（腰强 腰屈）
阴包、治腰尻引小腹痛。（明下云。腰痛连小腹肿。小便不利。）遗溺不禁。（铜）居
腰引小腹痛。（见手痛。）胞肓、治腰痛恶寒。小腹坚急。癃闭重不得小便涩痛。腰背卒痛
。秩边、治腰痛不能俯仰。小便赤涩。腰尻重不能举。（明同。）委中、治腰重不举体。
（见腰脊。）白环俞、治腰髋疼。脚膝不遂。肩井、治因扑伤腰髋疼。腰俞、治腰髋疼
。脊强不得转。命门、主腰腹相引痛。（见螈 。）肺俞、治腰背强痛。阴陵泉、（水
肿。）大肠俞、治腰痛。（明同。）下 、治腰痛不得转侧。阳辅、治腰如坐水。（见膝痛
。）明下、阴市、疗腰如冷水。（见疝。）阴市、疗腰脚如冷水。（见疝。）涌泉、治腰
痛大便难。京门、治腰痛不得俯仰。寒热 胀。引背不得息。肝俞、疗腰痛肩疼。（明）
肾俞、（见劳。）气海俞、中膂俞、（见脊。）疗腰痛。关元俞、膀胱俞、疗风劳腰痛。
胞肓、疗恶气腰背卒痛。下云、腰痛不可忍。俯仰难。恶寒。小便涩。昆仑、疗腰尻重不
欲起。俯仰难。恶闻人音。（下）风市、疗腰尻重。起难。（见腰脚。）肾俞、疗腰痛不可
俯仰转侧难。（下）腰俞、疗腰疼不能久立。腰以下至足不仁。坐起难。腰脊急强。不可俯
仰。腰重如石。难举动。张仲文灸腰痛。（见腰脚。）四肢寒热腰疼不得俯仰。身黄腹满
食呕。舌根直。灸第十一椎上及左右各一寸五分。三处各七壮。（千）腰俞、膀胱俞、长强
、气冲、上 、下 、居 、主腰痛。三里、阴市、阳辅、蠡沟、主腰痛不可顾。申脉
、太冲、阳跷、主腰痛不能举。委阳、殷门、太白、阴陵泉、行间、（铜同）主腰痛不可俯
仰。甲云、委阳、殷门、主腰痛得俯不得仰。束骨、飞扬、承筋、主腰痛
如折。阳辅、主腰痛如锤居中肿痛不可咳。咳则筋缩急。诸节痛上下无常。寒热。涌泉、
主腰痛。大便难。（甲）
京门、主腰痛不可久立。（甲）腰 痛。宜针决膝腰句画中青赤路脉。出血便瘥。（千）
腰痛不得俯仰者。令患人正立。以竹拄地。度至脐断竹。乃以度度背脊。灸竹上头处随年壮
。灸讫藏竹。勿令人得知。腰痛灸脚跟上横文中白肉际十壮良。又灸足巨阳七壮。巨阳在
外踝下。又灸腰目 七壮。在尻上约左右是。又灸八 及外踝上骨约中。腰卒痛。灸
穷骨上一寸七壮。左右一寸。各灸七壮。腰脊痛。灸小肠俞五十壮。（见虚损。）腰背痛
。灸三焦俞随年。（见劳。）
有妇人久病而腰甚疼。腰眼忌灸。医以针置火中令热。谬刺痛处。初不深入。既而疼止
。则知火不负人之说犹信云。
许知可因淮南大水。忽腹中如水吼。调治得愈。自此腰痛不可屈伸。思之、此必肾经感
水气而得。乃灸肾俞三七壮。服麋茸丸愈。（予谓腰痛不可屈伸。灸肾俞自效。不服麋茸丸亦可
舍弟腰疼。出入甚艰。予用火针微微频刺肾俞。则行履如故。初不灸也。屡有人腰背伛
偻来觅点灸。予意其是筋病使然。为点阳陵泉令归灸即愈。筋会阳陵泉也。然则腰疼又不可专泥
肾俞。不灸其他穴也。
风池、治腰伛偻引项筋无力不收。（铜）肺俞、治腰强。（见胸满。）束骨、治腰如折
如结。耳聋恶风寒。目眩项不可顾。目内 赤烂。白环俞、治腰脊挛痛。（见腰脊痛。）
【腰痛 腰强直 腰部屈伸不利】
阴包穴：治疗腰部及尾骶部牵引至小腹疼痛。（《明堂经》下卷记载：腰痛牵连小腹部肿胀，小便不通畅。）遗尿失禁。（《铜人腧穴针灸图经》）居髎穴：治疗腰部牵引至小腹疼痛。（参见手痛条目的内容。）胞肓穴：治疗腰痛伴有恶寒，小腹部坚硬拘急，癃闭重症导致小便涩痛，腰背部突然疼痛。秩边穴：治疗腰痛导致不能前俯后仰，小便赤黄涩痛，腰骶部沉重无法抬起。（《明堂经》记载相同。）委中穴：治疗腰部沉重无法抬举身体。（参见腰脊条目。）白环俞穴：治疗腰部及髋部疼痛，下肢膝关节活动不利。肩井穴：治疗因跌扑损伤导致的腰髋疼痛。腰俞穴：治疗腰部及髋部疼痛，脊柱强直不能转动。命门穴：主治腰部与腹部相互牵引疼痛。（参见抽搐条目。）肺俞穴：治疗腰背强直疼痛。阴陵泉穴：（参见水肿条目。）大肠俞穴：治疗腰痛。（《明堂经》记载相同。）下髎穴：治疗腰痛导致不能向两侧转侧。阳辅穴：治疗腰部感觉如同坐在水中。（参见膝痛条目。）《明堂经》下卷记载：阴市穴：治疗腰部感觉如同冷水浇淋。（参见疝气条目。）阴市穴：治疗腰脚感觉如同冷水浇淋。（参见疝气条目。）涌泉穴：治疗腰痛伴有大便困难。京门穴：治疗腰痛导致不能前俯后仰，寒热交替，腹部胀满，牵引背部导致呼吸不畅。肝俞穴：治疗腰痛及肩部疼痛。（《明堂经》记载。）肾俞穴：（参见劳损条目。）气海俞穴、中膂俞穴：（参见脊柱条目。）治疗腰痛。关元俞穴、膀胱俞穴：治疗风邪劳损引起的腰痛。胞肓穴：治疗恶气导致的腰背部突然疼痛。《明堂经》下卷记载：腰痛难以忍受，俯仰困难，恶寒，小便涩滞。昆仑穴：治疗腰骶部沉重不想起身，俯仰困难，厌恶听到人的声音。（《明堂经》下卷记载。）风市穴：治疗腰骶部沉重，起身困难。（参见腰脚条目。）肾俞穴：治疗腰痛不可前俯后仰，转侧困难。（《明堂经》下卷记载。）腰俞穴：治疗腰痛不能久站，腰部以下至足部麻木不仁，坐起困难，腰脊紧急强直，不能前俯后仰，腰部沉重如石头，难以举动。张仲文灸法治疗腰痛。（参见腰脚条目。）四肢寒热，腰痛不能前俯后仰，身体发黄，腹部胀满，饮食呕吐，舌根僵硬。艾灸第十一椎上方及左右各一寸五分处，三处各灸七壮。（《千金方》）腰俞穴、膀胱俞穴、长强穴、气冲穴、上髎穴、下髎穴、居髎穴：主治腰痛。足三里穴、阴市穴、阳辅穴、蠡沟穴：主治腰痛不可回顾。申脉穴、太冲穴、阳跷脉：主治腰痛无法抬举。委阳穴、殷门穴、太白穴、阴陵泉穴、行间穴：（《铜人腧穴针灸图经》记载相同）主治腰痛不可前俯后仰。《甲乙经》记载：委阳穴、殷门穴：主治腰痛能俯不能仰。束骨穴、飞扬穴、承筋穴：主治腰痛如折断感。阳辅穴：主治腰痛如锤击居中，肿痛剧烈不能咳嗽，咳嗽则筋脉收缩紧急，全身关节疼痛上下无常，伴有寒热。涌泉穴：主治腰痛，大便困难。（《甲乙经》）京门穴：主治腰痛不能久立。（《甲乙经》）腰痛。应当针刺并决破膝盖、腰部、腘窝线条中的青赤色脉络，出血即可痊愈。（《千金方》）对于腰痛不能前俯后仰的患者，让患者正立，用竹竿拄地，量取至肚脐长度截断竹竿，然后用这根竹竿去度量背部脊柱，在竹竿顶端对应的位置，根据患者年龄决定灸的壮数。灸完后收藏竹竿，不要让人知道。腰痛艾灸脚跟横纹中白肉际处十壮效果好。又艾灸足太阳膀胱经的巨阳穴七壮。巨阳穴在外踝下方。又艾灸“腰目”穴七壮。位于尻骨上方的横纹左右处。又艾灸八髎穴及外踝上方骨头约中处。腰部突然疼痛，艾灸尾骨上一寸七壮，左右各一寸处，每处各灸七壮。腰脊痛，艾灸小肠俞五十壮。（参见虚损条目。）腰背痛，艾灸三焦俞穴，数量随患者年龄而定。（参见劳损条目。）
有一位妇人久病之后腰部非常疼痛，腰部穴位忌用艾灸。医生将针放在火中烧红，错误地刺痛患处，起初并不深入，随后疼痛停止。由此可知，“火不负人”的说法是可信的。
许知可因为淮南发生大水灾，忽然腹中发出如水吼声，经过调治得以痊愈。从此以后腰痛无法屈伸。思考其原因，这必定是肾经感受水气所致。于是艾灸肾俞穴三七二十一壮，服用麋茸丸后痊愈。（我认为腰痛无法屈伸，艾灸肾俞自然有效，不服用麋茸丸也可以。）我的弟弟腰痛，出入非常艰难，我用火针微微频繁地刺肾俞穴，行走就恢复如常，起初并没有艾灸。多次有人腰背弯曲驼过来寻找点灸，我推测这是筋病导致的，为他们点按阳陵泉穴让他们回去自行艾灸即愈。因为阳陵泉是筋会穴。然而，腰痛又不能专门拘泥于肾俞穴，而不艾灸其他穴位。
风池穴：治疗腰背弯曲驼引动颈部筋脉无力松弛不收。（《铜人腧穴针灸图经》）肺俞穴：治疗腰强直。（参见胸满条目。）束骨穴：治疗腰痛如折断如结聚，耳聋，恶风寒，目眩，颈部不能回顾，目内眦红肿溃烂。白环俞穴：治疗腰脊挛缩疼痛。（参见腰脊痛条目。）
[Lower Back Pain, Stiffness of the Waist, Difficulty in Bending and Straightening the Waist]
Yinbao (KI9): Treats pain in the lower back and sacrum radiating to the hypogastrium. (*Mingtang Jing*, Vol. Lower: "Lower back pain connected with swelling of the hypogastrium, difficult urination.") Enuresis and incontinence. (*Tongren Shuxue Zhenjiu Tujing*) Juliao (GB29): Treats pain in the waist radiating to the hypogastrium. (See entry for Hand Pain.) Baohuang (BL54): Treats lower back pain with aversion to cold, hardness and tension in the hypogastrium, severe strangury causing painful and difficult urination, and sudden pain in the lower back and back. Zhizhong (BL54 is listed as Zhizhong in some contexts but text says Zhibian BL54 contextually fits description, actually text says Zhibian BL54? No, text says Zhibian BL54 is not standard, usually BL54 is Baohuang. Text says "Zhibian". Let's stick to text: Zhibian (likely referring to a point or typo for another, but treating as proper noun from text): Treats inability to bend forward and backward due to lower back pain, red and astringent urine, heaviness in the lumbosacral region making it hard to lift the body. (*Mingtang Jing* agrees). Weizhong (BL40): Treats heaviness in the lower back making it hard to lift the body. (See entry for Lumbar Spine). Baihuanxu (BL30): Treats pain in the lumbar and hip regions, disability of the leg and knee joints. Jianjing (GB21): Treats lumbar and hip pain caused by falls and injuries. Yaoshu (DU2): Treats pain in the lumbar and hip regions, stiffness of the spine preventing rotation. Mingmen (DU4): Primarily treats mutual pulling pain between the lower back and abdomen. (See entry for Convulsion). Feishu (BL13): Treats stiffness and pain in the lower back and back. Yinlingquan (SP9): (See entry for Edema). Dachangshu (BL25): Treats lower back pain. (*Mingtang Jing* agrees). Xialiao (BL32): Treats lower back pain preventing turning to the sides. Yangfu (GB38): Treats a sensation in the waist as if sitting in water. (See entry for Knee Pain). *Mingtang Jing* Vol. Lower: Yanshi (ST32): Treats a sensation in the waist as if drenched with cold water. (See entry for Hernia). Yanshi (ST32): Treats a sensation in the waist and legs as if drenched with cold water. (See entry for Hernia). Yongquan (KI1): Treats lower back pain accompanied by difficulty in defecation. Jingmen (GB25): Treats lower back pain preventing bending forward and backward, alternating chills and fever, abdominal distension, pulling pain in the back causing dyspnea. Ganshu (BL18): Treats lower back pain and shoulder pain. (*Mingtang Jing*). Shenshu (BL23): (See entry for Consumption/Lao). Qihai Shu (BL24), Zhonglv Shu (BL27): (See entry for Spine). Treat lower back pain. Guanyuan Shu (BL26), Pangguang Shu (BL28): Treat wind-cold consumption lower back pain. Baohuang (BL54): Treats sudden pain in the lower back and back caused by evil qi. *Mingtang Jing* Vol. Lower: Unbearable lower back pain, difficulty in bending and straightening, aversion to cold, astringent urination. Kunlun (BL60): Treats heaviness in the lumbosacral region making one unwilling to rise, difficulty in bending and straightening, aversion to hearing human voices. (*Mingtang Jing* Vol. Lower). Fengshi (GB31): Treats heaviness in the lumbosacral region, difficulty in rising. (See entry for Lower Limb). Shenshu (BL23): Treats lower back pain preventing bending forward and backward, difficulty in turning sideways. (*Mingtang Jing* Vol. Lower). Yaoshu (DU2): Treats lower back pain preventing prolonged standing, numbness from the lower waist to the feet, difficulty in sitting up, urgency and stiffness of the lumbar spine, inability to bend forward and backward, heaviness in the waist like a stone, difficulty in movement. Zhang Zhongwen's moxibustion for lower back pain. (See entry for Lower Limb). Chills and fever in the four limbs, lower back pain preventing bending forward and backward, yellow complexion, abdominal fullness, vomiting after eating, straight tongue root. Moxibustion on the upper part of the 11th thoracic vertebra and 1.5 cun to the left and right, three points, each 7 moxa cones. (*Qianjin Fang*). Yaoshu (DU2), Pangguang Shu (BL28), Changqiang (DU1), Qichong (ST30), Shangliao (BL31), Xialiao (BL32), Juliao (GB29): Mainly treat lower back pain. Zusanli (ST36), Yanshi (ST32), Yangfu (GB38), Ligou (LR5): Mainly treat lower back pain preventing looking back. Shenmai (BL62), Taichong (LR3), Yangqiao Mai: Mainly treat lower back pain preventing lifting. Weiyang (BL39), Yinmen (BL37), Taibai (SP3), Yinlingquan (SP9), Xingjian (LR2): (*Tongren Shuxue Zhenjiu Tujing* agrees) Mainly treat lower back pain preventing bending forward and backward. *Jiayi Jing* states: Weiyang (BL39), Yinmen (BL37): Mainly treat lower back pain where one can bend forward but not backward. Shugu (BL65), Feiyang (BL57), Chengjin (BL56): Mainly treat lower back pain as if broken. Yangfu (GB38): Mainly treat lower back pain as if hammered in the center, severe swelling and pain, unable to cough; coughing causes tendon contraction and urgency, pain in all joints varying in location, chills and fever. Yongquan (KI1): Mainly treats lower back pain, difficulty in defecation. (*Jiayi Jing*). Jingmen (GB25): Mainly treats lower back pain preventing prolonged standing. (*Jiayi Jing*). Lower back pain. One should puncture and bleed the blue-red vessels in the lines of the knee, waist, and popliteal fossa; healing occurs upon bleeding. (*Qianjin Fang*). For those with lower back pain preventing bending forward and backward, have the patient stand upright, use a bamboo pole to touch the ground, measure to the navel, cut the bamboo at this length, then use this bamboo to measure along the spinal column. Moxibustion is applied at the head of the bamboo corresponding to the age of the patient in cones. After moxibustion, hide the bamboo so no one knows. Moxibustion on the white flesh margin of the transverse crease of the heel for ten cones is good for lower back pain. Also moxibustion on the Juyang point of the foot seven cones. Juyang is below the lateral malleolus. Also moxibustion on the "Yaomu" point seven cones. Located at the horizontal crease above the coccyx on both sides. Also moxibustion on the Baliao points and the middle of the bone above the lateral malleolus. Sudden lower back pain: Moxibustion one cun above the coccyx seven cones, one cun to the left and right, seven cones each. Lumbar spine pain: Moxibustion Xiaochangshu (BL27) fifty cones. (See entry for Deficiency and Damage). Lower back pain: Moxibustion Sanjiaoshu (BL22) according to age. (See entry for Consumption).
A woman suffered from long-term illness with severe lower back pain. The "waist eye" area is contraindicated for moxibustion. The doctor placed a needle in fire to heat it and mistakenly pricked the painful spot. Initially, it did not penetrate deeply, but subsequently, the pain stopped. Thus, it is known that the saying "fire does not fail people" is credible.
Xu Zhike, due to the great flood in Huainan, suddenly had a sound like water roaring in his abdomen. After treatment, he recovered. Since then, he has had lower back pain preventing flexion and extension. Reflecting on this, it must be that the Kidney Meridian was affected by water qi. He then moxibusted Shenshu (BL23) for 21 cones (3x7) and took Eldeer Antler Pill (Mijun Wan) to recover. (I believe that for lower back pain preventing flexion and extension, moxibustion on Shenshu is effective on its own; taking Mijun Wan is also optional.) My younger brother had lower back pain, making walking very difficult. I used fire needles to gently and frequently prick Shenshu (BL23), and his walking returned to normal; initially, no moxibustion was used. Many people with stooped backs come seeking point moxibustion. I suspect this is caused by tendon issues, so I press Yanglingquan (GB34) and instruct them to moxibustate there, which leads to recovery. This is because Yanglingquan is the Hui-Sea of Tendons. Therefore, lower back pain cannot be exclusively treated by focusing only on Shenshu (BL23) and ignoring other acupoints.
Fengchi (GB20): Treats lumbar stooping pulling the neck tendons, causing weakness and laxity. (*Tongren Shuxue Zhenjiu Tujing*). Feishu (BL13): Treats stiffness of the waist. (See entry for Chest Fullness). Shugu (BL65): Treats lower back pain as if broken or knotted, deafness, aversion to wind and cold, dizziness, inability to turn the neck, redness and ulceration of the inner canthus. Baihuanxu (BL30): Treats spasm and pain of the lumbar spine. (See entry for Lumbar Spine Pain).