夫表里俱虚。脏腑衰弱。阳气不足。阴气有余。则内生于寒也。若人肾脏气虚。下焦积
冷。寒冷之气。伏留在脏。乘虚上攻于心腹。故令疼痛也。
治肾脏积冷。气攻心腹疼痛。两胁胀满。不思饮食。宜服白豆蔻散方。
白豆蔻（半两去皮） 香子（半两） 槟榔（半两） 木香（半两） 干姜（一分炮
裂锉） 附
子（
黄
（半
上件药。捣细罗为散。不计时候。以热酒调下一钱。
治肾脏积冷。气攻心腹疼痛。发歇不定。宜服木香煎方。
木香（一两） 干蝎（半两微炒） 桂心（一两） 青橘皮（一两汤浸去白瓤焙） 阿
魏（半两
面裹煨面熟为度） 附子（一两炮裂去皮脐） 桃仁（一两汤浸去皮尖双仁麸炒微黄）
上件药。捣细罗为散。用童子小便二大盏。煎药成膏。收于不津器中。每服。不计时候
。以热生姜酒调下一茶匙。
治肾脏积冷。气攻心腹疼痛。四肢逆冷。不思饮食。宜服沉香散方。
沉香（一两） 吴茱萸（半两汤浸七遍焙干微炒） 槟榔（一两） 青橘皮（一两汤浸
去白瓤
焙） 附子（一两半炮裂去皮脐） 香子（半两）
上件药。捣细罗为散。每服不计时候。以热酒调下一钱。
治肾脏积冷。气攻心腹疼痛。喘促闷乱欲绝。或出冷汗。宜服 砂散方。
砂（一两） 木香（一两） 青橘皮（一两汤浸去白瓤焙） 香子（一两） 桂心
（一两）
荜澄茄（一两）
上件药。捣细罗为散。每服。以生姜汁少许。热酒一中盏。搅和令匀。调下一钱。不计
时候服。
治肾脏积冷。气攻心腹疼痛。或吐冷沫。不思饮食。木香散方。
木香（半两） 丁香（半两） 乳香（半两） 香子（半两） 桂心（三分） 硫黄
（半两细研
入）
上件药。捣细罗为散。入研了药令匀。每服。以炒生姜热酒调下一钱。不计时候服之。
治肾脏积冷。气攻心腹疼痛。四肢逆冷。面色青黄。或时呕吐。不思饮食。宜服
丸
（三分） 木香（三分） 当归（三分锉微炒） 附子（三分炮裂去皮脐） 肉桂
（半两去
皴皮）
为度）
硫黄
香子（三分）
干姜（半两炮裂锉） 磁石
仁麸
炒微黄）
上件药。捣罗为末。将硫黄水银同结为砂子。细研。入诸药末和匀。醋煮面糊。和捣三
二百杵。丸如绿豆大。每服。不计时候。以热酒下二十丸。
治肾脏积冷。气攻心腹疼痛。面色青黄。四肢逆冷。宜服硫黄丸方。
硫黄（一两细研水飞过） 槟榔（一两） 木香（一两） 附子（一两炮裂去皮脐） 干
姜（半
两炮
干炒令熟）
上件药。捣罗为末。用醋煮软饭和捣百余杵。丸如梧桐子大。每服不计时候。以热酒下二十
丸。
治肾脏积冷。下焦久虚。邪冷气攻。心腹疼痛。汗退场门干。阴缩声散。手足逆冷
。宜服
砂〔二（一）两细研〕 干蝎（三分微炒） 阿魏（半两研入） 桃仁（半两汤浸去
皮尖双
仁麸炒
附子（半
两炮裂
皮脐）
磁石（三
上件药。捣细罗为末。入研了药令匀。以醋煮面糊和丸。如梧桐子大。每服不计时候。
以生姜酒下十丸。至十五丸。
治肾脏积冷。气攻心腹。疼痛不可忍。阿魏丸方。
阿魏（一分面裹煨面熟为度） 桃仁（半两汤浸去皮尖双仁麸炒微黄） 木香（半两） 干
蝎
（半两微炒） 砂（一分） 自然铜（一分细研） 白矾（半两烧灰）
上件药。捣罗为末。用醋煮面糊和丸。如绿豆大。每服。以热生姜酒下二十丸。不计时
候服。
治肾脏虚冷。气攻心腹 痛。状如锥刀所刺。宜服此方。
硫黄（一两细研水飞过） 〔朱砂（三分细研水飞过）〕 木香（三分） 砂（半两）
香
子（三分）
上件药。捣罗为末。都研令匀。用软粟米饭和丸。如梧桐子大。每服。不计时候。以热
酒下二十丸。
治肾脏积冷。气攻心腹疼痛。面青足冷。宜服此方。
砂（二两） 桃仁（一两汤浸去皮尖双仁研如膏）
上先以酒一小盏。煎 砂十余沸。候消化。澄滤取清。去砂石后。却入铫子内。与桃仁
膏旋
以热
治肾脏积冷。气攻心腹。疼痛不可止。宜服绿玉丹方。
青古钱三十文。烧醋淬七遍。后铺于净地上。遍掺 砂末二两令匀。用盆子合二七日。
刮取 砂。研为末。用热醋浸蒸饼和丸。如绿豆大。每服。不计时候。以热生姜酒下五丸。
或十
治肾脏积冷。气攻心腹。疼痛气欲绝。宜服雄黄丸方。
雄黄（一分） 朱砂（一分） 黄丹（半两） 巴豆（十枚去皮心研纸裹压去油） 麝
香（一钱）
上件药。同细研如粉。用软饭和丸。如绿豆大。每服。不计时候。以热酒下五丸。
治肾脏积冷。气攻心腹疼痛。频发不止。宜服麝香丸方。
麝香（半两细研） 阿魏（半两面裹煨面熟为度） 干蝎（三分微炒） 桃仁（五十枚
汤浸去
皮尖双仁麸炒微黄）
上件药。捣罗为末。炼蜜和丸。如绿豆大。每服。不计时候。以热酒下二十丸。
The exterior and interior are both deficient; the zang-fu organs are weak; yang qi is insufficient, while yin qi is excessive. Consequently, cold generates internally. If the kidney qi is deficient, cold accumulates in the lower jiao (lower burner). The cold pathogen lingers and remains latent within the zang organs. Taking advantage of the deficiency, it attacks upward to the heart and abdomen, causing pain.
For treating cold accumulation in the kidneys, with qi attacking the heart and abdomen causing pain, distension and fullness in the two hypochondria, and loss of appetite, the Bai Dou Kou San (White Cardamom Powder) formula is suitable.
Bai Dou Kou (Amomi Fructus Rotundus), half tael, peeled; Xiang Zi (Litseae Fructus), half tael; Bing Lang (Arecae Semen), half tael; Mu Xiang (Aucklandiae Radix), half tael; Gan Jiang (Zingiberis Rhizoma), one fen, processed until cracked and chopped; Fu Zi (Aconiti Lateralis Radix Praeparata), half tael, processed, peeled, and umbilicus removed.
Crush the above herbs, sift through a fine mesh to make a powder. Take one qian at any time, mixed with hot wine.
For treating cold accumulation in the kidneys, with qi attacking the heart and abdomen causing pain that comes and goes intermittently, the Mu Xiang Jian (Musk Decoction/Concentrate) formula is suitable.
Mu Xiang (Aucklandiae Radix), one liang; Gan Xie (Scorpio), half tael, slightly stir-fried; Gui Xin (Cinnamomi Cortex), one liang; Qing Ju Pi (Citri Reticulatae Pericarpium Viride), one liang, soaked in hot water, white pith removed, dried; A Wei (Ferulae Resina), half tael, wrapped in dough and baked until the dough is cooked; Fu Zi (Aconiti Lateralis Radix Praeparata), one liang, processed until cracked, peeled, and umbilicus removed; Tao Ren (Persicae Semen), one liang, soaked in hot water, peeled, plumule removed, double kernels discarded, bran-fried until slightly yellow.
Crush the above herbs, sift through a fine mesh to make a powder. Use two large cups of urine from an uncircumcised boy to decoct the medicine into a paste. Store in a non-porous container. Take one tea spoon at any time, mixed with hot ginger wine.
For treating cold accumulation in the kidneys, with qi attacking the heart and abdomen causing pain, cold limbs, and loss of appetite, the Chen Xiang San (Agarwood Powder) formula is suitable.
Chen Xiang (Aquilariae Lignum Resinatum), one liang; Wu Zhu Yu (Evodiae Fructus), half tael, soaked in hot water seven times, dried, slightly stir-fried; Bing Lang (Arecae Semen), one liang; Qing Ju Pi (Citri Reticulatae Pericarpium Viride), one liang, soaked in hot water, white pith removed, dried; Fu Zi (Aconiti Lateralis Radix Praeparata), one and a half liang, processed until cracked, peeled, and umbilicus removed; Xiang Zi (Litseae Fructus), half tael.
Crush the above herbs, sift through a fine mesh to make a powder. Take one qian at any time, mixed with hot wine.
For treating cold accumulation in the kidneys, with qi attacking the heart and abdomen causing pain, rapid breathing, severe distress bordering on collapse, or cold sweating, the Sha San (Realgar Powder) formula is suitable.
Sha (Realgar), one liang; Mu Xiang (Aucklandiae Radix), one liang; Qing Ju Pi (Citri Reticulatae Pericarpium Viride), one liang, soaked in hot water, white pith removed, dried; Xiang Zi (Litseae Fructus), one liang; Gui Xin (Cinnamomi Cortex), one liang; Bi Cheng Qie (Schizonepetae Herba? Note: Usually refers to Piperis Longi Fructus or similar aromatic spice in this context, strictly "Bi Cheng Qie"), one liang.
Crush the above herbs, sift through a fine mesh to make a powder. For each dose, mix a small amount of fresh ginger juice with one medium cup of hot wine, stir evenly, and take one qian. Take at any time.
For treating cold accumulation in the kidneys, with qi attacking the heart and abdomen causing pain, vomiting of cold saliva, and loss of appetite, use the Mu Xiang San (Musk Powder) formula.
Mu Xiang (Aucklandiae Radix), half tael; Ding Xiang (Caryophylli Flos), half tael; Ru Xiang (Olibanum), half tael; Xiang Zi (Litseae Fructus), half tael; Gui Xin (Cinnamomi Cortex), three fen; Liu Huang (Sulfur), half tael, finely ground and added.
Crush the above herbs, sift through a fine mesh to make a powder. Mix thoroughly with the pre-ground ingredients. Take one qian at any time, mixed with stir-fried ginger and hot wine.
For treating cold accumulation in the kidneys, with qi attacking the heart and abdomen causing pain, cold limbs, greenish-yellow complexion, occasional vomiting, and loss of appetite, take the [Name Missing] Wan (Pill) formula.
Mu Xiang (Aucklandiae Radix), three fen; Dang Gui (Angelicae Sinensis Radix), three fen, chopped and slightly stir-fried; Fu Zi (Aconiti Lateralis Radix Praeparata), three fen, processed until cracked, peeled, and umbilicus removed; Rou Gui (Cinnamomi Cortex), half tael, rough bark removed; Liu Huang (Sulfur); Xiang Zi (Litseae Fructus), three fen; Gan Jiang (Zingiberis Rhizoma), half tael, processed until cracked and chopped; Ci Shi (Magnetitum); ... [Text fragmentary].
Crush and sieve the above herbs into powder. Process Liu Huang (Sulfur) and Shui Yin (Mercurius) together to form "Sha" (cinnabar-like compound), grind finely, and mix with the herb powders. Use vinegar-boiled wheat paste to knead and pound for 300-200 strokes. Form pills the size of mung beans. Take twenty pills at any time, washed down with hot wine.
For treating cold accumulation in the kidneys, with qi attacking the heart and abdomen causing pain, greenish-yellow complexion, and cold limbs, the Liu Huang Wan (Sulfur Pill) formula is suitable.
Liu Huang (Sulfur), one liang, finely ground and wet-processed (water flotation); Bing Lang (Arecae Semen), one liang; Mu Xiang (Aucklandiae Radix), one liang; Fu Zi (Aconiti Lateralis Radix Praeparata), one liang, processed until cracked, peeled, and umbilicus removed; Gan Jiang (Zingiberis Rhizoma), half tael, processed until cracked, chopped, and dry-fried until cooked.
Crush and sieve the above herbs into powder. Use vinegar-boiled soft rice to knead and pound for over 100 strokes. Form pills the size of sophora seeds. Take twenty pills at any time, washed down with hot wine.
For treating cold accumulation in the kidneys, chronic deficiency of the lower jiao, evil cold qi attacking, heart and abdominal pain, dry anus after sweating, retracted genitals, hoarse voice, and cold extremities, take the [Name Missing] Wan (Pill) formula.
Sha (Realgar), one liang, finely ground; Gan Xie (Scorpio), three fen, slightly stir-fried; A Wei (Ferulae Resina), half tael, ground in; Tao Ren (Persicae Semen), half tael, soaked in hot water, peeled, plumule removed, double kernels discarded, bran-fried; Fu Zi (Aconiti Lateralis Radix Praeparata), half tael, processed until cracked, peeled, and umbilicus removed; Ci Shi (Magnetitum), three [liang]...
Crush and sieve the above herbs into powder. Mix thoroughly with the pre-ground ingredients. Use vinegar-boiled wheat paste to form pills the size of sophora seeds. Take ten to fifteen pills at any time, washed down with ginger wine.
For treating cold accumulation in the kidneys, with qi attacking the heart and abdomen causing unbearable pain, the A Wei Wan (Ferula Pill) formula is suitable.
A Wei (Ferulae Resina), one fen, wrapped in dough and baked until the dough is cooked; Tao Ren (Persicae Semen), half tael, soaked in hot water, peeled, plumule removed, double kernels discarded, bran-fried until slightly yellow; Mu Xiang (Aucklandiae Radix), half tael; Gan Xie (Scorpio), half tael, slightly stir-fried; Sha (Realgar), one fen; Zi Ran Tong (Pyritum), one fen, finely ground; Bai Fan (Alumen), half tael, burned to ash.
Crush and sieve the above herbs into powder. Use vinegar-boiled wheat paste to form pills the size of mung beans. Take twenty pills at any time, washed down with hot ginger wine.
For treating kidney deficiency-cold, with qi attacking the heart and abdomen causing stabbing pain like being pierced by awls or knives, take this formula.
Liu Huang (Sulfur), one liang, finely ground and wet-processed; Zhu Sha (Cinnabaris), three fen, finely ground and wet-processed; Mu Xiang (Aucklandiae Radix), three fen; Sha (Realgar), half tael; Xiang Zi (Litseae Fructus), three fen.
Crush and sieve the above herbs into powder. Grind uniformly. Use soft millet rice to form pills the size of sophora seeds. Take twenty pills at any time, washed down with hot wine.
For treating cold accumulation in the kidneys, with qi attacking the heart and abdomen causing pain, blue complexion, and cold feet, take this formula.
Sha (Realgar), two liang; Tao Ren (Persicae Semen), one liang, soaked in hot water, peeled, ground into paste.
First, decoct Sha (Realgar) in one small cup of wine for more than ten boils until dissolved. Clarify and filter to remove sand/dregs. Return the clear liquid to the pot, add the Tao Ren paste, and continue processing with hot [wine/water - text incomplete].
For treating cold accumulation in the kidneys, with qi attacking the heart and abdomen causing unceasing pain, the Lv Yu Dan (Green Jade Elixir) formula is suitable.
Thirty ancient green copper coins, heated red and quenched in vinegar seven times. Spread on clean ground, sprinkle evenly with two liang of Sha (Realgar) powder. Cover with a basin for fourteen days. Scrape off the resulting substance, grind into powder. Use hot vinegar and steamed leavened bread to form pills the size of mung beans. Take five or ten pills at any time, washed down with hot ginger wine.
For treating cold accumulation in the kidneys, with qi attacking the heart and abdomen causing pain so severe it threatens to cut off breath, the Xiong Huang Wan (Realgar Pill) formula is suitable.
Xiong Huang (Realgar), one fen; Zhu Sha (Cinnabaris), one fen; Huang Dan (Minii Oxidum Rubrum), half tael; Ba Dou (Crotonis Fructus), ten seeds, peeled, core removed, ground, pressed between paper to remove oil; She Xiang (Moschus), one qian.
Grind all ingredients together finely into powder. Use soft rice to form pills the size of mung beans. Take five pills at any time, washed down with hot wine.
For treating cold accumulation in the kidneys, with qi attacking the heart and abdomen causing frequent, unceasing pain, the She Xiang Wan (Moschus Pill) formula is suitable.
She Xiang (Moschus), half tael, finely ground; A Wei (Ferulae Resina), half tael, wrapped in dough and baked until the dough is cooked; Gan Xie (Scorpio), three fen, slightly stir-fried; Tao Ren (Persicae Semen), fifty seeds, soaked in hot water, peeled, plumule removed, double kernels discarded, bran-fried until slightly yellow.
Crush and sieve the above herbs into powder. Use refined honey to form pills the size of mung beans. Take twenty pills at any time, washed down with hot wine.