1.男妇两科同一治, 所异调经崩带症, 嗣育胎前并产后, 前阴乳疾
不相同.
【注】妇人诸病, 本与男子无异, 故同其治也. 其异于男子者, 惟调
经,经闭, 带浊, 崩漏, 症瘕, 生育子嗣, 胎前, 产后诸病, 及乳疾
,前阴诸证不相同耳. 故立妇人一科, 以分门而详治焉. 业是科者,
必先读方脉, 心法诸书. 然后读此, 自有豁然贯通之妙.
2.先天天癸始父母, 后天精血水榖生, 女子二七天癸至, 任通冲盛
月事行.
【注】先天天癸, 谓肾间之动气, 乃禀自父母, 资其始也; 后天精血
,谓水谷之所化, 得之形成之后, 资其生也. 经曰: 女子一七而肾气
盛,谓肾间动气盛也. 二七而天癸至, 谓先天癸水中之动气, 至于女
子胞中也. 冲为血海, 任主胞胎, 冲任皆起于胞中, 所以任脉通, 太
冲脉盛, 月事以时下, 故能有子也.
3.不子之故伤任冲, 不调带下经漏崩, 或因积血胞寒热, 痰饮脂膜
病子宫.
【注】女子不孕之故, 由伤其任, 冲也. 经曰: 女子二七而天癸至,
任脉通, 太冲脉盛, 月事以时下, 故能有子. 若为三因之邪伤其冲任
之脉, 则有月经不调, 赤白带下, 经漏, 经崩等病生焉. 或因宿血积
于胞中, 新血不能成孕, 或因胞寒胞热, 不能摄精成孕, 或因体盛痰
多,脂膜壅塞胞中而不孕, 皆当细审其因, 按证调治. 自能有子也.
1. 男科与妇科的治疗原则大体相同，不同之处在于针对月经调理、崩漏及带下病证的处理；此外，在生育、胎前护理以及产后调理，还有前阴疾病和乳房疾病方面也不相同。
【注】妇女的各种疾病，本质上与男子没有差异，因此治疗原则是相同的。其不同于男子的地方，仅在于调经、闭经、带下浑浊、崩漏、症瘕（腹内结块）、生育子嗣、胎前及产后各种疾病，以及乳房疾病和前阴各种证候不相同罢了。所以单独设立妇科这一科目，以便分门别类地详细诊治。从事这门学科的人，必须先研读方脉、心法等方面的书籍，然后再读本书，自然会有豁然贯通的妙处。
2. 先天的天癸源于父母，后天的精血由水谷化生。女子到了十四岁（二七），天癸至，任脉通畅，冲脉旺盛，月经按时来潮。
【注】先天的天癸，指的是肾间动气，这是禀受自父母的，作为生命的起始；后天的精血，指的是由饮食水谷所化生的，这是在形体形成之后获得的，用于维持生命活动。医经说：女子七岁时肾气盛，指的是肾间动气旺盛。十四岁时天癸至，指的是先天的癸水之中的动气，到达女子的子宫中。冲脉被称为血海，任脉主司胞胎，冲脉和任脉都起源于胞中，所以任脉通畅，太冲脉旺盛，月经就能按时来潮，因此能够生育子女。
3. 导致不孕的原因多损伤了任脉和冲脉，或者伴有月经不调、带下病、经漏、经崩等症状；也可能是因为瘀血积聚、胞宫寒冷或发热，或者是痰饮、脂膜病变影响了子宫。
【注】女子不孕的原因，是由于损伤了任脉和冲脉。医经说：女子十四岁时天癸至，任脉通畅，太冲脉旺盛，月经按时来潮，因此能够生育。如果被三因（内因、外因、不内外因）之邪气损伤了冲任二脉，就会产生月经不调、赤白带下、经漏、经崩等疾病。或者是因为宿血积聚在胞中，新血无法受孕；或者是因为胞宫寒冷或发热，不能摄纳精气而受孕；或者是因为身体肥胖痰多，脂膜壅塞胞中而导致不孕，这些都应当仔细审察病因，按照证候进行调治，自然就能生育子女。
1. The treatment principles for male and female departments are generally the same, differing only in the management of regulating menstruation, metrorrhagia (abnormal uterine bleeding), and leukorrhea; furthermore, they differ regarding procreation, antenatal care, postpartum recovery, as well as diseases of the anterior yin and breast diseases.
[Note] Various diseases in women are essentially no different from those in men, hence their treatment principles are the same. The aspects that differ from men are solely the regulation of menstruation, amenorrhea, turbid leukorrhea, metrorrhagia, zheng jia (abdominal masses), procreation, various diseases during pregnancy and after childbirth, as well as breast diseases and various syndromes of the anterior yin. Therefore, a separate department for women is established to classify and treat them in detail. Practitioners of this specialty must first study books on formulas, pulse diagnosis, and clinical methods, and then read this text, naturally achieving a thorough understanding.
2. Innate Tian Gui (menstrual essence) originates from parents, while acquired Jing Xue (essence and blood) is generated from water and grain (dietary nutrients). When a girl reaches fourteen years old (two sevens), Tian Gui arrives, the Ren Mai (Conception Vessel) becomes unobstructed, the Chong Mai (Penetrating Vessel) becomes abundant, and menstruation flows regularly.
[Note] Innate Tian Gui refers to the moving Qi between the kidneys, which is inherited from parents and serves as the beginning of life; acquired Jing Xue refers to what is transformed from dietary water and grain, obtained after physical formation, serving to sustain life. The classics state: At age seven, a girl's Kidney Qi becomes prosperous, referring to the prosperity of the moving Qi between the kidneys. At age fourteen, Tian Gui arrives, referring to the moving Qi within the innate Gui Water reaching the uterus of the woman. The Chong Mai is known as the Sea of Blood, and the Ren Mai governs the fetus. Both the Chong and Ren vessels originate from the Bao Zhong (uterus); therefore, when the Ren Mai is unobstructed and the Tai Chong Mai is abundant, menstruation occurs at regular intervals, enabling conception.
3. The causes of infertility often involve injury to the Ren and Chong vessels, accompanied by irregular menstruation, leukorrhea, menstrual spotting, or metrorrhagia; it may also be due to accumulated blood, cold or heat in the uterus, or phlegm-fluid retention and fatty membrane pathology affecting the uterus.
[Note] The cause of infertility in women lies in the injury to the Ren and Chong vessels. The classics state: At age fourteen, Tian Gui arrives, the Ren Mai is unobstructed, the Tai Chong Mai is abundant, menstruation occurs at regular intervals, thus enabling conception. If pathogenic factors from the Three Causes (internal, external, and neither internal nor external) injure the Chong and Ren vessels, diseases such as irregular menstruation, red and white leukorrhea, menstrual spotting, and metrorrhagia arise. Or it may be due to old blood accumulating in the uterus, preventing new blood from conceiving; or due to uterine cold or heat, preventing the reception of essence for conception; or due to obesity with excessive phlegm, where fatty membranes obstruct the uterus leading to infertility. All these cases require careful examination of the etiology and treatment according to the syndrome, thereby enabling conception.