（附论）
凡腰痛之病。皆本于肾。盖肾系于腰脊也。诸经各有腰痛不同。当随证治之。凡腰痛引
项脊
尻背如重状者。病在足太阳脉也。刺其 中正经出血。春毋见血（委中穴也）。腰痛如以针
刺不可俯仰。不可以顾者。刺少阳成骨之端少出血。夏毋见血（成骨在膝外廉之骨独起者）。
腰痛不可以顾顾。如有见善悲者。病在阳明也刺阳明于 前三 上下刺之出血。秋毋见血（
三里穴也）。腰痛引脊内廉者。属少阴。刺内踝上二 出血。春毋见血。出血太多。则不可
复（复溜穴也）。腰痛腰中如张弓弩弦者。属厥阴。刺 踵鱼腹之外。循之累累然乃刺之（蠡
沟穴也）。腰痛引肩目KT KT 然。时遗溲者。病在解脉。刺膝筋内分肉间。 之外廉出血。血
变而止（亦太阳之穴也）。腰痛如引带。常如折腰状。善恐者。亦解脉病也。刺 中结络如黍
粟。刺之血射。以见黑血而止（委中穴也）。腰痛如以小锥居其中。怫然肿者。病在同阴之脉
刺绝骨之端。为三 （阳辅穴也）。腰痛怫然肿者。属阳明之脉刺 下去地一尺所（承山穴也）。
腰痛不可以俯仰。仰则恐仆。得之举重伤腰。冲络绝血归之。刺 阳筋之间上 数寸衡居。
为二 （委阳穴也）。腰痛上累累然汗出。汗干令人欲饮。饮已欲走者。属会阴之脉。刺跷上
下五寸横居。视其盛者出血（承筋穴也）。腰痛痛上怫怫然。甚则悲与恐者。病属飞扬之脉
也。刺内踝上五寸。少阴之前与阴维之会（复溜及筑宾穴）。腰痛痛引膺。目KT KT 然。甚则反
折舌不能言者。病在昌阳之脉。刺内踝上大筋前。太阴后。上踝二寸所（交信穴也）。腰痛而
热。热甚生烦。腰下如有横木居其中。甚则遗溲者。病在散脉。刺膝前骨肉分间络外廉束脉
三（地机穴也）。腰痛不可以咳。咳则筋缩急者。病在肉里之脉。刺太阳外少阳绝骨之后为
二（分肉穴也）。腰痛脊亦痛。颈KT KT 然。目KT KT 欲僵仆。刺 中出血。腰痛上寒。刺足太
阳阳明。上热。刺足厥阴。中热而喘。刺足少阴。刺 中出血。腰痛上寒不可顾。刺足阳明
大便难。刺足少阴。少腹满。刺足厥阴。如折不可俯仰。不可举。刺足太阳明。痛引少腹
控不可以仰。刺腰尻交者。两踝胛上。以月死生为 数。发针立已。左取右。右取左。此
治腰痛之法也。众穴之外。又有遗法者。附之于后。
〔法〕
治腰引小腹痛。穴居
治腰痛恶寒。小腹坚结。癃闭不得小便。泄利。腰背卒痛。穴胞肓
治腰痛不能俯仰。小便赤涩。腰尻重不能举。穴秩边
治腰重不能举体。穴委中
治腰髋疼。脚膝不遂。穴白环俞
治因扑伤腰髋疼。穴肩井
治腰髋疼脊强。不得转。穴腰俞
治腰腹相引痛。穴命门
治腰背强痛。穴肺俞
治腰痛。穴阴陵泉 大肠俞
治腰痛不得转侧。穴下
治腰如坐水中。穴阳辅
治腰痛大便难。穴涌泉
治腰痛不得俯仰。寒热腹胀引背不得息。穴京门
疗腰痛肩寒。穴肝俞
疗腰痛。穴肾俞 气海俞 中膂俞
疗风劳腰痛。穴关元俞 膀胱俞
疗恶气。腰背卒痛。又云。腰痛不可忍。俯仰难。恶寒。小便涩。穴胞肓
疗腰尻重。不欲起。俯仰难。恶闻人声。穴昆仑
治腰尻重。起难。穴风市
疗腰痛不可俯仰。转侧难。穴肾俞
疗腰痛不能久立。腰以下至足不仁。坐起难。腰脊急强。不可俯仰。腰重如石。难举动
穴腰俞
治四肢寒热。腰疼不得俯仰。身黄腹满。食呕。舌根直。灸第十一椎上。及左右各一寸
五分三处。各七壮。
治腰痛。穴腰俞 膀胱俞 长强 气冲 上 下 居
治腰痛不可顾。穴三里 阴市 阳辅 蠡沟
治腰痛如锤居中。肿痛不可咳。咳则筋缩急。诸节痛上下无常。寒热。穴阳辅
治腰痛不能举。穴申脉 太冲 阳跷
治腰痛不可俯仰。又治腰痛得俯不得仰。穴委阳 殷门 太白 阴陵泉 行间
治腰痛得俯不得仰。穴委阳 殷门
治腰痛如折。穴束骨 飞阳 承筋
治腰痛大便难。穴涌泉
治腰痛不可久立。穴京门
治腰痛不得俯仰。穴气冲
治腰背痛。穴宜针决膝腰勾画中青赤络脉出血。便瘥。
治腰痛不得俯仰者。令患人正立。于竹柱地度至脐。断竹乃以度背脊。灸竹上头处。随
年壮。灸讫。藏竹勿令人得知。
治腰痛。灸脚根上横文中白肉际。十壮良。又灸足巨阳七壮。又灸腰目 七壮。在尻上
约左右是。又灸八 。及外踝上骨约中。
治腰卒痛。灸穷骨上一寸七壮。左右一寸各灸七壮。
治腰脊痛。灸小肠俞。五十壮。
治腰背痛。灸三焦俞。随年壮。
王氏云。有妇人久病而腰甚疼。腰眼既灸。医以针置火中令热。谬刺痛处。初不深入。
既而痛止。则知火不负人之说犹信云。
昔许知可因淮南大水。忽腹中如水吼。调治得愈。自此腰痛不可屈伸。思之此必肾经感
水气
而得。灸肾俞三七壮。服鹿茸丸愈。王氏云。予谓腰痛不可屈伸。灸肾俞自效。不服鹿茸丸
亦可。
王氏云。舍弟腰痛。出入甚艰。予用火针微微频刺肾俞。则步履如故。初不灸也。屡有
人腰
背伛偻。来觅点灸。予意其是筋病使然。为点阳陵泉。令归灸。既愈。筋会阳陵泉也。然则腰
疼。又不可专泥肾俞。而不灸其他穴也。
治腰伛偻引项筋。无力不收。穴风池
治腰强。穴肺俞
治腰如折。 如结。耳聋。恶风寒。目眩项不可顾。目内 赤烂。穴束骨
治腰脊挛痛。穴白环俞
治腰痛不得反侧。穴章门
治腰痛不得已者。灸白环俞二穴又灸腰目 七壮。
治腰痛控睾。少腹及股卒不得俯仰。刺气冲
治忽然气滞。腰痛不可俯仰。刺足太阳络神道二穴。次针足厥阴经行间二穴
治久虚人腰痛。刺而复发者。腰重不能举体。取经血而愈。刺足太阳经委中二穴
治凡腰痛。刺之不已者。刺八 穴而愈。
治腰背俱疼不可忍。刺足少阳经风池二穴。次针手阳明经合谷二穴。次针足太阳经昆仑二穴
治肾虚腰痛久不已。刺足少阳经肩井二穴。次针足太阳经肾俞二穴。
治腰脊内引痛不得屈伸。近上痛者。刺手阳明经合谷二穴。
治腰脊内引痛。不得屈伸。近下痛者。刺足太阳经昆仑二穴。又刺足少阴经复溜穴。
治脊强反折。刺督脉哑门一穴。应时立愈。
治腰胯疼痛。不得转侧。刺足少阳经环跳二穴。次针丘墟二穴
治闪着腰疼。错出气腰疼。及本脏气虚。刺任脉气海一穴。以圆利针。刺肥人针入一寸
瘦
人针入五分。三补三泻。令人觉脐上或脐下满腹生痛停针。候二十五息。左手重按其穴。右
手进针三息。又停针二十五息。根据前进针。令人觉从外肾热气上入小腹满肚。出针神效
治腰疼寸步难移者。端正齐足立地。以杖子一条。当前就地量至肚脐住。以杖子再量至
脊背后。杖尽住。当脊两边约一寸三处。齐灸。每处三下。除根也。
治反腰有血痛。 腰者。犹如反腰。忽转而 之。灸腰眼中七壮。
治腰痛不可俯仰。转侧难。身寒热。食倍多。身羸瘦。面黄黑。目KT KT 。及治丈夫妇人
积冷气劳病。穴肾俞。
治腰痛不可俯仰。夹脊膂痛上下按之应者。从项后至此穴。皆灸之立愈也。穴中膂俞。
澹寮方云。徐熙字秋夫。不知何郡人。时为射阳令。少善医方。名闻海内。尝夜闻有鬼
呻吟
声。甚凄苦。秋夫曰。汝是鬼。何所泣。答曰。我姓解名斯。家在东阳。患腰痛而死。虽为
鬼。而疼痛不可忍。闻君善术。愿相救济。秋夫曰。汝是鬼而无形容。何可措治。鬼曰。君
但缚刍为人。索孔穴针之。秋夫如其言。为针腰眼四处。又针肩井二处。设祭而埋之。明旦
一人来谢曰。蒙君医疗。复为设祭。病除饥解。感惠实深。忽然不见。当代称其通灵。长
子道度。次子叔向。皆精其术焉。
治腰尻引小腹痛。遗尿不禁。穴阴包
治腰如冷水。穴阴市
治腰尻肿。 跟肿。穴昆仑
治腹疾腰痛。膀胱寒 饮。注下。灸下极俞。遂年壮。
（附论）
凡是腰痛这种病，其根本原因都在于肾。因为肾与腰脊相连系。各条经脉引起的腰痛表现各不相同，应当根据具体证候进行治疗。
凡是腰痛牵引到项部和脊背，感觉沉重像背负重物一样的，是足太阳经的病变。针刺其中正脉出血。春季不要见血（指委中穴）。
腰痛像被针刺一样，不能俯身和仰身，不能回头看的情况，针刺少阳经成骨端的穴位，少量出血。夏季不要见血（成骨是指膝盖外侧单独隆起的骨头）。
腰痛不能回头看，如果伴有经常悲伤哭泣的症状，是阳明经的病变。针刺阳明经前三寸处的穴位，上下刺之出血。秋季不要见血（指足三里穴）。
腰痛牵引到脊柱内侧的，属于少阴经病变。针刺内踝上两寸处的穴位出血。春季不要见血。如果出血过多，就无法恢复了（指复溜穴）。
腰部中间像拉满弓弩弦一样紧绷的，属于厥阴经病变。针刺脚后跟鱼腹部位的外侧，顺着摸到有颗粒感的地方再针刺（指蠡沟穴）。
腰痛牵引到肩部和眼部，眼睛昏花看不清，时常遗尿的，病在解脉。针刺膝盖筋内分肉之间，外侧出血。血液颜色变红就停止（这也是太阳经的穴位）。
腰痛像被带子牵引一样，经常感觉腰像折断了一样，容易恐惧的，也是解脉的病。针刺腘窝中结络如小米粒大小的地方，针刺时血液喷射而出，看到黑血流出就停止（指委中穴）。
腰痛好像有小锥子在里面，局部浮肿的，病在同阴之脉。针刺绝骨端，扎三针（指阳辅穴）。
腰痛局部浮肿的，属于阳明经的脉病。针刺小腿肚下方距离地面一尺左右的地方（指承山穴）。
腰痛不能俯仰，仰身时害怕跌倒。这是由于举重损伤了腰部，冲脉络脉断裂，血液回流积聚所致。针刺阳筋之间上方数寸处，横向进针，扎两针（指委阳穴）。
腰痛上部累累然出汗，汗干后让人想喝水，喝完后又想走动的，属于会阴之脉的病变。针刺跷脉上下五寸处横向进针，观察血管盛满处出血（指承筋穴）。
腰痛疼痛部位怫怫然发热，严重时悲伤恐惧的，病属飞扬之脉。针刺内踝上五寸处，即少阴经之前与阴维脉交会的地方（指复溜及筑宾穴）。
腰痛牵引胸部，眼睛昏花看不清，严重时身体反折、舌头僵硬不能说话的，病在昌阳之脉。针刺内踝上大筋前、太阴经后、上踝二寸左右的地方（指交信穴）。
腰痛且发热，热甚则心烦，腰部下面好像有横木卡在中间，严重时遗尿的，病在散脉。针刺膝前骨肉分间络脉外侧束脉处，扎三针（指地机穴）。
腰痛不能咳嗽，一咳嗽就筋脉收缩拘急的，病在肉里之脉。针刺太阳经外侧、少阳经绝骨之后方，扎两针（指分肉穴）。
腰痛且脊背也痛，颈部僵硬不适，眼睛昏花看不清，想要跌倒的，针刺某处出血。
腰痛上部发冷，针刺足太阳经和足阳明经；上部发热，针刺足厥阴经；中部发热且气喘，针刺足少阴经。针刺某处出血。
腰痛上部发冷不能回头看，针刺足阳明经；大便困难，针刺足少阴经；小腹胀满，针刺足厥阴经。
如果腰痛像折断一样不能俯仰，不能抬举，针刺足太阳经和足阳明经。
疼痛牵引少腹，牵制睾丸不能仰身，针刺腰尻交会处，即两踝胛骨上方。根据月亮盈亏变化决定针刺次数。下针后疼痛立即停止。左病取右穴，右病取左穴。这是治疗腰痛的方法。除了上述穴位外，还有遗留的治疗方法，附在后面。
〔法〕
治疗腰痛牵引小腹痛的穴位：居髎。
治疗腰痛恶寒，小腹坚结，癃闭不得小便，泄利，腰背突然疼痛的穴位：胞肓。
治疗腰痛不能俯仰，小便赤涩，腰尻沉重不能抬举的穴位：秩边。
治疗腰部沉重不能抬举身体的穴位：委中。
治疗腰髋疼痛，脚膝活动不利的穴位：白环俞。
治疗因跌扑损伤导致的腰髋疼痛的穴位：肩井。
治疗腰髋疼痛脊背强直，不能转动的穴位：腰俞。
治疗腰腹相互牵引疼痛的穴位：命门。
治疗腰背强痛的穴位：肺俞。
治疗腰痛的穴位：阴陵泉、大肠俞。
治疗腰痛不能转侧的穴位：下髎。
治疗腰部像坐在水中一样的感觉的穴位：阳辅。
治疗腰痛大便困难的穴位：涌泉。
治疗腰痛不能俯仰，寒热腹胀牵引背部导致呼吸不畅的穴位：京门。
治疗腰痛肩部寒冷的穴位：肝俞。
治疗腰痛的穴位：肾俞、气海俞、中膂俞。
治疗风劳腰痛的穴位：关元俞、膀胱俞。
治疗恶气，腰背突然疼痛。又说：腰痛不可忍受，俯仰困难，恶寒，小便涩滞的穴位：胞肓。
治疗腰尻沉重，不想起身，俯仰困难，厌恶听到人声的穴位：昆仑。
治疗腰尻沉重，起身困难的穴位：风市。
治疗腰痛不可俯仰，转侧困难的穴位：肾俞。
治疗腰痛不能久站，腰部以下至足部麻木不仁，坐起困难，腰脊急强，不能俯仰，腰部沉重像石头一样，难以动静的穴位：腰俞。
治疗四肢寒热，腰痛不能俯仰，身体发黄，腹部胀满，呕吐食物，舌根僵直的，灸第十一椎上方及左右各一寸五分三处。每处灸七壮。
治疗腰痛的穴位：腰俞、膀胱俞、长强、气冲、上髎、下髎、居髎。
治疗腰痛不能回头的穴位：足三里、阴市、阳辅、蠡沟。
治疗腰痛像锤子击打居中，肿痛不能咳嗽，一咳嗽就筋脉收缩拘急，各个关节疼痛上下无常，寒热的穴位：阳辅。
治疗腰痛不能抬举的穴位：申脉、太冲、阳跷。
治疗腰痛不可俯仰，又治疗腰痛能俯不能仰的穴位：委阳、殷门、太白、阴陵泉、行间。
治疗腰痛能俯不能仰的穴位：委阳、殷门。
治疗腰痛像折断一样的穴位：束骨、飞阳、承筋。
治疗腰痛大便困难的穴位：涌泉。
治疗腰痛不能久站的穴位：京门。
治疗腰痛不能俯仰的穴位：气冲。
治疗腰背痛，宜针刺并决破膝腰勾画中青赤色的络脉出血，病就好了。
治疗腰痛不能俯仰的方法：让患者正立，用竹柱抵在地上量到脐部，截断竹子，然后用这段竹子去量背脊长度。灸竹子顶端对应的位置。随患者年龄决定灸壮数。灸完后，藏起竹子不要让病人知道。
治疗腰痛，灸脚跟上横纹中的白肉际处，十壮效果好。又灸足太阳经（昆仑穴）七壮。又灸腰目七壮。位置在尻骨上方的左右约处。又灸八髎穴。以及外踝上骨约正中处。
治疗腰部突然疼痛，灸穷骨上一寸七壮。左右各一寸处各灸七壮。
治疗腰脊痛，灸小肠俞，五十壮。
治疗腰背痛，灸三焦俞，随年龄决定壮数。
王氏说：有个妇人久病腰部非常疼，灸了腰眼后，医生把针放在火中烧热点刺患处。起初没有深入，后来疼痛停止了，所以知道“火不负人”的说法是有道理的。
以前许知可因为淮南大水，忽然腹中如水吼叫，调治好后，从此腰痛不能屈伸。思考这一定是肾经感受水气而得的病。灸肾俞三七壮，服用鹿茸丸痊愈。王氏说：我认为腰痛不能屈伸，灸肾俞自然有效，不服鹿茸丸也可以。
王氏说：我弟弟腰痛，出入非常艰难，我用火针微微频繁地针刺肾俞，则步履恢复正常。起初并没有灸。多次有人腰背驼背，来找我点灸。我心想这是筋病导致的，为他点刺阳陵泉，让他回去自己灸。既然后好了。因为阳陵泉是筋会。然而腰痛，又不能专门死守肾俞，而不灸其他穴位。
治疗腰驼背牵引颈部筋脉，无力收摄的穴位：风池。
治疗腰强直的穴位：肺俞。
治疗腰痛像折断，像结块，耳聋，恶风寒，目眩颈部不能回头，目内眦赤烂的穴位：束骨。
治疗腰脊挛痛的穴位：白环俞。
治疗腰痛不能反侧的穴位：章门。
治疗腰痛不得已的，灸白环俞二穴，又灸腰目七壮。
治疗腰痛牵引睾丸，少腹及大腿突然不能俯仰的，刺气冲穴。
治疗忽然气滞，腰痛不可俯仰，刺足太阳络穴神道二穴。其次针刺足厥阴经行间二穴。
治疗久虚之人腰痛，针刺后复发的，腰部沉重不能抬举身体，取经血后痊愈。刺足太阳经委中二穴。
治疗凡是腰痛，针刺无效的，刺八髎穴而痊愈。
治疗腰背俱痛不可忍受，刺足少阳经风池二穴。其次针手阳明经合谷二穴。其次针足太阳经昆仑二穴。
治疗肾虚腰痛久不愈，刺足少阳经肩井二穴。其次针足太阳经肾俞二穴。
治疗腰脊内部牵引疼痛不能屈伸，近上部的疼痛，刺手阳明经合谷二穴。
治疗腰脊内部牵引疼痛，不能屈伸，近下部的疼痛，刺足太阳经昆仑二穴。又刺足少阴经复溜穴。
治疗脊背强直反折，刺督脉哑门一穴，应时立即痊愈。
治疗腰胯疼痛，不能转侧，刺足少阳经环跳二穴。其次针丘墟二穴。
治疗闪挫腰痛，错出气腰痛，以及本脏气虚，刺任脉气海一穴。用圆利针，胖人针入一寸，瘦人针入五分。三补三泻。让人感觉到脐上或脐下满腹产生痛感停针，等待二十五息。左手重按穴位，右手进针三息。又停针二十五息。根据前面方法继续进针。让人感觉到从外肾热气上行进入小腹满肚。出针效果神奇。
治疗腰痛寸步难移者，端正站立齐足着地，用一根拐杖，当前就地量到肚脐停下。用拐杖再量到脊背后，杖尽停下。当脊背两边大约一寸三处，同时灸。每处三下。可以除根。
治疗反腰有血痛，反腰者，犹如反腰，忽然转向一侧疼痛。灸腰眼中七壮。
治疗腰痛不可俯仰，转侧困难，身体寒热，食量倍增，身体消瘦，面色黄黑，眼睛昏花。以及治疗男女积冷气劳病，穴位：肾俞。
治疗腰痛不可俯仰，夹脊膂痛上下按压有反应的，从项后到这个穴位，都灸之立即痊愈。穴位：中膂俞。
澹寮方记载：徐熙字秋夫，不知是哪个郡的人。当时担任射阳县令。年轻时擅长医方，名闻海内外。曾经夜里听到有鬼呻吟声，非常凄苦。秋夫说：你是鬼，为什么哭泣？回答说：我姓解名斯，家在东阳。患腰痛而死。虽然是鬼，但疼痛不可忍受。听说您医术高明，希望救济我。秋夫说：你是鬼而没有形体，怎么治疗？鬼说：您只要绑扎稻草为人形，寻找孔穴针刺它。秋夫照做，为稻草人针腰眼四处，又针肩井二处。设祭埋掉它。第二天早上一个人来感谢说：承蒙您医疗，又为我设祭。病除饥解。感激恩惠实在深重。忽然不见了。当时人称他通灵。长子道度，次子叔向，都精通他的医术。
治疗腰尻牵引小腹痛，遗尿不禁的穴位：阴包。
治疗腰部像冷水浸泡一样的穴位：阴市。
治疗腰尻肿，脚跟肿的穴位：昆仑。
治疗腹疾腰痛，膀胱寒冷饮水，注下腹泻。灸下极俞。随年龄决定壮数。
(Attached Discussion)
All diseases of lower back pain (Yao Tong) originate from the Kidney. This is because the Kidney connects to the lumbar spine. The manifestations of lower back pain vary among different meridians; treatment should be based on syndrome differentiation.
When lower back pain radiates to the neck and spine, feeling heavy as if bearing a burden, it is a disease of the Foot-Taiyang Meridian. Prick the central meridian to bleed. In spring, avoid bleeding (referring to Weizhong BL-40).
When lower back pain feels like needle pricks, preventing flexion and extension, and inability to look back, prick the end of the "Chenggu" bone of the Shaoyang meridian with slight bleeding. In summer, avoid bleeding ("Chenggu" refers to the prominent bone on the lateral side of the knee).
When lower back pain prevents looking back, accompanied by frequent sadness and weeping, it is a disease of the Yangming meridian. Prick the Yangming meridian three cun anteriorly, stabbing up and down to bleed. In autumn, avoid bleeding (referring to Zusanli ST-36).
When lower back pain radiates to the medial aspect of the spine, it belongs to the Shaoyin meridian. Prick the acupoint two cun above the medial malleolus to bleed. In spring, avoid bleeding. Excessive bleeding cannot be recovered (referring to Fuliou KI-7).
When the waist feels tight like a drawn bowstring, it belongs to the Jueyin meridian. Prick the lateral side of the "fish belly" at the heel. Follow the sensation until nodules are felt, then prick (referring to Ligou LR-5).
When lower back pain radiates to the shoulder and eyes, causing blurred vision and occasional enuresis, the disease is in the Jie Mai. Prick between the muscles inside the knee joint, bleeding from the lateral side. Stop when the blood color changes (this is also a Taiyang acupoint).
When lower back pain feels like being pulled by a belt, often feeling as if the waist is broken, and prone to fear, it is also a disease of the Jie Mai. Prick the knotted collaterals in the popliteal fossa resembling millet grains. Blood will shoot out; stop when dark blood appears (referring to Weizhong BL-40).
When lower back pain feels like a small awl is inside, with local swelling, the disease is in the Tongyin meridian. Prick the end of Jiegu (Gaohuang GB-39), inserting three needles.
When lower back pain presents with local swelling, it belongs to the Yangming meridian disease. Prick the area about one chi below the calf muscle belly (referring to Chengshan BL-57).
When lower back pain prevents flexion and extension, and fear of falling upon extension, caused by lifting heavy objects injuring the waist, severing collateral vessels, and causing blood stasis, prick between the Yang tendons, several cun above, horizontally inserting two needles (referring to Weiyang BL-38).
When upper lower back pain is accompanied by profuse sweating, thirst after sweat dries, and restlessness after drinking, it belongs to the Huiyin meridian. Prick the Qiao vessel five cun above and below, horizontally inserting, and bleed where vessels are full (referring to Chengjin BL-56).
When lower back pain is hot and irritable, leading to sorrow and fear, the disease belongs to the Feiyang meridian. Prick five cun above the medial malleolus, at the intersection of the Shaoyin meridian and Yinwei vessel (referring to Fuliou KI-7 and Zubin KI-9).
When lower back pain radiates to the chest, with blurred vision, severe cases involving opisthotonos and inability to speak, the disease is in the Changyang meridian. Prick anterior to the large tendon above the medial malleolus, posterior to the Taiyin meridian, about two cun above the ankle (referring to Jiaoxin KI-8).
When lower back pain is accompanied by heat, irritability, a sensation of a horizontal block in the lower waist, and severe enuresis, the disease is in the San Mai. Prick the space between bone and muscle anterior to the knee, on the lateral aspect of the collateral vessels, inserting three needles (referring to Diji SP-8).
When lower back pain prevents coughing, and coughing causes muscle spasm, the disease is in the Rouli meridian. Prick posterior to the lateral Taiyang and distal Shaoyang (Jiegu), inserting two needles (referring to Fenrou).
When lower back pain involves the spine, stiff neck, blurred vision, and desire to fall, prick an acupoint to bleed.
For coldness in the upper waist, prick Foot-Taiyang and Foot-Yangming meridians; for heat in the upper waist, prick Foot-Jueyin; for heat in the middle waist with panting, prick Foot-Shaoyin. Prick an acupoint to bleed.
For coldness in the upper waist preventing looking back, prick Foot-Yangming; for difficult defecation, prick Foot-Shaoyin; for lower abdominal fullness, prick Foot-Jueyin.
If lower back pain feels like breaking, preventing flexion/extension and lifting, prick Foot-Taiyang and Foot-Yangming.
If pain radiates to the lower abdomen and testicles, preventing extension, prick the intersection of the waist and sacrum, above the malleoli. Determine the number of insertions based on the lunar cycle. Pain stops immediately upon needling. Treat left disease with right points, and right disease with left points. This is the method for treating lower back pain. Besides these acupoints, there are remaining methods attached below.
[Methods]
For lower back pain radiating to the lower abdomen: Juliao GB-26.
For lower back pain with aversion to cold, hard/lumpy lower abdomen, strangury with inability to urinate, diarrhea, and sudden lower back pain: Baohuang BL-54.
For lower back pain preventing flexion/extension, red/astringent urination, and heavy lower back/sacrum unable to lift: Zhibian BL-54.
For heavy waist unable to lift the body: Weizhong BL-40.
For lumbosacral pain and leg/knee dysfunction: Baihuan Shu BL-30.
For lumbosacral pain due to falls/injuries: Jianjing GB-21.
For lumbosacral pain with spinal stiffness and inability to turn: Yaoshu BL-23.
For mutual radiating pain between waist and abdomen: Mingmen GV-4.
For strong pain in lower back: Feishu BL-13.
For lower back pain: Yinlingquan SP-9, Dachangshu BL-25.
For lower back pain preventing turning: Xialiao BL-33.
For sensation of sitting in water in the waist: Yangfu GB-38.
For lower back pain with difficult defecation: Yongquan KI-1.
For lower back pain preventing flexion/extension, chills/fever, abdominal distension radiating to back causing breathing difficulty: Jingmen GB-25.
For lower back pain with cold shoulders: Ganshu BL-18.
For lower back pain: Shenshu BL-23, Qihai Shu BL-6, Zhonglv Shu BL-27.
For wind-labor lower back pain: Guanyuan Shu BL-26, Pangguang Shu BL-28.
For evil qi, sudden lower back pain. Also: unbearable lower back pain, difficulty in flexion/extension, aversion to cold, astringent urination: Baohuang BL-54.
For heavy sacrum, unwillingness to rise, difficulty in flexion/extension, aversion to human voices: Kunlun BL-60.
For heavy sacrum, difficulty rising: Fengshi GB-31.
For lower back pain preventing flexion/extension, difficulty turning: Shenshu BL-23.
For lower back pain preventing long standing, numbness from waist to feet, difficulty sitting/rising, acute spinal stiffness, inability to flex/extend, heavy waist like stone, difficult movement: Yaoshu BL-23.
For alternating cold/heat in limbs, lower back pain preventing flexion/extension, jaundice, abdominal fullness, vomiting, straight tongue root: Moxa 7 times at three points: one cun five fen above and below the eleventh thoracic vertebra.
For lower back pain: Yaoshu BL-23, Pangguang Shu BL-28, Changqiang GV-1, Qichong ST-30, Shangliao BL-31, Xialiao BL-33, Juliao GB-26.
For lower back pain preventing looking back: Zusanli ST-36, Yinshi ST-31, Yangfu GB-38, Ligou LR-5.
For lower back pain like hammer blow in center, swelling/pain preventing cough (cough causes spasm), wandering joint pain, chills/fever: Yangfu GB-38.
For lower back pain preventing lifting: Shenmai BL-62, Taichong LR-3, Yangqiao.
For lower back pain preventing flexion/extension, and lower back pain allowing flexion but not extension: Weiyang BL-38, Yamen BL-67, Taidai SP-3, Yinlingquan SP-9, Xingjian LR-2.
For lower back pain allowing flexion but not extension: Weiyang BL-38, Yamen BL-67.
For lower back pain like breaking: Shugu BL-65, Feiyang BL-58, Chengjin BL-56.
For lower back pain with difficult defecation: Yongquan KI-1.
For lower back pain preventing long standing: Jingmen GB-25.
For lower back pain preventing flexion/extension: Qichong ST-30.
For lower back pain: Prick and drain blue/red collateral vessels around the knee/waist until bleeding; condition improves.
For lower back pain preventing flexion/extension: Have patient stand upright. Measure from ground to umbilicus with a bamboo stick. Cut stick. Measure from neck to this point on spine. Moxa at the top of the stick corresponding to age. Hide the stick.
For lower back pain: Moxa ten times at the white flesh margin of the transverse crease on the heel. Also moxa Foot-Taiyang (Kunlun) seven times. Also moxa Yao Mu seven times. Location: above sacrum, left/right approx. Also moxa Baliao. And mid-point above lateral malleolus.
For sudden lower back pain: Moxa one cun above Qionggu (coccyx) seven times. One cun left/right each seven times.
For lumbosacral pain: Moxa Xiaochangshu BL-27, fifty times.
For lower back pain: Moxa Sanjiaoshu BL-22, according to age.
Wang Shi said: A woman with chronic illness had severe lower back pain. After moxa on Yao Yan, the doctor heated a needle in fire and pricked the spot. Initially shallow, pain stopped later. Thus, "fire does not fail people" is credible.
Xu Zhike once had abdominal roaring after flood waters. After recovery, he developed lower back pain preventing flexion/extension. This was likely Kidney meridian affected by water qi. Moxa Shenshu BL-23 thirty-seven times, took Deer Antler Pill to cure. Wang Shi said: I believe moxa on Shenshu is effective for lower back pain preventing flexion/extension; Deer Antler Pill is optional.
Wang Shi said: My brother had severe lower back pain making walking difficult. I used fire needle to frequently prick Shenshu BL-23 lightly, restoring normal gait. No moxa initially. Many people with hunchback came for point moxa. I suspected tendon disease, pointed Yanglingquan GB-34, told them to moxa at home. It cured. Yanglingquan is the Hui of Tendons. Thus, lower back pain should not rely solely on Shenshu BL-23, ignoring other points.
For hunchback pulling neck tendons, weakness: Fengchi GB-20.
For stiff waist: Feishu BL-13.
For lower back pain like breaking, knotting, deafness, aversion to wind/cold, vertigo, inability to turn neck, red/rotten inner canthus: Shugu BL-65.
For lumbosacral cramping pain: Baihuan Shu BL-30.
For lower back pain preventing turning: Zhangmen LR-13.
For unavoidable lower back pain: Moxa Baihuan Shu BL-30 twice, and Yao Mu seven times.
For lower back pain radiating to testicles, sudden lower abdomen/thigh pain preventing flexion/extension: Qi Chong ST-30.
For sudden qi stagnation, lower back pain preventing flexion/extension: Prick Shen Dao GV-11 (Foot-Taiyang Luo) twice. Then Xingjian LR-2 (Foot-Jueyin) twice.
For chronic deficiency lower back pain recurring after needling, heavy waist unable to lift: Take meridian blood to cure. Prick Weizhong BL-40 (Foot-Taiyang) twice.
For persistent lower back pain unresponsive to needling: Prick Baliao BL-31-34 to cure.
For unbearable lower back/shoulder pain: Prick Fengchi GB-20 (Foot-Shaoyang) twice. Then Hegu LI-4 (Hand-Yangming) twice. Then Kunlun BL-60 (Foot-Taiyang) twice.
For chronic Kidney deficiency lower back pain: Prick Jianjing GB-21 (Foot-Shaoyang) twice. Then Shenshu BL-23 (Foot-Taiyang) twice.
For internal radiating lower back/spine pain preventing flexion/extension, upper pain: Prick Hegu LI-4 (Hand-Yangming) twice.
For internal radiating lower back/spine pain preventing flexion/extension, lower pain: Prick Kunlun BL-60 (Foot-Taiyang) twice. Then Fuliou KI-7 (Foot-Shaoyin).
For spinal stiffness/opisthotonos: Prick Yamen GV-1 (Du Mai). Cured immediately.
For lumbosacral pain preventing turning: Prick Huantiao GB-30 (Foot-Shaoyang) twice. Then Qiuxu GB-40 twice.
For sprain lower back pain, displaced qi lower back pain, and visceral qi deficiency: Prick Qihai CV-6 (Ren Mai) with Yuanli needle. Deep 1 cun for fat, 0.5 cun for thin. Three tonifying, three reducing. Wait for sensation of fullness/pain above/below umbilicus. Hold 25 breaths. Press firmly with left hand, insert with right hand for 3 breaths. Hold 25 breaths. Continue insertion. Sensation of warm qi from external kidneys entering lower abdomen. Excellent effect.
For immobile lower back pain: Stand upright. Measure from ground to umbilicus with staff. Measure from staff end to back. Mark three points one cun lateral to spine. Moxa three times each. Removes root cause.
For reverse lower back blood pain (sudden turning pain): Moxa Yao Yan seven times.
For lower back pain preventing flexion/extension, difficulty turning, chills/fever, increased appetite, emaciation, yellow-black face, blurred vision. Also for accumulation cold qi labor disease in men/women: Shenshu BL-23.
For lower back pain preventing flexion/extension, paraspinal pain responsive to pressure: Moxa from neck to this point for immediate cure. Point: Zhonglv Shu BL-27.
Dan Liao Fang records: Xu Xi, courtesy name Qiufu, unknown origin. Served as Sheyang Magistrate. Skilled in medicine, famous nationwide. Heard ghost wailing at night. Asked why crying. Ghost replied: Name Si Jie, from Dongyang, died of lower back pain. Pain unbearable even as ghost. Requested help. Qiufu said ghosts have no form. Ghost said: Bind straw into human shape, prick acupoints. Qiufu did so, pricked four points on Yao Yan, two on Jianjing. Buried with sacrifice. Next day, a man thanked him, saying illness removed, hunger solved. Disappeared. Called spiritual. Sons Daodu and Shuxiang mastered his skills.
For lower back/sacrum radiating to lower abdomen, involuntary urination: Yinbao LR-11.
For waist feeling like cold water: Yinshi ST-31.
For lumbosacral swelling, heel swelling: Kunlun BL-60.
For abdominal disease lower back pain, Cold Bladder with fluid retention, diarrhea: Moxa Xiaji Shu BL-32. According to age.