妇人中风，发热恶寒，经水适来，得之七八日，热除，脉迟，身凉，胸胁满如结胸状，谵语者，
此为热入血室，当刺期门，随其实而泻之。
妇人伤寒，发热，经水适来，昼日明了，暮则谵语如见鬼状，此为热入血室，无犯胃气及上中
二焦，必自愈。
妇人中风七八日，续得寒热发作，经水适断，此为热入血室，其血必结，故如疟状，小柴胡汤。
阳明下血谵语，此为热入血室。但头汗出者，刺期门，随其实而泻之， 然汗
出而愈。
妇人热入血室，有二经水适来。二条不言药者，盖以经血方来，热气乘虚而入，经血止，则热
亦出矣，故不可用汗下药犯其胃气及上中焦。如其胸满谵语，此内实也，刺期门以泻之。若经水适
断，续得寒热，其血必结，故用小柴胡汤。若阳明热入血室，此男子失血之证，但当刺以泻热也。
When a woman contracts Wind-pathogen, presenting with fever and aversion to cold, and her menses happen to commence, after seven or eight days, the heat subsides, the pulse becomes slow, the body cools down, yet she experiences fullness and distension in the chest and hypochondrium resembling Chest Binding (Jie Xiong), accompanied by delirium. This is Heat entering the Blood Chamber (Xue Shi). One should puncture Qimen (LR14) and apply the reducing method according to the excess condition.
When a woman contracts Cold-pathogen, presenting with fever, and her menses happen to commence, she is lucid during the day but becomes delirious at night, as if seeing ghosts. This is Heat entering the Blood Chamber (Xue Shi). Do not injure the Stomach Qi or the Upper and Middle Jiao; the disease will resolve spontaneously.
Seven or eight days after a woman contracts Wind-pathogen, if chills and fever recur intermittently, and her menses happen to cease, this is Heat entering the Blood Chamber (Xue Shi). The blood must be congealed, hence the symptoms resemble Malaria (Nue). Xiao Chai Hu Tang (Minor Bupleurum Decoction) is indicated.
In Yangming disease, if there is bleeding from the lower orifice accompanied by delirium, this is also Heat entering the Blood Chamber (Xue Shi). If only sweat appears on the head, one should puncture Qimen (LR14) and apply the reducing method according to the excess condition. Recovery will follow when general sweating occurs.
There are two scenarios of Heat entering the Blood Chamber (Xue Shi) where menses happen to commence. The two clauses that do not mention medication imply that since menstrual blood is flowing, heat enters via the deficiency. When menstruation stops, the heat exits as well. Therefore, diaphoretic or purgative methods should not be used to injure the Stomach Qi and the Upper and Middle Jiao. If chest fullness and delirium occur, this indicates internal excess; puncture Qimen (LR14) to reduce it. If menses happen to cease and chills and fever subsequently appear, the blood is congealed, thus Xiao Chai Hu Tang (Minor Bupleurum Decoction) is used. If Heat enters the Blood Chamber (Xue Shi) due to Yangming pathology, this constitutes a syndrome of blood loss in men, and treatment should solely involve acupuncture to reduce heat.