夫肾主于腰脚，女人肾脏系于胞络，若劳伤肾气虚弱，而风冷客于胞络，邪气与真
气交争，故令腰脚疼痛也。治当以补元气为主，佐以祛邪之剂。
〔薛〕前证若真阳衰败，寒邪乘袭，手足俱冷，头痛恶寒，或呕吐腹痛等证，宜用
本方。若气血虚弱，寒邪所感，恶寒发热，头痛作渴，或呕吐腹痛等证，宜用五积散。（杂病
中寒。）若元气虚弱，湿热所伤，两胫肿痛，寒热身疼，或呕吐不食等证，宜用槟苏败毒散。
（杂病伤湿。）若脾胃虚弱，元气下陷，寒热呕吐，发热头痛，喘渴体倦等证，宜用补中益气汤。
（杂病伤劳倦。）若足三阴精血亏损，阴火内动，内热晡热，作渴痰甚，小便频数等证，宜用六
味地黄丸。（杂病虚劳。）若足三阴阳气虚败，恶寒发热，手足俱冷，吐痰不食，二便滑数等
证，宜用八味地黄丸。（杂病虚劳。） 一妇人先腰胯作痛，后两腿亦痛，余以为足三阴虚寒，
外邪所伤。用小续命汤及独活寄生汤，或作或止，所用饮食极热，腹中方快。余曰∶邪
气去而元气虚寒也。诊其脉，果沉细，用养肾散（本条。）渐愈，又用十补丸（虚劳。）而痊。
一妇人所患同前，但发热作渴，喜冷冻饮料食，脉洪数，按之迟涩，余以为血虚有热。用羚羊
角散（身体痛。）去槟榔，加白术、茯苓数剂，更
用加味逍遥散（结核）而瘥。一妇人患前证，时或腿膝作痛，脉浮数，按之迟缓，此元气虚
而风湿所乘。用独活寄生汤顿愈，又用八珍汤而安。一妇人因怒患前证，寒热往来，口
苦不食，晡热内热，余以为肝火血虚。先用小柴胡汤加山栀顿愈，又用加味逍遥散而瘳。
一妇人患前证，寒热头痛，殊类伤寒，此寒邪之证，用槟苏败毒散而安，又用补中益
气调补而愈。
虎骨丸 治妇人血风攻注，腰脚骨节疼痛不可忍。
虎胫骨（酥炙） 败龟（酥炙） 槟榔 牛膝（酒浸，各一两） 当归（去芦，炒） 川大黄（炒）
木香 桃仁（浸，炒） 海桐皮（各七钱半） 防风（去芦叉） 附子（炮，去皮脐） 赤芍药
桂心 血竭 没药（另研） 地龙（去土炒，各半两）
上为细末，炼蜜和捣三五百下，丸如梧桐子大。每服三十丸，空心食前温酒下，日二服。
仙灵脾散 治妇人血风攻注，腰脚疼痛。
仙灵脾 桃仁（麸炒） 槟榔（各一两） 羌活（去芦） 海桐皮 牛膝（酒浸） 当归（去芦，炒）
芎 骨碎补 玄胡索 桂心 枳壳（去瓤，麸炒） 木香 子（各七钱半） 术（炒，半两）
麝香（另研，二钱半）
上为细末，每服二钱。食前用豆淋酒调下，日进二服。
本散 治妇人血风流注，腰脚疼痛不可忍。
本（去芦土，一两半） 狗脊 天麻 骨碎补 桂心 没药（另研） 血竭（研）
蝉壳（微炒，各一两） 虎胫骨（醋炙） 败龟（醋炙） 穿山甲（各二两，醋炙） 麝香（半两，另研）
上为细末，入麝香拌匀，每服二钱，生姜豆淋酒调下，空心食前，日二服。
败龟散 治妇人风毒流注，腰脚疼痛，行步艰难。
败龟（酥炙） 虎胫骨（酥炙，各二两） 白僵蚕（炒） 薏苡仁 当归（去芦） 杜仲（锉，炒去丝，各一
两） 地龙（炒去土） 桂心 乳香（另研，各二钱半） 没药（半两，另研）
上为细末，每服二钱，食前温薄荷酒调下。
骨碎补散 治妇人血风气攻，腰脚疼痛腹胁拘急，并宜服之。
骨碎补（炒） 萆 （酒浸） 牛膝（酒浸） 桃仁（麸炒） 海桐皮 当归（去芦） 桂心 槟榔（各一两）
赤芍药 附子（炮，去皮脐） 川芎（各七钱半） 枳壳（半两，去幅麸炒）
上为 咀，每服五钱，水一大盏半，生姜三片，枣一枚，煎至一大盏，去滓温服。
附子散 治妇人腰脚积年疼痛不瘥。
附子（炮，去皮脐） 桂心 没药（另研） 威灵仙 干漆（炒去烟） 牛膝（酒浸，各一两）
上为细末，每服二钱，温酒调下，食前，日进二服。
养肾散 治肾经虚弱，风寒所侵，以致腰脚疼痛，不能步履。
苍术（一两） 干蝎（三钱） 天麻 草乌头（炮，去皮尖） 黑附子（炮，去皮脐，各二钱）
上为末，每服一钱，酒调服，麻痹少时随愈。孕妇勿服。此治风寒伤肾，膀胱虚寒
之良药，用之得宜，殊有神效。
The Kidney governs the waist and legs. In women, the Kidney is connected to the uterus via the Bao Luo (uterine network). If labor or injury damages the Kidney Qi, leading to weakness, and Wind-Cold pathogenic factors invade the Bao Luo, the pathogenic factors contend with the healthy Qi, resulting in pain in the waist and legs. Treatment should primarily focus on tonifying the Yuan Qi (original Qi), assisted by formulas that dispel pathogens.
[Xue Ji's Commentary] For the aforementioned conditions, if True Yang is exhausted and Cold Evil attacks, presenting with cold hands and feet, headache, aversion to cold, or vomiting and abdominal pain, it is appropriate to use the formula mentioned in this context (referring to warming yang and dispersing cold formulas). If Qi and Blood are deficient and affected by Cold Evil, presenting with aversion to cold, fever, headache, thirst, or vomiting and abdominal pain, Wuji San (Five Accumulations Powder) is appropriate. (From Miscellaneous Diseases: Cold.) If Yuan Qi is deficient and injured by Damp-Heat, presenting with swelling and pain in both shins, alternating chills and fever, body aches, or vomiting and inability to eat, Bingsu Baidu San (Areca and Perilla Detoxification Powder) is appropriate. (From Miscellaneous Diseases: Injury by Dampness.) If Spleen and Stomach are weak, with Yuan Qi sinking, presenting with alternating chills and fever, vomiting, feverish headache, panting and thirst, and physical fatigue, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) is appropriate. (From Miscellaneous Diseases: Injury by Fatigue.) If the Essence and Blood of the Three Yin Meridities of the Foot are depleted, with Deficient Fire stirring internally, presenting with internal heat, afternoon tidal fever, thirst with profuse phlegm, and frequent urination, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) is appropriate. (From Miscellaneous Diseases: Consumption and Weakness.) If the Yang Qi of the Three Yin Meridities of the Foot is exhausted, presenting with aversion to cold, fever, cold hands and feet, expectoration, inability to eat, and slippery/frequent defecation and urination, Bawei Dihuang Wan (Eight-Ingredient Pill with Rehmannia) is appropriate. (From Miscellaneous Diseases: Consumption and Weakness.)
A woman first experienced pain in her lower back and hips, followed by pain in both legs. I considered this to be deficiency-cold of the Three Yin Meridities of the Foot, injured by external pathogens. She was treated with Xiao Xuming Tang (Minor Xu Ming Decoction) and Duhuo Jisheng Tang (Angelica Pubescens and Porcinus Decoction). Symptoms came and went; she felt comfortable in her abdomen only when consuming very hot food. I stated: The pathogen has been expelled, but the Yuan Qi is deficient and cold. Her pulse was indeed deep and fine. She was administered Yangshen San (Kidney-Nourishing Powder) [see this section], gradually recovering, and subsequently cured with Shibu Wan (Ten Tonics Pill) [see Consumption and Weakness].
Another woman suffered from similar symptoms but presented with fever and thirst, preferring cold drinks and food. Her pulse was surging and rapid, but slow and choppy upon deep pressure. I diagnosed this as Blood deficiency with Heat. She was treated with Lingyangjiao San (Antelope Horn Powder) [see Body Pain], removing Areca Nut, and adding Atractylodes Macrocephala Rhizome and Poria, for several doses. She was then treated with Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) [see Tubercles] and recovered.
A third woman suffered from the aforementioned condition, with occasional pain in the legs and knees. Her pulse was floating and rapid, but slow and sluggish upon deep pressure. This indicated Yuan Qi deficiency with invasion by Wind-Damp. She was instantly cured by Duhuo Jisheng Tang and stabilized with Bazhen Tang (Eight-Treasure Decoction).
A fourth woman developed the aforementioned condition due to anger, presenting with alternating chills and fever, bitter taste in the mouth, inability to eat, afternoon tidal fever, and internal heat. I diagnosed this as Liver Fire with Blood deficiency. She was instantly cured by Xiaochaihu Tang (Minor Bupleurum Decoction) added with Gardenia Fruit, and subsequently cured with Jiawei Xiaoyao San.
A fifth woman suffered from the aforementioned condition, presenting with chills, fever, and headache, resembling Taiyang Disease (Exterior Syndrome). This was a Cold Evil syndrome. She was stabilized by Bingsu Baidu San and cured by regulating with Buzhong Yiqi Tang.
Tiger Bone Pill treats women suffering from Blood-Wind attacking and flowing into the joints, causing unbearable pain in the waist, legs, and bone joints.
Tiger Tibia Bone (roasted with butter/oil) 2 liang, Tortoise Plastron (roasted with butter/oil) 2 liang, Areca Seed 1 liang, Achyranthes Bidentata Root (soaked in wine) 1 liang, Angelica Sinensis Root (remove radicle, stir-fried) 1 liang, Rheum Palmatum Rhizome (stir-fried) 1 liang, Costus Root 0.75 liang, Peach Kernel (soaked, stir-fried) 0.75 liang, Cryptocarya Alba Bark 0.75 liang, Saposhnikovia Divaricata Root (remove radicle and forked parts) 0.75 liang, Prepared Aconite Car root (parched, remove skin and umbilical scar) 0.5 liang, Red Peony Root 0.5 liang, Cinnamon Twig 0.5 liang, Dragon's Blood 0.5 liang, Myrrh (separately ground) 0.5 liang, Earthworm (remove soil, stir-fried) 0.5 liang.
Grind all ingredients into a fine powder. Mix with refined honey, pounding 300-500 times until uniform. Form pills the size of Chinese quince seeds. Take 30 pills per dose, before meals on an empty stomach, washed down with warm wine. Twice daily.
Xianlingpi San treats women suffering from Blood-Wind attacking and flowing into the waist and legs, causing pain.
Epimedium Leaf 1 liang, Peach Kernel (bran-stir-fried) 1 liang, Areca Seed 1 liang, Notopterygium Root 1 liang, Cryptocarya Alba Bark 0.75 liang, Achyranthes Bidentata Root (soaked in wine) 0.75 liang, Angelica Sinensis Root (remove radicle, stir-fried) 0.75 liang, Ligusticum Chuanxiong Rhizome 0.75 liang, Drynaria Rhizome 0.75 liang, Corydalis Rhizome 0.75 liang, Cinnamon Twig 0.75 liang, Aurantium Fructus (remove pulp, bran-stir-fried) 0.75 liang, Costus Root 0.75 liang, Fennel Fruit 0.75 liang, Atractylodes Macrocephala Rhizome (stir-fried) 0.5 liang, Camphor (separately ground) 0.25 liang.
Grind all ingredients into a fine powder. Take 2 qian per dose. Mix with Doulin Wine (Soybean Infusion Wine) before meals. Twice daily.
Ben San treats women suffering from Blood-Wind flowing into the waist and legs, causing unbearable pain.
Ligusticum Wallichii Rhizome (remove radicle and soil) 1.5 liang, Cibotium Rhizome 1 liang, Gastrodia Elata Rhizome 1 liang, Drynaria Rhizome 1 liang, Cinnamon Twig 1 liang, Myrrh (separately ground) 1 liang, Dragon's Blood (ground) 1 liang, Cicada Slough (lightly stir-fried) 1 liang, Tiger Tibia Bone (vinegar-roasted) 2 liang, Tortoise Plastron (vinegar-roasted) 2 liang, Pangolin Scales (2 liang each, vinegar-roasted) 2 liang, Camphor (0.5 liang, separately ground) 0.5 liang.
Grind all ingredients into a fine powder. Mix evenly with Camphor. Take 2 qian per dose. Mix with Ginger Doulin Wine. Take before meals on an empty stomach. Twice daily.
Baigui San treats women suffering from Wind-Toxin flowing into the waist and legs, causing pain and difficulty walking.
Tortoise Plastron (roasted with butter/oil) 2 liang, Tiger Tibia Bone (roasted with butter/oil) 2 liang, White Silkworm (stir-fried) 1 liang, Coix Seed 1 liang, Angelica Sinensis Root (remove radicle) 1 liang, Eucommia Bark (chopped, stir-fried to remove silk fibers) 1 liang, Earthworm (stir-fried, remove soil) 2.5 qian, Cinnamon Twig 2.5 qian, Frankincense (separately ground) 2.5 qian, Myrrh (separately ground) 0.5 liang.
Grind all ingredients into a fine powder. Take 2 qian per dose. Mix with warm Mint Wine before meals.
Gusuibu San treats women suffering from Blood-Wind-Qi attacking, causing pain in the waist and legs with tension and cramping in the abdomen and hypochondrium. It is suitable for these conditions.
Drynaria Rhizome (stir-fried) 1 liang, Dioscorea Hypoglauca Rhizome (soaked in wine) 1 liang, Achyranthes Bidentata Root (soaked in wine) 1 liang, Peach Kernel (bran-stir-fried) 1 liang, Cryptocarya Alba Bark 1 liang, Angelica Sinensis Root (remove radicle) 1 liang, Cinnamon Twig 1 liang, Areca Seed 1 liang, Red Peony Root 0.75 liang, Prepared Aconite Car root (parched, remove skin and umbilical scar) 0.75 liang, Ligusticum Chuanxiong Rhizome 0.75 liang, Aurantium Fructus (0.5 liang, remove pulp, bran-stir-fried) 0.5 liang.
Cut all ingredients into small pieces. Take 5 qian per dose. Add 1.5 large cups of water, 3 slices of ginger, and 1 jujube. Decoct until 1 large cup remains. Strain and take warm.
Fuzi San treats women suffering from chronic pain in the waist and legs that does not heal.
Prepared Aconite Car root (parched, remove skin and umbilical scar) 1 liang, Cinnamon Twig 1 liang, Myrrh (separately ground) 1 liang, Clematis Root 1 liang, Dried Resin (stir-fried to remove smoke) 1 liang, Achyranthes Bidentata Root (soaked in wine) 1 liang.
Grind all ingredients into a fine powder. Take 2 qian per dose. Mix with warm wine. Take before meals. Twice daily.
Yangshen San treats Kidney Meridian deficiency invaded by Wind-Cold, resulting in pain in the waist and legs and inability to walk.
Atractylodes Rhizome 1 liang, Dried Scorpion 3 qian, Gastrodia Elata Rhizome 2 qian, Prepared Aconitum Kusnezoffii Root (parched, remove skin and tip) 2 qian, Black Prepared Aconite Car root (parched, remove skin and umbilical scar) 2 qian.
Grind into powder. Take 1 qian per dose. Mix with wine. Numbness will subside shortly after ingestion. Pregnant women must not take this. This is an excellent medicine for treating Wind-Cold injuring the Kidney and Bladder deficiency-cold. When used appropriately, it yields miraculous effects.