夫腰脚湿痹者。是风湿冷三气相攻而成也。气胜则通行流转。不为留滞。风湿冷气。胜
则住
人气
由外
治风腰脚疼痛。及冷痹不任行李。宜服萆 散方。
萆 （二两锉） 防风（一两去芦头） 羌活（一两） 附子（一两炮裂去皮脐） 桂
心（三分）
当
两） 杜仲
（
上件药。捣粗罗为散。每服四钱。以水酒各半中盏。煎至六分。去滓。食前温服。忌生
冷油
治下焦风虚。腰脚疼痛。冷痹。不任行李。宜服羌活散方。
羌活（一两） 防风（三分去芦头） 五加皮（三分） 牛膝（一两去苗） 桂心（三
两） 木香
（三
虎胫
骨（一
上件药。捣细罗为散。每服食前。以豆淋酒调下二钱。
治风腰脚冷痹疼痛。行李不得。宜服虎骨散方。
虎胫骨（一两涂酥炙令黄） 败龟（一两涂酥炙令黄） 天麻（半两） 白附子（半两
炮裂）
乌蛇
（半两
去芦
两炮裂锉）
牛
两（分）研
入
上件药。捣细罗为散。入研了药令匀。每服食前。以温酒调下二钱。忌生冷鸡猪等肉。
治风腰脚疼痛冷痹。及四肢缓弱。宜服仙灵脾散方。
仙灵脾（一两） 附子（一两炮裂去皮脐） 当归（一两锉微炒） 萆 （一两锉） 杜
仲（一
两去
上件药。捣细罗为散。每服食前。以温酒调下二钱。
治风腰脚疼痛冷痹。及四肢无力。宜服安息香散方。
安息香（二两） 附子（二两炮裂去皮脐） 虎胫骨（二两涂酥炙令黄）
上件药。捣细罗为散。每服食前。以温酒调下一钱。
治肝肾藏风毒流注。腰脚疼痛冷痹。及筋骨拘急。行李不得。宜虎骨丸方。
虎胫骨（一两涂酥炙令黄） 沉香（半两） 白花蛇（二两酒浸去皮骨炙令微黄） 干
蝎（半
两微
桐皮（一
两）
（半两）
羚羊角
僵蚕
（半两微
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服食前。以温酒下二十丸。
治风脾脚疼痛冷痹。筋骨无力。宜服牛膝丸方。
牛膝（一两去苗） 萆 （一两锉） 酸枣仁（三分微炒） 防风（三分去芦头） 杜
仲（一两
去粗
锉微炒）
桂心
两去根锉）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服空腹。以温酒下二十丸。
晚
治风腰脚疼痛冷痹。宜服浸酒方。
虎胫骨（一斤涂酥炙令黄） 侧子（五两炮裂去皮脐） 当归（五两锉微炒）
上件药。细锉。以生绢袋盛。以清酒一斗五升浸之。春夏三日。秋冬七日。每服。暖一
小盏
治风腰脚冷痹疼痛。宜用贴 。乌头散方。
川乌头（三分去皮脐生用）
上捣细罗为散。以酽醋调涂。于故帛上敷之。须臾痛止。
Lumbocrural damp-bi syndrome is caused by the mutual attack of wind, dampness, and cold pathogens. If healthy qi is strong, it circulates freely without stagnation; however, if wind-damp-cold pathogens prevail, they remain lodged within the body.
For wind-induced lumbocrural pain and cold-bi syndrome resulting in inability to walk or carry loads, the Bi Xie San (Dioscorea Hypoglauca Powder) formula is suitable.
Bi Xie (Radix Dioscoreae Hypoglaucae, 2 liang, crushed) Fangfeng (Radix Saposhnikoviae, 1 liang, removed radicle) Qianghuo (Rhizoma et Radix Notopterygii, 1 liang) Fuzi (Radix Aconiti Lateralis Preparata, 1 liang, processed until cracked, skin and umbilicus removed) Guixin (Cortex Cinnamomi, 3 fen) Danggui (Radix Angelicae Sinensis, 1 liang, crushed and slightly stir-fried) Duzhong (Cortex Eucommiae, 1 liang, rough bark removed, crushed and slightly stir-fried).
The above herbs are coarsely ground into a powder. Each dose consists of 4 qian, decocted with half a cup of water and half a cup of wine until reduced to 60% volume. Strain and take warm before meals. Avoid raw, cold, and greasy foods.
For deficiency-wind of the lower jiao causing lumbocrural pain, cold-bi, and inability to walk or carry loads, the Qianghuo San (Notopterygium Powder) formula is suitable.
Qianghuo (Rhizoma et Radix Notopterygii, 1 liang) Fangfeng (Radix Saposhnikoviae, 3 fen, removed radicle) Wujia Pi (Cortex Acanthopanacis, 3 fen) Niuxi (Radix Achyranthis Bidentatae, 1 liang, removed sprouts) Guixin (Cortex Cinnamomi, 3 liang) Muxiang (Radix Aucklandiae, 3 fen) Hujinggu (Tibia Cor Tigeris, 1 liang, coated with butter and roasted until yellow).
The above herbs are finely ground into a powder. Each dose of 2 qian is taken before meals, mixed with Doulin Jiu (Soybean-leavened Wine).
For wind-induced cold-bi pain in the waist and legs resulting in immobility, the Hugut San (Tiger Bone Powder) formula is suitable.
Hujinggu (Tibia Cor Tigeris, 1 liang, coated with butter and roasted until yellow) Baiguiban (Plastrum Testudinis, 1 liang, coated with butter and roasted until yellow) Tianma (Rhizoma Gastrodiae, 0.5 liang) Baifuzi (Rhizoma Typhonii, 0.5 liang, processed until cracked) Wushaoshe (Bungarus multicinctus, 0.5 liang, scales removed) Renshen (Radix Ginseng, 0.5 liang, removed radicle) Chuanwutou (Radix Aconiti Kusnezoffii, 0.5 liang, processed until cracked and crushed) Niuxi (Radix Achyranthis Bidentatae, 1 liang, removed sprouts).
The above herbs are finely ground into a powder, mixed uniformly with the pre-ground ingredients. Each dose of 2 qian is taken before meals with warm wine. Avoid raw, cold foods, as well as chicken and pork.
For wind-induced lumbocrural pain and cold-bi, accompanied by flaccidity and weakness of the four limbs, the Xianlingshi San (Epimedium Powder) formula is suitable.
Xianlingshi (Herba Epimedii, 1 liang) Fuzi (Radix Aconiti Lateralis Preparata, 1 liang, processed until cracked, skin and umbilicus removed) Danggui (Radix Angelicae Sinensis, 1 liang, crushed and slightly stir-fried) Bi Xie (Radix Dioscoreae Hypoglaucae, 1 liang, crushed) Duzhong (Cortex Eucommiae, 1 liang, rough bark removed, crushed and slightly stir-fried).
The above herbs are finely ground into a powder. Each dose of 2 qian is taken before meals with warm wine.
For wind-induced lumbocrural pain and cold-bi, accompanied by weakness of the four limbs, the Anshixiang San (Benzoin Powder) formula is suitable.
Anshixiang (Resina Benzoini, 2 liang) Fuzi (Radix Aconiti Lateralis Preparata, 2 liang, processed until cracked, skin and umbilicus removed) Hujinggu (Tibia Cor Tigeris, 2 liang, coated with butter and roasted until yellow).
The above herbs are finely ground into a powder. Each dose of 1 qian is taken before meals with warm wine.
For wind-toxin flowing into the liver and kidney meridians causing lumbocrural pain, cold-bi, and tendon/bone contracture leading to immobility, the Hugut Wan (Tiger Bone Pill) formula is suitable.
Hujinggu (Tibia Cor Tigeris, 1 liang, coated with butter and roasted until yellow) Chenxiang (Lignum Aquilariae Resinatum, 0.5 liang) Baihuashe (Bungarus multicinctus, 2 liang, soaked in wine, skin and bones removed, roasted until slightly yellow) Ganxie (Scorpio, 0.5 liang, slightly stir-fried) Tongpi (Cortex Phellodendri, 1 liang) Lingyangjiao (Cornu Saigae Tataricae, 0.5 liang) Jiangcan (Bombyx Batryticatus, 0.5 liang, slightly stir-fried).
The above herbs are ground into fine powder, mixed with refined honey, and pounded 300-200 times to form pills the size of tung tree seeds. Each dose of 20 pills is taken before meals with warm wine.
For wind-induced lumbocrural pain and cold-bi, with weak tendons and bones, the Niuxi Wan (Achyranthes Pill) formula is suitable.
Niuxi (Radix Achyranthis Bidentatae, 1 liang, removed sprouts) Bi Xie (Radix Dioscoreae Hypoglaucae, 1 liang, crushed) Suanzaoren (Semen Ziziphi Spinosae, 3 fen, slightly stir-fried) Fangfeng (Radix Saposhnikoviae, 3 fen, removed radicle) Duzhong (Cortex Eucommiae, 1 liang, rough bark removed, crushed and slightly stir-fried) Guixin (Cortex Cinnamomi, 1 liang, roots removed and crushed).
The above herbs are ground into fine powder, mixed with refined honey, and pounded 300-200 times to form pills the size of tung tree seeds. Each dose of 20 pills is taken on an empty stomach with warm wine.
For wind-induced lumbocrural pain and cold-bi, the Jinjiu (Infused Wine) formula is suitable.
Hujinggu (Tibia Cor Tigeris, 1 jin, coated with butter and roasted until yellow) Cezi (Radix Aconiti Lateralis Preparata, 5 liang, processed until cracked, skin and umbilicus removed) Danggui (Radix Angelicae Sinensis, 5 liang, crushed and slightly stir-fried).
The above herbs are finely crushed, placed in a raw silk bag, and infused in 1.5 dou of clear wine. Infuse for three days in spring/summer and seven days in autumn/winter. Warm one small cup and drink each time.
For wind-induced cold-bi pain in the waist and legs, apply the Toutie (External Paste), specifically the Wutou San (Aconite Powder) formula.
Chuanwutou (Radix Aconiti Kusnezoffii, 3 fen, skin and umbilicus removed, used raw).
The above herb is finely ground into a powder, mixed with thick vinegar, applied to old cloth, and敷 (applied) externally. Pain ceases shortly after application.