〔垣〕身重者湿也，补中益气汤去桂加五苓散主之。
〔洁〕起卧不能谓之湿，身重是也，小柴胡汤、黄 芍药汤。
〔仲〕风湿脉浮身重汗出恶风者，防己黄 汤主之。（方见伤寒身重。）
〔洁〕夏月中风湿，身重如山，不能转侧，宜除风胜湿去热之药治之。
〔仲〕肾着之病，其人身体重，腰中冷，如坐水中，形如水状，反不渴，小便自利，饮食如故，病属
下焦。身劳汗出，表里冷湿，久久得之，腰以下冷痛，腹重如带五千钱。甘姜苓术汤主之。
甘草 白术（各二两） 干姜 茯苓（各四两）
上四味，以水五升，煮取三升，分温二服，腰中自温。
〔《素》〕肝虚肾虚脾虚，皆令人体重烦冤。（示从容论体重属肝、肾虚，肝虚则脾寡于畏而体重，肾虚
则脾胜之而体重也。）
〔垣〕参术汤 治脾胃虚弱，元气不能荣于心肺，四肢沉重，食后昏闷。
黄 （二钱） 人参（半钱） 升麻（三分） 甘草（炙，四分） 柴胡 酒黄柏（各三分） 陈皮（五分）
青皮（五分） 神曲（七分） 苍术（一钱） 当归（二分）
上 咀，作一服，水二盏，煎至一盏半，去渣，带热服，食前。
运气 身重有五∶
一曰湿，乃湿制肾虚而重。经云∶太阴所至为身重。又云∶太阴之复，体重身满。又云∶岁土太过，湿气
流行，民病体重烦冤。又云∶ 土郁之发，民病身重是也。
二曰湿热。经云∶少阳司天之政，四之气，炎暑间化，其病满身重是也。
三曰寒湿。经云∶太阴司天之政，三之气，感于寒湿，民病身重是也。
四曰风，乃木制脾虚而重。经云∶岁木太过，风气流行，民病体重烦冤。又云∶岁土不及，风乃大行，
民病体重烦冤。又云∶厥阴在泉，风淫所胜，病身体皆重是也。
五曰金，乃燥制肝虚而重。经云∶岁金太过，燥气流行，民病体重烦冤是也。
针灸 身重有二法∶
其一取脾。经云∶脾病者身重肉痿，取其经太阴阳明少阴血者。又云∶脾足太阴之脉是动，则病腹胀，身
体皆重，视盛虚热寒陷下取之也。
其二取肾。经云∶肾病者身重，寝汗出，憎风，取其经少阴太阳血者是也。
[Li Dongyuan] Body heaviness is caused by dampness; the primary treatment is Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with Guizhi (Cinnamon Twig) removed and Wuling San (Five-Ingredient Powder with Poria) added.
[Zhang Jiegu] Difficulty in rising and lying down cannot be defined as dampness; body heaviness is the manifestation of dampness, which can be treated with Xiaochaihu Tang (Minor Bupleurum Decoction) or Huangqin Shaoyao Tang (Scutellaria and Peony Decoction).
[Zhang Zhongjing] In cases of Wind-Dampness presenting with a floating pulse, body heaviness, sweating, and aversion to wind, Fangji Huangqi Tang (Stephania and Astragalus Decoction) is indicated. (See Shanghan Lun for the formula details on body heaviness.)
[Zhang Jiegu] In summer, contracting Wind-Dampness results in body heaviness as if sitting in a mountain, making it impossible to turn or shift position. Treatment should employ herbs that dispel wind, overcome dampness, and clear heat.
[Zhang Zhongjing] The disease known as "Kidney Fixation" (Shen Zhuo) presents with body heaviness, coldness in the lower back as if sitting in water, and an appearance resembling edema, yet without thirst, with normal urination and appetite. The pathology belongs to the Lower Jiao (Lower Burner). It arises from labor-induced sweating leading to chronic exposure of the exterior and interior to cold-dampness. Over time, this causes cold pain below the waist and abdominal heaviness as if bound by five thousand coins. Gan Jiang Ling Zhu Tang (Ginger, Poria, Atractylodes, and Licorice Decoction) is indicated.
Gancao (Licorice Root), Baizhu (White Atractylodes Rhizome) [each 2 liang]; Ganjiang (Dried Ginger), Fuling (Poria) [each 4 liang].
The above four ingredients are boiled in 5 sheng of water to yield 3 sheng, divided into two warm doses. The waist will naturally become warm.
[Su Wen] Deficiency of the Liver, Kidney, or Spleen all cause body heaviness and mental distress/oppression. (The Shicongrong Lun indicates that heaviness relates to Liver and Kidney deficiency: Liver deficiency leads to Spleen lacking restraint causing heaviness; Kidney deficiency leads to Water overacting on Spleen causing heaviness.)
[Li Dongyuan] Shen Shu Tang (Ginseng and Atractylodes Decoction): Treats Spleen-Stomach weakness where Yuan Qi fails to nourish the Heart and Lungs, resulting in heavy limbs and postprandial drowsiness and oppression.
Huangqi (Astragalus Root) [2 qian], Renshen (Ginseng Root) [0.5 qian], Shengma (Cimicifuga Rhizome) [3 fen], Zhi Gancao (Honey-fried Licorice Root) [4 fen], Chaihu (Bupleurum Root), Jiu Huangbai (Wine-processed Phellodendron Bark) [each 3 fen], Chenpi (Aged Tangerine Peel) [5 fen], Qingpi (Green Tangerine Peel) [5 fen], Shenqu (Medicated Leaven) [7 fen], Cangzhu (Black Atractylodes Rhizome) [1 qian], Danggui (Angelica Sinensis Root) [2 fen].
The above herbs are coarsely crushed, prepared as one dose, boiled in 2 zhan of water until 1.5 zhan remains, strained, and taken hot before meals.
Regarding Yunqi (Six Qi and Five Movements) theory, there are five types of body heaviness:
First is Dampness, where dampness suppresses Kidney deficiency leading to heaviness. The classics state: "When Taiyin arrives, it manifests as body heaviness." Also: "When Taiyin rebounds, the body is heavy and distended." Also: "When the Year's Earth is excessive, dampness spreads, and people suffer from heavy bodies and mental distress." Also: "When Earth stagnation erupts, people suffer from body heaviness."
Second is Damp-Heat. The classics state: "In years governed by Shaoyang Fire at Heaven, during the fourth Qi period, intense heat alternates with transformation, causing illness characterized by whole-body heaviness."
Third is Cold-Dampness. The classics state: "In years governed by Taiyin Earth at Heaven, during the third Qi period, contraction of cold-dampness causes people to suffer from body heaviness."
Fourth is Wind, where Wind controls Spleen deficiency leading to heaviness. The classics state: "When the Year's Wood is excessive, Wind spreads, and people suffer from heavy bodies and mental distress." Also: "When the Year's Earth is insufficient, Wind prevails greatly, and people suffer from heavy bodies and mental distress." Also: "When Jueyin Wind is at Earth, Wind excess wins, causing the whole body to feel heavy."
Fifth is Metal/Dryness, where Dryness controls Liver deficiency leading to heaviness. The classics state: "When the Year's Metal is excessive, Dryness spreads, and people suffer from heavy bodies and mental distress."
Acupuncture treatments for body heaviness involve two methods:
One involves selecting the Spleen. The classics state: "For Spleen diseases manifesting as body heaviness and muscle flaccidity, select the collaterals of the Foot-Taiyin, Foot-Yangming, and Foot-Shaoyin meridians." Also: "When the Foot-Taiyin Spleen meridian moves, it causes abdominal fullness and whole-body heaviness; treat based on excess/deficiency, heat/cold, and sinking/depression."
Two involves selecting the Kidney. The classics state: "For Kidney diseases manifesting as body heaviness, night sweats, and aversion to wind, select the collaterals of the Foot-Shaoyin and Foot-Taiyang meridians."