妇人此疾当区别。身重身轻不同列。产前身重且安胎。产后血虚先补血。（产前安胎。产后补血。此大法也。）水火
相刑浸自伤。荣卫不和多阻节。平居水常养于木。水木相资血通彻。（伤寒。男子先调气。妇人先调血。血室不蓄。则一
气谐和。血室凝结。水火相刑。五行相克以生。相扶以出。平居之日。水常养于木。水木相生。则荣养血室。血室不蓄。
则脾无蕴积。无蕴积则刚燥不生。）左关浮紧汗为宜。正恐室中成血结。（妇人左关浮紧。不可下。当发其汗。以救血室。
荣卫得和。津液自通。浃然汗出而解也。）血室不蓄脾无蕴。刚燥不生免邪热。（血蓄则刚燥生。仲景所谓无犯胃气。及
上二焦者也。）产后多生三种病。大便坚秘难通泄。郁冒仍兼自汗多。皆是血虚津液竭。（妇人产后有三种病。大便秘。
郁冒。自汗。皆是血虚所致也。）血虚而厥厥必冒。冒家解时汗流浃。津液既少大便难。孤阳上出恐阴绝。（三病皆血少
阴虚。孤阳独行所致也。当补阴抑阳。）唯有柴胡四物汤。庶可调和使安悦。
妇人中风七八日。身热续续发寒栗。经水适来或适断。热随阴血居其室。昼则明了暮谵语。状如见鬼如 疾。无犯
胃气及二焦。小柴胡证尤为的。更刺期门以泻肝。邪去自然保安吉。切须急疗莫迟迟。变证来时恐无及。（仲景云。妇人
中风。发热恶寒。经水适来。得之七八日。热除后。遍身凉。胸膈苦满。如结胸状。谵语者。此为热入血室也。当刺期
门穴。随其虚实而取之。又云。妇人中风七八日。续得寒热。发作有时。经水适断者。此为热入血室。其血必结。故使
如疟状。发作有时。小柴胡汤主之。又云。妇人伤寒。发狂。经水适来。昼则明了。暮则谵语。如见鬼状者。此为热入
血室。无犯胃气。及上二焦。自愈。）
妇女的这类疾病应当加以区别。身体沉重与身体轻浮属于不同的证候类别。产前若见身重，治疗应以安胎为主；产后因血虚，治疗应优先补血。（产前安胎，产后补血，这是治疗的大法。）水火相刑（指心肾不交或阴阳失调导致的相互克制），病邪浸淫自会损伤正气；营卫不和（营气与卫气协调失常）多导致经络阻滞。平素状态下，水（肾阴）常滋养木（肝），水木相生则血液通畅。（伤寒病中，男子先调气，妇人先调血。若血室无瘀滞，则一身之气和谐；若血室凝结，则水火相刑，五行相克以生变，相扶以出病。在平素健康时，水常养于木，水木相生，则营血充盈血室。若血室无瘀滞，则脾脏无蕴积之邪；无蕴积则刚燥之气不生。）左关脉浮紧，宜用发汗法。正恐血室形成血结。（妇人左关脉浮紧，不可使用下法，应当发汗，以救治血室。待营卫调和，津液自然通畅，周身微微汗出而病解。）血室无瘀滞则脾无蕴积，刚燥之气不生从而避免邪热。（血蓄积则刚燥之气生，即仲景所说的不要侵犯胃气及上、中二焦。）产后多发生三种病：大便坚硬秘结难以通泄；郁冒（头晕目眩甚至昏厥）仍兼有自汗多；这些都是因为血虚导致津液枯竭。（妇人产后有三种病：大便秘结、郁冒、自汗，都是由于血虚所致。）血虚导致四肢厥冷，厥逆必伴头晕昏冒；昏冒发作解除时，往往汗流浃背；津液既然已经减少，大便因而困难；孤阳独盛上出，恐怕会导致阴绝。（这三种病皆因血少阴虚，孤阳独行所致。应当补阴以抑制阳亢。）唯有柴胡四物汤，或许可以调和气血使身体安宁愉悦。
妇女患中风七八日，身体发热，随后又出现寒战。月经恰好来潮或者刚刚结束，热邪随着阴血进入血室。白天神志清醒，傍晚则胡言乱语，神情恍惚如同见到鬼怪。此时不可侵犯胃气及上、中、下三焦，小柴胡汤证尤为确切。再针刺期门穴以泻肝经实邪，邪气去除自然保证平安吉利。务必紧急治疗，不可拖延，变证发生时恐怕就来不及了。（仲景说：妇女患中风，发热恶寒，月经恰好来潮，得病七八日后，热退后遍身凉，胸膈苦满，像结胸的样子，若有谵语，此为热入血室。应当针刺期门穴，根据虚实进行取穴。又说：妇女患中风七八日，持续出现寒热，发作有时，月经恰好结束，此为热入血室，其血必然凝结，所以像疟疾一样，发作有时，用小柴胡汤主治。又说：妇女患伤寒，发狂，月经恰好来潮，白天神志清醒，傍晚则胡言乱语，如同见到鬼怪的样子，此为热入血室，不要侵犯胃气及上、中二焦，病可自愈。）
The diseases in women of this type should be distinguished. Heaviness and lightness of the body belong to different categories. During pregnancy, heaviness of the body requires stabilizing the fetus (An Tai); after childbirth, blood deficiency necessitates first tonifying blood. (Stabilizing the fetus during pregnancy and tonifying blood after childbirth are the general principles.) When Water and Fire mutually penalize (referring to disharmony between Heart and Kidney or Yin and Yang causing mutual damage), pathogenic factors infiltrate and cause self-injury; disharmony of Ying and Wei (nutritive and defensive qi) often leads to obstruction. In a healthy state, Water (Kidney Yin) nourishes Wood (Liver); when Water and Wood assist each other, blood flows freely. (In Shaoyang disease, men first regulate Qi, while women first regulate Blood. If the Blood Chamber is not stagnant, the Qi of the whole body is harmonious; if the Blood Chamber is congealed, Water and Fire mutually penalize, Five Elements generate changes through restriction, and recover through support. In daily health, Water nourishes Wood; Water and Wood generate each other, thus Ying blood fills the Blood Chamber. If the Blood Chamber is not stagnant, the Spleen has no accumulation; without accumulation, dryness does not arise.) A floating and tight pulse at the left Guan position indicates that sweating is appropriate. One must fear the formation of blood stasis in the Blood Chamber. (For women with a floating and tight pulse at the left Guan position, purgation is contraindicated; one should induce sweating to rescue the Blood Chamber. When Ying and Wei harmonize, fluids flow naturally, and slight sweating resolves the condition.) If the Blood Chamber is not stagnant, the Spleen has no accumulation, and dryness does not arise, thereby avoiding pathogenic heat. (Blood stasis generates dryness, which Zhang Zhongjing referred to as "do not violate Stomach Qi and the Upper and Middle Jiao.") After childbirth, three types of diseases commonly occur: hard and constipated stool difficult to pass; Yu Mao (dizziness and fainting) accompanied by spontaneous sweating; all these are due to blood deficiency leading to exhaustion of body fluids. (The three postpartum diseases—constipation, Yu Mao, and spontaneous sweating—are caused by blood deficiency.) Blood deficiency leads to Jue (cold extremities), and Jue inevitably causes Mao (fainting/dizziness); when the Mao condition resolves, profuse sweating occurs; since fluids are depleted, stool becomes difficult; solitary Yang rising upward may lead to Yin exhaustion. (These three conditions are all caused by insufficient blood and Yin deficiency, resulting in solitary Yang moving alone. One should tonify Yin to suppress Yang.) Only Chai Hu Si Wu Tang (Bupleurum and Four Substances Decoction) can perhaps harmonize and bring peace.
If a woman suffers from Wind Strike for seven to eight days, with continuous fever followed by chills, and her menstruation happens to start or just end, the heat enters the Blood Chamber along with the Yin blood. She is lucid during the day but delirious at dusk, appearing as if seeing ghosts. One must not violate Stomach Qi and the Three Jiao; the Xiao Chai Hu Tang (Minor Bupleurum Decoction) pattern is particularly accurate. Additionally, puncture Qimen (LR14) to drain Liver excess. Once the pathogen is eliminated, safety and auspiciousness are ensured. Treatment must be urgent and not delayed, lest it be too late when complications arise. (Zhongjing stated: If a woman suffers from Wind Strike with fever and aversion to cold, and her menstruation happens to start, after seven to eight days, when the heat subsides and the body becomes cool, with fullness and distress in the chest and diaphragm resembling Jie Xiong (Chest Binding), and delirium, this is Re Ru Xue Shi (Heat Entering the Blood Chamber). One should puncture Qimen acupoint according to deficiency or excess. He also stated: If a woman suffers from Wind Strike for seven to eight days, continuously developing alternating chills and fever occurring at specific times, and her menstruation happens to stop, this is Heat Entering the Blood Chamber. The blood will surely congeal, causing symptoms like malaria with periodic occurrence. Treat with Xiao Chai Hu Tang. He further stated: If a woman suffers from Shang Han (Cold Damage), goes mad, and her menstruation happens to start, being lucid during the day and delirious at dusk as if seeing ghosts, this is Heat Entering the Blood Chamber. Do not violate Stomach Qi and the Upper and Middle Jiao; the disease will heal spontaneously.)