论曰肾寒者足胫微弱，腰重少腹胀满，气上抢心，痛引胁下是也，此由肾脏虚弱，阳气
不足，为寒气所中，元脏不和而成，故名肾寒。
治肾中寒气，脐腹冷疼，腰脚酸痛。筋脉拘急。温经木香丸方
木香 葫芦巴（炒） 补骨脂（炒） 巴戟天（去心） 香子（炒） 桂（去粗皮） 艾
叶（炒）
附子（炮裂去皮脐） 青橘皮（去白焙各一两）
上九味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，空心日午临卧，温酒或盐汤
下，加至三十丸。
治肾脏虚冷中寒，脐腹急痛，小便频数，面色昏浊。巴戟丸方
巴戟天（去心一两） 熟干地黄（焙） 五味子（各二两半） 黄 （锉一两三分） 牛
膝（酒
浸切焙一两半） 牡蛎（ 半两） 菟丝子（酒浸别捣焙） 干姜（炮各一两） 附子（炮
裂去皮脐
一两半） 桂（去粗皮一两） 白术（二两） 肉苁蓉（酒浸切焙二两半）
上一十二味，捣罗为末，炼蜜和丸。如梧桐子大，每服空心食前、温酒下三十丸。
治肾中寒，脐腹冷疼。腰胁拘急。当归丸方
当归（切焙一两） 白术（二两） 楝实（煨取肉一两） 干姜（炮） 桂（去粗皮各
半两） 附
子（炮裂去皮脐一两） 木香（半两）
上七味，捣罗为末，醋煮面糊为丸。如梧桐子大，每服二十丸。艾汤下，空心食前日三
服。
治肾中寒邪，气海虚冷，腰脚重痛，小便频数。煨肾散方
香子（炒） 荜澄茄 巴戟天（去心各一两） 干姜（炮半两） 桂（去粗皮三分） 附
子（
炮裂去皮脐半两） 蜀椒（去目并闭口炒出汗三分）
上七味，捣罗为散，每服二钱匕，用羊肾一对，批破渗药在内，入盐葱椒各少许，湿纸
裹煨熟，空心细嚼温酒下。
治肾脏虚惫，为寒邪所中，腰背拘急，脐腹冷痛，温肾散方
桂（去粗皮） 附子（炮裂去皮脐各一两） 青橘皮（汤浸去白焙） 干姜（炮各半两）
木香
（一分）
上五味，捣罗为散，每服二钱匕，用羊肾一对，去筋膜切开，入药湿纸裹，慢火煨熟，
细嚼温酒下，空心食前服。
治肾脏虚弱中寒，攻腰腹满痛。手足微冷， 香子丸方
香子（炒） 木香（各三分） 莱菔子（炒半两） 浓朴（去粗皮半生用姜汁炙一锉
半两）
桂（去粗皮） 干姜（炮） 蓬莪术（煨锉各三分） 青橘皮（汤浸去白焙半两） 桃仁（去
皮尖双
仁三分研膏）
上九味，除桃仁外，捣罗为末，入桃仁膏研匀，酒煮面糊为丸，如梧桐子大，每服二十
丸。温酒下，空心服。
治肾虚中寒气，补下元。巴戟丸方
巴戟天（去心） 干姜（炮） 沉香（锉） 附子（炮裂去皮脐） 木香 桂（去粗皮）
肉苁蓉
（酒浸切焙） 香子（炒） 牛膝（酒浸切焙各半两） 砂（一分浆水飞过别研）
上一十味，捣研为末，猪肾一对，湿纸裹煨熟，薄切作片，入盐一分，无灰酒少许，同
研烂，和药末为丸。如梧桐子大，每日空心日午临卧，盐汤或温酒下三十丸。
It is discussed that so-called Kidney Cold (Shen Han) manifests as weakness in the lower legs and shins, heaviness in the waist, fullness in the lower abdomen, qi rushing up to seize the heart, and pain radiating to the hypochondrium. This arises from the deficiency of the Kidney organ, insufficiency of Yang Qi, invasion by cold pathogenic factors, and disharmony of the Yuan Zang (Primordial Viscera), hence named Kidney Cold.
To treat cold qi in the Kidneys, cold pain in the umbilical and abdominal regions, soreness and pain in the waist and legs, and spasmodic tightness of tendons and vessels. Warming Meridian Mu Xiang Wan (Cinnamon Twig Pill):
Mu Xiang (Linderae Radix), Huba Lu Ba (Fenugreek Seed, stir-fried), Buguzhi (Psoraleae Fructus, stir-fried), Bajitian (Morindae Officinalis Radix, removed core), Xiangzi (Litseae Fructus, stir-fried), Gui (Cinnamomi Ramulus, removed coarse bark), Ai Ye (Artemisiae Argyi Folium, stir-fried), Fuzi (Aconiti Lateralis Radix Praeparata, roasted, cracked, skin and navel removed), Qing Ju Pi (Citri Reticulatae Pericarpium Viride, removed albedo and baked). Each of the above nine ingredients weighs one liang.
Crush and sieve the above nine ingredients into powder. Mix with refined honey to form pills the size of paulownia seeds. Take twenty pills per dose, on an empty stomach, at noon, and before sleep, with warm wine or salt water. The dosage may be increased to thirty pills.
To treat deficiency-cold in the Kidneys with cold invasion, urgent pain in the umbilical and abdominal regions, frequent urination, and a dull, turbid complexion. Bajitian Wan (Morinda Officinalis Pill):
Bajitian (Morindae Officinalis Radix, removed core, one liang), Shu Dihuang (Rehmanniae Radix Preparata, baked), Wuweizi (Schisandrae Chinensis Fructus, each two and a half liang), Huangqi (Astragali Membranacei Radix, sliced, one liang and three fen), Niuxi (Achyranthis Bidentatae Radix, soaked in wine, sliced, baked, one liang and a half), Muli (Ostreae Concha, calcined, half liang), Tusizi (Cuscutae Semen, soaked in wine, separately pounded and baked), Ganjiang (Zingiberis Rhizoma, roasted, each one liang), Fuzi (Aconiti Lateralis Radix Praeparata, roasted, cracked, skin and navel removed, one liang and a half), Gui (Cinnamomi Ramulus, removed coarse bark, one liang), Baizhu (Atractylodis Macrocephalae Rhizoma, two liang), Rongshengrong (Cistanches Herba, soaked in wine, sliced, baked, two and a half liang).
Crush and sieve the above twelve ingredients into powder. Mix with refined honey to form pills the size of paulownia seeds. Take thirty pills per dose before meals on an empty stomach, with warm wine.
To treat cold in the Kidneys, cold pain in the umbilical and abdominal regions, and spasmodic tightness in the waist and hypochondrium. Danggui Wan (Angelica Sinensis Pill):
Danggui (Angelicae Sinensis Radix, sliced, baked, one liang), Baizhu (Atractylodis Macrocephalae Rhizoma, two liang), Lianshi (Meliae Toosendan Fructus, baked to take flesh, one liang), Ganjiang (Zingiberis Rhizoma, roasted), Gui (Cinnamomi Ramulus, removed coarse bark, each half liang), Fuzi (Aconiti Lateralis Radix Praeparata, roasted, cracked, skin and navel removed, one liang), Mu Xiang (Linderae Radix, half liang).
Crush and sieve the above seven ingredients into powder. Use vinegar-boiled wheat paste to form pills the size of paulownia seeds. Take twenty pills per dose with Mugwort Decoction (Ai Tang), before meals on an empty stomach, three times daily.
To treat cold pathogens in the Kidneys, deficiency-cold at Qihai (CV6), heavy and painful waist and legs, and frequent urination. Wei Shen San (Roasted Kidney Powder):
Xiangzi (Litseae Fructus, stir-fried), Bidengqie (Piperis Longi Fructus), Bajitian (Morindae Officinalis Radix, removed core, each one liang), Ganjiang (Zingiberis Rhizoma, roasted, half liang), Gui (Cinnamomi Ramulus, removed coarse bark, three qian), Fuzi (Aconiti Lateralis Radix Praeparata, roasted, cracked, skin and navel removed, half liang), Shujiao (Sichuan Pepper, remove eyes and closed ones, stir-fry until sweat appears, three qian).
Crush and sieve the above seven ingredients into powder. Take two qianbi (small scoops) per dose. Take one sheep kidney, split it open, insert the medicine inside, add a little salt, scallion, and pepper, wrap in wet paper, and roast until cooked. Chew thoroughly on an empty stomach and swallow with warm wine.
To treat deficiency and exhaustion of the Kidneys invaded by cold pathogens, spasmodic tightness of the waist and back, cold pain in the umbilical and abdominal regions. Wen Shen San (Warming Kidney Powder):
Gui (Cinnamomi Ramulus, removed coarse bark), Fuzi (Aconiti Lateralis Radix Praeparata, roasted, cracked, skin and navel removed, each one liang), Qing Ju Pi (Citri Reticulatae Pericarpium Viride, soaked in hot water, removed albedo, baked), Ganjiang (Zingiberis Rhizoma, roasted, each half liang), Mu Xiang (Linderae Radix, one fen).
Crush and sieve the above five ingredients into powder. Take two qianbi per dose. Take one sheep kidney, remove fascia and sinews, cut open, insert the medicine, wrap in wet paper, and slowly roast over low heat. Chew thoroughly and swallow with warm wine. Take before meals on an empty stomach.
To treat deficiency of the Kidneys with cold invasion, attacking the waist and abdomen causing fullness and pain, slight coldness of hands and feet. Xiangzi Wan (Litsea Fruit Pill):
Xiangzi (Litseae Fructus, stir-fried), Mu Xiang (Linderae Radix, each three qian), Laifuzi (Raphani Semen, stir-fried, half liang), Houpo (Magnoliae Officinalis Cortex, removed coarse bark, half raw, half stir-fried with ginger juice, sliced, half liang), Gui (Cinnamomi Ramulus, removed coarse bark), Ganjiang (Zingiberis Rhizoma, roasted), Peng Ezhu (Curcumae Phaeocaulis Rhizoma, baked, sliced, each three qian), Qing Ju Pi (Citri Reticulatae Pericarpium Viride, soaked in hot water, removed albedo, baked, half liang), Tao Ren (Pruni Semen, removed skin, tip, and double kernels, three qian, pounded into paste).
Except for Tao Ren, crush and sieve the above nine ingredients into powder. Mix with Tao Ren paste, grind evenly, use wine-boiled wheat paste to form pills the size of paulownia seeds. Take twenty pills per dose with warm wine, on an empty stomach.
To treat deficiency of the Kidneys with cold invasion, tonifying the Lower Yuan (Lower Primordial Source). Bajitian Wan (Morinda Officinalis Pill):
Bajitian (Morindae Officinalis Radix, removed core), Ganjiang (Zingiberis Rhizoma, roasted), Chenxiang (Aquilariae Lignum Resinatum, sliced), Fuzi (Aconiti Lateralis Radix Praeparata, roasted, cracked, skin and navel removed), Mu Xiang (Linderae Radix), Gui (Cinnamomi Ramulus, removed coarse bark), Rongshengrong (Cistanches Herba, soaked in wine, sliced, baked), Xiangzi (Litseae Fructus, stir-fried), Niuxi (Achyranthis Bidentatae Radix, soaked in wine, sliced, baked, each half liang), Sharen (Amomi Fructus, one fen, washed in grain water, separately ground).
Grind and pound the above ten ingredients into powder. Take one pig kidney, wrap in wet paper and roast until cooked, slice thinly, add one fen of salt and a little non-fermented wine, grind together until smooth, mix with the medicine powder to form pills the size of paulownia seeds. Take thirty pills per dose on an empty stomach, at noon, and before sleep, with salt water or warm wine.