妇人之疾，与男子无异，惟经期胎产之病不同，并多 瘕之疾。其所以多 瘕之故，亦
以经
带胎产之血，易于凝滞，故较之男子为多。故古人名妇科谓之带下，医以其病总属于带下也
。主治妇人，必先明冲任之脉。冲脉起于气街，（在毛际两旁。）并少阴之经兵脐上行，至胸
中而散。任脉起于中极之下，（脐下四寸。）以上毛际，循腹里，上关元。又云；冲任脉皆起
于胞中，上循背里，为经脉之海。此皆血之所从生，而胎之所由系。明于冲任之故，则本原
洞悉，而后其所生之病，千条万绪，以可知其所从起。更参合古人所用之方，而神明变化之
，则每症必有传受，不概治以男子泛用之药，自能所治辄效矣。至于如俗相传之邪，如胎前
宜凉，产后宜温等论。夫胎前宜凉，理或有之。若产后宜温，则脱血之后，阴气大伤，孤阳
独炽；又瘀血未 ，结为蕴热，乃反用姜桂等药，我见时医以此杀人无数。观仲景先生于产
后之疾，以石膏、白薇、竹茹等药治之，无不神效。或云∶产后瘀血，得寒则凝，得热则行
，此大谬也。凡瘀血凝结，因热而凝者，得寒降而解；因寒而凝者，得热降而解。如桃仁承
气汤，非寒散而何？未闻此汤能凝血也。盖产后瘀血，热结为多。热瘀成块，更益以热，则
炼成干血，永无解散之日。其重者阴涸而即死，轻者成坚反宗后人之邪说，皆足以害人。诸
科皆然，不独妇科也。
Women's diseases are essentially no different from men's, except for conditions related to menstruation, pregnancy, and childbirth, and they are more prone to *zheng* and *jia* (abdominal masses). The reason for the prevalence of *zheng* and *jia* lies in the fact that blood during menstruation, leukorrhea, pregnancy, and childbirth is easily stagnant, making it more common than in men. Therefore, ancients referred to gynecology as "Dai Xia" (Leukorrhea-related diseases), as these ailments were generally categorized under disorders of the Dai Mai (Girdle Vessel). To treat women, one must first understand the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel). The Chong Mai originates at Qichuan (located on both sides of the pubic symphysis), runs alongside the Foot-Shaoyin Kidney Meridian up to the navel, and disperses in the chest. The Ren Mai originates below Zhongji (four cun below the umbilicus), ascends through the pubic region, follows the interior of the abdomen, and reaches Guanyuan. Another view states that both the Chong and Ren Mai originate from the Bao Zhong (Uterus), ascend along the interior of the back, and are known as the Sea of Meridians. These are the sources from which blood is generated and where the fetus is anchored. Understanding the principles of the Chong and Ren Mai allows one to grasp the root causes; thus, the myriad manifestations of disease can be traced to their origins. By referencing ancient formulas and applying flexible variations, one recognizes the transmission patterns of each condition, avoiding the indiscriminate use of general male prescriptions, thereby ensuring efficacy. Regarding popular fallacies such as "cooling is suitable before delivery, warming is suitable after delivery": while cooling may have some rationale before delivery, claiming warming is suitable after delivery is erroneous. After significant blood loss, Yin Qi is severely damaged, leaving isolated Yang hyperactive; furthermore, retained blood stasis transforms into latent heat. Using warm herbs like Sheng Jiang (Rhizoma Zingiberis Recens) and Rou Gui (Cortex Cinnamomi) in such cases has led me to witness countless deaths caused by contemporary physicians. Observing Master Zhang Zhongjing's treatment of postpartum conditions, he used cold-natured herbs such as Shi Gao (Gypsum Fibrosum), Bai Wei (Radix Cynanchi Atrati), and Zhu Ru (Caulis Bambusae in Taenia) with miraculous results. Some argue: "Postpartum blood stasis coagulates with cold and moves with heat." This is a grave error. Blood stasis caused by heat resolves with cold-draining methods; stasis caused by cold resolves with heat-draining methods. For instance, Tao Ren Cheng Qi Tang (Peach Kernel Decoction to Order the Qi) is clearly a cold-dispersing formula; it is unheard of for this decoction to coagulate blood. Generally, postpartum blood stasis is mostly due to heat accumulation. Heat combined with stasis forms clumps; adding heat herbs further fries the blood into dry stasis, which can never be dispersed. Severe cases result in death due to Yin exhaustion, while mild cases lead to hard accumulations. Such heretical theories from later generations are harmful. This applies to all medical specialties, not just gynecology.