In TCM, this concern is differentiated into several patterns, each with a classical herbal formula:
Formula: Yougui Wan (Right-Restoring Kidney Yang Pill) — from *Jingyue's Complete Works*
Formula: Zuogui Wan (Left-Restoring Kidney Yin Pill) — from *Jingyue's Complete Works*
Formula: Zhibai Dihuang Wan (Anemarrhena and Phellodendron Rehmannia Pill) — from *Golden Mirror of Medicine*
Formula: Xuefu Zhuyu Tang (Blood Mansion Stasis-Expelling Decoction) — from *Corrections of Errors in Medical Classics*
These formulas are for reference under TCM syndrome differentiation and should only be used under the guidance of a qualified practitioner.
The waist is the residence of the kidney. Kidney-deficiency lower back soreness may arise from congenital insufficiency, aging, chronic illness and strain, or excessive sexual activity leading to kidney-essence depletion. Yang deficiency tends to be associated with cold pain and aversion to cold, while yin deficiency tends to be associated with soreness, weakness, and dull aching. External cold-dampness invasion or trauma and blood stasis may also be associated with pain.
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