病源夫腰痛皆由伤肾气所为。肾虚而受于风邪。风邪停滞于肾经。与血气相击。久而不
散。故为久腰痛也。(出第五卷中)
短剧疗腰痛。及积年痛者方。
干地黄(十分) 白术(五分) 干漆(五分) 桂心(八分) 甘草(五分炙)
上五味捣末。以酒服方寸匕。日三。忌桃李雀肉生葱海藻菘菜芜荑等。(范汪同)
必效疗积年腰痛方。
取一杖令病患端腰立杖。以杖头当脐中分。以墨点讫。回杖于背。取墨点处当脊量两口
吻。折中分灸两头。随年壮妙。
广济疗脐下冷。连腰胯痛。食冷物即剧方。
牛膝(八分) 当归(八分) 黄 (八分) 芍药(八分) 浓朴(六分炙) 白术
(八分) 茯
苓(六分) 人参(六分) 橘皮(八分) 诃黎勒皮(八分熬) 桂心(六分)
上十一味捣筛。蜜和丸如梧子。空腹酒服二十丸。加至四十丸。日再。忌桃李雀肉生葱
酢物。
又疗腹中冷气。食不消。腰胯冷痛者方。
槟榔仁(八分) 当归(六分) 牛膝(八分) 芍药(六分) 枳实(八分炙) 人
参(六分)
白术(八分) 桂心(六分) 芎 (六分) 吴茱萸(六分) 橘皮(六分)
上十一味捣筛。蜜和丸如梧子。酒下二十丸。至三十丸。若饮酒冲上头面。宜煮姜枣汤
下。饮服亦得。忌桃李雀肉生葱。(并出第四卷中)
病因:腰痛都是由损伤肾气所致。肾脏虚弱而受到风邪侵袭,风邪停滞在肾经中,与气血相互搏击,时间久了不散去,所以形成久腰痛。(出自第五卷)
《短剧》治疗腰痛,以及多年不愈的痛症方剂:
干地黄(十分)、白术(五分)、干漆(五分)、桂心(八分)、甘草(五分,炙过)。
以上五味药捣成粉末,用酒送服一方寸匕的药量,每天三次。忌食桃李、雀肉、生葱、海藻、菘菜、芜荑等。(范汪的观点相同)
《必效》治疗多年腰痛方剂:
取一根手杖,让病患直立,将手杖抵住腰部。用手杖头对准肚脐中央,做好标记后,将手杖翻转至背部,找到之前标记的位置对应脊柱,测量该点到口吻(此处指身体两侧对称点或特定体表标志,原文语境为量度基准)的距离,将其对折平分,在两端进行艾灸,每端灸的壮数随患者年龄而定,效果奇妙。
《广济》治疗脐下寒冷,连带腰胯疼痛,吃冷物后症状加剧的方剂:
牛膝(八分)、当归(八分)、黄(此处疑为黄芪或黄芩之误,依古方常理及上下文补气温血之意,多指黄芪,但原文仅一字“黄”,暂保留原字或依常见补益方推测为黄芪,此处按原文直译“黄”)、芍药(八分)、浓朴(六分,炙过)、白术(八分)、茯苓(六分)、人参(六分)、橘皮(八分)、诃黎勒皮(八分,熬过)、桂心(六分)。
以上十一味药捣碎筛细,用蜂蜜调和制成梧桐子大小的丸药。空腹时用酒送服二十丸,可加至四十丸,每天两次。忌食桃李、雀肉、生葱、醋制品。
又治疗腹中冷气,食物不消化,腰胯冷痛的方剂:
槟榔仁(八分)、当归(六分)、牛膝(八分)、芍药(六分)、枳实(八分,炙过)、人参(六分)、白术(八分)、桂心(六分)、芎 (六分)、吴茱萸(六分)、橘皮(六分)。
以上十一味药捣碎筛细,用蜂蜜调和制成梧桐子大小的丸药。用酒送服二十丸,最多三十丸。如果饮酒导致热气冲上头面,宜煮姜枣汤送服,直接饮水服用也可以。忌食桃李、雀肉、生葱。(均出自第四卷)
Etiology: Low back pain is caused by damage to the Kidney Qi (Kidney Energy). When the Kidneys are deficient, they are susceptible to Wind pathogenic factors. The Wind stagnates in the Kidney meridians and clashes with the Blood and Qi. If this persists for a long time without dispersing, it results in chronic low back pain. (From Volume 5)
*Short Treatise* Formula for treating low back pain and persistent pain of many years:
Shu Di Huang (Prepared Rehmannia Root), 10 parts; Bai Zhu (Atractylodes Macrocephala Rhizome), 5 parts; Gan Qi (Dried Lacquer), 5 parts; Gui Xin (Cinnamon Twig Heart), 8 parts; Gan Cao (Licorice Root), 5 parts (roasted).
Grind the above five herbs into powder. Take one fangcun bi (a square-inch measure) with wine, three times daily. Avoid peaches, plums, sparrow meat, raw green onions, kelp, Chinese cabbage, and Xiang Yi (Terminalia chebula fruit). (Fan Wang agrees.)
*Bi Xiao* Formula for treating chronic low back pain:
Take a staff. Have the patient stand upright with the staff supporting their waist. Align the top of the staff with the center of the umbilicus and mark it. Flip the staff to the back, align the mark with the spine, and measure the distance from this point to the mouth corners (used here as a proportional reference for body measurement). Bisect this distance. Apply moxibustion at both ends of the bisected segment. The number of moxa cones (zhuang) should correspond to the patient's age, which is considered effective.
*Guang Ji* Formula for treating cold below the umbilicus, radiating to the lower back and hips, exacerbated by consuming cold foods:
Niu Xi (Achyranthes Bidentata Root), 8 parts; Dang Gui (Angelica Sinensis Root), 8 parts; Huang [likely Huang Qi] (Astragalus Membranaceus Root), 8 parts; Shao Yao (Peony Root), 8 parts; Hou Po (Magnolia Bark), 6 parts (roasted); Bai Zhu (Atractylodes Macrocephala Rhizome), 8 parts; Fu Ling (Poria), 6 parts; Ren Shen (Ginseng Root), 6 parts; Ju Pi (Citrus Reticulata Peel), 8 parts; He Li Le Pi (Terminalia Chebula Peel), 8 parts (processed); Gui Xin (Cinnamon Twig Heart), 6 parts.
Grind and sieve the above eleven herbs. Mix with honey to form pills the size of mulberry seeds. Take 20 pills on an empty stomach with wine, increasing up to 40 pills, twice daily. Avoid peaches, plums, sparrow meat, raw green onions, and vinegar products.
Another formula for treating cold qi in the abdomen, indigestion, and cold pain in the lower back and hips:
Bing Lang Ren (Areca Seed), 8 parts; Dang Gui (Angelica Sinensis Root), 6 parts; Niu Xi (Achyranthes Bidentata Root), 8 parts; Shao Yao (Peony Root), 6 parts; Zhi Shi (Immature Bitter Orange), 8 parts (roasted); Ren Shen (Ginseng Root), 6 parts; Bai Zhu (Atractylodes Macrocephala Rhizome), 8 parts; Gui Xin (Cinnamon Twig Heart), 6 parts; Xiong Duan (Ligusticum Chuanxiong Rhizome), 6 parts; Wu Zhu Yu (Evodia Fruit), 6 parts; Ju Pi (Citrus Reticulata Peel), 6 parts.
Grind and sieve the above eleven herbs. Mix with honey to form pills the size of mulberry seeds. Take 20 to 30 pills with wine. If drinking wine causes heat to rush to the head and face, take them with ginger and jujube decoction, or plain water is also acceptable. Avoid peaches, plums, sparrow meat, and raw green onions. (All from Volume 4)