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，女性的肾脏通过胞络与子宫相连。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，就会导致腰部和脚部疼痛。治疗应当以补益元气为主，辅以祛除邪气的方剂。
〔薛己按〕上述病症如果是真阳衰败，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，适宜使用本条提到的方剂（指前文语境中的温阳散寒方）。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。（出自杂病中寒章节。）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。（出自杂病伤湿章节。）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。（出自杂病伤劳倦章节。）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。（出自杂病虚劳章节。）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、大小便滑泄频数等症状，适宜使用八味地黄丸。（出自杂病虚劳章节。）
有一位妇人先感到腰胯疼痛，后来双腿也痛，我认为这是足三阴虚寒，受到外邪伤害。使用了小续命汤和独活寄生汤，症状时好时坏，她吃的食物必须极热，腹部才感觉舒适。我说：邪气已去但元气虚寒。诊察她的脉象，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（见虚劳章节）而完全康复。
另一位妇人所患症状相同，但有发热口渴，喜欢冷冻的饮食，脉象洪大且数，重按时却迟涩，我认为这是血虚有热。使用羚羊角散（见身体痛章节）去掉槟榔，加入白术、茯苓，服用几剂后，又改用加味逍遥散（见结核章节）而治愈。
还有一位妇人患有前述病症，有时腿膝疼痛，脉象浮数，重按时迟缓，这是元气虚弱而被风湿所乘袭。使用独活寄生汤顿然痊愈，后又用八珍汤调理而安。
一位妇人因愤怒引发前述病症，出现寒热往来、口苦不能进食、傍晚发热和内热，我认为这是肝火兼血虚。先用小柴胡汤加山栀顿然痊愈，后又用加味逍遥散而治愈。
一位妇人患有前述病症，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，后又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。
虎胫骨（酥炙） 败龟（酥炙） 槟榔 牛膝（酒浸，各一两） 当归（去芦头，炒） 川大黄（炒）
木香 桃仁（浸泡，炒） 海桐皮（各七钱半） 防风（去芦头和叉枝） 附子（炮制，去皮脐） 赤芍药
桂心 血竭 没药（单独研磨） 地龙（去土炒，各半两）
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，空腹饭前用温酒送服，每日两次。
仙灵脾散 治疗妇人血风攻注，腰脚疼痛。
仙灵脾 桃仁（麸炒） 槟榔（各一两） 羌活（去芦头） 海桐皮 牛膝（酒浸） 当归（去芦头，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（单独研磨，二钱半）
以上药物研为细末，每次服用二钱。饭前用豆淋酒调服，每日进服两次。
本散 治疗妇人血风流注，腰脚疼痛难以忍受。
藁本（去芦头泥土，一两半） 狗脊 天麻 骨碎补 桂心 没药（单独研磨） 血竭（研磨）
蝉蜕（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，单独研磨）
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，空腹饭前服用，每日两次。
败龟散 治疗妇人风毒流注，腰脚疼痛，行走困难。
败龟（酥炙） 虎胫骨（酥炙，各二两） 白僵蚕（炒） 薏苡仁 当归（去芦头） 杜仲（切碎，炒去丝，各一两） 地龙（炒去土） 桂心 乳香（单独研磨，各二钱半） 没药（半两，单独研磨）
以上药物研为细末，每次服用二钱，饭前用温薄荷酒调服。
骨碎补散 治疗妇人血风气攻，腰脚疼痛伴腹胁拘急，均适宜服用。
骨碎补（炒） 萆薢（酒浸） 牛膝（酒浸） 桃仁（麸炒） 海桐皮 当归（去芦头） 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）
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。
附子（炮制，去皮脐） 桂心 没药（单独研磨） 威灵仙 干漆（炒去烟） 牛膝（酒浸，各一两）
以上药物研为细末，每次服用二钱，温酒调服，饭前服用，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。
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）
以上药物研为末，每次服用一钱，酒调服，片刻后麻痹感消失随即痊愈。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，特别有神效。
The Kidney governs the waist and legs. In women, the Kidney is connected to the uterus via the Bao Luo (uterine network). If labor or injury damages the Kidney Qi, leading to 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 legs. Treatment should primarily focus on tonifying the Yuan Qi (original Qi), assisted by formulas that dispel pathogens.
[Xue Ji's Commentary] For the aforementioned conditions, if True Yang is exhausted and Cold Evil attacks, presenting with cold hands and feet, headache, aversion to cold, or vomiting and abdominal pain, it is appropriate to use the formula mentioned in this context (referring to warming yang and dispersing cold formulas). If Qi and Blood are deficient and affected by Cold Evil, presenting with aversion to cold, fever, headache, thirst, or vomiting and abdominal pain, Wuji San (Five Accumulations Powder) is appropriate. (From Miscellaneous Diseases: Cold.) If Yuan Qi is deficient and injured by Damp-Heat, presenting with swelling and pain in both shins, alternating chills and fever, body aches, or vomiting and inability to eat, Bingsu Baidu San (Areca and Perilla Detoxification Powder) is appropriate. (From Miscellaneous Diseases: Injury by Dampness.) If Spleen and Stomach are weak, with Yuan Qi sinking, presenting with alternating chills and fever, vomiting, feverish headache, panting and thirst, and physical fatigue, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) is appropriate. (From Miscellaneous Diseases: Injury by Fatigue.) If the Essence and Blood of the Three Yin Meridities of the Foot are depleted, with Deficient Fire stirring internally, presenting with internal heat, afternoon tidal fever, thirst with profuse phlegm, and frequent urination, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) is appropriate. (From Miscellaneous Diseases: Consumption and Weakness.) If the Yang Qi of the Three Yin Meridities of the Foot is exhausted, presenting with aversion to cold, fever, cold hands and feet, expectoration, inability to eat, and slippery/frequent defecation and urination, Bawei Dihuang Wan (Eight-Ingredient Pill with Rehmannia) is appropriate. (From Miscellaneous Diseases: Consumption and Weakness.)
A woman first experienced pain in her lower back and hips, followed by pain in both legs. I considered this to be deficiency-cold of the Three Yin Meridities of the Foot, injured by external pathogens. She was treated with Xiao Xuming Tang (Minor Xu Ming Decoction) and Duhuo Jisheng Tang (Angelica Pubescens and Porcinus Decoction). Symptoms came and went; she felt comfortable in her abdomen only when consuming very hot food. I stated: The pathogen has been expelled, but the Yuan Qi is deficient and cold. Her pulse was indeed deep and fine. She was administered Yangshen San (Kidney-Nourishing Powder) [see this section], gradually recovering, and subsequently cured with Shibu Wan (Ten Tonics Pill) [see Consumption and Weakness].
Another woman suffered from similar symptoms but presented with fever and thirst, preferring cold drinks and food. Her pulse was surging and rapid, but slow and choppy upon deep pressure. I diagnosed this as Blood deficiency with Heat. She was treated with Lingyangjiao San (Antelope Horn Powder) [see Body Pain], removing Areca Nut, and adding Atractylodes Macrocephala Rhizome and Poria, for several doses. She was then treated with Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) [see Tubercles] and recovered.
A third woman suffered from the aforementioned condition, with occasional pain in the legs and knees. Her pulse was floating and rapid, but slow and sluggish upon deep pressure. This indicated Yuan Qi deficiency with invasion by Wind-Damp. She was instantly cured by Duhuo Jisheng Tang and stabilized with Bazhen Tang (Eight-Treasure Decoction).
A fourth woman developed the aforementioned condition 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 this as Liver Fire with Blood deficiency. She was instantly cured by Xiaochaihu Tang (Minor Bupleurum Decoction) added with Gardenia Fruit, and subsequently cured with Jiawei Xiaoyao San.
A fifth woman suffered from the aforementioned condition, presenting with chills, fever, and headache, resembling Taiyang Disease (Exterior Syndrome). This was a Cold Evil syndrome. She was stabilized by Bingsu Baidu San and cured by regulating with Buzhong Yiqi Tang.
Tiger Bone Pill treats women suffering from Blood-Wind attacking and flowing into the joints, causing unbearable pain in the waist, legs, and bone joints.
Tiger Tibia Bone (roasted with butter/oil) 2 liang, Tortoise Plastron (roasted with butter/oil) 2 liang, Areca Seed 1 liang, Achyranthes Bidentata Root (soaked in wine) 1 liang, Angelica Sinensis Root (remove radicle, stir-fried) 1 liang, Rheum Palmatum Rhizome (stir-fried) 1 liang, Costus Root 0.75 liang, Peach Kernel (soaked, stir-fried) 0.75 liang, Cryptocarya Alba Bark 0.75 liang, Saposhnikovia Divaricata Root (remove radicle and forked parts) 0.75 liang, Prepared Aconite Car root (parched, remove skin and umbilical scar) 0.5 liang, Red Peony Root 0.5 liang, Cinnamon Twig 0.5 liang, Dragon's Blood 0.5 liang, Myrrh (separately ground) 0.5 liang, Earthworm (remove soil, stir-fried) 0.5 liang.
Grind all ingredients into a fine powder. Mix with refined honey, pounding 300-500 times until uniform. Form pills the size of Chinese quince seeds. Take 30 pills per dose, before meals on an empty stomach, washed down with warm wine. Twice daily.
Xianlingpi San treats women suffering from Blood-Wind attacking and flowing into the waist and legs, causing pain.
Epimedium Leaf 1 liang, Peach Kernel (bran-stir-fried) 1 liang, Areca Seed 1 liang, Notopterygium Root 1 liang, Cryptocarya Alba Bark 0.75 liang, Achyranthes Bidentata Root (soaked in wine) 0.75 liang, Angelica Sinensis Root (remove radicle, stir-fried) 0.75 liang, Ligusticum Chuanxiong Rhizome 0.75 liang, Drynaria Rhizome 0.75 liang, Corydalis Rhizome 0.75 liang, Cinnamon Twig 0.75 liang, Aurantium Fructus (remove pulp, bran-stir-fried) 0.75 liang, Costus Root 0.75 liang, Fennel Fruit 0.75 liang, Atractylodes Macrocephala Rhizome (stir-fried) 0.5 liang, Camphor (separately ground) 0.25 liang.
Grind all ingredients into a fine powder. Take 2 qian per dose. Mix with Doulin Wine (Soybean Infusion Wine) before meals. Twice daily.
Ben San treats women suffering from Blood-Wind flowing into the waist and legs, causing unbearable pain.
Ligusticum Wallichii Rhizome (remove radicle and soil) 1.5 liang, Cibotium Rhizome 1 liang, Gastrodia Elata Rhizome 1 liang, Drynaria Rhizome 1 liang, Cinnamon Twig 1 liang, Myrrh (separately ground) 1 liang, Dragon's Blood (ground) 1 liang, Cicada Slough (lightly stir-fried) 1 liang, Tiger Tibia Bone (vinegar-roasted) 2 liang, Tortoise Plastron (vinegar-roasted) 2 liang, Pangolin Scales (2 liang each, vinegar-roasted) 2 liang, Camphor (0.5 liang, separately ground) 0.5 liang.
Grind all ingredients into a fine powder. Mix evenly with Camphor. Take 2 qian per dose. Mix with Ginger Doulin Wine. Take before meals on an empty stomach. Twice daily.
Baigui San treats women suffering from Wind-Toxin flowing into the waist and legs, causing pain and difficulty walking.
Tortoise Plastron (roasted with butter/oil) 2 liang, Tiger Tibia Bone (roasted with butter/oil) 2 liang, White Silkworm (stir-fried) 1 liang, Coix Seed 1 liang, Angelica Sinensis Root (remove radicle) 1 liang, Eucommia Bark (chopped, stir-fried to remove silk fibers) 1 liang, Earthworm (stir-fried, remove soil) 2.5 qian, Cinnamon Twig 2.5 qian, Frankincense (separately ground) 2.5 qian, Myrrh (separately ground) 0.5 liang.
Grind all ingredients into a fine powder. Take 2 qian per dose. Mix with warm Mint Wine before meals.
Gusuibu San treats women suffering from Blood-Wind-Qi attacking, causing pain in the waist and legs with tension and cramping in the abdomen and hypochondrium. It is suitable for these conditions.
Drynaria Rhizome (stir-fried) 1 liang, Dioscorea Hypoglauca Rhizome (soaked in wine) 1 liang, Achyranthes Bidentata Root (soaked in wine) 1 liang, Peach Kernel (bran-stir-fried) 1 liang, Cryptocarya Alba Bark 1 liang, Angelica Sinensis Root (remove radicle) 1 liang, Cinnamon Twig 1 liang, Areca Seed 1 liang, Red Peony Root 0.75 liang, Prepared Aconite Car root (parched, remove skin and umbilical scar) 0.75 liang, Ligusticum Chuanxiong Rhizome 0.75 liang, Aurantium Fructus (0.5 liang, remove pulp, bran-stir-fried) 0.5 liang.
Cut all ingredients into small pieces. Take 5 qian per dose. Add 1.5 large cups of water, 3 slices of ginger, and 1 jujube. Decoct until 1 large cup remains. Strain and take warm.
Fuzi San treats women suffering from chronic pain in the waist and legs that does not heal.
Prepared Aconite Car root (parched, remove skin and umbilical scar) 1 liang, Cinnamon Twig 1 liang, Myrrh (separately ground) 1 liang, Clematis Root 1 liang, Dried Resin (stir-fried to remove smoke) 1 liang, Achyranthes Bidentata Root (soaked in wine) 1 liang.
Grind all ingredients into a fine powder. Take 2 qian per dose. Mix with warm wine. Take before meals. Twice daily.
Yangshen San treats Kidney Meridian deficiency invaded by Wind-Cold, resulting in pain in the waist and legs and inability to walk.
Atractylodes Rhizome 1 liang, Dried Scorpion 3 qian, Gastrodia Elata Rhizome 2 qian, Prepared Aconitum Kusnezoffii Root (parched, remove skin and tip) 2 qian, Black Prepared Aconite Car root (parched, remove skin and umbilical scar) 2 qian.
Grind into powder. Take 1 qian per dose. Mix with wine. Numbness will subside shortly after ingestion. Pregnant women must not take this. This is an excellent medicine for treating Wind-Cold injuring the Kidney and Bladder deficiency-cold. When used appropriately, it yields miraculous effects.