治寒湿腰痛。如带五千钱。此带豚为病。名曰肾着。
腰痛如带五千钱。肾着汤方岂偶然。甘草茯苓姜与术。长沙老法谱新编。（甘草二钱。
白术干姜茯苓各四钱。水煎服。即金匮甘草干姜茯苓白术汤。但分两多少不同。）
陈修园曰。带脉为病。腰溶溶如坐水中。此寒湿之邪。不在肾之中脏。而在肾之外腑。
故其治。不在温肾而散寒。而在燠土以胜水。若用桂附。则反伤肾之阴矣。
治伤湿身尽痛。
即白术一两。酒煎服。不能饮者以水代之。按神农本草经云。白术气味甘温无毒。主风
寒湿痹死肌痉疽。止汗除热消食。作煎饵。久服轻身延年不饥。原文只此三十四字。
陈修园曰。白术主治风寒湿三者。今而成痹。而除湿之功。则更大焉。死肌者。湿邪侵
肌肉而麻木不仁也。痉者。湿流关节而筋劲急也。疸者。湿乘脾土肌肉发黄也。湿久郁而为
热。湿热交蒸。故自汗而热发也。脾受湿则失其健运之常。故食不能消也。白术性能燥湿。
所以主之。作煎饵三字。先圣另提。大费苦心以白术之功在燥。而所以妙处。在于多脂。多
脂则燥中有润。张隐庵解云。土有湿气。始能灌溉四旁。如地得雨露。始能发生万物。今以
生术削去皮。急火炙令热。名为煎饵。遵法修治。则味甘而质润。土气和平。故久服有轻身
延年不饥之效。后人用土炒燥。大失经旨。叶天士临症指南。竟用水漂炒黑。是徒用白术之
名也。不得不附辩于此。
○寒能胜热
治疗寒湿引起的腰痛。感觉腰部沉重，如同系着五千枚铜钱。这是带脉受病所致，病名叫做“肾着”。
腰痛沉重如带五千钱，肾着汤的方义并非偶然形成。方中药物为甘草、茯苓、干姜和白术，这是遵循汉代医圣张仲景（长沙太守）的法度而编撰的新方。（甘草二钱，白术、干姜、茯苓各四钱，用水煎服。此方即《金匮要略》中的甘草干姜茯苓白术汤，只是剂量有所不同。）
陈修园说：带脉受病时，腰部感觉松软无力，如同坐在水中。这是因为寒湿之邪，不在肾脏的中脏内部，而在肾脏的外腑部位。因此，治疗的重点不在于温补肾阳以散寒，而在于温补脾土以制约水湿。如果使用肉桂、附子等温热药，反而会损伤肾阴。
治疗因伤湿导致全身疼痛。
即用白术一两，用酒煎服。不能饮酒的人可以用水代替。据《神农本草经》记载：白术气味甘温，无毒。主治风寒湿痹、肌肉坏死、痉挛、黄疸。能止汗、退热、消食。制成煎膏或丸剂服用，长期服用可轻身延年、不感饥饿。原文仅有这三十四字。
陈修园说：白术主要主治风、寒、湿三种邪气，如今它们结合成为痹证。其中除湿的功效更为显著。“死肌”是指湿邪侵入肌肉，导致麻木不仁；“痉”是指湿邪流注关节，导致筋脉拘急僵硬；“疸”（黄疸）是指湿邪侵犯脾土和肌肉，导致身体发黄。湿气久留郁结化为热，湿热交蒸，所以出现自汗和发热。脾受到湿邪困扰，就失去了其正常的运化功能，所以食物无法消化。白术的药性能够燥湿，所以主治这些病症。“作煎饵”这三个字，是先圣特意提出的，费尽了苦心。白术的功效在于燥湿，但它的妙处在于多脂液。多脂液则能在燥湿之中带有滋润之性。张隐庵解释说：土地含有湿气，才能灌溉四方；大地得到雨露滋润，才能发生万物。现在将生白术削去外皮，用急火炙烤至热，称为“煎饵”。按照这种方法炮制，味道甘甜且质地润泽，土气平和，所以长期服用有轻身延年、不感饥饿的效果。后人使用土炒法使其过于燥烈，大大违背了经典的本意。叶天士在《临症指南》中竟然采用水漂后炒黑的方法，这只是徒具白术之名罢了。不得不在此加以辩驳。
○ 寒性能胜热邪
Treats lower back pain caused by cold-dampness. The sensation is like wearing a belt of five thousand coins. This is a disease of the Dai Mai (Girdle Vessel), named "Shen Zhuo" (Kidney Fixation).
Lower back pain feeling heavy as if wearing five thousand coins; the rationale of the Shen Zhuo Tang (Kidney Fixation Decoction) is not accidental. The formula consists of Gancao (Licorice Root), Fuling (Poria), Jiang (Dried Ginger), and Baizhu (Atractylodes Macrocephala Rhizome). This is a new compilation based on the ancient methods of Zhang Zhongjing (the Old Master from Changsha). (Gancao 2 qian, Baizhu, Ganjiang [Dried Ginger], and Fuling each 4 qian. Decoct in water and take orally. This is the same as the Gancao Ganjiang Fuling Baizhu Tang in *Jin Gui Yao Lue*, differing only in dosage.)
Chen Xiuyuan stated: When the Dai Mai (Girdle Vessel) is diseased, the waist feels loose and soggy, as if sitting in water. This is because the pathogenic factors of cold-dampness are not located in the interior of the Kidney Zang organ, but in the exterior Fu aspect associated with the Kidney. Therefore, the treatment does not focus on warming the Kidney to dispel cold, but rather on warming the Earth element (Spleen/Stomach) to overcome Water dampness. If Guizhi (Cinnamon Twig) and Fuzi (Prepared Aconite Root) were used, they would inadvertently damage Kidney Yin.
Treats generalized body pain caused by injury from dampness.
Use one liang of Baizhu (Atractylodes Macrocephala Rhizome), decocted in wine. For those who cannot drink alcohol, water may be used instead. According to the *Shennong Bencao Jing* (Divine Farmer's Materia Medica): Baizhu has a sweet and warm flavor and is non-toxic. It primarily treats Bi syndrome (painful obstruction) caused by wind-cold-dampness, dead muscle tissue, spasms, and jaundice. It stops sweating, reduces fever, aids digestion, and can be made into pastes or pills. Long-term consumption lightens the body, prolongs life, and prevents hunger. The original text contains only these thirty-four characters.
Chen Xiuyuan stated: Baizhu primarily treats the three pathogens of wind, cold, and dampness, which now combine to form Bi syndrome. Its efficacy in removing dampness is particularly significant. "Dead muscle" refers to numbness and insensitivity caused by dampness invading the muscles. "Spasm" refers to tendon stiffness and tension caused by dampness flowing into the joints. "Jaundice" refers to yellowing of the skin and muscles caused by dampness affecting the Spleen Earth. When dampness stagnates for a long time, it transforms into heat; the interaction of dampness and heat causes spontaneous sweating and fever. When the Spleen is affected by dampness, it loses its normal function of transportation and transformation, leading to indigestion. Baizhu possesses the property of drying dampness, thus treating these conditions. The phrase "make into pastes/pills" was specifically highlighted by the Ancient Sage, reflecting great deliberation. The merit of Baizhu lies in its dryness, but its subtlety lies in its richness of lipids/oils. Rich in oils, it provides moistening within its drying action. Zhang Yinan explained: Only when the Earth element contains moisture can it irrigate the four directions; just as the earth needs rain and dew to generate all things. Now, taking raw Baizhu, peeling it, and roasting it quickly over high heat until hot is called "jian er" (pastes/pills). Following this method of processing results in a sweet taste and moist texture, harmonizing the Earth Qi. Thus, long-term consumption yields effects of lightening the body, prolonging life, and preventing hunger. Later generations used soil-frying, making it overly dry, which greatly deviated from the classic intent. Ye Tianshi, in his *Guide to Clinical Practice*, actually used water-soaking followed by charcoal-frying, which merely retains the name of Baizhu without its true efficacy. I must add this refutation here.
○ Cold nature can overcome heat.