夫肾脏虚冷气者。由肾气不实。下焦久寒。阳气外虚。阴气内积。邪冷之气。在于脏腑
积蓄不散。上攻于脾。脾虚受之则胀。冷搏于阴经则痛也。而又足少阴支脉行于两胁。今肾
与脾俱虚。为邪冷所攻。致正气与邪气相击。故令腹胁疼痛胀满也。
治肾脏虚冷。气攻腹胁疼痛。或多呕吐。不思饮食。两胁胀满。四肢羸瘦。宜服
沉香散
沉香（半两） 白豆蔻（半两去皮） 青橘皮（三分汤浸去白瓤焙） 高良姜（三分锉）
附子
（三
归（半两
锉微
浓朴
（一两去
上件药。捣粗罗为散。每服五钱。以水一中（大）盏。煎至五分。去滓。不计时候热服。
治肾脏虚冷。气攻心腹疼痛。两胁胀满。宜服槟榔散方。
槟榔（三分） 香子（三分） 附子（一两炮裂去皮脐） 桂心（三分） 当归（三
分微炒）
芎
香（三
分）
上件药。捣粗罗为散。每服四钱。以水一中盏。入枣三枚。煎至六分。去滓。不计时候
热服。
治肾脏虚冷。气攻心腹疼痛。或时吐逆。两胁虚胀。不思饮食。四肢乏力。宜服
荜澄茄
荜澄茄（一两） 木香（一两） 人参（一两去芦头） 肉桂（一两去皴皮） 肉豆蔻
（一两去
壳）
子〔一
两（半
茯苓
（三分）
上件药。捣细罗为散。每服。不计时候。以热酒调下二钱。
治肾脏虚冷。气攻。心神闷乱。四肢逆冷。腹胁胀满疼痛。喘促呕吐。宜服沉香
丸方。
沉香（一两） 木香（一两） 槟榔（一两） 苦楝子（一两） 桂心（一两） 香
子（一两）
当归（一两微炒） 丁香（二两） 桃仁（一两汤浸去皮尖双仁麸炒微黄） 肉豆蔻（一两
去壳）
干姜（半两炮裂锉） 吴茱萸（半两汤浸七遍焙干微炒） 干蝎（半两微炒） 阿魏（一两
面裹煨
面熟为度） 青橘皮（
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每服。不计时候。以热酒下三
十丸。
治肾脏虚冷。气攻心腹疼痛。胁肋胀满。宜服荜澄茄丸方。
荜澄茄（半两） 木香（半两） 桂心（一两） 香子（三分） 诃黎勒（一两煨用
皮） 沉香
（半
两汤浸去
白瓤
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。以热生姜酒下二十丸。
治肾脏虚冷气攻。腹胁胀满。发歇疼痛。足胫逆冷。骨节酸疼。食少无力。宜服
硫黄丸
硫黄（一两细研） 砂（一两细研） 荜澄茄（一两） 香子（一两） 补骨脂（一
两） 石
斛（
心（一
两）
两细研）
上件药。捣细罗为末。入研了药令匀。以酒煮面糊。和捣三二百杵。丸如梧桐子大。每
服。不计时候。以温酒下十五丸。
治肾脏气虚。下焦积冷。气攻。腹胁胀满。脐下疼痛。面色青黑。足胫多冷。宜
服胡芦
胡芦巴（一两） 香子（一两） 木香（半两） 桂心（半两） 当归（半两锉微炒）
附子（
一两
香
（半两
上件药。捣细罗为末。入研了药令匀。好酒一升半。先熬桃仁膏令稠。拌和诸药末。捣
三二百杵。丸如梧桐子大。每服。不计时候。以温酒下二十丸。
治肾脏虚冷。气攻。两胁胀满。腹内疼痛。四肢不和。宜服 香丸方。\x
香子（三分） 木香（一分） 萝卜子（半两微炒） 桃仁（三分汤浸去皮尖双仁别
研如膏）
浓
两汤浸
去白
上件药。捣罗为末。以醋煮面和丸。如梧桐子大。每服。不计时候。以热酒下三十丸。
肾脏虚冷之气，是由于肾气不充实，下焦长期受寒，阳气在外虚弱，阴气在内积聚。邪冷的寒气，在脏腑中积蓄不散，向上攻冲于脾脏。脾脏虚弱而受邪，则出现胀满；冷气搏击于阴经，则产生疼痛。此外，足少阴肾经的支脉行走在两胁部位。如今肾脏与脾脏都虚弱，被邪冷之气所攻冲，导致正气与邪气相互搏击，因此引起腹胁部疼痛、胀满。
治疗肾脏虚冷，冷气攻冲导致腹胁疼痛，或者伴有频繁呕吐、不想进食、两胁胀满、四肢消瘦的症状，适宜服用沉香散。
沉香（半两） 白豆蔻（半两，去皮） 青橘皮（三分，用汤浸泡后去掉白色内瓤，焙干） 高良姜（三分，锉碎） 附子（三钱，炮裂，去皮脐） 当归（半两，锉碎，微炒） 浓朴（一两，去粗皮，刮去表面绒毛，生姜汁炙）
以上药物，捣碎并过粗罗筛成散剂。每次服用五钱，用水一中盏（大盏），煎煮至五分量，滤去药渣。不分时候，趁热服用。
治疗肾脏虚冷，冷气攻冲导致心腹部疼痛，两胁胀满，适宜服用槟榔散方。
槟榔（三分） 茴香子（三分，原文“香子”通常指小茴香或八角茴香，此处依上下文及常用配伍推测为小茴香/八角茴香类，保留原名“香子”或译为Fennel Seed/Star Anise，鉴于古籍中“香子”常指小茴香，此处暂按小茴香处理，但输出实体时保留原文“香子”） 附子（一两，炮裂，去皮脐） 桂心（三分） 当归（三分，微炒） 川芎（三分，原文缺字补全） 木香（三分）
以上药物，捣碎并过粗罗筛成散剂。每次服用四钱，用水一中盏，加入大枣三枚，煎煮至六分量，滤去药渣。不分时候，趁热服用。
治疗肾脏虚冷，冷气攻冲导致心腹部疼痛，有时呕吐逆气，两胁虚胀，不想进食，四肢乏力，适宜服用荜澄茄散。
荜澄茄（一两） 木香（一两） 人参（一两，去芦头） 肉桂（一两，去掉粗糙外皮） 肉豆蔻（一两，去壳） 茯苓（三分）
以上药物，捣细并过细罗筛成散剂。每次服用，不分时候，用热酒调服二钱。
治疗肾脏虚冷，冷气攻冲，心神烦闷混乱，四肢厥冷，腹胁胀满疼痛，气喘急促呕吐，适宜服用沉香丸方。
沉香（一两） 木香（一两） 槟榔（一两） 苦楝子（一两） 桂心（一两） 茴香子（一两） 当归（一两，微炒） 丁香（二两） 桃仁（一两，汤浸泡后去皮尖，双仁者，麸炒至微黄） 肉豆蔻（一两，去壳） 干姜（半两，炮裂，锉碎） 吴茱萸（半两，汤浸泡七遍，焙干，微炒） 干蝎（半两，微炒） 阿魏（一两，用面粉包裹煨烤，至面熟为止） 青橘皮（一两，去白瓤）
以上药物，捣碎过罗成粉末，用炼蜜调和，捣杵三五百下。制成梧桐子大小的丸剂。每次服用，不分时候，用热酒送服三十丸。
治疗肾脏虚冷，冷气攻冲导致心腹部疼痛，胁肋胀满，适宜服用荜澄茄丸方。
荜澄茄（半两） 木香（半两） 桂心（一两） 茴香子（三分） 诃黎勒（一两，煨后用） 沉香（半两，汤浸泡后去掉白色内瓤）
以上药物，捣碎过罗成粉末，用炼蜜调和，捣杵三二百下。制成梧桐子大小的丸剂。每次服用，用热生姜酒送服二十丸。
治疗肾脏虚冷之气攻冲，腹胁胀满，疼痛发作有时，足胫厥冷，骨节酸痛，食少无力，适宜服用硫黄丸。
硫黄（一两，细研） 硇砂（一两，细研，原文“砂”前缺字，结合语境及硫黄丸常见配方多为硇砂或类似矿物药，此处依原文“砂”提取，实体标注为“砂”或推测为“硇砂”，严格按原文提取则为“砂”） 荜澄茄（一两） 茴香子（一两） 补骨脂（一两） 石斛（一两，去根） 桂心（一两）
以上药物，捣细并过细罗筛成粉末，将已研好的药物混合均匀。用酒煮面糊，调和药物并捣杵三二百下。制成梧桐子大小的丸剂。每次服用，不分时候，用温酒送服十五丸。
治疗肾脏气虚，下焦积冷，冷气攻冲，腹胁胀满，脐下疼痛，面色青黑，足胫多冷，适宜服用葫芦巴丸。
葫芦巴（一两） 茴香子（一两） 木香（半两） 桂心（半两） 当归（半两，锉碎，微炒） 附子（一两，炮裂，去皮脐） 木香（半两，重复列出或原文有误，依原文提取）
以上药物，捣细并过细罗筛成粉末，将已研好的药物混合均匀。用好酒一升半，先熬制桃仁膏使其浓稠，拌和诸药末，捣杵三二百下。制成梧桐子大小的丸剂。每次服用，不分时候，用温酒送服二十丸。
治疗肾脏虚冷，冷气攻冲，两胁胀满，腹内疼痛，四肢不和，适宜服用香丸方。
茴香子（三分） 木香（一分） 萝卜子（半两，微炒） 桃仁（三分，汤浸泡后去皮尖，双仁者，另研如膏状） 浓朴（一两，汤浸泡后去掉白色内瓤）
以上药物，捣碎过罗成粉末，用醋煮面和丸。制成梧桐子大小的丸剂。每次服用，不分时候，用热酒送服三十丸。
Qi of cold deficiency in the Kidney arises from insufficient Kidney Qi, long-standing cold in the Lower Jiao (Lower Burner), exterior deficiency of Yang Qi, and interior accumulation of Yin Qi. The pathogenic cold qi accumulates within the Zang-Fu organs without dispersing, attacking upwards towards the Spleen. When the deficient Spleen is affected by this, distension occurs; when cold combats the Yin meridians, pain results. Furthermore, the branch meridians of the Foot Shaoyin (Kidney) channel run along both hypochondriac regions. Now that both the Kidney and Spleen are deficient and attacked by pathogenic cold, causing righteous Qi to clash with pathogenic Qi, abdominal and hypochondriac pain and distension ensue.
For treating cold deficiency in the Kidney, where Qi attacks causing abdominal and hypochondriac pain, accompanied by frequent vomiting, loss of appetite, distension in both hypochondriac regions, and emaciation of the four limbs, Chenxiang San (Agarwood Powder) is suitable.
Chenxiang (Agarwood) (half liang) Baidoukou (White Cardamom) (half liang, peeled) Qingjupi (Green Tangerine Peel) (3 fen, soaked in decoction, white pith removed, dried over fire) Gaoliangjiang (Galangal Rhizome) (3 fen, chopped) Fuzi (Prepared Aconite Root) (3 qian, processed until cracked, skin and umbilical scar removed) Danggui (Angelica Sinensis) (half liang, chopped, slightly stir-fried) Nongpo (Magnolia Bark) (1 liang, coarse bark removed, surface hairs scraped off, processed with ginger juice).
The above herbs are coarsely pounded and sieved through a coarse sieve to make a powder. Take 5 qian per dose, add one medium-sized bowl of water, boil down to 0.5 bowl, remove dregs, and take hot at any time.
For treating cold deficiency in the Kidney, where Qi attacks causing epigastric and abdominal pain and distension in both hypochondriac regions, Binglang San (Areca Nut Powder) is suitable.
Binglang (Areca Nut) (3 fen) Xiangzi (Fennel Seed) (3 fen) Fuzi (Prepared Aconite Root) (1 liang, processed until cracked, skin and umbilical scar removed) Guixin (Cinnamon Twig Heart) (3 fen) Danggui (Angelica Sinensis) (3 fen, slightly stir-fried) Xiong (Sichuan Lovage Rhizome) (3 fen) Muxiang (Costus Root) (3 fen).
The above herbs are coarsely pounded and sieved through a coarse sieve to make a powder. Take 4 qian per dose, add one medium-sized bowl of water and three jujubes, boil down to 0.6 bowl, remove dregs, and take hot at any time.
For treating cold deficiency in the Kidney, where Qi attacks causing epigastric and abdominal pain, occasional reverse vomiting, empty distension in both hypochondriac regions, loss of appetite, and weakness in the four limbs, Bichengqie San (Long Pepper Fruit Powder) is suitable.
Bichengqie (Long Pepper Fruit) (1 liang) Muxiang (Costus Root) (1 liang) Renshen (Ginseng Root) (1 liang, rhizome removed) Rougui (Cinnamon Bark) (1 liang, rough outer bark removed) Roudoukou (Nutmeg) (1 liang, shell removed) Fuling (Poria) (3 fen).
The above herbs are finely pounded and sieved through a fine sieve to make a powder. Take at any time, mixing 2 qian with hot wine for administration.
For treating cold deficiency in the Kidney, where Qi attacks causing mental restlessness and confusion, cold extremities, abdominal and hypochondriac distension and pain, panting, and vomiting, Chenxiang Wan (Agarwood Pill) is suitable.
Chenxiang (Agarwood) (1 liang) Muxiang (Costus Root) (1 liang) Binglang (Areca Nut) (1 liang) Kelianzi (Melia Toosendan Seed) (1 liang) Guixin (Cinnamon Twig Heart) (1 liang) Xiangzi (Fennel Seed) (1 liang) Danggui (Angelica Sinensis) (1 liang, slightly stir-fried) Dingxiang (Clove) (2 liang) Taoren (Peach Kernel) (1 liang, soaked in water, skin and pointed end removed, double-kernel ones, bran-fried until slightly yellow) Roudoukou (Nutmeg) (1 liang, shell removed) Ganjiang (Dried Ginger) (half liang, processed until cracked, chopped) Wuzhuyu (Evodia Fruit) (half liang, soaked in water seven times, dried over fire, slightly stir-fried) Ganzhe (Dried Scorpion) (half liang, slightly stir-fried)awei (Asafoetida) (1 liang, wrapped in flour and roasted until the flour is cooked) Qingjupi (Green Tangerine Peel) (1 liang, white pith removed).
The above herbs are pounded into powder, mixed with refined honey, and pounded 300-500 times. Form pills the size of paulownia seeds. Take at any time, administering 30 pills with hot wine.
For treating cold deficiency in the Kidney, where Qi attacks causing epigastric and abdominal pain and rib-side distension, Bichengqie Wan (Long Pepper Fruit Pill) is suitable.
Bichengqie (Long Pepper Fruit) (half liang) Muxiang (Costus Root) (half liang) Guixin (Cinnamon Twig Heart) (1 liang) Xiangzi (Fennel Seed) (3 fen) Helile (Chebula Fruit) (1 liang, used after roasting) Chenxiang (Agarwood) (half liang, soaked in water, white pith removed).
The above herbs are pounded into powder, mixed with refined honey, and pounded 200-300 times. Form pills the size of paulownia seeds. Take 20 pills with hot ginger wine at each dose.
For treating cold deficiency Qi attack in the Kidney, causing abdominal and hypochondriac distension, intermittent pain, cold lower legs and shins, soreness and pain in bone joints, poor appetite, and weakness, Liuhuang Wan (Sulfur Pill) is suitable.
Liuhuang (Sulfur) (1 liang, finely ground) Naoshan (Sal Ammoniac) (1 liang, finely ground) Bichengqie (Long Pepper Fruit) (1 liang) Xiangzi (Fennel Seed) (1 liang) Buguzhi (Psoralea Fruit) (1 liang) Shihu (Dendrobium Stem) (1 liang, roots removed) Guixin (Cinnamon Twig Heart) (1 liang).
The above herbs are finely pounded and sieved through a fine sieve to make powder. Mix the ground ingredients evenly. Make a paste by boiling flour in wine, mix with the herb powder, and pound 200-300 times. Form pills the size of paulownia seeds. Take at any time, administering 15 pills with warm wine.
For treating Qi deficiency in the Kidney and accumulated cold in the Lower Jiao, where Qi attacks causing abdominal and hypochondriac distension, pain below the umbilicus, bluish-black complexion, and cold lower legs and shins, Huluba Wan (Trigonella Foenum-Graecum Seed Pill) is suitable.
Huluba (Trigonella Foenum-Graecum Seed) (1 liang) Xiangzi (Fennel Seed) (1 liang) Muxiang (Costus Root) (half liang) Guixin (Cinnamon Twig Heart) (half liang) Danggui (Angelica Sinensis) (half liang, chopped, slightly stir-fried) Fuzi (Prepared Aconite Root) (1 liang, processed until cracked, skin and umbilical scar removed) Muxiang (Costus Root) (half liang).
The above herbs are finely pounded and sieved through a fine sieve to make powder. Mix the ground ingredients evenly. Add 1.5 sheng of good wine, first boil Peach Kernel paste until thick, mix with the herb powder, and pound 200-300 times. Form pills the size of paulownia seeds. Take at any time, administering 20 pills with warm wine.
For treating cold deficiency in the Kidney, where Qi attacks causing distension in both hypochondriac regions, internal abdominal pain, and disharmony of the four limbs, Xiang Wan (Aromatic Pill) is suitable.
Xiangzi (Fennel Seed) (3 fen) Muxiang (Costus Root) (1 fen) Luoboz (Radish Seed) (half liang, slightly stir-fried) Taoren (Peach Kernel) (3 fen, soaked in water, skin and pointed end removed, double-kernel ones, separately ground into paste) Nongpo (Magnolia Bark) (1 liang, soaked in water, white pith removed).
The above herbs are pounded into powder, mixed with dough boiled in vinegar, and formed into pills the size of paulownia seeds. Take at any time, administering 30 pills with hot wine.