凡妇女病损至旬月半载后，未有不经闭者，此因阴竭，所以血枯，最为危殆。必须渐
，方可回生。若或久久断绝，断难施治。然欲其不枯，无如养营，欲其通之，无如充之，但
使雪消，则春水自来，血盈则经脉自至耳。若再用桃仁、红花之类，是与榨干汁者无异，非
治法也。
血枯经闭，通用乌贼丸。水不制火，夜热盗汗，及烦渴咳嗽者，宜一二三四五阴等煎
用之。欲念不遂，心脾郁结者，宜逍遥饮。三阴亏弱，无寒无热平脏者，宜小营煎、五福饮
，或左归饮、左归丸之类。三阴亏弱，兼阳虚者，宜大营煎、理阴煎，及右归饮、右归丸、
八味地黄汤丸之类。
两颧红或唇红，阴虚于下，逼阳于上也。仲景先生云∶其面戴阳者，下虚故也。
虚而渴欲多饮，肾水不足，引水自救也，又火乘金位也。
足心如烙，虚火烁阴，涌泉涸竭也。
喑哑声不出，肾气竭也。盖声出于喉，而根于肾。经曰∶内夺而厥，则为喑俳，肾气
虚而喘急，阴虚肺格，气无所归也。又水不制火，冲脉上冲也。
喉干咽痛，真水亏，虚火上炎也。
不眠恍惚，血不养心，神不能藏也。又肾不交心，心火无制也。
时多烦躁，阳中无阴，柔不济刚也。
易生嗔怒，水亏木燥也。
盗汗不止，有火则阴不能守，无火则阳不能固也。
骨痛如折，肾主骨，真阴败竭也。寻常痛，骨衰而火乘之也。
筋急酸痛，肝失所滋也。
痰如清水，而口不渴，水泛为痰，脾不制水也。
痰多白沫而口渴，水沸为痰，阴火煎熬也。宜壮水以制相火。
心下跳动，气不归精也。经曰∶胃之大络，名曰虚里，出于左乳下，其动应衣，宗气
泄也。欲纳气归原者，惟有补阴以配阳一法。
小便黄涩淋沥，真阴亏，气不化水也。
消瘦，精不生气也。又燥万物者，莫HT 乎火，阴火盛也。若肉极者，阴火久灼难治，
若劳倦伤脾而然，宜用十全大补汤。
善惊，火起于心也，或心伤而神不安也。
爪甲痛，木极筋亏，金气乘之也。用猪膏养筋。
腰胁痛，肝肾虚也。
不能久立，筋不束骨也。当滋肾生肝。
不能独卧，肝肾虚也。
皮毛枯，无津液以充泽皮毛也。
足心痛，肝肾伤也。
手指微胀，言语急遽，真阴亏也。当清金滋水。
合目恍惚不宁，阴虚而三焦包络之火游行也。
内热，五心热，水亏火炎也。
虚损呃逆，水不制火，木挟火势，冲逆而上也。
口疮，心火上炎也。宜天王补心丸。
目昏，肾虚也。宜六味地黄，加柴胡、五味。
虚而大便结，水亏液涸也，宜地六汤。
胸膈隐痛，肾虚不能纳气归源，气滞于上，而不流畅也。补阴之中须纳气。
虚损头运，上焦阳气虚也，或阴虚血损，气逆上冲也。
怔忡不宁，血虚或有痰也。各脏有疾，皆能与包络之火合动而为怔忡，随其所犯而补
泻之，更须从包络而调之平之。如各脏移热于心，以致包络火动，治亦如之。
健忘，心血不足，而痰与火乱其神明也。又肾不足而志衰，不能上通于心也。
膻中不乐，怒则气上，恐则气下，一怒一恐，拂于膻中也。宜用柴胡、苓、泽以升降
之，亦有可用连以平其逆者。
胸中痞塞，居暗避人，病名卑 ，血不足也。宜养营汤加减治之。
自觉吾身之外，更有一我，病为离魂，心气虚也。单补其心，心足而魂自定。
须发脱落，肾枯火炎，肺失治节，而内风妄动也。
虚人头顶出汗，肾水不足，而肾火有余也。宜滋肾清肺，用桑叶、熟地、五味、麦冬
蜜丸，服二月愈。若用止涩之药，则目昏耳聋矣。
虚人每饭头汗，胃火胜也。宜用固本，加元参、五味、枣仁。
两足不能步履，肝肾虚，精血不足也。或因气虚不能运动，宜用补中益气汤，及牛膝
、钗斛、黄 。
舌根苦直，不能咽唾，脾不能行气于三阴也。
手足烦痛，不欲行动，骨肉空虚也。
饮食不甘，肌肉渐削，脾元失守，化机日败也。
悬心，胃阴不足，胃火消烁心血，而悬悬不宁也。
虚损善谷，阴虚火盛，则速于传化也。
气短口干，气不足，无以化液也，又金受火制也。
气逆左胁，上呕酸水，脉弦数而濡，此火郁肝血燥也。
按之至骨，其热烙手，骨困不任肾热也。惟乌梅能引诸药入骨，而收其热。
面黑羸瘦，肌肤甲错，不能饮食，此血积胃中，而中土失其灌溉，虚极也。
汗出淋漓，一昼夜津液随热势外越也，速用人参。
梦与鬼交，真阴败也，血海瘀积，经断蒸热，亦有是症。宜补血加参以行之。
虚而脐腹疼痛不止，肾水亏极也，重用杞子。
少腹拘急，小便牵痛，真阳内衰也。
恶寒不乐，而五心烦热，重阴覆其阳，火不得伸也。宜用升柴以举之。
下唇生疮，此血瘀营虚发热，蒸其所瘀之血，化而为虫，遂成此症，盖即传尸劳之谓
足寒无论阴阳，凡下虚者，皆能致此，治须辨别。又肺气虚则逆而不行，无以及于四
虚而气哽，火盛则津枯，津枯则气哽也。
膝下冷，火不归源也。若上气喘，命门衰绝也。
不时溏泄，脾肾虚弱也，或心火不生脾土也。
发尖生穗，血虚火炎也。
身冷，营卫虚寒也。宜用当归、干姜。
Whenever a woman suffers from disease and depletion for ten days, a month, or even half a year, menstrual cessation invariably occurs. This is due to the exhaustion of Yin fluids, leading to blood dryness, representing a critical condition. Gradual nourishment is required to restore life. If menstruation has been absent for a long time, treatment becomes extremely difficult. However, to prevent dryness, nothing is better than nourishing Ying (Nutritive) Blood; to promote flow, nothing is better than replenishment. Just as snow melts naturally, spring menses will arrive on their own; when blood is abundant, meridians will flow freely. Using herbs such as Tao Ren (Persicae Semen) and Hong Hua (Carthami Flos) at this stage is akin to squeezing out all the juice, which is not a proper therapeutic method.
For blood-depletion amenorrhea, Wuzei Wan (Cuttlefish Bone Pill) is generally used. In cases where Kidney Water fails to control Heart Fire, presenting with night fever, night sweats, irritability, thirst, and cough, decoctions such as Yiyersanwu Yin (One-Two-Three-Four-Five Yin Decoction) are appropriate. When desires are unfulfilled, causing stagnation in the Heart and Spleen, Xiaoyao Yin (Free and Easy Wanderer Decoction) is indicated. For deficiency of the Three Yin (Liver, Spleen, Kidney) without cold or heat signs, indicating balanced Zang organs, Xiaoying Jian (Small Nourishing Decoction), Wufu Yin (Five Blessings Decoction), Zuogui Yin (Left Restoring Decoction), or Zuogui Wan (Left Restoring Pill) are suitable. For Three Yin deficiency accompanied by Yang deficiency, Daying Jian (Great Nourishing Decoction), Liyin Jian (Regulating Yin Decoction), Yougui Yin (Right Restoring Decoction), Yougui Wan (Right Restoring Pill), or Bawei Dihuang Tang/Wan (Eight-Ingredient Rehmannia Decoction/Pill) are appropriate.
Redness on both cheekbones or lips indicates Yin deficiency below, forcing Yang to float upward. Master Zhang Zhongjing stated: "Facial Daiyang (flushed face like makeup)" is due to lower Yuan deficiency.
Weakness with excessive thirst and drinking indicates insufficient Kidney Water, drawing water to save itself, and also signifies Fire invading the position of Metal (Lung).
Burning sensation in the soles of the feet indicates deficient Fire scorching Yin, leading to the exhaustion of Yongquan (KI1).
Hoarseness and inability to speak indicate the exhaustion of Kidney Qi. Sound originates from the throat but roots in the Kidney. The Classics state: "Internal depletion leading to Jue (reversal) results in aphonia and paralysis." This is due to Kidney Qi deficiency causing panting, Yin deficiency causing Lung Qi rejection, and Qi having no place to return. Additionally, it may be caused by Water failing to control Fire, leading to the rushing upward of the Chong Mai (Penetrating Vessel).
Dry throat and sore throat indicate true Yin deficiency and deficient Fire flaming upward.
Insomnia and mental confusion indicate that Blood fails to nourish the Heart, preventing the Shen (Spirit) from residing within. Alternatively, Kidney Water fails to ascend to control Heart Fire.
Frequent irritability indicates Yang without Yin, where soft Yin fails to harmonize hard Yang.
Easily angered indicates Water deficiency leading to dry Liver Wood.
Persistent night sweats occur because, with Fire, Yin cannot hold; without Fire, Yang cannot consolidate.
Bone pain as if broken indicates true Yin exhaustion, as the Kidney governs bones. Ordinary pain indicates bone weakness with Fire invasion.
Tendon stiffness and soreness indicate the Liver losing its nourishment.
Phlegm resembling clear water without thirst indicates water flooding transforming into phlegm, due to the Spleen's failure to control water.
Profuse white foamy phlegm with thirst indicates water boiling into phlegm due to Yin Fire simmering. It is appropriate to strengthen Water to control Ministerial Fire.
Palpitations in the epigastrium indicate Qi failing to return to essence. The Classics state: "The great collateral of the Stomach is named Xuli, emerging below the left breast; its movement is visible through clothing, indicating leakage of Zong (Gathering) Qi." To gather Qi back to its source, only the method of tonifying Yin to match Yang is effective.
Yellow, astringent, dribbling urination indicates true Yin deficiency and failure of Qi transformation to process water.
Emaciation indicates Jing (Essence) failing to generate Qi. Furthermore, nothing dries things more than Fire; this indicates vigorous Yin Fire. If muscles are extremely wasted, prolonged Yin Fire burning is difficult to treat; if caused by fatigue injuring the Spleen, Shiquan Dabu Tang (Complete Great Tonifying Decoction) is indicated.
Fearfulness indicates Fire arising from the Heart, or Heart injury causing unstable Shen.
Nail pain indicates extreme Wood and tendon deficiency, with Metal Qi invading. Pig fat (Zhugao) can be used to nourish tendons.
Hypochondriac pain indicates Liver and Kidney deficiency.
Inability to stand for long periods indicates tendons failing to bind bones. One should nourish Kidney Water to generate Liver Blood.
Inability to sleep alone indicates Liver and Kidney deficiency.
Withered skin and hair indicate a lack of Jin-Ye (Body Fluids) to moisten them.
Foot sole pain indicates Liver and Kidney injury.
Slight finger swelling and rapid speech indicate true Yin deficiency. One should clear Metal and nourish Water.
Restlessness with closed eyes indicates Yin deficiency causing Fire in the Sanjiao and Pericardium to wander.
Internal heat and Five Hearts Heat (heat in palms, soles, and chest) indicate Water deficiency and Fire flaming.
Hiccups in deficiency conditions indicate Water failing to control Fire, with Wood carrying Fire energy rushing upward.
Mouth ulcers indicate Heart Fire flaming upward. Tianwang Buxin Wan (Heavenly Emperor Heart-Nourishing Pill) is indicated.
Blurred vision indicates Kidney deficiency. Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) added with Chai Hu (Bupleuri Radix) and Wu Wei Zi (Schisandrae Fructus) is indicated.
Constipation in weak individuals indicates Water deficiency and fluid exhaustion. Di Liu Tang (Earth-Six Decoction) is indicated.
Dull pain in the chest and diaphragm indicates Kidney deficiency failing to grasp Qi, causing Qi stagnation above and poor flow. Tonifying Yin must include grasping Qi.
Dizziness in deficiency conditions indicates upper Jiao Yang Qi deficiency, or Yin/Blood deficiency causing rebellious Qi rushing upward.
Palpitations and restlessness indicate Blood deficiency or Phlegm. Diseases in any Zang organ can interact with Pericardium Fire to cause palpitations; treatment involves tonifying or reducing based on the affected organ, regulating via the Pericardium. If heat shifts from other organs to the Heart, causing Pericardium Fire agitation, treatment follows the same principle.
Forgetfulness indicates insufficient Heart Blood, with Phlegm and Fire disturbing the Shen. Alternatively, Kidney insufficiency leads to weak Zhi (Will), failing to connect to the Heart.
Discomfort in the Danzhong (Chest center) arises because anger causes Qi to rise and fear causes Qi to sink, disrupting the Danzhong. Chai Hu, Fu Ling (Poria), and Ze Xie (Alisma) can regulate Qi ascent and descent; Lian (Coptidis Rhizoma) may also be used to calm rebellion.
Chest oppression, preferring dark places and avoiding people, known as Beidun (Low-spiritedness), indicates Blood deficiency. Yangying Tang (Nourishing Ying Decoction) modified is indicated.
Feeling an extra self outside one's body, known as Li Hun (Departing Soul), indicates Heart Qi deficiency. Tonifying the Heart alone will stabilize the Hun (Ethereal Soul).
Hair loss indicates Kidney exhaustion with Fire flaming, Lung failing in regulation, and internal Wind stirring.
Head sweating in weak individuals indicates Kidney Water deficiency and excess Kidney Fire. Nourish Kidney and clear Lung using Sang Ye (Mori Folium), Shu Di Huang (Rehmanniae Radix Preparata), Wu Wei Zi, and Mai Dong (Ophiopogonis Tuber) made into honey pills; cure takes two months. Using astringents will cause blurred vision and deafness.
Head sweating during meals indicates Stomach Fire excess. Guben Wan (Root-Firming Pill) added with Xuan Shen (Scrophulariae Radix), Wu Wei Zi, and Suan Zao Ren (Ziziphi Spinosae Semen) is indicated.
Inability to walk with both legs indicates Liver/Kidney deficiency and insufficient Jing-Blood. It may also be due to Qi deficiency failing to move; Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) plus Niu Xi (Achyranthis Bidentatae Radix), Tie Shi Hu (Dendrobii Officinalis Caulis), and Huang Qi (Astragali Radix) are indicated.
Bitter, stiff tongue root and inability to swallow saliva indicate the Spleen failing to circulate Qi in the Three Yin.
Vexing pain in hands and feet and reluctance to move indicate emptiness of flesh and bones.
Poor appetite and gradual muscle wasting indicate Spleen Yuan failing to hold, with digestive mechanisms deteriorating daily.
"Xuanxin" (Heart hanging in anxiety) indicates Stomach Yin deficiency, with Stomach Fire consuming Heart Blood, causing restless anxiety.
Good appetite and rapid digestion in deficiency indicate Yin deficiency and vigorous Fire accelerating transmission.
Shortness of breath and dry mouth indicate Qi insufficiency failing to transform fluids, and Metal受制 (controlled) by Fire.
Qi rebelling to the left hypochondrium with vomiting of sour fluid, and a wiry, rapid, soggy pulse, indicate Fire depression and Liver Blood dryness.
Heat burning upon pressing to the bone indicates Kidney Heat overwhelming the bones. Wu Mei (Mume Fructus) alone can guide herbs into the bones and absorb the heat.
Dark, emaciated face, ichthyosis-like skin, and inability to eat indicate Blood stasis in the Stomach, with Central Earth losing irrigation, representing extreme deficiency.
Profuse sweating indicates fluids escaping outward with heat throughout the day and night; Ren Shen (Ginseng Radix) should be used urgently.
Dreams of sexual intercourse with spirits indicate true Yin exhaustion, Blood Sea stasis, post-menopausal steaming heat, or similar symptoms. Tonifying Blood with Ren Shen is indicated.
Unceasing umbilical/abdominal pain in weakness indicates extreme Kidney Water deficiency; heavy use of Gou Qi Zi (Lycii Fructus) is needed.
Lower abdominal tension and painful urination indicate internal decline of True Yang.
Chills, unhappiness, and Five Hearts Heat indicate Heavy Yin covering Yang, preventing Fire from extending. Sheng Ma (Cimicifugae Rhizoma) and Chai Hu should be used to lift.
Ulcers on the lower lip indicate Blood stasis and Ying deficiency with fever, steaming stagnant Blood into "worms," constituting Chuanshi Lao (Transmitting Consumption Tuberculosis).
Cold feet in any Yin/Yang pattern result from lower deficiency; differentiation is required. Lung Qi deficiency causes reversal and failure to reach extremities.
Qi choking in weakness indicates Fire excess drying fluids, leading to Qi choking.
Cold below knees indicates Fire failing to return to its source. Panting indicates Mingmen (Gate of Life) exhaustion.
Intermittent loose stools indicate Spleen/Kidney weakness or Heart Fire failing to generate Spleen Earth.
Split hair tips indicate Blood deficiency and Fire flaming.
Cold body indicates Ying and Wei deficiency-cold. Dang Gui (Angelicae Sinensis Radix) and Gan Jiang (Zingiberis Rhizoma) are indicated.