短剧肾虚腰痛。治之方。
丹皮(二分去心) 萆 (三分) 白术(三分) 桂心(三分)
上四味捣筛。以酒服方寸匕。日三。亦可作汤服之。忌生葱胡荽桃李雀肉等。(必效备
急范汪同)
又疗腰痛少气。阴弱寒冷。小便清冷沥滴。阴下湿痒。少腹急。无子息方。
甘草(十四分炙) 续断(三分) 麦门冬(三分) 薯蓣(三分) 附子(三分炮) 干
姜(二
分) 棘刺(四分)
上七味捣筛。酒服方寸匕。日三。忌猪肉冷水海藻菘菜。(必效同并出第五卷中 一方
无干姜)
备急陶氏肾气丸。主短气。腰痛身重。调中补筋脉不足方。
干地黄(五分) 续断(五分) 人参(五分) 萆 (三分) 阿胶(三分炙)
上五味捣筛。蜜和丸如梧子大。以酒下十丸。加至二十丸。日再服。忌芜荑生冷。(出
第四卷中)
必效寄生散。疗肾虚腰痛方。
桑寄生 鹿茸(炙) 杜仲
上三味。各一分作散。酒服方寸匕。日三服。
又方
鹿茸(炙)作散。酒服方寸匕。一味任多少为之。(并出第三卷中范汪亦主 腰痛)
古今录验疗腰痛。皆犹肾气虚弱。卧冷湿地。当风所得。不时瘥。久久流入脚膝。冷痹
疼弱重滞。或偏枯。腰脚疼挛。脚重急痛。独活续断汤方。
独活(二两) 续断(二两) 杜仲(二两) 桂心(二两) 防风(二两) 芎 (三
两) 牛膝
(二两) 细辛(二两)
药(二两白
者) 干地黄(三两)
上十五味切。以水一斗。煮取三升。分三服。温将息勿取冷。宜用蒴 叶火燎。浓安床
上。
后有
又疗男子患腰肾疼痛。髀膝有风冷。耳鸣。食饮无味。并有冷气方。
干地黄(四两) 茯苓(三两) 白术(二两) 泽泻(三两) 山茱萸(三两) 苁
蓉(二两)
五味子(三两) 桂心(二两) 石斛(二两) 巴戟天(二两) 防风(二两) 人参(二
两) 磁石
(二两研)
上十三味捣筛。蜜丸如梧子。酒下二十丸至三十丸。日再。忌桃李雀肉生葱酢物芜荑。
《外台秘要》中治疗肾虚腰痛的七首方剂。
第一首:治疗短促气急、肾虚腰痛。处方如下:
丹皮(二分,去心) 萆薢(三分) 白术(三分) 桂心(三分)
将以上四味药捣碎过筛。用酒送服一方寸匕的药粉,每日三次。也可以煎汤服用。忌食生葱、胡荽(香菜)、桃李、雀肉等。(此方与《必效方》、《备急千金要方》、《范汪方》相同)
第二首:又治腰痛伴少气、阴部虚弱寒冷、小便清冷淋漓、阴部潮湿瘙痒、少腹拘急、无子嗣的方剂。
甘草(十四分,炙) 续断(三分) 麦门冬(三分) 薯蓣(三分) 附子(三分,炮制) 干姜(二分) 棘刺(四分,即酸枣仁之刺或相关药材,此处保留原名)
将以上七味药捣碎过筛。用酒送服一方寸匕的药粉,每日三次。忌食猪肉、冷水、海藻、菘菜(白菜)。(出自《必效方》,均见于原书第五卷;另一版本无干姜)
第三首:备急陶氏肾气丸。主治短气、腰痛、身体沉重,调理中焦、补益筋脉不足的方剂。
干地黄(五分) 续断(五分) 人参(五分) 萆薢(三分) 阿胶(三分,炙)
将以上五味药捣碎过筛。用蜂蜜调和制成梧桐子大小的丸药。用酒送服十丸,可加量至二十丸,每日两次服用。忌食芜荑、生冷食物。(出自第四卷)
第四首:必效寄生散。治疗肾虚腰痛的方剂。
桑寄生 鹿茸(炙) 杜仲
将以上三味药,各取一分研为散剂。用酒送服一方寸匕,每日三次。
又一法:
鹿茸(炙)研为散剂。用酒送服一方寸匕,单味药用量不限多少均可。(均出自第三卷;范汪方也主治腰痛)
第五首:《古今录验》治疗腰痛。多因肾气虚弱,睡在寒冷潮湿之地,受风邪侵袭所致,不及时治愈,日久病邪流入脚膝,导致冷痹、疼痛、软弱、沉重,或出现偏枯(半身不遂)、腰脚疼痛挛急、脚重急痛等症状。独活续断汤方:
独活(二两) 续断(二两) 杜仲(二两) 桂心(二两) 防风(二两) 芎藭(三两) 牛膝(二两) 细辛(二两) 药(二两,白色者,指白芷或类似白色根茎类药材,此处保留“药”字及备注) 干地黄(三两)
将以上十五味药切碎。用水一斗,煮取三升药液,分三次服用。温服调养,不要受凉。适宜用蒴藋叶铺在床上熏燎取暖。
第六首:又治男子患腰肾疼痛,大腿膝盖有风冷感,耳鸣,饮食无味,并伴有冷气上冲的方剂。
干地黄(四两) 茯苓(三两) 白术(二两) 泽泻(三两) 山茱萸(三两) 肉苁蓉(二两) 五味子(三两) 桂心(二两) 石斛(二两) 巴戟天(二两) 防风(二两) 人参(二两) 磁石(二两,研碎)
将以上十三味药捣碎过筛。用蜂蜜调和制成梧桐子大小的丸药。用酒送服二十至三十丸,每日两次。忌食桃李、雀肉、生葱、醋制品、芜荑。
Seven Formulas for Kidney Deficiency Low Back Pain from *Wai Tai Mi Yao*.
Formula 1: Treats shortness of breath and low back pain due to kidney deficiency.
Ingredients:
* Radix Moutan (Danpi, 2 fen, remove heart)
* Rhizoma Dioscoreae Hypoglaucae (Bixie, 3 fen)
* Rhizoma Atractylodis Macrocephalae (Baizhu, 3 fen)
* Cortex Cinnamomi (Guixin, 3 fen)
Preparation and Administration: Pulverize the four herbs into a fine powder. Take one fangcun bi (a square-inch measure) with wine, three times daily. It may also be decocted as a soup. Avoid raw green onions, coriander, peaches, plums, and sparrow meat. (This formula is identical to those in *Bi Xiao Fang*, *Bei Ji Qian Jin Fang*, and *Fan Wang Fang*.)
Formula 2: Another formula for low back pain accompanied by shortness of breath, weakness and coldness in the genital region, clear and dribbling urine, dampness and itching in the genital area, tightness in the lower abdomen, and infertility.
Ingredients:
* Radix Glycyrrhizae Preparata (Gancao, 14 fen, honey-fried)
* Caulis Dipsaci (Xuduan, 3 fen)
* Radix Ophiopogonis (Maimendong, 3 fen)
* Rhizoma Dioscoreae (Shuyu, 3 fen)
* Radix Aconiti Lateralis Preparata (Fuzi, 3 fen, processed)
* Rhizoma Zingiberis Preparatum (Ganjiang, 2 fen)
* Spina Ziziphi Spinosae (Jici, 4 fen)
Preparation and Administration: Pulverize the seven herbs. Take one fangcun bi with wine, three times daily. Avoid pork, cold water, seaweed, and pak choi. (From *Bi Xiao Fang*, found in Volume 5; another version excludes Ganjiang.)
Formula 3: Bei Ji Tao Shi Shen Qi Wan (Emergency Tao's Kidney Qi Pill). Mainly treats shortness of breath, low back pain, heavy body, regulates the middle jiao, and tonifies insufficiency of sinews and vessels.
Ingredients:
* Radix Rehmanniae Preparata (Gan Dihuang, 5 fen)
* Caulis Dipsaci (Xuduan, 5 fen)
* Radix Ginseng (Renshen, 5 fen)
* Rhizoma Dioscoreae Hypoglaucae (Bixie, 3 fen)
* Colla Corii Asini (Ejiao, 3 fen, fried)
Preparation and Administration: Pulverize the five herbs. Mix with honey to form pills the size of mulberry seeds. Take ten pills with wine, increasing up to twenty pills, twice daily. Avoid Xuyin (Chromolaena odorata) and raw/cold foods. (From Volume 4.)
Formula 4: Bi Xiao Ji Sheng San (Effective Parasitic Powder). Treats low back pain due to kidney deficiency.
Ingredients:
* Ramulus Taxilli (Sangjisheng)
* Cornu Cervi Pantotrichum (Lurong, fried)
* Cortex Eucommiae (Duzhong)
Preparation and Administration: Each herb is taken in equal parts (1 fen) and powdered. Take one fangcun bi with wine, three times daily.
Alternative Method:
Powderized fried Cornu Cervi Pantotrichum (Lurong). Take one fangcun bi with wine; the dosage of this single herb can vary. (Both from Volume 3; Fan Wang's formula also treats low back pain.)
Formula 5: *Gu Jin Lu Yan* treats low back pain. This is often caused by weak kidney qi, sleeping on cold/damp ground, and exposure to wind. If not treated promptly, the pathogen lingers and flows into the legs and knees, causing cold bi syndrome, pain, weakness, heaviness, or hemiplegia, spasms and pain in the waist and feet, and heavy, urgent pain in the feet.
Du Huo Xu Duan Tang Formula:
Ingredients:
* Radix Angelicae Pubescentis (Duhuo, 2 liang)
* Caulis Dipsaci (Xuduan, 2 liang)
* Cortex Eucommiae (Duzhong, 2 liang)
* Cortex Cinnamomi (Guixin, 2 liang)
* Radix Saposhnikoviae (Fangfeng, 2 liang)
* Radix Chuanxiong (Xiong, 3 liang)
* Radix Achyranthis Bidentatae (Niuxi, 2 liang)
* Radix Asari (Xixin, 2 liang)
* Bai Yao (Yao, 2 liang, specifically the white variety)
* Radix Rehmanniae Preparata (Gan Dihuang, 3 liang)
Preparation and Administration: Cut the fifteen herbs. Decoct in 10 dou of water until 3 sheng remains. Divide into three doses. Take warm and rest; avoid getting cold. It is advisable to use leaves of *Akebia quinata* (Shuobi) to heat the bed thoroughly.
Formula 6: Another formula for men suffering from kidney and low back pain, wind-cold in the thighs and knees, tinnitus, loss of taste in food and drink, and sensation of cold air rising.
Ingredients:
* Radix Rehmanniae Preparata (Gan Dihuang, 4 liang)
* Poria (Fuling, 3 liang)
* Rhizoma Atractylodis Macrocephalae (Baizhu, 2 liang)
* Radix Alismatis (Zexie, 3 liang)
* Fructus Corni (Shanzhuyu, 3 liang)
* Cortex Epimedii / Radix Cistanches (Congrong, 2 liang)
* Fructus Schisandrae (Wuweizi, 3 liang)
* Cortex Cinnamomi (Guixin, 2 liang)
* Caulis Dendrobii (Shihu, 2 liang)
* Radix Morindae Officinalis (Bajitian, 2 liang)
* Radix Saposhnikoviae (Fangfeng, 2 liang)
* Radix Ginseng (Renshen, 2 liang)
* Magnetitum (Cishi, 2 liang, crushed)
Preparation and Administration: Pulverize the thirteen herbs. Mix with honey to form pills the size of mulberry seeds. Take 20-30 pills with wine, twice daily. Avoid peaches, plums, sparrow meat, raw green onions, vinegar products, and Xuyin.