期门、治产后余疾。(铜见心痛。)千云、主产余疾。食不下。贲豚上下。伤食腹满。
兔、疗妇人八部诸疾。(明)妇人产后浑身疼。针百劳穴。遇痛处即针。避筋骨及禁穴。(
许)明下云、产后未满百日。不宜灸。
产后血晕。寒热往来。或血抢心。恶疾也。予阅食料本草。见有用鹿角烧为末。酒调服。日夜
数服验者。偶家有妇人患此。令服此神效。因教他人妇服皆验。但以产后未可饮酒。以童子
小便调服尔。(最忌服利药。)
明下云、凡怀孕、不论月数。不宜灸。铜云、昔宋太子善医术。出苑遇一妊妇。太子
、女。令徐文伯诊。曰、一男一女。针之。泻三阴交。补合谷。应针而落。果如文伯言。故妊娠不可刺。
(胞衣不出 子抢心 落胎)
冲门、治难产。子上冲心。不得息。(铜)张仲文疗横产先出手。诸符药不捷。灸右脚
尖头三壮。炷如小麦。下火立产。中封、主小腹大。字难。嗌干嗜饮。夹脐疝。(千)上
昆仑、主字难。若胞衣不出。泄风从头至足。气冲、主胞不出。(见月事。)气冲、治子
上抢心。(铜见月事。千同。)冲门、主乳难。子上冲心。阴疝。(千海上方治难产及胞
衣死胎不下。蓖麻七粒。去皮研如泥。涂足心。才下急洗去。本事方云极验。)
昔胡阳公主每产累不能。终南山道士进枳壳散神效。(枳壳麸炒去穣四两甘草炙三两为
细末
平服。)若横生逆生难产、宜服黑散。(百草霜釜下黑煤是。香白芷等分研匀。每服二钱匕。
醋童子小便各一茶脚调匀。更入少沸汤温热服。良久便正生。未知再作。顷刻活二人命。)
予教人服屡验。故附此。
妇人堕胎后手中厥逆。针肩井立愈。灸更胜针。可七壮。(铜)
期门穴,用于治疗产后遗留的各种疾病。(《铜人腧穴针灸图经》记载于心痛条下。)千云穴,主治产后遗留疾病。症状包括饮食不下、奔豚气上下冲逆、伤食导致的腹部胀满。
兔髎穴(注:原文“兔”通常指足少阳胆经之浮白或类似穴位,此处依原文直译),治疗妇人八种妇科杂病。(《明堂经》记载)妇人产后全身疼痛,针刺百劳穴。遇到疼痛的部位就进行针刺。避开筋骨和禁忌穴位。(许叔微记载)《明堂经》下方注释说:产后未满一百天,不宜施灸。
产后血晕,寒热往来,或者血液上抢心胸,这是恶疾。我阅读食疗本草时,看到有用鹿角烧成粉末,用酒调服的方法,每天服用数次,效果显著。偶然家中有一位妇女患此病,让她服用此药,神效。于是教其他妇女服用,都验证有效。但因为产后不宜饮酒,所以改用童便调服即可。(最忌讳服用泻利药物。)
《明堂经》下方注释说:凡是怀孕,不论月份多少,都不宜施灸。《铜人腧穴针灸图经》说:从前宋太子擅长医术,走出宫苑遇到一位孕妇。太子让徐文伯诊断。徐文伯说:怀的是一男一女。针刺三阴交穴(泻法)、合谷穴(补法)。针下胎儿随即落下。果然像徐文伯所说。所以妊娠期不可随意针刺。
冲门穴,治疗难产。胎儿上冲心胸,导致呼吸困难。(《铜人腧穴针灸图经》记载)张仲文治疗横位分娩先露出手的情况,各种符咒药物都不见效,灸右脚脚尖头三壮,艾炷如小麦大小,火灭后立即分娩。中封穴,主治小腹肿大,生育困难,咽喉干燥喜欢饮水,夹脐疝气。(《千金方》记载)上昆仑穴,主治生育困难。如果是胞衣不出,泄风从头至足。气冲穴,主治胞衣不出。(见月经条下。)气冲穴,治疗胎儿上冲心胸。(《铜人腧穴针灸图经》见月经条下,《千金方》相同。)冲门穴,主治乳汁难下,胎儿上冲心胸,阴部疝气。(《千金方》海上方治疗难产及胞衣死胎不下:蓖麻七粒,去皮研成泥状,涂在脚心,胎儿一降生立即洗去。《本事方》说极有效验。)
从前胡阳公主每次生产都屡次难产,终南山道士进献枳壳散,神效。(枳壳麸炒去瓤四两,甘草炙三两,研为细末,每次平服二钱匕。)如果是横生逆生难产,适宜服用黑散。(百草霜即锅底黑煤,香白芷等分研匀,每次服用二钱匕,用醋和童便各一杯调匀,再加入少许沸汤温热服用。过一会儿胎儿就会转正出生。如果还没生再制作一次,顷刻间能救活两条人命。)我教人服用多次验证有效,所以附记于此。
Qimen (LR14) is indicated for various residual diseases after childbirth. (Recorded under Heartache in *Tongren Shuxue Zhenjiu Tujing*.) Qianyun is indicated for residual diseases after childbirth, including inability to eat, upward and downward rushing of Ben Tun (Roving Pig), and abdominal fullness due to food stagnation.
Tuliao (Note: "Tu" likely refers to a specific point contextually, often associated with Gallbladder meridian points like Fubai or similar in ancient texts, translated here as Tuliao based on literal character) treats various gynecological disorders in women. (Recorded in *Mingtang Jing*). For postpartum body-wide pain, needle Bailao (EX-BN6). Needle wherever there is pain. Avoid tendons, bones, and contraindicated acupoints. (Recorded by Xu Shimiao) The note below *Mingtang Jing* states: Moxibustion is not suitable within one hundred days after childbirth.
Postpartum blood fainting, alternating chills and fever, or blood rushing to the heart, are malignant conditions. I read *Shiliao Bencao* and found a method using deer horn burnt to powder, taken with wine, administered several times a day, which proved effective. Accidentally, a woman in my household suffered from this; having her take this medicine yielded miraculous results. I then taught other women to take it, all verifying effective. However, since alcohol is not advisable immediately postpartum, use urine from an uncircumcised boy (Tongzi Xiaobian) for mixing instead. (It is most taboo to administer purgative drugs.)
The note below *Mingtang Jing* states: During pregnancy, regardless of the month, moxibustion is not suitable. *Tongren Shuxue Zhenjiu Tujing* states: Formerly, the Crown Prince of Song was skilled in medicine. While leaving the palace, he encountered a pregnant woman. He asked Xu Wenbo to diagnose her. Xu Wenbo said, "She carries one male and one female." Needling Sanyinjiao (SP6) with reducing method and Hegu (LI4) with reinforcing method caused immediate delivery. It indeed happened as Xu Wenbo predicted. Therefore, needling should be avoided during pregnancy.
(Placenta retention, fetal distress/heart rush, abortion)
Chongmen (ST30) treats difficult labor and fetal pressure on the heart causing dyspnea. (Recorded in *Tongren Shuxue Zhenjiu Tujing*) Zhang Zhongwen treated transverse presentation with hand protruding first, where charms and medicines failed. Moxibusting the tip of the right big toe with three cones, each the size of a wheat grain, resulted in immediate delivery upon extinguishing the fire. Zhongfeng (KI7) treats abdominal distension, difficulty in childbirth, dry throat with thirst, and hernia flanking the navel. (Recorded in *Qianjin Fang*) Shangkunlun (likely referring to Kunlun BL60 or similar upper location context) treats difficulty in childbirth. If placenta retention occurs, dispersing wind from head to foot. Qichong (ST30) treats placenta retention. (See Menstruation section.) Qichong (ST30) treats fetal pressure on the heart. (*Tongren* see Menstruation section, same as *Qianjin*). Chongmen (ST30) treats difficulty in lactation, fetal pressure on the heart, and yin hernia. (*Qianjin Hai Shang Fang* for difficult labor and retained dead placenta: Seven seeds of Ricinus communis, peeled and ground into paste, applied to the sole of the foot. Wash off immediately after delivery. *Ben Shi Fang* states it is extremely effective.)
Formerly, Princess Hu Yang experienced repeated difficult labors. A Daoist priest from Zhongnan Mountain presented Zhike Powder, which was miraculously effective. (Four liang of Zhike bran-fried and de-seeded, three liang of Gancao honey-fried, ground into fine powder, taken orally twice daily.) For transverse or breech presentation, Heisan is suitable. (Baicaoshuang, soot from the pot bottom, mixed equally with Xiangbaizhi. Take two qianbi per dose, mixed with vinegar and urine from an uncircumcised boy, add a little boiling water, warm and drink. After a while, normal birth ensues. If not delivered, prepare another dose; within moments, two lives can be saved.) I have taught people to take it with frequent success, so I append this record.
For women experiencing cold extremities and reversal after abortion, needling Jianjing (GB21) brings immediate recovery; moxibustion is superior to needling, applicable for seven cones. (Recorded in *Tongren Shuxue Zhenjiu Tujing*)