〔《摘》〕经脉不通(《心术》同∶)曲池、支沟、三里、三阴交(此四穴壅塞不通则泻之,如虚耗不行
则补之。)
〔《集》〕月经断绝∶中极、三阴交、肾俞、合谷。
〔东〕又法∶四满(在丹田傍一寸半。)
〔《心》〕经脉不通,变成瘕症,饮食如常,腹渐大如蛊∶气海(用针通管去其泻水恶物)阴交(取
法亦如上,去其恶物)
〔《甲》〕月水不通,奔豚泄气上下引腰脊痛,气穴主之。女子不下月水,照海主之。妇人少腹坚痛,
月水不通,带脉主之。月水不利,见血而有身则反败,及乳肿,临泣主之。
〔《脉》〕师曰∶有一妇人,将一女子年十五所来诊,言女子年十四时,经水自下,今经反断。其母言恐
怖。师曰∶若是夫人亲女,必夫人年十四时亦以经水下,所以断,此为避年,勿怪,后当自下。
肾脉微涩为不月。(全文见虚实门。)
二阳之病发心脾,有不得隐曲,女子不月,其传为息奔者,死不治。(全文见诊病传变。)
〔《针灸摘英》〕经脉不通:取曲池、支沟、足三里、三阴交穴(这四个穴位若因壅塞不通导致经闭,则用泻法;若因虚损耗竭导致经血不行,则用补法。)
〔《针灸集成》〕月经断绝:取中极、三阴交、肾俞、合谷穴。
〔东垣〕另一种方法:取四满穴(位于丹田旁一寸半处)。
〔《千金方》〕经脉不通,演变为瘕症(腹内结块),饮食正常,腹部逐渐胀大如蛊毒状:取气海穴(使用针具连接导管以排出泻下的水液及污秽之物);取阴交穴(操作方法同上,以排出污秽之物)。
〔《甲乙经》〕月水不通,伴有奔豚病(气从少腹上冲心胸)泄气,上下牵引腰脊疼痛,由气穴主治。女子月经不下,由照海穴主治。妇人少腹坚硬疼痛,月经不通,由带脉穴主治。月经不利,见血而怀孕反而流产,以及乳房肿胀,由临泣穴主治。
〔《脉诀》〕老师说:有一位妇人带着一个十五岁的女儿来就诊,说这女儿十四岁时月经自然来潮,如今月经反而中断。她的母亲感到恐惧。老师说:如果是这位夫人的亲生女儿,想必这位夫人在十四岁时也是月经来潮的,所以这里的中断,称为“避年”(指年轻女子初潮后间隔一段时间才再次行经的正常生理现象),不要奇怪,后来月经自然会恢复。肾脉微涩表示无月经。(全文参见虚实门。)
二阳(指胃与大肠)的病变发于心脾,有难以启齿的隐情或功能障碍,女子月经不来,如果传变为息贲(一种积聚病证),则是死证,无法治愈。(全文参见诊病传变。)
[From *Zhenjiu Zhaoying*] Obstruction of the meridians: Select Quchi (LI11), Zhigou (SJ6), Zusanli (ST36), and Sanyinjiao (SP6). (If these four acupoints are obstructed causing amenorrhea, apply the reducing method; if amenorrhea is due to deficiency and exhaustion, apply the tonifying method.)
[From *Zhenjiu Jicheng*] Amenorrhea: Select Zhongji (CV3), Sanyinjiao (SP6), Shenshu (BL23), and Hegu (LI4).
[Dong Yuan] Another method: Select Siman (CV4). (Located one and a half cun lateral to Dantian.)
[From *Qianjin Fang*] Obstruction of the meridians evolving into a mass syndrome (*Jia*), with normal diet but gradually distending abdomen resembling *Gu* poisoning: Select Qihai (CV6) (use a needle connected to a tube to drain fluid and foul matter); select Yinjiao (CV7) (method as above, to discharge foul matter).
[From *Jiayijing*] For amenorrhea accompanied by *Ben Tun* (rushing pig) syndrome with qi leakage, and pain in the lower back and spine radiating up and down, Qi Xue (KI13) is indicated. For women with absent menstruation, Zhaohai (KI6) is indicated. For women with hardness and pain in the lower abdomen and amenorrhea, Da Mai (GB26) is indicated. For irregular menstruation, where bleeding occurs leading to miscarriage upon conception, and breast swelling, Lin Qi (GB41) is indicated.
[From *Maijue*] The Master said: A woman brought her fifteen-year-old daughter for consultation, stating that the daughter's menstruation began naturally at age fourteen but has now ceased. The mother was fearful. The Master said: If this is the夫人's biological daughter, it is certain that the夫人 also had her menstruation at age fourteen. Therefore, this cessation is called "Bi Nian" (a physiological pause in menstruation in young women), do not be alarmed; menstruation will resume spontaneously later. A faint and choppy pulse at the Kidney position indicates absence of menstruation. (Full text see Section on Deficiency and Excess.)
Disease of the Two Yang (Stomach and Large Intestine) originating from Heart and Spleen, involving hidden difficulties or sexual dysfunction, leads to amenorrhea in women. If it transmits to become *Xi Fen* (a type of accumulation disease), it is a fatal condition and incurable. (Full text see Section on Diagnosis of Disease Transmission.)