1.腰痛肾虚风寒湿, 痰饮气滞与血瘀, 湿热闪挫凡九种, 面忽红黑
定难医.
【注】腰痛之证, 其因不同, 有肾虚, 有风, 有寒, 有湿, 有痰饮,
有气滞, 有血瘀, 有湿热, 有闪挫, 凡患腰痛极甚, 而面色忽红忽黑
,是为心肾交争, 难治之证也.
安肾丸 ( 腰痛治法 )
2.腰痛悠悠虚不举, 寄生青蛾安肾丸, 胡芦骨脂川拣续, 桃杏茴苓
川药盐.
【注】寄生, 谓独活寄生汤. 青娥丸, 即补骨脂, 杜仲, 核桃仁也.
安肾丸, 即胡芦巴, 补骨脂, 川楝肉, 川续断, 桃仁, 杏仁, 小茴香
,茯苓, 山药也. 盐, 盐汤为引也.
羌活胜湿汤 通经丸
3.腰痛属寒得热减, 五积吴萸桃杜安, 寒湿重着胜湿附, 内实通经
硫面牵, 风痛无常掣引足, 经虚当用寄生痊, 经实非汗不能解, 续命
汤加牛杜穿.
【注】五积散, 加吴茱萸, 桃仁, 杜仲. 羌活胜湿汤, 即防风通气汤
加附子也. 通经丸, 即硫黄, 黑牵牛头末, 麦面合丸煮, 浮起服, 方
出本草. 小续命汤加牛膝, 杜仲, 炒穿山甲也.
通气散 活络丹
4.气滞闪挫通气散, 木陈穿索草茴牵, 血瘀不移如锥刺, 日轻夜重
活络丹.
【注】通气散, 即木香, 陈皮, 穿山甲, 元胡索, 甘草, 小茴香, 白
牵牛也. 活络丹, 即川乌, 草乌, 南星, 地龙, 乳香, 没药.
苍柏散 煨肾散
5.湿热热注足苍柏, 二妙牛杜己瓜芎, 腰如物覆湿痰蓄, 煨肾椒盐
遂有功.
【注】苍柏散, 即苍术, 黄柏, 牛膝, 杜仲, 防己, 木瓜, 川芎也.
煨肾散, 即猪腰子割开, 入川椒, 食盐, 甘遂末, 湿纸裹煨 , 熟酒
食之.
1. 腰痛可由肾虚、风寒湿邪侵袭，以及痰饮、气滞和血瘀引起，加上湿热和闪挫，共有九种病因。如果患者面色突然发红或发黑，则属于心肾交争的危重证候，难以治愈。
【注释】腰痛的证候，其病因各不相同，包括肾虚、风邪、寒邪、湿邪、痰饮、气滞、血瘀、湿热和闪挫。凡是患有极度严重的腰痛，且面色忽红忽黑的，这是心肾之气相互争斗的表现，属于难治的证候。
安肾丸（治疗腰痛的方法）
2. 腰痛绵绵不绝且伴有虚损无力症状，可使用独活寄生汤、青娥丸或安肾丸治疗。安肾丸由葫芦巴、补骨脂、川楝子、川续断、桃仁、杏仁、小茴香、茯苓、山药组成，服用时用盐汤作为药引。
【注释】“寄生”指的是独活寄生汤。“青娥丸”即由补骨脂、杜仲、核桃仁组成。“安肾丸”即由葫芦巴、补骨脂、川楝肉、川续断、桃仁、杏仁、小茴香、茯苓、山药组成。“盐”指用盐汤作为药引。
羌活胜湿汤、通经丸
3. 腰痛属寒证者，得热则疼痛减轻，可用加味五积散（五积散加吴茱萸、桃仁、杜仲）；寒湿重着者，可用羌活胜湿汤加附子；体内实热积滞者，可用通经丸（硫黄、黑牵牛头末、麦面合丸煮，浮起后服用，方出《本草》）；风邪引起的疼痛无常并牵引至足部者，若经脉虚损当用独活寄生汤治愈；若经脉实证非发汗不能解除，可用小续命汤加牛膝、杜仲、炒穿山甲。
【注释】五积散，是在原方基础上加吴茱萸、桃仁、杜仲。羌活胜湿汤，即防风通气汤加附子。通经丸，即由硫黄、黑牵牛头末、麦面混合制成丸剂，煮熟后待其浮起时服用，此方出自《本草》。小续命汤加牛膝、杜仲、炒穿山甲。
通气散、活络丹
4. 气滞和闪挫引起的腰痛可用通气散治疗，该方由木香、陈皮、穿山甲、元胡索、甘草、小茴香、白牵牛组成；血瘀停滞不移、疼痛如锥刺般，且白天轻晚上重者，可用活络丹治疗，该方由川乌、草乌、南星、地龙、乳香、没药组成。
【注释】通气散，即由木香、陈皮、穿山甲、元胡索、甘草、小茴香、白牵牛组成。活络丹，即由川乌、草乌、南星、地龙、乳香、没药组成。
苍柏散、煨肾散
5. 湿热下注导致的腰痛可用苍柏散治疗，该方由苍术、黄柏、牛膝、杜仲、防己、木瓜、川芎组成；腰部感觉像有物体覆盖，这是湿痰蓄积所致，可用煨肾散治疗，该方由猪腰子剖开，纳入川椒、食盐、甘遂末，用湿纸包裹煨熟，配酒食用，对此症有效。
【注释】苍柏散，即由苍术、黄柏、牛膝、杜仲、防己、木瓜、川芎组成。煨肾散，即将猪腰子割开，放入川椒、食盐、甘遂末，用湿纸包裹煨熟，配合酒食用。
1. Low back pain may be caused by Kidney deficiency (Shen Xu), invasion of Wind-Cold-Dampness pathogens, as well as Phlegm-Fluid retention (Tan Yin), Qi stagnation (Qi Zhi) and Blood stasis (Xue Yu). Combined with Damp-Heat (Shi Re) and sprain/trauma (Shan Cuo), there are nine types in total. If the patient's facial complexion suddenly turns red or black, it indicates a critical condition of Heart-Kidney conflict (Xin Shen Jiao Zheng), which is difficult to treat.
[Note] The syndrome of low back pain has different etiologies, including Kidney deficiency, Wind pathogen, Cold pathogen, Dampness pathogen, Phlegm-Fluid retention, Qi stagnation, Blood stasis, Damp-Heat, and sprain/trauma. In cases where low back pain is extremely severe and the facial complexion fluctuates between red and black, this represents a struggle between Heart and Kidney Qi, constituting a refractory syndrome.
An Shen Wan (Treatment Method for Low Back Pain)
2. For lingering low back pain accompanied by deficiency and weakness, Du Huo Ji Sheng Tang (Radix Angelicae Pubescentis Decoction), Qing E Wan (Black Walnut Pill), or An Shen Wan can be used. An Shen Wan consists of Halobag Semen (Hulu Ba), Psoraleae Fructus (Buguzhi), Fructus Toosendanii (Chuan Lian Rou), Radix Dipsaci (Chuan Xuduan), Semen Persicae (Tao Ren), Semen Armeniacae Amarum (Xing Ren), Fructus Foeniculi (Xiao Hui Xiang), Poria (Fu Ling), and Rhizoma Dioscoreae (Shan Yao). It should be taken with Salt Water (Yan Tang) as a guiding vehicle.
[Note] "Jisheng" refers to Du Huo Ji Sheng Tang. "Qing E Wan" consists of Psoraleae Fructus, Cortex Eucommiae (Duzhong), and Semen Juglandis (Hetaoren). "An Shen Wan" consists of Halobag Semen, Psoraleae Fructus, Fructus Toosendanii, Radix Dipsaci, Semen Persicae, Semen Armeniacae Amarum, Fructus Foeniculi, Poria, and Rhizoma Dioscoreae. "Salt" refers to using Salt Water as a guiding vehicle.
Qiang Huo Sheng Shi Tang (Notopterygium Decoction for Overcoming Dampness), Tong Jing Wan (Meridian-Penetrating Pill)
3. For low back pain of Cold pattern, which alleviates with heat, Jia Wei Wu Ji San (Modified Five Accumulations Powder: Wu Ji San plus Radix Coptidis? No, Fructus Evodiae (Wu Zhu Yu), Semen Persicae, Cortex Eucommiae) can be used; for heavy and fixed Cold-Dampness, Qiang Huo Sheng Shi Tang plus Radix Aconiti Lateralis Preparata (Fuzi) can be used; for internal excess accumulation, Tong Jing Wan (Sulfur, Semen Sinapis Albae Nigrum Head Powder, Wheat Flour pills boiled until floating, taken when floating, from Ben Cao) can be used; for wind-induced pain that is irregular and radiates to the foot, if the meridians are deficient, Du Huo Ji Sheng Tang should be used to cure it; if the meridians are excess, sweating is required to resolve it, so Xiao Xu Ming Tang (Minor Continuation of Life Decoction) plus Radix Achyranthis Bidentatae (Niuxi), Cortex Eucommiae, and Stir-fried Squama Manis (Chuanshanjia) can be used.
[Note] Wu Ji San here refers to Wu Ji San plus Fructus Evodiae, Semen Persicae, and Cortex Eucommiae. Qiang Huo Sheng Shi Tang refers to Fang Feng Tong Qi Tang plus Radix Aconiti Lateralis Preparata. Tong Jing Wan consists of Sulfur, Semen Sinapis Albae Nigrum Head Powder, and Wheat Flour, made into pills, boiled, and taken when they float; this formula is cited from Ben Cao. Xiao Xu Ming Tang plus Radix Achyranthis Bidentatae, Cortex Eucommiae, and Stir-fried Squama Manis.
Tong Qi San (Ventilate Qi Powder), Huo Luo Dan (Unblock Collaterals Pill)
4. For low back pain due to Qi stagnation and sprain/trauma, Tong Qi San can be used, which consists of Radix Aucklandoniae (Muxiang), Pericarpium Citri Reticulatae (Chenpi), Squama Manis (Chuanshanjia), Radix Corydalis Yanhusuo (Yuanhusuo), Radix Glycyrrhizae (Gancao), Fructus Foeniculi, and Rhizoma Alismatis? No, Rhizoma Alismatis is Fangji, here Bai Qianniu (Semen Pharbitidis). For blood stasis that does not move, feeling like needle pricks, worse at night and better during the day, Huo Luo Dan can be used, which consists of Radix Aconiti Karakorum (Chuanwu), Radix Aconiti Kusnezoffii (Caowu), Rhizoma Arisaematis (Nanxing), Pheretima (Dilong), Resina Draconis (Ruxiang), and Resina Myrrhae (Moyao).
[Note] Tong Qi San consists of Radix Aucklandoniae, Pericarpium Citri Reticulatae, Squama Manis, Radix Corydalis Yanhusuo, Radix Glycyrrhizae, Fructus Foeniculi, and Semen Pharbitidis. Huo Luo Dan consists of Radix Aconiti Karakorum, Radix Aconiti Kusnezoffii, Rhizoma Arisaematis, Pheretima, Resina Draconis, and Resina Myrrhae.
Cang Bai San (Atractylodes and Phellodendron Powder), Wei Shen San (Roasted Kidney Powder)
5. For low back pain due to Damp-Heat pouring downward, Cang Bai San can be used, consisting of Rhizoma Atractylodis Macrocephalae (Cangzhu), Cortex Phellodendri (Huangbai), Radix Achyranthis Bidentatae, Cortex Eucommiae, Radix Stephaniae Tetrandrae (Fangji), Pericarpium Quisqualis (Mugua), and Radix Chuanxiong. If the waist feels covered by an object, this is due to accumulation of Damp-Phlegm; Wei Shen San can be effective. This powder involves cutting open a pig kidney, inserting Zanthoxylum Pericarpium (Chuanjiao), Sodium Chloride (Yan), and Radix Kansui Powder (Gansui), wrapping it in wet paper, roasting it until cooked, and consuming it with wine.
[Note] Cang Bai San consists of Rhizoma Atractylodis Macrocephalae, Cortex Phellodendri, Radix Achyranthis Bidentatae, Cortex Eucommiae, Radix Stephaniae Tetrandrae, Pericarpium Quisqualis, and Radix Chuanxiong. Wei Shen San involves cutting open a pig kidney, placing Zanthoxylum Pericarpium, Sodium Chloride, and Radix Kansui Powder inside, wrapping in wet paper, roasting until cooked, and eating with wine.