10.热化稠粘臭必秽, 寒化清彻臭则腥, 内溃五色有脏气, 时下而多
命必倾.
【注】凡血为热所化, 则必稠粘臭秽. 为寒所化, 则必清彻臭腥. 若
是内溃, 则所下之物杂见五色, 似乎脓血. 若更有脏腐败气, 且时下
不止而多者, 是危证也, 其命必倾矣!
11.经来前后为愆期, 前热后滞有虚实, 淡少为虚不胀痛, 紫多胀痛
属有余.
【注】经来或前, 或后, 谓之愆期, 皆属经病. 经来往前赶, 日不足
三旬者, 属血热. 若下血多, 色深红而浊, 则为有余之热. 若下血少
,色浅淡而清, 则为不足之热也. 经来往后退, 日过三旬后者, 属血
滞. 若色浅淡, 血少, 不胀痛者, 则属血虚, 血少涩滞, 不足之病.
若色紫, 血多, 腹胀痛者, 则属气实, 血多瘀滞, 有余之病也.
12.经行发热时潮热, 经前血热经后虚, 发热无时察客热, 潮热午后
审阴虚.
【注】经行发热, 时热潮热之病. 若在经前则为血热之热. 经后则为
血虚之热. 发热时热, 多是外感, 须察客邪之热. 午后潮热, 多属里
热,当审阴虚之热也.
13.经来寒热身体痛, 当分荣卫与虚实, 有汗不胀卫不足, 无汗而胀
荣有余.
【注】经来之时, 恶寒, 发热, 身体疼痛者, 当分荣卫虚实. 若发热
,恶寒, 身痛不胀而有汗者, 属卫虚荣不足; 若发热, 恶寒 , 身胀
痛而无汗者, 属荣实卫有余也.
10. 热邪化生则经血稠粘且气味臭秽，寒邪化生则经血清澈且气味腥膻。若体内脏腑溃烂，则排出物混杂五色并带有脏腑之气，此时若下血量大且不止，生命必然危殆。
【注】凡是血液被热邪所化，就必定稠粘且气味臭秽。被寒邪所化，就必定清澈且气味腥膻。如果是内部溃烂，那么排出的物质杂见五色，看起来像脓血。如果更有脏腑腐败的气味，并且时下血量多且不止的，这是危重证候，其生命必然倾覆！
11. 月经来潮提前或推后称为经期不准（愆期），提前的有热证和滞证之分，涉及虚实；颜色淡、量少为虚证，不胀痛；颜色紫、量多为实证，伴有胀痛。
【注】月经来潮或提前，或推后，称为愆期，都属于经病。月经来潮提前赶在三十天以内的，属于血热。如果下血量多，颜色深红而浑浊，则为有余的热证。如果下血量少，颜色浅淡而清稀，则为不足的热证。月经来潮推后超过三十天的，属于血滞。如果颜色浅淡，血量少，不胀痛的，则属于血虚，因血少涩滞，是不足的病证。如果颜色紫，血量多，腹胀痛的，则属于气实，因血多瘀滞，是有余的病证。
12. 行经期间发热或定时发热（潮热），经前发热多为血热，经后发热多为血虚。发热无固定时间需考察是否为外感客热，午后定时发热应审察是否为阴虚内热。
【注】行经期间发热，包括时发时止的发热和定时发热的病症。如果在经前发热，则是血热之热。经后发热，则是血虚之热。发热无固定时间，多是外感所致，须考察客邪之热。午后定时发热，多属里热，应当审察阴虚之热。
13. 行经期间出现恶寒发热及身体疼痛，应当分辨营卫状况与虚实。有汗且不胀痛的是卫气不足，无汗且胀痛的是营血有余。
【注】行经之时，出现恶寒、发热、身体疼痛的症状，应当分辨营卫的虚实。如果发热、恶寒、身痛但不胀痛且有汗的，属于卫虚荣不足；如果发热、恶寒、身胀痛且无汗的，属于营实卫有余。
10. When transformed by heat, the menstrual blood becomes thick and sticky with a foul odor; when transformed by cold, it is clear and thin with a fishy smell. If internal organs are ulcerated, the discharge will mix five colors and carry the qi of the viscera. If bleeding is profuse and incessant at this time, life will surely be endangered.
[Note] Whenever blood is transformed by heat, it must be thick, sticky, and foul-smelling. When transformed by cold, it must be clear and thin with a fishy odor. If it is due to internal ulceration, the discharged material will show mixed five colors, resembling pus and blood. If there is additionally a rotting odor of the viscera, and the bleeding is profuse and incessant, this is a critical condition, and life will surely be lost!
11. Menstruation occurring earlier or later than expected is called irregular menstruation (Qianqi). Early onset involves heat and stagnation, distinguishing deficiency and excess; pale color and scant flow indicate deficiency without distension or pain; purple color and abundant flow indicate excess with distension and pain.
[Note] Menstruation coming early or late is termed Qianqi (irregular menstruation), all belonging to menstrual disorders. Menstruation arriving in less than thirty days belongs to Blood Heat. If the bleeding is profuse, deep red in color and turbid, it indicates an Excess Heat. If the bleeding is scant, pale in color and clear, it indicates a Deficient Heat. Menstruation arriving after thirty days belongs to Blood Stagnation. If the color is pale, the blood is scant, and there is no distension or pain, it belongs to Blood Deficiency, a disease of insufficiency due to scant blood causing涩滞 (astringent stagnation). If the color is purple, the blood is abundant, and there is abdominal distension and pain, it belongs to Qi Excess, a disease of surplus due to abundant blood causing stasis.
12. Fever during menstruation or tidal fever: fever before menstruation is due to Blood Heat, while fever after menstruation is due to Blood Deficiency. Fever without fixed timing requires examination for external pathogenic heat; tidal fever in the afternoon should be assessed as Yin Deficiency heat.
[Note] Fever during menstruation includes intermittent fever and tidal fever. If it occurs before menstruation, it is heat from Blood Heat. If it occurs after menstruation, it is heat from Blood Deficiency. Fever without fixed timing is mostly due to external contraction, requiring examination of pathogenic heat from external evils. Tidal fever in the afternoon mostly belongs to interior heat, requiring assessment of heat from Yin Deficiency.
13. Chills, fever, and body pain during menstruation require differentiation between Ying and Wei states and deficiency/excess. Sweating without distension indicates Wei Qi deficiency; no sweating with distension indicates Ying Blood excess.
[Note] During menstruation, if there are chills, fever, and body pain, one must differentiate the deficiency and excess of Ying and Wei. If there is fever, chills, body pain without distension, and sweating, it belongs to Wei deficiency and Ying deficiency; if there is fever, chills, body distension and pain without sweating, it belongs to Ying excess and Wei excess.