妇人病温，与男子同。所异胎前产后，以及经水适来适断。大凡胎前病，古人皆以四物
加减用之，谓护胎为要，恐来害妊，如热极用井底泥，蓝布浸冷，覆盖腹上等，皆是保护之意。
但亦要看其邪之可解处，用血腻之药不灵，又当审察，不可认板法。然须步步保护胎元，恐
病邪陷也。至于产后之法，按方书谓慎用苦寒药，恐伤其已亡之阴也。然亦要辨其邪能从上
中解者，稍从症用之亦无妨，不过勿犯下焦，且属虚体，当如虚怯人病邪而治。总之毋犯实
实虚虚之戒。况产后当气血沸腾之候，最多空窦，邪势必乘虚内陷，虚处受邪，为难治也。
如经水适来适断，邪将陷血室，少阳伤寒言之甚详，不必多赘。但热病与正伤寒不同，仲景
立小柴胡汤，提出所陷热邪，参、枣扶胃气，以冲脉隶属阳明也，此与虚者为合治。若邪热
陷入，与血相结者，当宗陶氏小柴胡汤，去麦、枣。加生地、桃仁、楂肉、丹皮、犀角等。
若本经血结自甚，必少腹满痛，轻者刺期门，重者小柴胡汤去甘药，加延胡、归尾、桃仁，
夹寒加肉桂，心气滞者加香附、陈皮、枳壳等。然热陷血室之症，多有谵语如狂之象，防是
阳明胃实，当辨之。血结者，身体必重，非若阳明之轻利便捷者，何以故邪？阴主重浊，络
脉被阻，侧旁气痹连胸背，皆拘束不遂，故去邪通络，正合其病。往往延久上逆心胞，胸中
痛，即陶氏所谓血结胸也。王海藏出一桂枝红花汤，加海蛤、桃仁，原为表里上下一齐尽解
之理，若此方大有巧手，故录出以备学人之用。伤寒每以风伤卫用桂枝汤寒伤营用麻黄汤法
，小儿肌疏易汗，难任麻、桂辛温表邪。太阳治用轻，则紫苏，防风一二味。身痛则羌活，
然不过一剂。伤风症亦肺病为多，前、杏、枳、桔之属，辛胜即是汗药，其葱豉汤，乃通用
妊娠一门，总以补气养血安胎为主，则万病自除矣。
妇女患温病，其机理与男子相同。不同之处在于胎前、产后，以及月经刚来或刚断之时。大凡胎前患病，古人多用四物汤加减治疗，认为保护胎儿是首要任务，担心疾病伤害妊娠，例如热极时用井底泥、用冷水浸湿的蓝布覆盖腹部等，都是保护之意。但也需看邪气是否有从表解的机会，若用滋腻血分药无效，又应当审察病情，不可拘泥于固定法则。然而必须步步保护胎元，防止病邪内陷。至于产后治法，按方书记载应慎用苦寒药，恐怕损伤已经亏损的阴液。但也需辨别邪气能否从上焦、中焦解除，稍微根据症状使用也无妨，只要不侵犯下焦即可，且产妇属于虚体，应当像治疗虚弱之人感受病邪那样处理。总之不要犯“实实虚虚”（使实证更实、虚证更虚）的禁忌。况且产后正值气血沸腾之际，体内多有空虚之处，邪气势必乘虚内陷，在虚处受邪，难以治疗。如月经刚来或刚断时，邪气将陷入血室，少阳伤寒对此论述甚详，不必多赘。但热病与正伤寒不同，张仲景设立小柴胡汤，提出所陷的热邪，人参、大枣扶助胃气，因为冲脉隶属阳明经，这与虚者相合的治疗原则一致。若邪热陷入，与血相结者，当遵循陶氏的小柴胡汤，去掉麦冬、大枣，加入生地、桃仁、山楂肉、丹皮、犀角等。若本经血结严重，必然少腹满痛，轻者针刺期门穴，重者用小柴胡汤去掉甘草等甘缓之药，加入延胡索、当归尾、桃仁，夹寒加肉桂，心气滞者加香附、陈皮、枳壳等。然而热陷血室的病症，多有谵语如狂的表现，要防备是阳明胃实证，应当加以辨别。血结者，身体必定沉重，不像阳明证的轻利便捷，为什么呢？阴主重浊，络脉被阻滞，侧旁气机痹阻连及胸背，都拘束不遂，所以祛邪通络，正符合病情。往往拖延日久向上逆犯心包，胸中痛，这就是陶氏所说的血结胸。王海藏创制了一首桂枝红花汤，加入海蛤、桃仁，原本是为了表里上下一齐尽解的道理，这个方子很有巧思，所以记录下来以备学者使用。伤寒每以风伤卫用桂枝汤，寒伤营用麻黄汤的方法，小儿肌肤疏松易出汗，难以承受麻黄、桂枝的辛温发汗。太阳病治疗用轻剂，则用紫苏、防风一二味。身痛则用羌活，不过一剂即可。伤风症也多属肺病，前胡、杏仁、枳壳、桔梗之类，辛散胜即是汗药，葱豉汤乃通用方。妊娠一门，总以补气养血安胎为主，那么万病自然消除。
Women suffering from warm diseases follow the same principles as men. The differences lie in the periods before and after childbirth, as well as during menstruation when it has just started or just stopped. Generally, for illnesses occurring during pregnancy, ancient physicians used modifications of Siwu Tang (Four Substance Decoction), emphasizing the protection of the fetus to prevent harm to the pregnancy. Measures such as applying mud from the bottom of a well or covering the abdomen with blue cloth soaked in cold water when heat is extreme were all intended for protection. However, one must also assess whether the pathogenic factor can be resolved from the exterior; if blood-nourishing and cloying herbs are ineffective, further examination is required, and rigid adherence to fixed methods should be avoided. Nevertheless, steps must be taken at every stage to protect the fetal origin, fearing that the pathogenic evil may sink inward. Regarding postpartum treatment, formularies advise caution with bitter-cold herbs to avoid damaging the already depleted Yin. Yet, one must distinguish whether the pathogen can be resolved from the Upper or Middle Jiao; slight use according to symptoms is acceptable, provided the Lower Jiao is not violated. Since the postpartum body is deficient, treatment should resemble that for weak individuals suffering from pathogenic invasion. In summary, one must not commit the error of "reinforcing the excess and depleting the deficiency." Moreover, during the postpartum period, when Qi and Blood are turbulent, there are many empty spaces within the body; the pathogenic force will inevitably sink inward by taking advantage of this deficiency. Pathogens affecting these deficient areas are difficult to treat. For instance, when menstruation has just started or stopped, the pathogen is about to sink into the Blood Chamber (Xueshi). Shaoyang Cold Damage discusses this in detail, so no further elaboration is needed here. However, warm diseases differ from standard cold damage. Zhang Zhongjing established Xiaochaihu Tang (Minor Bupleurum Decoction) to extract the sunk heat pathogen; Ginseng and Jujube support Stomach Qi, as the Chong Mai (Penetrating Vessel) belongs to the Yangming channel. This aligns with the treatment principle for deficiency patterns. If the heat pathogen sinks and binds with blood, one should follow Tao's modification of Xiaochaihu Tang, removing Ophiopogon (Maidong) and Jujube (Dazao), and adding Rehmannia (Shengdi), Peach Kernel (Taoren), Hawthorn Fruit (Zharen), Moutan Cortex (Danpi), and Rhinoceros Horn (Xijiao - note: typically substituted in modern practice). If the blood binding in the original channel is severe, there will necessarily be fullness and pain in the lower abdomen. For mild cases, puncture Qimen (LR14); for severe cases, use Xiaochaihu Tang removing sweet/calmative herbs like Licorice (Gancao), adding Corydalis (Yanhusuo), Angelica Sinensis Tail (Guizui), and Peach Kernel (Taoren). If accompanied by cold, add Cinnamon Bark (Rougui); if Heart Qi is stagnant, add Cyperus (Xiangfu), Tangerine Peel (Chenpi), and Aurantium (Zhiqiao). However, symptoms of heat sinking into the Blood Chamber often present with delirium and mania-like states; one must guard against Yangming Stomach Excess syndrome and differentiate accordingly. In blood binding, the body feels heavy, unlike the lightness and ease of movement seen in Yangming syndrome. Why? Yin governs heaviness and turbidity; when collaterals are obstructed, Qi stagnation affects the sides, connecting to the chest and back, causing stiffness and immobility. Therefore, dispelling pathogens and unblocking collaterals fits the pathology perfectly. Often, lingering over time, the pathogen rebels upward to invade the Pericardium, causing chest pain, which Tao referred to as "Blood Binding Chest" (Xue Ji Xiong). Wang Haizang proposed Guizhi Honghua Tang (Cinnamon Twig and Safflower Decoction), adding Clam Shell (Haige) and Peach Kernel (Taoren), originally based on the principle of resolving the interior, exterior, upper, and lower simultaneously. This formula is quite ingenious, so it is recorded for scholars' reference. In cold damage, Wind injuring the Defensive layer uses Guizhi Tang, while Cold injuring the Nutrient layer uses Mahuang Tang. Children have loose skin and sweat easily, making them unable to tolerate the acrid-warm diaphoretic effects of Ephedra (Mahuang) and Cinnamon Twig (Guizhi). For Taiyang disease, light agents such as Perilla Leaf (Zisu) and Saposhnikovia Root (Fangfeng) are used. For body pain, Notopterygium Root (Qianghuo) is used, usually for only one dose. Wind injury syndromes often involve the Lung; Peucedanum (Qianhu), Apricot Seed (Xingren), Aurantium (Zhiqiao), and Platycodon Root (Jiegeng) are examples; their acrid nature acts as diaphoretics. Congchi Tang (Scallion and Fermented Soybean Decoction) is a general-purpose formula. For pregnancy conditions, the main approach is tonifying Qi and nourishing Blood to calm the fetus, whereby myriad diseases are naturally eliminated.