论曰腰者肾之腑，肾者主水，受五脏六腑之精而藏之，伤寒病后，精血不足，肾气既弱
，风邪袭虚，客搏于足少阴之经，留注腰脚，凝滞不散，故机关不利，为腰脚疼痛，亦有宿
患肾经风湿腰痛，因汗下后，经气虚而发者，各从其证以方治之。
治伤寒后风虚邪气，流注腰胯冷疼，脚膝无力。独活汤方
独活（去芦头一两） 防风（去叉三分） 五加皮（二分） 附子（炮裂去皮脐二两） 芍
药（一两） 干姜（炮裂一两） 桂（去粗皮一两） 牛膝（去苗酒浸切焙一两） 杜仲（去
粗皮炙锉一两） 五味子（炒三分）
上一十味，锉如麻豆，每服五钱匕，用水一盏半，煎至七分，去滓食前温服。
治伤寒后腰痛，或皮肉 痹，腿膝疼痛，行履艰难，不可俯仰。防风汤方
防风（去叉一两） 麻黄（去根节三分） 桂（去粗皮三分） 牛膝（去苗酒浸切焙一
两） 丹参（半两） 五加皮（半两） 杜仲（去粗皮炙锉三分） 芎 （三分） 附子（炮
裂去皮脐一两） 细辛（去苗叶半两） 当归（切焙一两） 芍药（一两） 羌活（去芦头
一两） 续断（一两）
上一十四味，锉如麻豆，每服五钱匕，用水一盏半，入生姜半分拍碎，同煎至七分，去
滓食前温服。
治伤寒后肾脏气虚腰疼。乳香丸方
乳香（半两） 地龙（微炒一两） 当归（切焙一两） 桂（去粗皮半两） 乌头（去
皮脐生用一两） 干蝎
上七味，捣罗为末，用安息香一两锉，酒浸一宿，细研淘滤去滓，慢火煎成膏，同药末
研令匀，炼蜜和丸，如绿豆大，每服空心温酒下五丸至十丸。
治伤寒后风伤腰胯冷疼，兼补益元脏。杜仲丸方
杜仲（去粗皮炙锉一两） 干漆（炒令烟出一两半） 牛膝（去苗酒浸切焙一两） 巴
戟天（去心一两半） 桂（去粗皮一两） 五加皮（锉一两） 狗脊（去毛一两） 山茱萸
（一两） 防风（去叉半两） 附子（炮裂去皮脐一两） 独活（去芦头一两） 山芋（一
两）
上一十二味，捣罗为末，炼蜜和丸，如梧桐子大，每服空心温酒下二十丸。
治伤寒后腰痛，行履不得。败龟板散方
败龟（醋浸炙） 虎骨（涂酥炙） 补骨脂（微炒） 当归（切焙） 芍药（各一两） 薰
陆香 桂（去粗皮）
上八味，捣罗为细散，每服食前热酒调下二钱匕，日二服。
治伤寒后腰痛，或腰内有冷脓，及膀胱气痛。槟榔散方
槟榔（锉） 陈橘皮汤（去白炒干） 桂（去粗皮） 芍药 附子（炮裂去皮脐各半两）
干姜（炮裂一分
上七味，捣罗六味为散，入牵牛子末和令匀，每服空心温酒调下三钱匕，服药了，吃少
姜粥，良久利下腰间积滞物，如不利，即加至四钱匕，以利为度。
治伤寒后腰间冷痛。当归散方
当归（切焙） 桂（去粗皮各一两） 牡丹皮 附子（炮裂去皮脐各半两）
上四味，捣罗为细散，每服空心温酒调下二钱匕，晚再服。
治伤寒后腰痛不可忍。没药散方
没药（一两研） 地龙（微炒一两） 桂（去粗皮半两）
上三味，捣研为细散，每服空心温酒调下二钱匕。
治伤寒后风虚气滞，攻腰胯疼痛，坐卧艰难。芫花散方
芫花（二两） 吴茱萸（一两半） 芸苔子（一两）
上三味，捣罗为散，每用散半匙，以黄米糟一两，入酒煮如糊，摊于蜡纸上，贴痛处。
治伤寒后，或中风湿，毒瓦斯流注腰脊，日夜疼痛。牛膝煎方
牛膝（去苗） 天麻 附子（炮裂去皮脐生用） 羌活（去芦头各二两） 当归（切焙
一两）
上五味，捣罗为末，用黑豆二升，桑枝三斤、细锉，生姜四两切，用水二斗煎至二升
半，去滓入药末，煎成膏，每服空心温酒调下半匙匕，日晚再服。
治伤寒汗出不彻，湿毒留客，肢体挛急，腰脚不得屈伸。牛膝散方
牛膝 麻黄（去根节） 地龙 天南星（各二两） 恶实根（十条）
上五味，先将恶实根去皮细锉，并诸药入在沙盆内细研后，用法酒一升，再研匀烂，用
新布绞取汁，后用炭半秤烧一地坑子，令通赤后，去火扫净，投药汁于坑子内，再以火烧令
黑色，取出于乳钵内研细，每服半钱匕，温酒调下，日三服，并无所忌。
治伤寒发汗吐下后，体虚元脏积冷气，刺腰痛，转动艰难。原蚕砂散方
原蚕砂（半斤） 糯米（半升）
上二味，同炒，令米色焦，然后捣罗为末，每用半两，以米醋调如稀糊，入铫子内，煎
搅令稠，及热摊于蜡纸上，贴痛处，以帛缠缚，冷即易之。
治伤寒后体虚，元脏挟风冷，腰膝疼痛，行履不得。杜仲酒方
杜仲（去粗皮炙锉二两） 独活（去芦头半两） 附子（炮裂去皮脐一两） 仙灵脾（三
分） 牛膝（去苗
上五味，细锉，用生绢袋盛，以酒五升浸密封头，经七日后开，每日取二三合温服，日
可三服，未瘥再浸服。
Commentary states: The waist is the external mansion of the Kidney. The Kidney governs water metabolism and receives and stores the essence of the five zang and six fu organs. After a Shanghan (Cold Damage) disease, essence and blood are insufficient, and Kidney Qi is weak. Wind pathogens invade the deficiency, lodging in the Foot Shaoyin (Kidney) meridian, lingering and pouring into the waist and feet, stagnating without dispersing. This leads to dysfunction of the joints and causes pain in the waist and feet. There are also cases of pre-existing wind-dampness lumbar pain from the Kidney meridian, which erupt after sweating or purgation due to the deficiency of meridian Qi. Each case should be treated according to its specific symptoms with appropriate formulas.
Duhuo Decoction: Treats cold pain in the waist and hips caused by wind-deficiency and evil qi flowing into these areas after Shanghan, as well as weakness in the feet and knees.
Ingredients: Duhuo (Radix Angelicae Pubescentis), remove the rhizome, 1 liang; Fangfeng (Radix Saposhnikoviae), remove branched tips, 3 fen; Wujia Pi (Cortex Acanthopanacis), 2 fen; Fuzi (Radix Aconiti Lateralis Preparata), processed until cracked, remove skin and umbilicus, 2 liang; Shaoyao (Radix Paeoniae Alba/Rubra), 1 liang; Ganjiang (Rhizoma Zingiberis Preparata), processed until cracked, 1 liang; Guizhi (Ramulus Cinnamomi), remove rough bark, 1 liang; Niuxi (Radix Achyranthis Bidentatae), remove sprouts, soak in wine, slice, and bake dry, 1 liang; Duzhong (Cortex Eucommiae Preparata), remove rough bark, process with heat, and cut into small pieces, 1 liang; Wuweizi (Fructus Schisandrae Chinensis), stir-fried, 3 fen.
The above ten ingredients are cut into sizes resembling hemp seeds. Take 5 qianbi per dose, add 1.5 zhen of water, decoct until reduced to 0.7 zhen, strain, and take warm before meals.
Fangfeng Decoction: Treats lumbar pain after Shanghan, or numbness of skin and flesh, pain in legs and knees, difficulty walking, and inability to bend or extend.
Ingredients: Fangfeng (Radix Saposhnikoviae), remove branched tips, 1 liang; Mahuang (Herba Ephedrae), remove roots and nodes, 3 fen; Guizhi (Ramulus Cinnamomi), remove rough bark, 3 fen; Niuxi (Radix Achyranthis Bidentatae), remove sprouts, soak in wine, slice, and bake dry, 1 liang; Danshen (Radix et Rhizoma Salviae Miltiorrhizae), 0.5 liang; Wujia Pi (Cortex Acanthopanacis), 0.5 liang; Duzhong (Cortex Eucommiae Preparata), remove rough bark, process with heat, and cut into small pieces, 3 fen; Xiong (Radix Chuanxiong), 3 fen; Fuzi (Radix Aconiti Lateralis Preparata), processed until cracked, remove skin and umbilicus, 1 liang; Xixin (Herba Asari), remove sprouts and leaves, 0.5 liang; Danggui (Radix Angelicae Sinensis), slice and bake dry, 1 liang; Shaoyao (Radix Paeoniae Alba/Rubra), 1 liang; Qianghuo (Rhizoma et Radix Notopterygii), remove rhizome, 1 liang; Xuduan (Radix Dipsaci), 1 liang.
The above fourteen ingredients are cut into sizes resembling hemp seeds. Take 5 qianbi per dose, add 1.5 zhen of water and 0.5 fen of crushed fresh ginger, decoct together until reduced to 0.7 zhen, strain, and take warm before meals.
Ruxiang Pill: Treats lumbar pain caused by Kidney Qi deficiency after Shanghan.
Ingredients: Ruxiang (Resina Frankincense), 0.5 liang; Dilong (Pheretima), lightly stir-fried, 1 liang; Danggui (Radix Angelicae Sinensis), slice and bake dry, 1 liang; Guizhi (Ramulus Cinnamomi), remove rough bark, 0.5 liang; Wutou (Radix Aconiti Karakolicum), remove skin and umbilicus, use raw, 1 liang; Quanxie (Scorpio), quantity implied by context.
The above seven ingredients are pounded and sieved into powder. Take 1 liang of Anshixiang (Resina Amyris), cut into pieces, soak in wine overnight, grind finely, filter to remove dregs, and slowly boil into a paste. Mix evenly with the medicinal powder, combine with refined honey to form pills the size of mung beans. Take 5 to 10 pills with warm wine on an empty stomach.
Duzhong Pill: Treats cold pain in the waist and hips caused by wind injury after Shanghan, and tonifies the primal organ.
Ingredients: Duzhong (Cortex Eucommiae Preparata), remove rough bark, process with heat, and cut into small pieces, 1 liang; Ganqi (Resina Toosendan), stir-fry until smoke emerges, 1.5 liang; Niuxi (Radix Achyranthis Bidentatae), remove sprouts, soak in wine, slice, and bake dry, 1 liang; Bajitian (Radix Morindae Officinalis), remove heart, 1.5 liang; Guizhi (Ramulus Cinnamomi), remove rough bark, 1 liang; Wujia Pi (Cortex Acanthopanacis), cut into pieces, 1 liang; Gouji (Rhizoma Cibotii), remove hair, 1 liang; Shanzhuyu (Fructus Corni Officinalis), 1 liang; Fangfeng (Radix Saposhnikoviae), remove branched tips, 0.5 liang; Fuzi (Radix Aconiti Lateralis Preparata), processed until cracked, remove skin and umbilicus, 1 liang; Duhuo (Radix Angelicae Pubescentis), remove rhizome, 1 liang; Shanyu (Fructus Dioscoreae Sibiricae), 1 liang.
The above twelve ingredients are pounded and sieved into powder. Combine with refined honey to form pills the size of paulownia seeds. Take 20 pills with warm wine on an empty stomach.
Baiguiban Powder: Treats lumbar pain after Shanghan where walking is impossible.
Ingredients: Baogui (Carapax et Plastrum Testudinis), soaked in vinegar and roasted; Hugu (Os Tigris), coated with butter and roasted; Buguzhi (Fructus Psoraleae Corylifoliae), lightly stir-fried; Danggui (Radix Angelicae Sinensis), slice and bake dry; Shaoyao (Radix Paeoniae Alba/Rubra), each 1 liang; Xunlu Xiang (Resina Olibanum); Guizhi (Ramulus Cinnamomi), remove rough bark.
The above eight ingredients are pounded and sieved into fine powder. Take 2 qianbi mixed with hot wine before meals, twice daily.
Bolang Powder: Treats lumbar pain after Shanghan, cold pus within the waist, and Qi pain in the bladder.
Ingredients: Bolang (Semen Arecae), cut into pieces; Chenjupi (Pericarpium Citri Reticulatae), remove white pith, stir-fry until dry; Guizhi (Ramulus Cinnamomi), remove rough bark; Shaoyao (Radix Paeoniae Alba/Rubra); Fuzi (Radix Aconiti Lateralis Preparata), processed until cracked, remove skin and umbilicus, each 0.5 liang; Ganjiang (Rhizoma Zingiberis Preparata), processed until cracked, 1 fen.
The above seven ingredients: Pound six of them into powder, mix evenly with Qianzi (Semen Kochiae). Take 3 qianbi mixed with warm wine on an empty stomach. After taking the medicine, eat a little ginger congee. After some time, accumulated stagnant matter in the waist will be discharged. If not discharged, increase to 4 qianbi, stopping when discharge occurs.
Danggui Powder: Treats cold pain in the waist after Shanghan.
Ingredients: Danggui (Radix Angelicae Sinensis), slice and bake dry; Guizhi (Ramulus Cinnamomi), remove rough bark, each 1 liang; Mudanpi (Cortex Moutan); Fuzi (Radix Aconiti Lateralis Preparata), processed until cracked, remove skin and umbilicus, each 0.5 liang.
The above four ingredients are pounded and sieved into fine powder. Take 2 qianbi mixed with warm wine on an empty stomach, and again in the evening.
Moyao Powder: Treats unbearable lumbar pain after Shanghan.
Ingredients: Moyao (Resina Myrrhae), 1 liang, ground; Dilong (Pheretima), lightly stir-fried, 1 liang; Guizhi (Ramulus Cinnamomi), remove rough bark, 0.5 liang.
The above three ingredients are pounded and ground into fine powder. Take 2 qianbi mixed with warm wine on an empty stomach.
Yuanhua Powder: Treats wind-deficiency and Qi stagnation attacking the waist and hips causing pain, making sitting and lying difficult after Shanghan.
Ingredients: Yuanhua (Flos Genkwa), 2 liang; Wuzhuyu (Fructus Evodiae Officinalis), 1.5 liang; Yuntaizi (Semen Napili), 1 liang.
The above three ingredients are pounded and sieved into powder. Use half a spoonful of powder, mix with 1 liang of yellow rice lees, boil in wine until paste-like, spread on wax paper, and apply to the painful area.
Niuxi Decoction Paste: Treats pain in the waist and spine day and night due to wind-dampness invasion and toxic qi flowing into these areas after Shanghan.
Ingredients: Niuxi (Radix Achyranthis Bidentatae), remove sprouts; Tianma (Rhizoma Gastrodiae); Fuzi (Radix Aconiti Lateralis Preparata), processed until cracked, remove skin and umbilicus, use raw; Qianghuo (Rhizoma et Radix Notopterygii), remove rhizome, each 2 liang; Danggui (Radix Angelicae Sinensis), slice and bake dry, 1 liang.
The above five ingredients are pounded and sieved into powder. Use 2 sheng of black beans, 3 jin of mulberry branches (finely cut), and 4 liang of sliced fresh ginger. Decoct in 2 dou of water until reduced to 2.5 sheng. Strain, add medicinal powder, and boil into a paste. Take half a spoonful mixed with warm wine on an empty stomach, and again in the evening.
Niuxi Powder: Treats limb spasms and stiffness, and inability to flex or extend the waist and feet due to incomplete sweating in Shanghan leaving damp-toxins lodged.
Ingredients: Niuxi (Radix Achyranthis Bidentatae); Mahuang (Herba Ephedrae), remove roots and nodes; Dilong (Pheretima); Tian Nanxing (Rhizoma Arisaematis Cum Bile), each 2 liang; Eshi Gen (Radix Arctii), 10 stalks.
The above five ingredients: First, peel and finely cut the Eshi Gen. Place all herbs in a stone mortar and grind finely. Add 1 sheng of Fa Jiu (medicinal wine) and grind again until smooth. Squeeze out the juice using new cloth. Heat a pit in the ground with half a picul of charcoal until red hot. Remove fire, clean the pit, pour the medicinal juice into the pit, and burn it again until black. Take out and grind finely in a mortar. Take 0.5 qianbi mixed with warm wine, three times daily. No dietary restrictions.
Yuancansha Powder: Treats stabbing lumbar pain and difficulty turning after Shanghan sweating, vomiting, and purgation, resulting in body deficiency and primal organ accumulation of cold Qi.
Ingredients: Yuancansha (Faeces Bombyx Batryticatus), 0.5 jin; Nuomi (Semen Oryzae Sativum Glutinosa), 0.5 sheng.
The above two ingredients are stir-fried together until the rice turns scorched. Pound and sieve into powder. Take 0.5 liang, mix with rice vinegar to form a thin paste, boil in a pot until thick, spread hot on wax paper, apply to the painful area, bind with cloth, and replace when cool.
Duzhong Wine: Treats body deficiency after Shanghan, primal organ harboring wind-cold, causing pain in waist and knees and inability to walk.
Ingredients: Duzhong (Cortex Eucommiae Preparata), remove rough bark, process with heat, and cut into small pieces, 2 liang; Duhuo (Radix Angelicae Pubescentis), remove rhizome, 0.5 liang; Fuzi (Radix Aconiti Lateralis Preparata), processed until cracked, remove skin and umbilicus, 1 liang; Xianlingpi (Herba Epimedii), 3 fen; Niuxi (Radix Achyranthis Bidentatae), remove sprouts, quantity implied.
The above five ingredients are finely cut, placed in a raw silk bag, and soaked in 5 sheng of wine. Seal tightly. After seven days, open and take 2-3 he of warm wine daily, up to three times a day. If not cured, continue soaking and drinking.