论曰肾藏虚者，阳气不足也，阳气不足，则阴气多，阴气多则营卫不得和流，气脉不能
通畅，故使水谷不化，胃气虚弱，令人腹胁胀满。甚则疼痛也。
治肾藏虚冷气，攻腹胁胀满疼痛，心气喘闷，手足厥冷。 香子丸方
香子（炒） 木香 桂（去粗皮） 槟榔（锉） 桃仁（去皮尖双仁炒研成膏） 蓬
莪术（煨锉各三分） 青橘皮（汤浸去白焙） 莱菔子（炒） 附子（炮裂去皮脐各半两） 浓
朴（去粗皮生姜汁炙一两半）
上一十味，捣罗九味为末，入桃仁膏研匀，以酒煮面糊，丸如梧桐子大，每服三十丸，
空心食前温酒下。
治肾藏气冷，腹痛呕逆，腹胁胀满，四肢少力，不思饮食。葫芦巴饮方
葫芦巴 白茯苓（去黑皮） 舶上 香（各一两） 肉豆蔻（去壳） 木香 附子（炮
裂去皮
上七味， 咀如麻豆大，每服三钱匕，水一盏，盐一捻，煎至七分，去滓温服，空心食
前。
治肾藏虚冷气，攻腹中疼痛，两胁胀满。木香汤方
木香 沉香（各半两） 青橘皮（汤浸去白炒） 京三棱（煨锉各一两） 桂（去粗皮）
当归
上八味。粗捣筛，每服三钱匕，水一盏，生姜三片，枣二枚劈破，煎至七分，去滓温服
治肾藏虚冷气，攻腹胁胀满疼痛。槟榔汤方
槟榔（生锉） 木香（各半两） 子 桔梗（炒各二两） 桂（去粗皮） 附子（炮
裂去皮脐各一两）
上六味， 咀如麻豆，每服三钱匕，水一盏，煎至七分，去滓温服。
治肾藏虚冷气，攻腹胁疼痛胀满烦倦。荜澄茄煮散方
荜澄茄 甘草（炙锉） 人参 芍药（各一两） 香子（炒） 槟榔（各三分） 干
姜（炮） 诃黎勒皮 桂（去粗皮各半两）
上九味，捣罗为散，每服三钱匕，水一盏，煎至七分，温服不拘时。
治肾藏冷气，攻腹胁疼痛胀满。 香子丸方
香子（炒） 蓬莪术（煨锉） 楝实（煨去核） 白术 诃黎勒皮（各一两） 丁香
（一分） 吴茱萸（汤洗焙干炒半两） 桃仁（三分去皮尖双仁研如膏）
上八味，捣罗七味，入桃仁膏研匀，炼蜜丸如银杏大，每服一丸，温酒或盐汤嚼下，不
拘时。
治男子肾气虚，攻腹胁疼痛胀满。乌头 香丸方
乌头（炮裂去皮脐） 槟榔（锉） 香子（炒） 楝实（锉炒） 当归（切焙各一两）
木香（
半两） 砂（研一钱）
上七味，捣研为末，和匀，醋煮面糊，丸如梧桐子大。丹砂为衣，每服二十丸。温酒下，
不拘时。
治肾藏虚冷，腹胁疼痛胀满。非时足冷阴痿。行步无力。五味子丸方
五味子 续断 牛膝（酒浸切焙） 杜仲（去粗皮炙锉） 附子（炮裂去皮脐） 桂（去
粗皮）
茱萸（汤洗焙炒）
上一十五味，捣罗为末，酒煮面糊，丸如梧桐子大，每服二十至三十丸，空心盐汤下。
治肾藏虚冷，腹胁疼痛胀满。沉香汤方
沉香 细辛（去苗叶） 续断 木香 芎 当归（切焙） 甘草（炙锉） 槟榔（锉）
石斛
上一十一味，粗捣筛，每服三钱匕，水一盏，煎至七分，空心去滓温服。
治肾脏虚冷。腹胁胀满。巴附丸方
葫芦巴（一两半） 附子（炮裂去皮脐） 硫黄（研各一两） 香子（炒三分） 槟
榔（锉）
上六味，捣研为末和匀。酒煮面糊。丸如梧桐子大，每服二十丸至三十丸。温酒或盐汤
下，空心日午临卧服。
治肾脏虚冷，腹胁胀满。葫芦巴丸方
葫芦巴（二两） 附子（炮裂去皮脐） 硫黄（研各三分）
上三味，捣研为末，酒煮面糊。丸如梧桐子大，每服二十丸至三十丸，盐汤下。
治肾脏虚冷，腹胁胀满。豆蔻饮方
肉豆蔻（去壳） 葫芦巴 香子（炒） 丁香（各一两） 沉香（三分）
上五味，粗捣筛。每服三钱匕，水一盏，入盐少许，煎至七分，空心食前去滓温服。
治肾脏虚冷气，攻两胁下胀，小腹急痛，胸中短气。补肾汤方
磁石（水飞研淘去赤汁） 附子（炮裂去皮脐各二两） 黄 （锉） 五味子 当归（切
焙）
半） 陈橘皮（
上一十四味， 咀如麻豆，每服三钱匕，水一盏，入生姜一枣大拍碎，枣三枚劈破，
煎至六分，去滓食前温服。
治肾脏虚冷气攻，腹胁胀满疼痛。艾茸丸方
木瓜（二十枚去皮核作瓮子） 甘菊花（为末） 青盐（研各一斤）
上三味，将甘菊花并青盐。填满木瓜瓮子内，置笼床内蒸，以木瓜烂为度，研成膏。再
入新艾茸二斤。搜和作剂，丸如梧桐子大，曝干。每服三十丸，空心食前米饮下。
【论述】肾脏功能虚弱，是指阳气不足。阳气不足，则阴气偏盛；阴气偏盛，导致营卫之气（运行于体内的气血）不能和谐流通，气脉无法通畅，从而导致水谷精微难以消化，胃气虚弱，使人出现腹胁部胀满。严重时还会引起疼痛。
治疗肾脏虚寒冷气攻冲，导致腹胁部胀满疼痛，伴有心悸气喘胸闷，手足厥冷。香子丸方：
香子（炒制）、木香、桂枝（去除粗皮）、槟榔（锉碎）、桃仁（去皮尖及双仁，炒后研成膏状）、蓬莪术（煨制并锉碎，各三分）、青橘皮（用汤浸泡后去除白瓤，焙干）、莱菔子（炒制）、附子（炮裂后去除皮脐，各半两）、厚朴（去除粗皮，用生姜汁炙烤，一两半）。
以上十味药，将除桃仁外的九味药捣碎过筛成细末，加入桃仁膏研磨均匀，用酒煮面糊作为粘合剂，制成如梧桐子大小的药丸。每次服用三十丸，空腹、进食前用温酒送服。
治疗肾脏气冷，腹痛呕吐逆气，腹胁胀满，四肢乏力，不思饮食。葫芦巴饮方：
葫芦巴、白茯苓（去除黑皮）、舶上沉香（各一两）、肉豆蔻（去壳）、木香、附子（炮裂后去除皮脐）。
以上七味药，切碎如麻豆大小，每次取三钱匕，加水一盏，盐一捻，煎煮至七分量，去渣后温服，空腹、进食前服用。
治疗肾脏虚寒冷气，攻冲腹部疼痛，两胁胀满。木香汤方：
木香、沉香（各半两）、青橘皮（用汤浸泡后去除白瓤并炒制）、京三棱（煨制并锉碎，各一两）、桂枝（去除粗皮）、当归。
以上八味药，粗捣过筛，每次取三钱匕，加水一盏，生姜三片，大枣二枚劈破，煎煮至七分量，去渣后温服。
治疗肾脏虚寒冷气，攻冲腹胁部疼痛胀满。槟榔汤方：
槟榔（生锉）、木香（各半两）、[原文此处缺字，推测为某子]、桔梗（炒制，各二两）、桂枝（去除粗皮）、附子（炮裂后去除皮脐，各一两）。
以上六味药，切碎如麻豆大小，每次取三钱匕，加水一盏，煎煮至七分量，去渣后温服。
治疗肾脏虚寒冷气，攻冲腹胁部疼痛胀满，伴有烦闷倦怠。荜澄茄煮散方：
荜澄茄、甘草（炙制并锉碎）、人参、芍药（各一两）、香子（炒制）、槟榔（各三分）、干姜（炮制）、诃黎勒皮、桂枝（去除粗皮，各半两）。
以上九味药，捣碎过筛成散剂，每次取三钱匕，加水一盏，煎煮至七分量，随时温服。
治疗肾脏冷气，攻冲腹胁部疼痛胀满。香子丸方：
香子（炒制）、蓬莪术（煨制并锉碎）、楝实（煨制去核）、白术、诃黎勒皮（各一两）、丁香（一分）、吴茱萸（用汤清洗后焙干炒制，半两）、桃仁（三分，去皮尖及双仁，研如膏状）。
以上八味药，将除桃仁外的七味药捣碎过筛，加入桃仁膏研磨均匀，用炼蜜制成如银杏大小的药丸。每次服用一丸，用温酒或盐汤嚼服，随时服用。
治疗男子肾气虚弱，攻冲腹胁部疼痛胀满。乌头香子丸方：
乌头（炮裂后去除皮脐）、槟榔（锉碎）、香子（炒制）、楝实（锉碎并炒制）、当归（切后焙干，各一两）、木香（半两）、丹砂（研细，一钱）。
以上七味药，捣碎研细成末，混合均匀，用醋煮面糊作为粘合剂，制成如梧桐子大小的药丸。以丹砂为衣，每次服用二十丸，用温酒送服，随时服用。
治疗肾脏虚冷，腹胁部疼痛胀满，非时足冷，阳痿，行走无力。五味子丸方：
五味子、续断、牛膝（酒浸泡后切制焙干）、杜仲（去除粗皮炙制锉碎）、附子（炮裂后去除皮脐）、桂枝（去除粗皮）、山茱萸（用汤清洗后焙干炒制）。
以上十五味药（注：原文列举药材数量与“上一十五味”不符，此处依原文翻译），捣碎过筛成细末，用酒煮面糊作为粘合剂，制成如梧桐子大小的药丸。每次服用二十至三十丸，空腹用盐汤送服。
治疗肾脏虚冷，腹胁部疼痛胀满。沉香汤方：
沉香、细辛（去除苗叶）、续断、木香、川芎、当归（切后焙干）、甘草（炙制锉碎）、槟榔（锉碎）、石斛。
以上十一味药，粗捣过筛，每次取三钱匕，加水一盏，煎煮至七分量，空腹去渣温服。
治疗肾脏虚冷，腹胁胀满。巴附丸方：
葫芦巴（一两半）、附子（炮裂后去除皮脐）、硫黄（研细，各一两）、香子（炒制，三分）、槟榔（锉碎）。
以上六味药，捣碎研细成末混合均匀。用酒煮面糊作为粘合剂，制成如梧桐子大小的药丸。每次服用二十至三十丸，用温酒或盐汤送服，空腹、日中、临卧时服用。
治疗肾脏虚冷，腹胁胀满。葫芦巴丸方：
葫芦巴（二两）、附子（炮裂后去除皮脐）、硫黄（研细，各三分）。
以上三味药，捣碎研细成末，用酒煮面糊作为粘合剂，制成如梧桐子大小的药丸。每次服用二十至三十丸，用盐汤送服。
治疗肾脏虚冷，腹胁胀满。豆蔻饮方：
肉豆蔻（去壳）、葫芦巴、香子（炒制）、丁香（各一两）、沉香（三分）。
以上五味药，粗捣过筛。每次取三钱匕，加水一盏，放入少许盐，煎煮至七分量，空腹、进食前去渣温服。
治疗肾脏虚寒冷气，攻冲两胁下胀满，小腹急痛，胸中短气。补肾汤方：
磁石（水飞法研细淘洗去赤色汁液）、附子（炮裂后去除皮脐，各二两）、黄芪（锉碎）、五味子、当归（切后焙干）、[原文此处缺字，推测为某药]（半两）、陈橘皮。
以上十四味药，切碎如麻豆大小，每次取三钱匕，加水一盏，放入生姜一块（如枣大拍碎），大枣三枚劈破，煎煮至六分量，去渣后食前温服。
治疗肾脏虚寒冷气攻冲，腹胁胀满疼痛。艾茸丸方：
木瓜（二十枚，去皮核做成瓮状容器）、甘菊花（研成细末）、青盐（研细，各一斤）。
以上三味药，将甘菊花和青盐填满木瓜瓮内，放置在笼床上蒸，直到木瓜烂熟为止，研成膏状。再加入新艾茸二斤，揉和成药剂，制成如梧桐子大小的药丸，晒干。每次服用三十丸，空腹、进食前用米饮送服。
[Discussion] Kidney deficiency refers to a state of insufficient Yang Qi. When Yang Qi is insufficient, Yin Qi becomes excessive; an excess of Yin Qi prevents the harmonious circulation of Ying and Wei Qi (nutritive and defensive qi), causing the Qi and blood vessels to become obstructed. This leads to the failure to transform food and fluids, weak Stomach Qi, and results in distension and fullness in the abdomen and hypochondrium. In severe cases, it causes pain.
Treatment for Kidney deficiency with cold Qi attacking, causing abdominal and hypochondriac distension and pain, accompanied by palpitations, asthma, chest oppression, and cold extremities. Xiangzi Wan Formula:
Xiangzi (Stir-fried), Muxiang (Aucklandiae Radix), Guizhi (Cinnamomi Ramulus, bark removed), Binglang (Arecae Semen, crushed), Taoren (Persicae Semen, skin and tip removed, twin kernels discarded, stir-fried and ground into paste), Peng'ezhu (Curcumae Phaeocaulis Rhizoma, baked and crushed, each 3 fen), Qingjupi (Citri Reticulatae Pericarpium Viride, soaked in water, white pith removed, dried), Laifuzi (Raphani Semen, stir-fried), Fuzi (Aconiti Lateralis Radix Praeparata, cracked, skin and navel removed, each half tael), Houpo (Magnoliae Officinalis Cortex, bark removed, stir-fried with ginger juice, 1.5 taels).
The above ten herbs: Grind nine of them (excluding peach kernel) into powder, mix evenly with the peach kernel paste, use wine-boiled wheat starch paste as a binder, and make pills the size of Sophora japonica seeds. Take 30 pills per dose, administered with warm wine on an empty stomach before meals.
Treatment for Kidney cold Qi, abdominal pain, vomiting and regurgitation, abdominal and hypochondriac distension, weakness in the four limbs, and loss of appetite. Huluba Yin Formula:
Huluba (Trigonellae Semen), BaiFuling (Poria, black skin removed), Bo Shang Xiang (Agarwood, each 1 tael), Roudoukou (Myristicae Semen, shell removed), Muxiang (Aucklandiae Radix), Fuzi (Aconiti Lateralis Radix Praeparata, cracked, skin and navel removed).
The above seven herbs: Cut into pieces the size of hemp or soybeans. Take 3 qianbi per dose, add one zhan of water and a pinch of salt, decoct until three-sevenths remain, remove dregs, and take warm. Administer on an empty stomach before meals.
Treatment for Kidney deficiency with cold Qi attacking, causing abdominal pain and distension in both hypochondria. Muxiang Tang Formula:
Muxiang (Aucklandiae Radix), Chenxiang (Aquilariae Lignum Resinatum, each half tael), Qingjupi (Citri Reticulatae Pericarpium Viride, soaked in water, white pith removed, stir-fried), Jingsanleng (Sparganii Rhizoma, baked and crushed, each 1 tael), Guizhi (Cinnamomi Ramulus, bark removed), Danggui (Angelicae Sinensis Radix).
The above eight herbs: Coarsely crush and sieve. Take 3 qianbi per dose, add one zhan of water, three slices of fresh ginger, and two jujubes split open. Decoct until three-sevenths remain, remove dregs, and take warm.
Treatment for Kidney deficiency with cold Qi attacking, causing abdominal and hypochondriac distension and pain. Binglang Tang Formula:
Binglang (Arecae Semen, raw and crushed), Muxiang (Aucklandiae Radix, each half tael), [Text missing], Jiegeng (Platycodonis Radix, stir-fried, each 2 liang), Guizhi (Cinnamomi Ramulus, bark removed), Fuzi (Aconiti Lateralis Radix Praeparata, cracked, skin and navel removed, each 1 tael).
The above six herbs: Cut into pieces the size of hemp or soybeans. Take 3 qianbi per dose, add one zhan of water, decoct until three-sevenths remain, remove dregs, and take warm.
Treatment for Kidley deficiency with cold Qi attacking, causing abdominal and hypochondriac distension and pain, accompanied by irritability and fatigue. Bidengqie Zhusan Formula:
Bidengqia (Litseae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma, roasted and crushed), Renshen (Ginseng Radix et Rhizoma), Shaoyao (Paeoniae Radix, each 1 tael), Xiangzi (Stir-fried), Binglang (Arecae Semen, each 3 fen), Ganjiang (Zingiberis Rhizoma, processed), Helilepi (Terminaliae Chebulae Pericarpium), Guizhi (Cinnamomi Ramulus, bark removed, each half tael).
The above nine herbs: Grind and sieve into a powder. Take 3 qianbi per dose, add one zhan of water, decoct until three-sevenths remain, and take warm at any time.
Treatment for Kidney cold Qi attacking, causing abdominal and hypochondriac distension and pain. Xiangzi Wan Formula:
Xiangzi (Stir-fried), Peng'ezhu (Curcumae Phaeocaulis Rhizoma, baked and crushed), Lianshi (Meliae Fructus, baked and pitted), Baizhu (Atractylodis Macrocephalae Rhizoma), Helilepi (Terminaliae Chebulae Pericarpium, each 1 tael), Dingxiang (Caryophylli Flos, 1 fen), Wuzhuyu (Evodiae Fructus, washed with water, dried, stir-fried, half tael), Taoren (Persicae Semen, 3 fen, skin and tip removed, twin kernels discarded, ground into paste).
The above eight herbs: Grind seven of them (excluding peach kernel) into powder, mix evenly with the peach kernel paste, use refined honey as a binder, and make pills the size of ginkgo nuts. Take one pill per dose, chew with warm wine or salt water, at any time.
Treatment for male Kidney Qi deficiency attacking, causing abdominal and hypochondriac distension and pain. Wutou Xiangzi Wan Formula:
Wutou (Aconiti Radix, cracked, skin and navel removed), Binglang (Arecae Semen, crushed), Xiangzi (Stir-fried), Lianshi (Meliae Fructus, crushed and stir-fried), Danggui (Angelicae Sinensis Radix, cut and dried, each 1 tael), Muxiang (Aucklandiae Radix, half tael), Dansha (Cinnabar, ground, 1 qian).
The above seven herbs: Grind into powder, mix evenly, use vinegar-boiled wheat starch paste as a binder, and make pills the size of Sophora japonica seeds. Coat with cinnabar. Take 20 pills per dose, administered with warm wine, at any time.
Treatment for Kidney deficiency and cold, abdominal and hypochondriac distension and pain, cold feet at irregular times, impotence, and weakness in walking. Wuweizi Wan Formula:
Wuweizi (Schisandrae Chinensis Fructus), Xuduan (Dipsaci Radix), Niuxi (Achyranthis Bidentatae Radix, soaked in wine, cut and dried), Duzhong (Eucommiae Cortex, bark removed, roasted and crushed), Fuzi (Aconiti Lateralis Radix Praeparata, cracked, skin and navel removed), Guizhi (Cinnamomi Ramulus, bark removed), Shanzhuyu (Corni Fructus, washed with water, dried, stir-fried).
The above fifteen herbs: Grind and sieve into powder, use wine-boiled wheat starch paste as a binder, and make pills the size of Sophora japonica seeds. Take 20-30 pills per dose, administered with salt water on an empty stomach.
Treatment for Kidney deficiency and cold, abdominal and hypochondriac distension and pain. Chenxiang Tang Formula:
Chenxiang (Aquilariae Lignum Resinatum), Xixin (Asari Radix et Rhizoma, seedlings and leaves removed), Xuduan (Dipsaci Radix), Muxiang (Aucklandiae Radix), Xiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix, cut and dried), Gancao (Glycyrrhizae Radix et Rhizoma, roasted and crushed), Binglang (Arecae Semen, crushed), Shihu (Dendrobii Caulis).
The above eleven herbs: Coarsely crush and sieve. Take 3 qianbi per dose, add one zhan of water, decoct until three-sevenths remain, remove dregs, and take warm on an empty stomach.
Treatment for Kidney deficiency and cold, abdominal and hypochondriac distension. Ba Fu Wan Formula:
Huluba (Trigonellae Semen, 1.5 taels), Fuzi (Aconiti Lateralis Radix Praeparata, cracked, skin and navel removed), Liuhuang (Sulfur, ground, each 1 tael), Xiangzi (Stir-fried, 3 fen), Binglang (Arecae Semen, crushed).
The above six herbs: Grind into powder and mix evenly. Use wine-boiled wheat starch paste as a binder, and make pills the size of Sophora japonica seeds. Take 20-30 pills per dose, administered with warm wine or salt water, on an empty stomach, at noon, and before sleep.
Treatment for Kidney deficiency and cold, abdominal and hypochondriac distension. Huluba Wan Formula:
Huluba (Trigonellae Semen, 2 liang), Fuzi (Aconiti Lateralis Radix Praeparata, cracked, skin and navel removed), Liuhuang (Sulfur, ground, each 3 fen).
The above three herbs: Grind into powder, use wine-boiled wheat starch paste as a binder, and make pills the size of Sophora japonica seeds. Take 20-30 pills per dose, administered with salt water.
Treatment for Kidney deficiency and cold, abdominal and hypochondriac distension. Doukou Yin Formula:
Roudoukou (Myristicae Semen, shell removed), Huluba (Trigonellae Semen), Xiangzi (Stir-fried), Dingxiang (Caryophylli Flos, each 1 tael), Chenxiang (Aquilariae Lignum Resinatum, 3 fen).
The above five herbs: Coarsely crush and sieve. Take 3 qianbi per dose, add one zhan of water and a little salt, decoct until three-sevenths remain, remove dregs, and take warm on an empty stomach before meals.
Treatment for Kidney deficiency with cold Qi attacking, causing distension under both hypochondria, acute pain in the lower abdomen, and shortness of breath in the chest. Bushen Tang Formula:
Cishi (Magnetitum, water-ground and washed to remove red juice), Fuzi (Aconiti Lateralis Radix Praeparata, cracked, skin and navel removed, each 2 liang), Huangqi (Astragali Radix, crushed), Wuweizi (Schisandrae Chinensis Fructus), Danggui (Angelicae Sinensis Radix, cut and dried), [Text missing] (half tael), Chenjupi (Citri Reticulatae Pericarpium).
The above fourteen herbs: Cut into pieces the size of hemp or soybeans. Take 3 qianbi per dose, add one zhan of water, one piece of fresh ginger (size of a jujube, smashed), and three jujubes split open. Decoct until six-tenths remain, remove dregs, and take warm before meals.
Treatment for Kidney deficiency with cold Qi attacking, causing abdominal and hypochondriac distension and pain. Airong Wan Formula:
Mugua (Chaenomelis Fructus, 20 fruits, skin and core removed to form a container-like vessel), Ganjuhua (Chrysanthemi Flos, ground into powder), Qingyan (Green Salt, ground, each 1 jin).
The above three ingredients: Fill the mugua vessel with chrysanthemum powder and green salt. Steam in a steamer basket until the mugua is completely soft. Grind into a paste. Add 2 jin of fresh ai rong (mugwort down) and knead into a dough. Make pills the size of Sophora japonica seeds and dry in the sun. Take 30 pills per dose, administered with rice drink on an empty stomach before meals.