夫腰胯疼痛者。由气血肤腠虚疏。而受风冷故也。肾主腰脚。肾脏虚弱。为风邪所乘。
风冷
治冷滞风气攻刺。腰胯疼痛。独活散方。
独活（一两） 牛膝（二两去苗） 附子（一两炮裂去皮脐） 芎 （三分） 桂心（三
分） 赤
芍药
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。每于食
前温
治腰胯连脚膝。晓夜疼痛不可忍。虎骨散方。
虎胫骨（一两涂酥炙微黄） 桂心（一两） 败龟（一两涂酥炙微黄） 当归（一两锉
微炒）
芎
上件药。捣细罗为散。每于食前。以温酒调下二钱。
治膀胱气实。腰胯间疼痛不可忍方。
甘遂（半两煨令微黄） 杜仲（半两去粗皮炙微黄锉） 青橘皮（半两汤浸去白瓤焙）
上件药。捣细罗为散。每用羊肾一只。去脂膜。入药一钱。用湿纸裹。煨令熟。空心食
之。
治膀胱冷气攻腰胯。疼痛方。
桂心（一两） 牡丹（三分） 附子（半两炮裂去皮脐）
上件药。捣细罗为散。每于食前。以温酒调下二钱。
治腰胯及胁肋疼痛不可忍。熟地黄散方。
熟干地黄（一两） 牛膝（三分去苗） 干漆（半两捣碎炒令烟出） 白术（半两） 桂
心（半
两）
上件药。捣罗为散。每于食前。以温酒调下二钱。
治肾脏虚冷。气攻腰胯疼痛。羸弱无力。宜服狗脊丸方。
狗脊（二两） 木香（一两） 薯蓣（一两） 桂心（一两） 附子（一两炮裂去皮脐）
槟榔
（一两
盆子
（一两半
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每日空心。以温酒下三十丸。
晚食
治腰胯疼痛。四肢少力。不能饮食。宜服牛膝丸方。
牛膝（一两去苗） 当归（一两锉微炒） 干姜（半两炮裂锉） 白芍药（三分） 浓
朴（一两
半去
活（三
分）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以温酒下三十丸。
治久冷。腰胯疼痛。木香丸方。
木香（三分） 干姜〔半（一）两炮裂锉〕 当归（一两锉微炒） 附子（一两炮裂去
皮脐） 羌
活
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以温酒下二十丸。
治腰胯疼痛。筋脉拘急。行动难。两胁妨痛。萆 丸方。
萆 （一两锉） 牛膝（三分去苗） 杜仲（三分去粗皮炙微黄锉） 酸枣仁（三分微
炒） 当
归（
斛（三
分去
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以温酒下三十丸。
治风冷。腰胯疼痛。行步不得。巴戟丸方。
巴戟（一两半） 牛膝（三两去苗） 羌活（一两半） 桂心（一两半） 五加皮（一
两半） 杜
仲（
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以温酒饮下三十丸。
治腰胯连两胁。疼痛如打方。
上用大豆二分。熬令焦。用好酒一升。煮之令沸。大豆稍热。于食前调下 子末二钱。
治腰胯疼痛。熨方。
芫花（二升） 川椒（三两） 羊踯躅（二升）
上件药。以醋拌令匀湿。分为两处。各纳布囊中蒸之。令极热。适寒温。隔衣熨之。冷
即更
腰胯部疼痛，是由于气血及皮肤腠理虚弱疏松，受到风冷邪气侵袭所致。肾主管腰部和下肢，若肾脏虚弱，易被风邪乘虚而入。
治疗因寒湿停滞、风气攻冲刺痛引起的腰胯疼痛，使用独活散方。
独活（一两） 牛膝（二两，去苗） 附子（一两，炮裂，去皮脐） 川芎（三分） 桂心（三分） 赤芍药（适量）
以上药物，捣碎并过粗筛制成散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至六分，滤去药渣。每次在饭前温服。
治疗腰胯连累脚膝，昼夜疼痛难以忍受的情况，使用虎骨散方。
虎胫骨（一两，涂酥炙至微黄） 桂心（一两） 败龟板（一两，涂酥炙至微黄） 当归（一两，锉碎，微炒） 川芎（适量）
以上药物，捣碎并过细筛制成散剂。每次在饭前，用温酒调服二钱。
治疗膀胱气实引起的腰胯间剧烈疼痛，使用此方。
甘遂（半两，煨至微黄） 杜仲（半两，去粗皮，炙至微黄，锉碎） 青橘皮（半两，汤浸，去白瓤，焙干）
以上药物，捣碎并过细筛制成散剂。每次取羊肾一只，去掉脂膜，纳入药末一钱，用湿纸包裹，煨熟。空腹食用。
治疗膀胱冷气攻冲腰胯引起的疼痛，使用此方。
桂心（一两） 牡丹皮（三分） 附子（半两，炮裂，去皮脐）
以上药物，捣碎并过细筛制成散剂。每次在饭前，用温酒调服二钱。
治疗腰胯及胁肋部剧烈疼痛，使用熟地黄散方。
熟干地黄（一两） 牛膝（三分，去苗） 干漆（半两，捣碎，炒至烟出） 白术（半两） 桂心（半两）
以上药物，捣碎并过筛制成散剂。每次在饭前，用温酒调服二钱。
治疗肾脏虚冷，寒气攻冲腰胯引起疼痛，身体羸弱无力，宜服用狗脊丸方。
狗脊（二两） 木香（一两） 薯蓣（一两） 桂心（一两） 附子（一两，炮裂，去皮脐） 槟榔（一两） 盆子（一两半，注：原文此处可能有缺字或异体字，依原文保留“盆子”）
以上药物，捣碎成粉末，炼蜜调和，捣杵三五百下，制成梧桐子大小的丸药。每日空腹时，用温酒送服三十丸，晚饭后亦可服用。
治疗腰胯疼痛，四肢乏力，不能进食，宜服用牛膝丸方。
牛膝（一两，去苗） 当归（一两，锉碎，微炒） 干姜（半两，炮裂，锉碎） 白芍药（三分） 浓朴（一两半，去粗皮） 羌活（三分）
以上药物，捣碎成粉末，炼蜜调和，捣杵三二百下，制成梧桐子大小的丸药。每次在饭前，用温酒送服三十丸。
治疗久患寒症，腰胯疼痛，使用木香丸方。
木香（三分） 干姜（一两，炮裂，锉碎） 当归（一两，锉碎，微炒） 附子（一两，炮裂，去皮脐） 羌活（适量）
以上药物，捣碎成粉末，炼蜜调和，捣杵三二百下，制成梧桐子大小的丸药。每次在饭前，用温酒送服二十丸。
治疗腰胯疼痛，筋脉拘急，行动困难，两胁胀痛，使用萆薢丸方。
萆薢（一两，锉碎） 牛膝（三分，去苗） 杜仲（三分，去粗皮，炙至微黄，锉碎） 酸枣仁（三分，微炒） 当归（适量） 石斛（三分，去根）
以上药物，捣碎成粉末，炼蜜调和，捣杵三二百下，制成梧桐子大小的丸药。每次在饭前，用温酒送服三十丸。
治疗风冷侵袭，腰胯疼痛，行走不便，使用巴戟丸方。
巴戟天（一两半） 牛膝（三两，去苗） 羌活（一两半） 桂心（一两半） 五加皮（一两半） 杜仲（适量）
以上药物，捣碎成粉末，炼蜜调和，捣杵三二百下，制成梧桐子大小的丸药。每次在饭前，用温酒送服三十丸。
治疗腰胯连及两胁，疼痛如被打击般，使用此方。
取大豆二分，炒至焦黑，用好酒一升，煮沸。待大豆稍热，在饭前调服豆末二钱。
治疗腰胯疼痛的熨法。
芫花（二升） 川椒（三两） 羊踯躅（二升）
以上药物，用醋拌均匀使其湿润，分成两份，分别装入布袋中蒸热。待温度适宜，隔着衣服熨烫患处。冷了再重新加热熨烫。
Pain in the lumbar and hip regions is caused by deficiency and looseness of Qi, Blood, skin, and cou li (skin pores), allowing Wind-Cold pathogens to invade. The Kidneys govern the lower back and legs; when Kidney Qi is deficient, it becomes susceptible to invasion by Wind pathogens.
For pain in the lumbar and hip regions caused by Cold stagnation and Wind attacking with stabbing sensations, use Duhuo San (Angelica Pubescens Powder).
Duhuo (Radix Angelicae Pubescentis) (1 liang) Niuxi (Radix Achyranthis Bidentatae) (2 liang, remove seedlings) Fuzi (Radix Aconiti Lateralis Preparata) (1 liang, processed until cracked, remove skin and umbilicus) Xiong (Radix Chuanxiong) (3 fen) Guixin (Cortex Cinnamomi) (3 fen) Chi Shaoyao (Radix Paeoniae Rubra) (appropriate amount)
The above herbs are coarsely ground and sieved to make a powder. Take 3 qian per dose. Add 1 zhong of water and 0.5 ban of fresh ginger, decoct until reduced to 0.6 zhong. Strain the dregs. Warm and take before meals.
For pain in the lumbar and hip regions radiating to the feet and knees, unbearable day and night, use Hugu San (Tiger Bone Powder).
Hujinggu (Os Tibiae Tigris) (1 liang, coated with butter, roasted until slightly yellow) Guixin (Cortex Cinnamomi) (1 liang) Baigui (Carapax et Plastrum Testudinis) (1 liang, coated with butter, roasted until slightly yellow) Danggui (Radix Angelicae Sinensis) (1 liang, sliced, lightly stir-fried) Xiong (Radix Chuanxiong) (appropriate amount)
The above herbs are finely ground and sieved to make a powder. Before meals, mix 2 qian with warm wine and take orally.
For unbearable pain in the lumbar and hip regions due to excess Qi in the Bladder, use this formula.
Gansui (Radix Kansui) (0.5 liang, baked until slightly yellow) Duzhong (Cortex Eucommiae) (0.5 liang, remove coarse bark, roasted until slightly yellow, sliced) Qingjupi (Pericarpium Citri Reticulatae Viride) (0.5 liang, soaked in hot water, remove white pith, dried)
The above herbs are finely ground and sieved to make a powder. Take one sheep kidney, remove the fatty membrane, insert 1 qian of the medicine, wrap in wet paper, and bake until cooked. Eat on an empty stomach.
For pain in the lumbar and hip regions caused by Cold Qi attacking the Bladder, use this formula.
Guixin (Cortex Cinnamomi) (1 liang) Mudanpi (Cortex Moutan) (3 fen) Fuzi (Radix Aconiti Lateralis Preparata) (0.5 liang, processed until cracked, remove skin and umbilicus)
The above herbs are finely ground and sieved to make a powder. Before meals, mix 2 qian with warm wine and take orally.
For unbearable pain in the lumbar, hip, and hypochondriac regions, use Shudihuang San (Prepared Rehmannia Root Powder).
Shugan Dihuang (Radix Rehmanniae Preparata) (1 liang) Niuxi (Radix Achyranthis Bidentatae) (3 fen, remove seedlings) Ganqi (Resina Drynariae) (0.5 liang, crushed, stir-fried until smoke appears) Baizhu (Rhizoma Atractylodis Macrocephalae) (0.5 liang) Guixin (Cortex Cinnamomi) (0.5 liang)
The above herbs are ground and sieved to make a powder. Before meals, mix 2 qian with warm wine and take orally.
For pain in the lumbar and hip regions due to Kidney deficiency and Cold, with Qi attacking causing pain, emaciation, and weakness, take Gouji Wan (Cibotii Rhizome Pill).
Gouji (Rhizoma Cibotii) (2 liang) Muxiang (Radix Aucklandiae) (1 liang) Shuyu (Rhizoma Dioscoreae) (1 liang) Guixin (Cortex Cinnamomi) (1 liang) Fuzi (Radix Aconiti Lateralis Preparata) (1 liang, processed until cracked, remove skin and umbilicus) Binglang (Semen Arecae) (1 liang) Penzi (Fructus Pruni Armeniacae) (1.5 liang)
The above herbs are ground into powder, mixed with refined honey, and pounded for 300-500 strikes to form pills the size of paulownia seeds. On an empty stomach daily, take 30 pills with warm wine. Can also be taken after evening meal.
For pain in the lumbar and hip regions, weakness in the four limbs, and inability to eat, take Niuxi Wan (Achyranthes Root Pill).
Niuxi (Radix Achyranthis Bidentatae) (1 liang, remove seedlings) Danggui (Radix Angelicae Sinensis) (1 liang, sliced, lightly stir-fried) Jiangjiang (Rhizoma Zingiberis Preparatum) (0.5 liang, processed until cracked, sliced) Baishaoyao (Radix Paeoniae Alba) (3 fen) Nongpo (Cortex Magnoliae Officinalis) (1.5 liang, remove coarse bark) Huo (Radix Notopterygii or similar, likely Qianghuo based on context) (3 fen)
The above herbs are ground into powder, mixed with refined honey, and pounded for 200-300 strikes to form pills the size of paulownia seeds. Before meals, take 30 pills with warm wine.
For chronic Cold conditions and pain in the lumbar and hip regions, take Muxiang Wan (Aucklandia Root Pill).
Muxiang (Radix Aucklandiae) (3 fen) Jiangjiang (Rhizoma Zingiberis Preparatum) (1 liang, processed until cracked, sliced) Danggui (Radix Angelicae Sinensis) (1 liang, sliced, lightly stir-fried) Fuzi (Radix Aconiti Lateralis Preparata) (1 liang, processed until cracked, remove skin and umbilicus) Qianghuo (Rhizoma et Radix Notopterygii) (appropriate amount)
The above herbs are ground into powder, mixed with refined honey, and pounded for 200-300 strikes to form pills the size of paulownia seeds. Before meals, take 20 pills with warm wine.
For pain in the lumbar and hip regions, tendon and vessel spasms, difficulty in movement, and distending pain in both hypochondria, take Bixie Wan (Dioscorea Hypoglauca Pill).
Bixie (Rhizoma Dioscoreae Hypoglaucae) (1 liang, sliced) Niuxi (Radix Achyranthis Bidentatae) (3 fen, remove seedlings) Duzhong (Cortex Eucommiae) (3 fen, remove coarse bark, roasted until slightly yellow, sliced) Szaoren (Semen Ziziphi Spinosae) (3 fen, lightly stir-fried) Danggui (Radix Angelicae Sinensis) (appropriate amount) Shihu (Caulis Dendrobii) (3 fen, remove roots)
The above herbs are ground into powder, mixed with refined honey, and pounded for 200-300 strikes to form pills the size of paulownia seeds. Before meals, take 30 pills with warm wine.
For Wind-Cold invasion causing pain in the lumbar and hip regions and inability to walk, take Bajitian Wan (Morinda Root Pill).
Bajitian (Radix Morindae Officinalis) (1.5 liang) Niuxi (Radix Achyranthis Bidentatae) (3 liang, remove seedlings) Qianghuo (Rhizoma et Radix Notopterygii) (1.5 liang) Guixin (Cortex Cinnamomi) (1.5 liang) Wujiapi (Cortex Acanthopanacis Senticosi) (1.5 liang) Duzhong (Cortex Eucommiae) (appropriate amount)
The above herbs are ground into powder, mixed with refined honey, and pounded for 200-300 strikes to form pills the size of paulownia seeds. Before meals, take 30 pills with warm wine.
For pain in the lumbar and hip regions radiating to both hypochondria, feeling as if beaten, use this method.
Take 2 fen of soybeans, roast until charred. Add 1 sheng of good wine, boil until bubbling. While the soybeans are still warm, mix with the bean powder and take 2 qian before meals.
For pain in the lumbar and hip regions, use the external fomentation method.
Yuanhua (Flos Genkwa) (2 sheng) Chuanjiao (Fructus Zanthoxyli) (3 liang) Yangzhizhu (Flos Rhododendri Molle) (2 sheng)
Mix the above herbs evenly with vinegar to moisten them. Divide into two portions, place each in a cloth bag, and steam until very hot. Apply over clothing while at a suitable temperature. Reheat when cold.