研），用胡桃三十个为膏，入面少许，酒煮糊为丸。（《续易简后集》曰∶真
暮年之良剂。）《魏氏》补髓青娥丸，于本方去杜仲、生姜，加菟丝子（酒浸一宿研炙）、韭子（炒）。
茴香酒，治打坠凝瘀，腰疼通用。
破故纸（炒香） 茴香（炒） 辣桂（等分）
上为末，每服二钱，热酒调，食前进。故纸主腰痛，主行血。（《直指》）
速效散，治男女腰疼，不可忍者。
川楝子（取肉巴豆五粒，去壳，同炒赤，去巴豆。） 茴香（盐炒香，去盐。） 破故纸（炒各一两）
上为细末，每服三钱，空心用热酒调服。（《奇效》）
温经驱风诸方 肾着散方。
桂心（三两） 白术 茯苓（各四两） 甘草 泽泻 牛膝 干姜（各二两） 杜仲（三两）
上八味治下筛为粗散，一服三方寸匕，酒一升，煮五、六沸，去滓顿服，日再。（《千金》）《直
指》生附汤，治受湿腰痛，于本方去桂心、泽泻，加附子（生）、苍术、浓朴、姜、枣。
白术散，第二证方（见前证治总说）。
白术（二两） 芍药（三两） 官桂（去粗皮一两） 附子（炮去皮脐一两）
上为细末，每服三钱，用温酒调下，空心食前服。（《方氏》）《范汪方》治概腰方。
寄生桑上者、鹿茸、桂心、牡丹。分等为散。服方寸匕。日三。（《医心》）
治腰背痛，独活寄生汤。夫腰背痛者，皆犹肾气虚弱，卧冷湿地，当风所得也。不时速治，喜流入脚
膝，为偏枯冷痹，缓弱疼痛，或腰痛挛，脚重痹，宜急服此方。
独活（三两） 寄生（《古今录验》用续断） 杜仲 牛膝 细辛 秦艽 茯苓 桂心 防
风芎 人参 甘草 当归 芍药 干地黄（各二两）
上十五味 咀，以水一斗，煮取三升，分三服，温身勿
冷也。喜虚下利者，除干地黄。服汤取蒴 叶火燎浓安席上，及热眠上，冷复燎之，冬月取根、春取茎熬，卧
之佳，其余薄熨，不及蒴 蒸也。诸处风湿，亦用此法。（《肘后》有
附子一枚大者，无寄生、人参、甘草、当归。）（《千金》）
治冷滞风气攻刺，腰体疼痛，独活散方。
独活（一两） 附子（一两） 牛膝（二两） 芎 （三分） 桂心（三分）
赤芍药（三分） 当归（三分） 桃仁（半两）
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，每于食前温服。（《圣惠》）
五积散，治感寒湿，与脾胃气蔽腰痛，最效。（《三因》）《易简》寒湿腰疼，每服加桃仁七枚，去皮尖煎。
调肝散，治郁怒伤肝，发为腰痛。
半夏（制三分） 辣桂 宣木瓜 当归 川芎 牛膝 好细辛（各二分） 石菖蒲 酸
枣仁（荡去皮微炒） 甘草（炙各一分）
上锉细，每三钱，姜五片，枣二枚，煎服。（《直指》）
清燥渗湿诸方 七味苍柏散，治湿热腰痛，动止滞重，不能转侧。
苍术 黄柏 杜仲 故纸 川芎 当归 白术（各一两）
水煎服。（《入门》）
补肾汤（西园公制），治一切腰痛。
破故纸（酒炒） 小茴（盐酒炒） 玄胡索 牛膝（去芦酒洗） 当归 杜仲（酒炒） 黄柏（酒炒） 知母（酒
炒）
上锉一剂，生姜煎服。（《医鉴》）敷氏《医学集要》名济腰汤。《济世全书》加味
如神散，于本方加肉桂，气恼加木香，瘀血作痛加桃仁、红花。
余尝治一董翁者，年逾六旬，资禀素壮，因好饮火酒，以致湿热聚于太阳，忽病腰痛不可忍，至求自尽，其甚可
知。余为诊之，则六脉洪滑之甚，且小水不通而膀胱胀急，遂以大厘清饮（用茯、泽、猪、通、栀、车、枳
壳），倍加黄柏、龙胆草，一剂而小便顿通，小水通而腰痛如失。（《景岳》）（按∶《颐生微论》载∶方鲁
儒腰膝异痛不可忍，阳盛格阴，用黄柏、龙胆、芩、连、栀子，加姜，乘热顿饮，三
剂而痛若失，用人参固本丸，一月而痊。正与景岳意同。）
甘豆汤，治内蓄风热，入肾腰痛，大小便不通（方见《积热》门），加续断、天麻，间服败毒散。（《直指》）
行血诸方 戊寅芝山寺施医。一人患腰痛，经年不愈，服补肾诸药，其痛渐剧，渐至饮食减少，骨瘦
如柴。诸医谓不治之症，求余诊视。见其脉弦长而大，按之有力，小腹坚硬闷痛。当时以桃仁承气汤与服，
大便遂通，黑粪半桶，其痛立止。继用桃仁酒服，半月全痊。凡有积热于肠胃之间，郁伏不得通达，亦能发
痛。今与通药，非治肾虚腰痛，乃治积热腰痛也。（《医约》）
张令施乃弟，伤寒坏症，两腰偻废，卧床彻夜痛叫，百治不效，求诊于余。其脉亦平顺无患，其痛则比
前大减。余曰∶病非死症，但恐成废人矣。此症之可以转移处，全在痛如刀刺，尚有邪正互争之象。若全然不
痛，则邪正混为一家，相安于无事矣。今痛觉大减，实有可虑，宜速治之。谛思良久，谓热邪深入两腰，血
脉久闭，不能复出，止有攻散一法。而邪入既久，正气全虚，攻之必不应。乃以桃仁承气汤，多加肉桂、附子
二大剂与服，服后即能强起，再仿前意为丸，服至旬余全安。此非昔人之已试，乃一时之权宜，附子与大
黄同用，而合桃仁、肉桂以散腰间之血结也。（《寓意草》）
立效散，治腰痛。
延胡索 当归 官桂
上等分，酒调细末二钱服。（别本《中藏》）葛丞相传，名舒筋散，治血脉凝滞，筋脉拘挛，肢节疼痛，
行步艰难，此药活血化气第一品药也。（《是斋》）《妇人良方》名如神汤。
趁痛散，治寒湿相搏，攻注腰脚疼痛，行步少力，筋脉拘急。
没药（一两细研） 杜仲（一两半炒断丝） 延胡索（一两） 当归（一两
洗焙） 肉桂（去粗皮一两） 萆 （一两）
上件为细末，每服三钱，温酒调下，空心。（《杨氏》）
当归丸，第四证方（说见上）。
当归（去头尾切洗焙干三两） 水蛭（三十个细锉锻石炒烟起为度） 桃仁（去皮尖研三两个）
上为细末，酒煮面糊为丸，如梧桐子大，每服十丸，用
温酒吞下。未知，加至三十丸，食前服。（《方氏》）
一友腰痛不可转侧，六脉散大，重取之则弦小而长，服补肾药半年不效，有欲改湿热治者，予以为恶血。
病者曰∶内有恶血，可以下否？予曰∶脉细未可驱逐，且用归 益母汤补
之，然后用桃仁酒服之可也。服益母汤十剂而痛渐减，饮食亦进，遂与桃仁酒饮，一月而安。（《医约》）
归 益母汤。
当归（二钱） 黄 （生三钱） 益母草（洗一钱） 苏木（八分） 香附（五分）
上水二钟，煎一钟，不时服。（同上）
利气诸方 小七香丸，治郁怒忧思，或因闪肭 扑，一切气滞腰痛，方载《和剂局方》中（按∶用甘
松、甘草、香附子、丁香皮、莪术、砂仁、益智仁）。上一帖作二帖，橘仁一钱，盐少许，水一盏，煎
至七分，放温送下，空心服。（《济生》）
《苏沈》沉麝丸，治血沥腰痛，用续断、牛膝、桃仁炒，
煎汤磨下。（《直指）
疏里诸方 《斗门方》治腰痛，用大黄半两，更入生姜半两，同切如小豆大，于铛内炒令黄色，投
水两碗，至五更初顿服，天明取下腰间恶血物，用盆器盛，如鸡肝样，即痛止。（《本草》）（又《图经》
引崔元亮《海上方》，治腰脚冷风气，以大黄酥炒为末，以水入生姜两片如钱，煎十余沸去姜，取大黄末两
钱，以姜汤调之，空腹顿服，当下冷浓及恶物等，痛即瘥止。）《三因》名熟大黄汤，治坠堕闪肭，腰痛不能屈伸。
趁痛丸，第三证方（说见上）。
附子（炮去皮脐尖取末半两） 牵牛末（炒一两取末半两）
上为细末，酒面糊丸，如梧桐子大，每服三十丸，盐汤下，空心食前服。（《方氏》）
牵牛丸，治冷气流注，腰疼不能俯仰。
延胡索（二两） 破故纸（炒二两） 黑牵牛（三两炒）
上件为细末，煨大蒜研搜丸，如梧桐子大，每服三十丸，煎葱须、盐汤送下，食前服。（《杨氏》）
《经验秘方》吕总管一方，于本方去延胡索，加好橙核（其半生半熟），等分为末，空心酒服。
戴人女僮，冬间自途来，面赤如火，至HT 阳，病腰胯大痛，里急后重，痛则见鬼神。戴人曰∶此少阳
经也，在身侧为相火。使服舟车丸、通经散，泻至数盆，病犹未瘥。人皆怪之，以为有祟。戴人大怒曰∶
驴鬼也。复令调胃承气汤二两，加牵牛头末一两，同煎服之。大过（按∶过当泻）数十行，约一、二缶，方
舍其杖策，但发渴。戴人恣其饮水、西瓜、梨、柿等。戴人曰∶凡治火莫如水，水天地之至阴也。
约饮水一、二桶，犹觉微痛。戴人乃刺其阳陵泉，以伸其滞，
足少阳胆经之穴也，自是方宁。女僮自言，此病每一岁须泻五、七次，今年不曾泻，故如是也。常仲明悟
其言，以身有湿病，故一岁亦泻十余行，病始已。此可与智者言，难与愚者论也。（《十形三疗》）（按∶又
载一男子六十余，病腰尻脊胯大痛，脉沉滞坚劲，大便坚燥。用大承气汤，以姜枣煎，加牵牛
头末二钱，下泄四、五行，皆燥粪及瘀血杂秽而痛去。）
独活汤，治因劳役，腰痛如折，沉重如山。
炙甘草（二钱） 羌活 防风 独活 大黄（煨） 泽泻 肉桂（各三钱） 当归梢 连翘（
各五钱） 酒汉防己 酒黄柏（各一两） 桃仁（三十个）
上 咀，每服五钱，酒半盏，水一大盏半，煎至一盏，去渣热服。（《兰室》）（按∶此方品味杂糅，无
类可隶，姑录于兹。）
熨法 熨法。
肉桂（一两） 吴茱萸（三两） 生姜（四两） 葱头（一两） 花椒（二两）
上共炒热，以绢帕包裹，熨痛处，冷则再炒熨。（《百问》）
灸法 戊戌年八月，淮南大水，城下浸灌者连月。予忽脏腑不调，腹中如水吼，数日，调治得愈。自
此腰痛不可屈折，虽颊面亦相妨，服遍药不效，如是凡三月。予后思之，此必水气阴盛，肾经感此而得。乃灸
肾俞三七壮，服此药瘥。（《本事》）（按∶此药即麋茸丸，用麋茸、舶茴、菟丝子、羊肾。）
舍弟腰疼，出入甚艰，予用火针微微频刺肾俞，则行履如故，初不灸也。屡有人腰脊伛偻来觅点灸，
予意其是筋病使然，为点阳陵泉令归灸即愈，筋会阳陵泉也。然则腰疼又不
可专泥肾俞，不灸其他穴也。（《资生》）
（将药材）研磨成粉，用三十个胡桃仁制成膏状，加入少许面粉，用酒煮成糊状后制成丸剂。（《续易简后集》记载：这是晚年治疗的良方。）《魏氏家藏方》中的补髓青娥丸，是在本方基础上去掉杜仲、生姜，加入菟丝子（用酒浸泡一夜后研磨并炙烤）、韭菜子（炒制）。
茴香酒，用于治疗跌打损伤导致的瘀血凝滞，是治疗腰痛的通用方。
破故纸（即补骨脂，炒至香气溢出） 茴香（炒） 辣桂（即肉桂，等量）
以上药物研为细末，每次服用二钱，用热酒调服，饭前服用。补骨脂主治腰痛，具有活血功效。（《直指方》）
速效散，治疗男女剧烈难忍的腰痛。
川楝子（取果肉，与五粒巴豆同炒至变红，去掉巴豆。） 茴香（用盐炒至香，去掉盐。） 破故纸（炒，各一两）
以上药物研为细末，每次服用三钱，空腹时用热酒调服。（《奇效良方》）
温经驱风各类方剂 肾着散方。
桂心（三两） 白术 茯苓（各四两） 甘草 泽泻 牛膝 干姜（各二两） 杜仲（三两）
以上八味药捣碎过筛成为粗散，每次服用三方寸匕，用一升酒，煮五六沸，去渣一次性服下，每日两次。（《千金方》）《直指方》中的生附汤，是在本方基础上去掉桂心、泽泻，加入生附子、苍术、厚朴、生姜、大枣。
白术散，第二证候方（见前文证治总说）。
白术（二两） 芍药（三两） 官桂（去掉粗皮一两） 附子（炮制，去掉皮和脐，一两）
以上药物研为细末，每次服用三钱，用温酒调服，空腹或饭前服用。（《方氏家藏方》）《范汪方》治疗各种腰痛方。
寄生在桑树上的桑寄生、鹿茸、桂心、牡丹皮。分成等份研为散剂。每次服用一方寸匕。每日三次。（《医心方》）
治疗腰背痛，使用独活寄生汤。腰背痛的患者，都是因为肾气虚弱，睡在寒冷潮湿的地方，受风邪侵袭所致。如果不及时快速治疗，病邪容易流入脚膝，导致半身不遂、冷痹、肢体软弱疼痛，或者腰部拘挛疼痛、脚部沉重麻木，应当立即服用此方。
独活（三两） 桑寄生（《古今录验》中使用续断） 杜仲 牛膝 细辛 秦艽 茯苓 桂心 防风 川芎 人参 甘草 当归 芍药 干地黄（各二两）
以上十五味药切碎，用水一斗，煮取三升，分三次服用，服药期间注意保暖，不要受凉。如果患者容易虚寒下利，则去掉干地黄。服用汤药后，可用蒴藋叶烧火熏烤，待热度适宜时坐在上面，冷了再重新加热，冬天取根部、春天取茎部熬煮，坐卧其上效果最佳，其他薄熨方法不如蒴藋蒸法好。身体各处风湿，也采用这种方法。（《肘后备急方》中有附子一枚大的，没有桑寄生、人参、甘草、当归。）（《千金方》）
治疗寒气停滞、风气攻刺引起的腰体疼痛，使用独活散方。
独活（一两） 附子（一两） 牛膝（二两） 川芎（三分） 桂心（三分）
赤芍药（三分） 当归（三分） 桃仁（半两）
以上药物捣碎，粗筛成为散剂，每次服用三钱，用水一中盏，加入生姜半分，煎至六分，去渣，每次在饭前温服。（《太平圣惠方》）
五积散，治疗感受寒湿，以及脾胃气机闭塞引起的腰痛，效果最好。（《三因极一病证方论》）《易简方》中治疗寒湿腰痛，每剂药加七枚桃仁，去皮尖后煎煮。
调肝散，治疗因郁怒伤肝引发的腰痛。
半夏（制，三分） 辣桂（肉桂） 宣木瓜 当归 川芎 牛膝 好细辛（各二分） 石菖蒲 酸枣仁（荡去皮微炒） 甘草（炙，各一分）
以上药物锉细，每次取三钱，加生姜五片、大枣二枚，煎服。（《直指方》）
清燥渗湿各类方剂 七味苍柏散，治疗湿热腰痛，行动迟缓沉重，不能转侧。
苍术 黄柏 杜仲 破故纸 川芎 当归 白术（各一两）
水煎服。（《医学入门》）
补肾汤（西园公配制），治疗一切腰痛。
破故纸（酒炒） 小茴香（盐酒炒） 玄胡索 牛膝（去掉芦头，酒洗） 当归 杜仲（酒炒） 黄柏（酒炒） 知母（酒炒）
以上药物锉成一剂，加生姜煎服。（《景岳全书·医鉴》）敷氏《医学集要》称之为济腰汤。《济世全书》加味如神散，在本方基础上加肉桂，气恼加木香，瘀血作痛加桃仁、红花。
我曾经治疗一位董姓老翁，年龄超过六十岁，体质原本强壮，因为喜欢喝烈性白酒，导致湿热聚集于太阳经，突然发生剧烈腰痛无法忍受，甚至想要自尽，其痛苦程度可想而知。我为他诊脉，发现六脉非常洪大滑数，且小便不通，膀胱胀急，于是用大厘清饮（包含茯苓、泽泻、猪苓、通草、栀子、车前子、枳壳），加倍加入黄柏、龙胆草，一剂药后小便顿时通畅，小便一通，腰痛消失。（《景岳全书》）（按：《颐生微论》记载：方鲁儒腰膝异痛无法忍受，阳盛格阴，使用黄柏、龙胆、黄芩、黄连、栀子，加生姜，趁热一次性饮用，三剂后疼痛消失，用人参固本丸调理，一个月痊愈。这与景岳的意思相同。）
甘豆汤，治疗内蓄风热，侵入肾脏引起腰痛，大小便不通（方剂见《积热》门），加续断、天麻，间服败毒散。（《直指方》）
行血各类方剂 戊寅年芝山寺施医。一人患腰痛，经过一年不愈，服用补肾类药物，疼痛逐渐加剧，渐渐导致饮食减少，骨瘦如柴。各位医生认为是不治之症，请求我诊治。看到他的脉象弦长而大，按之有力，小腹坚硬闷痛。当时给予桃仁承气汤服用，大便随即通畅，排出黑色粪便半桶，疼痛立刻停止。随后用桃仁酒送服，半个月完全康复。凡是肠胃之间有积热，郁伏不得通达，也能引发疼痛。现在给予通下药，不是治疗肾虚腰痛，而是治疗积热腰痛。（《医原》/《医约》）
张令施的弟弟，伤寒坏证，两腰弯曲废用，卧床整夜疼痛呼叫，各种治疗无效，请求我诊治。他的脉象平顺无患，疼痛比之前大大减轻。我说：这不是死症，但恐怕会成为废人。这个病症可以转变的关键，全在于疼痛如刀刺，还有邪正相互抗争的现象。如果完全不痛，那么邪气和正气混为一体，相安无事。现在疼痛感觉大大减轻，实在令人担忧，应该迅速治疗。深思良久，认为热邪深入两腰，血脉长久闭塞，不能复出，只有攻散这一种方法。而邪气入侵已久，正气完全虚弱，攻伐必然无效。于是用桃仁承气汤，多加肉桂、附子两大剂服用，服用后就能勉强站起，再仿照前面的意思制成丸药，服用十几天后完全安康。这不是前人已经尝试过的，而是一时的权宜之计，附子与大黄同用，配合桃仁、肉桂来消散腰间的血结。（《寓意草》）
立效散，治疗腰痛。
延胡索 当归 官桂（肉桂）
以上等分，用酒调细末二钱服用。（别本《中藏经》）葛丞相传，名为舒筋散，治疗血脉凝滞，筋脉拘挛，肢节疼痛，行走困难，此药是活血化气的上品。（《是斋百一选方》）《妇人良方》称为如神汤。
趁痛散，治疗寒湿相搏，攻注腰脚疼痛，行走无力，筋脉拘急。
没药（一两，细研） 杜仲（一两半，炒断丝） 延胡索（一两） 当归（一两，洗焙） 肉桂（去掉粗皮一两） 萆薢（一两）
以上药物研为细末，每次服用三钱，用温酒调服，空腹。（《杨氏家藏方》）
当归丸，第四证候方（说明见上文）。
当归（去掉头尾切洗焙干三两） 水蛭（三十个，细锉，煅石炒至冒烟为止） 桃仁（去皮尖，研磨，三两个）
以上药物研为细末，用酒煮面糊制成丸剂，如梧桐子大小，每次服用十丸，用温酒吞下。如果未见效，增加到三十丸，饭前服用。（《方氏家藏方》）
一位朋友腰痛无法转侧，六脉散大，重按时则弦小而长，服用补肾药半年无效，有人建议改为湿热治疗，我认为是有恶血（瘀血）。病人问：体内有恶血，可以用下法吗？我说：脉象细弱暂时不可驱逐，先用归芪益母汤补益它，然后用桃仁酒服用即可。服用益母汤十剂后疼痛逐渐减轻，饮食也进，于是给予桃仁酒饮用，一个月后安宁。（《医约》）
归芪益母汤。
当归（二钱） 黄芪（生，三钱） 益母草（洗，一钱） 苏木（八分） 香附（五分）
以上用水二钟，煎至一钟，随时服用。（同上）
利气各类方剂 小七香丸，治疗因郁怒忧思，或因闪挫扑跌，一切气滞腰痛，方剂载于《和剂局方》中（按：使用甘松、甘草、香附子、丁香皮、莪术、砂仁、益智仁）。上一帖分为二帖，橘仁一钱，盐少许，水一盏，煎至七分，放温送下，空腹服用。（《济生方》）
《苏沈良方》沉麝丸，治疗血沥腰痛，用续断、牛膝、桃仁炒，煎汤磨下。（《直指方》）
疏里各类方剂 《斗门方》治疗腰痛，用大黄半两，再加入生姜半两，同切如小豆大小，在铛内炒至黄色，投入水两碗，到五更初一次性服用，天亮后排出腰间恶血物，用盆器盛装，如鸡肝样，疼痛即止。（《本草纲目》）（又《图经本草》引用崔元亮《海上方》，治疗腰脚冷风气，以大黄酥炒为末，以水入生姜两片如铜钱大小，煎十余沸去姜，取大黄末两钱，用姜汤调之，空腹顿服，当下冷脓及恶物等，疼痛即止。）《三因方》称为熟大黄汤，治疗坠堕闪挫，腰痛不能屈伸。
趁痛丸，第三证候方（说明见上文）。
附子（炮制，去掉皮、脐、尖，取末半两） 牵牛末（炒，取末半两）
以上药物研为细末，用酒面糊制成丸剂，如梧桐子大小，每次服用三十丸，盐汤送下，空腹或饭前服用。（《方氏家藏方》）
牵牛丸，治疗冷气流注，腰痛不能俯仰。
延胡索（二两） 破故纸（炒，二两） 黑牵牛（三两，炒）
以上药物研为细末，用煨大蒜研烂搜合制成丸剂，如梧桐子大小，每次服用三十丸，煎葱须、盐汤送下，饭前服用。（《杨氏家藏方》）
《经验秘方》吕总管一方，在本方基础上去掉延胡索，加好橙核（一半生一半熟），等分为末，空腹酒服。
戴人（张从正）的女僮，冬天从路上走来，面色赤红如火，到达阳陵泉穴附近，病发腰胯剧痛，里急后重，疼痛时看见鬼神。戴人说：这是少阳经的病，在身体侧面属于相火。让服用舟车丸、通经散，泻下几盆，病仍未愈。人们都感到奇怪，认为有鬼祟。戴人大怒说：是驴鬼罢了。又命令调胃承气汤二两，加牵牛头末一两，同煎服用。大泻（按：泻下过度）数十行，大约一、二缶的量，才扔掉拐杖，只是觉得口渴。戴人任由她喝水、西瓜、梨、柿子等。戴人说：凡治疗火邪莫如水，水是天地间的至阴之物。
大约饮水一、二桶，还觉得微痛。戴人于是针刺她的阳陵泉穴，以疏通阻滞，阳陵泉是足少阳胆经的穴位，从此才安宁。女僮自己说，这个病每年必须泻五、七次，今年不曾泻，所以这样。常仲明领悟了她的话，认为自己身上有湿病，所以一年也泻十余行，病才停止。这可以与智者言谈，难以与愚者论道。（《十形三疗》）（按：又记载一名六十多岁的男子，病发腰尻脊胯剧痛，脉象沉滞坚劲，大便坚硬干燥。用大承气汤，加姜枣煎，加牵牛头末二钱，下泄四、五行，都是燥粪及瘀血杂秽，疼痛去除。）
独活汤，治疗因劳役，腰痛如折断，沉重如山。
炙甘草（二钱） 羌活 防风 独活 大黄（煨） 泽泻 肉桂（各三钱） 当归梢 连翘（各五钱） 酒汉防己 酒黄柏（各一两） 桃仁（三十个）
以上药物切碎，每次服用五钱，酒半盏，水一大盏半，煎至一盏，去渣热服。（《兰室秘藏》）（按：此方品味杂糅，无类可隶，姑且记录于此。）
熨法 熨法。
肉桂（一两） 吴茱萸（三两） 生姜（四两） 葱头（一两） 花椒（二两）
以上共同炒热，用绢帕包裹，熨烫疼痛处，冷了再炒再熨。（《百问大医抄》）
灸法 戊戌年八月，淮南大水，城下浸灌连续数月。我突然脏腑不调，腹中如水吼叫，数日后，调理治愈。从此腰痛无法屈折，甚至脸颊面部也受影响，遍服药物无效，如此长达三个月。我后来思考，这一定是水气阴盛，肾经感受此邪而得病。于是灸肾俞穴三七壮，服用此药后痊愈。（《本事方》）（按：此药即麋茸丸，使用麋茸、舶茴香、菟丝子、羊肾。）
我的弟弟腰疼，出入非常艰难，我用火针微微频繁地针刺肾俞穴，则行走如故，起初并没有灸。屡次有人腰脊弯曲驼背来找我点灸，我认为是筋病所致，为他点阳陵泉穴让他回去灸，就痊愈了，因为阳陵泉是筋会穴。然而腰疼又不可以专门拘泥于肾俞穴，不灸其他穴位。（《资生经》）
(Roast and) grind into powder, use thirty walnuts to make a paste, add a little flour, boil with wine into a paste to form pills. (Xu Yi Jian Hou Ji states: This is an excellent remedy for late life.) Wei Shi's Bu Sui Qing E Wan removes Du Zhong and Sheng Jiang from this formula, adding Tu Si Zi (soaked in wine overnight, ground, and roasted) and Jiu Zi (fried).
Hui Xiang Jiu treats bruising and stagnation of blood stasis; it is a general prescription for treating lower back pain.
Po Gu Zhi (fried until fragrant) Hui Xiang (fried) La Gui (equal parts)
Grind the above into fine powder, take two qian each time, mix with hot wine, take before meals. Po Gu Zhi mainly treats lower back pain and promotes blood circulation. (Zhi Zhi Fang)
Su Xiao San treats unbearable lower back pain in men and women.
Chuan Lian Zi (take the flesh, fry together with five Ba Dou kernels until red, remove Ba Dou.) Hui Xiang (salt-fried until fragrant, remove salt.) Po Gu Zhi (fried, one liang each)
Grind the above into fine powder, take three qian each time, mix with hot wine on an empty stomach. (Qi Xiao Liang Fang)
Various Warming Meridians and Expelling Wind Prescriptions Shen Zhuo San Formula.
Gui Xin (three liang) Bai Zhu Fu Ling (each four liang) Gan Cao Ze Xie Niu Xi Gan Jiang (each two liang) Du Zhong (three liang)
Grind the above eight ingredients into a coarse powder. Take three square-inch spoons per dose, boil in one sheng of wine for five or six boils, remove dregs, and take in one dose twice daily. (Qian Jin Fang) Zhi Zhi Fang's Sheng Fu Tang removes Gui Xin and Ze Xie from this formula, adding Sheng Fu Zi, Cang Zhu, Hou Po, Sheng Jiang, and Da Zao.
Bai Zhu San, Second Syndrome Formula (see General Discussion of Syndromes and Treatments earlier).
Bai Zhu (two liang) Shao Yao (three liang) Guan Gui (remove rough bark, one liang) Fu Zi (processed, remove skin and umbilicus, one liang)
Grind the above into fine powder, take three qian each time, mix with warm wine, take on an empty stomach or before meals. (Fang Shi Jia Cang Fang) Fan Wang Fang treats various lower back pain formulas.
Sang Shang Ji Sheng (mistletoe growing on mulberry), Lu Rong, Gui Xin, Mu Dan Pi. Divide into equal parts, grind into powder. Take one square-inch spoon per dose, three times daily. (Yi Xin Fang)
Treat lower back and back pain using Du Huo Ji Sheng Tang. Lower back and back pain are all due to deficiency of Kidney Qi, lying in cold and damp places, and contracting wind pathogens. If not treated promptly, the pathogen tends to flow into the legs and knees, causing hemiplegia, cold bi-syndrome, weakness and pain, or lower back cramping and pain, heavy and numb feet. One should immediately take this formula.
Du Huo (three liang) Ji Sheng (Gu Jin Lu Yan uses Xu Duan) Du Zhong Niu Xi Xi Xin Qin Jiao Fu Ling Gui Xin Fang Feng Xiong Ren Shen Gan Cao Dang Gui Shao Yao Gan Di Huang (each two liang)
Chop the above fifteen ingredients, boil in ten dou of water to obtain three sheng, divide into three doses. Keep the body warm and avoid cold. If prone to deficiency-cold diarrhea, remove Gan Di Huang. After taking the decoction, roast Shuo Luo leaves over fire, place them thickly on the mat, lie on them while hot, re-roast when cold. In winter, use roots; in spring, use stems. Lying on them is best; other thin moxibustion methods are inferior to Shuo Luo steaming. This method is also used for wind-dampness in various parts of the body. (Zhou Hou Bei Ji Fang has one large Fu Zi, without Ji Sheng, Ren Shen, Gan Cao, Dang Gui.) (Qian Jin Fang)
Treat cold stagnation and wind attacking stabbing pain in the waist and body, use Du Huo San Formula.
Du Huo (one liang) Fu Zi (one liang) Niu Xi (two liang) Xiong (three fen) Gui Xin (three fen)
Chi Shao Yao (three fen) Dang Gui (three fen) Tao Ren (half liang)
Pound the above medicines, sieve coarsely to make powder. Take three qian each time, with one zhong of water, add half ban of Sheng Jiang, decoct to six fen, remove dregs, take warm before meals. (Tai Ping Sheng Hui Fang)
Wu Ji San treats contraction of cold-dampness and lower back pain caused by obstruction of Spleen and Stomach qi; it is most effective. (San Yin Fang) Yi Jian Fang adds seven Tao Ren (remove skin and tip) for decoction when treating cold-damp lower back pain.
Tiao Gan San treats lower back pain caused by liver injury from depression and anger.
Ban Xia (processed, three fen) La Gui Xuan Mu Gua Dang Gui Chuan Xiong Niu Xi Hao Xi Xin (each two fen) Shi Chang Pu Suan Zao Ren (wash off skin, lightly fried) Gan Cao (roasted, one fen each)
Cut finely, take three qian each time, add five slices of Sheng Jiang and two dates, decoct and take. (Zhi Zhi Fang)
Various Clearing Dryness and Leaching Out Dampness Prescriptions Qi Wei Cang Bai San treats damp-heat lower back pain, with sluggish and heavy movement, unable to turn sideways.
Cang Zhu Huang Bo Du Zhong Po Gu Zhi Chuan Xiong Dang Gui Bai Zhu (each one liang)
Decoct in water and take. (Yi Men Ru Men)
Bu Shen Tang (formulated by Xi Yuan Gong), treats all types of lower back pain.
Po Gu Zhi (wine-fried) Xiao Hui (salt-wine fried) Yan Hu Suo Niu Xi (remove radicle, wash with wine) Dang Gui Du Zhong (wine-fried) Huang Bo (wine-fried) Zhi Mu (wine-fried)
Cut one dose, decoct with Sheng Jiang and take. (Jing Yue Quan Shu · Yi Jian) Fu Shi's Yi Xue Ji Yao calls it Ji Yao Tang. Ji Shi Quan Shu's Jia Wei Ru Shen San adds Rou Gui to this formula; if caused by emotional distress, add Mu Xiang; if caused by blood stasis pain, add Tao Ren and Hong Hua.
I once treated an old man surnamed Dong, over sixty years old, originally robust constitution. Because he liked drinking strong liquor, damp-heat gathered in the Tai Yang meridian. Suddenly, he suffered unbearable lower back pain, even wishing to commit suicide; his suffering was extreme. I diagnosed him and found his six pulses were extremely surging and slippery. His urination was blocked, and his bladder was distended and urgent. Thus, I used Da Li Qing Yin (containing Fu Ling, Ze Xie, Zhu Ling, Tong Cao, Zhi Zi, Che Qian Zi, Zhi Ke), doubling the dosage of Huang Bo and Long Dan Cao. After one dose, urination suddenly flowed freely, and once urination flowed, the lower back pain disappeared as if lost. (Jing Yue Quan Shu) (Note: Yi Sheng Wei Lun records: Fang Lu Ru suffered unbearable異-pain in waist and knees, Yang excess repelling Yin. Used Huang Bo, Long Dan, Huang Qin, Huang Lian, Zhi Zi, added Sheng Jiang, drank hot in one go. After three doses, pain vanished. Used Ren Shen Gu Ben Wan, recovered in one month. This aligns with Jing Yue's intent.)
Gan Dou Tang treats internal accumulation of wind-heat invading the Kidney causing lower back pain, with blockage of both stool and urine (formula see "Accumulated Heat" section). Add Xu Duan and Tian Ma, alternate with Bai Du San. (Zhi Zhi Fang)
Various Blood-Activating Prescriptions In the year Wu Yin, at Zhi Shan Temple medical service. A person suffered lower back pain for a year without cure. Taking Kidney-tonifying medicines made the pain gradually worse, leading to reduced appetite and emaciation. Various doctors deemed it incurable and asked me to diagnose. I saw his pulse was string-long and large, forceful upon pressure, with a hard and stifling pain in the lower abdomen. At that time, I gave him Tao Ren Cheng Qi Tang. His bowels subsequently moved, discharging half a bucket of black stool, and the pain stopped immediately. Subsequently, he took Tao Ren wine, and fully recovered in half a month. Whenever there is accumulated heat between the intestines and stomach, stagnant and unable to circulate, it can also cause pain. Now giving purgatives does not treat Kidney-deficiency lower back pain, but rather treats accumulated-heat lower back pain. (Yi Yue / Yi Yuan)
Zhang Ling Shi's younger brother had a damaged syndrome from Cold Damage. His two loins were bent and useless, lying in bed crying in pain all night. Hundred treatments failed. He sought my diagnosis. His pulse was smooth and normal, but the pain was greatly reduced compared to before. I said: This is not a fatal disease, but fear he will become disabled. The key to transferring this condition lies in the pain feeling like knife-stabbing, indicating a struggle between pathogenic and healthy qi. If completely painless, then pathogen and healthy qi merge, living in peace. Now that pain sensation is greatly reduced, it is truly worrying, and treatment should be swift. After deep thought, I reasoned that heat pathogen had deeply entered the two loins, blood vessels had been closed for a long time and could not emerge again. Only the method of attacking and dispersing remained. But since the pathogen had invaded for a long time, healthy qi was completely deficient, attacking would surely fail. So I used Tao Ren Cheng Qi Tang, adding large doses of Rou Gui and Fu Zi. After taking two large doses, he could stand up strongly. Then, following the previous idea, made pills. After taking for more than ten days, he was fully restored. This was not a tried-and-true method of ancients, but a temporary expedient. Using Fu Zi together with Da Huang, combined with Tao Ren and Rou Gui to dissipate blood knots in the waist. (Yu Yi Cao)
Li Xiao San treats lower back pain.
Yan Hu Suo Dang Gui Guan Gui
Equal parts, mix fine powder with wine, take two qian. (Other version of Zhong Zang Jing) Passed down by Ge Cheng, named Shu Jin San, treats blood vessel stagnation, tendon constriction, joint pain, difficulty walking. This medicine is the first-class herb for activating blood and transforming qi. (Shi Zhai Bai Yi Xuan Fang) Fu Ren Liang Fang names it Ru Shen Tang.
Chen Tong San treats cold-damp binding, attacking and injecting pain in waist and feet, weak walking power, tendon constriction.
Mo Yao (one liang, finely ground) Du Zhong (one and a half liang, fried until silk breaks) Yan Hu Suo (one liang) Dang Gui (one liang, washed and dried) Rou Gui (remove rough bark, one liang) Bi Xie (one liang)
Grind the above into fine powder, take three qian each time, mix with warm wine, on an empty stomach. (Yang Shi Jia Cang Fang)
Dang Gui Wan, Fourth Syndrome Formula (see explanation above).
Dang Gui (remove head and tail, cut, wash, dry, three liang) Shui Zhi (thirty ge, finely chopped, stir-fried with calcined stone until smoke rises) Tao Ren (remove skin and tip, grind, three to two liang)
Grind the above into fine powder, boil with wine and wheat paste to form pills, size of Sophora japonica seeds. Take ten pills each time, swallow with warm wine. If ineffective, increase to thirty pills, take before meals. (Fang Shi Jia Cang Fang)
A friend suffered lower back pain unable to turn sideways. Six pulses were scattered and large; pressing heavily revealed string-small and long pulses. Took Kidney-tonifying medicines for half a year without effect. Someone suggested treating damp-heat. I believed it was evil blood (blood stasis). The patient asked: If there is evil blood inside, can we purge it? I said: Pulse is thin, cannot drive out yet. First use Gui Huang Yi Mu Tang to tonify it, then take Tao Ren wine. After ten doses of Yi Mu Tang, pain gradually decreased, diet improved. Then gave Tao Ren wine drink, and he was peaceful after one month. (Yi Yue)
Gui Huang Yi Mu Tang.
Dang Gui (two qian) Huang Qi (raw, three qian) Yi Mu Cao (washed, one qian) Su Mu (eight fen) Xiang Fu (five fen)
Add two zhong of water, decoct to one zhong, take at any time. (Same source)
Various Qi-Regulating Prescriptions Xiao Qi Xiang Wan treats depression, anger, worry, thought, or sprain/fall, all qi-stagnation lower back pain. Formula recorded in He Ji Ju Fang (Note: Uses Gan Song, Gan Cao, Xiang Fu Zi, Ding Xiang Pi, E Zhu, Sha Ren, Yi Zhi Ren). Split one packet into two packets. Ju Ren one qian, salt a little, water one zhong, decoct to seven fen, cool and take, on an empty stomach. (Ji Sheng Fang)
Su Shen Liang Fang's Chen She Wan treats blood-leaking lower back pain. Use Xu Duan, Niu Xi, fried Tao Ren, decoct soup to grind pills down. (Zhi Zhi Fang)
Various Interior-Draining Prescriptions Dou Men Fang treats lower back pain. Use Da Huang half liang, add Sheng Jiang half liang, cut together like soybean size, stir-fry in pan until yellow, pour in two bowls of water. Drink in one dose at early morning (wu geng). At dawn, discharge evil blood matter from waist, collect in basin, looks like chicken liver, then pain stops. (Ben Cao Gang Mu) (Also Tu Jing Ben Cao cites Cui Yuan Liang Hai Shang Fang, treats cold-wind in waist and feet. Fry Da Huang in butter into powder. Add two slices of Sheng Jiang like coin size to water, boil ten-plus boils, remove ginger. Take two qian Da Huang powder, mix with ginger soup, drink in one dose on empty stomach. Should discharge cold pus and evil matter, pain ceases.) San Yin Fang names it Shu Da Huang Tang, treats falling/spraining, lower back pain unable to bend/extend.
Chen Tong Wan, Third Syndrome Formula (see explanation above).
Fu Zi (processed, remove skin, umbilicus, tip, take powder half liang) Qian Niu Mo (fried, take powder half liang)
Grind above into fine powder, make pills with wine-wheat paste, size of Sophora japonica seeds. Take thirty pills each time, send down with salt soup, on an empty stomach or before meals. (Fang Shi Jia Cang Fang)
Qian Niu Wan treats cold qi flowing and injecting, lower back pain unable to bend/straighten.
Yan Hu Suo (two liang) Po Gu Zhi (fried, two liang) Hei Qian Niu (three liang, fried)
Grind above into fine powder, search pills with roasted garlic pounded into paste, size of Sophora japonica seeds. Take thirty pills each time, send down with decoction of green onion roots and salt soup, before meals. (Yang Shi Jia Cang Fang)
Experience Secret Recipe Marshal Lv's Formula: Remove Yan Hu Suo from this formula, add good orange seeds (half raw, half cooked), equal parts grind into powder, take with wine on empty stomach.
Dai Ren's (Zhang Cong Zheng) female servant came from the road in winter, face red as fire. Arriving near Yang Ling Quan, she suffered severe pain in waist and hips, tenesmus, seeing ghosts when in pain. Dai Ren said: This is Shaoyang Meridian disease, located on the side of the body, belonging to Minister Fire. Ordered her to take Zhou Che Wan and Tong Jing San, purged several basins, illness still not cured. People were strange, thinking it was possessed. Dai Ren angrily said: It's a donkey ghost. Again ordered Tiao Wei Cheng Qi Tang two liang, add Qian Niu Tou Mo one liang, decoct together and take. Great purgation (Note: Excessive purging) dozens of times, about one or two fan capacity, only then did she abandon her cane, only felt thirsty. Dai Ren allowed her to drink water, watermelon, pear, persimmon, etc. Dai Ren said: To treat fire, nothing is better than water; water is the supreme yin of heaven and earth.
Drank about one or two buckets of water, still felt slight pain. Dai Ren then punctured her Yang Ling Quan acupoint to extend the stagnation. Yang Ling Quan is an acupoint of Foot-Shaoyang Gallbladder Meridian. From then on, she was calm. The servant said herself: This illness requires purging five to seven times every year. This year she didn't purge, so it was like this. Chang Zhong Ming understood her words. Believing himself had damp disease, he also purged ten-plus times a year, and the illness finally ceased. This can be discussed with the wise, difficult to discuss with the foolish. (Shi Xing San Liao) (Note: Also records a man over sixty, suffering severe pain in waist, buttocks, spine, and hips. Pulse sunken, stagnant, firm, and tough. Stool hard and dry. Used Da Cheng Qi Tang, decocted with ginger and jujube, added Qian Niu Tou Mo two qian. Purged four to five times, all dry feces mixed with blood stasis and filth, pain removed.)
Du Huo Tang treats lower back pain like breaking, heavy as mountain, due to labor and fatigue.
Zhi Gan Cao (two qian) Qiang Huo Fang Feng Du Huo Da Huang (roasted) Ze Xie Rou Gui (each three qian) Dang Gui Shao Lian Qiao (each five qian) Jiu Han Fang Ji Jiu Huang Bo (each one liang) Tao Ren (thirty pieces)
Chop, take five qian each time, half zhong of wine, one and a half zhong of water, decoct to one zhong, remove dregs, take hot. (Lan Shi Mi Cang) (Note: This formula mixes flavors, no category fits, recorded here tentatively.)
Moxibustion Method Moxibustion Method.
Rou Gui (one liang) Wu Zhu Yu (three liang) Sheng Jiang (four liang) Cong Tou (one liang) Hua Jiao (two liang)
Stir-fry together until hot, wrap in silk cloth, moxa/compress painful area. Cold, then stir-fry and compress again. (Bai Wen Da Yi Chao)
Moxibustion Method In August of Wu Xu year, Huainan had great floods, city submerged for months. I suddenly had organ dysfunction, belly roaring like water. After several days, regulated and healed. Since then, lower back pain unable to bend/straighten, even affecting face and cheeks. Took all medicines without effect, lasting three months. I later reflected: This must be water qi yin excess, Kidney meridian contracted this pathogen. Thus, I moxa'd Shenshu acupoint thirty-seven moxa cones. Took this medicine and recovered. (Ben Shi Fang) (Note: This medicine is Mi Rong Wan, using Mi Rong, Bo Hui Xiang, Tu Si Zi, Yang Shen.)
My younger brother had lower back pain, entering/exiting very difficult. I used fire needle to slightly and frequently prick Shenshu acupoint, then walking returned to normal. Initially did not moxa. Many people with curved spines came seeking point-moxibustion. I thought it was tendon disease, pointed to Yang Ling Quan for them to moxa themselves, and they recovered. Yang Ling Quan is the meeting point of tendons. However, lower back pain cannot stick solely to Shenshu acupoint, nor ignore other acupoints. (Zi Sheng Jing)