法四十五首
绝子,灸然谷五十壮,穴在内踝前直下一寸。
胞门闭塞绝子,灸关元三十壮报之。
妊胎不成,若堕胎腹痛,漏胞见赤,灸胞门五十壮,关元左边二寸是也。右边名子户。
又灸气门穴,在关元旁三寸,各五十壮(《千金》云百壮。)
子脏闭塞不受精,灸胞门五十壮。
绝嗣不生,漏下赤白,灸泉门十壮三报之。穴在横骨当阴上际。石门穴在气海下一寸,
针入一分,留三呼,得气即泻,主妇人气痛坚硬,产后恶露不止。遂成结块,崩中断绪,日
灸二七至一百止。
关元在石门下一寸,主断绪产道冷,针入八分留三呼,泻五吸。灸亦佳,但不及针,日
灸一百止。
崩中带下,因产恶露不止。中极穴在关元下一寸,妇人断绪最要穴,四度针即有子。若
未有,更针入八分,留十呼,得气即泻。灸亦佳,但不及针,日灸三七至三百止。
白崩中,灸少腹横纹,当脐下孔直下一百壮。
又灸内踝上三寸,左右各一百壮。
带下,灸间使三十壮。又淋、小便赤、尿道痛、脐下结块如覆杯,或因食得或因产得,
恶露不下,遂为疝瘕。或因月事不调,血结成块,皆针之如上。
妇人遗尿,不知时出,灸横骨,当阴门七壮。
妊不成,数堕落,灸玉泉五十壮,三报之(中极是)。
灸夹丹田两边相去各一寸名四满,主月水不利,贲血上下并无子。灸三十壮,丹田在脐
下二寸。
妇人胞落 ,灸脐中二百壮。
水泄痢,灸气海百壮,三报之。
胞落 ,灸身交五十壮,三报之,是脐下横纹中。
又灸背脊当脐五十壮。
又灸玉泉五十壮,三报之。
又灸龙门二十壮,三报之,是阴中上外标。
胞下垂注阴下脱。灸夹玉泉三寸,随年壮。三报之。
阴冷肿痛,灸归来三十壮,三报之,夹玉泉两旁五寸。
妇人无乳法
初针两手小指外侧近爪甲深一分,两手腋门深三分,两手天井深六分。若欲试之,先针
一指即知之,神验不传。
妇人逆产足出,针足太阴入三分,足入乃出针,穴在内踝后白肉际陷骨宛宛中。
横产手出,针太冲入三分,急补百息,去足指奇一寸。
胞衣不出,针足太阳入四寸,在外踝下后一寸宛宛中。
又针足阳跷入三分,在足外踝下白肉际。
产后脉绝不还,针合谷入三分,急补之,又主胎上抢心。
心(一作阴)中懊 痛,针涌泉入三分。
心中懊 痛,针劳宫入五分,补之。
产后出汗不止,针太冲,急补之。
产难、月水不禁、横生胎动,皆针三阴交。
胞衣不出,或腹中积聚,皆针胞门入一寸,先补后泻,去关元左二寸。
又针章门入一寸四分。
子死腹中及难产,皆针胞门。
胎动及崩中下痢,贲气上逆,针丹田入一寸四分,在脐下二寸。
凡难产,针两肩井一寸,泻之,须臾即生也。
胞漏下血不禁,灸关元两旁相去三寸,百壮。
妇人阴中痛引心下,少腹绞痛,灸膝外边上去一寸宛宛中。
妇人下血,泄痢赤白,漏血,灸足太阴五十壮,在内踝上三寸百壮,主腹中五寒。
妇人漏下赤白,月水不利,灸交义穴,在内踝上五寸。
妇人下血,漏赤白,灸营池穴三十壮,在内踝前后两边池上脉,一名阴阳。
妇人漏下赤白,四肢酸削,灸漏阴三十壮,穴在内踝下五分微动脉上。
妇人下赤白漏,泄注,灸阴阳穴,随年壮,三报之,在足拇指下屈里表头白内际。
Method 45:
For infertility, moxibustion is applied to the Rangu (Ran Gu) acupoint for fifty burns. This point is located one cun directly below the anterior aspect of the medial malleolus.
For infertility caused by the closure of the Bao Men (Womb Gate), moxibustion is applied to the Guanyuan (Gate of Origin) acupoint for thirty burns, repeated to consolidate the effect.
For unstable pregnancy, or symptoms such as miscarriage with abdominal pain and uterine bleeding, moxibustion is applied to the Bao Men (Womb Gate) acupoint for fifty burns; this point is located two cun to the left of the Guanyuan acupoint. The point on the right side is named Zihu (Child's Door).
Additionally, moxibustion is applied to the Qimen (Military Gate) acupoint, located three cun lateral to the Guanyuan acupoint, fifty burns on each side (as recorded in *Qianjin Fang*, it is one hundred burns).
For sterility due to uterine obstruction preventing conception, moxibustion is applied to the Bao Men (Womb Gate) acupoint for fifty burns.
For sterility accompanied by red and white leukorrhea, moxibustion is applied to the Quanmen (Spring Gate) acupoint for ten burns, repeated. This point is located at Henggu, at the upper border of the genital region. the Shimen (Stone Gate) acupoint is located one cun below the Qihai (Sea of Qi) acupoint. Needling depth is one fen; retain the needle for three breaths. Upon obtaining Deqi (arrival of qi), apply the reducing method. It primarily treats female Qi pain with hardness, postpartum lochia retention leading to mass formation, and metrorrhagia with amenorrhea. Moxibustion is performed daily from fourteen burns up to one hundred burns.
The Guanyuan (Gate of Origin) acupoint is located one cun below the Shimen acupoint. It treats amenorrhea and coldness of the birth canal. Needling depth is eight fen; retain the needle for three breaths, applying a reducing method corresponding to five inhalations. Moxibustion is also effective but less so than needling. Daily moxibustion up to one hundred burns is recommended.
For metrorrhagia and leukorrhea, often caused by postpartum lochia retention, the Zhongji (Central Pole) acupoint is used. Located one cun below the Guanyuan acupoint, it is the most important point for treating female amenorrhea. After four needle treatments, conception may occur. If not, re-needle to a depth of eight fen, retain for ten breaths, and upon obtaining Deqi, apply the reducing method. Moxibustion is also effective but less so than needling. Daily moxibustion from twenty-one burns up to three hundred burns is recommended.
For white metrorrhagia, moxibustion is applied to the transverse crease of the lower abdomen, directly below the umbilicus, for one hundred burns.
Additionally, moxibustion is applied three cun above the medial malleolus, one hundred burns on each side.
For leukorrhea, moxibustion is applied to the Jianshi (Intertending Vessel) acupoint for thirty burns. Additionally, for strangury, reddish urine, urethral pain, and subumbilical masses resembling an inverted cup—caused by dietary issues or postpartum conditions leading to retained lochia and forming hernia-like masses (Shenjia)—or for menstrual irregularities causing blood clots, needling is performed as described above.
For female urinary incontinence with involuntary leakage, moxibustion is applied to the Henggu (Transverse Bone) acupoint, seven burns at the genital opening.
For recurrent miscarriages, moxibustion is applied to the Yuquan (Jade Spring) acupoint for fifty burns, repeated three times (this refers to the Zhongji acupoint).
Moxibustion is applied to the Siman (Four Fullnesses) acupoints, located one cun on either side of the Dantian (Elixir Field), treating menstrual difficulties, upward and downward flow of stagnant blood, and infertility. Thirty burns are applied. The Dantian acupoint is located two cun below the umbilicus.
For uterine prolapse, moxibustion is applied to the center of the umbilicus for two hundred burns.
For watery diarrhea and dysentery, moxibustion is applied to the Qihai (Sea of Qi) acupoint for one hundred burns, repeated three times.
For uterine prolapse, moxibustion is applied to the Shenjiao (Body Intersection) acupoint for fifty burns, repeated three times; this point is located in the transverse crease below the umbilicus.
Additionally, moxibustion is applied to the spinal point directly opposite the umbilicus for fifty burns.
Additionally, moxibustion is applied to the Yuquan (Jade Spring) acupoint for fifty burns, repeated three times.
Additionally, moxibustion is applied to the Longmen (Dragon Gate) acupoint for twenty burns, repeated three times; this point is located at the superior external landmark of the vaginal orifice.
For uterine descent protruding into the vagina, moxibustion is applied three cun from the Yuquan acupoint, with the number of burns corresponding to the patient's age. Repeated three times.
For coldness, swelling, and pain in the yin region, moxibustion is applied to the Guilai (Return to Source) acupoint for thirty burns, repeated three times; this point is located five cun lateral to the sides of the Yuquan acupoint.
**Method for Female Lactation Insufficiency:**
First, needle the lateral side of the little fingers near the nail bed to a depth of one fen on both hands. Needle the Yimen (Axillary Gate) acupoint to a depth of three fen on both hands. Needle the Tianjing (Heavenly Pool) acupoint to a depth of six fen on both hands. To test efficacy, needle one finger first to verify; this method is miraculous and traditionally kept secret.
For breech presentation with feet emerging first, needle the Foot Taiyin Splein meridian point to a depth of three fen. Withdraw the needle only after the foot has entered. This point is located in the depression behind the medial malleolus at the junction of white and red skin.
For transverse presentation with hand emerging first, needle the Taichong acupoint to a depth of three fen. Apply urgent tonification for one hundred breaths. The location is one cun distal to the odd bone of the foot toes.
For retained placenta, needle the Foot Taiyang Bladder meridian point to a depth of four cun, located in the depression one cun posterior and inferior to the lateral malleolus.
Additionally, needle the Foot Yangqiao Vessel point to a depth of three fen, located at the junction of white and red skin below the lateral malleolus.
For postpartum pulselessness or faint pulse, needle the Hegu acupoint to a depth of three fen and apply urgent tonification. This method also treats fetal Qi rushing to the heart.
For mental restlessness and pain (alternatively described as internal restlessness and pain), needle the Yongquan acupoint to a depth of three fen.
For mental restlessness and pain, needle the Laogong acupoint to a depth of five fen and apply tonification.
For excessive sweating postpartum, needle the Taichong acupoint and apply urgent tonification.
For difficult labor, uncontrollable menstruation, and transverse fetal movement, all treat by needling the Sanyinjiao acupoint.
For retained placenta or abdominal accumulations, needle the Baomen acupoint to a depth of one cun, applying tonification followed by reduction. This point is located two cun to the left of the Guanyuan acupoint.
Additionally, needle the Zhangmen acupoint to a depth of one cun and four fen.
For fetal death in utero and difficult labor, all treat by needling the Baomen acupoint.
For fetal restlessness, metrorrhagia with dysentery, and rebellious Qi rising upward, needle the Dantian acupoint to a depth of one cun and four fen, located two cun below the umbilicus.
For any difficult labor, needle both Jianjing acupoints to a depth of one cun and apply reduction; delivery will occur shortly.
For uterine bleeding that cannot be stopped, moxibustion is applied to points three cun lateral to the Guanyuan acupoint, one hundred burns.
For female pain in the yin region radiating to the epigastrium and severe cramping in the lower abdomen, moxibustion is applied to the depression one cun above the lateral edge of the knee.
For female bleeding, dysentery with red and white discharge, and bloody leakage, moxibustion is applied to the Foot Taiyin Splein meridian point for fifty burns, and to the point three cun above the medial malleolus for one hundred burns. This treats five types of cold in the abdomen.
For female red and white leukorrhea and menstrual irregularities, moxibustion is applied to the Jiaoyi acupoint, located five cun above the medial malleolus.
For female bleeding and red/white leakage, moxibustion is applied to the Yingchi acupoint for thirty burns, located in the depressions on both anterior and posterior sides of the medial malleolus, also known as the Yin-Yang point.
For female red and white leukorrhea with soreness and emaciation of the four limbs, moxibustion is applied to the Louyin acupoint for thirty burns, located five fen below the medial malleolus on the slight arterial pulsation.
For female red and white leakage with profuse diarrhea, moxibustion is applied to the Yin-Yang acupoint, with the number of burns corresponding to the patient's age, repeated three times. This point is located under the big toe, in the inner white margin at the flexion line between the interior and exterior aspects.