4.男劳已详心法内, 女损阴血传风消, 或因病后素禀弱, 经闭咳嗽
血风劳.
【注】男子虚劳治法, 已详于『杂病心法要诀』虚劳门内. 女子之劳
多因损其阴血, 或因病后伤其阴血, 或因素禀阴血不足. 然必见阴亏
骨蒸, 血枯经闭, 咳嗽, 日久不已之证, 始名曰劳. 若不咳嗽, 则谓
之虚, 不可谓之劳也. 风消者, 古劳证名也. 女子曰血风劳者, 盖以
『内经』曰: 劳风发于肺下, 是谓虚病之人感受风邪, 则肺受之, 故
始病必先咳嗽也. 若不先解风邪而即补者, 未有不因久嗽不已而成劳
者也, 故曰血风劳也.
5.妇人七七天癸竭, 不断无疾血有余, 已断复来审其故, 邪病相干
随证医.
【注】妇人七七四十九岁时, 天癸竭, 地道不通, 当月水不下. 若月
水不断, 不见他证, 乃血有余, 不可用药止之. 若已断, 或一年, 或
三,五年复来者, 当审其有故无故, 是何邪所干, 随证医治也.
室女经来复止
6.室女经来复不来, 若无所苦不为灾, 必是避年未充足, 若见虚形
命可哀.
【注】室女年幼气血尚未充足, 有经来数月复又不来者, 若无他证所
苦,则不得谓之灾疾, 必是避年, 或气血未充. 若兼见虚损形状, 则
为室女血枯经闭童劳, 多属难治, 故曰命可哀也.
4. 男劳（男性虚劳）已在《心法》内详述，女损（女性因损耗导致的虚证）阴血亏损传变为风消（一种以消瘦为特征的虚劳病），或者因病后素体禀赋虚弱，出现经闭、咳嗽，称为血风劳。
【注】男子虚劳的治疗方法，已在《杂病心法要诀》的虚劳门中详细记载。女子的劳证多因损伤了阴血，或者因病后伤了阴血，或者因为先天禀赋阴血不足。但是必须见到阴虚骨蒸（阴虚发热，热自骨内向外透发）、血枯经闭、咳嗽，日久不愈的症状，才称之为“劳”。如果不咳嗽，则称之为“虚”，不可以称之为“劳”。所谓“风消”，是古代对劳证的称呼。女子称为“血风劳”的原因，大概是因为《内经》说：劳风发作于肺下，这被称为虚病之人感受风邪，则肺受邪，所以初起病时必定先有咳嗽。如果不先解除风邪而立即进补，没有不因久咳不愈而成为劳证的，所以称为“血风劳”。
5. 妇人到了七七四十九岁天癸枯竭，月经不断且无其他疾病症状是血有余，已经断经后又复来需审察其原因，若是邪气干扰则随证治疗。
【注】妇人到了七七四十九岁时，天癸竭尽，地道不通畅，当月经水不再下行。如果月经持续不断，没有其他病症表现，这是血有余，不可用药强行止住。如果已经断经，过了一年或三五年又复来的，应当审查是有原因还是无原因，是何种邪气所干扰，根据证候进行治疗。
室女经来复止
6. 未婚少女月经来潮后又停止，如果没有不适感就不算灾祸，必定是避年（月经周期延长）尚未充足，如果见到虚损形体则性命堪忧。
【注】未婚少女年幼气血尚未充足，有月经来潮数月后又不再来的情况，如果没有其他病症困扰，就不能称之为灾疾，必定是避年，或者是气血未充盈。如果兼见虚损的形貌，则是室女血枯经闭童劳（少女因血枯导致的经闭和虚劳），大多属于难治之症，所以说性命堪忧。
4. Nan Lao (Male Consumption) has been detailed in the *Xin Fa* (Essential Methods). Nu Sun (Female Damage/Consumption) involves Yin-Blood deficiency transmitting into Feng Xiao (Wind Wasting, a type of consumption characterized by emaciation), or occurring due to post-illness constitutional weakness, presenting with Amenorrhea (absence of menstruation) and Cough, termed Xue Feng Lao (Blood-Wind Consumption).
[Note] The treatment methods for Male Consumption have been detailed in the "Consumption Section" of *Za Bing Xin Fa Yao Jue* (Essential Rhymes for Heart Methods of Miscellaneous Diseases). Female Consumption often arises from damage to Yin-Blood, either due to post-illness injury to Yin-Blood or congenital insufficiency of Yin-Blood. However, it is only termed "Lao" (Consumption) when symptoms such as Yin Deficiency Bone Steaming (fever emanating from the bones due to Yin deficiency), Blood Dryness with Amenorrhea, and chronic Cough persist for a long time. If there is no cough, it is termed "Xu" (Deficiency), not "Lao". "Feng Xiao" is an ancient name for consumption syndromes. The reason females are termed "Xue Feng Lao" is that the *Nei Jing* (Inner Canon) states: "Lao Feng (Wind arising from exhaustion) originates below the Lung." This refers to individuals with deficiency contracting Wind Pathogen, which affects the Lung; thus, initial illness must present with Cough. If one does not first resolve the Wind Pathogen but immediately tonifies, it is inevitable that chronic, unrelenting Cough will lead to Consumption; hence, it is called "Xue Feng Lao."
5. When women reach the age of seven sevens (49 years), Tian Gui (Heavenly Water/Menstrual Essence) exhausts. If menstruation continues without other disease symptoms, it indicates Excess Blood. If menstruation stops and then resumes, the cause must be investigated; if caused by pathogenic factors, treat according to the syndrome.
[Note] At the age of forty-nine (seven sevens), Tian Gui exhausts, the Earthly Path (uterus/menstruation) becomes obstructed, and menstrual blood ceases to flow monthly. If menstrual flow is continuous without other manifestations, it signifies Excess Blood, and medication should not be used to forcibly stop it. If menstruation has ceased and then resumes after one year or three to five years, one must examine whether there is a specific cause or none, identify which pathogen is interfering, and treat according to the presenting syndrome.
Virgins: Menstruation Resumes and Stops Again
6. In virgins, if menstruation comes and then stops again, provided there is no distress, it is not a calamity; it is likely Bi Nian (avoidance of menstruation/extended cycle) not yet fully established. If signs of deficiency wasting appear, life may be lamentable.
[Note] Young unmarried women have Qi and Blood that are not yet sufficient. It is common for menstruation to occur for several months and then cease. If there are no other distressing symptoms, it cannot be called a calamitous disease; it is likely Bi Nian or simply insufficient Qi and Blood. However, if accompanied by signs of deficiency wasting, it constitutes Blood Dryness with Amenorrhea and Tong Lao (Juvenile Consumption) in virgins, which is mostly difficult to treat; therefore, it is said that life may be lamentable.