四满、(又主胞中有血。)石门、主子脏有恶血内逆。满痛。(千)四满、治妇人血藏脏积冷
。阳跷、疗妇人血气。(明)阴交、治产后恶露不止。绕脐冷痛。(见血崩。)涌泉、治
心痛不嗜食。妇人无子。女子如妊娠。五指端尽痛。(见虚损。)妇女本脏气血癖走刺痛。
(灸法见肾虚。)阴交、治血块腹痛。(余见月事。)
石门、治妇人因产恶露不止。遂结成块。崩中(明同。)漏下。(铜)天枢、中极、治
成块。(并见月事。)下极、疗因产恶露不止。遂成疝瘕。或因月事不调。血结成块。(明
)漏谷、曲泉、治血瘕。(铜见 癖。)曲骨、主血癃。(千)复留、主血淋。血淋
、灸丹田等。(并见淋。)三里、治胸中瘀血。(铜)九曲中府、主内有瘀血。(见尸厥。)
(崩中漏下 恶露不止)
大敦、治血崩不止。(铜)合阳、治崩中。气海、(见月事。)石门、治崩中漏下。(
块。)中都、治崩中。因产恶露不绝。交信、阴谷、太冲、三阴交、治女漏血不止。
石门、治崩中漏下。(见血块。)血海、治漏下恶血。月事不调。逆气腹胀。血海、主漏
下。若血闭不通。逆气胀。(千)阴谷、主漏血。小腹胀。体寒热。腹偏肿。太冲、(见
疝。)然谷、主经漏。(见无子。)阴跷、主阴挺下血。阴肿或痒。漉清汁若葵汁。白
崩、灸小腹横文当脐孔直下百壮。又内踝上三寸。左右各百壮。阴交、石门、疗崩中。(
明)天枢、疗漏下赤白。(交仪复留并同。)及腹大坚。食不化。面色苍苍。(下)若经候过
多。其色瘀黑。甚者崩下。吸吸少气。脐腹冷极。则汗出如雨。尺脉微小。由冲任虚衰。为
风冷客乘胞中。气不能固。可灸关元百壮。宜鹿茸丸。(指)
有皮匠妻患血崩两月。饮食不进。与镇灵丹服。少减而未断。因检得耆域方如圣散。用
乌梅干姜各一两。并烧存五分性为末。每服二钱。食前乌梅汤调下。(患甚者不过三服。)合
一剂与服而疾平。又有巡捕之妻。年逾五十。因伤寒而血崩。与加胶艾四物汤。一服渐愈。后因劳复大作。
与镇灵丹十五丸而止。或无此丹。烧鹿角存性为末。酒调服亦佳。以其屡验。故附于此
阴交、治女子月事不绝。带下。产后恶露不止。绕脐冷痛。(铜明同。)气海、(见月
事。)中都、治恶露不止。(见血崩。)
关元、治恶露不止。(见赤白带。)中极、(明见血块。)石门、(下与铜同。)疗
恶露不止。漏胞下血不禁。灸关元两旁三寸百壮。产难月水不禁。横生胎动。针三阴交
。胎动。崩中下痢。贲气上逆。针石门寸四分。漏胞见赤。胞门五十。又
气门五十。崩中带下。针灸中极。(带下。)
四满穴,(又主治胞宫中有瘀血。)石门穴,主治子宫内有恶血内逆导致的腹部胀满疼痛。四满穴,治疗妇人血海脏气积冷。阳跷穴,治疗妇人血气病。(明堂经记载)阴交穴,治疗产后恶露不止、绕脐冷痛。(参见血崩篇)涌泉穴,治疗心痛、食欲不振、妇人不孕、女子似妊娠状、五指末端尽痛。(参见虚损篇)妇女本脏气血癖积走窜刺痛。(灸法见肾虚篇)阴交穴,治疗血块腹痛。(其余参见月事篇)
石门穴,治疗妇人因生产后恶露不止,遂结成血块,出现崩中(明堂经记载相同)、漏下症状。(铜人腧穴针灸图经记载)天枢穴、中极穴,治疗已成血块。(并参见月事篇)下极穴,治疗因生产后恶露不止,遂形成疝瘕;或因月经不调,血结成块。(明堂经记载)漏谷穴、曲泉穴,治疗血瘕。(铜人经参见癖积篇)曲骨穴,主治血癃。(千金方记载)复溜穴,主治血淋。血淋症,可灸丹田等穴。(并参见淋证篇)足三里穴,治疗胸中瘀血。(铜人经记载)九曲中府穴,主治内有瘀血。(参见尸厥篇)
(崩中漏下与恶露不止)
大敦穴,治疗血崩不止。(铜人经记载)合阳穴,治疗崩中。气海穴,(参见月事篇)石门穴,治疗崩中漏下。(伴有血块)中都穴,治疗崩中,因生产后恶露不绝。交信穴、阴谷穴、太冲穴、三阴交穴,治疗女性漏血不止。石门穴,治疗崩中漏下。(参见血块篇)血海穴,治疗漏下恶血、月经不调、逆气腹胀。血海穴,主治漏下。若血闭不通、逆气胀满。(千金方记载)阴谷穴,主治漏血、小腹胀、身体寒热交替、腹部偏肿。太冲穴,(参见疝证篇)然谷穴,主治经漏。(参见不孕篇)阴跷穴,主治阴挺下血、阴部肿胀或瘙痒、流出清稀汁液如葵菜汁、白崩症。白崩症,可灸小腹横纹当脐孔直下处百壮,以及内踝上三寸处,左右各百壮。阴交穴、石门穴,治疗崩中。(明堂经记载)天枢穴,治疗漏下赤白带下。(交仪复留经记载相同)以及腹部大且坚硬、食物不消化、面色苍白。(下经记载)若月经量过多,颜色瘀黑,严重者崩下,呼吸短促少气,脐腹极度寒冷,则汗出如雨,尺脉微小,这是由于冲任二脉虚衰,被风冷邪气侵袭胞宫,气不能固摄所致,可灸关元穴百壮,宜服用鹿茸丸。(指迷方记载)
有一位皮匠的妻子患血崩两个月,饮食不进,给予镇灵丹服用,症状稍减但未断根。于是查阅得到耆域方的如圣散,用乌梅、干姜各一两,烧存性研为末,每次服二钱,饭前用乌梅汤调下。(患病重者不过三服即可痊愈。)给患者合剂服用而疾病平复。又有一位巡捕的妻子,年过五十,因伤寒导致血崩,给予加胶艾四物汤,一服后逐渐痊愈。后来因劳累复发且病情加重,给予镇灵丹十五丸而止血。如果没有此药,将鹿角烧存性研为末,酒调服也很好。因为多次验证有效,所以附记于此。
阴交穴,治疗女子月经不绝、带下、产后恶露不止、绕脐冷痛。(铜人经、明堂经记载相同)气海穴,(参见月事篇)中都穴,治疗恶露不止。(参见血崩篇)
关元穴,治疗恶露不止。(参见赤白带篇)中极穴,(明堂经参见血块篇)石门穴,(下经与铜人经相同),治疗恶露不止、漏胞下血不禁。灸关元两旁三寸处百壮。难产、月经不禁、横生胎动,针刺三阴交穴。胎动、崩中下痢、贲气上逆,针刺石门穴深四分。漏胞见红,刺胞门穴五十壮,又刺气门五十壮。崩中带下,针灸中极穴。(带下篇)
Siman (CV 30, Four Fullness), (also treats blood stasis in the uterus). Shimen (CV 5), treats evil blood reversing inward in the uterus causing fullness and pain. Siman (CV 30), treats cold accumulation in the blood sea of women. Yangqiao (BL 59), treats blood and qi disorders in women. (Mingtang Jing records) Yinjiao (CV 7), treats postpartum lochia discharge not stopping, with cold pain around the umbilicus. (See section on Metrorrhagia/Yongquan). Yongquan (KI 1), treats heart pain, lack of appetite, female infertility, women resembling pregnancy, and pain at the tips of all five fingers. (See section on Deficiency and Damage). Women's primary organ blood and qi stagnation causing stabbing pain from migration. (Moxibustion method see Kidney Deficiency section). Yinjiao (CV 7), treats abdominal pain due to blood masses. (For others, see Menstruation section).
Shimen (CV 5), treats women whose lochia discharge does not stop after childbirth, eventually forming masses, resulting in metrorrhagia (Mingtang Jing records the same), and metrorrhagia with dripping. (Tongren Jing records) Tianshu (ST 25), Zhongji (CV 3), treat formed masses. (And see Menstruation section). Xiaji (GV 1), treats hernia and mass formation due to lochia discharge not stopping after childbirth; or due to irregular menstruation where blood forms masses. (Mingtang Jing records). Lougu (SP 7), Ququan (LR 8), treat blood masses (Xuejia). (Tongren Jing sees Stagnation section). Qugu (CV 2), governs blood strangury. (Qianjin Fang records). Fuliou (BL 63), governs bloody strangury. For bloody strangury, moxa Dantian and other points. (And see Strangury section). Zusanli (ST 36), treats blood stasis in the chest. (Tongren Jing records). Jiuqu Zhongfu (LU 2), governs internal blood stasis. (See Corpse Coma section).
(Metrorrhagia, Metrorrhagia with Dripping, and Lochia Discharge Not Stopping)
Dadun (LR 1), treats unstoppable metrorrhagia. (Tongren Jing records). Heyang (BL 57), treats metrorrhagia. Qihai (CV 6), (See Menstruation section). Shimen (CV 5), treats metrorrhagia and dripping. (With masses). Zhongdu (LR 8), treats metrorrhagia due to incessant lochia after childbirth. Jiaoxin (KI 8), Yinggu (KI 10), Taichong (LR 3), Sanyinjiao (SP 6), treat continuous bleeding in women. Shimen (CV 5), treats metrorrhagia and dripping. (See Blood Masses section). Xuehai (SP 10), treats dripping of evil blood, irregular menstruation, rebellious Qi and abdominal distension. Xuehai (SP 10), governs dripping. If blood is closed and not flowing, with rebellious Qi and distension. (Qianjin Fang records). Yinggu (KI 10), governs leaking blood, lower abdominal distension, alternating chills and fever, unilateral abdominal swelling. Taichong (LR 3), (See Hernia section). Ran Gu (KI 2), governs menstrual leakage. (See Infertility section). Yinqiao (Yinqiao Mai), governs uterine prolapse with bleeding, vulvar swelling or itching, secretion of clear fluid like okra juice, white leukorrhea. For white leukorrhea, moxa one hundred Zhuans at the horizontal wrinkle of the lower abdomen directly below the umbilicus, and also three cun above the medial malleolus, one hundred Zhuans on each side. Yinjiao (CV 7), Shimen (CV 5), treat metrorrhagia. (Mingtang Jing records). Tianshu (ST 25), treats dripping of red and white discharge. (Jiaoyi Fuliou Jing records the same). And for a large, hard abdomen, indigestion, and pale complexion. (Xia Jing records). If menstruation is excessive, dark and瘀 black, severe cases involve sudden gushing, shortness of breath, extreme cold in the umbilical and abdominal region, profuse sweating like rain, and minute and faint Chi pulse. This is due to deficiency and decline of the Chong and Ren meridians, allowing wind-cold pathogens to invade the uterus, causing Qi to fail in securing. One may moxa Guanyuan (CV 4) for one hundred Zhuans, and it is suitable to take Lurong Wan. (Zhi Mi Fang records).
A tanner's wife suffered from metrorrhagia for two months, unable to eat or drink. She was given Zhenling Dan, which reduced symptoms slightly but did not stop them. Upon checking, she found the Ruyi San formula from Qiyu's methods: using one liang of dried plum and one liang of dried ginger, burned to retain their nature and ground into powder. Each dose was two qian, taken before meals mixed with sour plum decoction. (Severe cases resolve within no more than three doses). A combined dose was administered, and the disease subsided. Another case involved the wife of a patrol officer, over fifty years old, who suffered metrorrhagia due to cold damage. She was given Siwu Tang with added Gelatin and Mume Pill, improving gradually after one dose. Later, due to labor relapse, the condition worsened significantly. Fifteen pills of Zhenling Dan were given to stop the bleeding. If this pill is unavailable, burning deer horn until it retains its nature, grinding it into powder, and taking it with wine is also good. Due to repeated verification of efficacy, it is attached here.
Yinjiao (CV 7), treats continuous menstruation in women, leukorrhea, postpartum lochia discharge not stopping, and cold pain around the umbilicus. (Tongren Jing and Mingtang Jing records are the same). Qihai (CV 6), (See Menstruation section). Zhongdu (LR 8), treats lochia discharge not stopping. (See Metrorrhagia section).
Guanyuan (CV 4), treats lochia discharge not stopping. (See Red and White Leukorrhea section). Zhongji (CV 3), (Mingtang Jing sees Blood Masses section). Shimen (CV 5), (Xia Jing and Tongren Jing are the same), treats lochia discharge not stopping, leaking uterus with uncontrollable bleeding. Moxa one hundred Zhuans at three cun lateral to Guanyuan. For difficult labor, uncontrollable menstruation, transverse presentation, and fetal movement, needle Sanyinjiao (SP 6). For fetal movement, metrorrhagia with dysentery, and rebellious Qi ascending, needle Shimen (CV 5) deep by four fen. For leaking uterus with red discharge, puncture Baomen (EX-CA1) fifty Zhuans, and again Qimen (EX-CA2) fifty Zhuans. For metrorrhagia with leukorrhea, acupuncture and moxibustion Zhongji (CV 3). (Leukorrhea section).