（脉八首 方四首 灸法一首）
肾实热
左手尺中神门以后脉阴实者，足少阴经也。病苦舌燥咽肿，心烦咽干，胸胁时痛，喘咳
汗出，小腹胀满，腰背强急，体重骨热，小便赤黄，好怒好忘，足下热疼，四肢黑，耳聋，
名曰肾实热也。（《脉经》云∶肾实热者，病者膀胱胀闭，小腹与腰脊引痛。）
右手尺中神门以后脉阴实者，足少阴经也。病苦痹身热心痛，脊胁相引痛，足逆热烦，
名曰肾实热也。
治肾实热小腹胀满，四肢正黑，耳聋，梦腰脊离解及伏水等气急方。
芒硝 茯苓 黄芩（各三两） 生地汁 菖蒲（各五两） 磁石（八两，碎如雀头） 大
黄（一
升
上十味 咀，以水九升，煮七味取二升半，去滓，下大黄纳药汁中更煮，减二三合，去
大黄，纳生地汁，微煎一二沸，下芒硝，分为三服。
治肾热好怒好忘，耳听无闻，四肢满急，腰背转动强直方∶
柴胡 茯神（《外台》作茯苓） 黄芩 泽泻 升麻 杏仁 大青 芒硝（各二两） 磁
石
（四两） 羚羊角（一两） 地黄 淡竹叶（各一升）
上十二味 咀，以水一斗，煮取三升，去滓，下芒硝，分为三服。
治肾热，小便黄赤不出，出如栀子汁，或如黄柏汁，每欲小便茎头即痛方∶
榆白皮（切） 冬葵子（各一升） 车前草（切，一升） 滑石（半斤碎） 子芩 通
草瞿麦
（各三两） 石苇（四两）
上八味 咀，以水二斗，先煮车前草取一斗，去滓，澄清，取九升，下诸药，煮取三升
五合，去滓，分四服。
肾膀胱俱实
左手尺中，神门以后，脉阴阳俱实者，足少阴与太阳经俱实也。病苦脊强反抑戴眼，气
上抢心，脊痛不能自反侧，名曰肾与膀胱俱实也。
右手尺中，神门以后，脉阴阳俱实者，足少阴与太阳俱实也。病苦癫疾，头重与目相引
，痛厥欲走，反眼，大风多汗，名曰肾与膀胱俱实也。
肾虚寒
右手尺中，神门以后，脉阴虚者，足少阴经也。病苦心中闷，下重足肿不可以按地，名
曰肾虚寒也。
右手尺中，神门以后，脉阴虚者，足少阴经也。病苦足胫小弱，恶寒，脉代绝时不至，
足寒，上重下轻，行不可按地，小腹胀满，上抢胸痛引胁下，名曰肾虚寒也。
治肾气虚寒阴痿，腰脊痛，身重缓弱，言音混浊，阳气顿绝方∶
苁蓉 白术 巴戟天 麦冬 茯苓 甘草 牛膝 五味子 杜仲（各八两） 车前子 干
姜（各五两） 生地（五斤）
上十二味治下筛，食后酒服方寸匕，日三。
治肾风虚寒方∶
灸肾俞百壮，对脐两边向后挟脊相去各一寸五分。
肾膀胱俱虚
右手尺中，神门以后，脉阴阳俱虚者，足少阴与太阳经俱虚也。病苦小便利，心痛背寒
，时时小腹满，名曰肾膀胱俱虚也。
右手尺中，神门以后，脉阴阳俱虚者，足少阴与太阳经俱虚也。病苦心痛，若下重不自
收篡反出，时时苦洞泄，寒中泄，肾与心俱痛，名曰肾膀胱俱虚也。
（脉诊八法，方剂四首，灸法一首）
肾实热证
左手尺部神门穴以后的脉象表现为阴脉实盛者，属于足少阴肾经的病证。患者痛苦于舌燥、咽喉肿痛，心烦意乱、咽干，胸胁部位时常疼痛，气喘咳嗽并伴有出汗，小腹胀满，腰背部僵硬拘急，身体沉重且骨骼发热，小便颜色深黄，容易发怒且健忘，脚心发热疼痛，四肢肤色发黑，耳聋，这被称为肾实热证。（《脉经》记载：肾实热证的患者，会出现膀胱胀满闭塞，小腹与腰脊相互牵引作痛的症状。）
右手尺部神门穴以后的脉象表现为阴脉实盛者，属于足少阴肾经的病证。患者痛苦于肢体痹阻、身体发热且心痛，脊柱与胁肋相互牵引作痛，双脚逆冷伴发热烦躁，这被称为肾实热证。
治疗肾实热引起的小腹胀满，四肢呈现正黑色，耳聋，梦中感觉腰脊分离以及水气潜伏等导致的气喘急促的方剂：
芒硝 茯苓 黄芩（各三两） 生地黄汁 石菖蒲（各五两） 磁石（八两，捣碎如雀头大小） 大黄（一升）
以上十味药，切碎，用水九升，先煮前七味药，取药液二升半，滤去药渣，将大黄放入药汁中继续煎煮，减少二三合药液量，取出大黄，加入生地黄汁，微微煎煮一二沸，再加入芒硝，分三次服用。
治疗肾热引起的情绪暴躁、健忘，听力丧失，四肢胀满拘急，腰背转动僵硬强直的方剂：
柴胡 茯神（《外台秘要》中作茯苓） 黄芩 泽泻 升麻 杏仁 大青叶 芒硝（各二两） 磁石（四两） 羚羊角（一两） 地黄 淡竹叶（各一升）
以上十二味药，切碎，用水一斗，煎煮取药液三升，滤去药渣，加入芒硝，分三次服用。
治疗肾热，小便黄赤不通畅，排出时像栀子汁一样，或者像黄柏汁一样，每次想要小便时尿道口即疼痛的方剂：
榆白皮（切碎） 冬葵子（各一升） 车前草（切碎，一升） 滑石（半斤，捣碎） 黄芩 通草 瞿麦（各三两） 石韦（四两）
以上八味药，切碎，用水二斗，先煎煮车前草取药液一斗，滤去药渣，澄清后取九升药液，加入其余药物，煎煮取药液三升五合，滤去药渣，分四次服用。
左手尺部，神门穴以后，脉象阴阳俱实者，是足少阴肾经与足太阳膀胱经均呈实证。患者痛苦于脊柱僵硬、身体反折仰面、眼球上视，气逆冲撞心胸，脊柱疼痛不能自行翻身侧卧，这被称为肾与膀胱俱实证。
右手尺部，神门穴以后，脉象阴阳俱实者，是足少阴肾经与足太阳膀胱经均呈实证。患者痛苦于癫狂疾病，头部沉重且眼睛牵引疼痛，昏厥欲奔跑，眼球上翻，大风病多汗，这被称为肾与膀胱俱实证。
肾虚寒证
右手尺部，神门穴以后，脉象阴脉虚弱者，属于足少阴肾经的病证。患者痛苦于心胸憋闷，下身沉重、足部肿胀无法着地，这被称为肾虚寒证。
右手尺部，神门穴以后，脉象阴脉虚弱者，属于足少阴肾经的病证。患者痛苦于小腿细小软弱，怕冷，脉象代绝时而不至，脚部寒冷，上身重下身轻，行走时脚不敢着地，小腹胀满，气逆上冲胸痛并牵引至胁下，这被称为肾虚寒证。
治疗肾气虚寒引起的阳痿，腰脊疼痛，身体沉重迟缓无力，声音浑浊，阳气突然断绝的方剂：
肉苁蓉 白术 巴戟天 麦冬 茯苓 甘草 牛膝 五味子 杜仲（各八两） 车前子 干姜（各五两） 生地黄（五斤）
以上十二味药，处理后筛成细末，饭后用酒送服一方寸匕，每日三次。
治疗肾风虚寒的方剂：
艾灸肾俞穴一百壮，位置在肚脐两侧向后挟持脊柱，距离脊柱各一寸五分处。
右手尺部，神门穴以后，脉象阴阳俱虚者，是足少阴肾经与足太阳膀胱经均呈虚证。患者痛苦于小便频数，心痛且背部发凉，时常小腹胀满，这被称为肾与膀胱俱虚证。
右手尺部，神门穴以后，脉象阴阳俱虚者，是足少阴肾经与足太阳膀胱经均呈虚证。患者痛苦于心痛，若下身沉重不能自收，肛门脱出，时常痛苦于腹泻不止，寒气内侵导致的泄泻，肾与心同时疼痛，这被称为肾与膀胱俱虚证。
(Eight pulse methods, four prescriptions, one moxibustion method)
Kidney Excess-Heat Syndrome
If the Yin pulse at the Chi position of the left wrist, posterior to Shenmen, is excess (Shi), it indicates a disease of the Foot-Shaoyin Kidney Meridian. The patient suffers from dry tongue and swollen throat, vexation and restlessness with dry pharynx, occasional pain in the chest and hypochondrium, panting, coughing with sweating, distension and fullness of the lower abdomen, stiffness and tension in the waist and back, heaviness of the body and heat in the bones, dark yellow urine, irritability and forgetfulness, heat and pain in the soles of the feet, blackening of the four limbs, and deafness. This is named Kidney Excess-Heat. (*Mai Jing* states: In cases of Kidney Excess-Heat, the patient experiences distension and obstruction of the bladder, and pulling pain between the lower abdomen and the lumbar spine.)
If the Yin pulse at the Chi position of the right wrist, posterior to Shenmen, is excess (Shi), it indicates a disease of the Foot-Shaoyin Kidney Meridian. The patient suffers from bi-syndrome with body heat and heart pain, pulling pain between the spine and hypochondrium, cold extremities with reverse heat and vexation. This is named Kidney Excess-Heat.
Prescription for treating Kidney Excess-Heat causing lower abdominal distension and fullness, true black color of the four limbs, deafness, dreams of the waist and spine separating, latent water qi, and other conditions leading to urgent breathing:
Magnesium Sulfate (Mangxiao), Poria (Fuling), Scutellaria Root (Huangqin) [each 3 liang]; Juice of Fresh Rehmannia Root (Shengdi Zhi), Acorus Tatarinowii Rhizome (Changpu) [each 5 liang]; Magnetite (Cishi) [8 liang, crushed like sparrow heads]; Rhubarb (Dahuang) [1 sheng].
The above ten ingredients are cut into small pieces. Boil with 9 sheng of water. Decoct the first seven ingredients to obtain 2.5 sheng of liquid. Strain off the dregs. Add Rhubarb to the liquid and boil again until reduced by 2-3 he. Remove the Rhubarb. Add the juice of Fresh Rehmannia Root and simmer briefly for one or two boils. Then add Magnesium Sulfate. Divide into three doses.
Prescription for treating Kidney Heat causing irritability and forgetfulness, loss of hearing, fullness and urgency in the four limbs, and stiffness and rigidity in turning the waist and back:
Bupleurum Root (Chaihu), Spirit of Poria (Fushen) [Poria (Fuling) in *Waitai Mi Yao*], Scutellaria Root (Huangqin), Alisma Rhizome (Zexie), Cimicifuga Rhizome (Shengma), Apricot Seed (Xingren), Isatis Leaf (Daqing), Magnesium Sulfate (Mangxiao) [each 2 liang]; Magnetite (Cishi) [4 liang]; Antelope Horn (Lingyangjiao) [1 liang]; Rehmannia Root (Dihuang), Light Bamboo Leaves (Dan Zhuye) [each 1 sheng].
The above twelve ingredients are cut into small pieces. Boil with 1 dou of water to obtain 3 sheng of liquid. Strain off the dregs. Add Magnesium Sulfate. Divide into three doses.
Prescription for treating Kidney Heat where urine is dark yellow and red, difficult to pass, resembling Gardenia juice or Phellodendron Bark juice, with pain at the glans penis upon the urge to urinate:
Ulmus Root Bark (Yubai Pi), Malva Seed (Dongkuizi) [each 1 sheng]; Plantago Herb (Cheqian Cao), Talcum (Huashi) [half jin, crushed]; Scutellaria Root (Ziqin), Tetrapanax Medulla (Tongcao), Dianthus Flower (Qumai) [each 3 liang]; Pyrrhosia Leaf (Shiwei) [4 liang].
The above eight ingredients are cut into small pieces. Boil with 2 dou of water. First decoct Plantago Herb to obtain 1 dou of liquid. Strain off the dregs and clarify. Take 9 sheng of the clear liquid. Add the remaining herbs and decoct to obtain 3.5 sheng of liquid. Strain off the dregs. Divide into four doses.
Kidney and Bladder Both Excess
At the Chi position of the left wrist, posterior to Shenmen, if both Yin and Yang pulses are excess (Shi), it indicates that both the Foot-Shaoyin Kidney Meridian and the Foot-Taiyang Bladder Meridian are in an excess state. The patient suffers from stiffness of the spine, opisthotonos (body bent backward), upward deviation of the eyes, Qi rushing up to strike the heart, severe back pain preventing self-turning or side-laying. This is named Kidney and Bladder Both Excess.
At the Chi position of the right wrist, posterior to Shenmen, if both Yin and Yang pulses are excess (Shi), it indicates that both the Foot-Shaoyin Kidney Meridian and the Foot-Taiyang Bladder Meridian are in an excess state. The patient suffers from manic disorders, heavy head with pulling pain in the eyes, syncope with a desire to run, upward deviation of the eyes, profuse sweating due to Wind, and excessive sweating. This is named Kidney and Bladder Both Excess.
Kidney Deficiency-Cold
At the Chi position of the right wrist, posterior to Shenmen, if the Yin pulse is deficient (Xu), it indicates a disease of the Foot-Shaoyin Kidney Meridian. The patient suffers from stifling sensation in the heart, heaviness below, and swollen feet that cannot touch the ground. This is named Kidney Deficiency-Cold.
At the Chi position of the right wrist, posterior to Shenmen, if the Yin pulse is deficient (Xu), it indicates a disease of the Foot-Shaoyin Kidney Meridian. The patient suffers from thin and weak calves, aversion to cold, intermittent and absent pulses, cold feet, heaviness in the upper body and lightness in the lower body, inability to bear weight when walking, distension and fullness of the lower abdomen, Qi rushing up to strike the chest causing pain radiating to the hypochondrium. This is named Kidney Deficiency-Cold.
Prescription for treating Kidney Qi Deficiency-Cold causing impotence, pain in the waist and spine, heaviness and weakness of the body, turbid voice, and sudden cessation of Yang Qi:
Cistanche Stem (Congrong), Atractylodes Macrocephala Rhizome (Baizhu), Morinda Officinalis Root (Bajitian), Ophiopogon Tuber (Maidong), Poria (Fuling), Licorice Root (Gancao), Achyranthes Bidentata Root (Niuxi), Schisandra Berry (Wuweizi), Eucommia Bark (Duzhong) [each 8 liang]; Plantago Seed (Cheqian Zi), Dried Ginger (Ganjiang) [each 5 liang]; Fresh Rehmannia Root (Shengdi) [5 jin].
The above twelve ingredients are processed and sifted into fine powder. Take one cunbi after meals with wine, three times daily.
Prescription for treating Kidney Wind Deficiency-Cold:
Moxibustion on Shenshu (BL23), one hundred zhuasts. The location is on both sides of the umbilicus, posteriorly along the spine, each 1.5 cun lateral to the spine.
Kidney and Bladder Both Deficient
At the Chi position of the right wrist, posterior to Shenmen, if both Yin and Yang pulses are deficient (Xu), it indicates that both the Foot-Shaoyin Kidney Meridian and the Foot-Taiyang Bladder Meridian are in a deficient state. The patient suffers from frequent urination, heart pain with coldness in the back, and occasional lower abdominal fullness. This is named Kidney and Bladder Both Deficient.
At the Chi position of the right wrist, posterior to Shenmen, if both Yin and Yang pulses are deficient (Xu), it indicates that both the Foot-Shaoyin Kidney Meridian and the Foot-Taiyang Bladder Meridian are in a deficient state. The patient suffers from heart pain, heaviness below with inability to retract, prolapse of the anus, frequent painful diarrhea, cold invasion causing泄泻 (loose stools), simultaneous pain in the Kidney and Heart. This is named Kidney and Bladder Both Deficient.