〔《保》〕治血癖，腹乃刺刺腰痛。用四物汤细末三两，加酒煮玄胡索细末二两，每服三钱，酒下。
〔《云》〕紫金丸 治产后恶寒不快，腰痛，小腹如刺，寒热腹痛，久有瘀血，月水不调。亦可治心痛，
与失笑散同。
五灵脂（炒为末） 真蒲黄（各等分）
上以好米醋调五灵脂末，慢火熬成膏子，次以蒲黄末搜和丸，如樱桃大，每服一二丸，水与童便各半盏，
煎至七分，至药化，温服之。少顷，再进一服，恶露即下。及有瘀血成块，月信不利者，并用酒磨下。
生地黄汤 治产后腰疼，腹中余血未尽，流为足肿，不食。
生地汁（一升） 芍药 甘草（各二两） 丹参（四两） 生蜜（一合） 生姜汁（半合）
上切，以水三升，煮取一升，去渣，入地黄汁蜜姜汁，微火煎一二沸，一服三合，日二夜三，利一
二行，愈。
〔《大》〕产后恶露方行，忽然渐少，断绝不来，腰中重痛者，此由血滞，宜桃仁汤。如有大痛处必作痈
疽，当以痈疽法治之。
桃仁汤方
桃仁 苏木 生地（各半两） 虻虫（去足翅，炒） 水蛭
上为粗末，每服三钱，水一盏，煎至六分，去渣，温服无时。候恶露下即住服。
灸刺 脊痛脊强，有三法∶
其一取督脉。经云∶督脉之别，名曰长强，别走太阳，实则脊强，取之所别也。
其二取足太阳。经曰∶厥挟脊而痛者，至项头沉沉然，目KT KT 然，腰脊强，取足太阳 中血络是也。
其三取小肠。经云∶小腹控睾引腰脊上冲心，邪在小肠，取之肓原以散之，刺太阴厥阴以下之，取巨虚下
廉以去之是也。
〔《玉》〕脊膂并腰疼∶人中（口含水突处，针入三分，略向上些，但泻无补，留三吸） 委中（二寸半，
忌灸，又于四畔紫脉上去血如藤块者不可出血，出血，血不止，令人夭） 三里（泻） 五枢
〔《甲》〕腰脊强，不得俯仰，刺脊中。睾脊内廉痛，便难，阴痿不用，少腹急，引阴及脚内廉内
阴谷主之。男子脊急目赤，支沟主之。腰脊强，四肢解惰，善怒，咳，少气，郁然不得息，厥逆，肩不可举，
阳乃痿，身 ，章门主之。
耳高者肾高，肾高则苦背膂痛，不可以俯仰。（全文见诊。）
肾脉缓甚为折脊。（全文见治虚实法。）
〔《产宝》〕治疗血癖（瘀血积聚），腹部刺痛，腰痛。用四物汤研成细末三两，加入酒煮玄胡索细末二两，每次服用三钱，用酒送服。
〔《云岐子》〕紫金丸 治疗产后恶寒不适，腰痛，小腹如针刺感，寒热交替腹痛，久有瘀血，月经不调。也可以治疗心痛，与失笑散功效相同。
五灵脂（炒后研为细末） 真蒲黄（各等分）
以上用好米醋调匀五灵脂粉末，用慢火熬制成膏状，然后加入蒲黄粉末搅拌和合制成丸药，大小如樱桃，每次服用一到二丸，用水和童子尿各半盏，煎至七分满，等到药丸化开，温服。过一会儿，再进服一次，恶露即可排出。如果有瘀血结成块状，月经不利的情况，都用酒磨碎送服。
生地黄汤 治疗产后腰疼，腹中余血未尽，流注导致足部肿胀，食欲不振。
生地黄汁（一升） 芍药 甘草（各二两） 丹参（四两） 生蜜（一合） 生姜汁（半合）
以上药材切碎，用水三升，煮取一升药液，去掉药渣，加入地黄汁、蜂蜜和姜汁，用微火煮沸一两滚，每次服用三合，白天两次，晚上三次，大便通利一二行，病愈。
〔《大医》〕产后恶露刚开始通畅，忽然逐渐减少，断绝不来，腰部沉重疼痛的，这是由于血滞，适宜用桃仁汤。如果有剧烈疼痛的部位必定会形成痈疽，应当按痈疽的方法治疗。
桃仁汤方
桃仁 苏木 生地（各半两） 虻虫（去掉足和翅膀，炒制） 水蛭
以上制成粗末，每次服用三钱，用水一盏，煎至六分，去掉药渣，随时温服。等到恶露排出就停止服药。
灸刺 脊痛脊强（脊柱疼痛且僵硬），有三种方法：
其一选取督脉。经络学说记载：督脉的别络，名叫长强，别走太阳经，实证表现为脊强，取用其别络处治疗。
其二选取足太阳膀胱经。经文说：厥气挟持脊柱而痛的，直到项头部感到沉重，眼睛昏花不明，腰脊僵硬，取足太阳经的血络放血即可。
其三选取小肠经。经文说：小腹胀痛牵引睾丸，向上冲抵腰脊及心脏，邪气在小肠，取用肓原穴以消散邪气，刺手太阴肺经和手厥阴心包经以降逆，取巨虚下廉穴以祛除病邪。
〔《玉机真脏论》〕脊柱和腰部疼痛：人中穴（口含水突处，针入三分，略微向上些，只泻不补，留针三吸的时间） 委中穴（深二寸半，忌灸，另外在四周紫色脉络上若有像藤块一样的瘀血不可出血，如果出血，血流不止，会导致人早夭） 三里穴（泻法） 五枢穴
〔《甲乙经》〕腰脊僵硬，不能俯仰，刺脊中穴。睾丸内侧疼痛，排便困难，阳痿不用，少腹急迫，牵引阴部及脚内侧，阴谷穴主治。男子脊柱拘急，眼睛发红，支沟穴主治。腰脊僵硬，四肢懈怠无力，易怒，咳嗽，气短，郁结气息不畅，厥逆，肩膀不能举起，阳气痿废，身体消瘦，章门穴主治。
耳朵位置高的人肾脏位置也高，肾脏位置高则苦于背部脊柱疼痛，不能俯仰。（全文见诊法部分。）
肾脉缓甚（极度缓和无力）表现为折脊（脊柱折断样疼痛）。（全文见治虚实法部分。）
[From *Bao*] To treat blood stasis (accumulation of blood stasis) causing stabbing pain in the abdomen and lower back. Use three taels of Sijun Tang (Four Substances Decoction) finely powdered, add two taels of Yanhusuo (Corydalis Rhizome) finely powdered after wine decoction. Take three qian each time, administered with wine.
[From *Yun*] Zijin Wan (Purple Gold Pill) treats postpartum aversion to cold and discomfort, lower back pain, stabbing sensation in the lower abdomen, alternating chills and fever with abdominal pain, long-standing blood stasis, and irregular menstruation. It can also treat heart pain, with effects similar to Shixiao San (Pain-Stopping Powder).
Wulingzhi (Trogopterus Dung) (stir-fried and powdered) Zhen Puhuang (Lygodii Spora) (equal parts)
Mix Wulingzhi powder with good rice vinegar, slowly boil over low heat into a paste. Then mix in Puhuang powder to form pills the size of cherries. Take one or two pills each time, decocted in half a cup of water and half a cup of child's urine until reduced to seventy percent. Take warm when the pill dissolves. Shortly after, take another dose; lochia will then discharge. For cases with blood stasis forming clumps or irregular menstruation, grind the pill with wine and take orally.
Shengdi Huang Tang (Rehmannia Root Decoction) treats postpartum lower back pain, incomplete expulsion of residual blood in the abdomen leading to foot swelling, and anorexia.
Sheng Di Huang Zhi (Fresh Rehmanniae Radix Juice) (one sheng) Shaoyao (Paeoniae Radix) Gancao (Glycyrrhizae Radix et Rhizoma) (each two taels) Danshen (Salviae Miltiorrhizae Radix et Rhizoma) (four taels) Sheng Mi (Raw Honey) (one he) Sheng Jiang Zhi (Fresh Ginger Juice) (half a he)
Chop the herbs, decoct in three sheng of water to obtain one sheng of liquid. Strain, then add Di Huang juice, honey, and ginger juice. Simmer over low heat for one or two boils. Take three he per dose, twice during the day and three times at night. Upon having one or two bowel movements, the condition resolves.
[From *Da Yi*] When postpartum lochia initially flows smoothly but suddenly decreases gradually and stops completely, accompanied by heavy pain in the waist, this is due to blood stagnation; Tao Ren Tang (Persicae Semen Decoction) is indicated. If there is a site of severe pain that inevitably develops into a carbuncle or ulcer, it should be treated according to the methods for carbuncles and ulcers.
Formula for Tao Ren Tang:
Tao Ren (Persicae Semen) Su Mu (Sappan Wood) Sheng Di (Rehmanniae Radix) (each half liang) Meng Chong (Blatta Orientalis) (remove feet and wings, stir-fried) Shui Zhi (Hirudo)
Grind into coarse powder. Take three qian each time, decoct in one cup of water until reduced to sixty percent. Strain and take warm at any time. Stop taking the medicine once lochia discharges.
Moxibustion and Acupuncture: For spinal pain and stiffness (Ji Tong Ji Qiang), there are three methods:
The first targets the Du Mai (Governor Vessel). The classics state: The collateral branch of the Du Mai is named Changqiang (GV1), diverging to run to the Taiyang channel. In excess conditions manifesting as spinal stiffness, treat its divergent point.
The second targets the Foot-Taiyang Bladder Channel. The classics say: When Jue qi (rebellious qi) causes pain along the spine, extending to the neck and head with a heavy sensation, eyes appearing dim, and stiff waist and spine, bleed the blood collaterals of the Foot-Taiyang channel.
The third targets the Small Intestine Channel. The classics state: Lower abdominal distension radiating to the testicles, rushing up to the waist, spine, and heart indicates pathogenic factors in the Small Intestine. Treat Huangyuan (conception vessel origin) to dissipate them; puncture the Hand-Taiyin Lung Channel and Hand-Jueyin Pericardium Channel to subdue them; and treat Xialian (ST39) to eliminate them.
[From *Yu*] Spinal and lumbar pain: Renzhong (GV26) (at the depression below the philtrum, needle insert 3 fen, slightly upward, only reduce method, no tonification, retain needles for three inhalations) Weizhong (BL40) (depth 2.5 cun, contraindicated for moxibustion; additionally, do not bleed purple vessels on the four sides if they resemble vine knots; bleeding may cause uncontrolled hemorrhage leading to premature death) Sanli (ST36) (reduce method) Wushu (GB27)
[From *Jia Yi Jing*] Stiffness of the waist and spine preventing flexion and extension: Stimulate Jizhong (GV12). Pain on the inner aspect of the testicles and spine, difficult urination, impotence, urgency in the lower abdomen radiating to the yin and the inner aspect of the leg: Yin Gu (KI10) governs these. For men with acute spinal tension and red eyes: Zhigou (SJ6) governs these. Stiffness of the waist and spine, flaccidity of the four limbs, irritability, cough, shortness of breath, oppressive inability to breathe, reversal of qi, inability to raise shoulders, flaccidity of yang, emaciation: Zhangmen (LR13) governs these.
Those with high-set ears have high-set kidneys; those with high-set kidneys suffer from dorsal and spinal pain, unable to flex or extend. (Full text see Diagnosis section.)
A Kidney pulse that is extremely slow/weak manifests as "broken spine" (severe spinal pain). (Full text see Treatment of Excess and Deficiency section.)