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Various medical texts refer to the "Thirty-Six Diseases" as comprising Twelve Syndromes, Nine Pains, Seven Harms, Five Injuries, and Three Stagnations.

The Twelve Syndromes refer to abnormal vaginal discharges: the first resembles paste; the second resembles greenish blood; the third resembles purple fluid; the fourth resembles red skin flakes; the fifth resembles pus crusts; the sixth resembles bean juice; the seventh resembles mallow soup; the eighth resembles coagulated blood; the ninth resembles clear blood, watery in nature; the tenth resembles rice water; the eleventh resembles menstrual residue; the twelfth is irregular menstruation not occurring at the expected time.

The Nine Pains include: the first is pain and injury within the vagina; the second is dripping and painful sensation in the vagina; the third is pain during urination; the fourth is pain caused by cold; the fifth is abdominal pain during menstruation; the sixth is distension and pain due to Qi stagnation; the seventh is discharge accompanied by a stinging pain in the vagina as if bitten by insects; the eighth is pain in the skin of the hypochondrium; the ninth is lower back pain.

The Seven Harms include: harm from food; harm from Qi; harm from cold; harm from overexertion; harm from sexual intercourse; harm from pregnancy; harm from sleep.

The Five Injuries include: the first is pain in both the anterior and posterior orifices; the second is alternating cold and heat pain in the middle jiao; the third is urgent and firm pain in the lower abdomen; the fourth is insensitivity of the Zang organs; the fifth is malposition of the Zi Men (cervical os), causing traction pain in the back.

The Three Stagnations include: the first is amenorrhea with obstruction; the descriptions for the other two stagnations are missing in the text. Zhang Zhongjing's description of the Thirty-Six Diseases attributes them all to cold-heat imbalance and damage of the Zi Zang (uterus), complicated by Dai Xia (leukorrhea), originating internally from the Yin. His categorization is mixed and vague, differing from other texts. However, Zhang Zhongjing's principles are profound and deep, beyond my shallow understanding. I fear that although the wording differs, the underlying principles may be identical.

There are three reasons for a woman's infertility: first, lack of ancestral worship; second, incompatible birth years between husband and wife; third, illness in the husband or rash/disease in the wife. These conditions can lead to infertility. For the first two cases (ancestral issues and astrological incompatibility), medicine cannot remedy them. For the third case (illness in either partner), medicinal treatment is required and can be effective. However, infertility caused by concurrent diseases usually results from labor-induced damage to Qi and Blood, imbalance of cold and heat, and invasion of Wind-Cold pathogens lodging in the uterus. This causes pathology within the Bao Gong (womb), leading to scanty or obstructed menstruation, or metrorrhagia and leukorrhea. Consequently, Yin and Yang Qi become disharmonious, and the flow of menstrual blood deviates from its normal rhythm, resulting in infertility.

Palpating the Chi pulse on the right hand behind the Guan position: if it floats, it indicates Yang. If the Yang pulse is absent, it signifies infertility. Additionally, a faint and choppy pulse in middle age indicates sterility. A Shaoyin pulse that is floating and tight also indicates sterility. Chills combined with weak pulses at both the Cun and Chi positions indicate inability to produce offspring. Treatments involving decoctions, warming applications, acupuncture, and stone therapy have separate specific formulas. Tonification and Tu Na (breathing exercises) are attached hereafter.

The *Yangsheng Fang* (Prescriptions for Nourishing Life) states: To inhale the essence of the moon, stand facing the moon upright when it first appears, at mid-month, or when it sets, holding breath eight times. Tilt the head up to inhale the moonlight's essence and swallow eight times. This increases Yin Qi in men. For women, it enhances Yin Qi, unblocks the Zi Dao (uterine pathway), and benefits the essence, marrow, and brain. Young women who practice this may conceive even after forty-nine. Those previously sterile may regain fertility. Long-term practice leads to immortality.