陈良甫曰∶妇人以血为主，脾胃虚弱，不能饮食，荣卫不足，月经不行，寒热腹痛，或崩带证，皆脾胃不
足所生病。故妇人月水不通，或因劳役过度，或因失血，伤损肝脾，但滋化源，其经自通。若小便不利，苦头眩，
腰背痛，足寒时痛，久久血结于内，变为 瘕。若血水相并，脾胃虚弱，壅滞不通，变为水肿。若脾气衰弱，
不能制水，水渍肌肉，变为肿满。当益其津液，大补脾胃为主。
武叔卿曰∶脾气化液而生血，即水入于经，其血乃生之意。此荣出中焦也，故曰生化之源。心统血者，脾气
化液，入心而变为血。故虽心之所主，亦赖脾气化生。此妇人经血不调，必审脾气化生之源，而健脾为调经之要也。
何松 曰∶干道成男，坤道成女。女以坤道用事，故治妇人，以阴血为主。女子二七天癸至，阴气盛，盛
则溢泄，此自然之理也。若阴性旺，则不及二七而至，弱则逾二七而至。凡治此证，当察脾胃何如。如女子月事
不调，因脾胃伤损，不能生血所致，须以补养脾胃为先。脾旺则能统血，而经自行。切不可遽用攻克之剂，伤其
中气，则愈不调矣。
慎斋按∶以上三条，序调经以补养脾胃为大法也。赵养葵二条，调经主于滋水，是补先天真一之源也。陈良甫
以下三条，调经主于补土，是培后天元气之本也。固肾扶脾，此为调经要道，学人审之。
陈良甫说：妇女以血为本，如果脾胃虚弱，不能进食，导致营卫之气不足，就会出现月经不通、寒热交替、腹痛，或者崩漏、带下等证候，这些都是因为脾胃不足所引发的疾病。所以，妇女月经不通，可能是因为过度劳累，或者失血，损伤了肝脾，只要滋养化生之源，月经自然通畅。如果出现小便不利、头晕目眩、腰背疼痛、脚冷且时常疼痛，时间久了血液凝结在体内，就会形成瘕积。如果血与水相互搏结，加上脾胃虚弱，气机壅滞不通，就会变成水肿。如果脾气衰弱，不能制约水液，水液浸渍肌肉，就会变成肿胀满闷。治疗时应当补充津液，以大补脾胃为主要原则。
武叔卿说：脾气化生津液而生血，这就是“水入于经，其血乃生”的意思。这是指营气出于中焦，所以称之为生化之源。心主血脉，但血液的生成依赖于脾气化生津液，进入心脏后变为血液。所以，虽然血液由心所主，但也依赖脾气的化生作用。因此，妇女经血不调，必须审察脾气化生的源头，而健脾是调经的关键。
何松说：乾道成就男性，坤道成就女性。女性以坤道为主导，所以治疗妇人病，以阴血为主。女子十四岁（二七）天癸至，阴气旺盛，旺盛则溢泄，这是自然的道理。如果阴性旺盛，则不到十四岁就初潮；如果阴性虚弱，则超过十四岁才初潮。凡是治疗这种情况，应当考察脾胃的状况。如女子月经不调，是因为脾胃受损，不能生血所致，必须以补养脾胃为先。脾旺则能统摄血液，月经自然正常。切不可急于使用攻伐的药物，损伤中气，那样会使月经不调更加严重。
慎斋按语：以上三条，阐述了调经以补养脾胃为基本大法。赵养葵的两条观点，调经主要在于滋补肾水，这是补益先天真一之源。陈良甫以下的三条观点，调经主要在于补益脾土，这是培补后天元气之本。固肾扶脾，这是调经的重要途径，学习的人应当仔细审察。
Chen Liangfu stated: Women are primarily governed by blood. If the Spleen and Stomach are weak, leading to poor appetite, the Ying (Nutritive) and Wei (Defensive) Qi will be insufficient, resulting in amenorrhea, alternating chills and fever, abdominal pain, or conditions such as metrorrhagia and leukorrhea. All these are diseases caused by Spleen-Stomach deficiency. Therefore, if a woman suffers from amenorrhea due to overexertion or blood loss damaging the Liver and Spleen, nourishing the source of transformation and generation will naturally restore menstruation. If there is difficulty in urination, severe dizziness, lower back pain, cold feet with intermittent pain, and prolonged blood stasis internally forming masses (Zhang), it indicates internal pathology. If blood and water combine, and Spleen-Stomach weakness causes stagnation and obstruction, edema may develop. If Spleen Qi is weak and fails to control water, causing water to infiltrate the muscles, swelling and fullness may occur. Treatment should focus on replenishing body fluids and greatly tonifying the Spleen and Stomach.
Wu Shuqing stated: The Spleen Qi transforms fluids to generate blood, which aligns with the concept that "when water enters the meridians, blood is generated." This refers to the origin of Ying Qi emerging from the Middle Jiao, hence termed the "source of transformation and generation." The Heart governs the blood vessels, but blood formation relies on Spleen Qi transforming fluids into blood, which then enters the Heart. Thus, although the Heart governs blood, its generation depends on Spleen Qi. Consequently, for irregular menstruation in women, one must examine the source of Spleen Qi's transformation and generation; strengthening the Spleen is the key to regulating menstruation.
He Song stated: The Dao of Qian creates men, and the Dao of Kun creates women. Women operate according to the Dao of Kun, so treating female disorders focuses on Yin Blood. At age fourteen (two sevens), Tian Gui arrives in girls, Yin Qi becomes abundant, and when abundant, it flows out; this is natural. If Yin nature is robust, menstruation begins before fourteen; if weak, it begins after fourteen. In treating such cases, one must assess the condition of the Spleen and Stomach. For instance, if menstrual irregularities are caused by Spleen-Stomach damage failing to generate blood, priority must be given to nourishing the Spleen and Stomach. When the Spleen is strong, it can control blood, and menstruation will normalize. One must not hastily use attacking agents that damage Middle Qi, as this would worsen the irregularity.
Shen Zhai commented: The above three passages outline the major principle of regulating menstruation by nourishing the Spleen and Stomach. Zhao Yangkui’s two points emphasize nourishing Kidney Water to tonify the source of innate True One. Chen Liangfu’s subsequent points emphasize tonifying Earth (Spleen) to cultivate the root of acquired Yuan Qi. Consolidating the Kidneys and supporting the Spleen is the essential path for regulating menstruation; students should carefully consider this.