（妇人之疾，惟调经胎产为至要，固有大异于丈夫。只言妇科者，恐先工此也。其余杂病，
多与男子同。兹专集《胎产须知》一卷于前，分析杂症二卷于后，俾检阅者知所先后重轻焉。）
夫天地造端于夫妇，乾坤配合于阴阳，虽清浊动静之不同，而成象效法之有类。原兹妇
人之病与男子不同者，亦有数焉。古方以妇人之病比男子十倍难治，不亦言之深乎！但三十六
病，产蓐一门，儿子无之。（此集以胎产别编一门，名《胎产须知》。）其余外伤风、寒、暑、
湿，内积喜、怒、忧、思、饮食、房劳、虚实、寒热，悉与丈夫一同也，处治大法亦同。宜
加详察，不可因其男女而顿有殊也。
古者治妇人别着方论者，以其胎妊、生产、崩伤之异，况妇人之病比之男子十分难疗。盖
女子嗜欲过于丈夫，感病倍于男子，加之慈恋、爱憎、嫉妒、忧恚，染着坚牢，性情窒郁，所
以为病情思偏僻，蒂固根深，治之难愈。况于妊娠而挟病也，岂不难矣？不特避其毒药，仍须
审其实虚、冷热而调治之，无使妄投汤剂，以致
实实虚虚之误也。
夫人将摄顺理，则血气调和，风、寒、暑、湿不能为害。若劳伤血气，则风冷乘虚而
干之。或作之于经络，或循入腹中，内受邪伤，脾胃虚弱，故不能消饮食。食既不充，荣卫凝
滞，肌肤黄燥，面不光泽。若大肠气虚，则变为下利；若流入关元，致绝子嗣，随其所伤而变
成疾矣。医经曰∶凡妇人三十六种病，皆由子脏冷热，劳损而挟带下，起于胞内也。是故冲任
之脉，为十二经之会海。妇人之病，皆见手少阴、太阳之经而候之。
（妇女的疾病，以调经、安胎、产后护理最为重要，这确实与男子有很大不同。之所以专门论述妇科，是担心医生们先精通这一领域。其余杂病，大多与男子相同。这里在前头专门汇集《胎产须知》一卷，在后头分析杂症二卷，以便查阅的人知道治疗的先后轻重顺序。）
天地万物始于夫妇，乾坤配合基于阴阳，虽然清浊、动静的性质不同，但形成的形象和效法的原则有相似之处。推究妇女的疾病与男子不同的原因，也有几点。古方认为妇女的疾病比男子难治十倍，这话不也是说得很深刻吗！但是所谓的“三十六病”中，关于产褥的一门，男子是没有的。（本集将胎产单独编为一门，名为《胎产须知》。）其余因外感风、寒、暑、湿，内伤喜、怒、忧、思、饮食、房劳，以及虚实、寒热等病因，都与男子完全一样，治疗的大法也相同。应当仔细考察，不能因为男女不同就立刻产生差异化的看法。
古代治疗妇人另外著述方论的原因，是因为妊娠、生产、崩漏、外伤等情况的特殊性，况且妇女的疾病比男子十分之难治疗。大概女子的情欲嗜好超过男子，感受疾病倍于男子，再加上慈爱眷恋、爱憎分明、嫉妒、忧愁愤怒，这些情绪沾染牢固，性情窒塞郁结，所以导致病情思绪偏僻，根深蒂固，治疗难以痊愈。何况在妊娠期间又夹杂疾病呢，难道不是更难吗？不仅要避免使用有毒的药物，还必须审察其虚实、冷热而进行调理治疗，不要胡乱投用汤剂，以致造成“实证实治、虚证虚治”的错误（即误补实邪、误泻正气）。
夫人如果摄养顺理，那么血气调和，风、寒、暑、湿就不能为害。如果劳损伤及血气，那么风冷就会乘虚侵袭。或者发作于经络，或者循行进入腹中，内部受到邪气伤害，脾胃虚弱，所以不能消化饮食。食物既然不能充养身体，营卫之气凝滞，肌肤就会枯黄干燥，面色没有光泽。如果大肠气虚，就会变为腹泻；如果邪气流入关元穴所在区域，会导致绝育不孕，随着所受伤的部位不同而变成各种疾病。医经说：凡是妇人的三十六种病，都是由子宫冷热失调，劳损而夹杂带下病，起于胞宫内部。因此冲脉和任脉，是十二经脉的会海。妇女的疾病，都表现在手少阴心经和手太阳小肠经上，并通过这两条经脉来诊察。
(Women's diseases are primarily focused on regulating menstruation, ensuring safe pregnancy, and postpartum care, which indeed differs significantly from men. The reason for specifically discussing gynecology is to prevent practitioners from mastering this field first. Other miscellaneous diseases are mostly the same as those in men. Here, a volume titled *Taichan Xu Zhi* (Principles of Pregnancy and Childbirth) is collected at the beginning, and two volumes analyzing miscellaneous diseases are placed afterwards, so that readers may know the order and priority of treatment.)
Heaven and Earth originate with husband and wife; Qian and Kun (the Creative and Receptive principles) combine through Yin and Yang. Although there are differences in clarity/turbidity and stillness/movement, the resulting forms and patterns of emulation are similar. Investigating why women's diseases differ from men's, there are several reasons. Ancient formulas state that women's diseases are ten times harder to treat than men's; is this not said profoundly? However, among the so-called "Thirty-Six Diseases," the category of childbirth puerperium is one that men do not have. (This collection compiles pregnancy and childbirth into a separate section named *Taichan Xu Zhi*.) As for other causes such as external contraction of Wind, Cold, Summerheat, and Dampness, or internal accumulation due to Joy, Anger, Worry, Overthinking, dietary irregularities, sexual fatigue, Deficiency-Excess, and Cold-Heat, these are exactly the same as in men, and the general principles of treatment are also identical. One should examine them carefully and not immediately assume differences solely based on gender.
In ancient times, special prescriptions and discussions were written for treating women because of the uniqueness of pregnancy, childbirth, metrorrhagia, and trauma. Moreover, women's diseases are considered ten times more difficult to treat than men's. Generally, women's desires and appetites exceed those of men, and they are susceptible to disease twice as much as men. Additionally, factors such as affectionate attachment, love and hate, jealousy, worry, and resentment adhere firmly, causing their temperament to become blocked and depressed. Consequently, the nature of their illness involves peculiar thoughts and deep-rooted conditions, making it difficult to cure. How much more difficult is it when disease complicates pregnancy? Not only must toxic drugs be avoided, but one must also assess Deficiency and Excess, Cold and Heat to regulate treatment, avoiding reckless administration of decoctions to prevent errors of reinforcing Excess and depleting Deficiency.
If a woman manages her health according to proper principles, Qi and Blood will harmonize, and Wind, Cold, Summerheat, and Dampness cannot cause harm. If labor and injury damage Qi and Blood, then Wind-Cold will invade due to deficiency. It may manifest in the meridians or travel into the abdomen, injuring the interior. With Spleen-Stomach weakness, digestion fails. Since food cannot nourish the body, Ying (Nutritive) and Wei (Defensive) Qi stagnate, leading to sallow, dry skin and a lusterless face. If Large Intestine Qi is deficient, it transforms into diarrhea; if pathogenic factors flow into the Guanyuan region, it may lead to infertility. Diseases arise variably depending on the site of injury. Medical classics state: All thirty-six types of women's diseases stem from Cold and Heat imbalances in the Zi Zang (Uterus), damage from overwork, accompanied by leukorrhea, originating within the Bao Gong (Womb). Therefore, the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) serve as the sea of the Twelve Meridians. Women's diseases all present in relation to the Hand-Shaoyin (Heart) and Hand-Taiyang (Small Intestine) meridians, and are diagnosed through these channels.