夫肾寒者。足胫微弱腰重。少腹胀满。气上抢心。痛引胁下是也。此由肾脏虚弱。阳气
不足
方
巴戟丸（圣济总录）治肾脏虚冷中寒。脐腹急痛。小便频数。面色昏浊。
巴戟天（去心） 菟丝子（酒浸别捣焙） 干姜（炮） 牛膝（酒浸切焙） 桂（去粗
皮各一两）
熟干地黄（焙） 肉苁蓉（酒浸切焙各二两半） 五味子 附子（炮裂去皮脐各一两半） 黄
（
锉一两三分） 牡蛎（ 半两） 白术（二两） 上为末。炼蜜和丸如梧桐子大。每服空心
食前
温酒送下三十丸。
巴戟丸（圣济总录）治肾虚中寒气。补下元。
巴戟天（去心） 干姜（炮） 沉香（锉） 附子（炮裂去皮脐） 木香 桂（去粗皮）
肉苁蓉
（酒
为末。猪
肾一对。湿纸裹煨熟。薄切作片。入盐一分。无灰酒少许同研烂。和药末为丸如梧桐子大。
每服空心日午临卧盐汤或温酒下三十丸。
木香丸（圣济总录）治肾中寒气。脐腹冷疼。腰脚酸痛。筋脉拘急。温经。
木香 葫芦巴（炒） 补骨脂（炒） 巴戟天（去心） 香子（炒） 桂（去粗皮） 艾
叶（炒）
附子（炮裂去皮脐） 青橘皮（去白焙各一两） 上为末。炼蜜和丸如梧桐子大。每服二十
丸。
空
香子丸（圣济总录）治肾脏虚弱中寒。攻腰腹满痛。手足微冷。
香子（炒） 木香 桂（去粗皮） 干姜（炮） 蓬莪术（煨锉） 桃仁（去皮尖双
仁研膏各
三分） 莱菔子（炒半两） 浓朴（去粗皮半生锉半用水姜汁炙一两） 青橘皮（汤浸去白
焙半
两） 上除桃仁外捣罗为末。入桃仁膏研匀。酒煮面糊为丸如梧桐子大。每服二十丸。温酒
下。空心服。
当归丸（圣济总录）治肾中寒。脐腹冷疼。腰胁拘急。
当归（切焙一两） 干姜（炮半两） 附子（炮裂去皮脐一两） 白术（二两） 楮实
（煨取肉
一两） 木香（半两） 桂（去粗皮半两） 上为末。醋煮面糊为丸如梧桐子大。每服二十
丸。
艾汤下。空心食前。日三服。
煨肾散（圣济总录）治肾中寒邪。气海虚冷。腰脚重痛。小便频数。
香子（炒） 荜澄茄 巴戟天（去心各一两） 干姜（炮） 附子（炮裂去皮脐各半
两） 蜀
椒（去目并闭口炒出汗） 桂（去粗皮各三分） 上为散。每服二钱。用羊肾一对批破。糁
药在
内。入盐葱椒各少许。湿纸裹煨熟。空心细嚼。温酒下。
温肾散（圣济总录）治肾脏虚惫。为寒邪所中。腰背拘急。脐腹冷痛。
桂（去粗皮） 附子（炮裂去皮脐各一两） 青橘皮（汤浸去白焙） 干姜（炮各半两）
木香
（一分） 上为散。每服二钱。用羊肾一对去筋膜。切开入药。湿纸裹。慢火煨熟。细嚼。
温
酒
生阳丹（一名五纬丸）治肾虚脏气寒。（方见诸虚门补虚治风类）
（案原方∶附子一枚炮裂去皮脐为末。桂去皮为末一两。干姜炮为末二钱。硫黄细研。
上同研细。面糊和丸如桐子大。丹砂为衣。遇脾胃冷不思饮食。腹中疼痛。频频洞泻。及赤
白痢并脓。煎艾叶放冷下十丸。良久再服。怕冷物用冷水下十丸。如小儿有此患。化下一丸。
如冬天远出早行。亦用冷水下五七丸。大御寒气。此药不热甚温。亦无反恶。大无所忌。常
服五七粒。永不患结胸阴毒伤寒等证。不拘时候服）
治腰肾冷并助阳气（出本草）
以蟾蜍眉酥和牛酥。摩敷腰眼并阴囊。又以吴茱萸苗汁。调炒敷之。
肾寒证，表现为足胫部微弱无力、腰部沉重、小腹胀满、气逆上冲心胸、疼痛牵引胁下。这是由于肾脏虚弱，阳气不足所致。
方剂：
巴戟丸（出自《圣济总录》）：治疗肾脏虚冷受寒。症状包括脐腹部急痛、小便频数、面色昏浊晦暗。
药材：巴戟天（去除心木）、菟丝子（用酒浸泡后单独捣碎并焙干）、干姜（炮制）、牛膝（用酒浸泡后切片焙干）、桂枝（去除粗皮，各一两）、熟干地黄（焙干）、肉苁蓉（用酒浸泡后切片焙干，各二两半）、五味子、附子（炮裂后去皮去脐，各一两半）、黄芪（锉碎，一两三分）、牡蛎（煅，半两）、白术（二两）。
制法与用法：将上述药物研为细末，用炼蜜调和制成如梧桐子大小的丸剂。每次于空腹、进食前，用温酒送服三十丸。
巴戟丸（出自《圣济总录》）：治疗肾虚受寒气侵袭，补益下元。
药材：巴戟天（去除心木）、干姜（炮制）、沉香（锉碎）、附子（炮裂后去皮去脐）、木香、桂枝（去除粗皮）、肉苁蓉（用酒浸泡）。
制法与用法：将上述药物研为细末。取猪肾一对，用湿纸包裹煨熟，切成薄片，加入一分盐、少许无灰酒一同研磨烂，混合药末制成如梧桐子大小的丸剂。每次于空腹、日午及临睡前，用盐汤或温酒送服三十丸。
木香丸（出自《圣济总录》）：治疗肾中寒气。症状包括脐腹冷痛、腰脚酸痛、筋脉拘挛紧急。具有温经作用。
药材：木香、葫芦巴（炒制）、补骨脂（炒制）、巴戟天（去除心木）、香子（炒制）、桂枝（去除粗皮）、艾叶（炒制）、附子（炮裂后去皮去脐）、青橘皮（去除白色内瓤焙干，各一两）。
制法与用法：将上述药物研为细末，用炼蜜调和制成如梧桐子大小的丸剂。每次服用二十丸。
香子丸（出自《圣济总录》）：治疗肾脏虚弱受寒。症状包括攻冲腰腹部满痛、手足轻微发冷。
药材：香子（炒制）、木香、桂枝（去除粗皮）、干姜（炮制）、蓬莪术（煨后锉碎）、桃仁（去皮尖及双仁，研成膏，各三分）、莱菔子（炒制，半两）、浓朴（去除粗皮，一半生锉，一半用水姜汁炙制，一两）、青橘皮（汤浸后去除白色内瓤焙干，半两）。
制法与用法：除桃仁外，将其他药物捣碎过筛为细末，加入桃仁膏研磨均匀，用酒煮面糊制成如梧桐子大小的丸剂。每次服用二十丸，用温酒送服，空腹服用。
当归丸（出自《圣济总录》）：治疗肾中寒邪。症状包括脐腹冷痛、腰胁部拘挛紧急。
药材：当归（切后焙干，一两）、干姜（炮制，半两）、附子（炮裂后去皮去脐，一两）、白术（二两）、楮实（煨后取肉，一两）、木香（半两）、桂枝（去除粗皮，半两）。
制法与用法：将上述药物研为细末，用醋煮面糊制成如梧桐子大小的丸剂。每次服用二十丸，用艾汤送服，空腹、进食前服用，每日三次。
煨肾散（出自《圣济总录》）：治疗肾中寒邪。症状包括气海穴处虚冷、腰脚沉重疼痛、小便频数。
药材：香子（炒制）、荜澄茄、巴戟天（去除心木，各一两）、干姜（炮制）、附子（炮裂后去皮去脐，各半两）、蜀椒（去除目和闭口，炒至出汗）、桂枝（去除粗皮，各三分）。
制法与用法：将上述药物研为散剂。每次服用二钱，取羊肾一对剖开，将药粉撒入肾内，加入少许盐、葱、椒，用湿纸包裹煨熟。空腹细细咀嚼，用温酒送服。
温肾散（出自《圣济总录》）：治疗肾脏虚惫，被寒邪所伤。症状包括腰背部拘挛紧急、脐腹冷痛。
药材：桂枝（去除粗皮）、附子（炮裂后去皮去脐，各一两）、青橘皮（汤浸后去除白色内瓤焙干）、干姜（炮制，各半两）、木香（一分）。
制法与用法：将上述药物研为散剂。每次服用二钱，取羊肾一对去除筋膜，切开填入药物，用湿纸包裹，慢火煨熟。细细咀嚼，用温酒送服。
生阳丹（又名五纬丸）：治疗肾虚脏气寒冷。（原方见“诸虚门”补虚治风类）
原方记载：附子一枚（炮裂去皮去脐研末），桂枝去皮研末一两，干姜炮制研末二钱，硫黄细研。以上药物共同研细，用面糊调和制成如桐子大小的丸剂，以丹砂为衣。若遇脾胃寒冷不思饮食、腹中疼痛、频繁洞泻，以及赤白痢疾伴有脓液者，煎艾叶放冷后送服十丸；隔一段时间后再次服用。若怕冷物，可用冷水送服十丸。如小儿有此病，化开一丸服用。如在冬天远行早起，也可用冷水送服五至七丸，可大御寒气。此药不热甚温，也无相反禁忌，大体无所忌讳。常服五至七粒，永不患结胸、阴毒伤寒等证候。不拘时候服用。
治疗腰肾寒冷并助阳气（出自《本草》）：
用蟾蜍眉酥混合牛酥，涂抹按摩腰眼及阴囊部位。又用吴茱萸苗的汁液，调拌炒制的药物敷贴患处。
Kidney Cold Syndrome is characterized by weakness and faintness in the lower legs, heaviness in the waist, distension and fullness in the lower abdomen, Qi rushing upward to the heart and chest, and pain radiating to the hypochondrium. This is caused by deficiency of the Kidney and insufficiency of Yang Qi.
Formulas:
Baji Wan (Baji Pill) [from *Shengji Zonglu*]: Treats Kidney deficiency with cold-coldness and invasion of cold pathogen. Symptoms include acute pain in the umbilical and abdominal regions, frequent urination, and a dull, turbid complexion.
Ingredients: Morinda officinalis Radix (Bajitian, 巴戟天) [remove core]; Cuscutae Semen (Tusizi, 菟丝子) [soak in wine, pound separately, and roast]; Zingiberis Rhizoma Preparatum (Paojiang, 干姜) [prepared]; Achyranthis Bidentatae Radix (Niuxi, 牛膝) [soak in wine, slice, and roast]; Cinnamomi Ramulus (Guizhi, 桂枝) [remove coarse bark, each 1 liang]; Prepared Rehmanniae Radix (Shudihuang, 熟干地黄) [roast]; Cynomorii Herba (Roucongrong, 肉苁蓉) [soak in wine, slice, and roast, each 2.5 liang]; Schisandrae Fructus (Wuweizi, 五味子); Aconiti Lateralis Radix Preparata (Paofuzi, 附子) [crack by roasting, remove skin and navel, each 1.5 liang]; Astragali Membranacei Radix (Huangqi, 黄芪) [cut into pieces, 1 liang 3 fen]; Ostreae Concha (Muli, 牡蛎) [calcined, 0.5 liang]; Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) [2 liang].
Preparation and Administration: Powder the ingredients. Mix with refined honey to form pills the size of Sophora seeds. Take 30 pills orally before meals on an empty stomach, washed down with warm wine.
Baji Wan (Baji Pill) [from *Shengji Zonglu*]: Treats Kidney deficiency with invasion of cold Qi; tonifies the Lower Yuan.
Ingredients: Morinda officinalis Radix (Bajitian, 巴戟天) [remove core]; Zingiberis Rhizoma Preparatum (Paojiang, 干姜) [prepared]; Aquilariae Lignum Resinatum (Chenxiang, 沉香) [cut into pieces]; Aconiti Lateralis Radix Preparata (Paofuzi, 附子) [crack by roasting, remove skin and navel]; Costi Radix (Muxiang, 木香); Cinnamomi Ramulus (Guizhi, 桂枝) [remove coarse bark]; Cynomorii Herba (Roucongrong, 肉苁蓉) [soak in wine].
Preparation and Administration: Powder the ingredients. Take one pair of Porcine Kidneys, wrap in wet paper, and bake until cooked. Slice thinly. Add 1 fen of salt and a small amount of unadulterated wine, grind together until smooth, mix with the powder to form pills the size of Sophora seeds. Take 30 pills orally on an empty stomach, at noon, and before sleep, washed down with salt water or warm wine.
Muxiang Wan (Muxiang Pill) [from *Shengji Zonglu*]: Treats cold Qi in the Kidney. Symptoms include cold pain in the umbilical and abdominal regions, soreness and pain in the waist and legs, and spasm/tightness of tendons and vessels. It warms the meridians.
Ingredients: Costi Radix (Muxiang, 木香); Trichosanthis Semen (Huluba, 葫芦巴) [stir-fry]; Psoraleae Fructus (Buguzhi, 补骨脂) [stir-fry]; Morinda officinalis Radix (Bajitian, 巴戟天) [remove core]; Xiangzi [stir-fry]; Cinnamomi Ramulus (Guizhi, 桂枝) [remove coarse bark]; Artemisiae Argyi Folium (Aiye, 艾叶) [stir-fry]; Aconiti Lateralis Radix Preparata (Paofuzi, 附子) [crack by roasting, remove skin and navel]; Citri Reticulatae Pericarpium Viride (Qingjupi, 青橘皮) [remove white pith and roast, each 1 liang].
Preparation and Administration: Powder the ingredients. Mix with refined honey to form pills the size of Sophora seeds. Take 20 pills orally.
Xiangzi Wan (Xiangzi Pill) [from *Shengji Zonglu*]: Treats Kidney deficiency with invasion of cold. Symptoms include attacking pain and fullness in the waist and abdomen, and slight coldness in the hands and feet.
Ingredients: Xiangzi [stir-fry]; Costi Radix (Muxiang, 木香); Cinnamomi Ramulus (Guizhi, 桂枝) [remove coarse bark]; Zingiberis Rhizoma Preparatum (Paojiang, 干姜) [prepared]; Curcumae Radix (Ezhu, 蓬莪术) [bake and cut into pieces]; Persicae Semen (Taoren, 桃仁) [remove skin, tips, and double kernels, pound into paste, each 3 fen]; Raphani Fructus (Laifuzi, 莱菔子) [stir-fry, 0.5 liang]; Magnoliae Officinalis Cortex (Houpo, 浓朴) [remove coarse bark, half raw-cut, half processed with ginger juice, 1 liang]; Citri Reticulatae Pericarpium Viride (Qingjupi, 青橘皮) [soak in hot water, remove white pith and roast, 0.5 liang].
Preparation and Administration: Except for Taoren, crush and sieve the other ingredients into fine powder. Mix in the Taoren paste. Use wine-boiled wheat flour paste to form pills the size of Sophora seeds. Take 20 pills orally, washed down with warm wine, on an empty stomach.
Danggui Wan (Danggui Pill) [from *Shengji Zonglu*]: Treats cold pathogen in the Kidney. Symptoms include cold pain in the umbilical and abdominal regions, and spasm/tightness in the waist and hypochondrium.
Ingredients: Angelicae Sinensis Radix (Danggui, 当归) [slice and roast, 1 liang]; Zingiberis Rhizoma Preparatum (Paojiang, 干姜) [prepared, 0.5 liang]; Aconiti Lateralis Radix Preparata (Paofuzi, 附子) [crack by roasting, remove skin and navel, 1 liang]; Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) [2 liang]; Broussonetiae Fructus (Chushi, 楮实) [bake and take the flesh, 1 liang]; Costi Radix (Muxiang, 木香) [0.5 liang]; Cinnamomi Ramulus (Guizhi, 桂枝) [remove coarse bark, 0.5 liang].
Preparation and Administration: Powder the ingredients. Use vinegar-boiled wheat flour paste to form pills the size of Sophora seeds. Take 20 pills orally, washed down with Mugwort Decoction, on an empty stomach before meals, three times daily.
Weishen San (Weishen Powder) [from *Shengji Zonglu*]: Treats cold pathogen in the Kidney. Symptoms include deficiency-cold at Qihai (CV6), heaviness and pain in the waist and legs, and frequent urination.
Ingredients: Xiangzi [stir-fry]; Piperis Longi Fructus (Bidengqie, 荜澄茄); Morinda officinalis Radix (Bajitian, 巴戟天) [remove core, each 1 liang]; Zingiberis Rhizoma Preparatum (Paojiang, 干姜) [prepared]; Aconiti Lateralis Radix Preparata (Paofuzi, 附子) [crack by roasting, remove skin and navel, each 0.5 liang]; Zanthoxyli Fructus (Shujiao, 蜀椒) [remove eyes and closed mouths, stir-fry until sweat appears]; Cinnamomi Ramulus (Guizhi, 桂枝) [remove coarse bark, each 3 fen].
Preparation and Administration: Powder the ingredients. Take 2 qian per dose. Take one pair of Ovine Kidneys, split open, sprinkle the medicine inside. Add a little salt, scallion, and pepper. Wrap in wet paper and bake until cooked. Chew thoroughly on an empty stomach and wash down with warm wine.
Wenshen San (Wenshen Powder) [from *Shengji Zonglu*]: Treats Kidney deficiency and exhaustion caused by invasion of cold pathogen. Symptoms include spasm/tightness of the back and waist, and cold pain in the umbilical and abdominal regions.
Ingredients: Cinnamomi Ramulus (Guizhi, 桂枝) [remove coarse bark]; Aconiti Lateralis Radix Preparata (Paofuzi, 附子) [crack by roasting, remove skin and navel, each 1 liang]; Citri Reticulatae Pericarpium Viride (Qingjupi, 青橘皮) [soak in hot water, remove white pith and roast]; Zingiberis Rhizoma Preparatum (Paojiang, 干姜) [prepared, each 0.5 liang]; Costi Radix (Muxiang, 木香) [1 fen].
Preparation and Administration: Powder the ingredients. Take 2 qian per dose. Take one pair of Ovine Kidneys, remove fascia, cut open, and insert the medicine. Wrap in wet paper and bake slowly over low heat until cooked. Chew thoroughly and wash down with warm wine.
Shengyang Dan (Shengyang Pill) [also known as Wuwei Pill]: Treats cold Qi in deficient Kidney organs. (Formula see "Various Deficiencies Section" Tonifying Deficiency and Treating Wind Category).
Original Formula Record: One Aconiti Lateralis Radix Preparata (Paofuzi, 附子) [crack by roasting, remove skin and navel, powder]; 1 liang of Cinnamomi Ramulus (Guizhi, 桂枝) [remove skin, powder]; 2 qian of Zingiberis Rhizoma Preparatum (Paojiang, 干姜) [prepared, powder]; Realgar [fine powder]. Grind all together finely. Mix with wheat flour paste to form pills the size of tung seeds. Coat with Cinnabar. For spleen/stomach cold with loss of appetite, abdominal pain, frequent watery diarrhea, or dysentery with red/white pus, take 10 pills washed down with cooled Mugwort Decoction. Repeat after some time. If afraid of cold substances, take 10 pills washed down with cold water. For children with this condition, dissolve one pill. In winter, if traveling early in the morning, take 5-7 pills washed down with cold water to strongly resist cold qi. This medicine is mildly warm, not hot, has no contraindications, and is generally unrestricted. Commonly take 5-7 pills; never suffer from Jie Xiong (Chest Binding), Yin Du (Yin Toxin), or Shang Han (Cold Damage) syndromes. Take at any time.
Treating Cold Waist/Kidney and Assisting Yang Qi [from *Bencao*]:
Mix Chan Chu Mei Su (Toad Brow Suet) with Niu Su (Ox Suet). Rub and apply to Yao Yan (Eye of the Waist) and scrotum. Also, use juice from Wuzhuyu Miao (Evodia Seedling) to mix with stir-fried medicine and apply as a poultice.