论曰卒腰痛者，谓气脉凝滞，经络壅涩，或举重伤腰，故卒痛也，宜通行气脉，调顺经
络，平补肾脏，则病可愈。
治腰卒痛，牡丹汤方
牡丹皮 桂（去粗皮） 续断 牛膝（去苗酒浸一宿焙） 萆 （锉各一两）
上五味，粗捣筛，每服三钱匕，水七分，酒三分，同煎七分，去滓温服不拘时。
治劳动伤腰卒痛。杜仲汤方
杜仲（去粗皮酒浸锉炒） 桂（去粗皮） 羌活（去芦头） 椒（去目并闭口者炒出汗）
秦艽
焙各一两）
治卒腰痛，转动艰难，桂心汤方
桂（去粗皮） 牛膝（去苗酒浸一宿锉焙） 芍药 当归（锉焙） 威灵仙（去土） 杜
仲（去
粗皮酒浸锉炒） 芎 大黄（锉炒各一两）
上八味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，空心日午临卧各一。
治肾虚劳役腰卒痛，芎 饮方
芎 丹参 当归（锉焙） 细辛（去苗叶） 桂（去粗皮） 牡丹皮（锉） 桃仁（去
皮尖双
仁炒各一两） 大黄（锉炒半两）
上八味，粗捣筛，每服三钱匕，水一盏半 煎至一盏，去滓温服，空心日午临卧各一。
治肾虚寒冷伤腰，气血滞卒腰，乌头丸方
乌头（炮裂去皮脐） 羌活（去芦头） 牛膝（去苗酒浸一宿锉焙） 槟榔（锉） 大
黄（锉炒）
上七味，以六味捣罗为细末，入研者药和匀，酒煮面糊，丸如梧桐子大，每服二十丸，
温酒下，空心日午临卧各一。
治气滞，腰卒痛，续断散方
续断 威灵仙（去土锉焙） 桂（去粗皮） 当归（锉焙各一两）
上四味，捣罗为细散，每服二钱匕，温酒调下不拘时。
Discussion states: Acute low back pain refers to the stagnation of Qi and blood vessels, and the obstruction of meridians and collaterals, or sudden pain caused by lifting heavy objects and injuring the waist. It is appropriate to employ methods that promote the circulation of Qi and blood vessels, regulate meridians and collaterals, and mildly tonify the Kidney, so that the disease can be cured.
Mudan Tang (Peony Cortex Decoction) for treating acute lumbar pain:
Mu Dan Pi (Cortex Moutan Radicis), Gui Zhi (Ramulus Cinnamomi Cassiae, removed coarse bark), Xu Duan (Radix Dipsaci), Niu Xi (Radix Achyranthis Bidentatae, removed sprouts, soaked in wine overnight, then dried), Bi Xie (Rhizoma Dioscoreae Hypoglaucae, chopped, each 1 liang).
The above five herbs are coarsely crushed and sieved. Each dose consists of three qian bi (approx. 9-10g), with seven parts water and three parts wine, decocted together until reduced to seven parts. Strain and take warm at any time.
Duzhong Tang (Eucommia Bark Decoction) for treating acute lumbar pain due to labor injury:
Du Zhong (Cortex Eucommiae Ulmoidis, removed coarse bark, soaked in wine, chopped, and stir-fried), Gui Zhi (Ramulus Cinnamomi Cassiae, removed coarse bark), Qiang Huo (Rhizoma et Radix Notopterygii, removed rhizome), Hua Jiao (Fructus Zanthoxyli, removed eyes and closed-mouth ones, stir-fried until sweat appears), Qin Jiao (Radix Gentianae Macrophyllae, dried, each 1 liang).
Guixin Tang (Cinnamon Heart Decoction) for treating acute low back pain with difficulty in turning:
Gui Zhi (Ramulus Cinnamomi Cassiae, removed coarse bark), Niu Xi (Radix Achyranthis Bidentatae, removed sprouts, soaked in wine overnight, chopped, and dried), Bai Shao (Radix Paeoniae Rubra), Dang Gui (Radix Angelicae Sinensis, chopped and dried), Wei Ling Xian (Radix Clematidis, cleaned), Du Zhong (Cortex Eucommiae Ulmoidis, removed coarse bark, soaked in wine, chopped, and stir-fried), Xiong Qiong (Radix Chuanxiong), Da Huang (Radix et Rhizoma Rhei, chopped and stir-fried, each 1 liang).
The above eight herbs are coarsely crushed and sieved. Each dose consists of three qian bi (approx. 9-10g), with one zhan (approx. 200ml) of water, decocted until reduced to seven parts. Strain and take warm on an empty stomach, at noon, and before bed.
Xiong Qiong Yin (Chuanxiong Drink) for treating acute lumbar pain due to Kidney deficiency and overwork:
Xiong Qiong (Radix Chuanxiong), Dan Shen (Radix Salviae Miltiorrhizae), Dang Gui (Radix Angelicae Sinensis, chopped and dried), Xi Xin (Herba Asari, removed sprouts and leaves), Gui Zhi (Ramulus Cinnamomi Cassiae, removed coarse bark), Mu Dan Pi (Cortex Moutan Radicis, chopped), Tao Ren (Semen Persicae, removed skin and pointed ends, double-kernel ones stir-fried, each 1 liang), Da Huang (Radix et Rhizoma Rhei, chopped and stir-fried, half liang).
The above eight herbs are coarsely crushed and sieved. Each dose consists of three qian bi (approx. 9-10g), with one and a half zhan (approx. 300ml) of water, decocted until reduced to one zhan. Strain and take warm on an empty stomach, at noon, and before bed.
Wutou Wan (Aconite Pill) for treating acute lumbar pain due to Kidney deficiency, cold damage, and stagnation of Qi and blood:
Wu Tou (Radix Aconiti Lateralis Preparata, roasted until cracked, skin and umbilicus removed), Qiang Huo (Rhizoma et Radix Notopterygii, removed rhizome), Niu Xi (Radix Achyranthis Bidentatae, removed sprouts, soaked in wine overnight, chopped, and dried), Bing Lang (Semen Arecae, chopped), Da Huang (Radix et Rhizoma Rhei, chopped and stir-fried).
The above seven herbs: six of them are pounded and sifted into fine powder, mixed evenly with the ground herb. Use wine-boiled wheat paste to make pills the size of paulownia seeds. Take twenty pills each time, washed down with warm wine, on an empty stomach, at noon, and before bed.
Xuduan San (Dipsacus Powder) for treating acute lumbar pain due to Qi stagnation:
Xu Duan (Radix Dipsaci), Wei Ling Xian (Radix Clematidis, cleaned, chopped, and dried), Gui Zhi (Ramulus Cinnamomi Cassiae, removed coarse bark), Dang Gui (Radix Angelicae Sinensis, chopped and dried, each 1 liang).
The above four herbs are pounded and sifted into fine powder. Take two qian bi (approx. 6g) each time, mixed with warm wine, at any time.