论曰肾胀之病，腹满引背央央然、腰髀痛者是也。盖肾主腰脚，其经属足少阴，与足太
阳为表里，肾经所过，抵少腹通膀胱经支内，过髀枢循髀外，是动则病髀不可以曲，今寒气
积于肾经，不得宣通，故气留滞而为胀。
治肾虚胀，寒气不宣利，上攻腹内及背腰脊髀痛。温经汤方
附子（炮裂去皮脐） 杜仲（去粗皮切炒） 牛膝（酒浸别焙各一两） 干姜（炮） 桂
（去粗
皮） 续断 补骨脂（炒各三分）
上七味， 咀如麻豆，每服三钱匕，水一盏，生姜三片，煎七分，临熟入盐一捻，去滓
空心食前温服。
治肾虚胀，气攻腰腹髀痛。萆 丸方
萆 （锉） 熟干地黄（焙） 天雄（炮裂去皮脐各一两） 蜀椒（去目并闭口炒出汗）
桂（
去粗皮） 细辛（去苗叶） 续断（锉各三分）
上七味，捣罗为末，炼蜜和丸，如梧桐子大，每服三十丸，温酒或盐汤下，空心，日午
夜卧各一。
治肾胀，气攻腰腹痛。 香子散方
香子（炒） 桃仁（炒去皮尖双仁） 干姜（炮） 甘草（炙锉） 桂（去粗皮） 熟
干地黄（
焙） 石斛（去根锉） 杜仲（去粗皮切焙）
上八味，等分，捣罗为散，每服二钱匕，温酒调下，空心食前。
治肾胀虚寒，痛引脐腹，腰髀，鹿茸丸方
鹿茸（去毛酥炙半两） 桂（去粗皮三分） 黄 （锉） 泽泻 芍药 桑寄生 补骨
脂（炒
各一两）
上七味，捣罗为末，炼蜜和丸，梧桐子大，每服三十丸，空心温酒或盐汤下。
治肾虚冷气攻腰腹痛，温肾经。消胀满，八味丸方
附子（炮裂去皮脐二两） 泽泻（三两） 山茱萸（四两） 山芋（四两） 白茯苓（去
黑皮三
两） 牡丹皮（三两） 桂去粗皮（二两） 熟干地黄（八两焙）
上八味，捣罗为末，炼蜜和丸，梧桐子大，每服三十丸。空心食前温酒或盐汤下。
Discourse states: The disease of Kidney Distension (Shen Zhang) is characterized by abdominal fullness radiating to the back with a sense of discomfort, and pain in the waist and hips. This is because the Kidney governs the waist and lower limbs; its meridian belongs to the Foot-Shaoyin (Lesser Yin of the Foot), which is interiorly-exteriorly related to the Foot-Taiyang (Greater Yang of the Foot). The pathway of the Kidney meridian descends to reach the lower abdomen, connects internally with the branch of the Bladder meridian, passes through the hip joint, and follows the lateral aspect of the thigh. When the Kidney meridian is disturbed, it causes disease where the thigh cannot be flexed. Currently, cold pathogenic qi accumulates in the Kidney meridian and fails to diffuse and circulate freely, causing qi stagnation and resulting in distension.
For treating distension due to Kidney deficiency, where cold qi fails to diffuse and promote circulation, attacking upwards into the abdomen and causing pain in the back, waist, spine, and hips. Warming the Meridian Decoction (Wen Jing Tang):
Prepared Aconite Root (Fuzi, Pao Lie Qu Pi Qi) [Aconiti Lateralis Radix Praeparata], Cut and Stir-fried Eucommia Bark (Duzhong, Qu Cu Pi Qie Chao) [Eucommiae Cortex], Achyranthes Root (Niuxi, Jiu Jin Bie Bei) [Achyranthis Bidentatae Radix] (each 1 liang), Prepared Dried Ginger (Ganjiang, Pao) [Zingiberis Rhizoma Preparatum], Cinnamon Twig (Gui, Qu Cu Pi) [Cinnamomi Ramulus], Teasel Root (Xuduan) [Dipsaci Radix], Psoralea Fruit (Buguzhi, Chao) [Psoraleae Fructus] (each 3 fen).
The above seven ingredients are cut into pieces the size of hemp seeds. Each dose consists of 3 qianbi, decocted with one zhan of water and three slices of fresh ginger until reduced to 70%. Just before completion, add a pinch of salt, strain, and take warm on an empty stomach before meals.
For treating distension due to Kidney deficiency, where qi attacks causing pain in the waist, abdomen, and hips. Bi Xie Pill (Bi Xie Wan):
Dioscorea Hypoglauca Rhizome (Bixie, Cuo) [Dioscoreae Hypoglaucae Rhizoma], Prepared Rehmannia Root (Shu Gan Dihuang, Bei) [Rehmanniae Radix Preparata], Tianxiong (Tianxiong, Pao Lie Qu Pi Qi, 1 liang) [Aconiti Kusnezoffii Radix], Sichuan Pepper (Shujiao, Qu Mu Bing Bi Kou Chao Chu Han) [Zanthoxyli Pericarpium], Cinnamon Twig (Gui, Qu Cu Pi) [Cinnamomi Ramulus], Asarum (Xixin, Qu Miao Ye) [Asari Radix et Rhizoma], Teasel Root (Xuduan, Cuo, 3 fen) [Dipsaci Radix].
The above seven ingredients are pounded, sifted into powder, mixed with refined honey, and formed into pills the size of Sophora seeds. Each dose is 30 pills, taken with warm wine or salted water, once on an empty stomach, at noon, and before sleep.
For treating Kidney Distension, where qi attacks causing pain in the waist and abdomen. Fennel Seed Powder (Hui Xiang Zi San):
Fennel Seed (Huixiangzi, Chao) [Foeniculi Fructus], Peach Kernel (Taoren, Chao Qu Pi Jian Shuang Ren) [Persicae Semen], Prepared Dried Ginger (Ganjiang, Pao) [Zingiberis Rhizoma Preparatum], Licorice Root (Gancao, Zhi Cuo) [Glycyrrhizae Radix et Rhizoma], Cinnamon Twig (Gui, Qu Cu Pi) [Cinnamomi Ramulus], Prepared Rehmannia Root (Shu Gan Dihuang, Bei) [Rehmanniae Radix Preparata], Dendrobium Stem (Shihu, Qu Gen Cuo) [Dendrobii Caulis], Cut and Stir-fried Eucommia Bark (Duzhong, Qu Cu Pi Qie Bei) [Eucommiae Cortex].
The above eight ingredients are equal parts, pounded, sifted into powder. Each dose is 2 qianbi, taken with warm wine, on an empty stomach before meals.
For treating Kidney Distension with deficiency-cold, where pain radiates to the umbilicus, abdomen, waist, and hips. Deer Antler Pill (Lurong Wan):
Deer Antler (Lurong, Qu Mao Su Zhi, Ban Liang) [Cervi Cornu Degelatinatum], Cinnamon Twig (Gui, Qu Cu Pi, 3 fen) [Cinnamomi Ramulus], Astragalus Root (Huangqi, Cuo) [Astragali Radix], Alisma Tuber (Zexie) [Alismatis Rhizoma], White Peony Root (Shaoyao) [Paeoniae Radix Alba], Mulberry Mistletoe (Sangjisheng) [Taxilli Herba], Psoralea Fruit (Buguzhi, Chao, 1 liang) [Psoraleae Fructus].
The above seven ingredients are pounded, sifted into powder, mixed with refined honey, and formed into pills the size of Sophora seeds. Each dose is 30 pills, taken with warm wine or salted water on an empty stomach.
For treating Kidney deficiency with cold qi attacking the waist and abdomen, warming the Kidney meridian, and eliminating distension. Eight-Ingredient Pill (Ba Wei Wan):
Prepared Aconite Root (Fuzi, Pao Lie Qu Pi Qi, 2 liang) [Aconiti Lateralis Radix Praeparata], Alisma Tuber (Zexie, 3 liang) [Alismatis Rhizoma], Cornus Fruit (Shanzhuyu, 4 liang) [Corni Fructus], Chinese Yam (Shanyu, 4 liang) [Dioscoreae Rhizoma], White Poria (Baifuling, Qu Hei Pi, 3 liang) [Poria], Moutan Bark (Mudanpi, 3 liang) [Moutan Cortex], Cinnamon Twig (Gui, Qu Cu Pi, 2 liang) [Cinnamomi Ramulus], Prepared Rehmannia Root (Shu Gan Dihuang, Bei, 8 liang) [Rehmanniae Radix Preparata].
The above eight ingredients are pounded, sifted into powder, mixed with refined honey, and formed into pills the size of Sophora seeds. Each dose is 30 pills, taken with warm wine or salted water on an empty stomach before meals.