且夫天地阴阳，各有分位，伤寒杂病，岂无各科，男妇何可同治也。男子调气为主，女子养血
为先。女子血蓄，则血室不蓄，二气和平。一有凝结，水火相刑。凡气口紧盛者，即宜下。人迎紧
盛者，即宜汗。但妇人左关浮紧者，不可下，当发汗，以救血室。荣卫得和，津液得行，浃然汗出
而解。凡妇人经水适断，昼则明了，暮则谵语，如见鬼状，此为热入血室。无犯胃气及上中二焦，
言无犯胃气者，谓不可下也，以小柴胡汤主之。若行阳迟则热入胃，令津液燥，中焦、上焦不荣，成
血
结胸，须针期门可也。但妇人伤寒，发热恶寒，四肢拘急，口燥舌干，经脉凝滞不得往来，以桂枝
红花汤。
若伤寒，口燥咽干，不思饮食，以黄芩芍药汤。
若伤寒，喘急烦躁，战而作寒，阴阳俱虚，不可下也，以小柴胡汤。
若伤寒，经水适来，邪乘虚而入，昼则明了，暮则谵语，如见鬼状，此为热入血室，无犯上中
二焦胃气者，宜小柴胡汤。
若伤寒，瘥后犹有余热不去，谓之遗热，宜地黄汤主之。
《黄帝内经》曰∶有故无殒也。大积大聚，其可犯也。损其大半而止，过则杀也。且妊妇伤寒，
保胎宜阿胶散。大抵妊妇伤寒，仲景无治法，最宜避忌，诸药不可以寻常例视之。凡妊妇用安胎饮，
散寒邪以白术汤。
妊妇憎寒壮热，宜发其汗，以芍药汤。妊妇或中时行，洒淅寒热，作寒振栗而
悸，如哕者，宜苏木汤。妊妇伤热，默默欲眠，不欲食，胁下痛，呕逆痰气，及产后病伤风，热入
胞宫，寒热如疟，并经水适来适断，病后劳复，饮热不解，以黄龙汤。妊妇头目眩疼，壮热心躁，
以旋覆花汤。妊妇发斑，以栀子大青汤。
天地之间的阴阳之气，各有其固定的位置和属性。伤寒病与杂病，难道没有各科的区别吗？男性和女性的疾病怎么可以同样治疗呢？男子的治疗以调理气机为主，女子的治疗以养血为先。女子如果血气蓄积通畅，那么血室（子宫及相关的血脉系统）就不会瘀滞，人体内的阴阳二气就能保持平和。一旦气血凝结，就会导致水火相克（即阴阳失调、寒热错杂）。凡是脉象在气口（右手寸口，主候肺与气）处紧而有力的，就应当使用下法（泻下法）。凡是脉象在人迎（左手寸口，或指颈部人迎穴处脉搏，此处借指表证或阳经病变）处紧而有力的，就应当使用汗法（发汗解表法）。但是，如果妇人左关脉（候肝）浮而紧的，不可使用下法，应当使用发汗法，以救助血室。使得营卫调和，津液运行通畅，全身微微出汗而病愈。
凡是妇人月经刚刚停止，白天神志清醒，到了傍晚却胡言乱语，好像看见鬼怪一样，这是热邪侵入血室的表现。此时不要损伤胃气以及上焦和中焦的气机，所谓“不要损伤胃气”，意思是不可使用下法，应当用小柴胡汤来主治。如果阳气运行迟缓导致热邪陷入胃中，使津液干燥，中焦和上焦得不到濡养，就会形成血结胸（一种因瘀血与热邪互结于胸膈的病症），这时必须针刺期门穴来治疗。
如果是妇人患伤寒，出现发热恶寒，四肢拘挛紧急，口燥舌干，经脉凝滞不通畅的症状，应当使用桂枝红花汤。
如果是伤寒，出现口燥咽干，不想吃东西的症状，应当使用黄芩芍药汤。
如果是伤寒，出现气喘急促、烦躁不安，战栗后感到寒冷，且阴阳两虚的情况，不可使用下法，应当使用小柴胡汤。
如果是伤寒，月经正来潮，邪气乘虚而入，白天神志清醒，傍晚胡言乱语，好像看见鬼怪一样，这也是热入血室。此时不要损伤上焦、中焦和胃气，适宜使用小柴胡汤。
如果是伤寒，病愈之后仍然有余热未清，这叫做“遗热”，应当用地黄汤来主治。
《黄帝内经》说：“有病则病受之，不会伤害正气。”对于大的积聚病邪，是可以攻伐的。但攻伐时，病邪去除大半就要停止，如果过度攻伐就会伤及生命。
至于孕妇患伤寒，保胎适宜使用阿胶散。大抵来说，孕妇患伤寒，张仲景没有专门的治疗法则，最宜谨慎避忌，各种药物不可以用常理来对待。凡是孕妇使用安胎饮，发散寒邪则使用白术汤。
孕妇憎恨寒冷并伴有高热，适宜发汗，使用芍药汤。孕妇如果感染时行疫气，出现忽冷忽热，寒战发抖并伴有心悸，或者出现呃逆症状的，适宜使用苏木汤。孕妇感受热邪，神情沉默想睡觉，不想吃东西，胁肋下疼痛，呕吐逆气有痰，以及产后病感受风邪，热邪进入胞宫，寒热往来像疟疾一样，以及月经刚来或刚断，病后劳累复发，喝热水也不能缓解的，使用黄龙汤。孕妇头目眩晕疼痛，高热心烦意乱，使用旋覆花汤。孕妇身上发出斑疹，使用栀子大青汤。
Furthermore, Yin and Yang in heaven and earth each have their specific positions and attributes. Are there not different specialties for Shanghan (Cold Damage) diseases and miscellaneous diseases? How can men and women be treated in the same manner? The treatment for men primarily focuses on regulating Qi (vital energy), while for women, nourishing Blood takes precedence. If a woman's Blood is stored and flows smoothly, the Blood Chamber (uterus and related blood vessels) will not stagnate, and the two Qi (Yin and Yang) will remain in harmony. Once condensation occurs, Water and Fire will punish each other (indicating disharmony between Yin and Yang, or cold-heat complex). Wherever the Qi Kou pulse (right radial artery, reflecting Lung and Qi status) is tight and vigorous, purgation should be employed. Wherever the Ying Ren pulse (left radial artery or neck artery, here referring to exterior syndrome or Yang meridian pathology) is tight and vigorous, diaphoresis should be employed. However, if a woman's left Guan pulse (reflecting Liver status) is floating and tight, purgation must not be used; instead, diaphoresis should be applied to rescue the Blood Chamber. When Ying and Wei (Nutritive and Defensive Qi) are harmonized and body fluids circulate freely, the patient will recover through mild sweating.
Whenever a woman’s menstruation has just ceased, she is clear-minded during the day but delirious at dusk, seeing things as if ghosts were present, this is Heat entering the Blood Chamber. One must not harm Stomach Qi or the Qi of the Upper and Middle Jiao (Upper and Middle Burners). "Not harming Stomach Qi" means one must not use purgation; instead, Xiao Chai Hu Tang (Minor Bupleurum Decoction) should be administered. If Yang movement is sluggish causing Heat to enter the Stomach, drying up body fluids, and failing to nourish the Middle and Upper Jiao, it results in Blood-Jie Xiong (Blood Bind-Chest, a condition where blood stasis and heat bind in the chest/diaphragm); in such cases, needling the Qimen (LR14) acupoint is required.
If a woman suffers from Shanghan with fever and aversion to cold, spasm and stiffness of the four limbs, dry mouth and tongue, and stagnant meridians preventing smooth flow, Gui Zhi Hong Hua Tang (Cinnamon Twig and Safflower Decoction) should be used.
If Shanghan presents with dry mouth and throat, and loss of appetite, Huang Qin Shao Yao Tang (Scutellaria and Peony Decoction) should be used.
If Shanghan presents with panting, urgency, irritability, shivering followed by coldness, and deficiency of both Yin and Yang, purgation is contraindicated; Xiao Chai Hu Tang (Minor Bupleurum Decoction) should be used.
If Shanghan occurs while menstruation is currently flowing, pathogenic factors enter due to deficiency. The patient is clear-minded during the day but delirious at dusk, seeing things as if ghosts were present. This is also Heat entering the Blood Chamber. One must not harm the Qi of the Upper and Middle Jiao and Stomach Qi; Xiao Chai Hu Tang (Minor Bupleurum Decoction) is appropriate.
If after recovery from Shanghan, residual heat remains unexpelled, this is called residual heat (Yi Re); Di Huang Tang (Rehmannia Decoction) should be administered.
The Huang Di Nei Jing (Yellow Emperor’s Inner Canon) states: "When there is an existing disease, the medicine attacks the disease without injuring the healthy Qi." For large accumulations and聚 (masses), attack is permissible. However, stop when half or more of the pathogen is eliminated; exceeding this limit will kill the patient.
Regarding pregnant women suffering from Shanghan, Bao Tai San (Fetus-Safeguarding Powder) is suitable for protecting the fetus. Generally speaking, Zhang Zhongjing did not provide specific treatment methods for Shanghan in pregnancy; extreme caution is advised, and ordinary medications cannot be viewed through standard rules. Whenever An Tai Yin (Fetus-Anchoring Infusion) is used for pregnant women, Bai Zhu Tang (Atractylodes Macrocephala Decoction) is used to disperse cold pathogens.
For pregnant women experiencing aversion to cold and high fever, diaphoresis is indicated using Shao Yao Tang (Peony Decoction). If a pregnant woman contracts seasonal epidemic pathogens, presenting with alternating chills and fever, trembling chills accompanied palpitations, or hiccups, Su Mu Tang (Sappan Wood Decoction) is appropriate. For pregnant women injured by heat, presenting with silent desire to sleep, anorexia, hypochondriac pain, vomiting with rebellious Qi and phlegm, as well as postpartum wind injury, Heat entering the Bao Gong (Uterine Palace), alternating chills and fever resembling malaria, menstruation just starting or stopping, relapse after illness due to overexertion, and inability to resolve symptoms by drinking hot water, Huang Long Tang (Yellow Dragon Decoction) should be used. For pregnant women with dizziness and headache of the head and eyes, high fever, and mental restlessness, Xuan Fu Hua Tang (Inula Flower Decoction) is indicated. For pregnant women developing macules/rashes, Zhi Zi Da Qing Tang (Gardenia and Isatis Root Decoction) should be used.