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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.