夫腰背痛者，皆由肾气虚弱、卧冷湿地当风得之，不时速治，喜流入脚膝为偏枯冷痹
缓弱疼重、或腰痛挛脚重痹，宜急服此方。
独活（三两） 寄生（《古今录验》用续断） 杜仲 牛膝 细辛 秦艽 茯苓 桂心 防
风川芎 干地黄 人参 甘草 当归 芍药（各二两）
上十五味 咀，以水一斗，煮取三升，分三服，温身勿冷。风虚下利者，除干地黄。服
汤取蒴 叶火燎浓安席上及热眠上。冷复燎之。冬月取根、春取茎熬卧之佳。其余敷熨不及
蒴蒸为愈也。诸处风湿亦用此法，新产竟便患腹痛不得转动，及腰脚挛痛不得屈伸痹弱者，
宜服此汤除风消血。（《肘后》有附子一枚，无寄生、人参、甘草、当归。）
治男女风虚寒冷腰背痛，食少羸瘦无颜色、嘘吸少气，去风冷补不足方。
菊花 杜仲（各一斤） 防风 附子 黄 干姜 桂心 当归 石斛（各四两） 紫
石英
上十五味 咀，以酒七斗渍五日，一服二合，稍加至五合。日三（《千金翼》不用干姜。）
治腰脚疼痛不遂风虚方。
杜仲（八两） 石南（二两） 羌活（四两） 大附子（五枚）
上四味 咀，以酒一斗渍三宿，每服二合，日再。偏宜冷病妇人服之。
（论二首 方九首 灸法一首）
论曰∶夫风痱者，猝不能语口噤，手足不遂而强直者是也。治之以伏龙肝五升为末，
冷水八升和搅，取汁饮之，能尽为善。（《肘后》此方治心烦恍惚，腹中痛满，绝而复苏。）
自此以下九方皆主此风，用之次第宜细寻之。
论曰∶凡欲医此病，当知先后次第，不得漫投汤药以失机宜，非但杀人，因兹遂为痼疾
。已既得之，当进三味竹沥，饮少似有胜于常，更进汤也。竹沥饮子，患热风者，必先用此
制其热毒。
Those suffering from lower back and waist pain are invariably caused by deficiency of Kidney Qi (Kidney energy) combined with lying on cold, damp ground while exposed to wind. If not treated promptly, the pathogenic factors tend to flow into the feet and knees, leading to hemiplegia (partial paralysis), cold Bi syndrome (painful obstruction due to cold-dampness), weakness in the legs, heavy pain, or lower back pain accompanied by leg spasms, heaviness, and numbness. In such cases, this prescription should be taken immediately.
Radix Angelicae Pubescentis (Duhuo, 独活) — 3 liang; Radix Dipsaci (Sijisheng, 桑寄生) [Note: *Gujin Luyan* uses Radix Cistanchis (Xuduan, 续断)]; Cortex Eucommiae (Duzhong, 杜仲); Radix Achyranthis Bidentatae (Niuxi, 牛膝); Radix Asari (Xixin, 细辛); Ramulus Cnidii (Qinjiao, 秦艽); Poria (Fuling, 茯苓); Cortex Cinnamomi (Guixin, 桂心); Radix Saposhnikoviae (Fangfeng, 防风); Rhizoma Chuanxiong (Chuanxiong, 川芎); Radix Rehmanniae Preparata (Shengdihuang, 干地黄); Radix Ginseng (Renshen, 人参); Radix Glycyrrhizae (Gancao, 甘草); Radix Angelicae Sinensis (Danggui, 当归); Radix Paeoniae Alba (Shaoyao, 芍药) [each 2 liang].
The above fifteen ingredients are coarsely crushed. Decoct with one dou (approx. 10 liters) of water until three sheng (approx. 3 liters) remain. Divide into three doses. Keep the body warm after ingestion; avoid cold. For those with diarrhea due to wind-deficiency, remove Radix Rehmanniae Preparata. While taking the decoction, take leaves of *Akebia quinata* (Shuodie, 蒴藋), burn them to ash, spread the hot ashes on a thick mat, and lie upon it. Reheat when cool. In winter, use the roots; in spring, use the stems for steaming/lying upon, which is optimal. Other methods such as external application or moxibustion-ironing are inferior to the *Akebia* steam therapy. This method is also applicable for wind-dampness in various parts of the body. For women who, immediately after childbirth, suffer from abdominal pain preventing movement, or lower back and leg spasms/pain preventing flexion and extension, along with numbness and weakness, this decoction is suitable to dispel wind and resolve blood stasis. (*Zhouhou Beiji Fang* includes one piece of Radix Aconiti Lateralis Preparata (Fuzi, 附子), but lacks Sijisheng, Renshen, Gancao, and Danggui.)
This formula treats men and women suffering from lower back and waist pain due to wind-deficiency and cold, decreased appetite, emaciation, pallor, and shortness of breath. It dispels wind-cold and tonifies deficiencies.
Flos Chrysanthemi (Juhua, 菊花) and Cortex Eucommiae (Duzhong, 杜仲) [each 1 jin]; Radix Saposhnikoviae (Fangfeng, 防风); Radix Aconiti Lateralis Preparata (Fuzi, 附子); Radix Astragali (Huangqi, 黄芪); Rhizoma Zingiberis Preparatum (Ganjiang, 干姜); Cortex Cinnamomi (Guixin, 桂心); Radix Angelicae Sinensis (Danggui, 当归); Radix Dendrobii (Shihu, 石斛) [each 4 liang]; Semen Lazulis (Zhi Shiyin, 紫石英).
The above fifteen ingredients are coarsely crushed. Soak in seven dou of wine for five days. Take two he (approx. 40 ml) per dose, gradually increasing to five he (approx. 100 ml). Three times daily. (*Qianjin Yifang* omits Rhizoma Zingiberis Preparatum.)
This formula treats pain and immobility of the lower back and legs due to wind-deficiency.
Cortex Eucommiae (Duzhong, 杜仲) — 8 liang; Herba Pyrolae (Shinan, 石南); Radix Notopterygii (Qianghuo, 羌活); Radix Aconiti Lateralis Preparata Magna (Da Fuzi, 大附子) — 5 pieces.
The above four ingredients are coarsely crushed. Soak in one dou of wine for three nights. Take two he per dose, twice daily. Particularly suitable for women suffering from cold conditions.
(Two discussions, nine formulas, one moxibustion method)
Discussion: Fengfei (Wind Paralysis) refers to sudden inability to speak, locked jaw, and stiff, immobile limbs. The treatment involves using Fulonggan (Caosinis Oxycocci, 伏龙肝 - kiln heart soil) five sheng, powdered, mixed with eight sheng of cold water, stirred, and the juice extracted and drunk. Complete consumption yields the best results. (*Zhouhou Beiji Fang* notes this formula treats mental restlessness, confusion, abdominal pain and fullness, used for resuscitation.) The following nine formulas all treat this type of wind disease; their sequence of application should be carefully considered.
Discussion: To treat this disease effectively, one must understand the correct sequence of treatment. One must not indiscriminately administer decoctions, lest opportunities be missed. This negligence can lead to death or result in chronic, intractable diseases. Once the disease has manifested, one should first administer Zhuli (Bambusae Succus Preparatus, 竹沥 - prepared bamboo sap) in small amounts, which is superior to normal intake, followed by decoctions. For patients with Wind-Heat syndromes, Zhuli drink should be used first to control heat toxicity.