夫肾着之病形如水状。其人不渴小便自利。饮食如故。惟身体及腹重如带数千钱。腰以
下冷如坐水中。盖肾经虚弱外受风冷。内有水湿。风水相搏。内着于肾。故成此病。或有作
劳汗
方
杜仲酒（出千金方）治肾着腰中疼痹沉重。兼治五种腰疼。
杜仲（去粗皮炙） 干姜（炮） 熟地黄（焙） 萆 羌活（去芦头） 天雄（炮裂
去皮脐）
肉桂（去粗皮） 蜀椒（去目并闭口者炒出汗） 芎 秦艽（去苗土） 乌头（炮裂去皮
脐） 细
辛
梗（炒）
甘草（炙） 防风（去叉各一两） 上 咀。用酒二斗浸四宿。每服一盏。不拘时饮。常令
酒
力相续为效。
肾着散（圣济总录）治腰背疼重。小腹拘急。小便难。耳聋。脚冷。
羊肾（一对作脯令燥炙之） 磁石（醋淬一两半） 人参（二两） 桑根白皮（炙锉） 防
风
（去叉） 天雄（炮裂去皮脐） 玄参 赤茯苓（去黑皮各三两） 续断（一两三分） 熟
干地黄
（焙一两） 阿胶（炒外台作燥白务） 肉苁蓉（酒浸切焙） 干漆（炒烟出） 龙骨 天
门冬（去
心焙各半
麻黄汤（出圣济总录）治肾着腰冷腹重痛。脚膝无力。
麻黄（去根节） 附子（炮裂去皮脐） 木香 芎 羌活（去芦头） 当归（锉米炒）
槟榔
（锉） 防风（去叉） 牛膝（去苗酒浸焙燥） 天麻（锉） 人参 赤茯苓（去黑皮各一
两） 上
咀。每服三钱。水一盏。生姜三片。枣二枚擘。同煎至七分去滓。温服。
肾着散（出千金方）治证与后肾着汤同。
杜仲 桂心（各三两） 甘草 泽泻 牛膝 干姜（各二两） 白术 茯苓（各四两） 上
治
下筛
七胜丸（出圣济总录）治肾着腰冷痹。腹急痛。脚膝疼不可行。香港脚等疾。
威灵仙（去土） 当归（酒浸切焙） 附子（炮裂去皮脐） 天麻（各一升） 桂（去
粗皮） 牛
膝（去苗酒浸焙） 干姜（炮各半斤） 上为细末。酒煮面糊丸如梧桐子大。每服二十丸。
日二
夜
丹参丸（出圣济总录）治肾着腹重痛。腰冷痹。
丹参（洗） 杜仲（去粗皮切炒） 牛膝（去苗酒浸切焙） 续断（各三两） 桂（去
粗皮） 干
姜（
桑寄生散（出千金方）治肾着。
桑寄生（洗切） 牡丹皮（洗切） 鹿茸（去毛酥炙） 桂（去粗皮各一两） 上为细
散。每服
二钱
肾着汤（出千金方）肾着之为病。其人身体重。腰冷如水洗状。不渴小便自
利。饮食如故。是其证也。从作劳汗出。衣里冷湿。久久得之。腰以下冷痛。腰重如带
五千钱。（一名甘草
甘草（二两） 干姜（二两） 茯苓 白术（各四两） 上 咀。以水五升。煮取三升。
分三
服
治内外肾钓痛（出本草）
用吴茱萸同盐研。窨之神验。干则浸窨。
肾着病的症状表现像有水积聚的样子。患者口不渴，小便通畅自如。饮食正常如常。只是身体和腹部沉重，好像腰带上挂着几千枚铜钱。腰部以下寒冷，如同坐在水中一样。这是因为肾经虚弱，外受风冷侵袭，体内又有水湿停滞，风邪与水湿相互搏结，内着于肾脏，所以形成这种病。有的因为劳作出汗后……
杜仲酒（出自《千金方》），治疗肾着引起的腰部疼痛、痹阻、沉重感。兼治五种腰痛。
药材：杜仲（去除粗皮，炙烤）、干姜（炮制）、熟地黄（焙干）、萆薢、羌活（去除芦头）、天雄（炮裂，去皮脐）、肉桂（去除粗皮）、蜀椒（去除目及闭口者，炒至出油）、川芎、秦艽（去苗土）、乌头（炮裂，去皮脐）、细辛、桔梗（炒制）、甘草（炙烤）、防风（去叉枝，各一两）。
制法与用法：将上述药材切碎。用酒二斗浸泡四个夜晚。每次服用一盏，不拘时间饮用。通常让酒力持续发挥作用以取得疗效。
肾着散（出自《圣济总录》），治疗腰背疼痛沉重，小腹拘急，小便困难，耳聋，脚冷。
药材：羊肾（一对，制成脯状并晾干，炙烤）、磁石（醋淬，一两半）、人参（二两）、桑根白皮（炙烤锉碎）、防风（去叉枝）、天雄（炮裂，去皮脐）、玄参、赤茯苓（去黑皮，各三两）、续断（一两三分）、熟干地黄（焙干，一两）、阿胶（炒制，《外台秘要》作干燥处理）、肉苁蓉（酒浸切后焙干）、干漆（炒至烟出）、龙骨、天门冬（去心焙干，各半……[原文此处似有缺字]）。
麻黄汤（出自《圣济总录》），治疗肾着引起的腰部寒冷、腹部重痛，脚膝无力。
药材：麻黄（去根节）、附子（炮裂，去皮脐）、木香、川芎、羌活（去芦头）、当归（锉碎后用米炒）、槟榔（锉碎）、防风（去叉枝）、牛膝（去苗，酒浸焙干）、天麻（锉碎）、人参、赤茯苓（去黑皮，各一两）。
制法与用法：将上述药材切碎。每次服用三钱，用水一盏，生姜三片，大枣二枚掰开，共同煎煮至七分，去渣，温服。
肾着散（出自《千金方》），治疗的证候与后面的肾着汤相同。
药材：杜仲、桂心（各三两）、甘草、泽泻、牛膝、干姜（各二两）、白术、茯苓（各四两）。
制法与用法：将上述药材捣碎过筛……[原文此处似有缺字]。
七胜丸（出自《圣济总录》），治疗肾着引起的腰部寒冷痹阻，腹部急痛，脚膝疼痛无法行走，香港脚等疾。
药材：威灵仙（去土）、当归（酒浸切后焙干）、附子（炮裂，去皮脐）、天麻（各一升）、桂（去除粗皮）、牛膝（去苗，酒浸焙干）、干姜（炮制，各半斤）。
制法与用法：将上述药材研为细末，用酒煮面糊制作成梧桐子大小的丸药。每次服用二十丸，每日两次，早晚各一次……[原文“夜”字后似有缺字]。
丹参丸（出自《圣济总录》），治疗肾着引起的腹部重痛，腰部寒冷痹阻。
药材：丹参（清洗）、杜仲（去除粗皮切后炒制）、牛膝（去苗，酒浸切后焙干）、续断（各三两）、桂（去除粗皮）、干姜……[原文此处似有缺字]。
桑寄生散（出自《千金方》），治疗肾着。
药材：桑寄生（清洗切制）、牡丹皮（清洗切制）、鹿茸（去毛，酥炙）、桂（去除粗皮，各一两）。
制法与用法：将上述药材研为细散。每次服用二钱……[原文此处似有缺字]。
肾着汤（出自《千金方》）：肾着这种病，患者身体沉重，腰部寒冷如水洗状，口不渴，小便通畅自如，饮食正常如常，这就是它的证候。多因劳作出汗后，衣物里层冷湿，日久逐渐得之。腰部以下寒冷疼痛，腰部沉重如同带着五千枚铜钱。（又名甘草……[原文此处似有缺字]）
药材：甘草（二两）、干姜（二两）、茯苓、白术（各四两）。
制法与用法：将上述药材切碎。用水五升，煎煮取汁三升。分三次服用……[原文此处似有缺字]。
The symptoms of the disease known as "Shen Zhuo" (Kidney Fixation) resemble water accumulation. The patient does not feel thirsty, and urination is normal and free. Dietary intake remains unchanged. However, the body and abdomen feel heavy, as if a belt were weighed down with thousands of coins. The area below the waist feels cold, as if sitting in water. This occurs because the Kidney Meridian is deficient, allowing external Wind-Cold to invade while internal Damp-Water stagnates. Wind and Water-Dampness contend with each other, fixing internally within the Kidneys, thus forming this disease. Some cases arise from sweating after exertion...
**Duzhong Wine** (from *Qianjin Fang*): Treats pain, bi-syndrome, and heaviness in the waist caused by Shen Zhuo. Also treats five types of lumbar pain.
Ingredients: Duzhong Cortex (*Eucommiae Ulmoidis Cortex*, peeled and stir-baked), Dried Ginger (*Zingiberis Rhizoma*, processed), Prepared Rehmannia Root (*Rehmanniae Radix Praeparata*), Dioscorea Hypoglauca Rhizome (*Dioscoreae Hypoglaucae Rhizoma*), Notopterygium Rhizome (*Notopterygii Rhizoma et Radix*, de-radicle), Aconitum Lateralis Radix Preparata (*Aconiti Lateralis Radix Praeparata*, processed, peeled, umbilicus removed), Cinnamon Twig (*Cinnamomi Ramulus*, peeled), Sichuan Pepper (*Zanthoxyli Pericarpium*, de-seeded and closed-mouth ones removed, stir-fried until oil appears), Szechwan Lovage Rhizome (*Ligustici Chuanxiong Rhizoma*), Gentian Root (*Gentianae Radix*, de-tuber and soil removed), Aconitum Carmichaelii Radix (*Aconiti Radix*, processed, peeled, umbilicus removed), Asarum Root (*Asari Radix*), Platycodon Root (*Platycodi Radix*, stir-fried), Licorice Root (*Glycyrrhizae Radix et Rhizoma*, stir-baked), Saposhnikovia Root (*Saposhnikoviae Radix*, de-branched, each 1 liang).
Preparation and Administration: Coarsely crush the above ingredients. Soak in 2 dou of wine for four nights. Take one zhan per dose, at any time. It is recommended to maintain a continuous effect of the wine's potency.
**Shenzhuo Powder** (from *Shengji Zonglu*): Treats heavy pain in the lower back and waist, tightness in the lower abdomen, difficulty in urination, deafness, and cold feet.
Ingredients: Sheep Kidney (one pair, made into dried slices and stir-baked), Magnetite (*Magnetitum*, vinegar-quenched, 1.5 liang), Ginseng Root (*Ginseng Radix*, 2 liang), Mulberry Root Bark (*Mori Radicis Cortex*, stir-baked and crushed), Saposhnikovia Root (*Saposhnikoviae Radix*, de-branched), Aconitum Lateralis Radix Preparata (*Aconiti Lateralis Radix Praeparata*, processed, peeled, umbilicus removed), Scrophularia Root (*Scrophulariae Radix*), Red Poria (*Polyporus*, de-black skin, each 3 liang), Teasel Root (*Dipsaci Radix*, 1 liang 3 fen), Prepared Rehmannia Root (*Rehmanniae Radix Praeparata*, baked, 1 liang), Donkey-hide Gelatin (*Colla Corii Asini*, stir-fried; *Waitai Mi Yao* suggests drying), Cistanche Stem (*Cistanches Herba*, soaked in wine, sliced, and baked), Dry Resin (*Dry Resina*, stir-fried until smoke emerges), Dragon Bone (*Os Draconis*), Ophiopogon Tuber (*Ophiopogonis Tuber*, de-heart and baked, each half [text incomplete]).
**Mahuang Decoction** (from *Shengji Zonglu*): Treats coldness in the waist and heavy pain in the abdomen due to Shen Zhuo, along with weakness in the legs and knees.
Ingredients: Ephedra Herb (*Ephedrae Herba*, de-root and joints), Processed Aconite Root (*Aconiti Radix Praeparata*, processed, peeled, umbilicus removed), Costus Root (*Aucklandiae Radix*), Szechwan Lovage Rhizome (*Ligustici Chuanxiong Rhizoma*), Notopterygium Rhizome (*Notopterygii Rhizoma et Radix*, de-radicle), Angelica Sinensis Root (*Angelicae Sinensis Radix*, crushed and stir-fried with rice), Areca Seed (*Arecae Semen*, crushed), Saposhnikovia Root (*Saposhnikoviae Radix*, de-branched), Achyranthes Root (*Achyranthis Bidentatae Radix*, de-tuber, soaked in wine, baked and dried), Gastrodia Tuber (*Gastrodiae Rhizoma*, crushed), Ginseng Root (*Ginseng Radix*), Red Poria (*Polyporus*, de-black skin, each 1 liang).
Preparation and Administration: Coarsely crush the above ingredients. For each dose, take 3 qian, add one sheng of water, three slices of fresh ginger, and two jujubes split open. Decoct together until reduced to 70%, strain, and take warm.
**Shenzhuo Powder** (from *Qianjin Fang*): Indications are the same as those of the subsequent Shenzhuo Decoction.
Ingredients: Duzhong Cortex (*Eucommiae Ulmoidis Cortex*), Cassia Bark (*Cinnamomi Cortex*) (each 3 liang), Licorice Root (*Glycyrrhizae Radix et Rhizoma*), Alisma Rhizome (*Alismatis Rhizoma*), Achyranthes Root (*Achyranthis Bidentatae Radix*), Dried Ginger (*Zingiberis Rhizoma*) (each 2 liang), Atractylodes Macrocephala Rhizome (*Atractylodis Macrocephalae Rhizoma*), Poria (*Polyporus*) (each 4 liang).
Preparation and Administration: Crush and sift the above ingredients... [text incomplete].
**Qisheng Pill** (from *Shengji Zonglu*): Treats cold bi-syndrome in the waist due to Shen Zhuo, abdominal urgency and pain, inability to walk due to leg and knee pain, podagra, etc.
Ingredients: Clematis Root (*Clematidis Radix et Rhizoma*, de-soil), Angelica Sinensis Root (*Angelicae Sinensis Radix*, soaked in wine, sliced, and baked), Processed Aconite Root (*Aconiti Radix Praeparata*, processed, peeled, umbilicus removed), Gastrodia Tuber (*Gastrodiae Rhizoma*) (each 1 sheng), Cinnamon Twig (*Cinnamomi Ramulus*, peeled), Achyranthes Root (*Achyranthis Bidentatae Radix*, de-tuber, soaked in wine, baked), Dried Ginger (*Zingiberis Rhizoma*, processed, each half jin).
Preparation and Administration: Grind into fine powder. Make pills using wine-boiled wheat paste, sized like paulownia seeds. Take 20 pills per dose, twice daily, morning and night... [text incomplete].
**Danshen Pill** (from *Shengji Zonglu*): Treats heavy pain in the abdomen and cold bi-syndrome in the waist due to Shen Zhuo.
Ingredients: Salvia Miltiorrhiza Root (*Salviae Miltiorrhizae Radix*, washed), Duzhong Cortex (*Eucommiae Ulmoidis Cortex*, peeled, sliced, and stir-fried), Achyranthes Root (*Achyranthis Bidentatae Radix*, de-tuber, soaked in wine, sliced, and baked), Teasel Root (*Dipsaci Radix*) (each 3 liang), Cinnamon Twig (*Cinnamomi Ramulus*, peeled), Dried Ginger (*Zingiberis Rhizoma*)... [text incomplete].
**Sangjisheng Powder** (from *Qianjin Fang*): Treats Shen Zhuo.
Ingredients: Taxillus Branch (*Taxilli Ramulus*, washed and sliced), Moutan Cortex (*Moutan Cortex*, washed and sliced), Deer Antler (*Cornu Cervi Pantotrichum*, de-hair, baked with butter), Cinnamon Twig (*Cinnamomi Ramulus*, peeled, each 1 liang).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose... [text incomplete].
**Shenzhuo Decoction** (from *Qianjin Fang*): The disease of Shen Zhuo presents with heaviness of the body, coldness in the waist resembling being washed with water, absence of thirst, free urination, and normal diet. These are its signs. It often results from sweating during labor, where clothes become cold and damp inside, leading to the condition over time. There is cold pain below the waist, and heaviness in the waist as if carrying 5,000 coins. (Also known as Gancao... [text incomplete])
Ingredients: Licorice Root (*Glycyrrhizae Radix et Rhizoma*, 2 liang), Dried Ginger (*Zingiberis Rhizoma*, 2 liang), Poria (*Polyporus*), Atractylodes Macrocephala Rhizome (*Atractylodis Macrocephalae Rhizoma*) (each 4 liang).
Preparation and Administration: Coarsely crush the above ingredients. Add 5 sheng of water, decoct to obtain 3 sheng. Divide into three doses... [text incomplete].
**Treatment for Internal and External Ren Diaotong Pain** (from *Bencao*):
Grind Evodia Fruit (*Evodiae Fructus*) with salt. Seal and store in a cellar for divine efficacy. If dry, soak and store in a cellar.