肝肾脾损，腰疼腰冷，神效。
川萆 杜仲（姜汁炒） 牛膝 破故纸 葫芦巴 菟丝子 肉苁蓉 沙苑蒺藜（各
一两） 肉桂（去皮，五钱） 酒煮猪腰子为丸，每服五七十丸，空心盐酒送下。
肾虚腰痛，不能转侧。
糜茸（一两，鹿茸亦可用） 菟丝子（一两） 舶上硫黄（五钱） 为末，以羊肾二对，酒
煮烂去膜，研如泥，和丸，桐子大，阴干。如羊肾不敷，入酒糊佐之。温酒或盐汤服五十丸。
新角刮去黑皮，取白者，炒黄为末，酒服一钱，日进三服。陈者不用，角中心黄亦不用。
此方治腰痛神效，东垣曰∶鹿角能去恶血者是也。
治阴虚脉大者。
杜仲 龟版 黄柏 知母 枸杞子 五味子（各等分） 为末，猪脊髓为丸，每服五
七十丸。空心盐酒送下。
丹溪治老人跌扑腰痛。
苏木 归身头 陈皮（各一钱） 人参 黄 木香 木通（各五分） 桃仁（九枚） 煎汤
送下，自然铜末子五分。
脉涩者，瘀血也。用熟大黄汤，治坠堕闪挫，腰痛不能屈伸。
大黄（挫如指大） 生姜（切片，各五钱） 二味炒，令焦黄，以水一钟，浸一
宿，五更去渣服，天明取下如鸡肝者，即恶血也。
治腰痛，用葳灵仙，此治痛之要药，为末，每服二钱，以猪腰子一枚，批开掺药在
内，湿纸煨熟，五更细嚼，酒下。
独活寄生汤
见后中风门。
肝肾脾受损，出现腰部疼痛、腰部发冷的症状，服用此方效果显著。
川萆（Bai Huo Xi Xian Cao）、杜仲（Eucommiae Cortex，姜汁炒制）、牛膝（Achyranthis Bidentatae Radix）、破故纸（Psoraleae Fructus）、葫芦巴（Fenugreek Seed）、菟丝子（Cuscutae Semen）、肉苁蓉（Cistanche Herba）、沙苑蒺藜（Astragali Complanati Semen，各一两）；肉桂（Cinnamomi Cortex，去皮，五钱）。用酒煮猪腰子制成丸剂，每次服用五七十丸，空腹时用盐酒送服。
肾损伤导致骨骼痿弱，无法起床。
川萆、杜仲（炒制），按照前面的方法制成丸剂服用。
肾虚引起的腰痛，身体不能转动侧身。
糜茸（鹿角胶，一两，鹿茸也可以使用）、菟丝子（一两）、舶上硫黄（Sulfur，五钱）。研成粉末，取羊肾两对，用酒煮烂后去掉内膜，研磨成泥状，与药粉混合制成丸剂，大小如梧桐子，阴干。如果羊肾的量不够，可以用酒糊辅助粘合。用温酒或淡盐水送服五十丸。
新鹿角刮去黑皮，取白色的部分，炒黄后研成粉末，用酒送服一钱，每天服用三次。陈旧的鹿角不用，角中心黄色的部分也不用。
此方治疗腰痛效果显著，李东垣说：“鹿角能够去除恶血。”
治疗阴虚且脉象大的患者。
杜仲、龟版（Testudinis Carapax et Plastrum）、黄柏（Phellodendri Cortex）、知母（Anemarrhenae Rhizoma）、枸杞子（Lycii Fructus）、五味子（Schisandrae Chinensis Fructus，各等分）。研成粉末，用猪脊髓制成丸剂，每次服用五七十丸。空腹时用盐酒送服。
朱丹溪治疗老年人因跌打损伤引起的腰痛。
苏木（Sappan Lignum）、当归身头（Angelicae Sinensis Radix）、陈皮（Citri Reticulatae Pericarpium，各一钱）、人参（Ginseng Radix）、黄芪（Astragali Radix）、木香（Aucklandiae Radix）、木通（Akebiae Caulis，各五分）、桃仁（Persicae Semen，九枚）。煎汤送服自然铜末子五分。
脉象涩的，是瘀血阻滞。使用熟大黄汤，治疗因坠落、闪挫引起的腰痛，导致身体不能屈伸。
大黄（切成手指粗细）、生姜（切片，各五钱）。将这两味药炒至焦黄，用水一杯浸泡一夜，凌晨五更天时滤去药渣服用，天亮后排出像鸡肝一样的物质，那就是恶血。
治疗腰痛，使用威灵仙（Clematidis Radix et Rhizoma），这是治疗疼痛的重要药物。研成粉末，每次服用二钱，将一个猪腰子剖开，将药粉撒在里面，用湿纸包裹煨熟，凌晨五更天时细细咀嚼，用酒送下。
独活寄生汤
详见后文中风门。
Liver, Kidney, and Spleen damage, presenting with lower back pain and coldness in the lower back; this formula is highly effective.
Baihuoxiancao (Bai Huo Xi Xian Cao), Duzhong (Eucommiae Cortex, stir-fried with ginger juice), Niuxi (Achyranthis Bidentatae Radix), Poguozhi (Psoraleae Fructus), Huluhaba (Fenugreek Seed), Tusizi (Cuscutae Semen), Roucongrong (Cistanche Herba), Shayuan Jili (Astragali Complanati Semen, each 1 liang); Rougui (Cinnamomi Cortex, bark removed, 5 qian). Prepare pills using pig kidneys boiled in wine. Take 50-70 pills per dose, administered on an empty stomach with salted wine.
Kidney damage leading to bone atrophy and inability to get out of bed.
Baihuoxiancao (Bai Huo Xi Xian Cao), Duzhong (Eucommiae Cortex, stir-fried). Prepare and take as pills according to the previous method.
Lower back pain due to Kidney deficiency, with inability to turn or shift the body.
Mijiang (Deer Antler Glue, 1 liang; Deer Antler Lu Rong may also be used), Tusizi (Cuscutae Semen, 1 liang), Boshang Liuhuang (Sulfur, 5 qian). Grind into powder. Take two pairs of sheep kidneys, boil thoroughly in wine, remove the membrane, and grind into a paste. Mix with the powder to form pills, sized like wu tong seeds, and dry in the shade. If the quantity of sheep kidneys is insufficient, add wine paste as a binder. Take 50 pills with warm wine or salt water.
For fresh deer antlers, scrape off the black skin and use only the white part. Stir-fry until yellow and grind into powder. Take 1 qian with wine, three times daily. Do not use old antlers or the yellow center of the antler.
This formula is highly effective for treating lower back pain. Dongyuan stated: "Deer antler can remove evil blood."
For patients with Yin deficiency and a large pulse.
Duzhong (Eucommiae Cortex), Guiban (Testudinis Carapax et Plastrum), Huangbai (Phellodendri Cortex), Zhimu (Anemarrhenae Rhizoma), Gouqizi (Lycii Fructus), Wuweizi (Schisandrae Chinensis Fructus, equal parts). Grind into powder. Form pills using pig spinal cord. Take 50-70 pills per dose, administered on an empty stomach with salted wine.
Danxi treated lower back pain in the elderly caused by falls and trauma.
Sumu (Sappan Lignum), Dangshen Tou (Angelicae Sinensis Radix head), Chenpi (Citri Reticulatae Pericarpium, each 1 qian), Renshen (Ginseng Radix), Huangqi (Astragali Radix), Muxiang (Aucklandiae Radix), Mutong (Akebiae Caulis, each 5 fen), Taoren (Persicae Semen, 9 kernels). Decoct in water to make a soup, and take with 5 fen of Ziran Tong powder (Pyritum).
A choppy pulse indicates blood stasis. Use Shu Dahuang Tang (Prepared Rhubarb Decoction) to treat lower back pain resulting from falls or sprains, where flexion and extension are impaired.
Dahuang (Rhei Radix et Rhizoma, cut into finger-sized pieces), Shengjiang (Zingiberis Rhizoma Recens, sliced, each 5 qian). Stir-fry both ingredients until scorched yellow. Soak in one zhong of water overnight. In the early morning (wugeng time), strain and administer. By dawn, excretion resembling chicken liver will occur, which is the evil blood.
To treat lower back pain, use Weilingxian (Clematidis Radix et Rhizoma), which is a key herb for pain relief. Grind into powder. Take 2 qian per dose. Slice one pig kidney open, insert the powder inside, wrap in wet paper, and roast until cooked. Chew thoroughly in the early morning (wugeng time) and swallow with wine.
Duhuo Jisheng Tang
See the Stroke section below.