楼氏曰∶求子之法，莫先调经（理妇人者，先须熟此症治）。每见妇人之无子者，其经必或前或后，或多或少，
或将
行作痛，或行后作痛，或紫或黑或淡，或凝而不调，不调则血气乖争，不能成孕矣。详夫不
调之由，其或前或后，及行后作痛者，虚也；其少而淡者，血虚也；多者，气虚也；其将行
作痛，及凝块不散者，滞也；紫黑色者，滞而挟热也。治法，血虚者，四物；气虚者，四物
加参 ；滞者，香附、缩砂、木香、槟榔、桃仁、玄胡；滞久而沉痼者，吐之下之（涌泄调经，惟子和可法）；脉证热
者，四物加芩连；脉证寒者，四物加桂附，及紫石英之类是也。直至积去滞行虚回，然后气
血和平，能孕子也。予每治经不调者，只一味香附末（有积滞，则污浊不清，虚未回，则新生之气不鼓，一味香附，有
去旧生新之妙），醋为丸服之，亦百发百中也。
袁了凡先生云∶聚精之道，一曰寡欲，二曰节劳，三曰息怒，四曰戒酒，五曰慎味（此五者，非特求子者之
良
药，亦可为摄生者之真方）。今
之谈养生者，多言采阴补阳，久战不泄，此为大谬。肾为精之府，凡男女交接，必扰其肾，
肾动则精血随之而流，外虽不泄，精已离宫。未能坚忍者，亦必有真精数点，随阳之痿而溢
出，此其验也。如火之有烟焰，岂有复反于薪者哉，是故贵寡欲。精成于血，不独房室之交
，损吾之精，凡日用损血之事，皆当深戒。如目劳于视，则血于视耗；耳劳于听，则血以听
耗；心劳于思，则血于思耗。吾随事而节之，则血得其养，而与日俱积矣。是故贵节劳，主
闭藏者肾也，司疏泄者肝也。二脏皆有相火，而其系上属于心，心君火也。怒则伤肝而相火
动，动则疏泄者用事，而闭藏不得其职，虽不交合，亦暗流而潜耗矣，是故当息怒。人身之
血，各归其舍，则常凝，酒能动血，人饮酒则面赤手足俱红，是扰其血而奔驰之也。血气既
衰之人，数月无房事，精始浓而可用，然使一夜大醉，精随薄矣，是故宜戒酒。《内经》云
∶精不足者，补之以味。然浓郁之味，不能生精，惟恬淡之味，乃能补精耳。盖万物皆
有真味，调和胜而真味衰矣，不论腥素，淡煮之得法，自有一段冲和恬淡之气，益人肠胃。
洪范论味，而曰稼穑作甘。世间之物，惟五谷得味之正，但能淡食谷味，最能养精。又
凡煮粥饭，而中有浓汁滚作一团者，此米之精液所聚也，食之骤能生精，试之有效。炼精有
诀，全在肾家下手，内肾一窍，名玄关，外肾一窍，名牝户（玄、牝内外之说，固是旧话，然犹未确）。真精未泄，干
体未破，则外肾
阳气至子时而兴。人身之气，与天地之气，两相吻合（至论），精泄体破而吾身阳生之候渐晚，有丑
而生者，次则寅而生者，又次则卯而生者，有终不生者，始与天地不相应矣。炼之之诀，须
半夜子时，即披衣起坐，两手搓极热，以一手将外肾兜住，以一手掩脐而凝神于内肾（内肾二字，还差一线，须得口诀），
久久
楼氏说：求子的方法，没有比调理月经更重要的了（治疗妇人疾病，必须先熟悉这方面的病症和治疗）。经常见到妇女不能生育的，她们的月经必定或提前或推后，或量多或少，或在行经前疼痛，或在行经后疼痛，或颜色紫黑或淡白，或凝结而不通畅。月经不调则气血乖争，就不能受孕了。详细分析不调的原因，凡是月经提前或推后，以及行经后疼痛的，属于虚证；量少且色淡的，是血虚；量多的，是气虚；行经前疼痛，以及有凝块不散的，是气滞；颜色紫黑的，是气滞兼有热邪。治疗方法，血虚的用四物汤；气虚的用四物汤加人参；气滞的用香附、缩砂仁、木香、槟榔、桃仁、玄胡索；气滞日久成为沉疴痼疾的，用涌吐和泻下的方法（张子和认为调经只有涌泄法值得效法）；脉象和症状表现为热的，用四物汤加黄芩、黄连；脉象和症状表现为寒的，用四物汤加肉桂、附子，以及紫石英之类药物。直到积滞去除、气血运行通畅、虚损恢复，然后气血平和，才能怀孕生子。我每次治疗月经不调的患者，只用一味香附末（如果有积滞，则污浊不清；如果虚损未恢复，则新生的正气无法鼓动，单用一味香附，有去旧生新的奇妙功效），用醋制成丸剂服用，也百发百中。
袁了凡先生说：聚精的方法，一是寡欲，二是节劳，三是息怒，四是戒酒，五是慎味（这五点，不仅是求子者的良药，也是养生者的真方）。现在谈论养生的人，大多说采阴补阳，久战不泄，这是极大的谬误。肾是精的府库，凡是男女交接，必然扰动肾脏，肾动则精血随之流动，外面虽然不射精，但精已经离开宫室。不能坚忍持久的，也一定会有少量真精，随着阳气的痿弱而溢出，这就是验证。就像火有烟焰，哪有烟焰重新回到柴薪里的呢？所以贵在寡欲。精由血生成，不仅房事会损伤我的精，凡是日常生活中耗损血液的事情，都应当深深警惕。比如眼睛过度视物，则血液因视物而消耗；耳朵过度听声，则血液因听声而消耗；心思过度劳累，则血液因思虑而消耗。我随着事情加以节制，那么血液就能得到滋养，并且日益积聚。所以贵在节劳。主管闭藏的是肾，主管疏泄的是肝。这两脏都有相火，而其联系上属于心，心是君火。愤怒会伤肝而使相火妄动，一动则疏泄的功能占主导，而闭藏的功能失职，即使不进行交合，也会暗中流失而潜耗精气，所以应当平息愤怒。人身之血，各归其舍，则常凝固，酒能扰动血液，人饮酒后面色赤红、手足俱红，就是扰动血液使其奔驰。气血已经衰弱的人，几个月没有房事，精液才开始浓稠而可用，但如果一夜大醉，精液就会变薄，所以宜戒酒。《内经》说：精不足的，用味来补益。然而浓郁的味道，不能生精，只有恬淡的味道，才能补精。大概万物都有真味，调和过胜则真味衰败，不论荤素，只要淡煮得法，自然有一股冲和恬淡之气，有益于肠胃。《洪范》论味道，说“稼穑作甘”。世间万物，只有五谷得味之正，只要清淡食用谷味，最能养精。另外，凡是煮粥饭，其中浓汁滚成一团的，这是米的精液聚集之处，吃了能迅速生精，试过有效。炼精有诀窍，全在肾家下手，内肾一窍，名叫玄关，外肾一窍，名叫牝户（玄、牝内外的说法，虽然是老话，但还不够确切）。真精未泄，干体未破，则外肾阳气在子时兴起。人身之气，与天地之气，两相吻合（这是至理），精泄体破而我身阳气生发的时辰逐渐推迟，有的在丑时生发，次则在寅时，又次则在卯时，有的最终不生发，开始与天地不相呼应了。炼精的诀窍，必须在半夜子时，立即披衣起坐，两手搓至极热，用一只手将外肾兜住，用另一只手捂住肚脐并将神念凝聚于内肾（内肾二字，还差一线，必须得到口诀），久久……
Lou stated: The method for seeking offspring prioritizes regulating menstruation (in treating women's diseases, one must first be familiar with these conditions and treatments). It is often observed that women who are infertile invariably have irregular menstruation—either early or late, heavy or light, painful before or after the period, with colors ranging from purple-black to pale, or congealed and unsmooth. Irregular menstruation leads to a conflict between blood and qi, making conception impossible. A detailed analysis of the causes reveals that early/late periods and post-menstrual pain indicate deficiency; scanty and pale flow indicates blood deficiency; excessive flow indicates qi deficiency; pre-menstrual pain and persistent clumps indicate stagnation; purple-black color indicates stagnation complicated by heat. The treatment methods are as follows: for blood deficiency, use Siwu Tang (Four Substances Decoction); for qi deficiency, Siwu Tang plus Ginseng Radix (Renshen); for stagnation, use Cyperi Rhizoma (Xiangfu), Amomi Fructus Rotundus (Suosha), Aucklandiae Radix (Muxiang), Arecae Semen (Binglang), Persicae Semen (Taoren), and Cystancheae Herba (Xuanyuan); for chronic and entrenched stagnation, employ emetic and purgative methods (Zhang Hezi believed only emetic and purgative therapies were worthy of emulation for regulating menstruation); if pulse and symptoms indicate heat, use Siwu Tang plus Scutellariae Radix (Huangqin) and Coptidis Rhizoma (Huanglian); if they indicate cold, use Siwu Tang plus Cinnamomi Ramulus (Guizhi), Aconiti Lateralis Radix Praeparata (Fuzi), and Pyritum (Zishiyang). Only when stagnation is cleared, flow is smooth, and deficiency is restored can qi and blood harmonize, allowing for pregnancy. In my treatment of menstrual irregularities, I solely use powder of Cyperi Rhizoma (Xiangfu) (if there is stagnation, turbidity remains unclear; if deficiency persists, new qi cannot be generated; single-use Xiangfu has the wonder of eliminating the old and generating the new), formed into pills with vinegar, which proves effective in every case.
Mr. Yuan Liaofan said: The way to gather essence involves five principles: first, few desires; second, moderate labor; third, calm anger; fourth, abstain from alcohol; fifth, guard dietary flavors (these five are not only good medicine for those seeking offspring but also the true prescription for health preservation). Modern proponents of health preservation often speak of "harvesting yin to supplement yang" and prolonged intercourse without emission, which is a great fallacy. The Kidney is the mansion of essence. Any sexual intercourse disturbs the Kidney; when the Kidney moves, essence and blood flow with it. Even if external emission does not occur, the essence has already left its palace. Those unable to maintain endurance will inevitably lose small amounts of true essence as yang energy wanes, which serves as proof. Just as fire produces smoke and flame, how can smoke return to the wood? Therefore, few desires are prized. Essence is formed from blood. Not only does sexual intercourse damage our essence, but any daily activity that consumes blood should be deeply guarded against. For instance, visual overuse consumes blood through sight; auditory overuse consumes blood through hearing; mental overuse consumes blood through thought. By moderating these activities, blood is nourished and accumulates day by day. Thus, moderate labor is prized. The Kidney governs closure and storage, while the Liver governs dispersion and excretion. Both viscera contain ministerial fire (Xianghuo), which connects upward to the Heart, the ruler fire (Junhuo). Anger injures the Liver, stirring ministerial fire; once stirred, the dispersing function dominates, and the storing function fails its duty. Even without intercourse, essence secretly flows and is consumed. Therefore, calming anger is essential. Blood in the body returns to its residence and coagulates normally; alcohol agitates blood, causing facial redness and reddened hands and feet, indicating blood agitation and rapid circulation. In individuals with declining qi and blood, even months of abstinence may yield thick, usable essence, but a night of heavy drinking thins it. Hence, abstaining from alcohol is advisable. The *Neijing* states: "For insufficiency of essence, tonify with flavor." However, rich flavors do not generate essence; only bland flavors can tonify essence. All things possess true flavor; excessive seasoning diminishes this true flavor. Regardless of meat or vegetables, properly boiled blandly yields a harmonious, tranquil qi that benefits the intestines and stomach. The *Hongfan* discusses flavors, stating "grains and crops produce sweetness." Among worldly items, only the five grains possess correct flavor. Eating grains blandly best nourishes essence. Furthermore, in cooked porridge or rice, the concentrated liquid rolling into a mass is where the grain's essence gathers; consuming it rapidly generates essence, and trials prove effective. The secret to refining essence lies in acting upon the Kidney system. The inner kidney aperture is called the Mysterious Gate (Xuanguan); the outer kidney aperture is called the Female Door (Pinhu) (though the internal/external distinction of Xuanguan and Pinhu is an old saying, it remains imprecise). If true essence is not leaked and the physical structure intact, the yang qi of the outer kidneys rises at the Zi hour (11 PM - 1 AM). Human qi aligns with the qi of heaven and earth (this is the ultimate principle). Leakage of essence and breaking of the physical structure delay the generation of yang qi in the body; some arise at Chou hour, others at Yin, then Mao, and some never arise, becoming unresponsive to heaven and earth. The secret of refinement requires rising at midnight (Zi hour), rubbing hands until extremely hot, using one hand to cup the outer kidneys and the other to cover the navel, concentrating spirit within the inner kidney (the term 'inner kidney' lacks precision and requires oral transmission), maintaining this practice for a long time...