肝肾脾损，腰疼腰冷，神效。
川萆 杜仲（姜汁炒） 牛膝 破故纸 葫芦巴 菟丝子 肉苁蓉 沙苑蒺藜（各
一两） 肉桂（去皮，五钱） 酒煮猪腰子为丸，每服五七十丸，空心盐酒送下。
肾虚腰痛，不能转侧。
糜茸（一两，鹿茸亦可用） 菟丝子（一两） 舶上硫黄（五钱） 为末，以羊肾二对，酒
煮烂去膜，研如泥，和丸，桐子大，阴干。如羊肾不敷，入酒糊佐之。温酒或盐汤服五十丸。
新角刮去黑皮，取白者，炒黄为末，酒服一钱，日进三服。陈者不用，角中心黄亦不用。
此方治腰痛神效，东垣曰∶鹿角能去恶血者是也。
治阴虚脉大者。
杜仲 龟版 黄柏 知母 枸杞子 五味子（各等分） 为末，猪脊髓为丸，每服五
七十丸。空心盐酒送下。
丹溪治老人跌扑腰痛。
苏木 归身头 陈皮（各一钱） 人参 黄 木香 木通（各五分） 桃仁（九枚） 煎汤
送下，自然铜末子五分。
脉涩者，瘀血也。用熟大黄汤，治坠堕闪挫，腰痛不能屈伸。
大黄（挫如指大） 生姜（切片，各五钱） 二味炒，令焦黄，以水一钟，浸一
宿，五更去渣服，天明取下如鸡肝者，即恶血也。
治腰痛，用葳灵仙，此治痛之要药，为末，每服二钱，以猪腰子一枚，批开掺药在
内，湿纸煨熟，五更细嚼，酒下。
独活寄生汤
见后中风门。
Liver, Kidney, and Spleen damage, presenting with lower back pain and coldness in the lower back; this formula is highly effective.
Baihuoxiancao (Bai Huo Xi Xian Cao), Duzhong (Eucommiae Cortex, stir-fried with ginger juice), Niuxi (Achyranthis Bidentatae Radix), Poguozhi (Psoraleae Fructus), Huluhaba (Fenugreek Seed), Tusizi (Cuscutae Semen), Roucongrong (Cistanche Herba), Shayuan Jili (Astragali Complanati Semen, each 1 liang); Rougui (Cinnamomi Cortex, bark removed, 5 qian). Prepare pills using pig kidneys boiled in wine. Take 50-70 pills per dose, administered on an empty stomach with salted wine.
Kidney damage leading to bone atrophy and inability to get out of bed.
Baihuoxiancao (Bai Huo Xi Xian Cao), Duzhong (Eucommiae Cortex, stir-fried). Prepare and take as pills according to the previous method.
Lower back pain due to Kidney deficiency, with inability to turn or shift the body.
Mijiang (Deer Antler Glue, 1 liang; Deer Antler Lu Rong may also be used), Tusizi (Cuscutae Semen, 1 liang), Boshang Liuhuang (Sulfur, 5 qian). Grind into powder. Take two pairs of sheep kidneys, boil thoroughly in wine, remove the membrane, and grind into a paste. Mix with the powder to form pills, sized like wu tong seeds, and dry in the shade. If the quantity of sheep kidneys is insufficient, add wine paste as a binder. Take 50 pills with warm wine or salt water.
For fresh deer antlers, scrape off the black skin and use only the white part. Stir-fry until yellow and grind into powder. Take 1 qian with wine, three times daily. Do not use old antlers or the yellow center of the antler.
This formula is highly effective for treating lower back pain. Dongyuan stated: "Deer antler can remove evil blood."
For patients with Yin deficiency and a large pulse.
Duzhong (Eucommiae Cortex), Guiban (Testudinis Carapax et Plastrum), Huangbai (Phellodendri Cortex), Zhimu (Anemarrhenae Rhizoma), Gouqizi (Lycii Fructus), Wuweizi (Schisandrae Chinensis Fructus, equal parts). Grind into powder. Form pills using pig spinal cord. Take 50-70 pills per dose, administered on an empty stomach with salted wine.
Danxi treated lower back pain in the elderly caused by falls and trauma.
Sumu (Sappan Lignum), Dangshen Tou (Angelicae Sinensis Radix head), Chenpi (Citri Reticulatae Pericarpium, each 1 qian), Renshen (Ginseng Radix), Huangqi (Astragali Radix), Muxiang (Aucklandiae Radix), Mutong (Akebiae Caulis, each 5 fen), Taoren (Persicae Semen, 9 kernels). Decoct in water to make a soup, and take with 5 fen of Ziran Tong powder (Pyritum).
A choppy pulse indicates blood stasis. Use Shu Dahuang Tang (Prepared Rhubarb Decoction) to treat lower back pain resulting from falls or sprains, where flexion and extension are impaired.
Dahuang (Rhei Radix et Rhizoma, cut into finger-sized pieces), Shengjiang (Zingiberis Rhizoma Recens, sliced, each 5 qian). Stir-fry both ingredients until scorched yellow. Soak in one zhong of water overnight. In the early morning (wugeng time), strain and administer. By dawn, excretion resembling chicken liver will occur, which is the evil blood.
To treat lower back pain, use Weilingxian (Clematidis Radix et Rhizoma), which is a key herb for pain relief. Grind into powder. Take 2 qian per dose. Slice one pig kidney open, insert the powder inside, wrap in wet paper, and roast until cooked. Chew thoroughly in the early morning (wugeng time) and swallow with wine.
Duhuo Jisheng Tang
See the Stroke section below.