老年肾气衰，又兼风寒客之，腰髋髀作痛，医作风痹走痛，治用宣风散、趁痛丸，重竭真气，误人甚多。
正法服姜附汤散寒邪，或全真丹，灸关元百壮，则肾自坚牢，永不作痛，须服金液丹，以壮元阳，至老年不发。
（老年腰痛而作风气痹证治者，多致大害，即使风痹，重用温补亦能散去。）
此由脾肾虚惫不能运化，故心腹胀满，又气不足，故行动则胸高而喘。切不可服利气及通快药，令人气
愈虚，传为脾病，不可救矣。宜金液丹、全真丹，一月方愈。重者，灸命关、关元二百壮。（肾虚则生气之原
乏，脾虚则健运之力微，气虚中满之证作矣。又《内经》谓藏寒生满病，医人知此不行剥削，重剂温补，为变
者少矣。）
此由胃气虚积而不通，故胁下胀闷，切不可认为肝气，服削肝寒凉之药，以速其毙。服草神、金液十日，
重者灸左食窦穴，一灸便有下气而愈，再灸关元百壮更佳。（老人与病后及体虚人两胁作痛，总宜以调理肝脾，
更须察其兼证有无虚实，治颇不易。）
治验
一人脾气虚，好食冷物不消，常觉口中出败卵臭，服草神丹即愈。若服全真、金液亦效。（脾胃既为食所
伤，不可再施消克，唯治以温化，则自健运矣。）
一人脾气虚，致积气留于胁下，两肋常如流水，多服草神丹而愈。（脾虚致积，当用温行，水流胁下，
更仗温化。）
老年人体肾气衰退，又兼受风寒邪气侵袭，导致腰部、髋部及大腿部位疼痛。医生误将其诊断为风痹（以游走性疼痛为特征的痹证），治疗时使用宣风散、趁痛丸等祛风药，严重耗竭了人体的真气，误导患者甚多。
正确的治法是服用姜附汤以驱散寒邪，或者服用全真丹，并艾灸关元穴一百壮，这样肾脏自然坚固牢靠，永不疼痛；同时必须服用金液丹，以壮大元阳之气，直至老年不再发作。
（对于老年腰痛而按风气痹证治疗的，大多造成严重危害，即使是风痹，重用温补药物也能使其消散。）
此症是由于脾肾虚弱疲惫，不能正常运化水谷精微，所以出现心腹部胀满；又因元气不足，所以行动时胸部高耸且气喘。切不可服用利气及通快类药物，以免使人气更加虚弱，进而传变为脾病，那就不可救治了。适宜服用金液丹、全真丹，一个月左右方可痊愈。病情重的，艾灸命关穴、关元穴共二百壮。（肾虚则生气之源匮乏，脾虚则健运之力微弱，气虚中满之证便产生了。另外《内经》说脏腑寒冷产生胀满病，医生懂得这一点而不使用攻伐泻下之法，采用重剂温补，发生变证的就少了。）
此症是由于胃气虚弱积滞而不通畅，所以胁下胀闷不适，切不可认为是肝气郁结，服用削伐肝脏的寒凉药物，这会加速死亡。服用草神丹、金液丹十天，病情重的艾灸左侧食窦穴，一灸便能降气而愈，再灸关元穴一百壮效果更好。（老人、病后及体虚之人出现两胁疼痛，总宜调理肝脾，更须观察其兼夹证候有无虚实，治疗颇为不易。）
治验案例：
有一人脾气虚弱，喜欢吃冷物但无法消化，常觉得口中排出腐败鸡蛋般的臭味，服用草神丹即痊愈。如果服用全真丹、金液丹也有效。（脾胃既然被饮食所伤，不可再施用消导攻伐之法，唯有用温化法治疗，脾胃自然恢复健运。）
有一人脾气虚弱，导致积气留滞在胁下，两肋常有如水流动的声音，多服草神丹而痊愈。（脾虚导致积滞，应当用温通行气之法，水流声在胁下，更依赖温化之力。）
In the elderly, kidney qi declines, and when complicated by invasion of wind-cold pathogens, pain occurs in the waist, hip, and thigh. Physicians mistakenly diagnose this as Fengbi (Bi syndrome characterized by wandering pain) and treat it with Xuanfeng San (Wind-Dispersing Powder) or Chentong Wan (Pain-Chasing Pill), which severely depletes true qi and misleads many patients.
The correct method is to administer Jiangfu Tang (Ginger and Aconite Decoction) to dispel cold pathogens, or Quanzhen Dan (Complete True Elixir), and moxa Guanyuan (CV4) for one hundred Zhu (moxa cones). This will make the kidneys naturally firm and secure, preventing pain forever; furthermore, Jinye Dan (Golden Fluid Elixir) must be taken to strengthen Yuan Yang (Original Yang), ensuring no recurrence even in old age.
(For elderly lumbar pain treated as Wind-Qi Bi syndrome, severe harm is often caused; even if it is Wind-Bi, heavy use of warm tonification can disperse it.)
This condition arises from the exhaustion of Spleen and Kidney deficiency, leading to an inability to transform and transport, resulting in abdominal distension and fullness. Additionally, due to insufficient Qi, chest elevation and panting occur upon movement. One must absolutely avoid administering Qi-promoting or purgative drugs, which would further deplete Qi, transmit to the Spleen disease, and become incurable. It is suitable to take Jinye Dan and Quanzhen Dan, recovering after one month. For severe cases, moxa Mingguan (SP16) and Guanyuan (CV4) for two hundred Zhu in total. (Kidney deficiency leads to a lack of the source of generating Qi; Spleen deficiency leads to weak power of healthy transportation; thus, the syndrome of Qi deficiency with middle-jiao fullness arises. Furthermore, the *Neijing* states that internal cold generates fullness diseases. Physicians who understand this and do not use attacking/purgative methods, but instead use heavy warm-tonifying agents, will have fewer complications.)
This condition is caused by Stomach Qi deficiency and accumulation without unblocking, leading to distension and oppression under the ribs. One must absolutely not mistake it for Liver Qi stagnation and administer cooling drugs that attack the Liver, as this will hasten death. Take Caoshen Dan (Divine Grass Elixir) and Jinye Dan for ten days; for severe cases, moxa Zuoshoudou (ST23 on the left side). One application of moxa will descend Qi and bring recovery; applying moxa to Guanyuan (CV4) for one hundred Zhu afterwards is even better. (For the elderly, post-illness patients, and those with weak constitutions suffering from bilateral hypochondriac pain, the general approach should be regulating the Liver and Spleen. One must also examine whether accompanying syndromes involve deficiency or excess, making treatment quite difficult.)
Clinical Cases:
One patient had Spleen Qi deficiency, enjoyed eating cold foods but could not digest them, and often felt a smell of rotting eggs coming from the mouth. Taking Caoshen Dan led to recovery. Taking Quanzhen Dan or Jinye Dan was also effective. (Since the Spleen and Stomach are injured by food, one must not apply digestion-attacking methods again; only by treating with warm transformation will healthy transportation return.)
Another patient had Spleen Qi deficiency, causing accumulated Qi to remain under the hypochondrium, with sounds like flowing water often heard in both ribs. Taking large amounts of Caoshen Dan led to recovery. (Spleen deficiency causing accumulation requires warm-moving methods; the sound of water under the ribs relies more on warm transformation.)