经水无期而来者血虚有热也经水将来作痛者血实气滞也
经候过多色瘀黑甚呼吸小气脐腹极寒汗出如雨任脉虚衰风令客乘胞中不能固之致关元穴
百壮
月事带下恶露肝俞气海年壮中脘曲骨五十壮
阴挺出阴跷曲骨曲泉照海大敦太溪三壮
苍汗阴痛下 中 太冲独阴
血块月事不调关元间使阴跷天枢皆针石门禁针针之无子灸七壮至百壮
恶露成块石门七壮至百壮
血闭无子曲泉
瘕肠鸣泄痢绕脐绞痛天枢百壮章门大肠俞曲泉曲池对脐脊骨上三七壮灸宜先阳后阴
脐下冷疝太冲气海独阴阴交在脐下一寸灸百壮
赤白带下曲骨七壮太冲关元复溜三阴交天枢百壮
转胞小便难关元二七壮
月经不通合谷阴交血海气冲
崩漏太冲血海阴谷然谷三阴交肝俞支沟
漏白带三阴交曲骨七壮至七七壮
血淋丹田七壮至百壮
胞衣不下足小指尖三壮中极肩井
淋沥照海曲泉小肠俞
如妊阴谷涌泉
催孕下三里至阴合谷三阴交曲骨七壮至七七壮即有子
无子胞门子户曲骨商丘中极灸百壮至三百壮或四度针即有子
遗尿曲骨七七壮
胞中恶血痛石门二七壮至百壮阴都挟巨阙一寸五分直下二寸三壮禁针针之终身无子四满
在挟脐旁五分直下二寸三壮
难产手先出曰横生足先出曰逆生即用细针刺儿手心或足心一二分三四处即以盐涂针穴擦
磨后轻轻入送则儿缩顺生仍以盐涂母腹上正产又足小指尖灸三壮即顺生
堕胎后手足如冰厥冷太冲合谷肩井针五分若针深则闷乱急以针刺三里穴下其气
死胎三阴交合谷昆仑太冲
产后诸疾期门五壮
子上逼心闷乱补合谷泻三阴交巨阙针留七呼灸七壮至七七壮
欲断产足外踝上一寸三壮即断产石门一名丹田针刺
月经周期紊乱、提前来潮的,是血虚且有内热所致;月经即将来潮时出现疼痛的,是血实且气机阻滞所致。
月经量过多、颜色紫黑,甚至呼吸短促、气息微弱,脐腹部极度寒冷,出汗如雨,这是任脉虚衰,风邪乘虚侵入胞宫,导致固摄无力。治疗应灸关元穴一百壮。
月经异常、带下病、恶露不尽,取肝俞穴、气海穴、中脘穴、曲骨穴,各灸五十壮。
子宫脱垂(阴挺),取阴跷穴、曲骨穴、曲泉穴、照海穴、大敦穴、太溪穴,各灸三壮。
血块、月经不调,取关元穴、间使穴、阴跷穴、天枢穴,均用针刺或火针。若因针刺禁忌而不能施针者,可灸七壮至一百壮。
经闭不孕,取曲泉穴。
瘕聚、肠鸣、泄泻痢疾、绕脐绞痛,取天枢穴灸一百壮,章门穴、大肠俞穴、曲泉穴、曲池穴,以及对脐脊骨上方三寸处,各灸三壮。艾灸宜先灸阳经穴位,后灸阴经穴位。
脐下冷疝,取太冲穴、气海穴、独阴穴、阴交穴(位于脐下一寸),灸一百壮。
赤白带下,取曲骨穴灸七壮,太冲穴、关元穴、复溜穴、三阴交穴、天枢穴,各灸一百壮。
崩漏,取太冲穴、血海穴、阴谷穴、然谷穴、三阴交穴、肝俞穴、支沟穴。
如妊娠状态(假孕或调理胎气),取阴谷穴、涌泉穴。
催产助孕,取足三里穴、至阴穴、合谷穴、三阴交穴、曲骨穴,灸七壮至四十九壮,即可受孕。
不孕症,取胞门穴、子户穴、曲骨穴、商丘穴、中极穴,灸一百壮至三百壮,或者进行四次针刺,即可受孕。
胞宫瘀血疼痛,取石门穴,灸十四壮至一百壮;阴都穴(位于巨阙穴旁一寸五分,直下二寸),灸三壮。此穴禁针,若误针则终身不孕;四满穴(位于挟脐旁五分,直下二寸),灸三壮。
难产:胎儿手先出称为横生,脚先出称为逆生。此时即用细针刺入婴儿手心或足心一二分深,在一二三个部位施针,随后以盐涂抹针孔并擦拭,轻轻推送胎儿,使其缩回顺位出生。仍以盐涂抹母亲腹部正中线。另外,也可灸足小指尖三壮,即可顺产。
堕胎后手足冰冷厥逆,取太冲穴、合谷穴、肩井穴,针刺五分深。若针刺过深导致昏闷烦乱,急须针刺足三里穴以导气下行。
Menses arriving irregularly and early are caused by blood deficiency with internal heat. Pain occurring just before the onset of menses is due to blood excess and qi stagnation.
Excessive menstrual flow with dark purple-black color, even accompanied by shortness of breath and weak respiration, extreme cold in the umbilical and abdominal regions, and profuse sweating like rain, indicates deficiency and decline of the Ren Mai (Conception Vessel), allowing wind pathogens to invade the uterus, resulting in failure to consolidate. Treat by moxibustion on Guanyuan (CV4) for one hundred burns.
For abnormal menstruation, leukorrhea, and lochia retention, treat Ganshu (BL18), Qihai (CV6), Zhongwan (CV12), and Qugu (CV2), each with fifty burns of moxibustion.
For uterine prolapse (Yin Ting), treat Yinqiao (EX-5), Qugu (CV2), Ququan (LR8), Zhaohai (KI6), Dadun (LR1), and Taixi (KI3), each with three burns of moxibustion.
For sweating associated with Xanthium (Cang Er) toxicity or yin pain, treat Xiawan (CV10), Zhongwan (CV12), Taichong (LR3), and Duyin (EX-8).
For blood clots and irregular menstruation, treat Guanyuan (CV4), Jianshi (PC5), Yinqiao (EX-5), and Tianshu (ST25) using needle therapy or fire needle. If needling is contraindicated, apply moxibustion from seven to one hundred burns.
For lochia forming clots, treat Shimen (CV5) with moxibustion from seven to one hundred burns.
For amenorrhea and infertility, treat Ququan (LR8).
For masses (Jia), borborygmus, diarrhea, dysentery, and colic pain around the navel, treat Tianshu (ST25) with one hundred burns of moxibustion; Zhangmen (LR13), Dachangshu (BL25), Ququan (LR8), and Quchi (LI11); and a point three cun above the spinous process opposite the navel, each with three burns. Moxibustion should be applied to yang meridians first, then yin meridians.
For cold hernia below the umbilicus, treat Taichong (LR3), Qihai (CV6), Duyin (EX-8), and Yinjiao (CV7, located one cun below the umbilicus) with one hundred burns of moxibustion.
For red and white leukorrhea, treat Qugu (CV2) with seven burns of moxibustion; Taichong (LR3), Guanyuan (CV4), Fuliou (KI7), Sanyinjiao (SP6), and Tianshu (ST25) with one hundred burns each.
For inverted bladder (Zhuan Bao) causing urinary obstruction, treat Guanyuan (CV4) with fourteen burns of moxibustion.
For amenorrhea, treat Hegu (LI4), Yinjiao (CV7), Xuehai (SP10), and Qichong (ST30).
For metrorrhagia and metrostaxis (Beng Lou), treat Taichong (LR3), Xuehai (SP10), Yinggu (KI3), RanGu (KI2), Sanyinjiao (SP6), Ganshu (BL18), and Zhigou (TE6).
For dripping leukorrhea, treat Sanyinjiao (SP6) and Qugu (CV2) with moxibustion from seven to forty-nine burns.
For bloody strangury (Xue Lin), treat Dantian (CV11) with moxibustion from seven to one hundred burns.
For retained placenta, burn the tip of the little toe three times; also treat Zhongji (CV3) and Jianjing (GB21).
For dribbling strangury, treat Zhaohai (KI6), Ququan (LR8), and Xiaochangshu (BL27).
For conditions resembling pregnancy or regulating fetal qi, treat Yinggu (KI3) and Yongquan (KI1).
To induce labor or promote conception, treat Zusanli (ST36), Zhiyin (BL67), Hegu (LI4), Sanyinjiao (SP6), and Qugu (CV2) with moxibustion from seven to forty-nine burns; conception will follow.
For infertility, treat Baomen (EX-CA1), Zihu (EX-CA2), Qugu (CV2), Shangqiu (SP5), and Zhongji (CV3). Apply moxibustion from one hundred to three hundred burns, or perform needle therapy four times; conception will follow.
For enuresis, treat Qugu (CV2) with forty-nine burns of moxibustion.
For painful stasis in the uterus, treat Shimen (CV5) with moxibustion from fourteen to one hundred burns; Yindu (ST15, located 1.5 cun lateral to Juque and two cun directly downward) with three burns. This point is contraindicated for needling; if needled, it may cause lifelong infertility. Sima (ST26, located 0.5 cun lateral to the navel and two cun directly downward) with three burns.
For dystocia: if the hand presents first, it is called transverse presentation; if the foot presents first, it is called breech presentation. In these cases, use a fine needle to prick the infant's palm or sole to a depth of one or two fen at one to three points. Then apply salt to the needle sites, rub gently, and lightly push to guide the fetus back into a cephalic position for delivery. Also apply salt to the mother's midline abdomen. Alternatively, burn the tip of the little toe three times to facilitate normal delivery.
After abortion, if the hands and feet become ice-cold and cold extremities occur, treat Taichong (LR3), Hegu (LI4), and Jianjing (GB21) by needling five fen deep. If needling too deeply causes dizziness and agitation, urgently needle Zusanli (ST36) to descend the qi.
For retained dead fetus, treat Sanyinjiao (SP6), Hegu (LI4), Kunlun (BL60), and Taichong (LR3).
For various postpartum disorders, treat Qimen (LR14) with five burns of moxibustion.
When the fetus presses upward against the heart causing chest oppression and agitation, tonify Hegu (LI4), sedate Sanyinjiao (SP6), and needle Juque (CV14), retaining the needle for seven respiratory cycles; apply moxibustion from seven to forty-nine burns.
To achieve sterilization, apply three burns of moxibustion to a point one cun above the lateral malleolus; this will terminate fertility. Shimen (CV5), also known as Dantian (CV11), can be needled to achieve sterilization.