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Question: A woman is suffering from a disease, and her menstruation has just started. If diaphoresis (sweating therapy) is mistakenly applied, she experiences "Yu Mao" (dizziness and fainting/loss of consciousness). Why does this happen?

Answer: The downward flow of menstrual blood causes deficiency in the interior (Li Xu, internal deficiency). Applying diaphoresis at this time further depletes the exterior (Biao Fu Xu, external deficiency). This results in both interior and exterior deficiency, which leads to Yu Mao.

Question: A woman suffers from symptoms resembling mania or epilepsy, with frequent episodes of dizziness and fainting, occurring more than twenty times a day. Upon pulse diagnosis, the physician diagnoses it as Dai Xia (leukorrhea/bearing-down sensation), which matches the patient's condition. What kind of pulse presents here, and how can it be differentiated?

Answer: The Cun Kou (radial artery at the wrist) pulse is Ru (soft/soggy) and Jin (tight). A Ru pulse indicates weak Yang Qi; a Jin pulse indicates Cold in the Ying (Nutrient) level. Weak Yang Qi leads to deficient Wei (Defensive) Qi. Blood exhaustion combined with coagulation due to Cold disrupts Yin-Yang harmony, allowing pathogenic factors to lodge in the Ying and Wei levels. This disease originated in youth when sexual intercourse occurred during menstruation. Prolonged activity stimulated the Ming Men (Gate of Life), causing menstrual bleeding and subsequent blood deficiency, leading to distension of all vessels. The Zhong Ji acupoint was affected by Yang movement, and slight wind triggered Cold. Due to deficiency, pathogens lodged in Ying and Wei, accumulating cold in the Dan Tian (Lower Dantian). When activated, Qi rushes upward to the chest and diaphragm. Body fluids rise to the mouth, causing excessive salivation. Dizziness and fainting resemble Jue syndrome (cold extremities/fainting). There is a sensation of Qi rushing heat in the thighs. Unskilled physicians misdiagnosed this as mania and applied moxibustion, exacerbating the condition.

Question: A woman suffers from Qi rushing up to the chest, dizziness, vomiting of saliva/phlegm, and a sensation of Qi rushing heat in the thighs. Pulse diagnosis does not indicate Dai Xia. What is the pulse characteristic, and how is it differentiated?

Answer: The Cun Kou pulse is Chen (deep) and Wei (fine/extremely weak). A Chen pulse indicates that Wei Qi is submerged; a Wei pulse indicates that Ying Qi is exhausted. Submerged Yang Qi manifests as skin rashes; exhausted Yin Blood leads to blood loss. Typically, such a condition involves difficult urination and blocked body fluids. However, here urination is normal, accompanied by slight sweating. The pulse shifts from deep to indicating Cold. Symptoms include cough, reverse Qi, and vomiting of frothy saliva, leading to Fei Wei (Lung Flaccidity Syndrome). Body fluids are depleted, and blood loss damages the meridians. Cold causes Xue Jue (Blood Jue/Syncope due to blood deficiency), resulting in severe bi-syndrome (numbness/pain) in the hands and feet. Qi originates from the Dan Tian, rises to the chest and hypochondrium, where deep Cold stagnates above, causing chest oppression. Qi moves through the Yang regions, causing the face to appear flushed like drunkenness, and the body may appear fat. This is actually a Fu Xu (floating and empty) pulse. If physicians mistakenly use purgation, and acupuncture further injures Ying and Wei Qi, chronic dizziness and fainting occur. Thus, it is identified as Xue Jue.

Question: What are the categories of Wu Beng (Five Leukorrheal Discharges)?

Answer: Bai Beng (White Discharge) resembles mucus; Chi Beng (Red Discharge) resembles dark red fluid; Huang Beng (Yellow Discharge) resembles rotting melon; Qing Beng (Green/Blue Discharge) resembles blue color; Hei Beng (Black Discharge) resembles blood.

The Master said: A woman presented with a pulse that was Wei (weak) and Se (choppy). According to pulse theory, vomiting or diarrhea should occur, but the patient denied these symptoms. I asked her age. She replied she was forty-nine years old. Her menstruation should have ceased, but it continues, causing this deficiency.

The Cun Kou pulse is Xian (wiry) and Da (large). Xian indicates reduction/depletion; Da indicates Kong (hollow). Depletion generates Cold; Hollow indicates Deficiency. Cold and Deficiency combine to form Ge (drum-taut) pulse. In women, this indicates spontaneous abortion (Ban Chan) or metrorrhagia (Lou Xia). Xuan Fu Hua Tang (Inula Flower Decoction) is indicated.

For women with sinking of the meridians and continuous black leukorrhea/menorrhagia, Jiao Jiang Tang (Gelatin and Ginger Decoction) is indicated.

For women with irregular menstruation, Di Dang Tang (Ephedra and Ascent Decoction) is indicated. (This formula is found in Shang Han Lun).

For women with amenorrhea or irregular menstruation, with a hard and deviated uterus persisting, containing dried blood, and discharge of white matter, Fan Shi Wan (Alum Pill) is indicated.

For various abdominal pains in women, Dang Gui Shao Yao San (Angelica and Paeony Powder) is indicated. (Another version states it treats abdominal pain during pregnancy).

For abdominal pain in women, Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) is indicated. (This formula is in Shang Han Lun). (Another version states: for abdominal pain with free urination, Li Zhong Tang is indicated).