夫腰脚冷痹者。由风寒湿三毒之气。共伤于人。合而成痹也。此皆肾弱髓虚。为风冷所
搏故
冷痹疼
治腰脚冷痹。或时疼痛不可忍。牛膝散方。
牛膝（一两去苗） 独活（一两） 防风（一两去芦头） 当归（一两锉微炒） 白茯
苓（一两）
羚
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。每于食
前温
治腰脚冷痹。及风麻不仁。骨髓疼痛。不欲饮食。渐加瘦。羌活散方。
羌活（三分） 防风（半两去芦头） 茵芋〔二（三）分〕 五加皮（三分） 牛膝（一
两去苗）
丹
两） 当
归（
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。每于食
前温
治腰脚冷痹。拘急疼痛方。
茵芋（一两） 防风（三分去芦头） 牛膝（一两去苗） 五加皮（三分） 桂心（三
分） 赤芍
药（
苡仁（一
两
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。每于食
前温
治腰脚冷痹风麻。肢节疼痛。不思饮食。宜服此方。
牛膝（二两去苗） 白茯苓（一两） 桂心（三分） 芎 （半两） 防风（三分去芦
头） 人参
（三
脐） 羌
活
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。枣二枚。煎至六分。去滓。
不计
治腰脚冷痹缓弱。行李不得。宜服此方。
萆 （二两） 桂心（三分） 杜仲（一两去粗皮炙微黄锉）
上件药。捣细罗为散。每于食前。以温酒调下三（二）钱。
治腰脚冷痹。筋脉挛急。时有疼痛。行立不得。仙灵脾散方。
仙灵脾（一两） 牛膝（一两去苗） 羌活（半两） 虎胫骨（一两涂酥炙微黄） 独
活（半两）
羚
两锉微炒）
薏苡仁（半两） 侧子（一两炮裂去皮脐）
上件药。捣细罗为散。每于食前。以温酒调下二钱。
治肾气虚衰。腰脚冷痹。风麻不仁。独活散方。
独活（三分） 附子（一两炮裂去皮脐） 杜仲（一两去粗皮炙微黄锉） 细辛（半两）
熟干
地黄
子（一
两炮
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。每于食
前温
治虚损。腰脚冷痹不仁。宜服桂心丸方。
桂心（三分） 干姜（半两炮裂锉） 丹参（一两） 杜仲（一两去粗皮炙微黄锉） 牛
膝（一
两去
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以温酒下三十丸。
治腰脚冷痹。沉重无力。萆 丸方。
萆 （一两锉） 熟干地黄（三分） 牛膝（二两去苗） 桂心（半两） 五加皮（半
两） 酸
枣仁
药（三分）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以温酒下三十丸。
Cold-bi syndrome of the waist and legs is caused by the combined pathogenic invasion of wind, cold, and dampness, resulting in bi-syndrome. This condition primarily arises from kidney deficiency and marrow emptiness, which allows wind-cold pathogens to strike.
For treating cold-bi of the waist and legs accompanied by unbearable pain, use Niu Xi San (Cowherb Seed Powder).
Niu Xi (Radix Achyranthis Bidentatae, 1 liang, remove seedlings), Duhuo (Radix Angelicae Pubescentis, 1 liang), Fangfeng (Radix Saposhnikoviae, 1 liang, remove rhizome head), Danggui (Radix Angelicae Sinensis, 1 liang, sliced and lightly stir-fried), Baifuling (Poria with Hostwood, 1 liang).
The above herbs are coarsely ground and sieved to make a powder. Each dose consists of 4 qian, decocted with one zhongzhan of water and half banfen of fresh ginger until reduced to six-tenths. Strain the dregs. Take warm before meals.
For treating cold-bi of the waist and legs, along with numbness and loss of sensation, bone marrow pain, anorexia, and gradual emaciation, use Qianghuo San (Notopterygium Root Powder).
Qianghuo (Rhizoma et Radix Notopterygii, 3 fen), Fangfeng (Radix Saposhnikoviae, 0.5 liang, remove rhizome head), Yinyu (Herba Ilicis Cornutae, 2 or 3 fen), Wujia Pi (Cortex Acanthopanacis, 3 fen), Niu Xi (Radix Achyranthis Bidentatae, 1 liang, remove seedlings), Danshen (Radix Salviae Miltiorrhizae, 1 liang, sliced and lightly stir-fried), Danggui (Radix Angelicae Sinensis, 1 liang, sliced and lightly stir-fried).
The above herbs are coarsely ground and sieved to make a powder. Each dose consists of 3 qian, decocted with one zhongzhan of water and half banfen of fresh ginger until reduced to six-tenths. Strain the dregs. Take warm before meals.
For treating cold-bi of the waist and legs characterized by spasms, tightness, and pain, use this formula.
Yinyu (Herba Ilicis Cornutae, 1 liang), Fangfeng (Radix Sapeshnikoviae, 3 fen, remove rhizome head), Niu Xi (Radix Achyranthis Bidentatae, 1 liang, remove seedlings), Wujia Pi (Cortex Acanthopanacis, 3 fen), Guixin (Cinnamomi Cortex, 3 fen), Chishao Yao (Radix Paeoniae Rubra, 1 liang, sliced and lightly stir-fried), Yiyiren (Semen Coicis, 1 liang).
The above herbs are coarsely ground and sieved to make a powder. Each dose consists of 4 qian, decocted with one zhongzhan of water and half banfen of fresh ginger until reduced to six-tenths. Strain the dregs. Take warm before meals.
For treating cold-bi of the waist and legs with numbness, joint pain, and lack of appetite, this formula is suitable.
Niu Xi (Radix Achyranthis Bidentatae, 2 liang, remove seedlings), Baifuling (Poria with Hostwood, 1 liang), Guixin (Cinnamomi Cortex, 3 fen), Xiong (Radix Chuanxiong, 0.5 liang), Fangfeng (Radix Saposhnikoviae, 3 fen, remove rhizome head), Renshen (Radix Ginseng, 3 liang), Fuzi (Radix Aconiti Lateralis Preparata, 1 liang, processed, peel removed, navel removed), Qianghuo (Rhizoma et Radix Notopterygii, 1 liang).
The above herbs are finely ground and sieved to make a powder. Each dose consists of 3 qian, decocted with one zhongzhan of water, half banfen of fresh ginger, and two jujubes until reduced to six-tenths. Strain the dregs. Take warm at any time before meals.
For treating cold-bi of the waist and legs resulting in weakness and inability to carry luggage or walk properly, this formula is suitable.
Bixie (Rhizoma Dioscoreae Hypoglaucae, 2 liang), Guixin (Cinnamomi Cortex, 3 fen), Duzhong (Cortex Eucommiae, 1 liang, bark removed, processed with heat until slightly yellow, sliced).
The above herbs are finely ground and sieved to make a powder. Each dose consists of 3 (or 2) qian, taken with warm wine before meals.
For treating cold-bi of the waist and legs with tendon and vessel spasms, intermittent pain, and difficulty standing or walking, use Xianlingpi San (Epimedium Powder).
Xianlingpi (Herba Epimedii, 1 liang), Niu Xi (Radix Achyranthis Bidentatae, 1 liang, remove seedlings), Qianghuo (Rhizoma et Radix Notopterygii, 0.5 liang), Hu Jinggu (Os Tibiae Tigridis, 1 liang, coated with butter and processed with heat until slightly yellow), Duhuo (Radix Angelicae Pubescentis, 0.5 liang), Danshen (Radix Salviae Miltiorrhizae, 1 liang, sliced and lightly stir-fried), Yiyiren (Semen Coicis, 0.5 liang), Cizi (Radix Aconiti Kusnezoffii Preparata, 1 liang, processed, cracked, peel and navel removed).
The above herbs are finely ground and sieved to make a powder. Each dose consists of 2 qian, taken with warm wine before meals.
For treating cold-bi of the waist and legs, numbness, and loss of sensation due to kidney qi deficiency, use Duhuo San (Angelica Pubescens Powder).
Duhuo (Radix Angelicae Pubescentis, 3 fen), Fuzi (Radix Aconiti Lateralis Preparata, 1 liang, processed, peel and navel removed), Duzhong (Cortex Eucommiae, 1 liang, bark removed, processed with heat until slightly yellow, sliced), Xixin (Herba Asari, 0.5 liang), Shugan Dihuang (Radix Rehmanniae Preparata, 1 liang, sliced and lightly stir-fried), Shanzhuyu (Fructus Corni, 1 liang, processed).
The above herbs are coarsely ground and sieved to make a powder. Each dose consists of 3 qian, decocted with one zhongzhan of water and half banfen of fresh ginger until reduced to six-tenths. Strain the dregs. Take warm before meals.
For treating deficiency damage leading to cold-bi of the waist and legs with numbness and loss of sensation, use Guixin Wan (Cinnamon Twig Pill).
Guixin (Cinnamomi Cortex, 3 fen), Jiangjiang (Rhizoma Zingiberis Preparatum, 0.5 liang, processed, cracked, sliced), Danshen (Radix Salviae Miltiorrhizae, 1 liang), Duzhong (Cortex Eucommiae, 1 liang, bark removed, processed with heat until slightly yellow, sliced), Niu Xi (Radix Achyranthis Bidentatae, 1 liang, remove seedlings).
The above herbs are ground into fine powder, mixed with refined honey, and pounded for three to two hundred strokes to form pills the size of paulownia seeds. Each dose consists of 30 pills, taken with warm wine before meals.
For treating cold-bi of the waist and legs with heaviness and weakness, use Bixie Wan (Dioscorea Hypoglauca Pill).
Bixie (Rhizoma Dioscoreae Hypoglaucae, 1 liang, sliced), Shugan Dihuang (Radix Rehmanniae Preparata, 3 fen), Niu Xi (Radix Achyranthis Bidentatae, 2 liang, remove seedlings), Guixin (Cinnamomi Cortex, 0.5 liang), Wujia Pi (Cortex Acanthopanacis, 0.5 liang), Szaoren (Semen Ziziphi Spinosae, 1 liang, lightly stir-fried), Chishao Yao (Radix Paeoniae Rubra, 3 fen).
The above herbs are ground into fine powder, mixed with refined honey, and pounded for three to two hundred strokes to form pills the size of paulownia seeds. Each dose consists of 30 pills, taken with warm wine before meals.