夫 腰者。谓猝然伤损于腰而致痛也。此由虚损。血搏于腰脊而为。若久不已。则令人
气息
方
乳香趁痛散（出直指方）治打坠腰痛。
虎胫骨（酒炙黄） 败龟（酒炙各二两） 骐 竭 赤芍药 当归 没药 自然铜（醋
淬细
研）
三两）
牛膝
槟榔散（出圣惠方） 腰疼痛不止。膀胱风坠气盛。血脉滞留于腰间。故攻击
而痛。
槟榔 五加皮 羌活（各一两） 泽泻（半两） 丹皮（半两） 桂心（半两） 赤芍
药（半两）
枳
香（半
两）
去
滓。
治 腰疼痛。连腹中冷气滞。亦腰脊痛。（出圣惠方）
羊肾（一对） 上切作片。去心中筋膜。入胡椒末一钱。湿纸裹煨令熟。空心食之后。
吃
一中
升朝散 治腰间隐痛挫闪。而不能动者。（方见治肾虚腰痛方）
治 腰中冷痛方。（出圣惠方）
附子（一两生用去皮脐） 杏仁（一两汤浸去皮） 汉椒（一两） 当归（一两） 桂
心（一两）
乳
令匀。倾
出
丸（出医方大成）治坠堕闪肭。血气凝滞腰痛者。
子（半两） 没药（二钱半别研） 乳香（二钱半别研） 杜仲（去粗皮锉令丝断）
补骨
脂（
为细
末
大腹皮汤（出圣惠方）治 腰疼痛。腹胁胀闷。
大腹皮（三分锉） 桂心（一分） 赤茯苓（半两） 赤芍药（半两） 木香（一分） 泽
泻（三
分）
分。
去
治挫气腰痛。
红曲 香附 白芨（等分） 乳香（少许） 上为末。用好酒食后调服。
桑寄生散（出圣惠方）治 腰疼痛。及元脏虚冷。
桑寄生 桂心 鹿角屑（微炒） 杜仲（去皮麸炒微黄锉各一两） 上为细末。每于食
前。
以温
槟榔丸（出圣惠方）治 腰疼痛。不能转动。
槟榔（二枚） 牵牛子（二两微炒） 陈橘皮（一分汤浸去白瓤焙） 食茱萸（半两） 上
为
末。以
治 腰疼痛方（出圣惠方）
子（一两微炒） 甜瓜子仁（半两微炒） 杜仲（一两去粗皮炙微赤锉） 上为细
散。每
于食
治 腰疼痛。大便壅滞。心腹闪痛方。（出圣惠方）
槟榔（三分） 木香（一分） 川大黄（半两锉碎微炒） 上为散。每于食前。用生姜
汁童子
小便
茴香酒（出圣惠方）治打坠凝瘀。腰疼通用。
破故纸（炒香） 茴香（炒） 辣桂（等分） 上为末。每服二钱。热酒调。食前进。
故纸主
腰痛
治 腰疼痛。久治不瘥方。（出圣惠方）
蛇床（三两） 鹿角胶（一两捣碎炒令黄燥） 上为粗散。每服三钱。水一中盏。煎至
五分。
去
治 腰疼痛不可止方。（出圣惠方）
桂心（一两） 附子（半两去皮脐生用） 上为细散。以生姜汁调如稀糊。涂纸上。贴
腰中。
立
治 腰肿痛。展转不得方。（出圣惠方）
附子（一枚炮裂去皮脐） 羌活（一分） 上为细散。分为二服。每于空腹。以冷茶调
服。
良久
治 腰中冷痛方。（出圣惠方）
硫黄（一两半细研） 针砂（二两） 上都研。于铫子内煎熬过。以冷水拌令得所。用
纸裹
缠。
治 腰痛及 痛方。（出圣惠方）
棘针（一升锉微炒） 鹿角屑（三升微炒） 上以生绢袋盛。用酒一斗。于瓷瓶中浸七
日后。
每
熟大黄汤（出危氏方）治坠闪腽腰痛。不能屈伸。打伤恶血。瘀痛不可忍。
大黄（切如豆大） 生姜（各半两） 上同炒令焦黄。以水一大盏。浸一宿。五更去滓
顿服。
天
治锉气腰痛。（出经验良方）
猴香子（去核四两） 北茴香（一两微炒） 上为细末。热酒下。不饮酒煎木香汤下。
治 腰肿痛。展转不得方。
用鹿茸四两。大火烧赤后。入一升酒中淬。如此五遍。捣细罗为散。每于食前。以温酒
下二
疗 腰。（出本草）有血痛不可忍者。病源云。 腰者。谓猝然损伤于腰而致
痛也。此由损
上以桂心捣末。以苦酒和。涂痛处。此令人喜卧。可勤用之。再为必瘥。一方用桂节。
以
又方（出肘后方）
上以生地黄捣绞。取汁三升。煎得二升。纳蜜二升。和煎之三五沸。日服一升。亦可一
日尽
治 腰痛。（出肘后方）
上以生葛根嚼之。咽其汁。多多益佳。
治 腰疼痛不可忍方。（出圣惠方）
缩砂（一两去皮为末） 上入酾醋二合。搅令匀。熬令稠。次入茶末。酌量拌和得所。
丸
如梧
治 腰连小腹膀胱痛方。（出圣惠方）
用巴豆半颗去皮。猪肾一对。去心中筋膜。将巴豆入肾中。以湿纸裹。入于 火中。煨
令热
茗叶方（出海上方）治攻 壅。 腰痛转动不得。
用煎茶五合。投醋二合。顿服。
治气锉腰痛。
以一手按腰。一手打喷嚏数个。气行痛止。
又方\x
用盐炒茴香。煎酒下七香丸。
[Background Information]
Book: Pu Ji Fang (Universal Effective Prescriptions)
Author: Zhu Zi
Dynasty: Ming Dynasty, Yongle 4th Year
Chapter: Lower Back Pain (With Discussion)
Category: Formulas
[Translation]
Lower back pain refers to pain caused by sudden injury or damage to the waist region. This condition arises from deficiency and damage, where blood stasis accumulates in the lumbar spine. If left untreated for a long time, it can lead to shortness of breath and weak vital energy (Qi).
Formulas:
1. Rushiang Chen Tong San (Incense-Driven Pain-Relieving Powder) [Source: *Zhizhi Fang*]
Indication: Lower back pain caused by falls or blows.
Ingredients: Hu Jing Gu (Tiger Tibia Bone, wine-fried until yellow), Bai Gui Ban (Tortoise Plastron, wine-fried, each 2 liang), Xue Jie (Dragon's Blood), Chi Shao Yao (Red Peony Root), Dang Gui (Angelica Sinensis), Mo Yao (Myrrh), Zi Ran Tong (Natural Copper, vinegar-quenched and finely ground, 3 liang), Niu Xi (Achyranthes Root), Bing Lang (Areca Seed).
2. Bing Lang San (Areca Seed Powder) [Source: *Sheng Hui Fang*]
Indication: Persistent lower back pain. Caused by wind-cold sinking into the Bladder channel with excessive Qi, leading to blood stasis in the waist, resulting in attacking pain.
Ingredients: Bing Lang (Areca Seed), Wu Jia Pi (Eleutherococcus Bark), Qiang Huo (Notopterygium Rhizome, each 1 liang), Ze Xie (Alisma Rhizome, 0.5 liang), Dan Pi (Moutan Cortex, 0.5 liang), Gui Xin (Cinnamon Twig Heart, 0.5 liang), Chi Shao Yao (Red Peony Root, 0.5 liang), Zhi Ke (Bitter Orange Fruit), Mu Xiang (Costus Root, 0.5 liang).
Usage: Decoct and remove dregs.
3. Unnamed Formula [Source: *Sheng Hui Fang*]
Indication: Lower back pain radiating to the abdomen with cold Qi stagnation, and lumbar spine pain.
Ingredients: Yang Shen (Sheep Kidney, 1 pair).
Preparation and Usage: Slice the kidney, remove the central fascia. Add 1 qian of Hu Jiao (Black Pepper) powder. Wrap in wet paper and roast until cooked. Eat on an empty stomach, followed by a bowl of porridge or soup.
4. Sheng Chao San [See formula for Kidney Deficiency Lower Back Pain]
Indication: Dull pain in the waist area and inability to move due to sprains or strains.
5. Formula for Cold Pain in the Waist [Source: *Sheng Hui Fang*]
Ingredients: Fu Zi (Aconite Lateral Root, 1 liang, raw, peeled and de-navelled), Xing Ren (Apricot Seed, 1 liang, soaked in hot water and peeled), Han Jiao (Sichuan Pepper, 1 liang), Dang Gui (Angelica Sinensis, 1 liang), Gui Xin (Cinnamon Twig Heart, 1 liang).
Preparation: Make into pills.
6. Da Fu Pi Tang (Betel Nut Peel Decoction) [Source: *Sheng Hui Fang*]
Indication: Lower back pain accompanied by abdominal and hypochondriac distension and oppression.
Ingredients: Da Fu Pi (Areca Peel, 3 fen, sliced), Gui Xin (Cinnamon Twig Heart, 1 fen), Chi Fu Ling (Red Poria, 0.5 liang), Chi Shao Yao (Red Peony Root, 0.5 liang), Mu Xiang (Costus Root, 1 fen), Ze Xie (Alisma Rhizome, 3 fen).
Usage: Remove dregs.
7. Formula for Strain-Induced Qi Stagnation Lower Back Pain
Ingredients: Hong Qu (Red Yeast Rice), Xiang Fu (Cyperus Rhizome), Bai Ji (Bletilla Tuber) in equal parts; Ru Xiang (Frankincense) in a small amount.
Preparation and Usage: Grind into fine powder. Take with good wine after meals.
8. Sang Ji Sheng San (Taxillus Powder) [Source: *Sheng Hui Fang*]
Indication: Lower back pain and deficiency-cold of the Yuan Zang (Primary Viscera).
Ingredients: Sang Ji Sheng (Taxillus Branch), Gui Xin (Cinnamon Twig Heart), Lu Jiao Xie (Deer Antler Shavings, lightly stir-fried), Du Zhong (Eucommia Bark, peeled, bran-fried until slightly yellow and sliced, 1 liang each).
Preparation and Usage: Grind into fine powder. Take before meals with warm wine.
9. Bing Lang Wan (Areca Seed Pill) [Source: *Sheng Hui Fang*]
Indication: Lower back pain with inability to turn or rotate.
Ingredients: Bing Lang (Areca Seed, 2 pieces), Qian Niu Zi (Morning Glory Seed, 2 liang, lightly stir-fried), Chen Ju Pi (Dried Tangerine Peel, 1 fen, soaked in water, white pith removed, dried), Shi Zhu Yu (Chinese Pepper Berry, 0.5 liang).
Preparation and Usage: Grind into fine powder and form pills... [Text incomplete].
10. Formula for Lower Back Pain [Source: *Sheng Hui Fang*]
Ingredients: ... [Text missing/incomplete], Tian Gua Zi Ren (Bitter Melon Seed Kernel, 0.5 liang, lightly stir-fried), Du Zhong (Eucommia Bark, 1 liang, peeled, roasted until slightly red and sliced).
Preparation and Usage: Grind into fine powder. Take before meals... [Text incomplete].
11. Formula for Lower Back Pain with Constipation and Abdominal Strain Pain [Source: *Sheng Hui Fang*]
Ingredients: Bing Lang (Areca Seed, 3 fen), Mu Xiang (Costus Root, 1 fen), Chuan Da Huang (Rhubarb Root, 0.5 liang, sliced and lightly stir-fried).
Preparation and Usage: Grind into powder. Take before meals mixed with Ginger Juice and Child's Urine.
12. Hui Xiang Jiu (Fennel Wine) [Source: *Sheng Hui Fang*]
Indication: General treatment for lower back pain caused by bruising and blood stasis from falls.
Ingredients: Po Gu Zhi (Psoralea Fruit, fried until fragrant), Hui Xiang (Fennel Fruit, fried), La Gui (Cinnamon Bark, equal parts).
Preparation and Usage: Grind into powder. Take 2 qian per dose, mixed with hot wine, before meals. Note: Po Gu Zhi treats lower back pain.
13. Formula for Chronic Lower Back Pain [Source: *Sheng Hui Fang*]
Ingredients: She Chuang Zi (Cnidium Fruit, 3 liang), Lu Jiao Jiao (Deer Antler Glue, 1 liang, crushed and fried until yellow and dry).
Preparation and Usage: Grind into coarse powder. Take 3 qian per dose with one cup of water, decocted to half a cup. Remove dregs and drink.
14. Formula for Incessant Lower Back Pain [Source: *Sheng Hui Fang*]
Ingredients: Gui Xin (Cinnamon Twig Heart, 1 liang), Fu Zi (Aconite Lateral Root, 0.5 liang, raw, peeled and de-navelled).
Preparation and Usage: Grind into fine powder. Mix with Ginger Juice to form a thin paste. Apply to paper and paste onto the waist.
15. Formula for Swollen and Painful Waist with Restlessness [Source: *Sheng Hui Fang*]
Ingredients: Fu Zi (Aconite Lateral Root, 1 piece, cracked by frying, peeled and de-navelled), Qiang Huo (Notopterygium Rhizome, 1 fen).
Preparation and Usage: Grind into fine powder. Divide into two doses. Take on an empty stomach mixed with cold tea.
16. Formula for Cold Pain in the Waist [Source: *Sheng Hui Fang*]
Ingredients: Liu Huang (Sulfur, 1.5 liang, finely ground), Zhen Sha (Needle Sand, 2 liang).
Preparation and Usage: Grind together and heat in a pot. Mix with cold water appropriately. Wrap in paper and bind around the waist.
17. Formula for Lower Back Pain and ... Pain [Source: *Sheng Hui Fang*]
Ingredients: Ji Zhen (Palm Spine, 1 sheng, sliced and lightly stir-fried), Lu Jiao Xie (Deer Antler Shavings, 3 sheng, lightly stir-fried).
Preparation and Usage: Place in a raw silk bag. Soak in 1 dou of wine in a porcelain jar for seven days. Drink... [Text incomplete].
18. Shu Da Huang Tang (Cooked Rhubarb Decoction) [Source: *Wei Shi Fang*]
Indication: Lower back pain from falls/strains causing stiffness and inability to bend/extend; severe pain from traumatic blood stasis.
Ingredients: Da Huang (Rhubarb Root, cut into bean-sized pieces), Sheng Jiang (Fresh Ginger, each 0.5 liang).
Preparation and Usage: Stir-fry together until scorched yellow. Soak in one large cup of water overnight. At dawn, remove dregs and take in one dose.
19. Formula for Strain-Induced Qi Stagnation Lower Back Pain [Source: *Jing Yan Liang Fang*]
Ingredients: Hou Xiang Zi (Monkey Fragrance Seed/Piper Kadsura Seed, pitted, 4 liang), Bei Hui Xiang (Northern Fennel Fruit, 1 liang, lightly stir-fried).
Preparation and Usage: Grind into fine powder. Take with hot wine. Non-drinkers may take with Costus Root Decoction.
20. Formula for Swollen and Painful Waist with Restlessness
Ingredients: Lu Rong (Deer Antler Velvet, 4 liang).
Preparation and Usage: Heat until red-hot, then quench in one sheng of wine. Repeat five times. Grind into fine powder. Take 2 qian before meals with warm wine.
21. Treatment for Lower Back Pain [Source: *Ben Cao*]
For unbearable blood-stasis pain: The *Bing Yuan* states, "Lower back pain is sudden injury to the waist causing pain, due to damage..."
Formula: Grind Gui Xin (Cinnamon Twig Heart) into powder, mix with Ku Jiu (Bitter Vinegar/Wine), and apply to the painful area. This promotes lying down and rest. Use frequently. Reapply for cure. Another formula uses Gui Jie (Cinnamon Branch Joint)... [Text incomplete].
22. Another Formula [Source: *Zhou Hou Fang*]
Crush fresh Di Huang (Rehmannia Root) and squeeze out three sheng of juice. Decoct to two sheng. Add two sheng of Honey. Boil for three to five boils. Take one sheng daily, or finish within one day.
23. Treatment for Lower Back Pain [Source: *Zhou Hou Fang*]
Chew fresh Ge Gen (Kudzu Root) and swallow the juice. More is better.
24. Formula for Unbearable Lower Back Pain [Source: *Sheng Hui Fang*]
Ingredients: Suo Sha (Amomum Fruit, 1 liang, peeled and powdered).
Preparation and Usage: Add Er Cu (Fermented Rice Vinegar, 2 he). Mix well and boil until thick. Then add Cha Mo (Tea Powder) in appropriate amounts. Form pills the size of Wutong seeds.
25. Formula for Lower Back Pain Radiating to Lower Abdomen and Bladder [Source: *Sheng Hui Fang*]
Ingredients: Ba Dou (Croton Seed, half a kernel, peeled); Zhu Shen (Pig Kidney, one pair, remove central fascia).
Preparation and Usage: Insert Ba Dou into the kidney. Wrap in wet paper and roast in fire until hot.
26. Ming Ye Fang (Tea Leaf Formula) [Source: *Hai Shang Fang*]
Indication: Attacking obstruction, lower back pain with inability to turn.
Ingredients: Decocted Tea (5 he), Vinegar (2 he).
Usage: Take in one dose.
27. Treatment for Qi-Strain Lower Back Pain
Method: Press the waist with one hand and sneeze several times with the other. When Qi moves, pain stops.
28. Another Formula:
Take salt-fried Hui Xiang (Fennel Fruit), decoct in wine, and take with Qi Xiang Wan (Seven-Aromatic Pills).