东垣曰。经云。腰痛上寒不可顾。取足太阳、阳明。腰痛上热。取足厥阴。不可俯仰。
少阳。盖足之三阳。从头走足。足之三阴。从足入腹。经所过处。皆能为痛。治之者。当审
其何经所过分野。循其孔穴而刺之。审其寒热而药之。假令足太阳。令人腰痛引项脊尻皆如
重状。刺其 中太阳二经出血。余皆仿此。刘氏曰。王注经中言灸疑误。灸者宜肾俞、腰俞
宝鉴云。灸曲瞅下两纹头。左右脚四处。各三壮。每灸一脚。二火齐下。午时着灸。人定以
来。脏腑自动一两行。或转动如雷声。立愈。
内经云。人有所堕坠。恶血留内腹中。腹满不得前后。先饮利药。此上伤厥阴之脉。下
伤少
刺右。右刺左。其脉坚强者生。小弱者死。
宝鉴曰。一妇病伤寒。遇夜则见鬼。许学士曰。得病之初。曾值月经来否。其家人曰。
经水
。针三里穴五分。其痛立止。乳痈、喉痹、 肿、足跗不收。灸下廉三壮。
女子漏下恶血。月事不调。逆气腹胀。其脉缓者。灸血海二穴三壮。
女子如妊娠。赤白带下。妇人漏血不止。腹胀满不得息。小便黄。如蛊。及治腰痛如锥
刺。不得屈伸。舌纵涎下。烦逆溺难。小腹急引阴痛。股内廉痛。灸阴谷二穴。
女子不月。灸会阴三壮。妇人月水不利。难产。子上冲心。痛不得息。灸气冲七壮。妇
人月
中。因产恶露不止。绕脐 痛。灸气海。妇人不孕。月不调匀。赤白带下。气转连背引痛不
可忍。灸带脉二穴。产后恶露不止。及诸淋注。灸气海。产后两胁急痛不可忍。灸石关五十
壮。女子月事不调。产后恶露不止。绕脐冷痛。灸阴交百壮。带下 瘕。因产恶露不止。断
产绝孕。经冷。灸关元百壮。妇人卒口噤。语音不出。风痫。灸承浆五壮。妇人产后。血气
俱虚。灸血海百壮。妇人疝气。脐腹冷疼。相引胁下痛不可忍。先灸中庭三七壮。
李东垣说：《内经》记载：“腰痛伴有上部寒冷，不能回顾，应取足太阳经和足阳明经的穴位；腰痛伴有上部发热，应取足厥阴经的穴位；腰部僵硬，不能俯仰，属少阳经病变。”这是因为足三阳经从头走向足，足三阴经从足进入腹部，经脉所经过的地方，都可能发生疼痛。治疗时，应当仔细辨别是哪条经脉的病位，沿着相应的孔穴进行针刺；辨别寒热性质后配合药物治疗。例如足太阳经引起的腰痛，牵引项部、脊背、臀部都感觉沉重，应针刺委中穴，使足太阳、足少阳二经出血。其余情况都仿照此法处理。刘氏说：王冰在注释《内经》中提到灸法，怀疑是误传。适宜施灸的穴位有肾俞、腰俞。《针灸宝鉴》记载：灸曲池穴下两纹头处，左右脚各四处，每处各灸三壮。每灸一只脚时，两处火源同时点燃，在午时开始施灸，到了人定时（晚上9-11点），脏腑会自动有一两次蠕动，或者转动发出如雷声般的声响，立刻痊愈。
《内经》说：有人因坠落受伤，恶血留滞于腹中，导致腹部胀满，大小便不通。应先服用通利药物。这是上伤厥阴之脉，下伤……（原文此处有缺漏）刺右侧病证则取左侧穴位，刺左侧病证则取右侧穴位。脉象坚强者预后良好，脉象细小虚弱者预后不良。
《针灸宝鉴》记载：一位妇女患伤寒病，每到夜晚就看见鬼怪。许学士问：生病之初，是否正值月经来潮？其家人回答说：月经刚结束。（原文此处有缺漏）。针刺足三里穴五分深，疼痛立即停止。对于乳痈、喉痹、……（原文此处有缺漏）、足背弛缓无力，可灸足三里穴三壮。女子漏下恶血，月经不调，气逆腹胀，脉象缓和者，灸血海穴二穴，各三壮。女子症状如妊娠，赤白带下，妇人漏血不止，腹部胀满呼吸困难，小便黄，状如蛊毒，以及治疗腰痛如锥刺般疼痛，不能屈伸，舌纵流涎，心烦气逆，排尿困难，小腹急迫牵引阴部疼痛，大腿内侧疼痛，灸阴谷穴二穴。女子闭经，灸会阴穴三壮。妇人月经不利，难产，胎气上冲心胸，疼痛导致呼吸困难，灸气冲穴七壮。妇人月经……（原文此处有缺漏）期间，因生产后恶露不止，绕脐疼痛，灸气海穴。妇人不孕，月经不调匀，赤白带下，气机转动牵连背部疼痛难以忍受，灸带脉穴二穴。产后恶露不止，以及各种淋证，灸气海穴。产后两侧胁肋急痛难以忍受，灸石关穴五十壮。女子月经不调，产后恶露不止，绕脐冷痛，灸阴交穴一百壮。带下病、癥瘕，因生产后恶露不止，断绝生育，月经寒冷，灸关元穴一百壮。妇人突然口噤，不能发声，风痫，灸承浆穴五壮。妇人产后，气血俱虚，灸血海穴一百壮。妇人疝气，脐腹冷痛，牵引胁下疼痛难以忍受，先灸中庭穴三七壮。
Li Dongyuan stated: The *Neijing* (Classic of Internal Medicine) records: "For low back pain accompanied by coldness in the upper body and inability to look back, select points on the Foot-Taiyang and Foot-Yangming meridians; for low back pain accompanied by heat in the upper body, select points on the Foot-Jueyin meridian; for stiffness preventing flexion and extension, it belongs to the Shaoyang pathology." This is because the Three Yang Meridians of the Foot run from the head to the foot, while the Three Yin Meridians of the Foot run from the foot into the abdomen. Pain can occur wherever these meridians pass. In treatment, one must carefully determine which meridian's domain is affected, needle along the corresponding acupoints, and prescribe medication based on the differentiation of cold or heat. For example, low back pain caused by the Foot-Taiyang meridian, which radiates to the neck, spine, and buttocks with a sensation of heaviness, should be treated by needling Weizhong (BL40) to bleed the Foot-Taiyang and Foot-Shaoyang meridians. Other cases should follow this pattern. Liu Shi noted that Wang Bing’s commentary mentioning moxibustion in the *Neijing* is suspected to be an error. Suitable acupoints for moxibustion include Shenshu (BL23) and Yaoshu (DU19). The *Zhenjiu Baojian* (Precious Mirror of Acupuncture and Moxibustion) records: Moxibustion at the heads of the two creases below Quchi (LI11), four locations on each foot, three moxa cones per location. When moxibusting one foot, apply fire to both sites simultaneously. Begin at Wushi (noon, 11 am–1 pm); by Rending time (evening, 9–11 pm), the zang-fu organs will automatically move once or twice, or rotate making sounds like thunder, resulting in immediate recovery.
The *Neijing* states: "If a person suffers a fall, evil blood remains inside the abdomen, causing abdominal fullness and obstruction of urination and defecation. First, administer purgative medicines. This indicates injury to the Jueyin meridian above and... [text missing] below." Treat right-sided pathology by selecting left-side points, and left-sided pathology by selecting right-side points. A strong pulse indicates survival; a small and weak pulse indicates death.
The *Zhenjiu Baojian* records: A woman suffered from Shanghan (Cold Damage) disease, seeing ghosts every night. Scholar Xu asked: At the onset of illness, was her menstrual period present? Her family replied: The menses had just ended. [Text missing]. Needling Zusanli (ST36) to a depth of 5 fen stopped the pain immediately. For breast abscess (Ru Yong), throat bi (Hou Bi), [text missing], and flaccidity of the dorsum of the foot, moxibustion at Zusanli (ST36) for three cones is indicated. For women with continuous discharge of foul blood, irregular menstruation, qi rebellion with abdominal distension, and a slow pulse, moxibustion at Xuehai (SP10) for two points, three cones each, is indicated. For women presenting with symptoms resembling pregnancy, red and white leukorrhea, continuous uterine bleeding, abdominal fullness with dyspnea, yellow urine, conditions resembling Gu poisoning, low back pain like cone-stabbing, inability to flex or extend, tongue deviation with drooling, vexation with qi rebellion, difficult urination, acute lower abdominal pain radiating to the yin, pain along the medial thigh, moxibustion at Yinggu (KI10) for two points is indicated. For amenorrhea, moxibustion at Huiyin (CV1) for three cones. For women with dysmenorrhea, dystocia, fetal movement pressing against the heart causing pain and dyspnea, moxibustion at Qichong (ST30) for seven cones. [Text missing] during menstruation, due to postpartum lochia rubra not stopping, peri-umbilical pain, moxibustion at Qihai (CV6) is indicated. For infertility, irregular menstruation, red and white leukorrhea, qi movement connecting to the back causing unbearable pain, moxibustion at Daimai (GB26) for two points is indicated. For postpartum lochia rubra not stopping and various strangury syndromes, moxibustion at Qihai (CV6) is indicated. For unbearable acute pain in both hypochondria after childbirth, moxibustion at Shiguan (ST15) for fifty cones is indicated. For irregular menstruation, postpartum lochia rubra not stopping, cold pain around the umbilicus, moxibustion at Yinjiao (CV7) for one hundred cones is indicated. For leukorrhea and zheng jia masses, due to postpartum lochia rubra not stopping, sterility, cold menstruation, moxibustion at Guanyuan (CV4) for one hundred cones is indicated. For sudden trismus in women, inability to speak, wind epilepsy, moxibustion at Chengjiang (CV24) for five cones is indicated. For postpartum deficiency of both blood and qi, moxibustion at Xuehai (SP10) for one hundred cones is indicated. For female hernia, cold pain in the umbilical and abdominal regions, pain radiating to the hypochondrium unbearable, first moxibustion at Zhongting (CV17) for twenty-one cones is indicated.