五积散(见中寒。) 小续命汤(见中风。)
独活寄生汤(《宝鉴》) 治肾气虚弱,冷卧湿地,腰腿拘急,筋骨挛痛。当风取凉过度,
风邪流入脚膝,为偏枯冷痹,缓弱疼痛,或腰痛牵引,脚重行步艰难。
独活 桑寄生(如无,以川续断代) 杜仲(去皮,切,炒去丝) 牛膝 细辛 秦艽 茯苓
桂心 防风 芎 人参(各一钱半) 甘草 当归 芍药 干地黄(各一钱)
水二大盏,生姜五片,同煎至七分,食前服。
三仙丹(《和剂》)
川乌头(一两,生,去皮,锉作骰子块,用盐半两,同炒黄色,去盐) 茴香(净秤三两,炒令香透)
苍术(二两,米泔浸一宿,刮去皮,切碎,以葱白一握,同炒黄色,去葱)
上为末,酒煮面糊丸,如梧桐子大。每
服二十丸,空心温酒、盐汤任下。
牛膝酒(《三因》)
牛膝 川芎 羌活 地骨皮 五加皮 薏苡仁 甘草(各一两) 海桐皮(二两) 生地黄(十两)
上锉,以绢袋裹,入好酒二斗,浸二七日,夏三五宿,每服一杯,日三四杯,令酒
气不绝为佳。一方,入杜仲一两,炒断丝。
渗湿汤 肾着汤(俱见伤湿。)
生附汤 治受湿腰痛。
附子(生用) 白术 茯苓 牛膝 浓朴 干生姜 甘草(炙。以上各一钱) 苍术(炒) 杜仲
(去皮,姜制炒。各二钱)
上作一服,水二盅,生姜三片,红枣二枚,煎至一盅,食前服。
川芎肉桂汤(东垣) 丁未年冬,曹通甫自河东来,有役人小翟,宿于寒湿之地,腰痛
不能转侧,两胁搐急作痛,月余不愈。腰痛论中所说,皆为足太阳、足少阴血络中有凝
血作痛,间有一二症,属少阳胆经外络脉病,皆宜去血络之凝乃愈。其《内经》有云∶冬
三月禁不得针,只宜服药通其经络,破其血络中败血,此方主之。
羌活(一钱半) 柴胡(一钱) 独活(五分) 肉桂 苍术(各一钱) 防风 汉防己(各三分) 桃仁(五
枚,去皮,另研如泥) 归梢 甘草(炙) 川芎(各一钱) 炒曲(五分)
上 咀,水、酒煎,去渣,食远热服。
麻黄苍术汤(《良方》) 治寒湿所客,身体沉重,腰痛,面色萎黄不泽。
麻黄 泽泻梢炒曲 白茯苓 橘皮(各一钱) 半夏 桂枝 草豆蔻 猪苓(各半钱) 黄
(三钱) 杏仁(十个) 苍术 甘草(炙。各二钱)
上作一服,水二盅,煎一盅,食前服。
摩腰膏(丹溪) 治老人腰痛,妇人白带。
附子尖 乌头尖 南星(各二钱半) 朱砂 雄黄 樟脑 丁香(各一钱半) 干姜(一钱)
麝香(大者五粒,小则加之)
上为末,蜜丸如龙眼大。每一丸,用生姜汁化开如浓粥,火上烘热,放掌上摩腰中,
候药尽贴腰上,即烘绵衣缚定,腰热如火,间二日用一丸。
苍术汤(东垣) 治湿热腰腿疼痛。
苍术(五钱,去湿止痛) 柴胡(三钱,行经) 防风(一钱半,去风胜湿) 黄柏(一钱半,始得之时,寒
也,久不愈,寒化为热,除热止痛)
水二盅,煎至一盅,空心食前服。
独活汤(东垣) 治因劳役,得腰痛如折,沉重如山。
羌活(二钱) 防风 独活 肉桂(各三钱) 甘草(炙,二钱) 当归尾(五钱) 桃仁(五十粒) 连
翘(五钱) 汉防己 黄柏(酒浸,各一两) 泽泻 大黄(煨。各三钱)
上锉咀,每服五钱,如麻头大,酒半盏,水一盏,去渣热服。
羌活汤(东垣) 治腰膝无力沉重。
羌活(三钱) 防风(一钱半) 甘草(生熟各半钱) 草豆蔻 黄柏 葛根(各五分) 砂仁(一钱)
陈皮(六分) 知母(二钱半) 黄 (二钱) 苍术 升麻 独活 柴胡(各一钱)
上为粗末,作二服,水二盏,煎至一盏,去渣,空心服。
羌活胜湿汤(东垣) 治脊痛项强,腰似折,项似拔,冲头痛,乃足太阳经不行也。
羌活 独活 本 防风(各一钱) 蔓荆子(三分) 川芎(二分) 甘草(炙,五分)
上 咀,作一服,水二盏,煎一盏,去渣,食后温服。
姜附汤(见中寒。)
甘豆汤(《直指》) 治内蓄风热入肾,腰痛,大小便不通。
黑豆(二合) 甘草(二钱) 加续断、天麻。
间服败毒散。
上加生姜七片引,水煎服。
败毒散(《直指》) 伤寒热症通用。
人参 赤茯苓 川芎 北梗 羌活 独活 前胡 柴胡 枳壳(制) 甘草(炒。各等分)
上锉散,每服三钱,生姜五片,煎服。人
参羌活散,用药亦同。
乳香趁痛散(《直指》) 治打坠腰痛。
虎腔骨(酒炙黄) 败龟(酒炙。各二两) 骐 竭 赤芍药 当归 没药 防风 自然铜
(,醋粹,细研) 白附子(炮) 辣桂(去粗皮) 白芷 苍耳子(微炒) 骨碎补(炒,去毛。各三两) 牛膝
天麻 槟榔 五加皮 羌活(各一两)
上末,每服一钱,温酒调下。加全蝎妙。香港脚通用。
黑神散(见鼻衄。) 复元通气散(见诸气。) 和气饮(见水肿。) 苏合香丸(见中风。)
普贤正气散(《和剂》)
陈皮 半夏 苍术 浓朴 藿香 甘草 生姜(各等分)
每服五钱,水二盏,葱二段,黑豆百粒,煎八分,不拘时热服。
十补汤 即大补十全散(见虚损。)
青娥丸(《直指》) 治肾虚腰痛。益精助阳,乌须壮脚,用安胎饮吞,神效。
破故纸(四两,炒香) 杜仲(去粗皮,锉,四两,用生姜二两半擦淹炒干)
上为末,用胡桃肉三十个研膏,入少熟蜜丸,桐子大。每服五十丸,调气散食前下。
(调气饮方见胀满门。)
地龙汤(东垣)
中桂(四分) 桃仁(六个) 羌活(二钱) 独活 甘草 黄柏(各一钱) 麻黄(五分) 地龙(四分)
苏木(六分) 当归梢(一钱)
上为粗末,每服五钱,水二盏,煎一盏,食远热服。
橘核酒(《三因》) 治打扑腰痛,恶血瘀蓄,痛不可忍。用橘核炒去皮研细,每服二钱匕,
酒调服。或用猪腰子一个,去筋膜破开,入药同葱白、茴香盐,湿纸裹,煨熟细嚼,温酒下。
熟大黄汤(《三因》) 治坠堕闪锉,腰痛不能屈伸。
大黄(切如指大) 生姜(切,各半两)
上同炒令焦黄色,以水一盏,浸一宿,五更去渣服。天明取下如鸡肝者,即恶物也。
调荣活络饮 治失力腰闪,或跌扑瘀血,及大便不通而腰痛。
川大黄 当归条 川牛膝(去芦,酒洗) 杏仁(去皮,研如泥。各二钱) 赤芍药 红花 羌活
怀生地黄(酒洗。各一钱) 川芎(一钱半) 桂枝(三分)
水一盅半,煎至八分,食前温服。
人参顺气散(《良方》) 治气滞腰痛。
人参 川芎 桔梗 白术 白芷 陈皮 枳壳 麻黄(去节) 乌药 白姜(炮) 甘草(炙,各一钱)
水二盅,煎至一盅,或为细末,食前用甘草汤调服。一方,加五加皮一钱。
乌药顺气散(见中风。)
无比山药丸(子和) 治诸虚百损,五劳七伤,肌体消瘦,目暗耳鸣。
赤石脂( ) 茯神(去皮木) 山茱萸(去核) 熟干地黄(酒浸) 巴戟(去心) 牛膝(去苗,酒浸)
泽泻(以上各一两) 杜仲(去皮,切,姜汁炒) 菟丝子(酒浸) 山药(以上各三两) 五味子(拣,六两)
肉苁蓉(酒浸,四两)
上为细末,炼蜜为丸,如梧桐子大。每服三十丸,空心温酒或盐汤送下。
虎骨散(《良方》,下同) 治腰胯连脚膝晓夜疼痛。
虎胫骨(酥炙) 败龟板(酥炙) 当归 芎 萆 牛膝 桂心 羌活(以上各一两)
上细末,每服二钱,空心温酒调下。
补骨脂丸 治腰脚疼痛不止。
补骨脂(微炒) 牛膝(去苗,各三两) 骨碎补(一两) 桂心(一两半) 槟榔(二两) 安息香(二两,
入胡桃仁捣熟。)
上为细末,炼蜜入安息香,和捣百余杵,丸如梧子大。每服十丸至二十丸,空心温酒下。
百倍丸 治男妇腰膝疼痛,筋脉拘急。
败龟板 虎骨(二味各醋浸一宿;蘸醋炙令黄为度) 苁蓉(酒浸一宿) 牛膝(酒浸一宿) 乳香(另
研) 没药(另研) 木鳖子(去壳) 骨碎补(去毛) 自然铜(醋淬七次) 破故纸(炒,以上各等分)
上为细末,以浸苁蓉、牛膝酒煮面糊和丸,如梧桐子大。每服三十丸,食前温酒下。
养贤散 治腰脚筋骨疼痛,不能步履。
苍术(去皮,一两) 全蝎(半两) 天麻(三钱) 黑附子(炮,去皮脐) 草乌(去尖。各二钱)
上为细末,每服一钱,淋黑豆酒调下。药气所至,麻痹少时,瘳。
八味丸(见虚劳。)
大建中汤(《和剂》)
当归 白芍药 白术 麦门冬(去心) 黄 甘草 肉苁蓉(酒浸) 人参 川芎 肉桂 附子
(炮,去皮) 半夏 熟地黄 茯苓(各等分)
每服五钱,水二盏,姜三片,枣二枚,煎八分,空心温服。
鹿茸丸(见溲血。)
麋茸丸(《本事》) 治肾虚腰痛,不能转侧。
麋茸(一两,鹿茸亦可) 菟丝子(取末一两) 舶上茴香(半两)
上为末,以羊肾二对,用酒浸,煮烂去膜,研如泥和丸,如桐子大,阴干,如羊肾
少,入酒糊佐之。每服三五十丸,温酒或盐汤下。
六味丸(见虚劳。) 滋肾丸(见小便不通。) 封髓丹(见遗精。)
补阴丸(丹溪)
败龟板(酒炙) 黄柏(酒炒) 知母 侧柏叶 枸杞子 五味子 杜仲(姜汁炒去丝) 砂仁
(各等分) 甘草(减半)
上为末,猪脊髓加地黄膏为丸。
调肝散 治郁怒伤肝,发为腰痛。
半夏(制,三分) 辣桂 宜木瓜 当归 川芎 牛膝 细辛(各二分) 石菖蒲 酸枣仁
(烫去皮,微炒) 甘草(炙。各一分)
每三钱,姜五片,枣二枚,煎服。
沉香降气汤 调气散(并见诸气。) 煨肾丸(见痿。) 七气汤(见腹痛。)
橘香丸(《良方》)
橘核(炒) 茴香(炒) 葫芦巴(炒) 子(炒) 破故纸(炒) 附子(炮。各等分)
上为细末,酒煮面糊和丸,如梧子大。每服三四十丸,食前用盐汤送下。
治腰痛
杜仲 肉苁蓉 破故纸 人参 当归 秋石 川巴戟 鹿角霜(各等分)
为末,用猪腰子一个,洗净血水,淡盐 过,劈开两半,勿令断,中间细花开,用
前药掺入,另用稀绢一块包裹,线缚定,外用小糖罐入酒少许,罐上用纸封固,毋令走
泄药气,煮腰子候熟,取食之,饮醇酒三杯,立愈。
立安丸(《奇效》,下同) 治五种腰痛。常服补暖肾经,壮健腰脚。
破故纸 干木瓜 杜仲(去皮,姜炒去丝) 牛膝(酒浸) 续断(以上各一两) 萆 (二两)
上细末,炼蜜丸,如梧子大。每服五十丸,空心用温酒或盐汤送下。
二至丸 治老人虚弱,肾气虚损,腰痛不可屈伸。
附子(炮,去皮脐) 桂心(不见火) 杜仲(去皮,锉,炒去丝) 补骨脂(炒,各一两) 鹿角(镑。)
麋角(镑。各二两) 鹿茸(酒炙) 青盐(另研。各半两)
上细末,酒煮糊和丸,如梧桐子大。每服七十丸,空心用胡桃肉细嚼,用盐汤或盐酒送下。
如恶热药者,去附子,加肉苁蓉(一两)。
速效散 治男女腰痛不可忍者。
川楝子(取肉,巴豆五粒去壳同炒赤,去巴豆) 茴香(盐炒香,去盐) 破故纸(炒。以上各一两)
上为细末,每服三钱,空心热酒调服。
散滞丸 治腰痛不可忍者。
上用黑牵牛,不以多少,碾取头末,去滓不用。取大蒜,每一瓣入巴豆肉一粒在内,
以湿纸裹定,煨令香熟,去巴豆。将蒜研细,和牵牛末为丸,如梧子大。每服五丸,空心
食前醋茶汤下,量虚实服。一方,无巴豆,以朱砂为衣,每服二十丸,酒下,只一服便安。
治腰痛方
胡桃肉 补骨脂 杜仲(各四两)
上 咀,作二帖,每帖用水二盏煎,空心服。
张走马家飞步丸 此第一方筋骨药 能去筋脉骨节手足腰背诸般疼痛挛缩不伸之患。
乳香(一两,另研) 白芍药 川乌(生,去皮脐) 草乌(生,去皮脐) 白胶香 木鳖子(取肉,另研
去油,以上各二两)
上为细末,用赤小豆末煮糊为丸,如梧子大。每服十五丸,木瓜汤下,病在上食后
服,病在下空心服。忌热物片时。
虎骨散 治腰胯连脚膝晓夜疼痛。
虎胫骨(酥炙) 败鳖(酥炙) 当归 芎 萆 牛膝 桂心 羌活(各一两)
上为细末,每服二钱,食前温酒调服。
神应丸 治肾经不足,风冷乘之,腰痛如折,牵引背膂,俯仰不利,或劳役伤,于
肾,或寝湿地,或坠堕伤损,风寒客搏,皆令腰痛。
威灵仙 桂心 当归(各二两)
上细末,酒煮面糊丸,梧子大。每服二三十丸,食前用温酒或茴香汤下,妇人桂心汤下。
如神汤(一名舒筋汤) 治男妇腰痛,闪肭血滞,腹中 痛,产后服之更妙。
玄胡索(微炒) 当归 桂心(各等分)
独活寄生汤(出自《宝鉴》):治疗肾气虚弱,因睡卧湿地受冷,导致腰腿拘挛紧急,筋骨痉挛疼痛。若迎风取凉过度,风邪侵入脚膝,可致半身不遂、冷痹、肢体缓弱疼痛,或腰痛放射至下肢,脚部沉重、行走困难。
处方组成:独活、桑寄生(若无,可用川续断代替)、杜仲(去皮,切片,炒去丝)、牛膝、细辛、秦艽、茯苓、桂心、防风、川芎、人参(各一钱半)、甘草、当归、芍药、干地黄(各一钱)。
煎服法:加水两大盏,生姜五片,同煎至七分量,饭前服用。
三仙丹(出自《和剂局方》):
处方组成:川乌头(一两,生用,去皮,锉成骰子块状,用盐半两同炒至黄色,去盐)、茴香(净称三两,炒至香气透出)、苍术(二两,米泔水浸泡一夜,刮去皮,切碎,与葱白一握同炒至黄色,去葱)。
制法与用法:上药研为细末,用酒煮面糊制成梧桐子大小的丸剂。每次服用二十丸,空腹时以温酒或盐汤送服均可。
牛膝酒(出自《三因方》):
处方组成:牛膝、川芎、羌活、地骨皮、五加皮、薏苡仁、甘草(各一两)、海桐皮(二两)、生地黄(十两)。
制法与用法:将药材切碎,装入绢袋,放入好酒二斗中浸泡两个七日(十四天),夏季浸泡三五个夜晚即可。每次饮用一杯,每日三四杯,以保持体内有酒气为佳。另一配方加入杜仲一两,炒去丝。
生附汤:治疗因受湿引起的腰痛。
处方组成:附子(生用)、白术、茯苓、牛膝、厚朴、干生姜、甘草(炙。以上各一钱)、苍术(炒)、杜仲(去皮,姜汁制后炒。各二钱)。
煎服法:作一剂服用,加水二盅,生姜三片,红枣二枚,煎至一盅,饭前服用。
川芎肉桂汤(李东垣方):丁未年冬季,曹通甫从河东来,其手下有一名役人小翟,宿于寒湿之地,出现腰痛不能翻身侧身,两胁抽搐急痛,月余不愈。《腰痛论》中所说,多为足太阳经、足少阴经血络中有瘀血作痛,间有一二症属于少阳胆经外络脉病,都应当去除血络中的瘀血才能痊愈。《内经》有云:“冬三月禁止针刺,只宜服药疏通经络,破除血络中的败血”,此方主治此类病症。
处方组成:羌活(一钱半)、柴胡(一钱)、独活(五分)、肉桂、苍术(各一钱)、防风、汉防己(各三分)、桃仁(五枚,去皮,另研如泥)、归梢、甘草(炙)、川芎(各一钱)、炒神曲(五分)。
煎服法:将药材捣碎,用水、酒同煎,去渣,饭后稍远时间热服。
麻黄苍术汤(出自《良方》):治疗寒湿侵袭,身体沉重,腰痛,面色萎黄无光泽。
处方组成:麻黄、泽泻梢、炒神曲、白茯苓、橘皮(各一钱)、半夏、桂枝、草豆蔻、猪苓(各半钱)、黄芪(三钱)、杏仁(十个)、苍术、甘草(炙。各二钱)。
煎服法:作一剂服用,加水二盅,煎至一盅,饭前服用。
摩腰膏(朱丹溪方):治疗老人腰痛,妇人白带。
处方组成:附子尖、乌头尖、南星(各二钱半)、朱砂、雄黄、樟脑、丁香(各一钱半)、干姜(一钱)、麝香(大者五粒,小者酌情增加)。
制法与用法:上药研为细末,用蜂蜜制成如龙眼大小的丸剂。每次取一丸,用生姜汁化开如浓粥状,在火上烘热,放在手掌中按摩腰部,待药力尽贴于腰上,随即烘烤绵衣缚紧固定,使腰部感觉如火般发热,每隔两天使用一丸。
苍术汤(李东垣方):治疗湿热导致的腰腿疼痛。
处方组成:苍术(五钱,祛湿止痛)、柴胡(三钱,行经)、防风(一钱半,祛风胜湿)、黄柏(一钱半,初起时为寒证,久不愈则寒化为热,清热止痛)。
煎服法:加水二盅,煎至一盅,空腹饭前服用。
独活汤(李东垣方):治疗因劳役过度,导致腰痛如折断感,沉重如山。
处方组成:羌活(二钱)、防风、独活、肉桂(各三钱)、甘草(炙,二钱)、当归尾(五钱)、桃仁(五十粒)、连翘(五钱)、汉防己、黄柏(酒浸,各一两)、泽泻、大黄(煨。各三钱)。
煎服法:将药材切碎,每次服用五钱,如麻头大小,加酒半盏、水一盏,去渣热服。
羌活汤(李东垣方):治疗腰膝无力沉重。
处方组成:羌活(三钱)、防风(一钱半)、甘草(生、熟各半钱)、草豆蔻、黄柏、葛根(各五分)、砂仁(一钱)、陈皮(六分)、知母(二钱半)、黄芪(二钱)、苍术、升麻、独活、柴胡(各一钱)。
煎服法:制成粗末,分为两份服用,加水二盏,煎至一盏,去渣,空腹服用。
羌活胜湿汤(李东垣方):治疗脊痛项强,腰似折断,颈似被拔,冲头痛,这是足太阳经气血运行不畅所致。
处方组成:羌活、独活、藁本、防风(各一钱)、蔓荆子(三分)、川芎(二分)、甘草(炙,五分)。
煎服法:将药材捣碎,作一剂服用,加水二盏,煎至一盏,去渣,饭后温服。
甘豆汤(出自《直指方》):治疗内蓄风热入肾,腰痛,大小便不通。
处方组成:黑豆(二合)、甘草(二钱),可加续断、天麻。
用法:间服败毒散。上方加生姜七片为引,水煎服。
败毒散(出自《直指方》):伤寒热症的通用方。
处方组成:人参、赤茯苓、川芎、桔梗、羌活、独活、前胡、柴胡、枳壳(制)、甘草(炒。各等分)。
煎服法:将药材切碎成散剂,每次服用三钱,加生姜五片,水煎服。人参羌活散的用药与此相同。
乳香趁痛散(出自《直指方》):治疗跌打坠堕引起的腰痛。
处方组成:虎胫骨(酒炙黄)、败龟板(酒炙。各二两)、麒麟竭、赤芍药、当归、没药、防风、自然铜(醋淬,细研)、白附子(炮)、辣桂(去粗皮)、白芷、苍耳子(微炒)、骨碎补(炒,去毛。各三两)、牛膝、天麻、槟榔、五加皮、羌活(各一两)。
用法:研为细末,每次服用一钱,温酒调下。加全蝎效果更佳。亦可用于治疗脚气。
黑神散(见鼻衄章节)。复元通气散(见诸气章节)。和气饮(见水肿章节)。苏合香丸(见中风章节)。
普贤正气散(出自《和剂局方》):
处方组成:陈皮、半夏、苍术、厚朴、藿香、甘草、生姜(各等分)。
煎服法:每次服用五钱,加水二盏,葱两段,黑豆百粒,煎至八分,不拘时候热服。
青娥丸(出自《直指方》):治疗肾虚腰痛。能益精助阳,乌须壮脚,用安胎饮送服,疗效神奇。
处方组成:破故纸(四两,炒香)、杜仲(去粗皮,锉碎,四两,用生姜二两半擦淹后炒干)。
制法与用法:研为细末,用胡桃肉三十个研成膏,加入少许熟蜜制成梧桐子大小的丸剂。每次服用五十丸,饭前用调气散送服。(调气饮方见胀满门)。
地龙汤(李东垣方):
处方组成:中桂(四分)、桃仁(六个)、羌活(二钱)、独活、甘草、黄柏(各一钱)、麻黄(五分)、地龙(四分)、苏木(六分)、当归梢(一钱)。
煎服法:制成粗末,每次服用五钱,加水二盏,煎至一盏,饭后稍远时间热服。
橘核酒(出自《三因方》):治疗跌打损伤腰痛,恶血瘀积,疼痛难忍。将橘核炒后去皮研细,每次服用二钱匕,酒调服。或用猪腰子一个,去掉筋膜剖开,放入药物同葱白、茴香、盐一起,用湿纸包裹,煨熟后细嚼,温酒送下。
熟大黄汤(出自《三因方》):治疗坠堕闪挫引起的腰痛,不能屈伸。
处方组成:大黄(切如手指大)、生姜(切,各半两)。
煎服法:一同炒至焦黄色,加水一盏,浸泡一夜,五更时分去渣服用。天明排出如鸡肝状的物质,即为恶物。
调荣活络饮:治疗用力不当闪挫腰部,或跌扑瘀血,以及大便不通引起的腰痛。
处方组成:川大黄、当归条、川牛膝(去芦,酒洗)、杏仁(去皮,研如泥。各二钱)、赤芍药、红花、羌活、怀生地黄(酒洗。各一钱)、川芎(一钱半)、桂枝(三分)。
煎服法:加水一盅半,煎至八分,饭前温服。
人参顺气散(出自《良方》):治疗气滞腰痛。
处方组成:人参、川芎、桔梗、白术、白芷、陈皮、枳壳、麻黄(去节)、乌药、白姜(炮)、甘草(炙,各一钱)。
煎服法:加水二盅,煎至一盅;或研为细末,饭前用甘草汤调服。另一配方加五加皮一钱。
无比山药丸(张子和方):治疗各种虚损、五劳七伤,形体消瘦,目暗耳鸣。
处方组成:赤石脂(煅)、茯神(去皮木)、山茱萸(去核)、熟干地黄(酒浸)、巴戟天(去心)、牛膝(去苗,酒浸)、泽泻(以上各一两)、杜仲(去皮,切片,姜汁炒)、菟丝子(酒浸)、山药(以上各三两)、五味子(拣选,六两)、肉苁蓉(酒浸,四两)。
制法与用法:研为细末,炼蜜为丸,如梧桐子大小。每次服用三十丸,空腹时以温酒或盐汤送下。
虎骨散(出自《良方》,下同):治疗腰胯连及脚膝昼夜疼痛。
处方组成:虎胫骨(酥炙)、败龟板(酥炙)、当归、川芎、萆薢、牛膝、桂心、羌活(以上各一两)。
用法:研为细末,每次服用二钱,空腹时温酒调下。
补骨脂丸:治疗腰脚疼痛不止。
处方组成:补骨脂(微炒)、牛膝(去苗,各三两)、骨碎补(一两)、桂心(一两半)、槟榔(二两)、安息香(二两,加入胡桃仁捣熟)。
制法与用法:研为细末,炼蜜加入安息香,和捣百余杵,制成梧桐子大小的丸剂。每次服用十丸至二十丸,空腹时温酒送下。
百倍丸:治疗男女腰膝疼痛,筋脉拘急。
处方组成:败龟板、虎骨(这两味药各醋浸一夜;蘸醋炙至黄色为度)、肉苁蓉(酒浸一夜)、牛膝(酒浸一夜)、乳香(另研)、没药(另研)、木鳖子(去壳)、骨碎补(去毛)、自然铜(醋淬七次)、破故纸(炒,以上各等分)。
制法与用法:研为细末,用浸泡肉苁蓉、牛膝的酒煮面糊和丸,如梧桐子大小。每次服用三十丸,饭前温酒送下。
养贤散:治疗腰脚筋骨疼痛,不能步履。
处方组成:苍术(去皮,一两)、全蝎(半两)、天麻(三钱)、黑附子(炮,去皮脐)、草乌(去尖。各二钱)。
用法:研为细末,每次服用一钱,淋黑豆酒调下。药气到达患处,会有片刻麻痹感,随后病愈。
大建中汤(出自《和剂局方》):
处方组成:当归、白芍药、白术、麦门冬(去心)、黄芪、甘草、肉苁蓉(酒浸)、人参、川芎、肉桂、附子(炮,去皮)、半夏、熟地黄、茯苓(各等分)。
煎服法:每次服用五钱,加水二盏,姜三片,枣二枚,煎至八分,空腹温服。
麋茸丸(出自《本事方》):治疗肾虚腰痛,不能转侧。
处方组成:麋茸(一两,鹿茸亦可)、菟丝子(取末一两)、舶上茴香(半两)。
制法与用法:研为细末,用羊肾二对,用酒浸泡,煮烂去膜,研如泥状和丸,如桐子大小,阴干。如果羊肾不够,可加入酒糊辅助。每次服用三五十丸,温酒或盐汤送下。
六味丸(见虚劳章节)。滋肾丸(见小便不通章节)。封髓丹(见遗精章节)。
补阴丸(朱丹溪方):
处方组成:败龟板(酒炙)、黄柏(酒炒)、知母、侧柏叶、枸杞子、五味子、杜仲(姜汁炒去丝)、砂仁(各等分)、甘草(减半)。
制法与用法:研为细末,用猪脊髓加地黄膏制成丸剂。
调肝散:治疗郁怒伤肝,引发腰痛。
处方组成:半夏(制,三分)、辣桂、宣木瓜、当归、川芎、牛膝、细辛(各二分)、石菖蒲、酸枣仁(烫去皮,微炒)、甘草(炙。各一分)。
煎服法:每次三钱,加姜五片,枣二枚,水煎服。
沉香降气汤、调气散(均见诸气章节)。煨肾丸(见痿证章节)。七气汤(见腹痛章节)。
橘香丸(出自《良方》):
处方组成:橘核(炒)、茴香(炒)、葫芦巴(炒)、吴茱萸(炒)、破故纸(炒)、附子(炮。各等分)。
制法与用法:研为细末,酒煮面糊和丸,如梧子大小。每次服用三四十丸,饭前用盐汤送下。
治腰痛方:
处方组成:杜仲、肉苁蓉、破故纸、人参、当归、秋石、川巴戟、鹿角霜(各等分)。
制法与用法:研为细末,取猪腰子一个,洗净血水,淡盐水焯过,劈开两半,不要切断,中间划细花刀,将上述药物掺入,另用稀绢一块包裹,线缚紧,外用小糖罐加入少许酒,罐口用纸封固,不让药气泄漏,煮腰子至熟,取出食用,饮醇酒三杯,立即痊愈。
立安丸(出自《奇效良方》,下同):治疗五种腰痛。常服可补暖肾经,壮健腰脚。
处方组成:破故纸、干木瓜、杜仲(去皮,姜炒去丝)、牛膝(酒浸)、续断(以上各一两)、萆薢(二两)。
制法与用法:研为细末,炼蜜为丸,如梧子大小。每次服用五十丸,空腹用温酒或盐汤送下。
二至丸:治疗老人虚弱,肾气虚损,腰痛不可屈伸。
处方组成:附子(炮,去皮脐)、桂心(不见火)、杜仲(去皮,锉,炒去丝)、补骨脂(炒,各一两)、鹿角(镑)、麋角(镑。各二两)、鹿茸(酒炙)、青盐(另研。各半两)。
制法与用法:研为细末,酒煮糊和丸,如梧桐子大小。每次服用七十丸,空腹用胡桃肉细嚼,用盐汤或盐酒送下。
若厌恶热性药物者,去掉附子,加入肉苁蓉(一两)。
速效散:治疗男女腰痛不可忍受者。
处方组成:川楝子(取肉,与巴豆五粒去壳同炒至红色,去巴豆)、茴香(盐炒香,去盐)、破故纸(炒。以上各一两)。
用法:研为细末,每次服用三钱,空腹热酒调服。
散滞丸:治疗腰痛不可忍受者。
用法:取黑牵牛,不限多少,碾取头末,去滓不用。取大蒜,每一瓣放入巴豆肉一粒在内,用湿纸裹定,煨令香熟,去巴豆。将蒜研细,和牵牛末为丸,如梧子大小。每次服用五丸,空腹食前醋茶汤下,根据虚实调整剂量。另一配方,无巴豆,以朱砂为衣,每次服用二十丸,酒下,仅一服便安。
治腰痛方:
处方组成:胡桃肉、补骨脂、杜仲(各四两)。
煎服法:捣碎,作两帖,每帖用水二盏煎,空腹服用。
张走马家飞步丸:此为第一方筋骨药,能去除筋脉骨节手足腰背各种疼痛挛缩不伸的病患。
处方组成:乳香(一两,另研)、白芍药、川乌(生,去皮脐)、草乌(生,去皮脐)、白胶香、木鳖子(取肉,另研去油,以上各二两)。
制法与用法:研为细末,用赤小豆末煮糊为丸,如梧子大小。每次服用十五丸,木瓜汤下,病在上部食后服,病在下部空腹服。忌食热物片刻。
虎骨散:治疗腰胯连及脚膝昼夜疼痛。
处方组成:虎胫骨(酥炙)、败鳖甲(酥炙)、当归、川芎、萆薢、牛膝、桂心、羌活(各一两)。
用法:研为细末,每次服用二钱,饭前温酒调服。
神应丸:治疗肾经不足,风冷乘之,腰痛如折断,牵引背膂,俯仰不利,或因劳役伤肾,或睡卧湿地,或坠堕伤损,风寒客搏,皆令腰痛。
处方组成:威灵仙、桂心、当归(各二两)。
制法与用法:研为细末,酒煮面糊丸,梧子大小。每次服用二三十丸,饭前用温酒或茴香汤下,妇人用桂心汤下。
Wuji San (See section on Cold Damage). Xiaoxuming Tang (See section on Wind Stroke).
Duhuo Jisheng Tang (from *Baojian*): Treats kidney qi deficiency, coldness from lying on damp ground, leading to stiffness and urgency in the waist and legs, spasms and pain in sinews and bones. If excessive cooling by facing wind occurs, wind pathogens may flow into the feet and knees, causing hemiplegia, cold bi-syndrome, flaccidity and weakness with pain, or lower back pain radiating to the legs, heavy feet, and difficulty walking.
Ingredients: Duhuo (*Radix Angelicae Pubescentis*), Sangjisheng (*Cacumen Taxilli*, substitute with Chuanxuduan if unavailable), Duzhong (*Cortex Eucommiae*, peeled, sliced, stir-fried to remove silk fibers), Niuxi (*Radix Achyranthis Bidentatae*), Xixin (*Herba Asari*, Qinjiao (*Radix Gentianae Macrophyllae*), Fuling (*Poria*), Guixin (*Cinnamomi Cortex*), Fangfeng (*Radix Saposhnikoviae*), Xiong (*Radix Ligustici Chuanxiong*), Renshen (*Radix Ginseng*) (each 1.5 qian), Gancao (*Radix Glycyrrhizae*), Danggui (*Radix Angelicae Sinensis*), Shaoyao (*Radix Paeoniae Rubra* or *Alba*), Dihuang (*Radix Rehmanniae Preparata* or *Fresh*) (each 1 qian).
Decoction method: Add two large bowls of water and five slices of Shengjiang (*Rhizoma Zingiberis Recens*), decoct until three-tenths remains. Take before meals.
Sanxian Dan (from *Heji Jufang*):
Ingredients: Chuanwutou (*Radix Aconiti Carmichaelii*, raw, peeled, cut into dice-sized pieces, stir-fried with half a liang of salt until yellow, discard salt), Huixiang (*Fructus Foeniculi*, weighed clean 3 liang, stir-fried until fragrant), Cangzhu (*Rhizoma Atractylodis Lanceae*, 2 liang, soaked overnight in rice washing water, scraped clean, sliced, stir-fried with a handful of Congbai (*Scallion White*) until yellow, discard scallion).
Preparation and administration: Grind into powder, mix with wine and wheat paste to make pills the size of paulownia seeds. Take 20 pills each time, fasting, with warm wine or salt water as desired.
Niuxi Jiu (from *Sanyin Fang*):
Ingredients: Niuxi (*Radix Achyranthis Bidentatae*), Chuanxiong (*Radix Ligustici Chuanxiong*), Qianghuo (*Rhizoma et Radix Notopterygii*, Digupi (*Cortex Lycii*), Wujiaopi (*Cortex Acanthopanacis Senticosi*), Yiyiren (*Semen Coicis*), Gancao (*Radix Glycyrrhizae*) (each 1 liang), Haitongpi (*Cortex Erythrinae*), Shengdihuang (*Radix Rehmanniae Fresh*) (10 liang).
Preparation and administration: Cut into pieces, wrap in a silk bag, immerse in 2 dou of good wine for 14 days (two weeks); in summer, soak for 3-5 nights. Drink one cup per dose, 3-4 cups daily, aiming to maintain a sensation of alcohol in the body. Another formula adds Duzhong (*Cortex Eucommiae*) 1 liang, stir-fried to remove silk fibers.
Shenshi Tang and Shen Zhuo Tang (See section on Injury by Dampness).
Shengfu Tang: Treats lower back pain caused by dampness.
Ingredients: Fuzi (*Radix Aconiti Lateralis Preparata*, raw used), Baizhu (*Rhizoma Atractylodis Macrocephalae*), Fuling (*Poria*), Niuxi (*Radix Achyranthis Bidentatae*), Houpo (*Cortex Magnoliae Officinalis*), Ganshengjiang (*Rhizoma Zingiberis Secati*), Gancao (*Radix Glycyrrhizae*, honey-fried) (each 1 qian), Cangzhu (*Rhizoma Atractylodis Lanceae*, stir-fried), Duzhong (*Cortex Eucommiae*, peeled, ginger-processed, stir-fried) (each 2 qian).
Decoction method: One dose, add two bowls of water, three slices of Shengjiang (*Rhizoma Zingiberis Recens*), two red dates, decoct until one bowl remains. Take before meals.
Chuanxiong Rougui Tang (Li Dongyuan's prescription): In the winter of the Dingwei year, Cao Tongfu came from Hedong. His servant, Xiao Zhai, slept in a cold and damp place, suffering from lower back pain preventing turning over, spasmodic pain in both hypochondria, lasting over a month without cure. The *Treatise on Lower Back Pain* states that such cases are mostly due to stagnant blood in the collaterals of the Foot-Taiyang and Foot-Shaoyin meridians, with occasional cases belonging to the external collaterals of the Shaoyang Gallbladder meridian. All should be cured by removing stagnant blood from the collaterals. The *Neijing* states: "In the three months of winter, acupuncture is prohibited; only medication to unblock meridians and break down stale blood in blood collaterals is suitable." This formula treats such conditions.
Ingredients: Qianghuo (*Rhizoma et Radix Notopterygii*) (1.5 qian), Chaihu (*Radix Bupleuri*) (1 qian), Duhuo (*Radix Angelicae Pubescentis*) (5 fen), Rougui (*Cinnamomi Cortex*), Cangzhu (*Rhizoma Atractylodis Lanceae*) (each 1 qian), Fangfeng (*Radix Saposhnikoviae*), Hanfangji (*Radix Stephaniae Tetrandrae*) (each 3 fen), Taoren (*Semen Persicae*, 5 kernels, peeled, separately ground into paste), Gui Shao (*Ramulus Cinnamomi* tip), Gancao (*Radix Glycyrrhizae*, honey-fried), Chuanxiong (*Radix Ligustici Chuanxiong*) (each 1 qian), Chaoqu (*Fried Medicated Leaven*) (5 fen).
Decoction method: Crush ingredients, decoct with water and wine, strain, and take hot after meals.
Mahuang Cangzhu Tang (from *Liangfang*): Treats invasion by cold-dampness, heavy body, lower back pain, sallow and lusterless complexion.
Ingredients: Mahuang (*Herba Ephedrae*), Zexie Shao (*Apex Alismatis*), Chaoqu (*Fried Medicated Leaven*), Baifuling (*Poria*), Juapi (*Pericarpium Citri Reticulatae*) (each 1 qian), Banxia (*Rhizoma Pinelliae*), Guizhi (*Ramulus Cinnamomi*), Caodoukou (*Fructus Cardamomi*), Zhuling (*Polyporus) (each 0.5 qian), Huangqi (*Radix Astragali*) (3 qian), Xingren (*Semen Pruni Armeniacae*) (10 kernels), Cangzhu (*Rhizoma Atractylodis Lanceae*), Gancao (*Radix Glycyrrhizae*, honey-fried) (each 2 qian).
Decoction method: One dose, add two bowls of water, decoct until one bowl remains. Take before meals.
Moyao Gao (Zhu Danxi's prescription): Treats lower back pain in the elderly and leukorrhea in women.
Ingredients: Fuzi Jian (*Aconiti Lateralis Preparata Apophysis*), Wutou Jian (*Aconiti Radix Apophysis*), Nanxing (*Rhizoma Arisaematis Cum Bile*) (each 2.5 qian), Zhusha (*Cinnabar*), Xionghuang (*Realgar*), Zhangnao (*Camphora), Dingxiang (*Flos Caryophylli*) (each 1.5 qian), Ganjiang (*Rhizoma Zingiberis Secati*) (1 qian), Shexiang (*Moschus*, 5 grains for large ones, adjust for smaller ones).
Preparation and administration: Grind into fine powder, form pills with honey the size of a longan. Take one pill, dissolve in Shengjiang (*Rhizoma Zingiberis Recens*) juice like thick porridge, heat on fire, place on palm, massage the waist. When the medicine adheres, bind with heated cotton clothing to keep the waist hot. Use one pill every two days.
Cangzhu Tang (Li Dongyuan's prescription): Treats lower back and leg pain due to damp-heat.
Ingredients: Cangzhu (*Rhizoma Atractylodis Lanceae*) (5 qian, dispels dampness and stops pain), Chaihu (*Radix Bupleuri*) (3 qian, moves meridians), Fangfeng (*Radix Saposhnikoviae*) (1.5 qian, dispels wind and overcomes dampness), Huangbo (*Cortex Phellodendri*) (1.5 qian, initially cold, transforms into heat if prolonged, clears heat and stops pain).
Decoction method: Add two bowls of water, decoct until one bowl remains. Take fasting before meals.
Duhuo Tang (Li Dongyuan's prescription): Treats lower back pain feeling like breaking, heavy as a mountain, caused by overwork.
Ingredients: Qianghuo (*Rhizoma et Radix Notopterygii*) (2 qian), Fangfeng (*Radix Saposhnikoviae*), Duhuo (*Radix Angelicae Pubescentis*), Rougui (*Cinnamomi Cortex*) (each 3 qian), Gancao (*Radix Glycyrrhizae*, honey-fried, 2 qian), Danggui Wei (*Radix Angelicae Sinensis* tail) (5 qian), Taoren (*Semen Persicae*) (50 kernels), Lianqiao (*Fructus Forsythiae*) (5 qian), Hanfangji (*Radix Stephaniae Tetrandrae*), Huangbo (*Cortex Phellodendri*, wine-soaked) (each 1 liang), Zexie (*Rhizoma Alismatis*), Dahuang (*Radix et Rhizoma Rhei*, baked) (each 3 qian).
Decoction method: Crush, take 5 qian per dose, add half a bowl of wine and one bowl of water, strain, and take hot.
Qianghuo Tang (Li Dongyuan's prescription): Treats weakness and heaviness in waist and knees.
Ingredients: Qianghuo (*Rhizoma et Radix Notopterygii*) (3 qian), Fangfeng (*Radix Saposhnikoviae*) (1.5 qian), Gancao (*Radix Glycyrrhizae*, raw and fried 0.5 qian each), Caodoukou (*Fructus Cardamomi*), Huangbo (*Cortex Phellodendri*), Gegen (*Radix Puerariae*) (each 5 fen), Sharen (*Fructus Amomi*), Chenpi (*Pericarpium Citri Reticulatae*) (6 fen), Zhimu (*Rhizoma Anemarrhenae*) (2.5 qian), Huangqi (*Radix Astragali*) (2 qian), Cangzhu (*Rhizoma Atractylodis Lanceae*), Shengma (*Rhizoma Cimicifugae*), Duhuo (*Radix Angelicae Pubescentis*), Chaihu (*Radix Bupleuri*) (each 1 qian).
Preparation and administration: Make coarse powder, divide into two doses. Add two bowls of water, decoct until one bowl remains, strain, and take fasting.
Qianghuo Shengshi Tang (Li Dongyuan's prescription): Treats spinal pain and neck stiffness, waist feeling like breaking, neck feeling like pulling, headache striking upwards, due to dysfunction of the Foot-Taiyang meridian.
Ingredients: Qianghuo (*Rhizoma et Radix Notopterygii*), Duhuo (*Radix Angelicae Pubescentis*), Gaoben (*Rhizoma Leonuri*), Fangfeng (*Radix Saposhnikoviae*) (each 1 qian), Manjingzi (*Fructus Viticis*) (3 fen), Chuanxiong (*Radix Ligustici Chuanxiong*) (2 fen), Gancao (*Radix Glycyrrhizae*, honey-fried, 5 fen).
Decoction method: Crush, one dose, add two bowls of water, decoct until one bowl remains, strain, and take warm after meals.
Jiangfu Tang (See section on Cold Damage).
Gandou Tang (from *Zhizhi Fang*): Treats internal accumulation of wind-heat entering the kidney, lower back pain, and obstruction of urination and defecation.
Ingredients: Heidou (*Semen Sojae Nigrum*) (2 he), Gancao (*Radix Glycyrrhizae*) (2 qian). Can add Xuduan (*Radix Dipsaci*) and Tianma (*Rhizoma Gastrodiae*).
Administration: Alternate with Baidu San. Add seven slices of Shengjiang (*Rhizoma Zingiberis Recens*) as a guide, decoct with water and take.
Baidu San (from *Zhizhi Fang*): Universal formula for cold damage with heat symptoms.
Ingredients: Renshen (*Radix Ginseng*), Chi Fuling (*Poria* with red skin), Chuanxiong (*Radix Ligustici Chuanxiong*), Jiegeng (*Radix Platycodonis*), Qianghuo (*Rhizoma et Radix Notopterygii*), Duhuo (*Radix Angelicae Pubescentis*), Qianhu (*Radix Peucedani*), Chaihu (*Radix Bupleuri*), Zhike (*Fructus Aurantii*, processed), Gancao (*Radix Glycyrrhizae*, stir-fried) (equal parts).
Preparation and administration: Cut into pieces, take 3 qian per dose, add five slices of Shengjiang (*Rhizoma Zingiberis Recens*), decoct and take. Ren Shen Qiang Huo San uses the same ingredients.
Ruxiang Chentong San (from *Zhizhi Fang*): Treats lower back pain from falls and blows.
Ingredients: Hujinggu Gu (*Os Tigris Tibia*, wine-fried yellow), Baiguiban (*Carapax et Plastrum Testudinis*, wine-fried) (each 2 liang), Qilinjie (*Resina Draconis), Chishaoyao (*Radix Paeoniae Rubra*), Danggui (*Radix Angelicae Sinensis*), Moyao (*Resina Myrrhae*), Fangfeng (*Radix Saposhnikoviae*), Ziran Tong (*Pyritum*, quenched in vinegar, finely ground), Baifuzi (*Rhizoma Typhonii*, processed), Lagui (*Cinnamomi Cortex*), Baizhi (*Radix Angelicae Dahuricae*), Cang'erzi (*Fructus Xanthii*, lightly stir-fried), Gusui Bu (*Radix Drynariae*, stir-fried, hairs removed) (each 3 liang), Niuxi (*Radix Achyranthis Bidentatae*), Tianma (*Rhizoma Gastrodiae*), Binglang (*Semen Arecae*), Wujiaopi (*Cortex Acanthopanacis Senticosi*), Qianghuo (*Rhizoma et Radix Notopterygii*) (each 1 liang).
Usage: Grind into powder, take 1 qian each time, mixed with warm wine. Adding Quanxie (*Scorpio*) is excellent. Also used for jiaojie (foot disease).
Heishen San (See section on Epistaxis). Fuyuan Tongqi San (See section on Qi Disorders). Heqi Yin (See section on Edema). Suhe Xiang Wan (See section on Wind Stroke).
Puxian Zhengqi San (from *Heji Jufang*):
Ingredients: Chenpi (*Pericarpium Citri Reticulatae*), Banxia (*Rhizoma Pinelliae*), Cangzhu (*Rhizoma Atractylodis Lanceae*), Houpo (*Cortex Magnoliae Officinalis*), Huoxiang (*Herba Pogostemonis*), Gancao (*Radix Glycyrrhizae*), Shengjiang (*Rhizoma Zingiberis Recens*) (equal parts).
Decoction method: Take 5 qian per dose, add two bowls of water, two sections of Congbai (*Scallion White*), 100 Heidou (*Semen Sojae Nigrum*), decoct until eight-tenths remains. Take hot at any time.
Shibu Tang: Same as Dabu Shiquan San (See section on Deficiency and Damage).
Qing'e Wan (from *Zhizhi Fang*): Treats lower back pain due to kidney deficiency. Benefits essence, assists yang, darkens hair, strengthens legs. Swallow with Antai Yin for miraculous effect.
Ingredients: Poguzhi (*Fructus Psoraleae*) (4 liang, stir-fried until fragrant), Duzhong (*Cortex Eucommiae*, remove rough bark, cut, 4 liang, rub with 2.5 liang of Shengjiang (*Rhizoma Zingiberis Recens*), stir-fry until dry).
Preparation and administration: Grind into powder, use 30 walnut meats ground into paste, add a little cooked honey to make pills the size of paulownia seeds. Take 50 pills each time, before meals with Tiaoqi San. (Tiaoqi Yin formula see section on Distension).
Dilong Tang (Li Dongyuan's prescription):
Ingredients: Zhonggui (*Cinnamomi Cortex*) (4 fen), Taoren (*Semen Persicae*) (6 kernels), Qianghuo (*Rhizoma et Radix Notopterygii*) (2 qian), Duhuo (*Radix Angelicae Pubescentis*), Gancao (*Radix Glycyrrhizae*), Huangbo (*Cortex Phellodendri*) (each 1 qian), Mahuang (*Herba Ephedrae*) (5 fen), Dilong (*Pheretima*) (4 fen), Sumu (*Lignum Santali Rubrum*) (6 fen), Danggui Shao (*Radix Angelicae Sinensis* tip) (1 qian).
Preparation and administration: Make coarse powder, take 5 qian per dose, add two bowls of water, decoct until one bowl remains. Take hot after meals.
Juhe Jiu (from *Sanyin Fang*): Treats lower back pain from trauma, accumulation of evil blood, unbearable pain. Stir-fry Juhe (*Fructus Citri Reticulatae Seed*), remove skin, grind fine. Take 2 qian spoons, mixed with wine. Alternatively, use one pig kidney, remove fascia, split open, insert medicine with Congbai (*Scallion White*), Huixiang (*Fructus Foeniculi*), salt, wrap in wet paper, bake until cooked, chew finely, swallow with warm wine.
Shu Dahuang Tang (from *Sanyin Fang*): Treats lower back pain unable to bend or stretch from falls and sprains.
Ingredients: Dahuang (*Radix et Rhizoma Rhei*, cut finger-sized), Shengjiang (*Rhizoma Zingiberis Recens*, cut) (each half liang).
Decoction method: Stir-fry together until scorched yellow, add one bowl of water, soak overnight. Strain and take at the fifth watch (3-5 AM). Discharge resembling chicken liver at dawn indicates expulsion of evil matter.
Tiaorong Huoluo Yin: Treats lower back sprain from exertion, bruising blood from falls, and lower back pain with constipation.
Ingredients: Chuan Dahuang (*Radix et Rhizoma Rhei*), Danggui Tiao (*Radix Angelicae Sinensis*), Chuan Niuxi (*Radix Achyranthis Bidentatae*, remove radicle, wash with wine), Xingren (*Semen Persicae*, peel, grind into paste) (each 2 qian), Chishaoyao (*Radix Paeoniae Rubra*), Honghua (*Flos Carthami*), Qianghuo (*Rhizoma et Radix Notopterygii*), Huaishengdihuang (*Radix Rehmanniae Preparata*, wash with wine) (each 1 qian), Chuanxiong (*Radix Ligustici Chuanxiong*) (1.5 qian), Guizhi (*Ramulus Cinnamomi*) (3 fen).
Decoction method: Add one and a half bowls of water, decoct until eight-tenths remains. Take warm before meals.
Renshen Shunqi San (from *Liangfang*): Treats lower back pain due to qi stagnation.
Ingredients: Renshen (*Radix Ginseng*), Chuanxiong (*Radix Ligustici Chuanxiong*), Jiegeng (*Radix Platycodonis*), Baizhu (*Rhizoma Atractylodis Macrocephalae*), Baizhi (*Radix Angelicae Dahuricae*), Chenpi (*Pericarpium Citri Reticulatae*), Zhike (*Fructus Aurantii*), Mahuang (*Herba Ephedrae*, remove joints), Wuyao (*Radix Linderae*), Baijiang (*Zingiberis Rhizoma*, processed), Gancao (*Radix Glycyrrhizae*, honey-fried) (each 1 qian).
Decoction method: Add two bowls of water, decoct until one bowl remains; or grind into fine powder, take before meals mixed with Gancao (*Radix Glycyrrhizae*) decoction. Another formula adds Wujiaopi (*Cortex Acanthopanacis Senticosi*) 1 qian.
Wuyao Shunqi San (See section on Wind Stroke).
Wubi Shanyao Wan (Zhang Zihe's prescription): Treats various deficiencies, five labors and seven injuries, emaciation, dim vision, and tinnitus.
Ingredients: Chishizhi (*Hematitum*, calcined), Fushen (*Poria* with pine root removed), Shanzhuyu (*Fructus Corni*, remove pit), Shu Dihuang (*Radix Rehmanniae Preparata*, wine-soaked), Bajitian (*Radix Morinda Officinalis*, remove heart), Niuxi (*Radix Achyranthis Bidentatae*, remove seedling, wine-soaked), Zexie (*Rhizoma Alismatis*) (each 1 liang), Duzhong (*Cortex Eucommiae*, peel, slice, stir-fry with ginger juice), Tusizi (*Semen Cuscutae*, wine-soaked), Shanyao (*Rhizoma Dioscoreae*) (each 3 liang), Wuweizi (*Fructus Schisandrae*, selected, 6 liang), Rongrong (*Cortex Cynomorii*, wine-soaked, 4 liang).
Preparation and administration: Grind into fine powder, refine honey to make pills the size of paulownia seeds. Take 30 pills each time, fasting with warm wine or salt water.
Hugu San (from *Liangfang*, same below): Treats lower back and hip pain radiating to knees day and night.
Ingredients: Hujinggu Gu (*Os Tigris Tibia*, butter-fried), Baiguiban (*Carapax et Plastrum Testudinis*, butter-fried), Danggui (*Radix Angelicae Sinensis*), Xiong (*Radix Ligustici Chuanxiong*), Bibi (*Rhizoma Smilacis Glabrae*), Niuxi (*Radix Achyranthis Bidentatae*), Guixin (*Cinnamomi Cortex*), Qianghuo (*Rhizoma et Radix Notopterygii*) (each 1 liang).
Usage: Grind into fine powder, take 2 qian each time, fasting with warm wine.
Buguzhi Wan: Treats persistent lower back and leg pain.
Ingredients: Buguzhi (*Fructus Psoraleae*, lightly stir-fried), Niuxi (*Radix Achyranthis Bidentatae*, remove seedling) (each 3 liang), Gusui Bu (*Radix Drynariae*) (1 liang), Guixin (*Cinnamomi Cortex*) (1.5 liang), Binglang (*Semen Arecae*) (2 liang), Anshixiang (*Resina Styracis*) (2 liang, pounded ripe with walnut kernel).
Preparation and administration: Grind into fine powder, refine honey, mix with Anshixiang (*Resina Styracis*), pound over 100 times, make pills the size of paulownia seeds. Take 10-20 pills each time, fasting with warm wine.
Baibei Wan: Treats lower back and knee pain in men and women, tendon spasm.
Ingredients: Baiguiban (*Carapax et Plastrum Testudinis*), Hugu (*Os Tigris Tibia*) (soak these two in vinegar overnight; dip in vinegar and fry until yellow), Rongrong (*Cortex Cynomorii*, soak in wine overnight), Niuxi (*Radix Achyranthis Bidentatae*, soak in wine overnight), Ruxiang (*Resina Olibani*, separately ground), Moyao (*Resina Myrrhae*, separately ground), Mubiezi (*Semen Momordicae*, remove shell), Gusui Bu (*Radix Drynariae*, remove hairs), Ziran Tong (*Pyritum*, quenched in vinegar seven times), Poguzhi (*Fructus Psoraleae*, stir-fried) (equal parts).
Preparation and administration: Grind into fine powder, use wine from soaking Rongrong (*Cortex Cynomorii*) and Niuxi (*Radix Achyranthis Bidentatae*) to boil wheat paste, mix and make pills the size of paulownia seeds. Take 30 pills each time, before meals with warm wine.
Yangxian San: Treats lower back and leg bone and tendon pain, inability to walk.
Ingredients: Cangzhu (*Rhizoma Atractylodis Lanceae*, peeled, 1 liang), Quanxie (*Scorpio*) (0.5 liang), Tianma (*Rhizoma Gastrodiae*) (3 qian), Heifuzi (*Radix Aconiti Lateralis Preparata*, processed, remove skin and navel), Caowu (*Radix Aconiti Kusnezoffii*, remove tip) (each 2 qian).
Usage: Grind into powder, take 1 qian each time, mixed with black soybean wine. When the medicinal qi reaches the site, there will be slight numbness, then recovery.
Bawei Wan (See section on Consumption).
Dajianzhong Tang (from *Heji Jufang*):
Ingredients: Danggui (*Radix Angelicae Sinensis*), Baishaoyao (*Radix Paeoniae Alba*), Baizhu (*Rhizoma Atractylodis Macrocephalae*), Maidong (*Radix Ophiopogonis*, remove heart), Huangqi (*Radix Astragali*), Gancao (*Radix Glycyrrhizae*), Rongrong (*Cortex Cynomorii*, wine-soaked), Renshen (*Radix Ginseng*), Chuanxiong (*Radix Ligustici Chuanxiong*), Rougui (*Cinnamomi Cortex*), Fuzi (*Radix Aconiti Lateralis Preparata*, processed, remove skin), Banxia (*Rhizoma Pinelliae*), Shudihuang (*Radix Rehmanniae Preparata*), Fuling (*Poria*) (equal parts).
Decoction method: Take 5 qian per dose, add two bowls of water, three slices of ginger, two dates, decoct until eight-tenths remains. Take warm fasting.
Lurong Wan (See section of Hematuria).
Mirong Wan (from *Benshi Fang*): Treats lower back pain due to kidney deficiency, inability to turn sideways.
Ingredients: Mirong (*Cornu Elaphi Pantotrichum*) (1 liang, Deer Antler is also acceptable), Tusizi (*Semen Cuscutae*, take powder 1 liang), Boshang Huixiang (*Fructus Foeniculi*) (0.5 liang).
Preparation and administration: Grind into powder, use two pairs of Yangshen (*Kidney Porcinus*), soak in wine, cook until soft, remove membrane, grind into paste, mix and make pills the size of paulownia seeds, dry in shade. If insufficient Yangshen (*Kidney Porcinus*), add wine paste. Take 30-50 pills each time, with warm wine or salt water.
Liushi Wan (See section on Consumption). Zishen Wan (See section of Obstructed Urination). Fengsui Dan (See section of Spermatorrhea).
Buyin Wan (Zhu Danxi's prescription):
Ingredients: Baiguiban (*Carapax et Plastrum Testudinis*, wine-fried), Huangbo (*Cortex Phellodendri*, wine-stir-fried), Zhimu (*Rhizoma Anemarrhenae*), Ce Baiye (*Folium Platycladi*), Gouqizi (*Fructus Lycii*), Wuweizi (*Fructus Schisandrae*), Duzhong (*Cortex Eucommiae*, ginger juice stir-fried to remove silk), Sharen (*Fructus Amomi*) (equal parts), Gancao (*Radix Glycyrrhizae*, half amount).
Preparation and administration: Grind into powder, use Pig Jingsui (*Medulla Spinalis Porci*) plus Dihuang Gao (*Extract of Rehmanniae*) to make pills.
Tiaogan San: Treats lower back pain caused by anger injuring the liver.
Ingredients: Banxia (*Rhizoma Pinelliae*, processed, 3 fen), Lagui (*Cinnamomi Cortex*), Xu Mugua (*Fructus Chaenomelis*), Danggui (*Radix Angelicae Sinensis*), Chuanxiong (*Radix Ligustici Chuanxiong*), Niuxi (*Radix Achyranthis Bidentatae*), Xixin (*Herba Asari*) (each 2 fen), Shichangpu (*Rhizoma Acori Tatarinowii*), Suanzaoren (*Semen Ziziphi Spinosae*, scalded to remove skin, lightly stir-fried), Gancao (*Radix Glycyrrhizae*, honey-fried) (each 1 fen).
Decoction method: Take 3 qian, add five slices of ginger, two dates, decoct and take.
Chenxiang Jiangqi Tang, Tiaoqi San (See section on Qi Disorders). Weishen Wan (See section on Flaccidity). Qi Qi Tang (See section of Abdominal Pain).
Juxiang Wan (from *Liangfang*):
Ingredients: Juhe (*Fructus Citri Reticulatae Seed*, stir-fried), Huixiang (*Fructus Foeniculi*, stir-fried), Huluba (*Semen Trigonellae*, stir-fried), Wuzi (*Fructus Evodiae*, stir-fried), Poguzhi (*Fructus Psoraleae*, stir-fried), Fuzi (*Radix Aconiti Lateralis Preparata*, processed) (equal parts).
Preparation and administration: Grind into fine powder, boil wine and wheat paste to mix and make pills the size of paulownia seeds. Take 30-40 pills each time, before meals with salt water.
Formula for Treating Lower Back Pain:
Ingredients: Duzhong (*Cortex Eucommiae*), Rongrong (*Cortex Cynomorii*), Poguzhi (*Fructus Psoraleae*), Renshen (*Radix Ginseng*), Danggui (*Radix Angelicae Sinensis*), Qiushi (*Urine Sediment*), Chuan Bajitian (*Radix Morinda Officinalis*), Lu Jiaoshuang (*Cornu Cervi Degelatinatum*) (equal parts).
Preparation and administration: Grind into powder. Take one pig kidney, wash clean of blood, blanch in light salt water, split in half without cutting through, score the inside finely. Insert the above powder, wrap in thin silk, tie securely. Place in a small sugar jar with a little wine, seal jar mouth with paper to prevent leakage. Boil kidney until cooked, eat it, drink three cups of strong wine, immediate cure.
Li'an Wan (from *Qixiao Liangfang*, same below): Treats five types of lower back pain. Regular use warms and tonifies the kidney meridian, strengthens waist and legs.
Ingredients: Poguzhi (*Fructus Psoraleae*), Gan Mugua (*Fructus Chaenomelis*), Duzhong (*Cortex Eucommiae*, peel, ginger stir-fry to remove silk), Niuxi (*Radix Achyranthis Bidentatae*, wine-soaked), Xuduan (*Radix Dipsaci*) (each 1 liang), Bibi (*Rhizoma Smilacis Glabrae*) (2 liang).
Preparation and administration: Grind into fine powder, refine honey to make pills the size of paulownia seeds. Take 50 pills each time, fasting with warm wine or salt water.
Erzhi Wan: Treats elderly weakness, kidney qi deficiency, lower back pain unable to bend or stretch.
Ingredients: Fuzi (*Radix Aconiti Lateralis Preparata*, processed, remove skin and navel), Guixin (*Cinnamomi Cortex*, do not expose to fire), Duzhong (*Cortex Eucommiae*, peel, cut, stir-fry to remove silk), Buguzhi (*Fructus Psoraleae*, stir-fried) (each 1 liang), Lujiao (*Cornu Cervi*, shaved), Mirong (*Cornu Elaphi Pantotrichum*, shaved) (each 2 liang), Lurong (*Cornu Cervi Pantotrichum*, wine-fried), Qingyan (*Natrii Chloridum*, separately ground) (each half liang).
Preparation and administration: Grind into fine powder, boil wine and paste to mix and make pills the size of paulownia seeds. Take 70 pills each time, fasting, chew walnut meat finely, swallow with salt water or salt wine.
If intolerant to hot medicines, remove Fuzi (*Radix Aconiti Lateralis Preparata*) and add Rongrong (*Cortex Cynomorii*) (1 liang).
Suxiao San: Treats unbearable lower back pain in men and women.
Ingredients: Chuanlianzi (*Fructus Toosendan*, take flesh, stir-fry with 5 shells-off Dabao (*Semen Crotonis*) until red, remove Dabao (*Semen Crotonis*)), Huixiang (*Fructus Foeniculi*, salt stir-fry until fragrant, remove salt), Poguzhi (*Fructus Psoraleae*, stir-fried) (each 1 liang).
Usage: Grind into powder, take 3 qian each time, fasting with hot wine.
Sanzhi Wan: Treats unbearable lower back pain.
Usage: Take Heiqianniu (*Semen Pharbitidis*), amount unspecified, grind to take the first fine powder, discard residue. Take garlic, put one grain of Dabao (*Semen Crotonis*) flesh in each clove, wrap in wet paper, bake until fragrant and cooked, remove Dabao (*Semen Crotonis*). Grind garlic finely, mix with Qianniu powder to make pills the size of paulownia seeds. Take 5 pills each time, fasting before meals with vinegar tea, adjust according to deficiency or excess. Another formula, without Dabao (*Semen Crotonis*), coat with Zhusha (*Cinnabar*), take 20 pills each time with wine, relief after one dose.
Formula for Treating Lower Back Pain:
Ingredients: Hutao Rou (*Semen Juglandis*), Buguzhi (*Fructus Psoraleae*), Duzhong (*Cortex Eucommiae*) (each 4 liang).
Decoction method: Crush, make two doses, each dose decoct with two bowls of water. Take fasting.
Zhang Zouma Jia Feibu Wan: This is the first formula for bone and tendon diseases, able to relieve various pains, spasms, and extension difficulties in tendons, vessels, bones, joints, hands, feet, waist, and back.
Ingredients: Ruxiang (*Resina Olibani*) (1 liang, separately ground), Baishaoyao (*Radix Paeoniae Alba*), Chuanwu (*Radix Aconiti Carmichaelii*, raw, remove skin and navel), Caowu (*Radix Aconiti Kusnezoffii*, raw, remove skin and navel), Baijiaoxiang (*Resina Liquidambaris), Mubiezi (*Semen Momordicae*, take flesh, separately grind to remove oil) (each 2 liang).
Preparation and administration: Grind into fine powder, use Chi Xiaodou (*Semen Phaseoli Angularis*) powder boiled into paste to make pills the size of paulownia seeds. Take 15 pills each time with Mugua Tang (*Fructus Chaenomelis Decoction*). If disease is upper, take after meals; if lower, take fasting. Avoid hot food for a while.
Hugu San: Treats lower back and hip pain radiating to knees day and night.
Ingredients: Hujinggu Gu (*Os Tigris Tibia*, butter-fried), Baibie Jia (*Carapax et Plastrum Trionycis*, butter-fried), Danggui (*Radix Angelicae Sinensis*), Xiong (*Radix Ligustici Chuanxiong*), Bibi (*Rhizoma Smilacis Glabrae*), Niuxi (*Radix Achyranthis Bidentatae*), Guixin (*Cinnamomi Cortex*), Qianghuo (*Rhizoma et Radix Notopterygii*) (each 1 liang).
Usage: Grind into fine powder, take 2 qian each time, before meals with warm wine.
Shenyng Wan: Treats kidney meridian insufficiency, wind-cold invasion, lower back pain like breaking, radiating to back, difficulty bending and stretching, or injury from labor damaging kidneys, sleeping on damp ground, or fall injuries where wind-cold attacks, all causing lower back pain.
Ingredients: Weilingxian (*Herba Clematidis*), Guixin (*Cinnamomi Cortex*), Danggui (*Radix Angelicae Sinensis*) (each 2 liang).
Preparation and administration: Grind into fine powder, boil wine and wheat paste to make pills the size of paulownia seeds. Take 20-30 pills each time, before meals with warm wine or Huixiang Tang (*Fructus Foeniculi Decoction*). Women use Guixin Tang (*Cinnamomi Cortex Decoction*).
Rushen Tang (also known as Shujin Tang): Treats lower back pain in men and women, sprain with blood stasis, abdominal cramping pain. More effective for postpartum use.
Ingredients: Yanhusuo (*Rhizoma Corydalis*, lightly stir-fried), Danggui (*Radix Angelicae Sinensis*), Guixin (*Cinnamomi Cortex*) (equal parts).