〔垣〕身重者湿也，补中益气汤去桂加五苓散主之。
〔洁〕起卧不能谓之湿，身重是也，小柴胡汤、黄 芍药汤。
〔仲〕风湿脉浮身重汗出恶风者，防己黄 汤主之。（方见伤寒身重。）
〔洁〕夏月中风湿，身重如山，不能转侧，宜除风胜湿去热之药治之。
〔仲〕肾着之病，其人身体重，腰中冷，如坐水中，形如水状，反不渴，小便自利，饮食如故，病属
下焦。身劳汗出，表里冷湿，久久得之，腰以下冷痛，腹重如带五千钱。甘姜苓术汤主之。
甘草 白术（各二两） 干姜 茯苓（各四两）
上四味，以水五升，煮取三升，分温二服，腰中自温。
〔《素》〕肝虚肾虚脾虚，皆令人体重烦冤。（示从容论体重属肝、肾虚，肝虚则脾寡于畏而体重，肾虚
则脾胜之而体重也。）
〔垣〕参术汤 治脾胃虚弱，元气不能荣于心肺，四肢沉重，食后昏闷。
黄 （二钱） 人参（半钱） 升麻（三分） 甘草（炙，四分） 柴胡 酒黄柏（各三分） 陈皮（五分）
青皮（五分） 神曲（七分） 苍术（一钱） 当归（二分）
上 咀，作一服，水二盏，煎至一盏半，去渣，带热服，食前。
运气 身重有五∶
一曰湿，乃湿制肾虚而重。经云∶太阴所至为身重。又云∶太阴之复，体重身满。又云∶岁土太过，湿气
流行，民病体重烦冤。又云∶ 土郁之发，民病身重是也。
二曰湿热。经云∶少阳司天之政，四之气，炎暑间化，其病满身重是也。
三曰寒湿。经云∶太阴司天之政，三之气，感于寒湿，民病身重是也。
四曰风，乃木制脾虚而重。经云∶岁木太过，风气流行，民病体重烦冤。又云∶岁土不及，风乃大行，
民病体重烦冤。又云∶厥阴在泉，风淫所胜，病身体皆重是也。
五曰金，乃燥制肝虚而重。经云∶岁金太过，燥气流行，民病体重烦冤是也。
针灸 身重有二法∶
其一取脾。经云∶脾病者身重肉痿，取其经太阴阳明少阴血者。又云∶脾足太阴之脉是动，则病腹胀，身
体皆重，视盛虚热寒陷下取之也。
其二取肾。经云∶肾病者身重，寝汗出，憎风，取其经少阴太阳血者是也。
[李东垣] 身体沉重属于湿邪所致，治疗应以补中益气汤去除桂枝，加入五苓散为主方。
[张洁古] 起卧困难不能称为湿，身体沉重才是湿的表现，可用小柴胡汤或黄芩芍药汤治疗。
[张仲景] 风湿病见脉浮、身体沉重、汗出、恶风者，用防己黄芪汤主治。（该方剂详见《伤寒论》身重篇。）
[张洁古] 夏季感受风湿之邪，身体沉重如坐山中，无法转动侧身，适宜使用祛风胜湿清热的药物治疗。
[张仲景] 肾着病，患者身体沉重，腰部寒冷，如同坐在水中，外形看似水肿，反而不口渴，小便自利，饮食正常，病位属下焦。因劳作汗出，表里受冷湿侵袭，日久形成，腰部以下冷痛，腹部沉重如同系着五千枚铜钱。用甘姜苓术汤主治。
甘草、白术（各二两），干姜、茯苓（各四两）。
以上四味药，用水五升，煮取三升，分两次温服，腰部自然温暖。
[《黄帝内经·素问》] 肝虚、肾虚、脾虚，都会导致人体身体沉重且心中烦闷冤屈。（《示从容论》指出体重属肝肾亏虚，肝虚则脾土失去制约而致体重，肾虚则水气反侮脾土而致体重。）
[李东垣] 参术汤：治疗脾胃虚弱，元气不能滋养心肺，四肢沉重，饭后昏沉闷乱。
黄芪（二钱）、人参（半钱）、升麻（三分）、炙甘草（四分）、柴胡、酒黄柏（各三分）、陈皮（五分）、青皮（五分）、神曲（七分）、苍术（一钱）、当归（二分）。
以上药物切碎，作一剂服用，加水两盏，煎至一盏半，去渣，趁热服用，饭前服。
运气学说中，身重有五种情况：
一是湿邪，乃湿气克制肾虚而导致沉重。经文说：“太阴湿土之气所至表现为身体沉重。”又说：“太阴湿土之气复郁发作，身体沉重胀满。”又说：“岁运土气太过，湿气流行，百姓患病身体沉重烦闷。”又说：“土气郁结发作时，百姓患病身体沉重。”
二是湿热。经文说：“少阳相火司天之年，四之气阶段，炎暑夹杂化生，其病症为全身沉重。”
三是寒湿。经文说：“太阴湿土司天之年，三之气阶段，感受寒湿，百姓患病身体沉重。”
四是风邪，乃风气克制脾虚而导致沉重。经文说：“岁运木气太过，风气流行，百姓患病身体沉重烦闷。”又说：“岁运土气不及，风气大行，百姓患病身体沉重烦闷。”又说：“厥阴风木在泉，风邪淫盛获胜，病症为身体皆重。”
五是金燥，乃燥气克制肝虚而导致沉重。经文说：“岁运金气太过，燥气流行，百姓患病身体沉重烦闷。”
针灸治疗身重有两种方法：
其一取脾经。经文说：“脾病患者身体沉重、肌肉痿软，应取足太阴脾经、足阳明胃经、足少阴肾经的血络。”又说：“足太阴脾经发生变动，则病症为腹胀、身体皆重，需视经络的盛虚、寒热、下陷等情况进行针刺治疗。”
其二取肾经。经文说：“肾病患者身体沉重，睡中出汗，怕风，应取足少阴肾经、足太阳膀胱经的血络进行治疗。”
[Li Dongyuan] Body heaviness is caused by dampness; the primary treatment is Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with Guizhi (Cinnamon Twig) removed and Wuling San (Five-Ingredient Powder with Poria) added.
[Zhang Jiegu] Difficulty in rising and lying down cannot be defined as dampness; body heaviness is the manifestation of dampness, which can be treated with Xiaochaihu Tang (Minor Bupleurum Decoction) or Huangqin Shaoyao Tang (Scutellaria and Peony Decoction).
[Zhang Zhongjing] In cases of Wind-Dampness presenting with a floating pulse, body heaviness, sweating, and aversion to wind, Fangji Huangqi Tang (Stephania and Astragalus Decoction) is indicated. (See Shanghan Lun for the formula details on body heaviness.)
[Zhang Jiegu] In summer, contracting Wind-Dampness results in body heaviness as if sitting in a mountain, making it impossible to turn or shift position. Treatment should employ herbs that dispel wind, overcome dampness, and clear heat.
[Zhang Zhongjing] The disease known as "Kidney Fixation" (Shen Zhuo) presents with body heaviness, coldness in the lower back as if sitting in water, and an appearance resembling edema, yet without thirst, with normal urination and appetite. The pathology belongs to the Lower Jiao (Lower Burner). It arises from labor-induced sweating leading to chronic exposure of the exterior and interior to cold-dampness. Over time, this causes cold pain below the waist and abdominal heaviness as if bound by five thousand coins. Gan Jiang Ling Zhu Tang (Ginger, Poria, Atractylodes, and Licorice Decoction) is indicated.
Gancao (Licorice Root), Baizhu (White Atractylodes Rhizome) [each 2 liang]; Ganjiang (Dried Ginger), Fuling (Poria) [each 4 liang].
The above four ingredients are boiled in 5 sheng of water to yield 3 sheng, divided into two warm doses. The waist will naturally become warm.
[Su Wen] Deficiency of the Liver, Kidney, or Spleen all cause body heaviness and mental distress/oppression. (The Shicongrong Lun indicates that heaviness relates to Liver and Kidney deficiency: Liver deficiency leads to Spleen lacking restraint causing heaviness; Kidney deficiency leads to Water overacting on Spleen causing heaviness.)
[Li Dongyuan] Shen Shu Tang (Ginseng and Atractylodes Decoction): Treats Spleen-Stomach weakness where Yuan Qi fails to nourish the Heart and Lungs, resulting in heavy limbs and postprandial drowsiness and oppression.
Huangqi (Astragalus Root) [2 qian], Renshen (Ginseng Root) [0.5 qian], Shengma (Cimicifuga Rhizome) [3 fen], Zhi Gancao (Honey-fried Licorice Root) [4 fen], Chaihu (Bupleurum Root), Jiu Huangbai (Wine-processed Phellodendron Bark) [each 3 fen], Chenpi (Aged Tangerine Peel) [5 fen], Qingpi (Green Tangerine Peel) [5 fen], Shenqu (Medicated Leaven) [7 fen], Cangzhu (Black Atractylodes Rhizome) [1 qian], Danggui (Angelica Sinensis Root) [2 fen].
The above herbs are coarsely crushed, prepared as one dose, boiled in 2 zhan of water until 1.5 zhan remains, strained, and taken hot before meals.
Regarding Yunqi (Six Qi and Five Movements) theory, there are five types of body heaviness:
First is Dampness, where dampness suppresses Kidney deficiency leading to heaviness. The classics state: "When Taiyin arrives, it manifests as body heaviness." Also: "When Taiyin rebounds, the body is heavy and distended." Also: "When the Year's Earth is excessive, dampness spreads, and people suffer from heavy bodies and mental distress." Also: "When Earth stagnation erupts, people suffer from body heaviness."
Second is Damp-Heat. The classics state: "In years governed by Shaoyang Fire at Heaven, during the fourth Qi period, intense heat alternates with transformation, causing illness characterized by whole-body heaviness."
Third is Cold-Dampness. The classics state: "In years governed by Taiyin Earth at Heaven, during the third Qi period, contraction of cold-dampness causes people to suffer from body heaviness."
Fourth is Wind, where Wind controls Spleen deficiency leading to heaviness. The classics state: "When the Year's Wood is excessive, Wind spreads, and people suffer from heavy bodies and mental distress." Also: "When the Year's Earth is insufficient, Wind prevails greatly, and people suffer from heavy bodies and mental distress." Also: "When Jueyin Wind is at Earth, Wind excess wins, causing the whole body to feel heavy."
Fifth is Metal/Dryness, where Dryness controls Liver deficiency leading to heaviness. The classics state: "When the Year's Metal is excessive, Dryness spreads, and people suffer from heavy bodies and mental distress."
Acupuncture treatments for body heaviness involve two methods:
One involves selecting the Spleen. The classics state: "For Spleen diseases manifesting as body heaviness and muscle flaccidity, select the collaterals of the Foot-Taiyin, Foot-Yangming, and Foot-Shaoyin meridians." Also: "When the Foot-Taiyin Spleen meridian moves, it causes abdominal fullness and whole-body heaviness; treat based on excess/deficiency, heat/cold, and sinking/depression."
Two involves selecting the Kidney. The classics state: "For Kidney diseases manifesting as body heaviness, night sweats, and aversion to wind, select the collaterals of the Foot-Shaoyin and Foot-Taiyang meridians."