（附论）
夫肾主腰足。因劳伤动其经。虚则风冷乘之则腰痛。冷气乘虚入腹。则腹痛。故令腰腹
相引而痛。其痛不止多动胎气。妇人肾以系胞。妊娠而腰痛甚者。则胎堕也。
方
五加皮散（出圣惠方）妊娠腰疼痛不可忍。或连胯痛。先服此散。
杜仲（四两） 五加皮（三两） 阿胶（炙） 防风 金毛狗脊 川芎 北细辛 白芍
药（各二两） 杏仁（八十枚去皮尖炒） 萆 （三两） 上 咀。以水九升煮取二升。去
滓。下胶作三服。
续断丸（一名五加皮丸出圣惠方）疗妊娠二月三月腰痛不可忍者。次服此
丸。
续断 杜仲（各十分） 芎 独活（各三两） 狗脊 五加皮 萆 芍药 薯蓣 诃
子肉（
平胃散（一名平安散）治产前气筑刺两胁疼痛。
杜仲散（出圣惠方）疗触动胎不安。以致腰痛背痛。及脐腹内痛。
杜仲 五加皮 当归 芍药 川芎 萆 （各三两） 人参（一两半） 上细锉。以水
七升煮取二升半。分温三服。无时。
防风汤 治妊娠身痛。
防风（去芦炒） 本（去芦） 独活（去芦） 细辛（去叶） 甘草 阿胶（炒令沸
燥以上等分）
当归散（出大全良方）疗妊娠气壅攻腰。痛不可忍。兼治腹痛。二三月娠。
当归（三两） 阿胶 甘草（各二两） 葱白（一斤） 上细锉。以水七升。煮取三升。
去滓。分温五服。无时。
大地黄丸 治产前后腰腹疼。一切血疼。及治气血虚。四肢不举。骨体热疼。
乌梅肉 当归（各一两） 熟地黄（二两） 上为细末。炼蜜丸如弹子大。每服一丸。
白汤嚼下。空心。
大腹皮散 治妊娠气壅攻腰。疼痛不可忍。
大腹皮（锉） 郁李仁（汤浸去皮尖微炒） 泽泻（各一两） 上捣筛为散。每服四钱。
水一盏。生姜半分。煎至六分去滓。不计时候。温服。
治妊娠腰痛。
豉（二两） 榆白皮（三两） 上熟捣。蜜丸如梧桐子大。每服二七丸。亦治心痛。温
酒下亦可服。
治妊娠腰痛不止方。
鹿角屑（二两微炒） 生干地黄（一两半） 上捣细罗为散。每于食前以温酒调下二钱。
治妊娠腰痛。
用麻子三升。以水五升。煮取汁三升。分为五服。亦治心痛。
牛屎方 治妊娠腰痛。亦治心痛烦闷。
用烧牛屎焦末。水服方寸匕。日三服。
地黄酒 治妊娠腰痛。
紫酒 治妊娠腰痛如折。亦治常人腰痛。亦名圣酒方。
用大黑豆二合。炒令香熟。以酒一大盏。煮取七分。去豆。空心顿服。
通气散 治妊娠腰痛状不可忍。此药神妙。
用破故纸不拘多少。瓦上炒令香熟。为末。嚼核桃肉半个。空心温酒调下二钱。
疗妊娠腰背痛反复不得。
用鹿角长六寸。烧令赤。酒中淬。再烧再淬。以角碎为度。取酒饮之。为末服。亦可。
治妊娠卒腰背痛如折。
以银一两。水三升。煎取二升饮之。
产前软胯。
甘草 生姜 乌梅（等分锉碎） 上用水一大盏。同煎至八分去滓。服便令胯骨软。产
宫受气痛不攻作。
杜仲丸 治冲任脉虚。血海虚弱。寒湿邪气客搏胞络。妊娠腰痛。小腹牵连。行步
力弱。艰于俯仰。小便白浊。昼夜频并。
五加皮 萆 山茱萸（各三两） 杜仲（四两炒去丝） 阿胶（蛤粉炒成珠子） 金
毛狗脊（炙去毛） 防风（去芦头） 川芎 细辛（去叶） 鹿角屑（六味各二两） 当归
（洗焙） 生干地黄（各二两） 上件为细末。蜜糊和丸如梧桐子大。每服三十丸。温酒送
下。或煎艾汤下。空心
阿胶丸 治妊娠胎脏受寒。腰腹疼痛。或因损动。恶露频下。腹痛阵作。
香附子（去毛） 天仙子（炒令黑） 当归（洗焙各二两） 五味子 吴茱萸（汤洗七
遍各一两半） 阿胶（蛤粉炒） 川芎 干姜（炮各一两） 苍术（三两米泔水浸一宿焙干）
上件为细末。醋煮面糊为丸如梧桐子大。每服三十丸。煎艾汤下。或木香醋汤下。空心食前。
治妊娠腰痛不可胜举。两足沉重。行步无力。脐腹痛不可胜忍。
杜仲（去粗皮） 续断 茯苓 川芎 防风 芍药 萆 当归（各半两） 枳壳（切
取青） 细辛（各一分） 上细杵罗为末。每服三钱。水一盏二分。同煎。取一盏。去滓。
空心吃。蜜丸如梧桐子大。早朝空心盐汤下。三十丸亦得。
（附论）
肾脏主管腰部和足部。因劳累损伤导致经络受动，正气虚弱时风冷之邪便会乘虚侵袭从而引发腰痛。冷气乘虚侵入腹部，则引起腹痛。因此导致腰部与腹部相互牵引而疼痛。这种疼痛若不止息，容易扰动胎气。妇女的肾脏通过经络系连胞宫（子宫），妊娠期间如果腰痛严重，就会导致流产。
方剂
五加皮散（出自《圣惠方》）治疗妊娠期间腰部疼痛剧烈难以忍受，或者牵连胯部疼痛。先服用此散剂。
杜仲（四两）、五加皮（三两）、阿胶（炙烤）、防风、金毛狗脊、川芎、北细辛、白芍药（各二两）、杏仁（八十枚，去皮尖后炒制）、萆薢（三两）。以上药材切碎，用水九升煎煮至二升，滤去药渣，加入阿胶溶化，分三次温服。
续断丸（又名五加皮丸，出自《圣惠方》）治疗妊娠第二、三个月腰部疼痛剧烈难以忍受者，接着服用此丸剂。
续断、杜仲（各十分）、川芎、独活（各三两）、狗脊、五加皮、萆薢、芍药、薯蓣、诃子肉（剂量未详，原文此处似有缺漏，依文意理解为各适量或与前文对应，但严格按原文提取实体即可，此处仅翻译可见部分）。
杜仲散（出自《圣惠方》）治疗触动胎气不安，以致引起腰痛背痛，以及脐腹内部疼痛。
杜仲、五加皮、当归、芍药、川芎、萆薢（各三两）、人参（一两半）。以上药材细细锉碎，用水七升煎煮至二升半，分三次温服，不拘时候。
防风汤 治疗妊娠身体疼痛。
防风（去芦头炒制）、藁本（去芦头）、独活（去芦头）、细辛（去叶）、甘草、阿胶（炒至沸燥）。以上药材等分。
当归散（出自《大全良方》）治疗妊娠气机壅滞攻冲腰部，疼痛难以忍受，兼治腹痛。适用于怀孕二、三个月时。
当归（三两）、阿胶、甘草（各二两）、葱白（一斤）。以上药材细细锉碎，用水七升，煎煮至三升，滤去药渣，分五次温服，不拘时候。
大地黄丸 治疗生产前后腰腹部疼痛，一切血瘀疼痛，以及治疗气血虚弱，四肢不能举动，骨骼身体热痛。
乌梅肉、当归（各一两）、熟地黄（二两）。以上药材研为细末，用炼蜜制成如弹子大小的丸剂。每次服用一丸，空腹时用白开水送服并嚼下。
大腹皮散 治疗妊娠气机壅滞攻冲腰部，疼痛难以忍受。
大腹皮（锉碎）、郁李仁（热水浸泡去皮尖微炒）、泽泻（各一两）。以上药材捣碎过筛为散剂。每次服用四钱，用水一盏，生姜半分，煎至六分，滤去药渣，不计时候，温服。
治疗妊娠腰痛。
豆豉（二两）、榆白皮（三两）。以上药材熟捣，用蜂蜜制成如梧桐子大小的丸剂。每次服用十四丸，也可用温酒送服。亦治疗心痛。
治疗妊娠腰痛不止的方法。
鹿角屑（二两微炒）、生干地黄（一两半）。以上药材捣细罗筛为散剂。每次在饭前用温酒调服二钱。
治疗妊娠腰痛。
用麻子三升，用水五升，煎取汁液三升，分为五次服用。亦治疗心痛。
牛屎方 治疗妊娠腰痛，也治疗心痛烦闷。
用烧焦成末的牛屎，用水送服一方寸匕，每日三次服用。
紫酒 治疗妊娠腰痛如折断感，也治疗常人腰痛，又名圣酒方。
用大黑豆二合，炒至香熟，用酒一大盏，煎煮至七分，去掉豆子，空腹一次性服下。
通气散 治疗妊娠腰痛状如不可忍受，此药神妙。
用破故纸（补骨脂）不拘多少，在瓦上炒至香熟，研为末。咀嚼半个核桃肉，空腹用温酒调服二钱。
治疗妊娠腰背痛反复发作不得缓解。
用长六寸的鹿角，烧至通红，在酒中淬火，再烧再淬，直到鹿角碎裂为止。取此酒饮用，或将鹿角末服用亦可。
治疗妊娠突然发生的腰背痛如折断感。
用银一两，水三升，煎取二升饮下。
产前软胯。
甘草、生姜、乌梅（等分锉碎）。以上药材用水一大盏，同煎至八分，滤去药渣。服用后能使胯骨变软，使产宫受气痛不再发作。
杜仲丸 治疗冲任脉虚弱，血海虚弱，寒湿邪气客居搏结于胞络，导致妊娠腰痛，小腹牵连疼痛，行走无力，俯仰困难，小便白浊，昼夜频繁发作。
五加皮、萆薢、山茱萸（各三两）、杜仲（四两炒去丝）、阿胶（蛤粉炒成珠子状）、金毛狗脊（炙烤去毛）、防风（去芦头）、川芎、细辛（去叶）、鹿角屑（以上六味各二两）、当归（洗焙）、生干地黄（各二两）。以上药材为细末，用蜜糊和丸如梧桐子大小。每次服用三十丸，用温酒送下，或用艾叶汤送下，空腹服用。
阿胶丸 治疗妊娠胎脏受寒，腰腹疼痛，或因损动导致恶露频下，腹痛阵发性发作。
香附子（去毛）、天仙子（炒至黑色）、当归（洗焙各二两）、五味子、吴茱萸（汤洗七遍各一两半）、阿胶（蛤粉炒）、川芎、干姜（炮制各一两）、苍术（三两米泔水浸泡一夜焙干）。以上药材为细末，用醋煮面糊为丸如梧桐子大小。每次服用三十丸，用艾叶汤送下，或用木香醋汤送下，空腹食前服用。
治疗妊娠腰痛不可胜举，两足沉重，行走无力，脐腹痛难以忍受。
杜仲（去粗皮）、续断、茯苓、川芎、防风、芍药、萆薢、当归（各半两）、枳壳（切取青色）、细辛（各一分）。以上药材细细杵罗为末。每次服用三钱，用水一盏二分，同煎，取一盏，滤去药渣，空腹吃。也可制成蜜丸如梧桐子大小，早晨空腹用盐汤送下三十丸亦可。
(Attached Discussion)
The Kidney governs the waist and feet. Injury due to overexertion disturbs the meridians; when deficiency exists, wind-cold pathogens invade, causing lower back pain. Cold qi invading the abdomen due to deficiency causes abdominal pain. Thus, the waist and abdomen are drawn together in pain. If this pain persists, it may disturb fetal qi. In women, the Kidney connects to the Bao Palace (uterus). During pregnancy, severe lower back pain may lead to miscarriage.
Formulas
Wujiapi San (Five Adder Skin Powder, from *Shenghui Fang*) treats unbearable lower back pain during pregnancy, or pain radiating to the hips. Take this powder first.
Duzhong (4 liang), Wujiapi (3 liang), Ejiao (roasted), Fangfeng, Jinmao Gouji, Chuanxiong, Beixixin, Baishao (each 2 liang), Xingren (80 seeds, peeled, core removed, stir-fried), Bibi (3 liang). The above herbs are coarsely chopped. Decoct with 9 sheng of water until 2 sheng remains. Strain out the dregs, add Ejiao, and divide into three doses.
Xuduan Wan (also known as Wujiapi Wan, from *Shenghui Fang*) treats unbearable lower back pain occurring in the second or third month of pregnancy. Take this pill next.
Xuduan, Duzhong (each 10 fen), Xiong, Duohuo (each 3 liang), Gouji, Wujiapi, Bibi, Shaoyao, Shuyu, Hezi Rou (dosage not specified in text fragment).
Pingwei San (also known as Ping'an San) treats piercing pain in both hypochondria caused by stagnant Qi before childbirth.
Duzhong San (from *Shenghui Fang*) treats fetal instability caused by disturbance, resulting in lower back and back pain, as well as pain inside the umbilical and abdominal region.
Duzhong, Wujiapi, Danggui, Shaoyao, Chuanxiong, Bibi (each 3 liang), Renshen (1.5 liang). The above herbs are finely chopped. Decoct with 7 sheng of water until 2.5 sheng remains. Divide into three warm doses. Take at any time.
Fangfeng Tang treats body pain during pregnancy.
Fangfeng (remove rhizome, stir-fry), Bencao (remove rhizome), Duohuo (remove rhizome), Xixin (remove leaves), Gancao, Ejiao (stir-fried until dry and bubbling). Equal parts of the above.
Danggui San (from *Daquan Liangfang*) treats Qi stagnation attacking the waist during pregnancy, causing unbearable pain, and also treats abdominal pain. Suitable for the second or third month of pregnancy.
Danggui (3 liang), Ejiao, Gancao (each 2 liang), Congbai (1 jin). The above herbs are finely chopped. Decoct with 7 sheng of water until 3 sheng remains. Strain out the dregs. Divide into five warm doses. Take at any time.
Dadihuang Wan treats lower abdominal and lumbar pain before and after childbirth, all types of blood stasis pain, and treats Qi and Blood deficiency, inability to move limbs, and heat-pain in bones and body.
Wumei Rou, Danggui (each 1 liang), Shudihuang (2 liang). The above herbs are ground into fine powder. Mix with refined honey to form pills the size of a bullet. Take one pill per dose. Chew and swallow with plain water on an empty stomach.
Dafupi San treats Qi stagnation attacking the waist during pregnancy, causing unbearable pain.
Dafupi (chopped), Yuliren (soaked in hot water, peeled, core removed, lightly stir-fried), Zexie (each 1 liang). The above are pounded and sifted into a powder. Take 4 qian per dose. With 1 zhan of water and 0.5 fen of fresh ginger, decoct until 0.6 zhan remains. Strain. Take warm at any time.
Treatment for lower back pain during pregnancy.
Chishi (2 liang), Yu Bai Pi (3 liang). The above are thoroughly pounded and mixed with honey to form pills the size of a paulownia seed. Take 14 pills per dose. Can also be taken with warm wine. Also treats heart pain.
Method for persistent lower back pain during pregnancy.
Lujiao Xie (2 liang, lightly stir-fried), Sheng Gan Dihuang (1.5 liang). The above are pounded, finely sieved into a powder. Take 2 qian per dose, mixed with warm wine, before meals.
Treatment for lower back pain during pregnancy.
Use Hemp Seeds (Mazi) 3 sheng. Decoct with 5 sheng of water until 3 sheng of juice remains. Divide into five doses. Also treats heart pain.
Niu Shi Fang treats lower back pain during pregnancy, and also treats heart pain with restlessness.
Use charred cow dung powder. Take 1 fang cun bi with water. Take three times a day.
Dijiu Jiu treats lower back pain during pregnancy.
Zijiu treats lower back pain during pregnancy feeling like breaking, and also treats lower back pain in ordinary people. Also named Sheng Jiu Fang.
Use 2 he of large black beans, stir-fried until fragrant and cooked. Decoct with 1 zhan of wine until 0.7 zhan remains. Remove beans. Take in one dose on an empty stomach.
Tongqi San treats unbearable lower back pain during pregnancy. This medicine is miraculous.
Use Pogostemon cablin (Poguozhi) as needed. Stir-fry on a tile until fragrant. Grind into powder. Chew half a walnut meat. Take 2 qian mixed with warm wine on an empty stomach.
Treatment for recurrent lower back and back pain during pregnancy that does not resolve.
Use a deer antler 6 cun long. Burn until red-hot, quench in wine. Repeat burning and quenching until the antler breaks into pieces. Drink the wine. Alternatively, take the powder.
Treatment for sudden severe lower back and back pain resembling a fracture during pregnancy.
Use 1 liang of silver. Decoct with 3 sheng of water until 2 sheng remains. Drink.
Softening of the hips before childbirth.
Gancao, Shengjiang, Wumei (equal parts, chopped). Decoct with 1 zhan of water until 0.8 zhan remains. Strain. Taking this will soften the hip bones, preventing uterine Qi pain from recurring.
Duzhong Wan treats deficiency of the Chong and Ren meridians, weakness of the Sea of Blood, and invasion of cold-damp pathogens into the Bao Luo (uterine collaterals), causing lower back pain during pregnancy, pulling pain in the lower abdomen, weakness in walking, difficulty bending and stretching, turbid white urine, frequent occurrence day and night.
Wujiapi, Bibi, Shanzhuyu (each 3 liang), Duzhong (4 liang, stir-fried to remove fibers), Ejiao (fried with蛤粉 Ge Fen to form bead-like shapes), Jinmao Gouji (roasted, hair removed), Fangfeng (remove rhizome head), Chuanxiong, Xixin (remove leaves), Lujiao Xie (the above six herbs each 2 liang), Danggui (washed and dried), Sheng Gan Dihuang (each 2 liang). The above are ground into fine powder. Mix with honey paste to form pills the size of paulownia seeds. Take 30 pills per dose, sent down with warm wine, or with Mugwort decoction. Take on an empty stomach.
Ejiao Wan treats cold affecting the fetal organ during pregnancy, causing lower back and abdominal pain, or damage leading to frequent lochia discharge and paroxysmal abdominal pain.
Xiangfu Zi (hair removed), Tianxianzi (stir-fried until black), Danggui (washed and dried, each 2 liang), Wuweizi, Wuzhuyu (washed seven times in hot water, each 1.5 liang), Ejiao (fried with Ge Fen), Chuanxiong, Ganjiang (processed, each 1 liang), Cangzhu (3 liang, soaked overnight in rice wash water, then dried). The above are ground into fine powder. Make pills with vinegar-boiled wheat paste the size of paulownia seeds. Take 30 pills per dose, sent down with Mugwort decoction, or with Aucklandia vinegar decoction. Take on an empty stomach before meals.
Treatment for unbearable lower back pain during pregnancy, heavy legs, weakness in walking, and unbearable pain in the umbilical and abdominal region.
Duzhong (remove coarse bark), Xuduan, Fuling, Chuanxiong, Fangfeng, Shaoyao, Bibi, Danggui (each 0.5 liang), Zhike (cut, use green part), Xixin (each 1 fen). The above are finely pounded and sieved into powder. Take 3 qian per dose. Decoct with 1.2 zhan of water until 1 zhan remains. Strain. Eat on an empty stomach. Alternatively, make honey pills the size of paulownia seeds. Take 30 pills in the morning on an empty stomach with salt water.