男妇两科同一治，所异调经崩带 。嗣育胎前并产后，前阴乳疾不相同。
【注】妇人诸病，本与男子无异，故同其治也。其异于男子者，惟调经、经闭，带浊、
崩漏、 瘕、生育子嗣、胎前产后诸病，及乳疾、前阴诸证不相同耳。故立妇人一科，以
分门而详治焉。业是科者，必先读方脉、心法诸书，然后读此，自有豁然贯通之妙。
先天天癸始父母，后天精血水谷生，女子二七天癸至，任通冲盛月事行。
【注】先天天癸，谓肾间之动气，乃禀自父母，资其始也；后天精血，谓水谷之所化，
得之形成之后，资其生也。经曰女子一七而肾气盛，谓肾间动气盛也。二七而天癸至，谓
先天癸水中之动气，至于女子胞中也。冲为血海，任主胞胎。冲任皆起于胞中，所以任
脉通，太冲脉盛，月事以时下，故能有子也。
不孕之故伤任冲，不调带下经漏崩，或因积血胞寒热，痰饮脂膜病子宫。
【注】女子不孕之故，由伤其任、冲也。经曰∶女子二七而天癸至，任脉通，太冲脉
盛，月事以时下，故能有子。若为三因之邪伤其冲任之脉，则有月经不调、赤白带下、经
漏、经崩等病生焉。或因宿血积于胞中，新血不能成孕；或因胞寒热，不能摄精成孕；或
因体盛痰多，脂膜壅塞胞中而不孕。皆当细审其因，按证调治，自能有子也。
男女两科的诊疗原则基本相同，不同之处在于女性特有的调经、崩漏及带下病。关于生育、胎前护理以及产后调理，还有前阴疾病和乳房疾病的处理则与男性不相同。
【注】妇女的各种疾病，本质上与男子没有差异，因此治疗原则是相同的。其不同于男子的地方，仅在于调经、闭经、带下浑浊、崩漏、瘕积、生育子嗣、胎前产后诸病，以及乳房疾病和前阴诸证不相同罢了。所以设立妇科这一科目，以便分门别类详细诊治。从事这一科工作的医生，必须先研读方脉、心法等书籍，然后再读本书，自然会有豁然贯通的妙处。
先天的天癸源于父母，后天的精血由水谷化生。女子到了十四岁（二七），天癸至，任脉通畅，冲脉旺盛，月经按时来潮。
【注】先天的天癸，指的是肾间的动气，是禀受自父母的，作为生命的起始；后天的精血，指的是由饮食水谷所化生的，是在形体形成之后获得的，用于滋养生命。《内经》说女子一七（七岁）时肾气盛，指的是肾间动气旺盛。二七（十四岁）时天癸至，指的是先天的癸水中之动气，到达女子胞宫。冲脉为血海，任脉主司胞胎。冲脉和任脉都起于胞中，所以任脉通，太冲脉盛，月经按时来潮，因此能够受孕生子。
不孕的原因多因损伤任脉和冲脉，月经不调、带下病、经漏或经崩。或者是因为瘀血停滞、胞宫寒热失调，或者是痰饮、脂膜阻塞子宫导致不孕。
【注】女子不孕的原因，是由于损伤了任脉和冲脉。《内经》说：女子二七（十四岁）时天癸至，任脉通，太冲脉盛，月经按时来潮，因此能够受孕。如果被三因（内因、外因、不内外因）之邪损伤冲任二脉，就会产生月经不调、赤白带下、经漏、经崩等疾病。或者是因为宿血积聚在胞宫中，新血无法形成受精卵；或者是因为胞宫寒热不调，不能摄精成孕；或者是因为身体肥胖痰多，脂膜壅塞胞中而导致不孕。这些都应当仔细审察病因，按照证候进行调理治疗，自然就能受孕生子。
The treatment principles for both male and female departments are essentially the same, with the differences lying in women's specific conditions such as regulating menstruation (Tiaojing), metrorrhagia (Benglou), and leukorrhea (Daixia). Regarding fertility, prenatal care, postpartum recovery, as well as diseases of the anterior yin (Qianyin) and breasts, they are not the same as those in men.
[Note] Various diseases in women are fundamentally no different from those in men; therefore, their treatment principles are identical. The aspects that differ from men lie solely in regulating menstruation, amenorrhea, turbid leukorrhea, metrorrhagia, metrostaxis, zhang masses (Jia), fertility, prenatal and postpartum conditions, as well as breast diseases and anterior yin syndromes. Hence, a separate department for gynecology is established to categorize and treat these conditions in detail. Practitioners of this specialty must first study texts on pulse diagnosis and clinical methods, and then read this book, which will naturally lead to a profound understanding.
Congenital Tian Gui (Heavenly Water/Menstrual Essence) originates from parents, while postnatal Jing Blood (Essence and Blood) is generated from water and grain (dietary nutrients). When a girl reaches fourteen years old (two times seven), Tian Gui arrives, the Ren Mai (Conception Vessel) becomes unobstructed, the Chong Mai (Penetrating Vessel) becomes abundant, and menstruation occurs regularly.
[Note] Congenital Tian Gui refers to the moving Qi within the kidney, inherited from parents, serving as the beginning of life. Postnatal Jing Blood refers to what is transformed from dietary intake, acquired after physical formation, serving to nourish life. The Classic states that at one times seven (seven years old), the Kidney Qi is abundant, referring to the abundance of the moving Qi within the kidney. At two times seven (fourteen years old), Tian Gui arrives, meaning the moving Qi within the congenital Gui water reaches the uterus (Zigong). The Chong Mai is the Sea of Blood, and the Ren Mai governs pregnancy. Both the Chong and Ren vessels originate from the uterus; thus, when the Ren Mai is unobstructed and the Tai Chong Mai (Chong Mai) is abundant, menstruation occurs regularly, enabling conception.
Infertility is often caused by damage to the Ren and Chong vessels, irregular menstruation, leukorrhea, menstrual leakage, or heavy menstrual bleeding. It may also result from blood stasis accumulation, uterine cold or heat, or phlegm-fluid retention and fatty tissue obstructing the uterus.
[Note] The cause of infertility in women lies in the damage to the Ren and Chong vessels. The Classic states: At two times seven (fourteen years old), Tian Gui arrives, the Ren Mai is unobstructed, the Tai Chong Mai is abundant, menstruation occurs regularly, and conception is possible. If pathogenic factors from the Three Causes (internal, external, and neither internal nor external) damage the Chong and Ren vessels, conditions such as irregular menstruation, red and white leukorrhea, menstrual leakage, and metrorrhagia may arise. Alternatively, it may be due to old blood accumulating in the uterus, preventing new blood from forming an embryo; or due to uterine cold or heat imbalance, preventing the reception of sperm for conception; or due to obesity and excessive phlegm, where fatty tissue obstructs the uterus, leading to infertility. In all cases, the etiology should be carefully examined, and treatment should be adjusted according to the syndrome, allowing conception to occur naturally.