病源。劳伤肾气。经络既虚。或因卧湿当风。而风湿乘虚搏于肾。肾经与血气相击而腰
痛。故云风湿腰痛。（出第五卷中）
集验疗风湿客于腰令人腰痛独活汤方。
独活（三两） 生姜（六两） 干地黄（五两） 芍药（四两） 防风（三两） 桂心
（三两） 栝
蒌（三两） 甘草（二两炙） 麻黄（二两去节） 干葛（三两）
上十味切。以水八升。酒二升。煎取三升。分三服。不瘥重作。忌海藻生葱菘菜芜荑。
（出第五卷中此方比前方 但无杜仲附子杏仁耳）
延年疗腰痛熨法。
菊花（二升） 芫花（二升） 羊踯躅（二升）
上三味。以醋拌令湿润。分为两剂。纳二布囊中蒸之。如炊一斗米许顷。适寒温。隔衣
熨之。冷即易熨。痛处定即瘥。（集验范汪同一云酒拌）
又疗腰痛大豆熨法。
大豆六升。水拌令湿。炒令热。以布裹。隔一重衣熨痛处。令暖气彻。冷即易之。（张
文仲处）
又方
取黄狗皮裹腰痛处。取暖彻即定。（并出第十五卷中）
病源肾主腰脚。肾经虚则受风冷。内有积水。风水相搏。浸渍于肾。肾气内着。不能宣
通。
便自
古今录验肾着之为病。其人身体重。从腰以下冷。如坐水中。形状如水不渴。小便自利
。食饮如故。是其证也。从作劳汗出。衣里冷湿。久之故得也。腰以下冷痛。腹重如带五千
钱。
甘草（二两炙） 干姜（三两炮） 白术（四两） 茯苓（四两）
上四味切。以水五升。煮取三升。分服一升。日三。腰中即温。忌海藻菘菜桃李雀肉酢
物。（经心录方）甘草一两。干姜二两。余同。（出第二十七卷中千金名肾着汤）
经心录肾着散方。
桂心（三两） 白术（四两） 茯苓（四两） 甘草（二两炙） 泽泻（二两） 牛膝
（二两）
干姜（二两） 杜仲（三两）
上八味捣筛为散。每服三方寸匕。酒一升煮五六沸。去滓。顿服之。日三。忌生葱桃李
雀肉海藻菘菜酢物。（千金同出第四卷中）
Etiology. Excessive labor injures the Kidney Qi (Kidney energy), causing the meridians to become deficient. Due to lying in dampness or exposure to wind, Wind-Dampness pathogens take advantage of this deficiency to attack the Kidneys. The Kidney meridian clashes with Qi and Blood, resulting in lower back pain. Hence, it is called Wind-Dampness lower back pain. (From Volume 5)
*Ji Yan Fang* (Collected Verified Prescriptions) Decoction of Radix Angelicae Pubescentis for treating Wind-Dampness invading the waist causing lower back pain:
Radix Angelicae Pubescentis (Duhuo, 3 liang), Fresh Ginger (Shengjiang, 6 liang), Dried Rehmanniae Radix (Gan Dihuang, 5 liang), Radix Paeoniae Alba (Shaoyao, 4 liang), Radix Saposhnikoviae (Fangfeng, 3 liang), Cinnamon Twig Heart (Guixin, 3 liang), Fructus Trichosanthis (Gualou, 3 liang), Licorice Root (Gancao, 2 liang, honey-fried), Herba Ephedrae (Mahuang, 2 liang, nodes removed), Rhizoma Bupleuri (Gan Ge, 3 liang).
The above ten ingredients are cut. Boil with 8 sheng of water and 2 sheng of wine until 3 sheng remains. Divide into three doses. If not cured, prepare again. Avoid consuming Algae (Haizao), raw Scallion (Cong), Chinese Cabbage (Songcai), and Xanthoceras sorbifolium seed (Wuyi).
(From Volume 5; this formula lacks Eucommia Bark [Duzhong], Aconite Root [Fuzi], and Apricot Seed [Xingren] compared to the previous formula.)
*Yan Nian Fang* (Longevity Prescriptions) Ironing method for treating lower back pain:
Chrysanthemum Flower (Juhua, 2 sheng), Genkwa Flos (Yuanhua, 2 sheng), Daphne Genkwa (Yang Zhizhu, 2 sheng).
The above three ingredients are mixed with vinegar until moist, divided into two portions, placed in two cloth bags, and steamed. Steam for approximately the time it takes to cook one dou of rice. When warm, iron over clothing on the painful area. Replace when cold. The pain will subside once localized. (*Ji Yan Fang*, Fan Wang's version is identical, specifying mixing with wine instead.)
Another soybean ironing method for treating lower back pain:
Soybeans (Daydou, 6 sheng). Moisten with water, stir-fry until hot, wrap in cloth, and iron over a layer of clothing on the painful area until warmth penetrates deeply. Replace when cold. (From Zhang Wenzhong's collection)
Another prescription:
Wrap the painful area with yellow dog skin until warmth penetrates deeply and pain stops. (All from Volume 15)
Etiology: The Kidneys govern the waist and legs. Deficiency of the Kidney meridian allows Cold-Wind invasion. Accumulation of fluid occurs internally; Wind and Water clash, soaking the Kidneys. Kidney Qi becomes stagnant internally and cannot circulate freely.
*Gu Jin Lu Yan* (Record of Verification through Ages): Regarding "Shen Zhuo" (Kidney Fixation) disease: The patient feels heavy body weight, coldness from the waist downward, as if sitting in water. Although resembling edema, there is no thirst, urination is normal, and appetite/diet remain unchanged. This is the syndrome. It arises from sweating during labor, leaving clothes cold and damp inside, leading to the condition over time. There is cold pain below the waist, and abdominal heaviness as if wearing a belt of five thousand coins.
Licorice Root (Gancao, 2 liang, honey-fried), Dried Ginger (Gan Jiang, 3 liang, processed), Atractylodes Macrocephala Rhizome (Baizhu, 4 liang), Poria (Fuling, 4 liang).
The above four ingredients are cut. Boil with 5 sheng of water until 3 sheng remains. Take 1 sheng per dose, three times daily. The waist will become warm. Avoid Algae (Haizao), Chinese Cabbage (Songcai), Peaches/Plums (Taoli), Sparrow Meat (Que Rou), and Vinegar products (Cu Wu). (From *Jing Xin Lu* formula). Dosage variation: Gancao 1 liang, Gan Jiang 2 liang, others same. (From Volume 27; named *Shen Zhuo Tang* in *Qian Jin Fang*)
*Jing Xin Lu* Powder of Shen Zhuo:
Cinnamon Twig Heart (Guixin, 3 liang), Atractylodes Macrocephala Rhizome (Baizhu, 4 liang), Poria (Fuling, 4 liang), Licorice Root (Gancao, 2 liang, honey-fried), Alisma Rhizome (Zexie, 2 liang), Achyranthes Bidentata Root (Niuxi, 2 liang), Dried Ginger (Gan Jiang, 2 liang), Eucommia Bark (Duzhong, 3 liang).
The above eight ingredients are crushed and sifted into powder. Each dose consists of a square-inch spoonful (fang cun bi), boiled in 1 sheng of wine for five to six boils. Strain and take in one dose. Three times daily. Avoid raw Scallion (Cong), Peaches/Plums (Taoli), Sparrow Meat (Que Rou), Algae (Haizao), Chinese Cabbage (Songcai), and Vinegar products (Cu Wu). (Same as *Qian Jin Fang*, from Volume 4)