邪在肾，则病骨痛阴痹。阴痹者，按之而不得，腹胀腰痛大便难，肩背颈项强痛，时
眩，取之涌泉、昆仑，视有血者尽取之。少腹控睾，引腰脊，上冲心肺，邪在小肠也。小
肠者，连睾系，属于脊，贯肝肺，络心系，气盛则厥逆，上冲肠胃，熏肝肺，散于胸，结于
脐。故取肓原以散之，刺太阴以予之，取厥阴以下之，取巨虚下廉以去之，按其所过之经
以调之。小肠病者，少腹痛，腰脊控睾而痛，时窘之后，耳前热，若寒甚，若独肩上热甚，
及手小指次指间热，若脉陷者，此其候也。
黄帝问曰∶有病厥者，诊右脉沉坚，左手浮迟，不知病生安在？岐伯对曰∶冬诊之右
脉固当沉坚，此应四时。左脉浮迟，此逆四时。左当主病，诊左在肾，颇在肺，当腰痛。曰
∶何以言之？曰∶少阴脉贯肾络肺，今得肺脉，肾为之病，故为腰痛。
足太阳脉令人腰痛，引项脊尻，背如肿状。刺其 中太阳正经去血，春无见血。
少阳令人腰痛，如以针刺其皮中，循循然不可俯仰，不可以左右顾。刺少阳盛骨之端出
血。盛骨在膝外廉之骨独起者，夏无见血。
阳明令人腰痛，不可以顾，顾如有见者，善悲。刺阳明于 前三 ，上下和之
出血，秋无见血。
足少阴令人腰痛，痛引脊内廉。刺足少阴于内踝上二 ，春无见血，若出血太多，
虚不可复。
厥阴之脉令人腰痛，腰中如张弓弩弦。刺厥阴之脉，在 踵鱼腹之外，循循累累然
乃刺之。其病令人善言默默然不慧，刺之三 。
解脉令人腰痛，痛引肩，目KT KT 然，时遗溲。刺解脉在膝筋分肉间，在 外廉
之横脉出血，血变而止。
同阴之脉令人腰痛，腰如小锤居其中，怫然肿。剌同阴之脉，在外踝上绝骨之端，为
二。
解脉令人腰痛如裂（《素问》作引带），常如折腰之状，善怒。剌解脉，在 中结络如黍
米，刺之血射以黑，见赤血乃已（全元起云∶有两解脉，病原各异，疑误未详）。
阳维之脉令人腰痛，痛上怫然肿，刺阳维之脉，脉与太阳合 下间，去地一尺所
衡络之脉令人腰痛，得俯不得仰，仰则恐仆，得之举重伤腰，衡络绝伤，恶血归之。
刺之在 阳之筋间，上 数寸衡居，为二 出血。
会阴之脉令人腰痛，痛上 然汗出，汗干令人欲饮，饮已欲走。刺直阳之脉上
三，在跷上 下三所横居，视其盛者出血（《素问》 然作漯漯然，三
飞扬之脉令人腰痛，痛上怫怫然，甚则悲以恐。刺飞扬之脉，在内踝上二寸（《素问》
作五寸），少阴之前，与阴维之会。
昌阳之脉令人腰痛，痛引膺，目KT KT 然，甚则反折，舌卷不能言。刺内筋为二
，在内踝上大筋后，上踝一寸所。（《素问》大筋作太
散脉令人腰痛而热，热甚而烦，腰下如有横木居其中，甚则遗溲。刺散脉在膝前骨
肉分间，络外廉束脉，为三 。
肉里之脉令人腰痛，不可以咳，咳则筋挛。刺肉里之脉为二 ，在太阳之外，少阳绝骨
之端。
腰痛侠脊而痛至头几几然，目KT KT 然欲僵仆，刺足太阳 中出血。腰痛引少腹
控，不可以仰。刺尻交者，两踝胂上，以月死生为 数，发针立已（《素问》云
∶左取右，右取左）。
腰痛上寒，取足太阳、阳明；痛上热，取足厥阴；不可以俯仰，取足
少阳；中热而喘，取足少阴 中血络。
腰痛上寒，实则脊急强，长强主之。少腹痛控睾引腰脊，疝痛上冲心，腰脊强，溺黄
赤，口干，小肠俞主之。腰脊痛强引背、少腹，俯仰难，不得仰息，脚痿重，尻不举，溺
赤，腰以下至足清不仁，不可以久坐，膀胱俞主之。腰痛不可以俯仰，中膂内俞主之。腰
足痛而清，善偃，睾跳拳，上 主之。腰痛怏怏不可以俯仰，腰以下至足不仁，入脊，腰
背寒，次 主之，先
胁中满，少腹坚急，志室主之。腰脊痛，恶风，少腹满坚，癃闭下重，不得小便，胞肓
主之。腰痛 寒，俯仰急难，阴
痛下重，不得小便，秩边主之。腰痛控睾、小腹及股，卒俯不得仰，刺气街。腰痛不得
转侧，章门主之。腰痛不可以久立俯仰，京门及行间主之。腰痛少腹痛，下
主之。肾腰痛不可俯仰，阴陵泉主之。腰脊相引如解，腰痛少腹满，小便不利如癃状，羸瘦，意恐
惧，气不足，腹中怏怏，太冲主之。腰痛少腹痛，阴包主之。腰痛大便难，涌泉主
之。腰脊相引如解，实则闭癃，凄凄，腰脊痛宛转，目循循嗜卧，口中热，虚则腰痛，
寒厥
少阴痛也。腰痛不能
痛
痛，脚痿，仆参主之。腰痛侠脊至头KT KT 然，目KT KT ，委中主之（是前刺足太
阳中出血者）。腰痛得俯不得仰，仰则恐仆，得之举重，恶血归之，殷门主之（是前衡络
之脉腰痛者）。腰脊痛尻脊股臀阴寒大痛，虚则血动，实则并热痛，痔痛尻 中肿
邪气侵犯肾脏，就会引起骨痛和阴痹。所谓阴痹，是指疼痛部位按压时找不到确切的痛点，伴有腹胀、腰痛、大便困难，肩背颈项僵硬疼痛，时常眩晕，治疗应取涌泉穴和昆仑穴，观察是否有瘀血，若有则全部刺出。少腹部牵引睾丸，牵连腰脊，气向上冲至心肺，这是小肠受邪所致。小肠与睾丸系带相连，归属于脊柱，贯穿肝肺，联络心包，若气机亢盛则发生厥逆，气向上冲击肠胃，熏蒸肝肺，散布于胸中，结聚于脐部。因此治疗应取肓原穴以消散病邪，针刺手太阴肺经以补益正气，取足厥阴肝经以降逆气，取上巨虚穴以祛除病邪，并按循病变所经过的经脉进行调理。小肠病的症状是少腹疼痛，腰脊牵引睾丸而痛，时常窘迫后重，耳前发热，或寒冷严重，或仅肩部发热严重，以及手小指和无名指间发热，若脉象下陷，这些都是其征候。
黄帝问道：有患厥证的人，诊察发现右脉沉而坚实，左手脉浮而迟缓，不知道病生在哪里？岐伯回答说：冬季诊察，右脉本来应当沉坚，这是顺应四时的规律。左脉浮迟，这是违背四时规律。左侧脉象主病，诊察左侧对应肾脏，但也涉及肺部，应当出现腰痛。问：为什么这样说？答：足少阴肾经贯穿肾脏联络肺脏，现在出现了肺脉，说明肾脏有病，所以导致腰痛。
足太阳膀胱经的经脉使人腰痛，疼痛牵引项部和脊柱尾部，背部感觉像肿胀一样。针刺足太阳经的正经出血，春季不宜见血。
足少阳胆经使人腰痛，感觉像针刺皮肤中间，行动迟缓不能俯仰，不能左右回顾。针刺足少阳经在膝外侧高骨（腓骨小头）端出血，夏季不宜见血。
足阳明胃经使人腰痛，不能回顾，回顾时好像看见幻象，容易悲伤。针刺足阳明经在三里穴上下调和出血，秋季不宜见血。
足少阴肾经使人腰痛，疼痛牵引脊柱内侧。针刺足少阴经在内踝上二寸处，春季不宜见血，如果出血太多，会导致虚损无法恢复。
足厥阴肝经的经脉使人腰痛，腰部像拉满弓弩的弦一样紧张。针刺足厥阴经，位置在脚跟鱼腹肌肉之外，沿着脉络累累突起处针刺。这种病使人喜欢说话但又沉默寡言，神志不清。针刺三次。
解脉使人腰痛，疼痛牵引肩部，眼睛视物模糊，时常遗尿。针刺解脉在膝盖筋肉分界之间，在外侧横脉出血，血色由黑变红即止。
同阴之脉使人腰痛，腰部像有小锤在其中，郁结肿胀。针刺同阴之脉，在外踝上绝骨端，刺两次。
解脉使人腰痛像撕裂一样（《素问》作牵引带），经常像折断腰一样的状态，容易发怒。针刺解脉，在中结络如黍米大小，刺之血液喷射且颜色黑，见到赤色血液才停止（全元起说：有两解脉，病因各异，怀疑有误不详）。
阳维脉使人腰痛，疼痛上方郁结肿胀，针刺阳维脉，脉与太阳经合于腘窝下方，距离地面一尺左右。
衡络之脉使人腰痛，能俯不能仰，仰则害怕跌倒，这是因为举重物损伤腰部，衡络断裂受伤，恶血归聚于此。针刺在承扶穴阳筋之间，向上数寸横向居处，刺两次出血。
会阴之脉使人腰痛，疼痛上方汗出淋漓，汗干使人想喝水，喝完后又想走动。针刺直阳之脉上三寸，在跷脉上下三处横向居处，观察其盛者出血（《素问》漯然作漯漯然，三...）。
飞扬之脉使人腰痛，疼痛上方郁结不适，严重时悲伤恐惧。针刺飞扬之脉，在内踝上二寸（《素问》作五寸），足少阴之前，与阴维脉交会处。
昌阳之脉使人腰痛，疼痛牵引胸部，眼睛视物模糊，严重时身体反折，舌卷缩不能说话。针刺内筋刺两次，在内踝上大筋后方，上踝一寸处。（《素问》大筋作太...）
散脉使人腰痛且发热，热甚则烦躁，腰部以下好像有横木在其中，严重时遗尿。针刺散脉在膝盖前骨肉分界间，络外廉束脉，刺三次。
肉里之脉使人腰痛，不能咳嗽，咳嗽则筋脉痉挛。针刺肉里之脉刺两次，在足太阳经之外，足少阳经绝骨端。
腰痛夹脊而痛直到头部，颈部僵硬，眼睛视物模糊想要跌倒，针刺足太阳经委中穴出血。腰痛牵引少腹，牵引睾丸，不能仰卧。针刺尻交穴，两踝肿痛之上，根据月亮盈亏确定次数，针出立即见效（《素问》说：左取右，右取左）。
腰痛上部寒冷，取足太阳、足阳明经；疼痛上部发热，取足厥阴经；不能俯仰，取足少阳经；中部发热且气喘，取足少阴经血络。
腰痛上部寒冷，实证则脊柱紧急强直，长强穴主治。少腹痛牵引睾丸牵连腰脊，疝痛上冲心胸，腰脊强直，小便黄赤，口干，小肠俞穴主治。腰脊痛强直牵引背、少腹，俯仰困难，不能仰卧呼吸，脚痿沉重，臀部抬不起来，小便赤，腰以下至足清冷麻木，不能久坐，膀胱俞穴主治。腰痛不能俯仰，中膂内俞穴主治。腰足痛而清冷，喜欢仰卧，睾丸跳动蜷缩，筑宾穴主治。腰痛郁郁不舒不能俯仰，腰以下至足麻木，入脊，腰背寒，次髎穴主治，先...
胁中胀满，少腹坚硬急迫，志室穴主治。腰脊痛，怕风，少腹满坚，小便不利沉重，不能小便，胞肓穴主治。腰痛...寒，俯仰急难，阴...痛下重，不能小便，秩边穴主治。腰痛牵引睾丸、小腹及大腿，突然俯身不能仰，针刺气街穴。腰痛不能转侧，章门穴主治。腰痛不能久立俯仰，京门穴及行间穴主治。腰痛少腹痛，下...主治。肾腰痛不可俯仰，阴陵泉穴主治。腰脊相引像解开一样，腰痛少腹满，小便不利像癃状，消瘦，心中恐惧，气不足，腹中郁郁不乐，太冲穴主治。腰痛少腹痛，阴包穴主治。腰痛大便困难，涌泉穴主治。腰脊相引像解开，实证则闭癃，凄凄畏寒，腰脊痛辗转不安，眼睛视物模糊嗜睡，口中热，虚则腰痛，寒厥...少阴痛也。腰痛不能...痛...痛，脚痿，仆参穴主治。腰痛夹脊至头视物模糊，眼睛视物模糊，委中穴主治（这是前面说的刺足太阳经委中穴出血者）。腰痛得俯不得仰，仰则恐跌倒，因举重所致，恶血归聚，殷门穴主治（这是前面说的衡络之脉腰痛者）。腰脊痛尻脊股臀阴寒大痛，虚则血动，实则并热痛，痔痛尻...中肿
When pathogenic factors invade the Kidney, bone pain and Yin Bi (a type of bi-syndrome characterized by deep-seated pain without obvious external signs) occur. Yin Bi is characterized by pain that cannot be pinpointed by pressure, accompanied by abdominal distension, lower back pain, difficult defecation, stiffness and pain in the shoulder, back, neck, and nape, and occasional dizziness. Treatment involves selecting Yongquan (KI1) and Kunlun (BL60). Observe for blood stasis; if present, puncture to release all stagnant blood. If the lower abdomen pulls on the testis, radiating to the lumbar spine and rushing upward to the heart and lungs, this indicates pathogenic invasion of the Small Intestine. The Small Intestine connects to the testicular ligaments, attaches to the spine, penetrates the Liver and Lungs, and networks with the Heart system. When Qi is excessive, it causes reversal (Jue), rushing upward to attack the Stomach and Intestines, steaming the Liver and Lungs, dispersing in the chest, and knotting at the umbilicus. Therefore, treat by selecting Huanyuan (CV12) to dissipate the pathogen, puncture the Hand Taiyin Lung Meridian to tonify, select the Foot Jueyin Liver Meridian to descend rebellious Qi, select Shangjuxu (ST37) to eliminate the pathogen, and regulate according to the meridians traversed. Symptoms of Small Intestine disease include lower abdominal pain, lumbar spine pain radiating to the testis, frequent urgency and heaviness in the rectum, heat in front of the ears, severe cold, isolated heat in the shoulder, heat between the little finger and ring finger, or a sunken pulse. These are its indicators.
The Yellow Emperor asked: "There is a patient with Jue syndrome. The right pulse is deep and firm, while the left pulse is floating and slow. Where does the disease originate?" Qibo replied: "In winter, the right pulse should naturally be deep and firm, which corresponds to the four seasons. The left pulse being floating and slow goes against the seasonal pattern. The left side governs the disease. Diagnosis of the left side relates to the Kidney, but also involves the Lung, indicating lower back pain." Asked: "Why do you say so?" Replied: "The Foot Shaoyin Kidney Meridian passes through the Kidney and connects to the Lung. Now that a Lung pulse is obtained, the disease lies in the Kidney, hence the lower back pain."
The Foot Taiyang Bladder Meridian causes lower back pain radiating to the neck, spine, and sacrum, with the back feeling swollen. Puncture the main channel of the Foot Taiyang to release blood; in spring, avoid bleeding.
The Foot Shaoyang Gallbladder Meridian causes lower back pain, feeling like a needle prick in the skin, with sluggish movement unable to bend or extend, and unable to look left or right. Puncture the end of the Shenggu (fibular head) of the Foot Shaoyang to release blood; in summer, avoid bleeding.
The Foot Yangming Stomach Meridian causes lower back pain, inability to look back, visual hallucinations upon looking back, and propensity for sadness. Puncture the Foot Yangming at Zusanli (ST37) above and below to harmonize and release blood; in autumn, avoid bleeding.
The Foot Shaoyin Kidney Meridian causes lower back pain radiating to the inner aspect of the spine. Puncture the Foot Shaoyin two cun above the medial malleolus; in spring, avoid bleeding. Excessive bleeding leads to deficiency that cannot be restored.
The Foot Jueyin Liver Meridian causes lower back pain, with the waist feeling tight like a drawn bowstring. Puncture the Foot Jueyin meridian outside the gastrocnemius muscle near the heel, along the palpable nodules. This condition causes the patient to speak excessively yet remain silent and confused. Puncture three times.
Xie Mai (Resolving Vessel) causes lower back pain radiating to the shoulder, blurred vision, and occasional urinary incontinence. Puncture Xie Mai between the knee tendons and muscles, on the transverse vessel on the lateral side; release blood until it changes color.
Tongyin Mai causes lower back pain, feeling as if a small hammer is lodged within, with郁结 swelling. Puncture Tongyin Mai at the end of the Jiegu (fibular styloid process) above the lateral malleolus; puncture twice.
Xie Mai causes lower back pain as if tearing (Suwen describes it as pulling like a belt), often feeling like the waist is broken, with irritability. Puncture Xie Mai where the collaterals knot like a millet grain; blood will shoot out blackly. Stop when red blood appears. (Quan Yuanqi stated there are two Xie Mai vessels with different etiologies; doubt exists regarding errors.)
Yangwei Mai causes lower back pain with郁结 swelling above. Puncture Yangwei Mai where it merges with the Taiyang vessel below the popliteal fossa, about one chi from the ground.
Hengluo Mai causes lower back pain, ability to bend but not extend, fear of falling when extending. This results from heavy lifting injuring the waist, severing Hengluo, causing evil blood to gather. Puncture between the Jin (muscle/tendon) of Chengfu (BL36) above, horizontally positioned several cun up; puncture twice to release blood.
Huiyin Mai causes lower back pain with profuse sweating above the pain site. After sweat dries, thirst arises; after drinking, restlessness occurs. Puncture Zhiyang Mai three cun above, horizontally positioned three spaces above and below the Qiao Mai. Bleed where vessels are full. (Suwen describes sweating as 'lettle'; ...).
Feiyang Mai causes lower back pain with郁结 discomfort above, progressing to fear and sorrow. Puncture Feiyang Mai two cun above the medial malleolus (Suwen says five cun), anterior to Shaoyin, at the intersection with Yinwei Mai.
Changyang Mai causes lower back pain radiating to the chest, blurred vision, severe opisthotonos, and tongue retraction with inability to speak. Puncture Neijin twice, posterior to the large tendon above the medial malleolus, one cun above the ankle. (Suwen refers to the large tendon as...).
San Mai causes lower back pain with heat; severe heat causes irritability. A sensation of a horizontal wood block in the lower back; severe cases involve urinary incontinence. Puncture San Mai between the bone and muscle anterior to the knee, binding the outer collateral vessels; puncture three times.
Rouli Mai causes lower back pain, inability to cough (coughing causes tendon spasm). Puncture Rouli Mai twice, lateral to the Foot Taiyang, at the end of the Jiegu of Foot Shaoyang.
Lower back pain flanking the spine radiating to the head, with neck stiffness, blurred vision, and desire to collapse. Puncture Weizhong (BL40) of the Foot Taiyang to release blood. Lower back pain radiating to the lower abdomen and testis, inability to lie supine. Puncture Jiaoxu (BL34); above the swollen ankles, determine the number of punctures based on the lunar cycle; effect is immediate upon needle removal. (Suwen states: treat left with right, right with left).
For upper cold in lower back pain, select Foot Taiyang and Yangming; for upper heat, select Foot Jueyin; for inability to bend/extend, select Foot Shaoyang; for middle heat with panting, select the blood collaterals of Foot Shaoyin.
For upper cold in lower back pain, excess presents as spinal rigidity; Changqiang (GV1) is the primary point. For lower abdominal pain pulling the testis and lumbar spine, hernia pain rushing to the heart, spinal rigidity, yellow-red urine, dry mouth; Xiaochangshu (BL27) is the primary point. For spinal pain radiating to back and lower abdomen, difficulty bending/extending, inability to breathe lying down, leg weakness/heaviness, immovable sacrum, red urine, cold/numbness from waist to feet, inability to sit long; Pangguangshu (BL28) is the primary point. For lower back pain preventing bending/extending; Zhonglü Neishu (BL29) is the primary point. For lower back/foot pain with cold, preference for supine position, testicular jumping/curling; Zubin (KI9) is the primary point. For lower back pain with depression preventing bending/extending, numbness from waist to feet, spinal involvement, back cold; Cishi (BL27 - *Note: Context implies Cili BL27 or similar, text says Ci*) is the primary point, first...
For fullness in hypochondrium and hardness/urgency in lower abdomen; Zhishi (BL52) is the primary point. For spinal pain, aversion to wind, lower abdominal fullness/hardness, strangury/heaviness, inability to urinate; Baohuang (BL54) is the primary point. For lower back pain with cold, urgent/difficult bending/extending, yin pain with heaviness/inability to urinate; Zhibian (BL54) is the primary point. For lower back pain pulling testis, lower abdomen, and thigh, sudden inability to bend/extend; Qichuan (ST30) is needled. For lower back pain preventing turning/side-bending; Zhangmen (LR13) is the primary point. For lower back pain preventing standing/bending long-term; Jingmen (GB25) and Xingjian (LR2) are the primary points. For lower back/lower abdominal pain; [Missing Point] is the primary point. For Kidney lower back pain preventing bending/extending; Yinlingquan (SP9) is the primary point. For spinal pain radiating as if untied, lower back/abdominal fullness, strangury-like difficulty urinating, emaciation, fear, Qi deficiency, abdominal depression; Taichong (LR3) is the primary point. For lower back/lower abdominal pain; Yinbao (LR9) is the primary point. For lower back pain with difficult defecation; Yongquan (KI1) is the primary point. For spinal pain radiating as if untied, excess presents as closure/strangury, chills, rolling spinal pain, blurred vision/somnolence, oral heat; deficiency presents as lower back pain, cold Jue... Shaoyin pain. For lower back pain preventing... pain... pain, leg weakness; Pugen (BL60) is the primary point. For lower back pain flanking spine to head, blurred vision, eyes blurry; Weizhong (BL40) is the primary point (referring to previous bleeding of Foot Taiyang Weizhong). For lower back pain allowing bending but not extension, fear of falling, caused by heavy lifting with evil blood accumulation; Yinmen (BL37) is the primary point (referring to previous Hengluo vessel lower back pain). For spinal/sacral/thigh/gluteal cold/pain, deficiency causes blood movement, excess causes combined heat/pain, hemorrhoid pain/sacral swelling...