论曰痹之为病，在骨则重，在皮则寒，在肉则不仁，在筋则屈而不伸，在脉则血凝而不
流，腰脚得之，谓之冷痹者，亦由风寒湿杂合而成也，盖肾主腰脚，其经为寒邪冷气所客，
注于腰脚，则膝胫髀 腰脊冷痛，肌肉不仁，故以名焉。
治风寒湿伤着腰脚冷痹不仁，或疼痛，牛膝汤方
牛膝（酒浸切焙） 独活（去芦头） 防风（去叉） 当归（切炒） 白茯苓（去黑皮）
羚羊角
屑桂（去粗皮） 酸枣仁（微炒各一两） 附子（炮裂去皮脐二两）
上九味，锉如麻豆，每服三钱匕，水一盏，煎至七分，去滓温服不拘时。
治腰脚冷痹不仁，行步无力，萆 散方
萆 （二两） 桂（去粗皮三分） 杜仲（去粗皮锉炒一两）
上三味，捣罗为散，每服二钱匕，温酒调下，不拘时候。
治腰脚冷痹不仁，无力，独活汤方
独活（去芦头） 附子（炮裂去皮脐各一两） 麻黄（去根节） 杏仁（去皮尖双仁麸
炒各半
两） 桂（去粗皮） 甘草（炙锉） 葛根 芍药 栝蒌根 防风（去叉各三分） 杜仲（去
粗皮切
炒一两） 熟干地黄（焙二两）
上一十二味，锉如麻豆大，每服三钱匕，水七分，酒五分，同煎八分，去滓温服不拘时
治腰脚冷痹， 麻不仁，桂心丸方
桂（去粗皮三分） 干姜（炮半两） 丹参 杜仲（去粗皮切炒） 牛膝（酒浸切焙） 附
子（
炮裂去皮脐） 续断（各一两）
上七味，捣罗为末，炼蜜为丸，如梧桐子大，每服三十丸，温酒下，不拘时候。
治腰脚冷痹，不仁疼痛，独活酒方
独活（去芦头半两） 杜仲（去粗皮切炒一两） 当归（切焙半两） 芎 （半两） 熟
干地黄
（焙半两） 丹参（一两一分）
上六味，细锉，用酒五升，瓷瓶内浸密封，以重汤煮一二时辰，取出候冷开封，每温一
盏服，不拘时，常令如醉，不能饮酒者，量多少饮之。
治肾虚冷或感寒湿，腰脚冷痹，或为疼痛，杜仲酒方
杜仲（去粗皮切炒） 干姜（炮） 萆 羌活（去芦头） 天雄（炮裂去皮脐） 蜀
椒（去目
及闭口者炒出汗） 桂（去粗皮） 芎 防风（去叉） 秦艽（去苗土） 甘草（炙各一
两） 细
辛（去苗叶） 五加皮 石槲（去根） 续断 地骨皮（洗各三分） 桔梗（一两半）
上一十七味，各细锉，用酒一斗，瓷瓶内浸密封，以重汤煮二时辰，取出候冷开封，每
温一盏服，不拘时，常令如醉。
治风冷或寒湿，伤着腰脚冷痹，或疼痛，巴戟酒方
巴戟天（去心二两） 羌活（去芦头二两） 当归（切焙三两） 牛膝（二两） 蜀椒
（去目及
闭口者炒出汗半两） 石槲（去根二两） 生姜（洗三两）
上七味，各细锉，用酒五升，瓷瓶内浸密封，以重汤煮一二时辰，取出候冷开封，每温
一盏服，常令如醉。
治风湿寒冷伤着腰脚冷痹， 麻不仁，石槲浸酒方
石槲（去根五两） 牛膝（酒浸切焙一两） 杜仲（去粗皮炙半斤） 丹参（六两） 熟
干地
黄（焙十两） 桂（去粗皮四两）
上六味，各细锉，用酒一斗，瓷瓶内浸密封，以重汤煮二三时辰，取出候冷开封，每温
一盏服，不拘时，常令如醉。
治腰脚痹痛，膝以下冷，不得屈伸，牛膝丸方
牛膝（去苗酒浸切焙三两） 石槲（去根） 狗脊（酥炙去毛） 桂（去黑皮） 蜀椒
（去目及
闭口者炒出汗） 干姜（炮各一两半） 附子（炮裂去皮脐二两）
上七味，捣罗为细末，炼蜜和丸，梧桐子大，每服三十丸，食前以温酒下。
治腰脚痹痛，行步艰难，羌活饮方
羌活（去芦头） 桂（去粗皮各一两） 附子（炮裂去皮脐） 当归（焙） 牛膝（酒
浸去苗焙）
上六味，锉如麻豆，每服三钱匕，水一盏半，入生姜五片，煎至一盏，去滓食前温服，
如人行五里再服。
It is discussed that in Bi syndrome (Bi Syndrome, a condition characterized by obstruction and pain), if the pathogen is in the bone, there is a feeling of heaviness; if in the skin, there is coldness; if in the muscle, there is numbness and insensitivity; if in the sinews, there is flexion without extension; if in the vessels, there is blood coagulation and stagnation. When this occurs in the lower back and legs, it is called Cold Bi (Cold Bi Syndrome). This is also caused by the mixed combination of Wind, Cold, and Dampness pathogens. Since the Kidney governs the lower back and legs, its meridians are invaded by Cold Evil and Cold Qi. When this Cold Qi pours into the lower back and legs, it causes cold pain in the knees, shins, thighs, lower back, and spine, along with muscle numbness and insensitivity. Hence, it is named "Cold Bi."
Formula for treating Cold Bi and numbness or pain in the lower back and legs caused by invasion of Wind-Cold-Dampness: Niuxi Tang (Caulis Achyranthis Bidentatae Decoction)
Niuxi (Radix Achyranthis Bidentatae, soaked in wine, sliced, and roasted)
Duhuo (Rhizoma Angelicae Pubescentis, remove rhizome head)
Fangfeng (Radix Saposhnikoviae, remove forked branches)
Danggui (Radix Angelicae Sinensis, sliced and stir-fried)
Baifuling (Poria, remove black skin)
Lingyangjiaoxie (Cornu Saigae Tataricae, powdered)
Guizhi (Ramulus Cinnamomi, remove coarse bark)
Suanzaoren (Semen Ziziphi Spinosae, lightly stir-fried, each 1 liang)
Fuzi (Radix Aconiti Lateralis Preparata, cracked by frying, remove skin and umbilicus, 2 liang)
The above nine ingredients are chopped like hemp seeds. Take three qianbi per dose, add one zhan of water, decoct until seven parts remain, remove dregs, and take warm at any time.
Formula for treating Cold Bi and numbness in the lower back and legs with weakness in walking: Bibo San (Rhizoma Dioscoreae Hypoglaucae Powder)
Bibo (Rhizoma Dioscoreae Hypoglaucae, 2 liang)
Guizhi (Ramulus Cinnamomi, remove coarse bark, 3 fen)
Duzhong (Cortex Eucommiae, remove coarse bark, chopped and stir-fried, 1 liang)
The above three ingredients are pounded, sifted into powder. Take two qianbi per dose, mix with warm wine to swallow, at any time.
Formula for treating Cold Bi and numbness in the lower back and legs with weakness: Duhuo Tang (Rhizoma Angelicae Pubescentis Decoction)
Duhuo (Rhizoma Angelicae Pubescentis, remove rhizome head)
Fuzi (Radix Aconiti Lateralis Preparata, cracked by frying, remove skin and umbilicus, each 1 liang)
Mahuang (Herba Ephedrae, remove roots and nodes)
Xingren (Semen Pruni Armeniacae, remove skin and sharp ends, use double-kernel ones stir-fried with bran, each half liang)
Guizhi (Ramulus Cinnamomi, remove coarse bark)
Gancao (Radix Glycyrrhizae Preparata, stir-baked and chopped)
Gegen (Radix Puerariae)
Shaoyao (Radix Paeoniae Alba)
Gualougen (Radix Trichosanthis)
Fangfeng (Radix Saposhnikoviae, remove forked branches, each 3 fen)
Duzhong (Cortex Eucommiae, remove coarse bark, cut and stir-fried, 1 liang)
Shudihuang (Radix Rehmanniae Preparata, roasted, 2 liang)
The above twelve ingredients are chopped like hemp seeds. Take three qianbi per dose, add seven parts water and five parts wine, decoct together until eight parts remain, remove dregs, and take warm at any time.
Formula for treating Cold Bi in the lower back and legs with numbness and insensitivity: Guixin Wan (Cortex Cinnamomi Pill)
Guizhi (Ramulus Cinnamomi, remove coarse bark, 3 fen)
Ganjiang (Rhizoma Zingiberis Preparata, fried, half liang)
Danshen (Radix Salviae Miltiorrhizae)
Duzhong (Cortex Eucommiae, remove coarse bark, cut and stir-fried)
Niuxi (Radix Achyranthis Bidentatae, soaked in wine, sliced, and roasted)
Fuzi (Radix Aconiti Lateralis Preparata, cracked by frying, remove skin and umbilicus)
Xuduan (Radix Dipsaci, each 1 liang)
The above seven ingredients are pounded, sifted into fine powder, mixed with refined honey to form pills the size of paulownia seeds. Take thirty pills per dose, swallow with warm wine, at any time.
Formula for treating Cold Bi in the lower back and legs with numbness and pain: Duhuo Jiu (Rhizoma Angelicae Pubescentis Wine)
Duhuo (Rhizoma Angelicae Pubescentis, remove rhizome head, half liang)
Duzhong (Cortex Eucommiae, remove coarse bark, cut and stir-fried, 1 liang)
Danggui (Radix Angelicae Sinensis, cut and roasted, half liang)
Xiong (Radix Chuanxiong, half liang)
Shudihuang (Radix Rehmanniae Preparata, roasted, half liang)
Danshen (Radix Salviae Miltiorrhizae, 1 liang 1 fen)
The above six ingredients are finely chopped. Use five sheng of wine, soak in a porcelain bottle, seal tightly, and boil in a double boiler for one to two shichen. Remove, let cool, open, and take one zhan warm at any time. The patient should feel slightly intoxicated. Those who cannot drink alcohol should adjust the amount accordingly.
Formula for treating Kidney Deficiency Cold or invasion of Cold-Dampness causing Cold Bi in the lower back and legs, or pain: Duzhong Jiu (Cortex Eucommiae Wine)
Duzhong (Cortex Eucommiae, remove coarse bark, cut and stir-fried)
Ganjiang (Rhizoma Zingiberis Preparata, fried)
Bibo (Rhizoma Dioscoreae Hypoglaucae)
Qianghuo (Rhizoma et Radix Notopterygii, remove rhizome head)
Tianxiong (Radix Aconiti Kusnezoffii Preparata, cracked by frying, remove skin and umbilicus)
Shujiao (Fructus Zanthoxyli, remove eyes and closed-mouth ones, stir-fry until oil sweats out)
Guizhi (Ramulus Cinnamomi, remove coarse bark)
Xiong (Radix Chuanxiong)
Fangfeng (Radix Saposhnikoviae, remove forked branches)
Qinjiao (Radix Gentiana Macrophyllae, remove seedlings and soil)
Gancao (Radix Glycyrrhizae Preparata, stir-baked, each 1 liang)
Xixin (Herba Asari, remove seedlings and leaves)
Wujiapi (Cortex Acanthopanacis Senticosi)
Shihu (Cortex Corni, remove roots)
Xuduan (Radix Dipsaci)
Gugupi (Cortex Lycii, wash, each 3 fen)
Jiegeng (Radix Platycodonis, 1 liang 5 qian)
The above seventeen ingredients are each finely chopped. Use one dou of wine, soak in a porcelain bottle, seal tightly, and boil in a double boiler for two shichen. Remove, let cool, open, and take one zhan warm at any time. The patient should feel slightly intoxicated.
Formula for treating Wind-Cold or Cold-Dampness invading the lower back and legs causing Cold Bi or pain: Bajiji Jiu (Radix Morindae Officinalis Wine)
Bajitian (Radix Morindae Officinalis, remove heart, 2 liang)
Qianghuo (Rhizoma et Radix Notopterygii, remove rhizome head, 2 liang)
Danggui (Radix Angelicae Sinensis, cut and roasted, 3 liang)
Niuxi (Radix Achyranthis Bidentatae, 2 liang)
Shujiao (Fructus Zanthoxyli, remove eyes and closed-mouth ones, stir-fry until oil sweats out, half liang)
Shihu (Cortex Corni, remove roots, 2 liang)
Shengjiang (Rhizoma Zingiberis Recens, washed, 3 liang)
The above seven ingredients are each finely chopped. Use five sheng of wine, soak in a porcelain bottle, seal tightly, and boil in a double boiler for one to two shichen. Remove, let cool, open, and take one zhan warm. The patient should feel slightly intoxicated.
Formula for treating Wind-Damp-Cold invading the lower back and legs causing Cold Bi with numbness and insensitivity: Shihu Jinjiu (Cortex Corni Soaked Wine)
Shihu (Cortex Corni, remove roots, 5 liang)
Niuxi (Radix Achyranthis Bidentatae, soaked in wine, sliced, and roasted, 1 liang)
Duzhong (Cortex Eucommiae, remove coarse bark, stir-baked, half jin)
Danshen (Radix Salviae Miltiorrhizae, 6 liang)
Shudihuang (Radix Rehmanniae Preparata, roasted, 10 liang)
Guizhi (Ramulus Cinnamomi, remove coarse bark, 4 liang)
The above six ingredients are each finely chopped. Use one dou of wine, soak in a porcelain bottle, seal tightly, and boil in a double boiler for two to three shichen. Remove, let cool, open, and take one zhan warm at any time. The patient should feel slightly intoxicated.
Formula for treating Bi pain in the lower back and legs, coldness below the knees, inability to flex and extend: Niuxi Wan (Caulis Achyranthis Bidentatae Pill)
Niuxi (Radix Achyranthis Bidentatae, remove seedlings, soak in wine, slice, and roast, 3 liang)
Shihu (Cortex Corni, remove roots)
Gouji (Rhizoma Cibotii, fry with butter, remove hair)
Guizhi (Ramulus Cinnamomi, remove black skin)
Shujiao (Fructus Zanthoxyli, remove eyes and closed-mouth ones, stir-fry until oil sweats out)
Ganjiang (Rhizoma Zingiberis Preparata, fried, each 1 liang 5 qian)
Fuzi (Radix Aconiti Lateralis Preparata, cracked by frying, remove skin and umbilicus, 2 liang)
The above seven ingredients are pounded, sifted into fine powder, mixed with refined honey to form pills the size of paulownia seeds. Take thirty pills per dose, swallow with warm wine before meals.
Formula for treating Bi pain in the lower back and legs with difficulty in walking: Qianghuo Yin (Rhizoma et Radix Notopterygii Infusion)
Qianghuo (Rhizoma et Radix Notopterygii, remove rhizome head)
Guizhi (Ramulus Cinnamomi, remove coarse bark, each 1 liang)
Fuzi (Radix Aconiti Lateralis Preparata, cracked by frying, remove skin and umbilicus)
Danggui (Radix Angelicae Sinensis, roasted)
Niuxi (Radix Achyranthis Bidentatae, soak in wine, remove seedlings, and roast)
The above six ingredients are chopped like hemp seeds. Take three qianbi per dose, add one and a half zhan of water and five slices of fresh ginger, decoct until one zhan remains, remove dregs, and take warm before meals. Repeat the dose after walking about five li.