左手寸脉洪。主胸中之怒气。关脉洪。主胸中之冷。尺脉洪。主肾虚。左三指脉一般大。主
如丝发。主作胀。女人血室病。月水或前或后。右手寸脉洪。主上焦热
。咳嗽有痰。身发潮热。关脉洪。主冷气作痛。尺脉洪。主孕。尺脉小。主子宫冷。两手
六脉。一般洪缓而清利。主寿高。六脉俱小。如线大。主脾胃弱。不能饮食。腰痛头痛。头
晕败血。六脉俱洪大浮弦。主有疯气。女人除此并产后。余与男子同。男子左手脉洪。右手
弱。主大利。女人右手脉洪。左手弱。主大利。
左手实大是男胎。右手弦洪女孕来。两尺偏大分男女。命门滑实主怀胎。
趱前为热。退后为虚。血滞宜破。血枯宜补。时常经前作痛为血积。经后作痛为血虚。当时
发热为血虚有热。
妇人坤道血如期。气血调和体最宜。血盛气衰应可治。血衰气旺渐乖违。血热先期风热紫。
行经气血滞。行过作痛气血虚。经血欲调宗四物。温胆枳术二陈推。脉数
黄芩荆芥穗。气虚力弱用参 。沉迟气滞槟榔佐。作痛满闷入青皮。虚热逍遥补心类。清其
经血自如期。
夫经闭不通。或堕胎及多产伤血。或久患潮热消血。或久发盗汗耗血。或脾胃不和。食少而
血。或七情伤心。气结郁结。致血闭而不行也。治宜生血。补血。调血。
左手寸口脉象洪大，主因胸中郁怒所致；关部脉象洪大，主因胸中寒气所致；尺部脉象洪大，主肾虚。左手三部脉（寸、关、尺）大小一般，主如丝发（一种症状或体征描述，此处指脉细如丝或相关病症），主身体胀满。女子血室有病，月经或提前或推后。右手寸口脉象洪大，主上焦有热，咳嗽且有痰，身体出现定时发热（潮热）；关部脉象洪大，主冷气作痛；尺部脉象洪大，主怀孕；尺部脉象细小，主子宫寒冷。两手六部脉象，若均呈现洪缓而清利之象，主寿命高长；若六部脉象均细小，如线般粗细，主脾胃虚弱，不能进食，伴有腰痛、头痛、头晕及败血等症。若六部脉象均洪大、浮取有力且弦硬，主患有疯气（癫狂类疾病）。女子除上述情况以及产后之外，其余脉理与男子相同。男子左手脉象洪大、右手脉象虚弱，主严重腹泻；女子右手脉象洪大、左手脉象虚弱，主严重腹泻。
左手脉象实大，预示怀男胎；右手脉象弦而洪大，预示怀女胎。两尺脉偏大可分辨男女，命门脉滑而坚实主怀孕。
脉象向前（浮）为热证，向后（沉）为虚证。血滞者宜用破血法，血枯者宜用补血法。时常在经前疼痛者为血积，经后疼痛者为血虚。当时发热者为血虚兼有热证。
妇人正常的生理周期（坤道）应使血液按时来潮，气血调和最为适宜。若血盛气衰应当可以治疗；若血衰气旺则逐渐违背常理。血热导致经期提前，风热致经血色紫。行经时气血阻滞，行经过后疼痛则为气血虚。调理经血以四物汤为主宗，温胆汤、枳术丸、二陈汤亦被推崇。脉数者加黄芩、荆芥穗；气虚力弱者用人参；脉沉迟气滞者佐以槟榔；疼痛胀闷者加入青皮；虚热者用逍遥散或补心类方剂。清除其经血异常，自然能按时来潮。
至于经闭不通，或因堕胎及多产损伤血液，或因长期患潮热消耗血液，或因长期盗汗耗损血液，或因脾胃不和，饮食减少而导致血源不足，或因七情伤心，气结郁结，致使血液闭阻而不行也。治疗宜采用生血、补血、调血的方法。
The Cun (inch) pulse of the left hand is surging (Hong), indicating anger stagnating in the chest. The Guan (bar) pulse of the left hand is surging, indicating cold qi in the chest. The Chi (cubit) pulse of the left hand is surging, indicating Kidney deficiency. If the three positions (Cun, Guan, Chi) of the left hand are generally equal in size, it indicates symptoms such as hair resembling silk threads and abdominal distension. For women with diseases of the Blood Chamber (Xueshi), menstruation may come either early or late. The Cun pulse of the right hand is surging, indicating heat in the Upper Jiao, cough with phlegm, and tidal fever (Chao Re). The Guan pulse of the right hand is surging, indicating pain caused by cold qi. The Chi pulse of the right hand is surging, indicating pregnancy; if the Chi pulse is small, it indicates a cold uterus. If the six pulses of both hands are generally surging, slow, clear, and smooth, it indicates longevity. If all six pulses are small, as thin as a thread, it indicates weak Spleen and Stomach, inability to eat, lower back pain, headache, dizziness, and blood stasis/decay. If all six pulses are surging, large, floating, and wiry, it indicates Feng Qi (madness/epilepsy-like conditions). Except for these conditions and postpartum states, the pulse principles for women are the same as for men. If a man's left hand pulse is surging and the right hand pulse is weak, it indicates severe diarrhea. If a woman's right hand pulse is surging and the left hand pulse is weak, it indicates severe diarrhea.
A solid and large pulse on the left hand indicates a male fetus; a wiry and surging pulse on the right hand indicates a female pregnancy. Differences in the prominence of the two Chi pulses can distinguish between male and female fetuses; a slippery and solid pulse at the Mingmen (Gate of Life) indicates pregnancy.
A pulse moving forward (floating) indicates heat; a pulse moving backward (deep) indicates deficiency. Blood stasis should be broken; blood exhaustion should be tonified. Pain occurring frequently before menstruation indicates blood accumulation; pain occurring after menstruation indicates blood deficiency. Fever occurring at the time indicates blood deficiency with heat.
Women's normal physiological cycle (Kun Dao) requires blood to arrive on schedule, with harmonious Qi and Blood being most desirable. If Blood is abundant and Qi is deficient, it is treatable; if Blood is deficient and Qi is vigorous, it gradually deviates from normal. Heat in the Blood causes early menstruation; Wind-Heat causes purple menstrual blood. Qi and Blood stagnation during menstruation leads to pain after flow ceases due to Qi and Blood deficiency. To regulate menstrual blood, Si Wu Tang (Four Substance Decoction) is the primary reference; Wen Dan Tang (Warm Gallbladder Decoction), Zhi Zhu Wan (Aurantii Fructus and Atractylodes Macrocephalae Pill), and Er Chen Tang (Two-Cured Decoction) are also recommended. If the pulse is rapid, add Huang Qin (Scutellariae Radix) and Jing Jie Sui (Schizonepetae Spica); if Qi is deficient and strength is weak, use Ren Shen (Ginseng Radix); if the pulse is deep and slow with Qi stagnation, assist with Bing Lang (Arecae Semen); for pain and fullness/stuffiness, add Qing Pi (Citri Reticulatae Pericarpium Viride); for deficiency-heat, use Xiao Yao San (Free and Easy Wanderer Powder) or Heart-nourishing formulas. Clearing the abnormal menstrual blood will allow it to return on schedule.
Regarding amenorrhea (Jing Bi), it may result from abortion or multiple births damaging the blood, long-term tidal fever consuming the blood, long-term night sweats depleting the blood, disharmony of the Spleen and Stomach leading to poor appetite and insufficient blood source, or emotional distress injuring the Heart, causing Qi knotting and depression, thereby blocking the flow of blood. Treatment should focus on generating blood, nourishing blood, and regulating blood.