut); Bajitian [Morindae Officinalis Radix] (remove heart, each 1 liang); Yuanzhi [Polygalae Radix] (remove heart); Niuxi [Achyranthis Bidentatae Radix] (soak in wine, slice, roast); Wuweizi [Schisandrae Chinensis Fructus] (each half liang); Baiziren [Platycladi Semen]; Rougui [Cinnamomi Cortex] (remove rough bark, each 3 fen).
The above nine ingredients are made into fine powder, mixed with refined honey, and pounded three hundred times. Form into pills the size of Sophora seeds. Take 30 pills per dose, before meals, washed down with warm wine.
**Fupenzi Wan Formula** for treating deficiency consumption lower back pain, immobility, Five Labors and Seven Injuries in men, Lower Yuan deficiency, promoting robustness and health:
Fupenzi [Rubiae Fructus] (remove calyx); Bajitian [Morindae Officinalis Radix] (remove heart); Shanyu [Dioscoreae Rhizoma]; Zexie [Alismatis Rhizoma]; Fuzi [Aconiti Lateralis Radix Preparata] (processed, remove skin and navel, each 1.5 liang); Baizhu [Atractylodis Macrocephalae Rhizoma] (stir-fried); Houpo [Magnoliae Officinalis Cortex] (remove rough bark); Zhishi [Aurantii Fructus Immaturus] (roast, cut); Wuweizi [Schisandrae Chinensis Fructus]; Chenpi [Citri Reticulatae Pericarpium] (aged, soak in wine, slice, roast); Shu Dihuang [Rehmanniae Radix Praeparata] (roasted); Chishizhi [Halloysit Rubrum]; Chenpi [Citri Reticulatae Pericarpium] (aged, soak in wine, slice, roast); Huangqi [Astragali Membranacei Radix] (cut, each 2 liang).
The above thirty-two ingredients are crushed, sifted into fine powder, mixed with refined honey, and formed into pills the size of Sophora seeds. Take 40 pills per dose, before meals on an empty stomach, washed down with warm wine.
**Roushouyu Wan Formula** for treating deficiency consumption lower back pain, tonifying meridians, harmonizing Zang-Fu organs, clearing latent heat in the Heart, strengthening sinews and bones, lightening the body, improving vision, dispelling cold and Wind:
Roushouyu [Cynomorii Fructus] (soak in wine, remove wrinkled skin, slice, roast, 4 liang); Shanyu [Dioscoreae Rhizoma]; Wuweizi [Schisandrae Chinensis Fructus] (each 2.5 liang); Duzhong [Eucommiae Cortex] (remove rough bark, roast, cut, 3 liang); Niuxi [Achyranthis Bidentatae Radix] (soak in wine, slice, roast); Tusizi [Cuscutae Semen] (soak in wine, grind separately); Chishizhi [Halloysit Rubrum]; Baifuling [Poria] (remove black skin); Zexie [Alismatis Rhizoma]; Shu Gan Dihuang [Rehmanniae Radix Praeparata] (roasted); Shanzhuyu [Corni Fructus].
The above twelve ingredients are crushed, sifted into fine powder, mixed with refined honey, and formed into pills the size of Sophora seeds. Take 30 pills per dose daily, before meals on an empty stomach, washed down with warm wine.
**Buyi Gan Dihuang Wan Formula** for treating Five Labors and Seven Injuries, insufficient Yang Qi, lower back and leg soreness and pain:
Shu Gan Dihuang [Rehmanniae Radix Praeparata] (roasted, 4 liang); Wuweizi [Schisandrae Chinensis Fructus]; Deer Antler Glue (Lu Rong) [Cervum Nipponium Cornu Colla] (remove hair, roast with butter); Rougui [Cinnamomi Cortex] (remove rough bark); Bajitian [Morindae Officinalis Radix] (remove heart); Yuanzhi [Polygalae Radix] (remove heart).
The above eight ingredients are crushed, sifted into fine powder, mixed with refined honey, and formed into pills the size of Sophora seeds. Take 30 pills per dose, before meals, washed down with jujube decoction or yellow wine.
**Zhudu Wan Formula** for treating Kidney Consumption lower back and leg pain, and extreme cold of Spleen and Stomach:
Zhudu [Sus Scrofa Domestica Ventriculus] (one piece, clean); Fuzi [Aconiti Lateralis Radix Preparata] (processed, remove skin and navel); Zexie [Alismatis Rhizoma]; Roushouyu [Cynomorii Fructus] (remove wrinkled skin, soak in wine, slice, roast); Ganjiang [Zingiberis Rhizoma] (processed); Binglang [Arecae Semen] (cut).
The above fourteen ingredients: except for the pig stomach, crush the rest into fine powder. Place ten liang of prepared mugwort inside the pig stomach, rot-cook in one dou of rice vinegar until soft, remove, mash finely, add the medicinal powders and remaining vinegar, adjust consistency, pound thousands of times, and form pills by hand the size of Sophora seeds. Take 30 pills per dose on an empty stomach with rice drink, increasing to 40 pills.
**Siwei Dihuang Wan Formula** for treating deficiency consumption with cold Qi in abdomen, tonifying waist and knees, filling marrow, and enhancing luster:
Shu Gan Dihuang [Rehmanniae Radix Praeparata] (roasted); Baizhu [Atractylodis Macrocephalae Rhizoma]; Baifuling [Poria] (remove black skin); Tusizi [Cuscutae Semen] (soak in wine for two nights, grind separately, equal parts).
The above four ingredients are crushed, sifted into fine powder, mixed with refined honey, and formed into pills the size of Sophora seeds. Take 30 pills per dose with warm wine, twice daily, on an empty stomach.