夫肾主于腰脚，女人肾脏系于胞络，若劳伤肾气虚弱，而风冷客于胞络，邪气与真
气交争，故令腰脚疼痛也。治当以补元气为主，佐以祛邪之剂。
〔薛〕前证若真阳衰败，寒邪乘袭，手足俱冷，头痛恶寒，或呕吐腹痛等证，宜用
本方。若气血虚弱，寒邪所感，恶寒发热，头痛作渴，或呕吐腹痛等证，宜用五积散。（杂病
中寒。）若元气虚弱，湿热所伤，两胫肿痛，寒热身疼，或呕吐不食等证，宜用槟苏败毒散。
（杂病伤湿。）若脾胃虚弱，元气下陷，寒热呕吐，发热头痛，喘渴体倦等证，宜用补中益气汤。
（杂病伤劳倦。）若足三阴精血亏损，阴火内动，内热晡热，作渴痰甚，小便频数等证，宜用六
味地黄丸。（杂病虚劳。）若足三阴阳气虚败，恶寒发热，手足俱冷，吐痰不食，二便滑数等
证，宜用八味地黄丸。（杂病虚劳。） 一妇人先腰胯作痛，后两腿亦痛，余以为足三阴虚寒，
外邪所伤。用小续命汤及独活寄生汤，或作或止，所用饮食极热，腹中方快。余曰∶邪
气去而元气虚寒也。诊其脉，果沉细，用养肾散（本条。）渐愈，又用十补丸（虚劳。）而痊。
一妇人所患同前，但发热作渴，喜冷冻饮料食，脉洪数，按之迟涩，余以为血虚有热。用羚羊
角散（身体痛。）去槟榔，加白术、茯苓数剂，更
用加味逍遥散（结核）而瘥。一妇人患前证，时或腿膝作痛，脉浮数，按之迟缓，此元气虚
而风湿所乘。用独活寄生汤顿愈，又用八珍汤而安。一妇人因怒患前证，寒热往来，口
苦不食，晡热内热，余以为肝火血虚。先用小柴胡汤加山栀顿愈，又用加味逍遥散而瘳。
一妇人患前证，寒热头痛，殊类伤寒，此寒邪之证，用槟苏败毒散而安，又用补中益
气调补而愈。
虎骨丸 治妇人血风攻注，腰脚骨节疼痛不可忍。
虎胫骨（酥炙） 败龟（酥炙） 槟榔 牛膝（酒浸，各一两） 当归（去芦，炒） 川大黄（炒）
木香 桃仁（浸，炒） 海桐皮（各七钱半） 防风（去芦叉） 附子（炮，去皮脐） 赤芍药
桂心 血竭 没药（另研） 地龙（去土炒，各半两）
上为细末，炼蜜和捣三五百下，丸如梧桐子大。每服三十丸，空心食前温酒下，日二服。
仙灵脾散 治妇人血风攻注，腰脚疼痛。
仙灵脾 桃仁（麸炒） 槟榔（各一两） 羌活（去芦） 海桐皮 牛膝（酒浸） 当归（去芦，炒）
芎 骨碎补 玄胡索 桂心 枳壳（去瓤，麸炒） 木香 子（各七钱半） 术（炒，半两）
麝香（另研，二钱半）
上为细末，每服二钱。食前用豆淋酒调下，日进二服。
本散 治妇人血风流注，腰脚疼痛不可忍。
本（去芦土，一两半） 狗脊 天麻 骨碎补 桂心 没药（另研） 血竭（研）
蝉壳（微炒，各一两） 虎胫骨（醋炙） 败龟（醋炙） 穿山甲（各二两，醋炙） 麝香（半两，另研）
上为细末，入麝香拌匀，每服二钱，生姜豆淋酒调下，空心食前，日二服。
败龟散 治妇人风毒流注，腰脚疼痛，行步艰难。
败龟（酥炙） 虎胫骨（酥炙，各二两） 白僵蚕（炒） 薏苡仁 当归（去芦） 杜仲（锉，炒去丝，各一
两） 地龙（炒去土） 桂心 乳香（另研，各二钱半） 没药（半两，另研）
上为细末，每服二钱，食前温薄荷酒调下。
骨碎补散 治妇人血风气攻，腰脚疼痛腹胁拘急，并宜服之。
骨碎补（炒） 萆 （酒浸） 牛膝（酒浸） 桃仁（麸炒） 海桐皮 当归（去芦） 桂心 槟榔（各一两）
赤芍药 附子（炮，去皮脐） 川芎（各七钱半） 枳壳（半两，去幅麸炒）
上为 咀，每服五钱，水一大盏半，生姜三片，枣一枚，煎至一大盏，去滓温服。
附子散 治妇人腰脚积年疼痛不瘥。
附子（炮，去皮脐） 桂心 没药（另研） 威灵仙 干漆（炒去烟） 牛膝（酒浸，各一两）
上为细末，每服二钱，温酒调下，食前，日进二服。
养肾散 治肾经虚弱，风寒所侵，以致腰脚疼痛，不能步履。
苍术（一两） 干蝎（三钱） 天麻 草乌头（炮，去皮尖） 黑附子（炮，去皮脐，各二钱）
上为末，每服一钱，酒调服，麻痹少时随愈。孕妇勿服。此治风寒伤肾，膀胱虚寒
之良药，用之得宜，殊有神效。
肾脏主管腰部和脚部，女性的肾脏与胞络相连。如果因劳累损伤导致肾气虚弱，风冷之邪侵入胞络，邪气与人体真气相互交争，就会导致腰脚疼痛。治疗应当以补益元气为主，辅以祛除邪气的方剂。
〔薛己按〕上述证候如果是真阳衰败，寒邪乘虚侵袭，出现手足冰冷、头痛恶寒，或者呕吐腹痛等症状，适宜使用本方（指前文提到的温补方剂）。如果是气血虚弱，感受寒邪，出现恶寒发热、头痛口渴，或者呕吐腹痛等症状，适宜使用五积散。（出自杂病篇·中寒）如果是元气虚弱，被湿热所伤，出现两小腿肿痛、寒热交替身体疼痛，或者呕吐不能进食等症状，适宜使用槟苏败毒散。（出自杂病篇·伤湿）如果是脾胃虚弱，元气下陷，出现寒热交替、呕吐、发热头痛、气喘口渴、身体疲倦等症状，适宜使用补中益气汤。（出自杂病篇·伤劳倦）如果是足三阴经精血亏损，阴火在内扰动，出现内热、傍晚发热、口渴痰多、小便频数等症状，适宜使用六味地黄丸。（出自杂病篇·虚劳）如果是足三阴阳气虚败，出现恶寒发热、手足冰冷、吐痰不能进食、大小便滑利频数等症状，适宜使用八味地黄丸。（出自杂病篇·虚劳）
有一位妇人先感到腰胯疼痛，后来双腿也痛，我认为是足三阴虚寒，受到外邪伤害。给予小续命汤和独活寄生汤，症状时好时坏，她食用的饮食必须极热，腹部才感觉舒适。我说：这是邪气已去但元气虚寒所致。诊察她的脉搏，果然沉细，于是使用养肾散（见本条），逐渐痊愈，后又使用十补丸（见虚劳篇）而完全康复。
另一位妇人所患病症相同，但伴有发热口渴，喜欢冷冻的饮食饮料，脉象洪大且数，重按时却迟涩，我认为是血虚有热。使用羚羊角散（见身体痛篇）去掉槟榔，加入白术、茯苓，服用数剂后，又改用加味逍遥散（见结核篇）而痊愈。
还有一位妇人患有前述证候，有时腿膝疼痛，脉象浮数，重按时迟缓，这是元气虚弱而风湿乘虚而入。使用独活寄生汤立刻痊愈，随后使用八珍汤调理而安。
一位妇人因愤怒引发前述证候，出现寒热往来、口苦不能进食、傍晚发热和内热，我认为是肝火兼血虚。先用小柴胡汤加山栀立刻痊愈，后又用加味逍遥散而治愈。
一位妇人患有前述证候，出现寒热头痛，非常像伤寒，这是寒邪的证候，使用槟苏败毒散而安定，随后用补中益气汤调理而痊愈。
虎骨丸：治疗妇人血风攻注，腰脚骨节疼痛难以忍受。
药材：虎胫骨（酥炙）、败龟（酥炙）、槟榔、牛膝（酒浸，各一两）、当归（去芦，炒）、川大黄（炒）、木香、桃仁（浸，炒）、海桐皮（各七钱半）、防风（去芦叉）、附子（炮制，去皮脐）、赤芍药、桂心、血竭、没药（另研）、地龙（去土炒，各半两）。
制法：以上药物研为细末，用炼蜜调和捣击三五百下，制成梧桐子大小的丸药。每次服用三十丸，空腹食前用温酒送服，每日两次。
仙灵脾散：治疗妇人血风攻注，腰脚疼痛。
药材：仙灵脾、桃仁（麸炒）、槟榔（各一两）、羌活（去芦）、海桐皮、牛膝（酒浸）、当归（去芦，炒）、川芎、骨碎补、玄胡索、桂心、枳壳（去瓤，麸炒）、木香、茴香子（各七钱半）、白术（炒，半两）、麝香（另研，二钱半）。
制法：以上药物研为细末，每次服用二钱。食前用豆淋酒调服，每日进服两次。
本散：治疗妇人血风流注，腰脚疼痛难以忍受。
药材：藁本（去芦土，一两半）、狗脊、天麻、骨碎补、桂心、没药（另研）、血竭（研）、蝉壳（微炒，各一两）、虎胫骨（醋炙）、败龟（醋炙）、穿山甲（各二两，醋炙）、麝香（半两，另研）。
制法：以上药物研为细末，加入麝香拌匀，每次服用二钱，用生姜豆淋酒调服，空腹食前服用，每日两次。
败龟散：治疗妇人风毒流注，腰脚疼痛，行走困难。
药材：败龟（酥炙）、虎胫骨（酥炙，各二两）、白僵蚕（炒）、薏苡仁、当归（去芦）、杜仲（锉碎，炒去丝，各一两）、地龙（炒去土）、桂心、乳香（另研，各二钱半）、没药（半两，另研）。
制法：以上药物研为细末，每次服用二钱，食前用温薄荷酒调服。
骨碎补散：治疗妇人血风气攻，腰脚疼痛伴腹胁拘急，均宜服用此方。
药材：骨碎补（炒）、萆薢（酒浸）、牛膝（酒浸）、桃仁（麸炒）、海桐皮、当归（去芦）、桂心、槟榔（各一两）、赤芍药、附子（炮制，去皮脐）、川芎（各七钱半）、枳壳（半两，去瓤麸炒）。
制法：以上药物切碎，每次服用五钱，加水一大盏半，生姜三片，大枣一枚，煎煮至一大盏，去渣温服。
附子散：治疗妇人腰脚多年疼痛不愈。
药材：附子（炮制，去皮脐）、桂心、没药（另研）、威灵仙、干漆（炒去烟）、牛膝（酒浸，各一两）。
制法：以上药物研为细末，每次服用二钱，温酒调服，食前服用，每日进服两次。
养肾散：治疗肾经虚弱，风寒侵袭，导致腰脚疼痛，无法行走。
药材：苍术（一两）、干蝎（三钱）、天麻、草乌头（炮制，去皮尖）、黑附子（炮制，去皮脐，各二钱）。
制法：以上药物研为末，每次服用一钱，酒调服，片刻后麻痹感随即消失。孕妇禁止服用。这是治疗风寒伤肾、膀胱虚寒的良药，使用得当，具有神奇疗效。
The Kidney governs the waist and feet. In women, the Kidney is connected to the Bao Luo (uterine vessels). If labor or injury damages the Kidney Qi, causing weakness, and wind-cold pathogenic factors invade the Bao Luo, the pathogenic factors contend with the healthy Qi, resulting in pain in the waist and feet. Treatment should primarily focus on tonifying the Yuan Qi (Original Qi), assisted by formulas that dispel pathogens.
[Xue Ji's Commentary] For the aforementioned syndrome, if it is due to the failure of True Yang, with cold pathogens taking advantage of the deficiency, presenting with cold hands and feet, headache, aversion to cold, or vomiting and abdominal pain, this formula [referring to a warming formula mentioned previously] is appropriate. If it is due to deficiency of Qi and Blood, contracted cold pathogens, presenting with aversion to cold, fever, headache, thirst, or vomiting and abdominal pain, Wuji San (Five Accumulations Powder) is appropriate. (From Miscellaneous Diseases: Cold Damage.) If it is due to deficiency of Yuan Qi, injured by damp-heat, presenting with swelling and pain in both shins, alternating chills and fever, body pain, or vomiting and inability to eat, Bingsu Baidu San (Areca and Perilla Detoxification Powder) is appropriate. (From Miscellaneous Diseases: Dampness Injury.) If it is due to Spleen and Stomach weakness, with sinking of Yuan Qi, presenting with alternating chills and fever, vomiting, feverish sensation, headache, panting, thirst, and physical fatigue, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) is appropriate. (From Miscellaneous Diseases: Fatigue Injury.) If it is due to depletion of Essence and Blood in the Three Yin Meridians of the Foot, with Deficient Fire stirring internally, presenting with internal heat, afternoon tidal fever, thirst, profuse phlegm, and frequent urination, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) is appropriate. (From Miscellaneous Diseases: Consumption Syndrome.) If it is due to failure of Yang Qi in the Three Yin Meridians of the Foot, presenting with aversion to cold, fever, cold hands and feet, spitting phlegm, inability to eat, and slippery/frequent defecation and urination, Bawei Dihuang Wan (Eight-Ingredient Pill with Rehmannia) is appropriate. (From Miscellaneous Diseases: Consumption Syndrome.)
A woman first experienced pain in her waist and hips, followed by pain in both legs. I considered this to be deficiency-cold of the Three Yin Meridians of the Foot, injured by external pathogens. I administered Xiao Xuming Tang (Minor Xu Ming Decoction) and Duhuo Jisheng Tang (Angelica Pubescens and Porcinus Decoction). The symptoms came and went. She felt comfortable in her abdomen only when consuming very hot food and drink. I stated: "The pathogenic factor has departed, but the Yuan Qi is deficient and cold." Upon palpating her pulse, it was indeed deep and fine. I used Yangshen San (Kidney-Nourishing Powder) [see this section], and she gradually recovered. Subsequently, I used Shibu Wan (Ten Tonics Pill) [see Consumption Syndrome], and she was completely cured.
Another woman suffered from the same condition but presented with fever and thirst, preferring cold drinks and food. Her pulse was surging and rapid, but slow and choppy upon heavy pressure. I diagnosed this as Blood deficiency with Heat. I used Lingyangjiao San (Antelope Horn Powder) [see Body Pain], removing Areca Nut, and adding Atractylodis Rhizoma (Baizhu) and Poria (Fuling). After several doses, I switched to Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) [see Tubercle], and she recovered.
Another woman suffered from the aforementioned syndrome, occasionally experiencing pain in her legs and knees. Her pulse was floating and rapid, but slow upon heavy pressure. This indicated Yuan Qi deficiency with Wind-Dampness invading. Using Duhuo Jisheng Tang, she recovered immediately, and then An (stabilized/recovered) using Bazhen Tang (Eight Treasures Decoction).
A woman developed the aforementioned syndrome due to anger, presenting with alternating chills and fever, bitter taste in the mouth, inability to eat, afternoon tidal fever, and internal heat. I diagnosed Liver Fire with Blood deficiency. First, I used Xiaochaihu Tang (Minor Bupleurum Decoction) with Gardenia (Shanzhi), and she recovered immediately. Subsequently, I used Jiawei Xiaoyao San, and she was cured.
A woman suffered from the aforementioned syndrome, presenting with chills, fever, and headache, resembling Shanghan (Cold Damage). This was a Cold Pathogen syndrome. Using Bingsu Baidu San, she stabilized, and subsequently recovered after regulating with Buzhong Yiqi Tang.
Hugu Wan (Tiger Bone Pill): Treats women suffering from Blood-Wind attacking and flooding, causing unbearable pain in the waist, feet, and bone joints.
Ingredients: Hu Jing Gu (Succedaneum Tigris [Tiger Tibia], prepared with酥/su), Baigui (Testudo [Turtle Shell], prepared with酥/su), Binglang (Arecae Semen), Niuxi (Achyranthis Bidentatae Radix, soaked in wine, each 1 liang), Danggui (Angelicae Sinensis Radix, de-gorged, stir-fried), Chuan Dahuang (Rhei Radix et Rhizoma, stir-fried), Muxiang (Aucklandiae Radix), Taoren (Persicae Semen, soaked, stir-fried), Haitongpi (Sarcandae Cortex, each 7 qian 5 fen), Fangfeng (Saposhnikoviae Radix, de-gorged and forked), Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed), Chi Shaoyao (Paeoniae Radix Rubra), Guixin (Cinnamomi Ramulus), Xuejie (Santalum Rubrum), Moyao (Myrrha, separately ground), Dilong (Pheretima, cleaned of soil and stir-fried, each half liang).
Preparation: Grind the above ingredients into a fine powder. Mix with refined honey and pound for three to five hundred times. Form pills the size of Sophora seeds. Take 30 pills per dose, before meals on an empty stomach, with warm wine. Twice daily.
Xianlingpi San (Epimedium Powder): Treats women suffering from Blood-Wind attacking and flooding, causing pain in the waist and feet.
Ingredients: Xianlingpi (Epimedii Folium), Taoren (Persicae Semen, bran-stir-fried), Binglang (Arecae Semen, each 1 liang), Qianghuo (Notopterygii Rhizoma et Radix, de-gorged), Haitongpi (Sarcandae Cortex), Niuxi (Achyranthis Bidentatae Radix, soaked in wine), Danggui (Angelicae Sinensis Radix, de-gorged, stir-fried), Xiong (Chuanxiong Rhizome), Gusuibu (Drynariae Rhizoma), Yanshusuo (Corydalis Rhizome), Guixin (Cinnamomi Ramulus), Zhike (Aurantii Fructus, pulp removed, bran-stir-fried), Muxiang (Aucklandiae Radix), Huixiangzi (Foeniculi Fructus, each 7 qian 5 fen), Zhu (Bai Zhu/Atractylodis Macrocephalae Rhizoma, stir-fried, half liang), Shexiang (Moschus, separately ground, 2 qian 5 fen).
Preparation: Grind the above ingredients into a fine powder. Take 2 qian per dose. Mix with Doulin Jiu (Bean-Leaven Wine) before meals. Twice daily.
Ben San (Ligusticum Powder): Treats women suffering from Blood-Wind flowing and flooding, causing unbearable pain in the waist and feet.
Ingredients: Bencao (Ligustici Chuanxiong Rhizoma, de-gorged and cleaned of soil, 1 liang 5 qian), Gouji (Rhododendri Daurici Caulis), Tianma (Gastrodiae Rhizoma), Gusuibu (Drynariae Rhizoma), Guixin (Cinnamomi Ramulus), Moyao (Myrrha, separately ground), Xuejie (Santalum Rubrum, ground), Chanqiao (Cicadae Cuticle, lightly stir-fried, each 1 liang), Hu Jing Gu (Succedaneum Tigris [Tiger Tibia], vinegar-prepared), Baigui (Testudo [Turtle Shell], vinegar-prepared), Chuanshanjia (Manis Squama, each 2 liang, vinegar-prepared), Shexiang (Moschus, half liang, separately ground).
Preparation: Grind the above ingredients into a fine powder. Mix evenly with Moschus. Take 2 qian per dose. Mix with Ginger and Doulin Jiu (Bean-Leaven Wine). Before meals on an empty stomach. Twice daily.
Baigui San (Turtle Shell Powder): Treats women suffering from Wind-Toxin flowing and flooding, causing pain in the waist and feet and difficulty walking.
Ingredients: Baigui (Testudo [Turtle Shell], prepared with酥/su), Hu Jing Gu (Succedaneum Tigris [Tiger Tibia], prepared with酥/su, each 2 liang), Baijiangcan (Bombyx Batryticatus, stir-fried), Yiyiren (Coicis Semen), Danggui (Angelicae Sinensis Radix, de-gorged), Duzhong (Eucommiae Cortex, chopped, stir-fried to remove silk threads, each 1 liang), Dilong (Pheretima, stir-fried to remove soil), Guixin (Cinnamomi Ramulus), Ruxiang (Olibanum, separately ground, each 2 qian 5 fen), Moyao (Myrrha, half liang, separately ground).
Preparation: Grind the above ingredients into a fine powder. Take 2 qian per dose. Mix with warm Bohe Jiu (Mint Wine) before meals.
Gusuibu San (Drynaria Powder): Treats women suffering from Blood-Wind-Qi attacking, causing pain in the waist and feet with tension and tightness in the abdomen and hypochondrium. Suitable for all such cases.
Ingredients: Gusuibu (Drynariae Rhizoma, stir-fried), Bibo (Dioscoreae Hypoglaucae Rhizoma, soaked in wine), Niuxi (Achyranthis Bidentatae Radix, soaked in wine), Taoren (Persicae Semen, bran-stir-fried), Haitongpi (Sarcandae Cortex), Danggui (Angelicae Sinensis Radix, de-gorged), Guixin (Cinnamomi Ramulus), Binglang (Arecae Semen, each 1 liang), Chi Shaoyao (Paeoniae Radix Rubra), Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed), Chuanxiong (Chuanxiong Rhizome, each 7 qian 5 fen), Zhike (Aurantii Fructus, half liang, pulp removed, bran-stir-fried).
Preparation: Coarsely crush the above ingredients. Take 5 qian per dose. Add 1.5 da zhen (large cups) of water, 3 slices of fresh ginger, and 1 jujube. Decoct until 1 da zhen remains. Strain and take warm.
Fuzi San (Aconite Powder): Treats chronic pain in the waist and feet in women that does not heal.
Ingredients: Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed), Guixin (Cinnamomi Ramulus), Moyao (Myrrha, separately ground), Weilingxian (Salviae Miltiorrhizae Radix et Rhizoma? *Note: Usually Saposhnikoviae Radix in modern context, but historically distinct; here likely Saposhnikoviae*), Ganqi (Drynariae Rhizoma? *Note: Text says Ganqi, usually refers to Glycyrrhiza or Drynaria depending on context, but listed with other herbs. Given "Ganqi" often means Licorice, but here might be a typo for another herb or specific preparation. However, standard translation for Ganqi is Glycyrrhizae Radix. But in pain formulas, sometimes refers to other roots. Let's stick to literal Glycyrrhizae Radix unless context implies otherwise. Wait, "Ganqi" can also mean "Dry Wood". In TCM herbs, Ganqi is Licorice. But let's look at the list. It lists "Ganqi (chao qu yan)" - stir-fried to remove smoke. This describes drying lacquer or resin, or perhaps a root. Actually, "Ganqi" (干漆) is Dried Lacquer. Yes, Dried Lacquer is stir-fried to remove smoke. So it is Dried Lacquer.), Niuxi (Achyranthis Bidentatae Radix, soaked in wine, each 1 liang).
Preparation: Grind the above ingredients into a fine powder. Take 2 qian per dose. Mix with warm wine. Before meals. Twice daily.
Yangshen San (Kidney-Nourishing Powder): Treats Kidney Meridian weakness invaded by Wind-Cold, resulting in pain in the waist and feet and inability to walk.
Ingredients: Cangzhu (Atractylodis Rhizoma, 1 liang), Ganxie (Scorpio, 3 qian), Tianma (Gastrodiae Rhizoma), Caowutou (Aconiti Kusnezoffii Radix, processed, skin and tip removed), Hei Fuzi (Aconiti Lateralis Radix Praeparata [Black Aconite], processed, skin and umbilicus removed, each 2 qian).
Preparation: Grind into powder. Take 1 qian per dose. Mix with wine. The numbness will subside shortly. Contraindicated in pregnancy. This is an excellent medicine for Wind-Cold injuring the Kidney and Bladder deficiency-cold. Used appropriately, it yields miraculous effects.