妇人 ，或肝经湿热下注，或郁怒伤损肝脾，其候
两胁小腹肿疼，或玉门 肿作痛，憎寒壮热，小便涩滞，腹内急痛，或小腹痞闷上攻两胁者，肝经湿热郁滞也，龙胆
泻肝汤。玉门肿胀者，肝火血虚也，加味逍遥散。若概投散血之攻毒之剂则误矣。
妇人足跟足指肿痛，足心发热，皆因胎产经行，失于调摄，亏损足三阴虚热所致。若肿痛或出脓，用六味丸为主，
佐以八珍汤。胃虚懒食，佐以六君子汤。寒热内热，佐以逍遥散。晡热益甚，头目不清，佐以补中益气汤。凡发热脯
热、内热，自汗、盗汗等证，皆阴虚假热也。故丹溪谓火起九泉，阴虚之极也。足跟乃督脉发源之所，肾经所过之地，
诸骨承载之本，若不求其属，泛用寒凉，其为夭枉者多矣。男子酒色过度者，多患此证。
妇人脚十指如热油煎者，此由荣卫气虚，湿毒之气，流滞经络，上攻心则心痛，下攻脚则脚痛，其脚指如焚，如脚
气之类，《经》云∶热厥是也。
妇人两 生疮，或胎产调理失宜，伤损脾胃，或忧思郁怒，亏损肝脾，以致湿热下注，外 属足三阳，易治，内
属足三阴，难痊。若初起发肿赤痛，属湿热毒所乘，人参败毒散。若漫肿作痛，或不肿不痛，属脾虚湿热下注，补
中益气汤或八珍汤，加萆 、金银花之类。若脓水淋沥，体倦少食，内热口干，属脾气虚弱，补中汤加茯苓、酒芍。
若午后发热体倦，属血虚，前汤加川芎、熟地或六味丸。若肢体畏寒，饮食少思，属脾肾虚寒，十全汤、八味丸。
色赤属热毒易治，色黯属虚寒难治。
妇女出现足跟疮肿，病因可能是肝经湿热下注，或因郁怒损伤肝脾。其症状表现为两胁和小腹肿胀疼痛，或玉门（女性外生殖器）肿胀作痛，憎寒壮热，小便涩滞不畅，腹部急痛，或小腹痞闷感向上攻冲至两胁，这是肝经湿热郁滞所致，可用龙胆泻肝汤治疗。若仅见玉门肿胀，则是肝火兼血虚所致，可用加味逍遥散治疗。如果一概使用散血攻毒的药物，就会造成误治。
妇女足跟和足趾肿痛、足心发热，都是因为胎产或月经期间调理不当，导致足三阴经亏损，产生虚热所致。如果出现肿痛或出脓，以六味丸为主方，配合八珍汤辅助治疗。若因胃气虚弱而食欲不振，配合六君子汤治疗。若有寒热往来及内热症状，配合逍遥散治疗。若午后潮热加重，头目不清爽，配合补中益气汤治疗。凡是出现发热、午后潮热、内热、自汗、盗汗等症状，都属于阴虚导致的假热证。所以朱丹溪说“火起九泉”，是指阴虚到了极点。足跟是督脉发源之处，也是肾经经过的地方，更是诸骨承载的根本，如果不探究其根本原因，泛用寒凉药物，导致夭折枉死者很多。男子因饮酒和房事过度的人，也常患此病。
妇女十个脚趾感觉像被热油煎灼一样，这是由于营卫之气虚弱，湿毒之气流滞于经络，向上攻冲心脏则心痛，向下攻冲脚部则脚痛，脚趾如火烧一般，类似于脚气病，《黄帝内经》称之为“热厥”。
妇女外阴部生疮，可能是因为胎产调理失宜，损伤脾胃，或因忧思郁怒，亏损肝脾，导致湿热下注。外阴外部属于足三阳经，容易治疗；内部属于足三阴经，难以痊愈。如果初起时红肿疼痛，属于湿热毒邪侵袭，用人参败毒散治疗。如果是漫肿作痛，或不肿不痛，属于脾虚湿热下注，用补中益气汤或八珍汤，加入萆薢、金银花等药物。如果脓水淋漓不尽，身体疲倦，食欲减退，内热口干，属于脾气虚弱，用补中益气汤加入茯苓、酒白芍。如果午后发热且身体疲倦，属于血虚，在前一方基础上加入川芎、熟地黄，或者使用六味丸。如果肢体畏寒，饮食减少，属于脾肾虚寒，使用十全大补汤或八味丸。疮面色赤属于热毒，容易治疗；色暗属于虚寒，难以治疗。
In women, heel sores and swelling may result from damp-heat pouring downward in the Liver channel, or from emotional frustration injuring the Liver and Spleen. The manifestations include swelling and pain in the hypochondrium and lower abdomen, or swelling and pain of the Yumen (female external genitalia), aversion to cold with high fever, difficult and scanty urination, acute abdominal pain, or a sensation of fullness in the lower abdomen radiating upward to the hypochondrium; this indicates stagnation of damp-heat in the Liver channel, treated with Longdan Xiegan Tang (Gentian Liver-Draining Decoction). If only the Yumen is swollen, it indicates Liver fire with blood deficiency, treated with Jia Wei Xiaoyao San (Modified Free and Easy Wanderer Powder). Using indiscriminately blood-dispersing and detoxifying agents would be an error.
Swelling and pain in the heels and toes, along with heat in the soles of the feet, are caused by improper care during pregnancy, childbirth, or menstruation, leading to deficiency of the three Yin channels of the foot and resulting in deficient heat. If there is swelling, pain, or suppuration, Liuwei Wan (Six-Ingredient Rehmannia Pill) is used as the principal formula, assisted by Bazhen Tang (Eight-Treasure Decoction). If there is weak stomach qi with poor appetite, Liujunzi Tang (Six-Gentlemen Decoction) is added. If there are alternating chills and fever with internal heat, Xiaoyao San (Free and Easy Wanderer Powder) is added. If afternoon tidal fever worsens with cloudiness of the head and eyes, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) is added. All conditions involving fever, afternoon tidal fever, internal heat, spontaneous sweating, or night sweats belong to false heat due to yin deficiency. Thus, Zhu Danxi stated that "fire rising from the nine springs" refers to extreme yin deficiency. The heel is the origin of the Du vessel (Governor Vessel), the pathway of the Kidney channel, and the foundation bearing all bones. If one does not seek the root cause and indiscriminately uses cold and bitter drugs, many will suffer premature death. Men who overindulge in alcohol and sexual activity often suffer from this condition.
When women feel as if their ten toes are being scalded by hot oil, it is due to deficiency of Ying (Nutrient) and Wei (Defensive) qi, with damp-toxic qi stagnating in the meridians. If attacking upward to the Heart, it causes heart pain; if attacking downward to the feet, it causes foot pain, with toes burning like fire. This resembles Jiaoqi (Beriberi/foot disease), which the Classic describes as Re Jue (Heat Jue).
Sores on the female vulva may result from improper regulation after childbirth, injuring the Spleen and Stomach, or from worry, thought, depression, and anger, injuring the Liver and Spleen, leading to damp-heat pouring downward. The exterior belongs to the three Yang channels of the foot and is easy to treat; the interior belongs to the three Yin channels of the foot and is difficult to cure. If initially red, swollen, and painful, it is due to invasion by damp-heat toxin, treated with Renshen Baidu San (Ginseng Detoxification Powder). If diffusely swollen and painful, or neither swollen nor painful, it is due to Spleen deficiency with damp-heat pouring downward, treated with Buzhong Yiqi Tang or Bazhen Tang, adding Bibi (Dioscorea Hypoglauca Rhizome) and Jinyinhua (Lonicerae Japonicae Flos). If pus and fluid drip continuously with fatigue, poor appetite, internal heat, and dry mouth, it is due to Spleen qi deficiency, treated with Buzhong Tang (Tonify Middle Decoction) adding Fuling (Poria) and Jiushao (Wine-processed Paeoniae Radix Alba). If there is afternoon fever with fatigue, it is due to blood deficiency, adding Chuanxiong (Ligusticum Chuanxiong Rhizome) and Shudi (Rehmanniae Radix Preparata) to the previous formula, or using Liuwei Wan. If limbs feel cold with reduced desire for food, it is due to Spleen and Kidney deficiency-cold, treated with Shiquan Dabu Tang (Complete Great Tonifying Decoction) or Bawei Wan (Eight-Ingredient Pill). Red color indicates heat-toxin and is easy to treat; dark color indicates deficiency-cold and is difficult to treat.