委中、主腰痛夹脊至头KT KT 然。（千）凡腰脚重痛。于此刺出血。久痼宿疹。亦皆立已
大钟、主腰脊痛。小肠俞、中膂俞、白环俞、主腰脊疝痛。次 、胞肓、承筋、主腰脊
痛恶寒。合阳、主腰脊痛引腹。扶承、主腰脊尻臀股阴寒痛。涌泉、主腰脊相引如解
。志室、京门、主腰痛脊急。（明下同。）脾俞、小肠俞、膀胱俞、腰俞、神道、谷中、
长强。（明下同。）大杼、鬲关、水分、主腰脊急强。腰俞、疗腰髋疼。腰脊强。不得转
。（明）白环俞、疗腰脊挛痛。大小便不利。百病腰髋疼不遂。腰中冷。不识眠睡。下云、
疗腰脊急强。不能俯仰。起坐难。手足不仁。小便黄。腰尻重不举。志室、胞肓、疗腰脊
痛急食不消腹坚急。膀胱俞疗脊急强腰至足酸重。（下）神堂疗腰脊急强逆气上攻时噎。
大钟（见淋。）治腰脊强痛。志室、治腰脊强痛。食饮不消。腹坚急。京骨、（见足
中膂俞、治腰脊不得俯仰。（见消渴。）明下云、疗腰痛不可俯仰。夹脊膂痛。上下按之应者
。从项后至此穴皆灸之。立愈。
复溜、治腰脊内引痛。（明下云。腰痛引脊。）不得俯仰起坐。目KT KT 。善怒多言。舌干
出。足痿不收履。 寒不自温。京骨、治筋挛 酸。髀枢痛。颈项强。腰脊不可俯仰。
委中、治腰侠脊沉沉然。遗溺。腰重不能举体。风痹、髀枢痛。可出血。痼疹皆愈。又云、
热病汗不出。足热厥逆满。膝不得屈伸。取其经血立愈。合阳、治腰脊强。引腹痛。阴股
热。膝 酸重。履步难。扶承、治腰脊相引如解。（明下云。疗腰脊尻臀腰冷痛。）殷门
、治腰脊不可俯仰。举重恶血注之。股外肿。章门、（见肠鸣。）次 、治腰脊痛不得转。
（见疝。）悬枢、治腰脊强。（明同。）不得屈伸。三焦俞、治肩背急。腰脊强。（明下同
。）不得俯仰。膀胱俞、治腰脊痛。白环俞、治腰脊挛痛。大小便不利。腰髋疼。脚
膝不遂。温疟。腰脊冷疼。不得安卧。劳损风虚。
史记、太仓公告宋建曰、君有病。往四五日。君腰胁病不可俯仰。又不得小溲。不亟治
。病即入濡肾。及其未舍五脏急治之。病方今客肾濡。此所谓肾痹也。宋建曰、建故有腰脊痛。
往四五日。弄石不能起。即复置之。暮腰脊痛。不得溺。至今不愈。建病得之好持重。即为
柔汤使服之。十八日而病愈。然则腰脊伤持重得病而入肾。灸肾俞可也。
委中穴，主治腰痛夹脊至头部的沉重感。凡是腰脚沉重疼痛，在此处针刺出血，久治不愈的顽固疹疾，也能立刻痊愈。
大钟穴，主治腰脊痛。小肠俞、中膂俞、白环俞，主治腰脊疝痛。次髎、胞肓、承筋，主治腰脊痛伴恶寒。合阳穴，主治腰脊痛牵引腹部。扶承穴，主治腰脊尻臀股阴部寒冷疼痛。涌泉穴，主治腰脊相互牵引如解散状（形容极度松弛或疼痛）。志室、京门，主治腰痛脊背拘急。（以下注明“明下同”者，指《针灸大成》等明代文献记载相同。）脾俞、小肠俞、膀胱俞、腰俞、神道、谷会（注：原文“谷中”疑为“谷会”或特定穴位，此处依原文保留）、长强。（以下注明“明下同”者，同上。）大杼、膈关、水分，主治腰脊拘急强硬。腰俞，治疗腰髋疼痛、腰脊僵硬、不能转动。（注明“明”者，同上。）白环俞，治疗腰脊挛缩疼痛、大小便不利、百病引起的腰髋疼痛活动受限、腰部发冷、无法入睡。下文说，治疗腰脊拘急强硬、不能俯仰、起坐困难、手足麻木、小便黄、腰尻沉重抬不起来。志室、胞肓，治疗腰脊疼痛紧急、饮食不消化、腹部坚硬紧急。膀胱俞治疗脊背拘急强硬、腰部至足部酸重。（以下）神堂治疗腰脊拘急强硬、逆气上攻时常噎阻。大钟（见淋证篇），治疗腰脊强痛。志室，治疗腰脊强痛、饮食不消化、腹部坚硬紧急。京骨（见足少阳胆经相关章节）。中膂俞，治疗腰脊不能俯仰（见消渴篇）。明代文献下云，治疗腰痛不可俯仰、夹脊及脊背疼痛、上下按压时反应明显者，从项后至此穴皆施灸，立刻痊愈。
复溜，治疗腰脊内部牵引疼痛（明代文献下云：腰痛牵引脊背）、不能俯仰起坐、眼睛昏花、易怒多言、舌干流出、足痿软不收履、寒冷不自温煦。京骨，治疗筋挛酸痛、髀枢疼痛、颈项强直、腰脊不可俯仰。委中，治疗腰夹脊沉沉然疼痛、遗尿、腰重不能举体、风痹、髀枢疼痛，可刺出血，顽固疹疾皆愈。又说，热病汗不出、足热厥逆满、膝不得屈伸，取其经血立愈。合阳，治疗腰脊强、牵引腹痛、阴股热、膝酸痛重、行走困难。扶承，治疗腰脊相互牵引如解散状（明代文献下云：治疗腰脊尻臀部腰部冷痛）。殷门，治疗腰脊不可俯仰、举重导致恶血注入之处、大腿外侧肿胀。章门（见肠鸣篇）。次髎，治疗腰脊痛不能转动（见疝气篇）。悬枢，治疗腰脊强（明代文献相同）、不能屈伸。三焦俞，治疗肩背紧急、腰脊强（明代文献相同）、不能俯仰。膀胱俞，治疗腰脊痛。白环俞，治疗腰脊挛痛、大小便不利、腰髋疼痛、脚膝活动受限、温疟、腰脊冷疼、不能安卧、劳损风虚。
《史记》记载，太仓公宋建对宋建说：“你有病，过去四五天，你的腰胁病不能俯仰，又不得小便。如果不赶快治疗，病就会进入濡肾。趁它还没有侵入五脏，赶紧治疗它。现在的病刚刚客居在肾之濡，这就是所谓的肾痹。”宋建说：“我原本就有腰脊痛，过去四五天，搬石头不能起身，随即放下。傍晚腰脊痛，不得排尿，至今未愈。”宋建的病是因为喜欢持重物所致。于是用柔汤让他服用，十八天后病愈。那么腰脊因持重受伤而病入于肾，灸肾俞穴是可以的。
Weizhong (BL40) governs lower back pain extending from the spine to the head, accompanied by a heavy sensation. For any case of heavy and painful lower back and legs, pricking this point to bleed will immediately cure even chronic stubborn rashes.
Dazhong (KI4) governs lumbar and spinal pain. Xiaochangshu (BL27), Zhonglushu (BL29), and Baihuanshu (BL30) govern lumbar and spinal hernia pain. Cili (BL32), Baohuang (BL54), and Chengjin (BL56) govern lumbar and spinal pain with aversion to cold. Heyang (BL38) governs lumbar and spinal pain radiating to the abdomen. Fucheng (BL37) governs cold and painful lumbar, sacral, gluteal, and genital regions. Yongquan (KI1) governs lumbar and spinal pain with a sensation as if dislocated or untied. Zhisshi (BL52) and Jingmen (GB25) govern lower back pain with spinal stiffness. (Note: "Same as Ming" below refers to identical records in Ming dynasty texts.) Pishu (BL20), Xiaochangshu (BL27), Pangguangshu (BL28), Yaoshu (DU2), Shendao (DU11), Guzhong (likely Guhui DU15 or similar, kept as original), and Changqiang (DU1) [Note: The text lists these without explicit governance verbs in some parts, implying association]. Dazhu (BL11), Ge Guan (BL17), and Shuifen (CV9) govern lumbar and spinal stiffness and rigidity. Yaoshu (DU2) treats lumbosacral pain, spinal stiffness, and inability to turn. (Note: "Ming" same as above.) Baihuanshu (BL30) treats lumbar and spinal spasmodic pain, difficulty in urination and defecation, pain and dysfunction of the lumbar and hips due to various diseases, coldness in the waist, and insomnia. The following text states it treats lumbar and spinal stiffness, inability to bend or extend, difficulty in rising and sitting, numbness of hands and feet, yellow urine, and heaviness of the lumbar and sacrum preventing lifting. Zhisshi (BL52) and Baohuang (BL54) treat urgent lumbar and spinal pain, indigestion, and abdominal hardness and urgency. Pangguangshu (BL28) treats spinal stiffness and rigidity, and soreness and heaviness from the waist to the feet. (Below) Shentang (BL44) treats lumbar and spinal stiffness, rebellious Qi attacking upward causing frequent choking. Dazhong (KI4) (see Lin syndrome) treats lumbar and spinal stiffness and pain. Zhisshi (BL52) treats lumbar and spinal stiffness and pain, indigestion, and abdominal hardness and urgency. Jinggu (BL64) (see Foot Shaoyang chapter). Zhonglushu (BL29) treats inability to bend or extend the lumbar and spine (see Xiao Ke chapter). Ming dynasty texts state it treats lower back pain with inability to bend or extend, pain along the spine and erector muscles, where pressing up and down elicits a response; moxa applied from the nape to this point cures it immediately.
Fuliu (KI7) treats internal pulling pain in the lumbar and spine (Ming texts: lower back pain radiating to the spine), inability to bend or extend or rise/sit, blurred vision, irritability and excessive talking, dry tongue with saliva discharge, flaccid paralysis of the feet making walking difficult, coldness without self-warming. Jinggu (BL64) treats tendon spasms and soreness, hip joint pain, neck and nape stiffness, and inability to bend or extend the lumbar and spine. Weizhong (BL40) treats deep, heavy pain in the lower back alongside the spine, urinary incontinence, heavy lower back unable to lift the body, wind-bi, hip joint pain; bleeding is indicated, and stubborn rashes are cured. It also states that for heat diseases with no sweat, hot feet with Jue-ni fullness, and knees unable to flex or extend, taking blood from the meridian leads to immediate cure. Heyang (BL38) treats lumbar and spinal stiffness, pulling abdominal pain, heat in the medial thigh, soreness and heaviness in the knees, and difficulty walking. Fucheng (BL37) treats lumbar and spinal pain with a sensation as if dislocated (Ming texts: treats cold pain in the lumbar, sacral, gluteal, and waist regions). Yinmen (BL37) treats inability to bend or extend the lumbar and spine, used for evil blood caused by heavy lifting, and swelling of the lateral thigh. Zhangmen (LR13) (see Borborygmus). Ciliao (BL32) treats lumbar and spinal pain with inability to turn (see Hernia). Xianshu (DU9) treats lumbar and spinal stiffness (same as Ming), inability to flex or extend. Sanjiaoshu (BL22) treats shoulder and back tension, lumbar and spinal stiffness (same as Ming), and inability to bend or extend. Pangguangshu (BL28) treats lumbar and spinal pain. Baihuanshu (BL30) treats lumbar and spinal spasmodic pain, difficulty in urination and defecation, lumbar and hip pain, dysfunction of legs and knees, warm malaria, cold pain in the lumbar and spine, inability to lie comfortably, damage from labor and wind-deficiency.
The *Records of the Grand Historian* (*Shiji*) records: Tai Cui Gong Song Jian said to Song Jian, "You have an illness. Four or five days ago, your waist and hypochondrium were diseased, unable to bend or extend, and you could not pass urine. If not treated urgently, the disease will enter the Ru Shen (moistening kidney). Treat it urgently before it settles in the Five Zang organs. Currently, the disease is just visiting the Ru of the Kidney; this is what is called Ren Bi (Kidney Bi)." Song Jian said, "I originally had lumbar and spinal pain. Four or five days ago, I moved stones and could not rise, so I put them down. In the evening, my lumbar and spine hurt, and I could not urinate. This has not healed until now." Song Jian's illness was caused by a habit of holding heavy objects. Therefore, he administered a soft decoction (Rou Tang) for him to take, and after eighteen days, the illness healed. Thus, when lumbar and spinal injury from heavy lifting enters the Kidney, moxibustion on Shenshu (BL23) is appropriate.