经云。神伤于思虑则肉脱。意伤于忧愁则肢废。魂伤于悲哀则筋挛。魄伤于喜乐则皮槁
。志伤于盛怒则腰脊难以俯仰也。七情所伤。气血所损之症也。当先滋养血气。
夫月水之为物。乃手太阳手少阴二经主之。此二经相为表里。在上为乳汁。下为月水。
络之余气。苟外无六淫所侵。内无七情所伤。脾胃之气壮。则冲任之气盛。故为月水。适时
而至。然面色痿黄。四肢消瘦。发热口干。月水过期且少。乃阴血不足也。非有余瘀 之症
。宜以滋养血气之剂。徐而培之。则经气盛而经水自根据期而下。
又云。精未通而御女以通其精。则五体有不满之处。异日有难状之疾。阴已痿而思色以
精。则精不出而内败。小便道涩而为淋。精已耗而复竭之。则大小便道牵疼。愈疼则愈欲大
小便。愈便则愈疼。女人天癸既至。逾十年无男子合则不调。未逾十年思男子合亦不调。不
调则旧血不出。新血误行。或溃而入骨。或变而为肿。或虽合而难子。合男子多则沥枯虚。
又产乳众则血枯杀人。观其精血。思过半矣。又曰。夫人之生以血气为本。人之病未有不先
伤其气血者。世有室女童男。积想在心。思虑过当。多致劳损。男子则神色先散。女子则月
水先闭。何以致然。盖忧愁思虑则伤心。心伤则血逆竭。血逆竭则神色先散。而月水先闭也
。火既受病。不能营养其子。故不嗜食。脾既虚则金气亏。故发嗽。嗽既作。水气绝。故四
肢干。木气不充。故多怒。鬓发焦。筋骨痿。俟五脏传遍。故卒不能死。然终死矣。此一种
于劳中最难治。盖病起于五脏之中。无有已期。药力不可及也。若或自能改易心志。用药扶
接。如此则可得九死一生。
又云。室女月水久不行。切不可用青蒿等凉剂。医家多以室女血热。故以凉药解之。殊
血得热则行。冷则凝。（养生必用方）言之甚详。此说大有理。不可不知。若经候微少。渐渐
不通。手足骨肉烦疼。日渐羸瘦。渐生潮热。其脉微数。此由阴虚血弱。阳往乘之。少水不
能灭盛火。火逼水涸亡津液。当养血益阴。慎勿以毒药通之。毒药 悍。甚助阳火。阴血得
之则妄行。脾胃得之则愈虚。惟宜柏子仁丸、泽兰丸。
《黄帝内经》中说：神志因过度思虑而受损，会导致肌肉消瘦；意念因忧愁困扰而受损，会导致肢体废用；魂因悲哀过度而受损，会导致筋脉拘挛；魄因喜乐无度而受损，会导致皮肤枯槁；意志因大怒盛极而受损，会导致腰脊僵硬难以俯仰。七情（喜、怒、忧、思、悲、恐、惊）所致的损伤，都是气血受损的病症。治疗时应当首先滋养气血。
月经这一生理现象，由手太阳小肠经和手少阴心经共同主管。这两条经脉互为表里，在上焦化为乳汁，在下焦化为月经。这是经络中余留的气血。如果外部没有六淫（风、寒、暑、湿、燥、火）邪气的侵袭，内部没有七情情绪的损伤，脾胃之气强健，那么冲脉和任脉的气血就会旺盛，从而形成月经，按时来潮。然而，如果面色萎黄，四肢消瘦，伴有发热口干，月经过期且量少，这是阴血不足的表现，并非有余瘀滞的病症。适宜使用滋养气血的药剂，缓慢地培补，使经气旺盛，月经自然能按期而下。
又说：男子在精气未充通之时，就进行房事以泄精，那么身体各部位会有发育不全之处，日后会有难以名状的疾病发生。女子在肾阳已虚痿弱之时，还贪恋美色以动欲，那么精气无法排出而在体内败坏，导致小便通道涩滞而成淋证。精气已经耗损却又再次竭尽，会导致大小便通道牵引疼痛。越疼痛就越想大小便，越排泄则疼痛越加剧。女子天癸（促进性发育的物质）已经到来，超过十年没有与男子交合，月经就会不调；未满十年但思念男子交合，月经也会不调。月经不调则旧血不能排出，新血误行妄动，或者溃烂深入骨骼，或者变生为肿块。或者虽然交合却难以受孕。与男子交合过多会耗竭精液导致虚损。多次生育哺乳则会耗竭血液，甚至危及生命。观察精血的重要性，思考这里就已经明白大半了。
又说：人的生存以气血为本源，人的生病没有不先损伤其气血的。世间有未婚男女，心中积存杂念，思虑过度，多导致劳损性疾病。男子则神色先散乱，女子则月经先闭止。为什么会这样呢？大概是因为忧愁思虑损伤心脏，心脏受损则血液逆乱枯竭。血液逆乱枯竭则神色先散乱，月经先闭止。心火既已受病，不能营养其所生的脾土（子），所以食欲不振。脾既虚弱则肺金之气亏损，所以发生咳嗽。咳嗽既作，肾水之气断绝，所以四肢干枯。肝木之气不充盈，所以容易发怒，鬓发焦枯，筋骨痿软。等到五脏之气传遍全身，最终突然死亡。然而终究是死路一条。这种类型的疾病在劳损病中最难治疗，因为病起于五脏之中，没有痊愈的期限，药力也难以达到。如果能自我改变心志，用药扶持接续，这样或许能有一线生机（九死一生）。
又说：未婚少女月经长期不行，切不可使用青蒿等寒凉药剂。医家多以未婚少女为血热，故用凉药解之。殊不知血得热则运行，得冷则凝滞。（《养生必用方》）对此言之甚详。此说很有道理，不可不知。如果月经量微少，渐渐不通，手足骨肉烦痛，日渐消瘦，渐生潮热，脉象微数，这是由阴虚血弱，阳气乘虚而入所致。如同少量的水不能扑灭旺盛的火，火热逼迫导致津液枯竭。应当养血益阴，千万不要用毒药强行通经。毒药性质猛烈，反而助长阳火，阴血遇到毒药则会妄行，脾胃遇到毒药则会更加虚弱。只适宜使用柏子仁丸、泽兰丸。
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: If the Shen (Spirit) is damaged by excessive thinking, the flesh will waste away; if the Yi (Intellect/Intent) is damaged by sorrow and worry, the limbs will become disabled; if the Hun (Ethereal Soul) is damaged by grief, the sinews will contract; if the Po (Corporeal Soul) is damaged by excessive joy, the skin will wither; if the Zhi (Willpower) is damaged by extreme anger, the waist and spine will become stiff and difficult to bend or extend. Injuries caused by the Seven Emotions (Joy, Anger, Worry, Thinking, Grief, Fear, Fright) are conditions where Qi and Blood are damaged. Treatment should first focus on nourishing Qi and Blood.
Menstruation is governed by the Hand-Taiyang Small Intestine Meridian and the Hand-Shaoyin Heart Meridian. These two meridians are exteriorly-interiorly related. Upper in the body, they transform into breast milk; lower in the body, they transform into menstruation. This is the residual Qi of the collaterals. Provided there is no external invasion by the Six Evils (Wind, Cold, Summerheat, Dampness, Dryness, Fire), and no internal injury from the Seven Emotions, if the Qi of the Spleen and Stomach is robust, then the Qi of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) will be abundant, thus forming menstruation that arrives on time. However, if the complexion is sallow and withered, the limbs are emaciated, accompanied by fever and dry mouth, and menstruation is delayed and scanty, this indicates a deficiency of Yin Blood, not a condition of excess blood stasis. It is appropriate to use formulas that nourish Qi and Blood, cultivating slowly so that Jing Qi becomes abundant and menstruation naturally flows on schedule.
It is also said: If a male engages in sexual intercourse to release essence before his Jing Essence has fully developed and circulated, his five bodies will have areas of incomplete development, and later he may suffer from inexplicable diseases. If a female, whose Kidney Yang is already weak and flaccid, still indulges in lustful thoughts, her Jing Essence will fail to exit and instead rot internally, causing the urinary pathway to become obstructed, resulting in Lin Syndrome (painful/difficult urination). If Jing Essence is already depleted yet further exhausted, it will cause pulling pain in the pathways of both large and small intestines. The more painful it is, the more one desires to defecate or urinate; the more one excretes, the more severe the pain becomes. When a female's Tian Gui (menstrual essence/substance promoting sexual maturity) has arrived, if she does not cohabit with a man for over ten years, her menstruation will become irregular; if under ten years but she yearns for cohabitation, her menstruation will also become irregular. Irregularity means old blood fails to exit, and new blood flows recklessly, potentially ulcerating into the bones or transforming into swellings/masses. Even if cohabitation occurs, conception may be difficult. Excessive cohabitation drains essence leading to deficiency. Multiple births and lactations deplete blood, potentially causing death. Observing the importance of Jing and Essence, one understands half of the matter.
It is also said: Human life is based on Qi and Blood as its root. No illness arises without first injuring Qi and Blood. Among unmarried youths, those who harbor obsessive thoughts and think excessively often develop consumptive disorders. Males show scattered spirit and complexion first; females show amenorrhea first. Why is this? Roughly speaking, sorrow and worry injure the Heart. Heart injury leads to rebellious and枯竭 (exhaustion) of blood. Rebellious and exhausted blood causes the spirit and complexion to scatter first, and menstruation to close first. Since Heart Fire is diseased, it cannot nourish its "child" organ (Spleen Earth), leading to poor appetite. Since the Spleen is deficient, Lung Metal Qi is impaired, leading to cough. Once coughing occurs, Kidney Water Qi is cut off, leading to dry limbs. Liver Wood Qi is insufficient, leading to irritability, scorched hair, and flaccid sinews and bones. When the Five Zang Organs' qi transmits throughout the body, sudden death ensues. Ultimately, death results. This type of disease is the most difficult to treat among consumptive disorders because it originates within the Five Zang Organs, has no definite end date, and is beyond the reach of medicinal power. If the patient can change their mindset and receive medicinal support, there might be a slim chance of survival (one in nine chances of recovery).
It is also said: For unmarried girls with long-standing amenorrhea, Qinghao (Artemisiae Annuae Herba) and other cooling agents must absolutely not be used. Physicians often assume unmarried girls have blood heat, so they use cooling medicines to resolve it. They fail to realize that blood moves when warm and coagulates when cold. (*Yangsheng Biyong Fang*) explains this in detail. This theory is highly reasonable and must be understood. If menstruation is slightly scanty and gradually stops, accompanied by vexation and pain in the hands, feet, bones, and muscles, progressive emaciation, gradual onset of tidal fever, and a slightly rapid pulse, this is due to Yin deficiency and blood weakness, allowing Yang to invade. Like a small amount of water failing to extinguish a raging fire, the fire forces the water to dry up and fluids to perish. One should nourish blood and benefit Yin. Do not use harsh drugs to forcibly unblock menstruation. Harsh drugs are fierce and tend to assist Yang fire; Yin blood exposed to them will flow recklessly, and the Spleen and Stomach will become increasingly deficient. Only Baizi Ren Wan (Bai Zi Ren Pill) and Zelan Wan (Zelan Pill) are suitable.