删繁疗骨极。主肾实热病则色 。隐曲膀胱不通。大便壅塞。四肢满急。干枣汤方。
干枣（十枚擘去核） 大黄 大戟（切炒令黄） 甘草（炙） 甘遂 黄芩（各一两） 芫
花（
半两炒） 芒硝（二两） 荛花（半两炒）
上九味切。以水五升。煮取一升六合。后下芒硝。分为四服。忌海藻菘菜。（出第八卷
中
千金疗骨极。主肾热病则膀胱不通。大小便闭塞。面颜枯黑。耳鸣虚热。三黄汤方。
大黄（切别渍水一斗） 黄芩 芒硝（各三两） 栀子（十四枚） 甘草（一两炙）
上五味切。以水四升。先煮三物。取一升五合。去滓。下大黄更煎两沸。下芒硝分为三
服。忌海藻菘菜。（删繁同出第十九卷中）
又疗骨实酸疼苦烦热。煎方。
葛根汁（一升） 生地黄汁（一升） 生麦门冬汁（一升） 赤蜜
上四味汁相搅调微火上煎之三沸。分三服。忌芜荑。
又疗骨髓中疼方。
芍药（一斤） 生地黄（五斤） 虎骨（四两炙）
上三味切。以酒一斗渍三宿。曝干后入酒。如此取酒尽为度。捣筛。酒服方寸匕。日三
忌芜荑。（出第十九卷中）
删繁骨极虚寒。主肾病则面肿垢黑。腰脊痛不能久立。屈伸不利。梦寤惊悸。上气。少
腹里急。痛引腰。腰脊四肢常苦寒冷。大小便或白。肾沥汤方。
羊肾（一具猪肾亦得） 芍药 麦门冬（去心） 干地黄 当归（各三两） 干姜（四
两） 五
味子（二
心（六两）
大枣
上十五味切。以水一斗五升。煮肾取一斗。除肾纳药。煮取四升。去滓。分为四服。昼
三夜一。若遗小便。加桑螵蛸二十枚炙。忌海藻菘菜生葱酢物芜荑。
又灸法。
扁鹊曰第十八椎。名曰小肠俞。主小便不利。少腹胀满虚乏。两边各一寸五分。随年壮
灸之。主骨极。（并出第八卷中）
千金疗骨虚酸疼不安好倦。主膀胱寒。虎骨酒方。
虎骨一具。并通炙取黄焦汁。尽碎之如雀头大。酿米三石。曲四斗。水三石。如常酿酒
法。所以加水曲者。其骨消曲而饮水也。酒熟封头五十日开饮。
又疗虚劳冷。骨节痛无力方。
豉（二斗） 地黄（八斤切）
上二味。再通蒸曝干捣筛。食后以酒一升服二方寸匕再服。亦疗虚热等疾。忌芜荑。
又虚劳体疼方。
天门冬为散。酒服方寸匕。日三二百日瘥。忌鲤鱼。
又方
地黄一石取汁。酒二斗相搅重煎。温服。日三。补髓。忌芜荑。
又疗骨髓冷疼痛灸法。
灸上廉七十壮。三里下三寸是。（并出第十九卷中）
【删繁要略】治疗骨极实证。主治肾经实热病，表现为面色晦暗发黑，前阴及膀胱排尿不畅，大便壅滞闭塞，四肢胀满拘急。干枣汤方：
干枣（十枚，掰开去核） 大黄 大戟（切碎炒至黄色） 甘草（炙烤） 甘遂 黄芩（各一两） 芫花（半两，炒制） 芒硝（二两） 荛花（半两，炒制）
以上九味药切碎，用水五升，煎煮取汁一升六合。随后加入芒硝，分四次服用。忌食海藻、白菜类蔬菜。（出自《千金方》第八卷）
【千金方】治疗骨极实证。主治肾热病，表现为膀胱排尿不通，大小便闭塞，面部颜色枯槁发黑，耳鸣伴有虚热感。三黄汤方：
大黄（切碎，另用一斗水浸泡） 黄芩 芒硝（各三两） 栀子（十四枚） 甘草（一两，炙烤）
以上五味药切碎，用水四升，先煎煮前三味药，取汁一升五合，滤去药渣。加入大黄再煎煮两沸，最后加入芒硝，分三次服用。忌食海藻、白菜类蔬菜。（与《删繁要略》相同，出自第十九卷）
又方治疗骨实引起的酸痛、烦闷、苦热感。煎剂方：
葛根汁（一升） 生地黄汁（一升） 生麦门冬汁（一升） 赤蜜
以上四种汁液相互搅拌调和，在微火上煎煮三沸，分三次服用。忌食芜荑。
又方治疗骨髓中疼痛：
芍药（一斤） 生地黄（五斤） 虎骨（四两，炙烤）
以上三味药切碎，用酒一斗浸泡三个夜晚，取出晒干后再放入酒中。如此反复，直到酒被吸尽为止。捣碎过筛，每次用酒送服一方寸匕，每日三次。忌食芜荑。（出自第十九卷）
【删繁要略】治疗骨极虚寒证。主治肾病，表现为面部浮肿、污垢色黑，腰脊疼痛不能久立，屈伸活动不利，睡梦中惊醒心悸，气逆上冲，小腹部拘急疼痛牵引腰部，腰脊四肢常感到寒冷，大小便或呈白色浑浊状。肾沥汤方：
羊肾（一个，猪肾也可以） 芍药 麦门冬（去心） 干地黄 当归（各三两） 干姜（四两） 五味子（二两） 茯苓（六两） 大枣（十二枚，掰开）
以上十五味药切碎，用水一斗五升，先煮肾肉取汁一斗。取出肾肉，放入其他药物，煎煮取汁四升，滤去药渣，分四次服用。白天服三次，夜间服一次。如果有遗尿症状，加炙桑螵蛸二十枚。忌食海藻、白菜类蔬菜、生葱、醋制品、芜荑。
又灸法：
扁鹊说：第十八椎旁，名为小肠俞穴，主治小便不利、少腹胀满、身体虚弱乏力。穴位位于脊柱两侧各一寸五分处。根据患者年龄决定灸的壮数进行艾灸。主治骨极证。（均出自第八卷）
【千金方】治疗骨虚引起的酸痛、不安、倦怠。主治膀胱寒证。虎骨酒方：
虎骨一具，整体炙烤至焦黄出油，完全粉碎成麻雀头大小的碎片。用米三石，曲四斗，水三石，按照通常酿酒的方法酿造。之所以加水和使用酒曲，是因为骨头会消耗酒曲并吸水。酒酿熟后封口五十天，打开饮用。
又方治疗虚劳冷症，骨节疼痛无力：
豆豉（二斗） 地黄（八斤，切碎）
以上两味药，交替蒸晒干燥后捣碎过筛。饭后用酒一升送服二方寸匕，再次服用。也可治疗虚热等病症。忌食芜荑。
又方治疗虚劳体痛：
天门冬研为散剂，用酒送服一方寸匕，每日三次，二百日可痊愈。忌食鲤鱼。
又一方：
地黄一石榨汁，与酒二斗混合再次煎煮，温服，每日三次。具有补髓功效。忌食芜荑。
[Shanfan Yaolue] Treats Bone Extremity (Gu Ji) Excess Syndrome. Indicates Kidney Excess Heat Disease, manifesting as dark and dull complexion, obstruction of urination in the genitals and Bladder, constipation with fecal impaction, and fullness and tightness in the four limbs. Gan Zao Tang (Dry Date Decoction):
Gan Zao (Figs, Ten pieces, split and pitted), Dahuang (Rhei Radix et Rhizoma), Daji (Euphorbiae Pekinensis Radix, chopped and stir-fried until yellow), Gancao (Licorice Root, honey-fried), Gansui (Kansui Radix), Huangqin (Scutellariae Radix) [each one tael], Yuanhua (Genkwa Flos, half tael, stir-fried), Mangxiao (Natrii Sulfas, two taels), Raohua (Daphne Genkwa Flos, half tael, stir-fried).
Chop the above nine herbs. Add five sheng of water, decoct to obtain one sheng and six he. Then add Mangxiao. Divide into four doses. Avoid eating Haizao (Sargassum) and Songcai (Chinese Cabbage). (From Volume 8 of Qianjin Fang)
[Qianjin Fang] Treats Bone Extremity (Gu Ji) Excess Syndrome. Indicates Kidney Heat Disease, manifesting as urinary obstruction in the Bladder, blockage of both large and small bowel movements, withered and black facial color, tinnitus with empty heat sensation. Sanhuang Tang (Three Yellows Decoction):
Dahuang (Rhei Radix et Rhizoma, chopped and soaked separately in ten dou of water), Huangqin (Scutellariae Radix), Mangxiao (Natrii Sulfas) [each three taels], Zhizi (Gardeniae Fructus, fourteen pieces), Gancao (Licorice Root, one tael, honey-fried).
Chop the above five herbs. Add four sheng of water, first decoct the first three items to obtain one sheng and five he. Strain the dregs. Add Dahuang and boil for two more boils. Then add Mangxiao. Divide into three doses. Avoid eating Haizao (Sargassum) and Songcai (Chinese Cabbage). (Same as Shanfan Yaolue, from Volume 19)
Another formula treats Bone Excess causing soreness, pain, vexation, and bitter heat. Jian Fang (Decoction):
Gegen Zhi (Puerariae Radix Juice, one sheng), Sheng Dihuang Zhi (Rehmanniae Radix Fresh Juice, one sheng), Sheng Maimendong Zhi (Ophiopogonis Radix Fresh Juice, one sheng), Chi Mi (Red Honey).
Mix the juices of the above four ingredients. Simmer over a gentle fire for three boils. Divide into three doses. Avoid eating Wuyi (Chrysobalanus icaco fruit).
Another formula treats pain in the bone marrow:
Shaoyao (Paeoniae Radix, one jin), Sheng Dihuang (Rehmanniae Radix Fresh, five jin), Hugu (Pantheris Os, four taels, roasted).
Chop the above three herbs. Soak in one dou of wine for three nights. Sun-dry, then return to the wine. Repeat this process until the wine is fully absorbed. Pound and sieve. Take one fangcun bi with wine, three times a day. Avoid eating Wuyi (Chrysobalanus icaco fruit). (From Volume 19)
[Shanfan Yaolue] Treats Bone Extremity (Gu Ji) Deficiency Cold Syndrome. Indicates Kidney Disease, manifesting as facial edema with dirty black complexion, lower back and spine pain preventing prolonged standing, difficulty in flexion and extension, waking from dreams with palpitations and fright, rebellious Qi rising, urgency and pain in the lower abdomen radiating to the waist, constant cold sensation in the lower back, spine, and four limbs, or white turbid urine/stool. Shen Li Tang (Kidney Filtrate Decoction):
Yangshen (Sheep Kidney, one piece; Pig Kidney may be used), Shaoyao (Paeoniae Radix), Maimendong (Ophiopogonis Radix, remove heart), Ganhudi Huang (Rehmanniae Radix Preparata), Danggui (Angelicae Sinensis Radix) [each three taels], Ganjiang (Zingiberis Rhizoma Preparata, four taels), Wuweizi (Schisandrae Chinensis Fructus, two taels), Fuling (Poria, six taels), Dazao (Jujubae Fructus, twelve pieces, split).
Chop the above fifteen herbs. Add one dou and five sheng of water, first decoct the kidney meat to obtain one dou. Remove the kidney meat, add the herbs, and decoct to obtain four sheng. Strain the dregs. Divide into four doses. Take three times during the day and once at night. If enuresis occurs, add twenty roasted Sangpiaoxiao (Mantis Ootheca). Avoid eating Haizao (Sargassum), Songcai (Chinese Cabbage), raw Cong (Allium fistulosum), vinegar products, and Wuyi (Chrysobalanus icaco fruit).
Another moxibustion method:
Bian Que stated: At the eighteenth thoracic vertebra, named Xiaochangshu (BL27), it indicates urinary difficulty, lower abdominal fullness, and deficiency fatigue. The point is located one inch and five fen lateral to the spine on both sides. Apply moxibustion according to the patient's age (number of moxa cones). It treats Bone Extremity (Gu Ji). (Both from Volume 8)
[Qianjin Fang] Treats Bone Deficiency causing soreness, pain, restlessness, and fatigue. Indicates Bladder Cold Syndrome. Hugu Jiu (Tiger Bone Wine):
One Tiger Bone (Pantheris Os). Roast thoroughly until yellow and oily juice appears. Crush finely into pieces the size of a sparrow's head. Brew using three shi of rice, four dou of Qu (yeast starter), and three shi of water, following standard brewing methods. Water and Qu are added because the bone absorbs them. After fermentation is complete, seal the vessel for fifty days, then open and drink.
Another formula treats Deficiency-Wasting (Xu Lao) Cold Syndrome, joint pain, and weakness:
Chi (Fermented Soybean Paste, two dou), Dihuang (Rehmanniae Radix, eight jin, chopped).
Steam and sun-dry the above two ingredients repeatedly until dry, then pound and sieve. Take two fangcun bi with one sheng of wine after meals. Can also treat Empty-Heat diseases. Avoid eating Wuyi (Chrysobalanus icaco fruit).
Another formula treats Body Pain due to Deficiency-Wasting (Xu Lao):
Tianmendong (Asparagi Radix) ground into powder. Take one fangcun bi with wine, three times a day. Recovery in two hundred days. Avoid eating Liyu (Carp).
Another formula:
Extract juice from one shi of Dihuang (Rehmanniae Radix). Mix with two dou of wine and re-decoct. Take warm, three times a day. Tonifies Marrow. Avoid eating Wuyi (Chrysobalanus icaco fruit).
Another moxibustion method for Cold Pain in Bone Marrow:
Apply seventy moxa cones to Shanglian (ST34). Location is three cun below Zusanli (ST36). (Both from Volume 19)