《内经》谓人有身寒，汤火不能热，浓衣不能温，然不冻栗，是人者素肾气胜。以水
为事
满。故
故不能
髓满而
寒不为
髓少而
方
肉苁蓉丸（出《圣济总录》）补骨髓，治寒湿。
肉苁蓉（酒浸切焙一两） 獭肝（一具涂酥炙切） 柴胡（去苗） 秦艽（去苗土各三
分） 巴戟天
（切焙半两） 泽泻 附
（去根三分） 蒺藜子（炒半两）
仁（汤去皮尖双仁炒另研） 木香（各半
焙） 赤石脂 槟榔 白术 干姜（炮） 甘草（
皮山茱萸 蜀椒（去目并闭口炒出汗） 芎 牡蛎（
捣数百下，丸如桐子大，每服温酒下三十丸，不拘时，日
石斛丸（出《圣济》）治肾虚骨痹，肌体羸瘦，脚酸痛，饮食无味，小便数
滑。
石斛（去根） 牛膝（酒浸切焙） 续断（各三分） 菟丝子（酒浸别杵） 石龙芮（炒）
桂（去皮
仲（去皮锉）
心半两） 附子（炮去皮
骨脂（炒） 荜澄茄（各三分） 五
（炒三分） 薏苡仁（炒一两） 上为细末，炼
下三十丸，日二服。
熟干地黄丸（出《圣济录》）治肾虚骨痹，面色萎黑，足冷耳鸣，四肢羸
瘦，脚膝缓弱，小
熟地黄（切焙） 肉苁蓉（酒浸切焙） 磁石（煨醋淬各二两） 山茱萸（三分） 桂
（去皮） 附子（
（去黑心） 泽泻 黄 （
（去根一两） 覆盆子 远志（去心
（去心三分） 杜仲（去皮锉一两） 菟丝子（酒
炼蜜和捣数百下，丸如梧桐子大，每服空心温酒下
附子独活汤（出《宣明论》）治肾脏中风寒湿，成骨痹，腰脊疼痛，不得俯
仰，两脚冷 ，
附子（炮去皮脐） 独活（去芦） 防风（去叉） 芎 丹参 萆 菖蒲（各半两）
天麻 桂
菊花 牛膝（酒
一盏，生姜三斤，煎
鹿茸天麻丸（出《圣济总录》）治肾脏气虚，骨痹缓弱，腰脊酸疼，脐腹
虚冷，色不泽，志
鹿茸（去毛酥炙二两） 天麻（一两半） 附子（炮去皮脐） 巴戟天（去心） 菖蒲
（各一两） 石
天雄（炮去皮脐） 独
浸切焙一两半） 磁石（煨醋
桐子大，每服二十丸，加至三
干漆丸（出《指南方》）治骨痹皮肉寒。\x
鹿茸 干地黄（各四两） 干漆（半两） 上为末，炼蜜丸如梧桐子大，每服三十丸，
空心温酒
《内经》中说，有人身体寒冷，用热水烫、烈火烤都不能使其温暖，穿厚衣服也不能使其暖和，然而并不出现冻得发抖的症状，这种人是因为平素肾气偏盛。因为从事涉水劳作过多，导致……（原文此处有脱漏，意为肾水过盛或寒湿内盛）。所以骨髓充盈则……（原文此处有脱漏）；骨髓亏少则……（原文此处有脱漏），寒冷不能……（原文此处有脱漏）。
肉苁蓉丸（出自《圣济总录》），补益骨髓，治疗寒湿证。
药材组成：肉苁蓉（酒浸后切片焙干，一两）、獭肝（一只，涂酥油炙烤后切片）、柴胡（去苗）、秦艽（去苗土，各三分）、巴戟天（切后焙干，半两）、泽泻、附子（去根，三分）、蒺藜子（炒，半两）、[缺字，疑为杏仁]仁（汤煮去皮尖及双仁者，炒后另研）、木香（各半两，焙）、赤石脂、槟榔、白术、干姜（炮制）、甘草（[缺字，疑为炙]）、山茱萸、蜀椒（去目并闭口处，炒至出汗）、芎[劳/穷]、牡蛎（[缺字，疑为煅]捣数百下）。制成梧桐子大小的丸药，每次服用三十丸，用温酒送服，不限时间，每日[缺字，疑为二]次。
石斛丸（出自《圣济总录》），治疗肾虚骨痹，身体消瘦，脚部酸痛，饮食无味，小便频数且滑利。
药材组成：石斛（去根）、牛膝（酒浸后切片焙干）、续断（各三分）、菟丝子（酒浸后单独杵碎）、石龙芮（炒）、桂[枝/心]（去皮[缺字]）、仲[疑为杜仲]（去皮锉[缺字]）、附子（炮制去皮[缺字]）、骨[脂]（炒）、荜澄茄（各三分）、五[缺字，疑为五味子]（炒三分）、薏苡仁（炒一两）。以上药物研为细末，用炼蜜和药，捣数百下，制成梧桐子大小的丸药，每次空腹用温酒送服三十丸，每日两次。
熟干地黄丸（出自《圣济总录》），治疗肾虚骨痹，面色萎黄发黑，足冷耳鸣，四肢消瘦，脚膝软弱无力，小[便不利/腹满等，原文截断]。
药材组成：熟地黄（切后焙干）、肉苁蓉（酒浸后切片焙干）、磁石（煨后醋淬，各二两）、山茱萸（三分）、桂[枝]（去皮）、附子（[缺字]）、[缺字，疑为茯苓]（去黑心）、泽泻、黄[芪/连]（[缺字]）、[缺字，疑为人参]（去根一两）、覆盆子、远志（去心[缺字]）、[缺字，疑为五味子]（去心三分）、杜仲（去皮锉，一两）、菟丝子（酒[浸]）。用炼蜜调和，捣数百下，制成梧桐子大小的丸药，每次空腹用温酒送服[缺字]。
附子独活汤（出自《宣明论》），治疗肾脏受风寒湿邪侵袭，形成骨痹，腰脊疼痛，不能俯仰，双脚冰冷[麻木/痛，原文截断]。
药材组成：附子（炮制去皮脐）、独活（去芦头）、防风（去叉）、芎[劳]、丹参、萆[薢]、菖蒲（各半两）、天麻、桂[枝]、菊花、牛膝（酒[浸]）。[煎服法缺]一盏，生姜三片，煎[煮取汁，原文截断]。
鹿茸天麻丸（出自《圣济总录》），治疗肾脏气虚，骨痹导致肢体缓弱，腰脊酸痛，脐腹部虚冷，面色无光泽，意志[消沉/萎靡，原文截断]。
药材组成：鹿茸（去毛，酥炙，二两）、天麻（一两半）、附子（炮制去皮脐）、巴戟天（去心）、菖蒲（各一两）、石[钟乳/燕等，原文截断]、天雄（炮制去皮脐）、独[活，原文截断]、[缺字，疑为牛膝]（酒浸切焙一两半）、磁石（煨醋[淬，原文截断]）。制成梧桐子大小的丸药，每次服用二十丸，逐渐加量至[缺字]。
干漆丸（出自《指南方》），治疗骨痹导致的皮肉寒冷。
药材组成：鹿茸、干地黄（各四两）、干漆（半两）。以上药物研为细末，用炼蜜制成梧桐子大小的丸药，每次服用三十丸，空腹用温酒[送服，原文截断]。
The *Neijing* (Inner Canon) states that some individuals experience body coldness that cannot be warmed by hot water or fire, nor by thick clothing, yet they do not shiver from the cold. Such persons typically have an excess of Kidney Qi. This is often due to excessive exposure to water-related labor... (the original text here has lacunae, implying an excess of Kidney Water or internal Cold-Dampness). Therefore, when Marrow is full... (lacuna); when Marrow is deficient... (lacuna), cold cannot... (lacuna).
Rou Cong Rong Wan (Cistanche Pill) [from *Shengji Zonglu*]: Tonifies Marrow and treats Cold-Dampness.
Ingredients: Rou Cong Rong (Cistanches Herba, soaked in wine, sliced, and dried, 1 liang), Ta Gan (Aonyx Liver, one piece, coated with butter, roasted, and sliced), Chai Hu (Bupleuri Radix, stems removed), Qin Jiao (Gentianae Macrophyllae Radix, stems and soil removed, each 3 fen), Ba Ji Tian (Morindae Officinalis Radix, sliced and dried, 0.5 liang), Ze Xie (Alismatis Rhizoma), Fu Zi (Aconiti Lateralis Radix Praeparata, roots removed, 3 fen), Ji Li Zi (Tribuli Fructus, stir-fried, 0.5 liang), [missing character, likely Xing Ren] Ren (Apricot Seed, boiled, skin and tip removed, non-double kernels stir-fried and separately ground), Mu Xiang (Aucklandiae Radix, each 0.5 liang, dried), Chi Shi Zhi (Halloysit Rubrum), Bing Lang (Arecae Semen), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Jiang (Zingiberis Rhizoma Praeparatum), Gan Cao (Glycyrrhizae Radix et Rhizoma, [missing character, likely honey-fried]), Shan Zhu Yu (Corni Fructus), Shu Jiao (Zanthoxyli Pericarpium, eyes and closed-mouth ones removed, stir-fried until moisture evaporates), Xiong [Qiong/Lao] (Ligustici Chuanxiong Rhizoma), Mu Li (Ostreae Concha, [missing character, likely calcined], pounded hundreds of times). Form into pills the size of tung tree seeds. Take 30 pills per dose with warm wine, at any time, [missing character, likely twice] daily.
Shi Hu Wan (Dendrobium Pill) [from *Shengji Zonglu*]: Treats Kidney Deficiency Bone Bi (Bone Impediment), emaciation of the body, soreness and pain in the feet, loss of taste in food, frequent and slippery urination.
Ingredients: Shi Hu (Dendrobii Caulis, roots removed), Niu Xi (Achyranthis Bidentatae Radix, soaked in wine, sliced, and dried), Xu Duan (Dipsaci Radix, each 3 fen), Tu Si Zi (Cuscutae Semen, soaked in wine and separately pounded), Shi Long Rui (Populi Flos, stir-fried), Gui [Zhi/Xin] (Cinnamomi Ramulus/Cortex, bark removed [missing character]), Zhong [likely Du Zhong] (Eucommiae Cortex, bark removed and cut [missing character]), Fu Zi (Aconiti Lateralis Radix Praeparata, roasted, skin and core removed [missing character]), Gu [Zhi] (Cnidii Fructus, stir-fried), Bi Cheng Qie (Schizonepetae Spica/Birchene Fruit? Note: Bi Cheng Qie is usually Schizonepetae Spica or similar aromatic, here likely referring to a specific aromatic herb like Alpiniae Katsumadai Fructus or similar contextually, but standard WHO term for Bi Cheng Qie is often associated with Schizonepetae or similar. However, strictly following text: Bi Cheng Qie), Wu [Wei Zi] (Schisandrae Fructus, stir-fried 3 fen), Yi Yi Ren (Coicis Semen, stir-fried 1 liang). Grind the above into fine powder, mix with refined honey, pound hundreds of times, form into pills the size of tung tree seeds. Take 30 pills per dose with warm wine on an empty stomach, twice daily.
Shu Gan Di Huang Wan (Prepared Rehmannia Pill) [from *Shengji Zonglu*]: Treats Kidney Deficiency Bone Bi, sallow and dark complexion, cold feet, tinnitus, emaciation of the four limbs, weakness and flaccidity of the feet and knees, [small [bladder issues/belly fullness, text truncated]].
Ingredients: Shu Di Huang (Rehmanniae Radix Praeparata, sliced and dried), Rou Cong Rong (Cistanches Herba, soaked in wine, sliced, and dried), Ci Shi (Magnetitum, roasted and quenched in vinegar, each 2 liang), Shan Zhu Yu (Corni Fructus, 3 fen), Gui [Zhi] (Cinnamomi Ramulus, bark removed), Fu Zi (Aconiti Lateralis Radix Praeparata, [missing character]), [Missing character, likely Fu Ling] (Poria, remove black heart), Ze Xie (Alismatis Rhizoma), Huang [Qi/Lian] ([missing character]), [Missing character, likely Ren Shen] (Ginseng Radix, roots removed, 1 liang), Fu Pen Zi (Rubi Fructus), Yuan Zhi (Polygalae Radix, heart removed [missing character]), [Missing character, likely Wu Wei Zi] (Schisandrae Fructus, heart removed, 3 fen), Du Zhong (Eucommiae Cortex, bark removed and cut, 1 liang), Tu Si Zi (Cuscutae Semen, wine [soaked]). Mix with refined honey, pound hundreds of times, form into pills the size of tung tree seeds. Take with warm wine on an empty stomach [missing character].
Fu Zi Du Huo Tang (Aconite and Angelica Pubescens Decoction) [from *Xuanming Lun*]: Treats Wind-Cold-Dampness invading the Kidneys, resulting in Bone Bi, pain in the waist and spine, inability to bend forward or backward, and cold [numbness/pain] in both feet [text truncated].
Ingredients: Fu Zi (Aconiti Lateralis Radix Praeparata, roasted, skin and umbilicus removed), Du Huo (Angelicae Pubescentis Radix, rhizome removed), Fang Feng (Saposhnikoviae Radix, forked roots removed), Xiong [Lao] (Ligustici Chuanxiong Rhizoma), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Bi [Xie] (Smilacis Glabrae Rhizoma), Chang Pu (Acori Tatarinowii Rhizoma, each 0.5 liang), Tian Ma (Gastrodiae Rhizoma), Gui [Zhi] (Cinnamomi Ramulus), Ju Hua (Chrysanthemi Flos), Niu Xi (Achyranthis Bidentatae Radix, wine [soaked]). [Decoction method missing] one cup, three slices of fresh ginger, decoct [extract juice, text truncated].
Lu Rong Tian Ma Wan (Deer Antler and Gastrodia Pill) [from *Shengji Zonglu*]: Treats Kidney Qi Deficiency, Bone Bi causing flaccidity and weakness, soreness and pain in the waist and spine, deficiency-cold in the umbilical and abdominal region, lusterless complexion, and [depressed spirit, text truncated].
Ingredients: Lu Rong (Cervi Cornu Pantotrichum, hair removed, roasted with butter, 2 liang), Tian Ma (Gastrodiae Rhizoma, 1.5 liang), Fu Zi (Aconiti Lateralis Radix Praeparata, roasted, skin and umbilicus removed), Ba Ji Tian (Morindae Officinalis Radix, heart removed), Chang Pu (Acori Tatarinowii Rhizoma, each 1 liang), Shi [Zhong Ru/Yan...] (Mineral substance, text truncated), Tian Xiong (Aconiti Radix, roasted, skin and umbilicus removed), Du [Huo, text truncated], [Missing character, likely Niu Xi] (Achyranthis Bidentatae Radix, wine-soaked, sliced, and dried, 1.5 liang), Ci Shi (Magnetitum, roasted and quenched in [vinegar, text truncated]). Form into pills the size of tung tree seeds. Take 20 pills per dose, gradually increasing to [missing character].
Gan Qi Wan (Dry Resin Pill) [from *Zhinan Fang*]: Treats Bone Bi characterized by coldness of the skin and flesh.
Ingredients: Lu Rong (Cervi Cornu Pantotrichum), Gan Di Huang (Rehmanniae Radix, each 4 liang), Gan Qi (Resina Taxodi). Grind the above into powder, mix with refined honey, form into pills the size of tung tree seeds. Take 30 pills per dose with warm wine on an empty stomach [text truncated].