论曰肾生骨髓，骨髓者、肾气之余。其气虚、则骨弱酸疼；倦而无力，其气实、则骨热
苦烦，津液内燥。当随证以治之。
治骨虚酸疼多倦。补骨脂汤方
补骨脂（炒） 附子（炮裂去皮脐） 人参 肉苁蓉（酒浸切焙） 五味子（去梗各一
两）
上五味。 咀如麻豆，每服三钱匕，水一盏，煎至七分，临熟入酒二分搅匀，去滓温
服食前。
治骨髓虚冷酸疼。苁蓉汤方
肉苁蓉（酒浸切焙） 菟丝子（酒浸一宿焙干别捣） 人参 黄 （锉） 木香 附子
（炮裂去
上七味， 咀如麻豆，每服三钱匕，水一盏。煎至七分，去滓温服食前。
治骨髓虚冷，疼痛无力。地黄散方
生地黄（八斤洗锉） 豉（二斤）
上二味，同于甑上炊两次，曝干为散。每服二钱匕，温酒调下，不拘时。
治骨髓虚冷，疼痛倦怠。芍药虎骨散方
芍药（一斤） 生地黄（五斤洗） 虎骨（四两）
上三味。 咀，以清酒一斗，渍三宿，曝干复入酒中渍一宿，曝干再渍再曝，酒尽即止，
曝干捣罗为散，每服二钱匕，温酒调下，不拘时。
治骨髓虚冷痛。地黄酒方
生地黄（一石洗切）
上一味，木臼中捣取自然汁，绞去滓，用酒二斗和匀，同于瓷石器中，煎熟为度，瓷器
盛贮。每服温饮一盏。不拘时候。
治骨实苦疼烦热。四物汤方
葛根（取汁） 生地黄（取汁） 麦门冬（取汁） 蜜
上四味各半盏和匀，分三服，每服用水半盏；同煎至六分，温服食前。
治骨实热烦痛。地骨皮汤方
地骨皮 柴胡（去苗） 甘草（炙锉各一两） 胡黄连（一分）
上四味。粗捣筛。每服三钱匕，水一盏。煎至七分，去滓温服。
治骨实烦热。秦艽汤方
秦艽（去苗土半两） 甘草（炙锉） 前胡（去芦头） 柴胡（去苗各一两）
上四味。粗捣筛，每服三钱匕。水一盏，煎至七分，去滓温服食前。
治骨极虚寒。面肿垢黑，腰脊痛，不能久立屈伸，梦寐惊悸。上气小腹急痛，腰背四肢
常冷，小便白浊，人参饮方。
人参 五味子 熟干地黄（焙） 赤芍药 麦门冬（去心焙） 甘草（炙锉） 当归（切
焙各
（去粗皮各一
上一十三味，粗捣筛，每服五钱匕，水一盏半，羊肾一只，去筋膜切，同煎至八分。去
滓不拘时温服。
It is stated that the Kidney generates marrow, and marrow is the surplus of Kidney Qi. If Qi is deficient, bones become weak and sore; fatigue and lack of strength ensue. If Qi is excess, there is heat in the bones with bitter vexation, and internal dryness of body fluids. Treatment should follow the specific syndrome.
Bu Gu Zhi Tang (Psoralea Decoction) for treating bone deficiency with soreness, pain, and frequent fatigue:
Psoraleae Fructus (Bu Gu Zhi, 补骨脂) (stir-fried), Aconiti Lateralis Radix Praeparata (Fu Zi, 附子) (processed until cracked, skin and umbilicus removed), Ginseng Radix et Rhizoma (Ren Shen, 人参), Cistanches Herba (Rou Cong Rong, 肉苁蓉) (soaked in wine, sliced, and dried over fire), Schisandrae Fructus (Wu Wei Zi, 五味子) (stalks removed). Each of the above five herbs weighs one liang.
Crush the five herbs to the size of hemp seeds. Take three qian bi per dose, add one zhan of water, decoct until reduced to seven-tenths. Just before completion, add two fen of wine, mix well, strain, and take warm before meals.
Cong Rong Tang (Cistanche Decoction) for treating marrow deficiency-cold with soreness and pain:
Cistanches Herba (Rou Cong Rong, 肉苁蓉) (soaked in wine, sliced, and dried over fire), Cuscutae Semen (Tu Si Zi, 菟丝子) (soaked in wine overnight, dried over fire, and separately crushed), Ginseng Radix et Rhizoma (Ren Shen, 人参), Astragali Radix (Huang Qi, 黄芪) (chopped), Costi Rhizoma (Mu Xiang, 木香), Aconiti Lateralis Radix Praeparata (Fu Zi, 附子) (processed until cracked...).
The above seven herbs are crushed to the size of hemp seeds. Take three qian bi per dose, add one zhan of water, decoct until reduced to seven-tenths, strain, and take warm before meals.
Di Huang San (Rehmannia Powder) for treating marrow deficiency-cold with pain and weakness:
Rehmanniae Radix Recens (Sheng Di Huang, 生地黄) (eight jin, washed and chopped), Sojae Semen Preparatum (Chi Dou, 豉) (two jin).
Steam these two ingredients together on a steamer twice, sun-dry them, and grind into powder. Take two qian bi per dose, mixed with warm wine, at any time.
Shao Yao Hu Gu San (Peony and Tiger Bone Powder) for treating marrow deficiency-cold with pain and lassitude:
Paeoniae Radix Alba (Bai Shao Yao, 芍药) (one jin), Rehmanniae Radix Recens (Sheng Di Huang, 生地黄) (five jin, washed), Os Tigris (Hu Gu, 虎骨) (four liang).
Crush the three herbs, soak in ten dou of clear wine for three nights. Sun-dry, then soak again in wine for one night, sun-dry again. Repeat soaking and drying until the wine is exhausted. Finally, sun-dry, crush, and sieve into powder. Take two qian bi per dose, mixed with warm wine, at any time.
Di Huang Jiu (Rehmannia Wine) for treating marrow deficiency-cold with pain:
Rehmanniae Radix Recens (Sheng Di Huang, 生地黄) (one shi, washed and cut).
Pound this single herb in a wooden mortar to extract natural juice, strain off the dregs, mix with two dou of wine evenly. Simmer in a porcelain or stoneware vessel until cooked. Store in porcelain vessels. Drink one zhan warm at any time.
Si Wu Tang (Four Substances Decoction) for treating bone excess with painful heat and vexation:
Puerariae Radix (Ge Gen, 葛根) (extract juice), Rehmanniae Radix Recens (Sheng Di Huang, 生地黄) (extract juice), Ophiopogonis Tuber (Mai Men Dong, 麦门冬) (extract juice), Mel (Mi, 蜜).
Mix half a zhan of each of the four ingredients evenly. Divide into three doses. For each dose, add half a zhan of water; decoct together until reduced to six-tenths. Take warm before meals.
Di Gu Pi Tang (Lycium Bark Decoction) for treating bone excess-heat with vexation and pain:
Lycii Cortex (Di Gu Pi, 地骨皮), Bupleuri Radix (Chai Hu, 柴胡) (remove seedlings), Glycyrrhizae Radix et Rhizoma (Gan Cao, 甘草) (roasted and chopped, one liang each), Picrorhizae Rhizoma (Hu Huang Lian, 胡黄连) (one fen).
Coarsely crush and sieve the four herbs. Take three qian bi per dose, add one zhan of water, decoct until reduced to seven-tenths, strain, and take warm.
Qin Jiao Tang (Macleaya Decoction) for treating bone excess-vexation and heat:
Gastrodiae Rhizoma (Qin Jiao, 秦艽) (remove seedlings and soil, half liang), Glycyrrhizae Radix et Rhizoma (Gan Cao, 甘草) (roasted and chopped), Peucedani Radix (Qian Hu, 前胡) (remove rhizome head), Bupleuri Radix (Chai Hu, 柴胡) (remove seedlings, one liang each).
Coarsely crush and sieve the four herbs. Take three qian bi per dose, add one zhan of water, decoct until reduced to seven-tenths, strain, and take warm before meals.
Ren Shen Yin (Ginseng Drink) for treating extreme bone deficiency-cold, presenting with facial edema, dark and dirty complexion, lumbar and spinal pain, inability to stand long or flex/extend, dream-disturbed palpitations, rebellious Qi, acute lower abdominal pain, constant coldness of the waist, back, and limbs, and turbid white urine:
Ginseng Radix et Rhizoma (Ren Shen, 人参), Schisandrae Fructus (Wu Wei Zi, 五味子), Rehmanniae Radix Praeparata (Shu Di Huang, 熟干地黄) (dried over fire), Paeoniae Radix Rubra (Chi Shao Yao, 赤芍药), Ophiopogonis Tuber (Mai Men Dong, 麦门冬) (heart removed, dried over fire), Glycyrrhizae Radix et Rhizoma (Gan Cao, 甘草) (roasted and chopped), Angelicae Sinensis Radix (Dang Gui, 当归) (cut and dried, weights omitted in text)... [Text cuts off here regarding specific weights and remaining herbs].
Kidney of Sheep (Yang Shen, 羊肾) (one piece, remove fascia and sinews, chop).
Coarsely crush and sieve the thirteen herbs. Take five qian bi per dose, add one and a half zhan of water and the prepared sheep kidney. Decoct together until reduced to eight-tenths. Strain and take warm at any time.