【寒湿腰痛之症】头痛身痛，无汗拘紧腰痛，不能转侧，此寒湿腰痛之症也。
【寒湿腰痛之因】或寒湿之年，阴寒司令，民病身重腰痛，此因岁气而成病者。或冲
寒冒雨，阴寒雨湿之邪致痛，此人自感冒而成病者。
【寒湿腰痛之脉】脉多沉紧。左尺沉紧，太阳寒湿。左尺细紧，少阴寒湿。左关沉
紧，少阳寒湿。左关细紧，厥阴寒湿。右关沉紧，阳明寒湿。右关细紧，太阴寒湿。
【寒湿腰痛之治】太阳寒湿，羌活败毒散，加苍术。少阴寒湿，独活苍术汤。少阳寒
湿，柴胡苍术汤。厥阴寒湿，四逆汤，加柴胡、独活。阳明寒湿，苍术白芷汤。太阴寒湿，济生
术附汤、渗湿汤；未效，用五苓散分利小便。
羌活败毒散
羌活 独活 前胡 川芎 防风 荆芥 甘草 苍术
寒令，加桂枝、生姜。
独活苍术汤
独活 苍术 防风 细辛 川芎 甘草
寒甚，加姜、桂。
柴胡苍术汤
柴胡 苍术 川芎 防风 广皮 甘草 独活
寒甚，加生姜。
四逆汤
干姜 熟附子 炙甘草 柴胡 独活
苍术白芷汤
苍术 白芷 防风 干葛 升麻 干姜 甘草 独活
济生术附汤
白术 熟附子 杜仲 干姜
渗湿汤
白术 干姜 白茯苓 橘红 苍术 丁香 甘草
寒甚，加桂枝。
五苓散
白茯苓 猪苓 泽泻 白术 肉桂
气滞者，去白术。
【寒湿腰痛的症状】头痛且全身疼痛，无汗且身体拘急僵硬、腰部疼痛，无法转身侧卧，这是寒湿所致腰痛的病症。
【寒湿腰痛的成因】或者是处于寒湿盛行的年份，阴寒之气当令，百姓出现身体沉重、腰部疼痛的疾病，这是因岁运气候而形成的疾病。或者是迎着寒风、冒着雨水，被阴寒雨湿之邪侵袭而导致疼痛，这是人自身感受外邪而形成的疾病。
【寒湿腰痛的脉象】脉象多表现为沉紧。左尺部脉沉紧，为太阳经寒湿；左尺部脉细紧，为少阴经寒湿；左关部脉沉紧，为少阳经寒湿；左关部脉细紧，为厥阴经寒湿；右关部脉沉紧，为阳明经寒湿；右关部脉细紧，为太阴经寒湿。
【寒湿腰痛的治疗】太阳经寒湿，用羌活败毒散，加苍术。少阴经寒湿，用独活苍术汤。少阳经寒湿，用柴胡苍术汤。厥阴经寒湿，用四逆汤，加柴胡、独活。阳明经寒湿，用苍术白芷汤。太阴经寒湿，用济生术附汤、渗湿汤；若无效，则用五苓散分利小便。
羌活败毒散
组成：羌活、独活、前胡、川芎、防风、荆芥、甘草、苍术。
若在寒冷季节，加桂枝、生姜。
独活苍术汤
组成：独活、苍术、防风、细辛、川芎、甘草。
若寒邪严重，加生姜、桂枝。
柴胡苍术汤
组成：柴胡、苍术、川芎、防风、广皮（陈皮）、甘草、独活。
若寒邪严重，加生姜。
苍术白芷汤
组成：苍术、白芷、防风、干葛（葛根）、升麻、干姜、甘草、独活。
[Symptoms of Lumbar Pain due to Cold-Dampness] Headache and generalized body pain, absence of sweating, stiffness and tension in the body, lumbar pain, and inability to turn or lie on one's side. This constitutes the syndrome of lumbar pain caused by Cold-Dampness.
[Etiology of Lumbar Pain due to Cold-Dampness] It may arise during years characterized by prevalent Cold-Dampness, when Yin-Cold qi governs, causing the populace to suffer from heavy sensation in the body and lumbar pain; this is a disease resulting from the annual climatic qi. Alternatively, it may result from exposure to cold wind and rain, where pathogenic factors of Yin-Cold and rainy dampness cause pain; this is a disease contracted through personal exposure to external pathogens.
[Pulse Patterns of Lumbar Pain due to Cold-Dampness] The pulse is predominantly deep and tight (Chen Jin). A deep and tight pulse at the left Chi position indicates Taiyang Cold-Dampness. A fine and tight pulse at the left Chi position indicates Shaoyin Cold-Dampness. A deep and tight pulse at the left Guan position indicates Shaoyang Cold-Dampness. A fine and tight pulse at the left Guan position indicates Jueyin Cold-Dampness. A deep and tight pulse at the right Guan position indicates Yangming Cold-Dampness. A fine and tight pulse at the right Guan position indicates Taiyin Cold-Dampness.
[Therapeutic Principles for Lumbar Pain due to Cold-Dampness] For Taiyang Cold-Dampness, use Qianghuo Baidu San (Notopterygium Decoction to Overcome Toxins) with added Cangzhu (Atractylodis Rhizoma). For Shaoyin Cold-Dampness, use Duhuo Cangzhu Tang (Angelicae Pubescentis and Atractylodis Rhizoma Decoction). For Shaoyang Cold-Dampness, use Chaihu Cangzhu Tang (Bupleuri and Atractylodis Rhizoma Decoction). For Jueyin Cold-Dampness, use Sini Tang (Frigid Extremities Decoction) with added Chaihu (Bupleuri Radix) and Duhuo (Angelicae Pubescentis Radix). For Yangming Cold-Dampness, use Cangzhu Baizhi Tang (Atractylodis Rhizoma and Angelicae Dahuricae Radix Decoction). For Taiyin Cold-Dampness, use Jisheng Zhufu Tang (Preserving Life Aconite and Atractylodes Decoction) or Shenshi Tang (Draining Dampness Decoction); if ineffective, use Wuling San (Five-Ingredient Powder with Poria) to separate and promote urination.
Qianghuo Baidu San (Notopterygium Decoction to Overcome Toxins)
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Qianhu (Peucedani Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Spica), Gancao (Glycyrrhizae Radix et Rhizoma), Cangzhu (Atractylodis Rhizoma).
In cold seasons, add Guizhi (Cinnamomi Ramulus) and Shengjiang (Zingiberis Rhizoma Recens).
Duhuo Cangzhu Tang (Angelicae Pubescentis and Atractylodis Rhizoma Decoction)
Ingredients: Duhuo (Angelicae Pubescentis Radix), Cangzhu (Atractylodis Rhizoma), Fangfeng (Saposhnikoviae Radix), Xixin (Asari Radix et Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma).
If cold is severe, add Jiang (Zingiberis Rhizoma) and Gui (Cinnamomi Ramulus).
Chaihu Cangzhu Tang (Bupleuri and Atractylodis Rhizoma Decoction)
Ingredients: Chaihu (Bupleuri Radix), Cangzhu (Atractylodis Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix), Guangpi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma), Duhuo (Angelicae Pubescentis Radix).
If cold is severe, add Shengjiang (Zingiberis Rhizoma Recens).
Sini Tang (Frigid Extremities Decoction)
Ingredients: Ganjiang (Zingiberis Rhizoma), Shu Fuzi (Aconiti Lateralis Radix Praeparata), Zhi Gancao (Glycyrrhizae Radix et Rhizoma Praeparata), Chaihu (Bupleuri Radix), Duhuo (Angelicae Pubescentis Radix).
Cangzhu Baizhi Tang (Atractylodis Rhizoma and Angelicae Dahuricae Radix Decoction)
Ingredients: Cangzhu (Atractylodis Rhizoma), Baizhi (Angelicae Dahuricae Radix), Fangfeng (Saposhnikoviae Radix), Gange (Puerariae Lobatae Radix), Shengma (Cimicifugae Rhizoma), Ganjiang (Zingiberis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Duhuo (Angelicae Pubescentis Radix).
Jisheng Zhufu Tang (Preserving Life Aconite and Atractylodes Decoction)
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma), Shu Fuzi (Aconiti Lateralis Radix Praeparata), Duzhong (Eucommiae Cortex), Ganjiang (Zingiberis Rhizoma).
Shenshi Tang (Draining Dampness Decoction)
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma), Ganjiang (Zingiberis Rhizoma), Bai Fuling (Poria), Juhong (Citri Reticulatae Pericarpium Rubrum), Cangzhu (Atractylodis Rhizoma), Dingxiang (Caryophylli Flos), Gancao (Glycyrrhizae Radix et Rhizoma).
If cold is severe, add Guizhi (Cinnamomi Ramulus).
Wuling San (Five-Ingredient Powder with Poria)
Ingredients: Bai Fuling (Poria), Zhuling (Polyporus), Zexie (Alismatis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Rougui (Cinnamomi Cortex).
If there is Qi stagnation, remove Baizhu (Atractylodis Macrocephalae Rhizoma).