济生术附汤治湿伤肾经腰重冷痛小便自利
附子 白术(各一两) 杜仲(炒半两)
上 咀每四钱入姜煎
三因肾着汤治肾虚为病身重腰冷如水洗状不渴小便自利食如故腰以下冷痛如带五千钱
茯苓 白术(各四两) 干姜 甘草(炙各二两)
上 咀每四钱水煎空心冷服本方姜苓各四两
按此二方足少阴药也
局方五积散治感寒湿脾胃气闭腰痛(方见湿门三因方加桃仁)
东垣川芎肉桂汤治冬月露卧感寒湿腰痛用此代针
羌活(一钱半) 柴胡 肉桂 桃仁 当归尾 苍术 甘草(炙) 川芎(各一钱) 独活
曲(炒各半钱) 汉防己(酒制) 防风(各三分)
上 咀作一服好酒三盏煎至一盏食前暖处温服麻黄苍术汤治寒湿所客身体沉重腰痛面色
痿黄
麻黄 泽泻 白茯苓 炒曲 陈皮(各一钱) 苍术(二钱) 杏仁(十个) 桂枝 草豆蔻
半夏 猪苓(各半钱) 黄 (三分) 甘草(炙二钱)
上 咀作一服水煎食前温服
按此足太阳少阴药也
东垣独活汤治因劳役湿热自甚腰痛如折沉重如山
羌活 防风 独活 桂 大黄(煨) 泽泻(各三钱) 甘草(炙二钱) 当归 连翘(各半
两) 防己 黄柏(各酒制一两) 桃仁(三十个)
上 咀每半两酒水各半盏煎空心热服
按此足太阳少阴表里药也
苍术汤治湿热腰腿疼痛
苍术(三钱) 柴胡(二钱) 黄柏 防风(各一钱)
上作一服水煎空心温服
健步丸治下虚湿热腰腿疼痛(方见痿门)
谨按腰痛亦有内因寒热致者详见妇人门师尼寡妇之治论中宜随证为治故其例不复具也
济生术附汤：治疗湿邪损伤肾经，导致腰部沉重、冷痛，小便通畅自如。
处方组成：附子、白术（各一两）；杜仲（炒制半两）。
煎服法：将药材切碎，每次取四钱，加入生姜煎煮。
三因肾着汤：治疗肾虚引起的病症，身体沉重，腰部寒冷如同水洗一般，口不渴，小便通畅，饮食如常，腰部以下冷痛，感觉像带着五千枚铜钱一样沉重。
处方组成：茯苓、白术（各四两）；干姜、甘草（炙制，各二两）。
煎服法：将药材切碎，每次取四钱，用水煎煮，空腹时冷服。本方中干姜和茯苓各用四两。
按语：这两首方剂都是针对足少阴肾经的药物。
局方五积散：治疗感受寒湿，导致脾胃气机闭塞，引起腰痛。（该方详见“湿门”中的《三因方》，可加桃仁使用。）
东垣川芎肉桂汤：治疗冬季露宿野外感受寒湿引起的腰痛，使用此方代替针刺治疗。
处方组成：羌活（一钱半）；柴胡、肉桂、桃仁、当归尾、苍术、甘草（炙制）、川芎（各一钱）；独活、神曲（炒制，各半钱）；汉防己（酒制）、防风（各三分）。
煎服法：将药材切碎为一服量，用好酒三盏，煎至一盏，饭前在温暖处温服。
麻黄苍术汤：治疗寒湿侵袭人体，导致身体沉重、腰痛、面色萎黄。
处方组成：麻黄、泽泻、白茯苓、炒神曲、陈皮（各一钱）；苍术（二钱）；杏仁（十个）；桂枝、草豆蔻、半夏、猪苓（各半钱）；黄芪（三分）；甘草（炙制，二钱）。
煎服法：将药材切碎为一服量，用水煎煮，饭前温服。
按语：这是针对足太阳膀胱经和足少阴肾经的药物。
东垣独活汤：治疗因劳累过度，湿热内盛引起的腰痛，疼痛剧烈如折断，身体沉重如山。
处方组成：羌活、防风、独活、桂枝、大黄（煨制）、泽泻（各三钱）；甘草（炙制，二钱）；当归、连翘（各半两）；防己、黄柏（各酒制一两）；桃仁（三十个）。
煎服法：将药材切碎，每次取半两，用酒和水各半盏，煎煮后空腹热服。
按语：这是针对足太阳膀胱经和足少阴肾经表里两经的药物。
苍术汤：治疗湿热引起的腰腿疼痛。
处方组成：苍术（三钱）；柴胡（二钱）；黄柏、防风（各一钱）。
煎服法：作一服量，用水煎煮，空腹温服。
健步丸：治疗下焦虚损兼湿热引起的腰腿疼痛。（该方详见“痿门”。）
谨按：腰痛也有由内部因素寒热所致者，详见妇人科中关于师尼、寡妇治疗的论述中，应当根据证候进行治疗，因此不再一一列举其例。
Jisheng Zhufu Decoction: Treats dampness injuring the Kidney Meridian, resulting in heavy and cold pain in the lower back with normal urination.
Ingredients: Fuzi (Prepared Aconite Lateral Root), Baizhu (Atractylodis Rhizoma) (each 1 liang); Duzhong (Eucommiae Cortex) (stir-fried, 0.5 liang).
Preparation and Administration: Cut into pieces. Take 4 qian per dose, add fresh ginger, and decoct.
Sanyin Shen Zhuo Tang: Treats conditions caused by Kidney deficiency, characterized by heaviness of the body, coldness in the waist as if washed with water, absence of thirst, normal urination, normal appetite, and cold pain below the waist feeling as heavy as carrying five thousand coins.
Ingredients: Fuling (Poria), Baizhu (Atractylodis Rhizoma) (each 4 liang); Ganjiang (Zingiberis Rhizoma), Gancao (Licorice Root, prepared) (each 2 liang).
Preparation and Administration: Cut into pieces. Take 4 qian per dose, decoct with water, and take cold on an empty stomach. In this formula, Ganjiang and Fuling are each used in the amount of 4 liang.
Note: These two formulas consist of herbs targeting the Foot-Shaoyin (Kidney) Meridian.
Wuji San (from Bureau Formulas): Treats low back pain caused by cold-dampness invading and blocking the Qi mechanism of the Spleen and Stomach. (See "Dampness Section" of *San Yin Fang*, add Tao Ren [Persicae Semen] to this formula.)
Dongyuan Chuanxiong Rougui Tang: Treats low back pain caused by exposure to cold-dampness while sleeping outdoors in winter; used here as a substitute for acupuncture.
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix) (1.5 qian); Chaihu (Bupleuri Radix), Rougui (Cinnamomi Cortex), Taoren (Persicae Semen), Dangguiwei (Angelicae Sinensis Radix, tail), Cangzhu (Atractylodis Rhizoma), Gancao (Licorice Root, prepared), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 1 qian); Duhuo (Angelicae Pubescentis Radix), Qu (Medicated Leaven, stir-fried) (each 0.5 qian); Hanfangji (Stephaniae Tetrandrae Radix, processed with wine), Fangfeng (Saposhnikoviae Radix) (each 3 fen).
Preparation and Administration: Cut into pieces for one dose. Decoct with three cups of good wine until one cup remains. Take warm in a warm place before meals.
Mahuang Cangzhu Tang: Treats body heaviness, low back pain, and sallow complexion caused by invasion of cold-dampness.
Ingredients: Mahuang (Ephedrae Herba), Zexie (Alismatis Rhizoma), Bai Fuling (Poria), Chao Qu (Medicated Leaven, stir-fried), Chenpi (Citri Reticulatae Pericarpium) (each 1 qian); Cangzhu (Atractylodis Rhizoma) (2 qian); Xingren (Armeniacae Semen Amarum) (10 seeds); Guizhi (Cinnamomi Ramulus), Caodoukou (Amomi Fructus Rotundus), Banxia (Pinelliae Rhizoma), Zhuling (Polyporus) (each 0.5 qian); Huangqi (Astragali Radix) (3 fen); Gancao (Licorice Root, prepared) (2 qian).
Preparation and Administration: Cut into pieces for one dose. Decoct with water and take warm before meals.
Note: These are herbs targeting the Foot-Taiyang (Bladder) and Foot-Shaoyin (Kidney) meridians.
Dongyuan Duhuo Tang: Treats low back pain resembling a fracture and heaviness like carrying a mountain, caused by overwork and excessive internal damp-heat.
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Duhuo (Angelicae Pubescentis Radix), Guizhi (Cinnamomi Ramulus), Dahuang (Rhei Radix et Rhizoma, baked), Zexie (Alismatis Rhizoma) (each 3 qian); Gancao (Licorice Root, prepared) (2 qian); Danggui (Angelicae Sinensis Radix), Lianqiao (Forsythiae Fructus) (each 0.5 liang); Fangji (Stephaniae Tetrandrae Radix), Huangbai (Phellodendri Cortex, processed with wine) (each 1 liang); Taoren (Persicae Semen) (30 seeds).
Preparation and Administration: Cut into pieces. Take 0.5 liang per dose, decoct with half a cup of wine and half a cup of water. Take hot on an empty stomach.
Note: These are herbs targeting the exterior and interior of the Foot-Taiyang (Bladder) and Foot-Shaoyin (Kidney) meridians.
Cangzhu Tang: Treats pain in the waist and legs caused by damp-heat.
Ingredients: Cangzhu (Atractylodis Rhizoma) (3 qian); Chaihu (Bupleuri Radix) (2 qian); Huangbai (Phellodendri Cortex), Fangfeng (Saposhnikoviae Radix) (each 1 qian).
Preparation and Administration: One dose, decoct with water and take warm on an empty stomach.
Jianbu Wan: Treats pain in the waist and legs caused by lower jiao deficiency combined with damp-heat. (See "Flaccidity Section".)
Note: Low back pain can also be caused by internal factors of cold or heat. For details, refer to the discussion on treating nuns, widows, and unmarried women in the Gynecology section. Treatment should follow the specific syndrome differentiation; therefore, examples are not listed exhaustively here.