夫痹之为病，生于骨而发于皮，故寒在内则不仁，在筋则屈而不伸，在脉则血凝而不流。
腰
于
方
杜仲酒 治肾虚冷，或感寒湿，腰脚冷痹，或为疼痛。
杜仲（去粗皮切炒） 干姜（炮） 萆 羌活（去芦） 天雄（去皮脐） 蜀椒（去
目并闭口出汗
辛（去苗叶） 石斛（去
各细锉，用酒一斗，瓷瓶内浸
常令如醉。
海藏通痹散
独活（半两） 羌活（三钱） 防风 细辛 当归（各半两） 白术（一两） 没药（二
钱） 僵蚕（二
（三钱） 穿山甲（三钱） 麝香（半两） 上
独活寄生汤（出《危氏方》）治风伤肾经，腰痛如掣。久不治，流入脚
膝。为偏枯冷痹，
独活（二两半） 真桑寄生（无则用川续断代） 杜仲（切炒丝断） 北细辛 白芍药 桂
心芎
四钱，水二盏
枳壳丸 治腰膝冷疼，气闷烦热。
枳壳（去瓤麸炒） 人参 甘草（炙） 石斛（去根） 牛膝（汤浸切焙） 桃仁（汤
去皮尖双仁炒
两） 上为末，炼
羌活散（出《圣惠方》）治腰脚冷痹，及风麻不仁，骨髓疼痛，不欲饮食，
渐加瘦。
羌活（三分） 防风（半两去芦） 茵芋（三分） 五加皮（三分） 牛膝（一两去苗）
丹参（半两）
两） 当归（半两） 上
食前温服。
治腰脚冷痹，拘急疼痛方。（出《圣惠方》）
茵芋（一两） 羚羊角屑（三分） 防风（三分去芦） 牛膝（一两） 五加皮（三
分） 桂心（三分
上为粗散，每服四钱
治腰脚冷痹风麻，肢节疼痛，不思饮食。
牛膝（二两去苗） 白茯苓（一两） 桂心（三分） 芎 （半两） 防风（三分去芦）
人参（三分
两炮去皮脐） 羌活（
半分，枣三枚，煎至六分
仙灵脾散（出《圣惠方》）治腰脚冷痹，筋麻挛急，时有疼痛。行履不得。
仙灵脾（一两） 牛膝（一两去苗） 羌活（半两） 虎胫骨（一两涂酥令黄） 独活
（半两） 羚羊
（半两微炒） 薏苡仁（半两
调下二钱。
独活散（出《圣惠方》）治肾虚衰，腰脚疼痹，或麻不仁。
独活（三分） 附子（一两炮去皮脐） 桂心（一两去粗皮炙微黄） 细辛（半两） 干
熟地黄
皮脐） 防风（半两
分，煎至六分去滓，每于
萆 丸（出《圣惠方》）治腰脚冷痹，沉重无力。
萆 （一两） 熟干地黄（三分） 牛膝（二两去苗） 附子（一两去皮脐） 桂心（半
两） 五加皮（
（三分） 上为末，炼蜜
牛膝汤（出《圣惠方》）治风寒湿伤着腰脚，冷痹不仁，或疼痛。
牛膝（酒浸切焙） 独活（去芦） 防风（去叉） 当归（切炒） 桂（去粗皮） 白
茯苓（去黑皮）
服二钱，水一盏，煎至
桂心丸（出《圣惠方》）治腰脚冷痹痛不仁。
桂（去粗皮三分） 干姜（炮半两） 杜仲（去粗皮切炒） 牛膝（酒浸切焙） 附子
（炮去皮脐）
不拘时候。
巴戟酒（出《圣惠方》）治风冷或寒湿伤着腰脚，冷痹或疼痛，强直不得屈
伸。
巴戟天（去心二两） 羌活（去芦） 牛膝（各二两） 当归（切焙二两） 石斛（去
根二两） 蜀椒
封，以重汤煮一二时
牛膝丸（出《圣惠方》）治脚痹，腰膝以下冷，不得屈伸，及腰腿疼痛挛
麻。
牛膝（去苗酒浸切焙三两） 石斛（去根） 狗脊（酥炙去毛） 桂（去粗皮） 蜀椒
（去目闭口炒
每服三十丸，食
石斛浸酒 治风湿寒冷，伤着腰脚，冷痹麻痛不仁。
石斛（去根五两） 牛膝（酒浸切焙一两） 杜仲（去粗皮炙半两） 丹砂（六两） 桂
（去粗皮四
温一盏服，
独活酒 治腰脚冷痹不仁疼痛。
独活（去芦半两） 当归（切焙半两） 杜仲（去皮切炒一两） 芎 （半两） 干熟
地黄（焙半两
出，候冷开封，每
熏蒸方（出《御药院方》）治肾气衰少，脾肝三经。受寒湿，停于腿膝。使
经络凝而不行，
小麦麸（细四五升） 小椒（一把） 盐（一把） 酒（一盏） 葱白（三大茎切寸） 醋
（不计多少搅
被盖得汗出匀遍
收汗粉，扑敷汗
通痹散 治两足至膝，冷如冰，不能自举，或因热立冷水中，久成此疾。
独活 川芎 天麻 当归 白术（分停）上为细末，每服三钱，好酒调，日二服。
酒浸牛膝丸（出《本事方》）治腰脚筋骨，疼软无力。
牛膝（三两炙黄） 川椒（半两去子并合口者） 附子（一个十钱重者炮去皮脐） 虎
脚铜骨（真
浸十四日，
十丸，空心
萆 散（出《十便良方》）治腰脚冷痹不仁，行步无力。
萆 （二两） 桂（去粗皮三分） 杜仲（去粗皮炒一两） 上为散，每服二钱，温酒
调下，不
治丈夫腰脚冷不随，不能行方。
以上醇酒二斗，水二斗，合著瓮中，温渍脚至膝三日。在瓮下常着炭火勿令冷。手足烦
者，
治男子膝脚积冷，或顽麻不仁少力（出《肘后方》）
以菟丝子一两，牛膝一两，同浸于银器内，用酒浸过一寸，焙干为末，将原浸酒，入
盐少许
治腰脚冷风（出《肘后方》）
以大黄二两，切如棋子，和少酥炒。尽入药中切勿令黄焦，焦则无力。捣筛为末，每日
空心
调之
药攻
欲服
疾，
遂愈。以此言之，今医用一毒药而攻众病，其偶中病，便谓此方之神奇，其差误乃不可言。
用药
乌头方（出《十便良方》）治腰脚冷痹疼痛。
上用乌头三分，去皮脐，生捣罗，酽醋调，涂于故帛上敷之，须臾痛止。
独活汤 治腰脚冷痹，不仁无力。
羌活汤 治腰痹痛，行步艰难。
治腰脚风冷。
以石花渍酒服。
疗丈夫腰脚痹缓急，行履不稳者。（出《正元广利方》）
以萆 二十四分，合杜仲八分，捣筛，每旦温酒服三匕，增至五匕，忌食牛肉。
治风血羸痹，腰脚疼痛方。（出《本草》）
取天蓼皮，酿酒服之。
治腰脚痹（出《本草》）
用芸苔去土煮食。
益大夫兴阳，理脚膝冷。（出《本草》）
以淫羊藿一斤，酒一斗浸，经三十日，饮之效。
Bi syndrome (Obstruction Syndrome) is a disease rooted in the bones but manifesting in the skin. Therefore, when cold pathogen is internal, there is numbness and insensitivity; when it affects the sinews, flexion and extension are impaired; and when it involves the vessels, blood coagulates and fails to flow smoothly.
Lower Back
Duzhong Wine: Treats Kidney deficiency with cold, or contraction of cold-dampness, resulting in cold-bi of the lower back and legs, or pain.
Ingredients: Duzhong Cortex (Eucommiae Cortex), processed by removing coarse bark and stir-frying; Shengjiang Rhizome (Zingiberis Rhizoma), prepared; Bixie Rhizoma (Dioscoreae Hypoglaucae Rhizoma); Qianghuo Rhizoma (Notopterygii Rhizoma et Radix), de-radicle; Tianxiong Radix (Aconiti Kusnezoffii Radix), de-skin and navel; Shujiao Pericarpium (Zanthoxyli Pericarpium), de-eyes and those sweating with closed mouth; Xixin Herba (Asari Radix et Rhizoma), de-seeds and leaves; Shihu Caulis (Dendrobii Caulis), de-roots. All ingredients are finely chopped and macerated in one dou of wine in a porcelain bottle. Drink frequently until slightly intoxicated.
Haizang Tongbi Powder:
Ingredients: Dudu Radix (Angelicae Pubescentis Radix) (ban liang); Qianghuo Rhizoma (Notopterygii Rhizoma et Radix) (san qian); Fangfeng Radix (Saposhnikoviae Radix); Xixin Herba (Asari Radix et Rhizoma); Danggui Radix (Angelicae Sinensis Radix) (each ban liang); Baizhu Rhizoma (Atractylodis Macrocephalae Rhizoma) (yi liang); Moyao Resina (Myrrha); Jiangcan Bombyx Batryticatus (Bombyx Batryticatus) (er qian); Chuanshanji Squama (Manis Squama) (san qian); Shexiang Moschus (Moschus) (ban liang). Processed into powder for administration.
Duhuo Jisheng Decoction (from *Wei Shi Fang*): Treats wind pathogen injuring the Kidney meridian, causing lower back pain as if being pulled. If untreated for a long time, the pathogen flows into the feet and knees, leading to hemiplegia, cold-bi.
Ingredients: Dudu Radix (Angelicae Pubescentis Radix) (er liang ban); Zhen Sangjisheng (Taxilli Caulis) (if unavailable, use Chuanxuduan Radix); Duzhong Cortex (Eucommiae Cortex), sliced and stir-fried until fibers break; Beixixin Herba (Asari Radix et Rhizoma); Baishaoyao Radix (Paeoniae Radix Alba); Guixin Cortex (Cinnamomi Cortex); Chuanxiong Rhizoma (Chuanxiong Rhizoma). Add two zhan of water, decoct to obtain four qian of liquid for administration.
Zhike Wan: Treats cold pain in the lower back and knees, chest stuffiness, and irritability with heat.
Ingredients: Zhike Fructus Aurantii (Aurantii Fructus), de-albedo and stir-fried with bran; Renshen Radix (Ginseng Radix); Gancao Radix (Glycyrrhizae Radix et Rhizoma), honey-fried; Shihu Caulis (Dendrobii Caulis), de-roots; Niuxi Radix (Achyranthis Bidentatae Radix), soaked in water, sliced, and dried; Taoren Semen Persicae (Persicae Semen), soaked in water, de-skin and tips, stir-fried. Processed into fine powder, bound with refined honey into pills.
Qianghuo San (from *Shenghui Fang*): Treats cold-bi of the lower back and legs, and numbness due to wind, bone marrow pain, loss of appetite, and gradual emaciation.
Ingredients: Qianghuo Rhizoma (Notopterygii Rhizoma et Radix) (san fen); Fangfeng Radix (Saposhnikoviae Radix) (ban liang, de-radicle); Yinyu Folium (Epimedii Folium) (san fen); Wujia Pi Cortex (Acanthopanacis Cortex) (san fen); Niuxi Radix (Achyranthis Bidentatae Radix) (yi liang, de-seeds); Danshen Radix et Rhizoma (Salviae Miltiorrhizae Radix et Rhizoma) (ban liang); Danggui Radix (Angelicae Sinensis Radix) (ban liang). Take warm before meals.
Formula for treating cold-bi of the lower back and legs, with stiffness and pain (from *Shenghui Fang*):
Ingredients: Yinyu Folium (Epimedii Folium) (yi liang); Lingyangjiaoxie Cornu Saigae Tataricae (Saigae Tataricae Cornu) (san fen); Fangfeng Radix (Saposhnikoviae Radix) (san fen, de-radicle); Niuxi Radix (Achyranthis Bidentatae Radix) (yi liang); Wujia Pi Cortex (Acanthopanacis Cortex) (san fen); Guixin Cortex (Cinnamomi Cortex) (san fen). Processed into coarse powder, take four qian per dose.
Formula for treating cold-bi and wind-numbness of the lower back and legs, joint pain, and anorexia:
Ingredients: Niuxi Radix (Achyranthis Bidentatae Radix) (er liang, de-seeds); Baifuling Poria (Poria); Guixin Cortex (Cinnamomi Cortex) (san fen); Chuanxiong Rhizoma (Chuanxiong Rhizoma) (ban liang); Fangfeng Radix (Saposhnikoviae Radix) (san fen, de-radicle); Renshen Radix (Ginseng Radix) (san fen); Fuzi Radix (Aconiti Lateralis Radix Preparata) (ban fen, three jujubes, decoct to six parts).
Xianlingspi San (from *Shenghui Fang*): Treats cold-bi of the lower back and legs, numbness and spasms of sinews, frequent pain, and difficulty walking.
Ingredients: Xianlingspi Folium (Epimedii Folium) (yi liang); Niuxi Radix (Achyranthis Bidentatae Radix) (yi liang, de-seeds); Qianghuo Rhizoma (Notopterygii Rhizoma et Radix) (ban liang); Hujinggu Os Tigris (Tiger Bone); Dudu Radix (Angelicae Pubescentis Radix) (ban liang); Lingyangjiaoxie Cornu Saigae Tataricae (Saigae Tataricae Cornu) (ban liang, lightly stir-fried); Yiyiren Semen Coicis (Coicis Semen) (ban liang). Mix with two qian for administration.
Duhuo San (from *Shenghui Fang*): Treats Kidney deficiency and decline, pain and bi of the lower back and legs, or numbness and insensitivity.
Ingredients: Dudu Radix (Angelicae Pubescentis Radix) (san fen); Fuzi Radix (Aconiti Lateralis Radix Preparata) (yi liang, prepared, de-skin and navel); Guixin Cortex (Cinnamomi Cortex) (yi liang, de-coarse bark, stir-fried until slightly yellow); Xixin Herba (Asari Radix et Rhizoma) (ban liang); Ganjiang Rhizoma (Zingiberis Rhizoma) (ban liang); Shudihuang Radix (Rehmanniae Radix Preparata) (ban liang); Fangfeng Radix (Saposhnikoviae Radix) (ban liang). Decoct to six parts, remove dregs, take on an empty stomach.
Bixie Wan (from *Shenghui Fang*): Treats cold-bi of the lower back and legs, heaviness, and weakness.
Ingredients: Bixie Rhizoma (Dioscoreae Hypoglaucae Rhizoma) (yi liang); Shugan Dihuang Radix (Rehmanniae Radix Preparata) (san fen); Niuxi Radix (Achyranthis Bidentatae Radix) (er liang, de-seeds); Fuzi Radix (Aconiti Lateralis Radix Preparata) (yi liang, de-skin and navel); Guixin Cortex (Cinnamomi Cortex) (ban liang); Wujia Pi Cortex (Acanthopanacis Cortex) (san fen). Processed into fine powder, bound with refined honey into pills.
Niuxi Tang (from *Shenghui Fang*): Treats wind-cold-dampness invading the lower back and legs, causing cold-bi with numbness, or pain.
Ingredients: Niuxi Radix (Achyranthis Bidentatae Radix), soaked in wine, sliced, and dried; Dudu Radix (Angelicae Pubescentis Radix), de-radicle; Fangfeng Radix (Saposhnikoviae Radix), de-prickles; Danggui Radix (Angelicae Sinensis Radix), sliced and stir-fried; Gui Cortex (Cinnamomi Cortex), de-coarse bark; Baifuling Poria (Poria), de-black skin. Take two qian per dose, with one zhan of water, decoct to...
Guixin Wan (from *Shenghui Fang*): Treats cold-bi pain and numbness of the lower back and legs.
Ingredients: Gui Cortex (Cinnamomi Cortex), de-coarse bark (san fen); Ganjiang Rhizoma (Zingiberis Rhizoma), prepared (ban liang); Duzhong Cortex (Eucommiae Cortex), de-coarse bark, sliced, and stir-fried; Niuxi Radix (Achyranthis Bidentatae Radix), soaked in wine, sliced, and dried; Fuzi Radix (Aconiti Lateralis Radix Preparata), prepared, de-skin and navel. Take at any time.
Baji Jiu (from *Shenghui Fang*): Treats wind-cold or cold-dampness invading the lower back and legs, causing cold-bi or pain, stiffness, and inability to flex or extend.
Ingredients: Bajitian Radix (Morinda Officinalis Radix), de-heart (er liang); Qianghuo Rhizoma (Notopterygii Rhizoma et Radix), de-radicle; Niuxi Radix (Achyranthis Bidentatae Radix) (each er liang); Danggui Radix (Angelicae Sinensis Radix), sliced and dried (er liang); Shihu Caulis (Dendrobii Caulis), de-roots (er liang); Shujiao Pericarpium (Zanthoxyli Pericarpium), de-eyes and those sweating with closed mouth. Seal tightly, boil in heavy water bath for one to two hours...
Niuxi Wan (from *Shenghui Fang*): Treats foot bi, cold below the waist and knees, inability to flex or extend, and pain and spasms of the lower back and legs.
Ingredients: Niuxi Radix (Achyranthis Bidentatae Radix), de-seeds, soaked in wine, sliced, and dried (san liang); Shihu Caulis (Dendrobii Caulis), de-roots; Gouji Spina (Cibotii Rhizoma), roasted with butter, de-hairs; Gui Cortex (Cinnamomi Cortex), de-coarse bark; Shujiao Pericarpium (Zanthoxyli Pericarpium), de-eyes and those sweating with closed mouth, stir-fried. Take thirty pills per dose, with food...
Shihu Soaked Wine: Treats wind-damp-cold invading the lower back and legs, causing cold-bi, numbness, pain, and insensitivity.
Ingredients: Shihu Caulis (Dendrobii Caulis), de-roots (wu liang); Niuxi Radix (Achyranthis Bidentatae Radix), soaked in wine, sliced, and dried (yi liang); Duzhong Cortex (Eucommiae Cortex), de-coarse bark, roasted (ban liang); Dansha Cinnabaris (Cinnabar); Gui Cortex (Cinnamomi Cortex), de-coarse bark (si liang). Take one warm zhan...
Duhuo Jiu: Treats cold-bi with numbness and pain of the lower back and legs.
Ingredients: Dudu Radix (Angelicae Pubescentis Radix), de-radicle (ban liang); Danggui Radix (Angelicae Sinensis Radix), sliced and dried (ban liang); Duzhong Cortex (Eucommiae Cortex), de-coarse bark, sliced, and stir-fried (yi liang); Chuanxiong Rhizoma (Chuanxiong Rhizoma) (ban liang); Gan Shudihuang Radix (Rehmanniae Radix Preparata), dried (ban liang). Remove, let cool, open seal, take each...
Fumigation Formula (from *Yuyao Yuan Fang*): Treats decline of Kidney Qi, cold-dampness affecting the Spleen, Liver, and three meridians, stagnating in the thighs and knees, causing blockage and non-flow of collaterals.
Ingredients: Xiaomai Fu Wheat Bran (Tritici Venientis Farina); Xiao Jiao Piperis Longi Fructus (one handful); Yan Sal (one handful); Jiu Alcohol (one zhan); Congbai Bulbus Allii Fistulosi (three large stems, cut into inches); Cu Vinegar (as needed, mix well). Cover with blankets to induce uniform sweating, collect sweat powder, apply to sweat...
Tongbi San: Treats coldness from both feet to knees like ice, inability to lift, often caused by standing in cold water while hot, leading to this chronic condition.
Ingredients: Dudu Radix (Angelicae Pubescentis Radix), Chuanxiong Rhizoma (Chuanxiong Rhizoma), Tianma Rhizoma Gastrodiae (Gastrodiae Rhizoma), Danggui Radix (Angelicae Sinensis Radix), Baizhu Rhizoma (Atractylodis Macrocephalae Rhizoma) (equal parts). Process into fine powder, take three qian per dose, mixed with good wine, twice daily.
Jiu Jin Niuxi Wan (from *Benshi Fang*): Treats pain and weakness of tendons and bones in the lower back and legs.
Ingredients: Niuxi Radix (Achyranthis Bidentatae Radix), stir-fried until yellow (san liang); Chuanjiao Piperis Fructus (half liang, de-seeds and those with closed mouths); Fuzi Radix (Aconiti Lateralis Radix Preparata) (one piece weighing ten qian, prepared, de-skin and navel); Hujiao Tonggu Tiger Leg Copper Bone (True Tiger Bone)... Macerate for fourteen days... Ten pills, on an empty stomach...
Bixie San (from *Shibian Liangfang*): Treats cold-bi with numbness and insensitivity of the lower back and legs, and weakness in walking.
Ingredients: Bixie Rhizoma (Dioscoreae Hypoglaucae Rhizoma) (er liang); Gui Cortex (Cinnamomi Cortex), de-coarse bark (san fen); Duzhong Cortex (Eucommiae Cortex), de-coarse bark, stir-fried (yi liang). Process into powder, take two qian per dose, mixed with warm wine, do not...
Formula for treating men's lower back and leg coldness with paralysis, unable to walk:
Take two dou of pure wine and two dou of water, mix in a jar, soak feet to knees in warm liquid for three days. Keep charcoal fire under the jar to prevent cooling. If hands and feet are restless...
Treating accumulated cold in men's knees and feet, or stubborn numbness and weakness (from *Zhouhou Fang*):
Take yi liang of Tusizi Semen (Cuscutae Semen) and yi liang of Niuxi Radix (Achyranthis Bidentatae Radix), soak together in a silver vessel, cover with wine by one cun, dry by roasting, process into powder, use the original soaking wine, add a little salt...
Treating cold wind in lower back and legs (from *Zhouhou Fang*):
Take er liang of Dahuang Radix et Rhizoma (Rhei Radix et Rhizoma), cut like chess pieces, stir-fry with a little butter. Do not let it turn yellow or burnt, as burnt medicine loses efficacy. Grind into powder, take on an empty stomach daily... Mix... Medicine attacks... Want to take... Disease, then cured. From this we can say, modern physicians use one toxic drug to attack various diseases; if it occasionally hits the mark, they call this formula miraculous; if errors occur, they cannot be spoken of. Medication...
Wutou Formula (from *Shibian Liangfang*): Treats cold-bi pain of the lower back and legs.
Take san fen of Wutou Radix (Aconiti Radix), de-skin and navel, raw grind and sieve, mix with strong vinegar, apply to old cloth and dress the area. Pain stops shortly after.
Duhuo Tang: Treats cold-bi with numbness and weakness of the lower back and legs.
Qianghuo Tang: Treats bi pain in the lower back, difficulty walking.
Treating cold wind in lower back and legs:
Soak Shihua (Stone Flower) in wine and drink.
Treating men's lower back and leg bi with laxity and tightness, unstable walking (from *Zhengyuan Guanglifang*):
Take twenty-four parts of Bixie Rhizoma (Dioscoreae Hypoglaucae Rhizoma) and eight parts of Duzhong Cortex (Eucommiae Cortex), grind and sieve, take three bi with warm wine every morning, increase to five bi, avoid beef.
Formula for treating wind-blood emaciation bi, lower back and leg pain (from *Bencao*):
Take Tianliao pi (Tianliao Bark), brew wine and drink.
Treating lower back and leg bi (from *Bencao*):
Use Yuntaei (Rapeseed), remove soil, boil and eat.
Yidafu promotes Yang, regulates cold in feet and knees (from *Bencao*):
Take yi jin of Yinyanghuo Folium (Epimedii Folium), soak in yi dou of wine, wait thirty days, drink for efficacy.