三因熟大黄汤治坠堕闪肭腰痛不能屈伸
大黄(炒) 生姜(各半两)
上 咀水浸一宿五更去滓顿服之
按此阳明例药也
子和益肾散
甘遂
上为末每三钱 猪腰子细批开以盐椒等物淹透烂切掺药在内荷叶裹烧熟酒送嚼下
按此足少阴例药也
局方小七香丸治郁怒忧思或因闪挫 扑一切气滞腰痛
丁皮 香附 甘草(各一两二钱) 蓬术 砂仁(各二钱) 甘松(八钱) 益智仁(六钱)
上为末水浸蒸饼丸绿豆大每三二十丸米饮下
易简枳壳汤治腰背气动发痛
枳壳(五两) 甘草
上为末葱白汤调下一二钱服讫即卧少时
按以上并太阴例药也
元戎加味四物汤治瘀血腰痛
本方加桃仁红花
按此厥阴例药也
东垣地龙散治打扑伤损从高坠下恶血在太阳经中令人腰脊或胫 臂痛股中痛不可忍鼻壅
塞不通
中桂(四分) 桃仁(六个) 羌活(二钱) 独活 黄柏(各一钱) 麻黄(半钱) 当归(一
分) 地龙(四分) 甘草(一钱) 苏木(六分)
上 咀每五钱水煎服
按此出太阳例药也
济生庵 九治坠堕闪肭血气疑滞腰痛
子(半两) 没药 乳香(各二钱半) 补骨脂(炒) 威灵仙 杜仲(炒) 桂 当归(
各半两)
上为末酒糊丸如桐子大每七十丸空心温酒盐汤任下
东垣趁痛丸治打扑闪损腰痛不可忍
白莴苣子(炒黄) 白粟米(炒) 乳香 没药(各一钱) 乌梅(一个)
上为末蒸饼为丸如弹子大每服一丸细嚼用温酒空心下
按此出厥阴例药也
补剂
局方青娥丸治肾虚腰痛或风寒乘之血气相搏为痛
杜仲(姜炒一斤) 破故纸(炒八两) 胡桃(二十个)
上为末蒜四两为膏和丸如梧子大每三十丸空心温酒送下一法酒糊丸不用蒜
黄 建中汤治男女诸虚不足身重短气腰背强痛
方见补虚门
三因安肾丸治肾虚腰痛
破故纸(炒) 胡芦巴(炒) 茴香(炒) 川楝子(炒) 续断(炒各三两) 桃仁(炒) 杏仁
(炒) 山药 茯苓(各二两)
上为末蜜丸梧子大每五十丸空心盐汤下
百一选方补髓丹治老人虚弱肾伤腰痛不可屈伸
杜仲(炒) 破故纸(各十两用芝麻五两同研以芝麻黑色无声为度节去芝麻不用) 鹿茸(
一两燎去毛酒浸炙) 没药(一两另研)
上为末和匀用胡桃三十个浸去皮杵为膏入面少许煮糊丸如梧子大每百丸温酒盐汤任下
摩腰膏治伤寒湿腰痛
附尖 乌头尖 南星(各二钱半) 砂姜(一钱) 雄黄 樟脑 丁香(各一钱半) 麝香(
五粒)
上末炼蜜为膏姜汁化如弹大放掌中火上烘热摩之
按此法是代灸之意灸者宜肾俞二穴腰俞一穴见资生经
三因熟大黄汤：治疗因坠落、跌打导致的腰部僵硬疼痛，身体无法屈伸。
药材：大黄（炒制）、生姜（各半两）。
用法：将药材切碎，用水浸泡一夜，在五更天（凌晨3-5点）去渣，一次性服下。
按语：此方属于阳明经的用药法度。
子和益肾散：
药材：甘遂。
用法：研为细末，每次取三钱。将猪腰子剖开，用盐、花椒等物腌制透彻，切成烂状，掺入药粉在内，用荷叶包裹烧熟，饮酒送服并嚼食。
按语：此方属于足少阴肾经的用药法度。
局方小七香丸：治疗因郁怒、忧思或因闪挫、扑跌导致的一切气滞腰痛。
药材：丁皮、香附、甘草（各一两二钱）、蓬术、砂仁（各二钱）、甘松（八钱）、益智仁（六钱）。
用法：研为细末，用水浸湿蒸饼制成丸药，大小如绿豆。每次服用二十至三十丸，米汤送下。
易简枳壳汤：治疗因腰背部气动引发的疼痛。
药材：枳壳（五两）、甘草。
用法：研为细末，用葱白汤调服一二钱。服完后立即躺卧片刻。
按语：以上方剂均属于太阴经的用药法度。
元戎加味四物汤：治疗瘀血引起的腰痛。
本方加入桃仁、红花。
按语：此方属于厥阴经的用药法度。
东垣地龙散：治疗被打、跌扑损伤，从高坠下，恶血滞留于太阳经中，导致腰脊或小腿、手臂疼痛，大腿内侧疼痛难以忍受，鼻塞不通。
药材：中桂（四分）、桃仁（六个）、羌活（二钱）、独活、黄柏（各一钱）、麻黄（半钱）、当归（一分）、地龙（四分）、甘草（一钱）、苏木（六分）。
用法：将药材切碎，每次取五钱，水煎服。
按语：此方出自太阳经的用药法度。
济生庵九治坠堕闪肭血气凝滞腰痛：
药材：[原文缺漏主药名，据上下文推测可能为某药]（半两）、没药、乳香（各二钱半）、补骨脂（炒制）、威灵仙、杜仲（炒制）、桂、当归（各半两）。
用法：研为细末，用酒糊制成丸药，大小如梧桐子。每次空腹服用七十丸，温酒或盐汤任便送下。
东垣趁痛丸：治疗被打、跌扑闪损导致的腰痛，疼痛剧烈难以忍受。
药材：白莴苣子（炒黄）、白粟米（炒）、乳香、没药（各一钱）、乌梅（一个）。
用法：研为细末，用蒸饼制成丸药，大小如弹子。每次服用一丸，细细咀嚼，空腹用温酒送下。
按语：此方出自厥阴经的用药法度。
补剂类
局方青娥丸：治疗肾虚腰痛，或风寒侵袭，气血相搏而致痛。
药材：杜仲（姜炒一斤）、破故纸（炒八两）、胡桃（二十个）。
用法：研为细末，用蒜四两熬成膏，混合制成丸药，大小如梧桐子。每次空腹服用三十丸，温酒送下。另一法是只用酒糊制丸，不用蒜。
黄芪建中汤：治疗男女各种虚损不足，身体沉重，短气，腰背强直疼痛。
方剂见“补虚”门。
三因安肾丸：治疗肾虚腰痛。
药材：破故纸（炒）、胡芦巴（炒）、茴香（炒）、川楝子（炒）、续断（炒，各三两）、桃仁（炒）、杏仁（炒）、山药、茯苓（各二两）。
用法：研为细末，蜂蜜制丸，大小如梧桐子。每次空腹服用五十丸，盐汤送下。
百一选方补髓丹：治疗老人虚弱、肾伤导致的腰痛，身体无法屈伸。
药材：杜仲（炒）、破故纸（各十两，用芝麻五两同研，以芝麻炒至黑色且无爆裂声为度，去掉芝麻不用）、鹿茸（一两，燎去毛，酒浸后炙）、没药（一两，另研）。
用法：研匀，用胡桃三十个浸泡去皮后捣成膏，加入少许面粉煮成糊，制成丸药，大小如梧桐子。每次服用一百丸，温酒或盐汤任便送下。
摩腰膏：治疗伤寒湿邪导致的腰痛。
药材：附尖、乌头尖、南星（各二钱半）、砂姜（一钱）、雄黄、樟脑、丁香（各一钱半）、麝香（五粒）。
用法：研为细末，炼蜜制成膏。用时取如弹子大小的量，用姜汁化开，放在手掌上，在火上烘热，按摩腰部。
按语：此法相当于灸法的意思。灸法宜选取肾俞穴两个、腰俞穴一个，详见《资生经》。
San Yin Shu Da Huang Tang (Three Causes Prepared Rhubarb Decoction): Treats lower back pain and stiffness resulting from falls or sprains, where the body cannot flex or extend.
Ingredients: Da Huang (Rhei Radix et Rhizoma, stir-fried), Sheng Jiang (Zingiberis Rhizoma Recens, each half tael).
Usage: Cut the herbs, soak in water overnight. Strain at Wugeng time (3–5 a.m.) and take the decoction in one dose.
Note: This formula follows the therapeutic principles of the Yangming channel.
Hezi Yishen San (Hezi Kidney-Benefiting Powder):
Ingredients: Gan Sui (Kansui Radix).
Usage: Grind into fine powder. Take 3 qian per dose. Slice a pig kidney longitudinally, marinate thoroughly with salt and Sichuan pepper, mince it, mix with the powder inside, wrap in a lotus leaf, roast until cooked, chew while taking with wine.
Note: This formula follows the therapeutic principles of the Foot-Shaoyin Kidney channel.
Ju Fang Xiao Qi Xiang Wan (Prescription Bureau Small Seven-Aromatic Pills): Treats all types of qi-stagnation lower back pain caused by depression, anger, worry, overthinking, sprains, or contusions.
Ingredients: Ding Pi (Cortex Citri Reticulatae Viridis), Xiang Fu (Cyperí Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma, each 1 liang 2 qian); Peng Zhu (Curcumae Rhizoma), Sha Ren (Amomi Fructus, each 2 qian); Gan Song (Nardostachyos Radix et Rhizoma, 8 qian); Yi Zhi Ren (Alpiniae Oxyphyllae Fructus, 6 qian).
Usage: Grind into powder, moisten with water, steam steamed-bun dough to make pills the size of mung beans. Take 20–30 pills per dose with rice drink.
Yi Jian Zhi Qiao Tang (Yi Jian Bitter Orange Decoction): Treats pain arising from qi movement in the waist and back.
Ingredients: Zhi Qiao (Aurantii Fructus, 5 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Usage: Grind into powder, mix with scallion white decoction, take 1–2 qian. Lie down immediately after ingestion for a short period.
Note: The above formulas follow the therapeutic principles of the Taiyin channel.
Yuan Rong Jia Wei Si Wu Tang (Yuan Rong Modified Four Substances Decoction): Treats lower back pain due to blood stasis.
Modification: Add Tao Ren (Persicae Semen) and Hong Hua (Carthami Flos) to this base formula.
Note: This formula follows the therapeutic principles of the Jueyin channel.
Dong Yuan Di Long San (Dong Yuan Earthworm Powder): Treats injuries from beating or falling from heights, where evil blood stagnates in the Taiyang channel, causing severe pain in the lumbar spine, shins, arms, or inner thighs that is unbearable, accompanied by nasal congestion.
Ingredients: Zhong Gui (Cinnamomi Ramulus, 4 fen), Tao Ren (Persicae Semen, 6 pieces), Qiang Huo (Notopterygii Rhizoma et Radix, 2 qian); Du Huo (Angelicae Pubescentis Radix), Huang Bo (Phellodendri Cortex, each 1 qian); Ma Huang (Ephedrae Herba, 0.5 qian); Dang Gui (Angelicae Sinensis Radix, 1 fen); Di Long (Pheretima, 4 fen); Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian); Su Mu (Sappan Lignum, 6 fen).
Usage: Cut the herbs, take 5 qian per dose, decoct in water and drink.
Note: This formula originates from the therapeutic principles of the Taiyang channel.
Jisheng An Jiu Zhi Zhui Duo Shan Na Xue Qi Ning Zhi Yao Tong (Jisheng An Nine-Treatment Formula for Lower Back Pain Due to Falls, Sprains, and Blood-Qi Stagnation):
Ingredients: [Original text missing main herb name] (0.5 tael), Mo Yao (Myrrha), Ru Xiang (Olibanum, each 2.5 qian); Bu Gu Zhi (Psoraleae Fructus, stir-fried), Wei Ling Xian (Clematidis Radix et Rhizoma), Du Zhong (Eucommiae Cortex, stir-fried), Gui (Cinnamomi Ramulus), Dang Gui (Angelicae Sinensis Radix, each 0.5 tael).
Usage: Grind into powder, bind with wine paste to make pills the size of paulownia seeds. Take 70 pills on an empty stomach with warm wine or salt water.
Dong Yuan Chen Tong Wan (Dong Yuan Pain-Chasing Pills): Treats severe lower back pain from contusions and sprains that is unbearable.
Ingredients: Bai Wo Ju Zi (Lactucae Semen, stir-fried yellow), Bai Su Mi (Setariae Italicae Semen, stir-fried), Ru Xiang (Olibanum), Mo Yao (Myrrha, each 1 qian), Wu Mei (Mume Fructus, 1 piece).
Usage: Grind into powder, bind with steamed-bun dough to make pills the size of a marble. Take one pill per dose, chew thoroughly, and swallow with warm wine on an empty stomach.
Note: This formula originates from the therapeutic principles of the Jueyin channel.
Tonifying Formulas
Ju Fang Qing E Wan (Prescription Bureau Green-Elder Pills): Treats lower back pain due to Kidney deficiency, or pain caused by wind-cold invasion where blood and qi clash.
Ingredients: Du Zhong (Eucommiae Cortex, stir-fried with ginger juice, 1 jin), Po Gu Zhi (Psoraleae Fructus, stir-fried, 8 liang), Hu Tao (Juglans Regia, 20 pieces).
Usage: Grind into powder, make a paste with 4 liang of garlic, mix to form pills the size of paulownia seeds. Take 30 pills on an empty stomach with warm wine. Alternative method: bind with wine paste without garlic.
Huang Qi Jian Zhong Tang (Astragalus Middle-Nourishing Decoction): Treats various deficiencies in men and women, heavy body, shortness of breath, and stiff/painful waist and back.
See the "Tonifying Deficiency" section for the formula.
San Yin An Shen Wan (Three Causes Kidney-Anchoring Pills): Treats lower back pain due to Kidney deficiency.
Ingredients: Po Gu Zhi (Psoraleae Fructus, stir-fried), Hu Lu Ba (Trigonellae Foenum-Graeci Semen, stir-fried), Hui Xiang (Foeniculi Fructus, stir-fried), Chuan Lian Zi (Toosendan Fructus, stir-fried), Xu Duan (Dipsaci Radix, stir-fried, each 3 liang); Tao Ren (Persicae Semen, stir-fried), Xing Ren (Armeniacae Semen Amarum, stir-fried), Shan Yao (Dioscoreae Rhizoma), Fu Ling (Poria, each 2 liang).
Usage: Grind into powder, bind with honey to make pills the size of paulownia seeds. Take 50 pills on an empty stomach with salt water.
Bai Yi Xuan Fang Bu Sui Dan (Hundred-One Selected Prescriptions Marrow-Supplementing Pill): Treats lower back pain in the elderly due to weakness and Kidney injury, where the body cannot flex or extend.
Ingredients: Du Zhong (Eucommiae Cortex, stir-fried), Po Gu Zhi (Psoraleae Fructus, stir-fried, each 10 liang; grind together with 5 liang of Sesame Seed until the sesame turns black and makes no popping sound, then discard the sesame); Lu Rong (Cervi Cornu Pantotrichum, 1 liang, singe off hair, soak in wine, and roast); Mo Yao (Myrrha, 1 liang, separately ground).
Usage: Mix evenly. Soak 30 walnuts, peel them, and pound into a paste. Add a little flour, cook into a paste, and form pills the size of paulownia seeds. Take 100 pills with warm wine or salt water.
Mo Yao Gao (Waist-Massaging Paste): Treats lower back pain due to cold-dampness from Shanghan (Cold Damage).
Ingredients: Fu Jian (Aconiti Lateralis Radix Preparata tip), Wu Tou Jian (Aconiti Radix Preparata tip), Nan Xing (Arisaematis Rhizoma, each 2.5 qian); Sha Jiang (Zedoary Rhizome, 1 qian); Xiong Huang (Realgar), Zhang Nao (Camphora), Ding Xiang (Caryophylli Flos, each 1.5 qian); She Xiang (Moschus, 5 grains).
Usage: Grind into powder, bind with refined honey to make a paste. Take a amount the size of a marble, dissolve in ginger juice, place in the palm, warm over fire, and massage the waist.
Note: This method is equivalent to moxibustion. For moxibustion, select two points of Shenshu (BL23) and one point of Yaoshu (DU2), as detailed in *Zisheng Jing*.