治肾虚气弱，为风湿所乘，流注腰膝，或挛拳掣痛，不得屈伸，或缓弱冷
秦艽 独活 桑寄生（如无以续断代） 细辛 牛膝 茯苓 白芍 桂心 川芎 防风
人参 熟地 当归 杜仲（炒） 甘草（炙。各三两）每服三钱，水一钟煎，空心服。原利
去地黄。
一方 治湿热腰痛，动止，滞重不能转便，遇天阴则发，脉缓者是也。
杜仲（酒盐炒，去丝） 黄柏（酒炒） 苍术（米泔炒） 川芎 当归 白术 破故纸
（炒，各一
治寒湿腰痛。
附子尖 乌头尖 南星 朱砂 干姜（各一钱） 雄黄 朝脑 丁香 麝香（各五分）
上为末，蜜丸弹子大。姜水化开，手摩痛处，以绵衣缚定，腰热如火，每三日用一丸。
或内加吴茱萸、官桂。
一方 治寒湿腰痛。生料五积散加吴茱萸五分、杜仲一钱炒，见中寒门。
一方 痰积腰痛，脉滑者是。
南星（姜制，钱半） 半夏（姜制，钱半） 茯苓（八分） 甘草（五分） 苍术（一
钱） 黄柏（炒，一钱） 陈皮（一钱）上姜三片，水煎服。
一方 治瘀血腰痛，日轻夜重，脉涩者是也。
川芎（八分） 当归（一钱半） 芍药（一钱） 桃仁（九个） 红花（八分） 杜仲
（盐酒炒，一钱）
一方 治寒湿痰积、瘀血气滞腰痛。炒胡盐二升，布包，乘热熨之数遍，愈。
Treats Kidney deficiency and Qi weakness, where Wind-Dampness pathogens invade and flow into the lumbar region and knees, causing curling of the fingers and pulling pain, with inability to flex or extend.
Qin Jiao (Gentianae Radix), Du Huo (Angelicae Pubescentis Radix), Sang Ji Sheng (Taxilli Herba) [if unavailable, substitute Xu Duan (Dipsaci Radix)], Xi Xin (Asari Radix et Rhizoma), Niu Xi (Achyranthis Bidentatae Radix), Fu Ling (Poria), Bai Shao (Paeoniae Radix Alba), Gui Xin (Cinnamomi Ramulus), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Fang Feng (Saposhnikoviae Radix), Ren Shen (Ginseng Radix), Shu Di Huang (Rehmanniae Radix Preparata), Dang Gui (Angelicae Sinensis Radix), Du Zhong (Eucommiae Cortex) [stir-fried], Gan Cao (Glycyrrhizae Radix et Rhizoma) [honey-fried]. Dosage: 3 qian per dose. Decoct in one zhong of water. Take on an empty stomach. For patients with normal bowel movements originally, remove Shu Di Huang.
Another prescription: Treats Lumbar Pain due to Damp-Heat. Symptoms include limited movement, heaviness and difficulty in turning, exacerbation during cloudy weather, and a slow pulse.
Du Zhong (Eucommiae Cortex) [stir-fried with wine and salt, remove silk fibers], Huang Bo (Phellodendri Cortex) [stir-fried with wine], Cang Zhu (Atractylodis Rhizoma) [stir-fried with rice wash water], Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Po Gu Zhi (Psoraleae Fructus) [stir-fried, dosage missing in original text...].
Treats Lumbar Pain due to Cold-Dampness.
Fu Zi Jian (Aconiti Lateralis Radix Preparata apex), Wu Tou Jian (Aconiti Radix apex), Nan Xing (Arisaematis Rhizoma), Zhu Sha (Cinnabaris), Gan Jiang (Zingiberis Rhizoma) [1 qian each]; Xiong Huang (Realgar), Nao Bing (Borneolum Syntheticum), Ding Xiang (Caryophylli Flos), She Xiang (Moschus) [5 fen each].
Grind the above ingredients into fine powder. Form pills the size of bullet seeds using honey. Dissolve in ginger water, massage the painful area by hand, bind tightly with cotton clothing until the waist feels hot as fire. Use one pill every three days.
Alternatively, add Wu Zhu Yu (Evodiae Fructus) and Guan Gui (Cinnamomi Cortex).
Another prescription: Treats Lumbar Pain due to Cold-Dampness. Use Sheng Liao Wu Ji San (Raw Material Five Accumulations Powder) plus Wu Zhu Yu (Evodiae Fructus) 5 fen and Du Zhong (Eucommiae Cortex) 1 qian [stir-fried]. See the "Middle Cold" section for details.
Another prescription: Treats Lumbar Pain due to Phlegm Accumulation. A slippery pulse indicates this condition.
Nan Xing (Arhaematis Rhizoma) [processed with ginger juice, 1.5 qian], Ban Xia (Pinelliae Rhizoma) [processed with ginger juice, 1.5 qian], Fu Ling (Poria) [8 fen], Gan Cao (Glycyrrhizae Radix et Rhizoma) [5 fen], Cang Zhu (Atractylodis Rhizoma) [1 qian], Huang Bo (Phellodendri Cortex) [stir-fried, 1 qian], Chen Pi (Citri Reticulatae Pericarpium) [1 qian]. Add three slices of fresh ginger, decoct in water, and take orally.
Another prescription: Treats Lumbar Pain due to Blood Stasis. Symptoms include mild pain during the day and severe pain at night, with a choppy pulse.
Chuan Xiong (Ligustici Chuanxiong Rhizoma) [8 fen], Dang Gui (Angelicae Sinensis Radix) [1.5 qian], Shao Yao (Paeoniae Radix) [1 qian], Tao Ren (Persicae Semen) [9 seeds], Hong Hua (Carthami Flos) [8 fen], Du Zhong (Eucommiae Cortex) [salt-wine stir-fried, 1 qian].
Another prescription: Treats Lumbar Pain due to Cold-Dampness, Phlegm Accumulation, and Blood Stasis with Qi Stagnation. Stir-fry 2 sheng of Hu Yan (Sea Salt), wrap in cloth, apply hot compress to the affected area several times until cured.