上细末,每服二钱,不拘时,温酒调服。一方,加杜仲,或加桃仁、牛膝、续断亦可。
牵牛丸 治冷气流注,腰疼不可俯仰。
黑牵牛 玄胡索(微炒) 补骨脂(三味另炒,另捣取末。各二两)
上煨蒜研膏,丸如梧子大。每服五十丸,食前葱、酒、盐汤任下。一方,不用玄胡、骨
脂,用麸炒为末,酒糊丸。
立安散 专治腰痛。
杜仲(炒) 橘核(炒,取仁)
等分,细末,每服二钱,不拘时,用盐酒调服。
补骨脂丸 治腰痛不可忍。
补骨脂(二两,酒浸一宿,用麸炒,为末入) 杏仁(汤泡,去皮尖,研) 桃仁(炮,去皮尖,研。各一两)
上和匀,以浸药酒煮面糊和丸,如梧桐子大。每服五十丸,空心盐汤或盐酒下。
丸 治坠堕闪肭,血气凝滞腰痛。
子 当归(酒浸,焙) 威灵仙 破故纸(炒) 杜仲(炒) 桂心(各五钱) 乳香(别研) 没药
(别研。各二钱半)
上为细末,酒煮面糊丸,如梧子大。每服七十丸,空心用盐汤或盐酒任下。
治腰痛如神方
杜仲(炒去丝) 木香(各四两) 官桂(一两)
上为细末,每服二钱,空心温酒调下。此药活血化气。
药棋子(《本事》) 治腰痛气滞者。
黑牵牛不拘多少,以新瓦火烧赤,便以牵牛倒在瓦上,自然一半生一半熟,不得搅
动,取头末一两,入硫黄一分,同研匀,分三服。每用白面一匙,水和捏如棋子样,五
更初用水一盏煮熟送下,痛住即止;未住,明日五更再服。
〔肾着〕
除湿丹(《统旨》)
槟榔 甘遂 芍药(煨) 威灵仙 泽泻 葶苈(各二两) 乳香 没药(各一两) 大戟(炒,三
两) 陈皮(四两) 黑牵牛(头末,一两)
上为末,面糊丸,如桐子大。每服三十丸,空心用灯草汤送下。
渗湿汤(见伤湿。) 导痰汤(见痰饮。)
禹功散(子和)
黑牵牛(四两) 茴香(炒,一两)
上为末,姜汁调一二钱服。
清湿散(《统旨》)
黄柏(盐水拌炒,一钱五分) 泽泻(一钱) 苍术(一钱半,米泔浸炒) 杜仲 白芍药(煨) 牛膝
(酒浸) 木瓜 威灵仙 陈皮(各一钱) 甘草(三分)
痛甚者,加乳香、没药末五分,临服调入。
水二盅,姜三片,煎八分,食前服。
〔脊痛脊强〕
羌活胜湿汤(见前腰痛。) 地龙汤(同上。)
Pulverize the herbs into fine powder. Take 2 qian per dose at any time, mixed with warm wine. Another prescription adds Duzhong (Eucommiae Cortex) or also includes Taoren (Persicae Semen), Niuxi (Achyranthis Bidentatae Radix), and Xuduan (Dipsaci Radix).
Qianqiu Wan (Black Morning Glory Pill): Treats lower back pain caused by cold qi flowing and accumulating, characterized by severe pain preventing bending or extending the waist.
Ingredients: Hei Qianqiu (Pharbitidis Semen Nigrum), Xuanhusuo (Cyperanthi Rhizoma), Buguzhi (Psoraleae Fructus). These three herbs are separately stir-fried and separately ground into powder (each 2 liang).
Process: Roasted garlic is mashed into a paste to bind the pills, which are made the size of sophora seeds. Take 50 pills before meals, washed down with scallion water, wine, or salted broth as preferred. Another version excludes Xuanhusuo and Buguzhi, using bran-stir-fried powder bound with wine paste.
Li'an San (Stability Powder): Specifically treats lower back pain.
Ingredients: Duzhong (Eucommiae Cortex, stir-fried), Juhe (Citri Reticulatae Semen, stir-fried, kernel taken).
Process: Equal parts, ground into fine powder. Take 2 qian per dose at any time, mixed with salted wine.
Buguzhi Wan (Psoralea Pill): Treats unbearable lower back pain.
Ingredients: Buguzhi (Psoraleae Fructus, 2 liang, soaked in wine overnight, then stir-fried with bran and ground into powder), Xingren (Armeniacae Semen Amarum, soaked in hot water, skin and tips removed, ground), Taoren (Persicae Semen, processed, skin and tips removed, ground; each 1 liang).
Process: Mix evenly. Use the wine used for soaking the herbs to boil wheat paste for binding. Make pills the size of sophora seeds. Take 50 pills on an empty stomach, washed down with salted water or salted wine.
[Prescription Name Missing in Source]: Treats lower back pain due to blood and qi stagnation from falls or sprains.
Ingredients: Danggui (Angelicae Sinensis Radix, soaked in wine, dried), Weilingxian (Clematidis Radix et Rhizoma), Poguzhi (another name for Buguzhi/Psoraleae Fructus, stir-fried), Duzhong (Eucommiae Cortex, stir-fried), Guixin (Cinnamomi Ramulus/Cortex), Rushxiang (Boswelliae Resina, separately ground), Moyao (Commiphora Resina, separately ground; each 2.5 qian for Rushxiang and Moyao, others 5 qian).
Process: Ground into fine powder, bound with wine-boiled wheat paste into pills the size of sophora seeds. Take 70 pills on an empty stomach, washed down with salted water or salted wine as preferred.
Zhi Yao Tong Ru Shen Fang (Miraculous Formula for Lower Back Pain):
Ingredients: Duzhong (Eucommiae Cortex, stir-fried to remove silk fibers), Muxiang (Aucklandiae Radix; each 4 liang), Guanzi Gui (Cinnamomi Cortex, 1 liang).
Process: Ground into fine powder. Take 2 qian per dose on an empty stomach, mixed with warm wine. This formula invigorates blood and transforms qi.
Yao Qizi (Medicine Chess Piece, from *Ben Shi Fang*): Treats lower back pain due to qi stagnation.
Ingredients: Hei Qianqiu (Pharbitidis Semen Nigrum) in unlimited quantity.
Process: Heat a new tile until red-hot. Pour the black morning glory seeds onto the tile. They will naturally become half raw and half cooked without stirring. Collect the finest powder (1 liang) and mix with sulfur (1 fen). Divide into three doses. For each dose, take one spoonful of white flour, mix with water to form a chess-piece shape. At the first watch of the night (around 1-3 AM), boil in one cup of water and ingest. Stop if pain ceases; if not, repeat the next night at the first watch.
[Shen Zhuo - Kidney Fixation]
Chushi Dan (Dampness-Expelling Pill, from *Tong Zhi*):
Ingredients: Binglang (Arecae Semen), Gansui (Kansui Radix), Shaoyao (Paeoniae Radix, roasted), Weilingxian (Clematidis Radix et Rhizoma), Zexie (Alismatis Rhizoma), Tingli (Lepidii Semen; each 2 liang), Rushxiang (Boswelliae Resina), Moyao (Commiphora Resina; each 1 liang), Daji (Euphorbiae Humifusae Radix, stir-fried, 3 liang), Chenpi (Citri Reticulatae Pericarpium, 4 liang), Hei Qianqiu (Pharbitidis Semen Nigrum, finest powder, 1 liang).
Process: Ground into powder, bound with wheat paste into pills the size of tung seeds. Take 30 pills on an empty stomach, washed down with rush grass decoction.
Shenshi Tang (Dampness-Osmosis Decoction, see section on Injury by Dampness), Daotan Tang (Phlegm-Guiding Decoction, see section on Phlegm-Fluids).
Yugong San (Meritorious Powder, by Zhang Zihe):
Ingredients: Hei Qianqiu (Pharbitidis Semen Nigrum, 4 liang), Huixiang (Foeniculi Fructus, stir-fried, 1 liang).
Process: Ground into powder. Take 1-2 qian mixed with ginger juice.
Qingshi San (Clear-Dampness Powder, from *Tong Zhi*):
Ingredients: Huangbai (Phellodendri Cortex, stir-fried with salt water, 1.5 qian), Zexie (Alismatis Rhizoma, 1 qian), Cangzhu (Atractylodis Rhizoma, 1.5 qian, soaked in rice wash water and stir-fried), Duzhong (Eucommiae Cortex), Baishaoyao (Paeoniae Radix Alba, roasted), Niuxi (Achyranthis Bidentatae Radix, soaked in wine), Mugua (Chaenomelis Fructus), Weilingxian (Clematidis Radix et Rhizoma), Chenpi (Citri Reticulatae Pericarpium; each 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 0.3 qian).
Modification: For severe pain, add 0.5 qian of Rushxiang (Boswelliae Resina) and Moyao (Commiphora Resina) powder, mixing it in just before taking.
Preparation: Add two cups of water and three slices of ginger. Decoct until reduced to 0.8 cups. Take before meals.
[Ji Tong Ji Qiang - Spine Pain and Stiffness]
Qianghuo Shengshi Tang (Notopterygium Decoction to Overcome Dampness, see previous lower back pain section), Dilong Tang (Earthworm Decoction, same as above).