作祟哉。而且白术、茯苓以健脾开胃，白芍以平肝，黄连、肉桂以交心肾，则肺气自宁，自
然下降，正不必陈皮之助矣。
此症可用助气散痹汤∶
甘草 半夏 干姜（各一钱） 桔梗 茯神（各三钱） 人参（二钱） 陈皮 紫菀（各五分） 花椒
黄芩（各三分）
水煎服。
人有下元虚寒，复感寒湿，腰肾重痛，两足无力，人以为此肾痹也。而肾痹之成，非尽
由于风寒湿也。夫肾虽寒脏，而其中原自有火，有火则水不寒，而风寒湿无从而入。无奈人
过于作强，将先天之水，日日奔泄，水去而火亦随流而去，使生气之原，竟成为藏冰之窟，
火不能敌寒，而寒邪侵之矣。寒气直入于肾宫，以邪招邪，而风湿又相因而至，则痹症生矣
。法不必去邪，惟在补正。补正者，补肾中之火也。然而火非水不长，补火必须补水，但补
水恐增其湿，湿旺而风寒有党，未必能遽去，为忧。孰知肾水者，火中之水也，此乃真水而
非邪水也。真水衰而邪水始盛；真水盛而邪水自衰，故补真水而实足以制邪水也。况水中有
火，何湿不去乎。夫最难治者，水邪也，水邪既去，风寒不治而自散矣。方用肾痹汤∶
白术（一两） 山茱萸（五钱） 茯苓（五钱） 薏仁（五钱） 杜仲（三钱） 肉桂（一钱） 附子（
五分） 防己
水煎服。二剂而腰轻，四剂而痛止，十剂而两足有力，再十剂而全愈。
方中补水之药少，而去湿之药多，然而又无非补水也。于水中补火，则火无太炎之患；
于水中祛湿，则湿无太息之忧。寒湿既去，而风安得独留哉。方中又有防己之祛邪，故风寒
湿尽去也。
此症用利气丹亦效。
白术 人参 山药（各一两） 附子（三钱） 山茱萸（四钱） 薏仁（五钱） 破故纸（二钱） 防己（三分
水煎服。
become pathogenic factors. Furthermore, using Baizhu (Atractylodis Macrocephalae Rhizoma) and Fuling (Poria) to strengthen the Spleen and stimulate appetite, Baishao (Paeoniae Radix Alba) to soothe the Liver, and Huanglian (Coptidis Rhizoma) and Rougui (Cinnamomi Cortex) to interact with the Heart and Kidney, the Lung Qi will naturally calm down and descend; thus, there is no need for Chenpi (Citri Reticulatae Pericarpium) to assist.
This syndrome can be treated with Zhuqi Sanbi Decoction:
Gancao (Licorice Root), Banxia (Pinelliae Rhizoma), Ganjiang (Zingiberis Rhizoma Recens) (each 1 qian), Jiegeng (Platycodonis Radix), Fushen (Poria with Hostwood) (each 3 qian), Renshen (Ginseng Radix et Rhizoma) (2 qian), Chenpi (Citri Reticulatae Pericarpium), Ziwan (Asternis Radix) (each 0.5 qian), Huajiao (Zanthoxyli Pericarpium), Huangqin (Scutellariae Radix) (each 0.3 qian).
Decoct in water and take orally.
Some individuals suffer from deficiency-cold in the Lower Yuan (Lower Origin/Essence) and are additionally affected by cold-dampness, resulting in heavy and painful lower back and kidneys, and weakness in both legs. People assume this is Shenbi (Kidney Bi-syndrome, characterized by heaviness/pain in the waist/kidneys and leg weakness). However, the formation of Shenbi is not entirely due to wind-cold-dampness. Although the Kidney is a Yin organ associated with cold, it inherently possesses Mingmen Fire (Ministerial Fire). With fire present, the water does not become cold, and wind-cold-dampness cannot penetrate. Regrettably, people exert themselves excessively, causing the congenital Essence-Water to flow away daily. As the water leaves, the fire flows away with it, turning the source of vital energy into a cave storing ice. The fire cannot resist the cold, allowing cold pathogens to invade. Cold qi enters directly into the Kidney Palace, attracting evil pathogens, and wind-dampness follows sequentially, generating Bi-syndrome. The treatment method does not require expelling pathogens but focuses on tonifying the Righteous Qi. Tonifying the Righteous Qi means tonifying the fire within the Kidney. However, fire does not grow without water; tonifying fire requires tonifying water. Yet, merely tonifying water may increase dampness; if dampness becomes excessive, wind-cold gains allies, and it may not be quickly dispelled, causing concern. Who knows that Kidney Water is water within fire; this is True Water, not Evil Water. When True Water declines, Evil Water flourishes; when True Water flourishes, Evil Water naturally declines. Therefore, tonifying True Water is sufficient to control Evil Water. Moreover, since there is fire within the water, what dampness cannot be removed? The most difficult to treat is Evil Water. Once Evil Water is eliminated, wind-cold disperses spontaneously without specific treatment. Use Shenbi Tang (Kidney Bi Decoction):
Baizhu (Atractylodis Macrocephalae Rhizoma) (1 liang), Shanzhuyu (Corni Fructus), Fuling (Poria), Yiren (Coicis Semen) (each 5 qian), Duzhong (Eucommiae Cortex), Rougui (Cinnamomi Cortex) (each 1 qian), Fuzi (Aconiti Lateralis Radix Preparata) (0.5 fen), Fangji (Stephaniae Tetrandrae Radix).
Decoct in water and take orally. After two doses, the waist feels light; after four doses, pain stops; after ten doses, both legs gain strength; after another ten doses, full recovery occurs.
In this formula, herbs tonifying water are few, while herbs removing dampness are many, yet none fail to tonify water. Tonifying fire within water prevents the fire from becoming too blazing; removing dampness within water prevents dampness from stagnating excessively. Once cold-dampness is gone, how can wind remain alone? Additionally, Fangji in the formula expels pathogens, so wind-cold-dampness are all eliminated.
Using Liqi Dan (Qi-Regulating Pill) is also effective for this syndrome.
Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix et Rhizoma), Shanyao (Dioscoreae Rhizoma) (each 1 liang), Fuzi (Aconiti Lateralis Radix Preparata) (3 qian), Shanzhuyu (Corni Fructus) (4 qian), Yiren (Coicis Semen) (5 qian), Poguzhi (Psoraleae Fructus) (2 qian), Fangji (Stephaniae Tetrandrae Radix) (0.3 fen).
Decoct in water and take orally.