湿冷腰痛者，坐卧湿冷，久久得之。《金匮》所谓肾着是也。其症痛而冷重，遇阴或久
坐则甚，肾着汤主之。
肾着汤
生附汤
附子（生，一分） 苍术（炒） 杜仲（姜汁炒，各半两） 生干姜 白术 茯苓 牛膝（酒
浸，焙） 浓朴（制） 甘草（炙，各二两）
上锉，每三钱，姜四片，枣二枚，食前服。
牵牛丸 治冷湿流注，腰疼不可屈伸。
黑牵牛 延胡索（微炒） 补骨脂（三味另研，另捣，另炒，取末，各二两）
上煨蒜研膏，丸如桐子大，每服五十丸，食前葱酒盐汤任下。（《杨氏家藏方》）
子和禹功散 治水气流注腰痛。
黑牵牛（四两） 茴香（炒，一两）
上为末，姜汁调一二钱服。
脾有湿热，传之于肾，得之醇酒浓味，内伤中气，湿热蕴积，流注肾经，令人沉重疼痛
，遇天阴或久坐而发，其脉缓者是也。
东垣苍术汤
苍术（五钱，去湿止痛） 柴胡（三钱，行经） 防风（一钱半，去风胜湿） 黄柏（一钱半
，除热止痛）
水二盅，煎至一盅，空心食前。
丹溪治湿热腰腿痛方
龟板（酒炙，二两） 苍术 黄柏（酒炒） 苍耳 威灵仙（酒浸，一两） 侧柏（半两）
上为末，酒糊为丸，每用黑豆汁，煎四物汤，加陈皮、甘草、生姜，煎汤下。一方有白
芍、知母。
湿冷腰痛，是由于久坐或久卧于潮湿寒冷之处，日久逐渐形成的。《金匮要略》中所述的“肾着”病就是这种情况。其症状表现为腰部疼痛且伴有冷重感，遇到阴天或久坐时症状加重，治疗以肾着汤为主方。
肾着汤（此处原文列出药名为“生附汤”，但根据后文组成及前文语境，实指治疗肾着的方剂，通常指甘姜苓术汤类加减，此处依原文记录）
组成：生附子（生用，一分）、苍术（炒制）、杜仲（用姜汁炒制，各半两）、生干姜、白术、茯苓、牛膝（酒浸后焙干）、浓朴（炮制）、甘草（炙制，各二两）。
以上药物切碎，每次取三钱，加生姜四片、大枣二枚，饭前服用。
牵牛丸：治疗冷湿之邪流注体内导致的腰痛，致使腰部疼痛剧烈无法屈伸。
组成：黑牵牛、延胡索（微炒）、补骨脂（这三味药分别单独研磨成细末，分别捣碎，分别炒制，取粉末，每味各二两）。
以上用煨熟的蒜头研成膏状，将药粉制成如梧桐子大小的丸剂，每次服用五十丸，饭前用葱、酒、盐汤送服。（出自《杨氏家藏方》）
子和禹功散：治疗水气流行流注引起的腰痛。
组成：黑牵牛（四两）、茴香（炒制，一两）。
以上研为细末，用姜汁调服一二钱。
脾脏有湿热，传变至肾脏，多因饮用过量醇酒、食用浓厚滋味食物所致，内伤中焦之气，导致湿热蕴结积聚，流注于肾经，使人感到身体沉重疼痛，遇到阴天或久坐时发作，其脉象表现为缓脉。
东垣苍术汤
组成：苍术（五钱，用于祛湿止痛）、柴胡（三钱，用于疏通经络）、防风（一钱半，用于祛风胜湿）、黄柏（一钱半，用于清热止痛）。
加水两盅，煎煮至一盅，空腹、饭前服用。
丹溪治疗湿热腰腿痛的方剂
组成：龟板（酒炙，二两）、苍术、黄柏（酒炒）、苍耳子、威灵仙（酒浸，一两）、侧柏叶（半两）。
以上研为细末，用酒糊制作成丸剂，每次服用时用黑豆汁煎煮四物汤，加入陈皮、甘草、生姜，煎汤送下丸药。另一版本方剂中含有白芍、知母。
Waist and lower back pain due to cold-dampness arises from sitting or lying in damp and cold environments for prolonged periods, developing gradually over time. This corresponds to the "Kidney Fixation" (Shen Zhuo) described in the *Jin Gui Yao Lue*. The symptoms include pain accompanied by a sensation of coldness and heaviness, which worsens during cloudy weather or after prolonged sitting. The primary treatment is Shen Zhuo Tang.
Shen Zhuo Tang (Note: The text lists the name as Sheng Fu Tang, but describes a formula for Kidney Fixation)
Ingredients: Raw Aconite Root (Fuzi, raw, 1 fen), Atractylodes Rhizome (Cangzhu, stir-fried), Eucommia Bark (Duzhong, stir-fried with ginger juice, each 0.5 liang), Dried Ginger (Sheng Ganjiang), Atractylodes Macrocephala Rhizome (Baizhu), Poria (Fuling), Achyranthes Root (Niuxi, soaked in wine and baked), Magnolia Bark (Houpo, processed), Licorice Root (Gancao, honey-fried, each 2 liang).
Crush the ingredients. For each dose of 3 qian, add four slices of fresh ginger and two jujubes. Take before meals.
Qianniu Wan: Treats waist pain caused by the flow and accumulation of cold-dampness, rendering the waist unable to bend or extend.
Ingredients: Black Morning Glory Seed (Hei Qianniu), Corydalis Rhizome (Yanhusuo, slightly stir-fried), Psoralea Fruit (Buguzhi). These three herbs are ground into powder separately, pounded separately, and stir-fried separately; take the powder of each, 2 liang.
Mix with paste made from roasted garlic. Form pills the size of paulownia seeds. Take 50 pills per dose before meals, washed down with decoction of scallion, wine, and salt. (From *Yang Shi Jia Zang Fang*)
Zihe's Yugong San: Treats waist pain caused by water qi flowing and accumulating.
Ingredients: Black Morning Glory Seed (Hei Qianniu, 4 liang), Fennel Seed (Huixiang, stir-fried, 1 liang).
Grind into powder. Mix with ginger juice and take 1-2 qian per dose.
When Spleen damp-heat transmits to the Kidneys, it often results from excessive consumption of rich wine and strong-flavored foods, damaging the Middle Qi internally. This leads to the accumulation and stagnation of damp-heat, which flows into the Kidney meridians, causing heaviness and pain in the body. Symptoms flare up during cloudy weather or after prolonged sitting, and the pulse is typically slow (Huan).
Dongyuan Cangzhu Tang
Ingredients: Atractylodes Rhizome (Cangzhu, 5 qian, to dispel dampness and relieve pain), Bupleurum Root (Chaihu, 3 qian, to circulate the meridians), Saposhnikovia Root (Fangfeng, 1.5 qian, to dispel wind and overcome dampness), Phellodendron Bark (Huangbai, 1.5 qian, to clear heat and relieve pain).
Add two zhong of water, decoct until one zhong remains. Take on an empty stomach before meals.
Danxi’s Formula for Damp-Heat Waist and Leg Pain
Ingredients: Tortoise Shell (Guiban, wine-fried, 2 liang), Atractylodes Rhizome (Cangzhu), Phellodendron Bark (Huangbai, wine-stir-fried), Xanthium Fruit (Canger), Clematis Root (Weilingxian, wine-soaked, 1 liang), Biota Tops (Cebai, 0.5 liang).
Grind into powder. Use wine paste to form pills. For administration, decoct Siwu Decoction with black bean juice, adding Tangerine Peel (Chenpi), Licorice Root (Gancao), and Fresh Ginger (Shengjiang). Drink the decoction to wash down the pills. Another version includes White Peony Root (Baishao) and Anemarrhena Rhizome (Zhimu).