凡诊有夫之妇病脉，先询其经水何时宜行，何时而止。若逐月应期者，不关经水与
妊娠之事。倘经已停两三月，非天癸有故，即恐怀孕之兆。用药中须加和营顺胎之味，始
不与理相悖。忌大热破血（桃仁、附子）之类，伤胎损命。
病将退去，胸中多嘈杂难安，乃胃经浮火冲激，欲得食物来填始快。但病中消耗脏
腑脂膏，肠胃必为枯细，务忍饿一日周十二时，待胃气渐回。若遽与之食，恐脾土虚，不
克磨化，则无形余邪，必藉有形谷气为根据附，遂搏结不散，而微焰又能复炽。壮热神昏，治
实难于初病，每致深陷不救，仲景谓之食复症，主以枳壳栀子汤（方见后），再加消滞清热
药。俟四五日方渐退，亦有延迁不起者。凡既饿一日，先须进米饮二三日，再食稀粥可
也。
天地之道，阳施阴受，男女起兴，皆凭相火而发。凡一妇女交合男子过多，其所受精气
邪火蕴酿为毒，伏于冲任二脉。肾开窍于二阴，肝主疏泄，相火内寄于肝，人身气血流贯
百骸。若交媾时，便摄一身之血至命门，化精而出，所以骨节舒张，心神坦荡，元气从兹暗
耗，嗜欲则精竭，精竭则气馁，气馁则神衰，往往成痨成痿。在妇人是肝肾久受之毒，倘男子
与此等妇女欢接，则邪毒必乘泄精后，气血虚时而内袭，此为欲染者。先从下部生小红疙
瘩，或大如梅，或随腐臭，或筋骨酸痛，或小便淋涩，周身皆能患生，一时难效，久服仙遗粮
散可愈（方见后），若闻生梅毒者气味，或食秽物而发者，此为气化易治。
凡诊治已婚妇女的疾病脉象，首先要询问她的月经何时应当来潮，何时结束。如果每月都能按时应期而至，则与月经失调或妊娠无关。倘若月经已经停止两三个月，如果不是因为天癸（指肾中精气充盈后产生的促进生殖功能成熟的物质）有故（指生理性闭经如绝经等），就恐怕是怀孕的征兆。用药过程中必须加入调和营血、安顺胎元的药物，这样才不违背治疗常理。忌讳使用大热破血（如桃仁、附子）之类的药物，以免损伤胎气甚至危及生命。
疾病即将消退时，患者胸中多感到嘈杂不安，这是胃经浮火冲激所致，想要通过进食食物来填补才能感到舒适。但在患病期间，脏腑的精微脂膏已被消耗，肠胃必然变得枯细虚弱。务必忍耐饥饿一天（即十二个时辰），等待胃气逐渐恢复。如果急于给予饮食，恐怕脾土虚弱，无法运化磨碎食物，那么无形的残余病邪，必定借助有形的谷气作为依附和根据，从而搏结不散，微小的火势又能重新炽盛。导致壮热神昏，治疗起来比初病时更加困难，往往导致病情深陷无法挽救，张仲景称之为“食复症”（因饮食不当导致的疾病复发），主治方剂为枳壳栀子汤（方剂见后文），再加消食导滞、清热的药物。等到四五天之后症状才逐渐消退，也有拖延迁延不能痊愈的。凡是已经忍耐饥饿一天后，必须先喝米汤二三天，然后再吃稀粥才可以。
天地运行的规律，是阳气施予，阴气承受，男女产生性欲，都凭借相火（寄居于肝肾，主司生长发育和生殖功能的火）而发动。凡是妇女与男子交合过多，所受精气和邪火蕴酿成毒，潜伏在冲脉和任脉之中。肾开窍于前后二阴，肝主疏泄，相火内寄于肝脏，人身的气血流贯全身骨骼。如果在性交时，会摄取一身之血汇聚到命门（两肾之间，元气之根），化为精液排出，所以骨节舒展，心神坦荡，元气从此暗中耗损。嗜欲过度则精竭，精竭则气衰，气衰则神弱，往往形成虚劳或痿证。对于妇女来说，这是肝肾长期受毒；如果男子与此类妇女欢好交接，则邪毒必定趁着泄精后气血虚弱之时向内侵袭，这就是所谓的“欲染者”（通过性行为感染的梅毒患者）。这种病症先从下部生出小红疙瘩，有的大如梅子，或者伴随腐烂发臭，或者筋骨酸痛，或者小便淋漓涩痛，周身都可能患生此病，一时难以见效，久服仙遗粮散可以治愈（方剂见后文）。如果是闻到生梅毒患者的气味，或者食用污秽之物而引发的，这属于气化致病，相对容易治疗。
When diagnosing the pulse of married women, one must first inquire when her menstruation is due and when it ends. If it occurs on schedule every month, it is unrelated to menstrual disorders or pregnancy. However, if menstruation has ceased for two or three months, unless it is due to natural causes related to Tian Gui (substances produced by kidney essence that promote reproductive maturity), it may be a sign of pregnancy. In medication, ingredients that harmonize Ying blood and stabilize the fetus should be added, so as not to contradict therapeutic principles. One must avoid using strongly heating and blood-breaking substances (such as Tao Ren [Peach Seed] and Fu Zi [Aconite Root Lateralis Preparata]), which could damage the fetus and endanger life.
As the disease is about to recede, patients often experience epigastric discomfort and restlessness in the chest, caused by floating fire in the Stomach channel surging upward; they feel relief only after eating food. However, during the illness, the essential fats and fluids of the zang-fu organs have been consumed, and the intestines and stomach become withered and thin. It is crucial to endure hunger for one full day (twenty-four hours) until the Stomach Qi gradually recovers. If food is given hastily, the Spleen Earth, being weak, may fail to digest and transform it. Consequently, formless residual pathogens may rely on formed grain qi as a basis for attachment, leading to stagnation and clustering, allowing minor flames to reignite fiercely. This results in high fever and mental confusion, making treatment more difficult than at the onset of the disease, often leading to deep-seated conditions that are incurable. Zhang Zhongjing referred to this as "Shi Fu" (recurrence due to improper diet), treating it primarily with Zhike Zhizi Tang (Bitter Orange and Gardenia Decoction, see formula below), plus herbs for resolving stagnation and clearing heat. Symptoms may take four to five days to gradually subside, and some cases may drag on without recovery. After enduring hunger for one day, one should first consume rice water for two to three days, followed by thin congee.
The way of Heaven and Earth involves Yang imparting and Yin receiving. Sexual arousal in both men and women arises from Xiang Huo (Ministerial Fire). When a woman engages in excessive sexual intercourse with men, the refined essence and pathogenic fire accumulate and ferment into toxicity, lying dormant in the Chong and Ren vessels. The Kidney opens into the two yin orifices (anterior and posterior), and the Liver governs free flow. Ministerial Fire resides internally within the Liver, and the body's Qi and Blood circulate through all bones and joints. During coitus, blood from the entire body is drawn to Ming Men (Gate of Life, located between the two kidneys, root of Yuan Qi) and transformed into semen for emission. Thus, joints relax, and the mind feels calm, but Yuan Qi is secretly depleted. Excessive lust leads to Essence depletion; Essence depletion leads to Qi deficiency; Qi deficiency leads to Shen weakness. This often results in Lao (consumptive disease) or Wei syndrome (flaccidity syndrome). For women, this represents long-term toxicity affecting the Liver and Kidneys. If a man engages in sexual activity with such women, the pathogenic toxin will invade inwardly when Qi and Blood are deficient after ejaculation. This is known as "Yu Ran Zhe" (those infected via sexual contact). The disease typically begins with small red bumps in the lower region, sometimes as large as a plum, accompanied by rotting and foul odor, bone and joint soreness, or dysuria. It can manifest throughout the body and is difficult to cure quickly. Long-term use of Xian Yi Liang San can lead to recovery (see formula below). If the disease arises from inhaling the odor of someone with syphilis or consuming filthy substances, it is considered caused by Qi transformation and is relatively easier to treat.