问曰∶妇人病经水适下，而发其汗，则郁冒不知人，何也？师曰∶经水下，故为里虚，而发其汗，为表复虚，此为
表里俱虚，故令郁冒也。
问曰∶妇人病如癫疾郁冒，一日二十余发。师脉之，反言带下，皆如师言，其脉何类？何以别之？师曰∶寸口脉濡
而紧，濡则阳气微，紧则荣中寒，阳微卫气虚，血竭凝寒，阴阳不和，邪气舍于荣卫，疾（疾一作候）起年少时，经水
来以合房室，移时过度，精感命门开，经下血虚，百脉皆张，中极感阳动，微风激成寒，因虚舍荣卫，冷积于丹田，发
动上冲，奔在胸膈，津液掩口入，涎唾涌溢出，眩冒状如厥，气冲髀里热，粗医名为癫，灸之因大剧。
问曰∶妇人病苦气上冲胸，眩冒，吐涎沫，髀里气冲热。师脉之，不名带下，其脉何类？何以别之？师曰∶寸口脉
沉而微，沉则卫气伏，微则荣气绝，阳伏则为疹，阴绝则亡血。病当小便不利，津液闭塞，今反小便通，微汗出，沉变
为寒，咳逆呕沫，其肺成痿，津液竭少，亡血损经络，因寒为血厥，手足苦痹，气从丹田起，上至胸胁，沉寒怫郁于上，
胸中窒塞，气历阳部，面翕如醉，形体似肥，此乃浮虚，医反下之，长针，复重虚荣卫，久发眩冒，故知为血厥也。
问曰∶五崩何等类？师曰∶白崩者形如涕，赤崩者形如绛津，黄崩者形如烂瓜，青崩者形如蓝色，黑崩者形如 血
也。
师曰∶有一妇人来脉，反得微涩，法当吐，若下利，而言不，因言夫人年几何？夫人年七七四十九，经水当断，反
至今不止，以故致此虚也。
寸口脉弦而大，弦则为减，大则为芤，减则为寒，芤则为虚，寒虚相抟，脉则为革，妇人则半产、漏下，旋复花汤
主之。
妇人陷经漏下，黑不解，胶姜汤主之。
妇人经水不利，抵当汤主之。在《伤寒》中。
妇人经水闭不利，脏坚僻不止，中有干血。下白物，矾石丸主之。
妇人腹中诸疾痛，当归芍药散主之。（一云∶治怀妊腹中疼痛）
妇人腹中痛，小建中汤主之。方在《伤寒》中。（一云∶腹中痛，小便利，理中汤主之）
问：妇女患病，正值月经来潮时，如果误用发汗法治疗，就会出现头目昏眩、意识丧失（郁冒不知人），这是为什么呢？
答：月经下行，导致体内阴血亏虚（里虚）；此时再发汗，又使体表阳气耗散（表复虚）。这属于表里俱虚，所以会导致头目昏眩、意识丧失。
问：妇女患病，症状类似癫狂病，出现头目昏眩，一天发作二十多次。医生诊脉后，反而说是带下病，患者都符合医生的判断，这种脉象是什么样的？如何鉴别？
答：寸口脉象濡软而紧。濡脉表示阳气微弱，紧脉表示营分中有寒邪。阳气微弱则卫气虚弱，血液枯竭且凝滞于寒邪之中，阴阳失调，邪气客居于营卫之间。此病起于年少之时，月经期间行房事，时间过长过度劳累，精气感召命门穴开启，经血下行导致血虚，全身血脉扩张。中极穴感受阳动之气，微风激发形成寒邪，因正气虚弱，邪气留驻营卫，冷积于丹田。发作时气机上冲，奔迫于胸膈，津液随气上泛至口，涎唾涌出溢出，眩晕昏冒状似厥证，大腿内侧有气冲热感。粗俗的医生误认为是癫狂病，采用灸法治疗，反而使病情加重。
问：妇女患病，苦于气逆上冲胸部，头目昏眩，呕吐涎沫，大腿内侧有气冲热感。医生诊脉后，不诊断为带下病，这种脉象是什么样的？如何鉴别？
答：寸口脉象沉而微。沉脉表示卫气潜伏不出，微脉表示营气衰竭。阳气潜伏则皮肤出现疹子，阴血衰竭则亡血。病症应当是小便不利、津液闭塞，现在反而小便通畅，伴有轻微出汗。脉象由沉变为寒象，出现咳嗽气逆、呕吐涎沫，肺部形成痿证，津液枯竭减少，亡血损伤经络。因寒邪导致血厥，手足严重痹阻，气从丹田发起，上行至胸胁，沉寒郁结于上部，胸中窒塞不通，气行于阳部，面色红赤如醉酒状，形体看似肥胖，这实际上是浮虚之脉。医生反而使用攻下法治疗，长针再次重伤营卫之气，长期引发眩晕昏冒，因此知道这是血厥证。
问：五崩是指哪几种类型？
答：白崩的分泌物形状像鼻涕，赤崩的形状像深红色的津液，黄崩的形状像腐烂的瓜，青崩的形状像蓝色，黑崩的形状像血一样。
医生说：有一位妇女来诊脉，脉象反而呈现微涩，按照脉法应当出现呕吐或下利的症状，但患者却说没有这些症状。于是询问这位妇女多大年纪了？妇女回答四十九岁，月经本应断绝，却至今不止，因此导致这种虚损状况。
寸口脉弦而大。弦脉表示阳气衰减，大脉表示中空如芤脉。衰减则生寒，中空则为虚。寒与虚相互搏结，脉象变为革脉。妇女出现半产（小产）或漏下（非经期阴道出血），用旋覆花汤主治。
妇女月经闭止不畅，子宫坚硬偏侧不止，其中有干血。下注白色分泌物，用矾石丸主治。
妇女腹中各种疼痛，用当归芍药散主治。（另一种说法是：治疗妊娠腹中疼痛）
Question: A woman is suffering from a disease, and her menstruation has just started. If diaphoresis (sweating therapy) is mistakenly applied, she experiences "Yu Mao" (dizziness and fainting/loss of consciousness). Why does this happen?
Answer: The downward flow of menstrual blood causes deficiency in the interior (Li Xu, internal deficiency). Applying diaphoresis at this time further depletes the exterior (Biao Fu Xu, external deficiency). This results in both interior and exterior deficiency, which leads to Yu Mao.
Question: A woman suffers from symptoms resembling mania or epilepsy, with frequent episodes of dizziness and fainting, occurring more than twenty times a day. Upon pulse diagnosis, the physician diagnoses it as Dai Xia (leukorrhea/bearing-down sensation), which matches the patient's condition. What kind of pulse presents here, and how can it be differentiated?
Answer: The Cun Kou (radial artery at the wrist) pulse is Ru (soft/soggy) and Jin (tight). A Ru pulse indicates weak Yang Qi; a Jin pulse indicates Cold in the Ying (Nutrient) level. Weak Yang Qi leads to deficient Wei (Defensive) Qi. Blood exhaustion combined with coagulation due to Cold disrupts Yin-Yang harmony, allowing pathogenic factors to lodge in the Ying and Wei levels. This disease originated in youth when sexual intercourse occurred during menstruation. Prolonged activity stimulated the Ming Men (Gate of Life), causing menstrual bleeding and subsequent blood deficiency, leading to distension of all vessels. The Zhong Ji acupoint was affected by Yang movement, and slight wind triggered Cold. Due to deficiency, pathogens lodged in Ying and Wei, accumulating cold in the Dan Tian (Lower Dantian). When activated, Qi rushes upward to the chest and diaphragm. Body fluids rise to the mouth, causing excessive salivation. Dizziness and fainting resemble Jue syndrome (cold extremities/fainting). There is a sensation of Qi rushing heat in the thighs. Unskilled physicians misdiagnosed this as mania and applied moxibustion, exacerbating the condition.
Question: A woman suffers from Qi rushing up to the chest, dizziness, vomiting of saliva/phlegm, and a sensation of Qi rushing heat in the thighs. Pulse diagnosis does not indicate Dai Xia. What is the pulse characteristic, and how is it differentiated?
Answer: The Cun Kou pulse is Chen (deep) and Wei (fine/extremely weak). A Chen pulse indicates that Wei Qi is submerged; a Wei pulse indicates that Ying Qi is exhausted. Submerged Yang Qi manifests as skin rashes; exhausted Yin Blood leads to blood loss. Typically, such a condition involves difficult urination and blocked body fluids. However, here urination is normal, accompanied by slight sweating. The pulse shifts from deep to indicating Cold. Symptoms include cough, reverse Qi, and vomiting of frothy saliva, leading to Fei Wei (Lung Flaccidity Syndrome). Body fluids are depleted, and blood loss damages the meridians. Cold causes Xue Jue (Blood Jue/Syncope due to blood deficiency), resulting in severe bi-syndrome (numbness/pain) in the hands and feet. Qi originates from the Dan Tian, rises to the chest and hypochondrium, where deep Cold stagnates above, causing chest oppression. Qi moves through the Yang regions, causing the face to appear flushed like drunkenness, and the body may appear fat. This is actually a Fu Xu (floating and empty) pulse. If physicians mistakenly use purgation, and acupuncture further injures Ying and Wei Qi, chronic dizziness and fainting occur. Thus, it is identified as Xue Jue.
Question: What are the categories of Wu Beng (Five Leukorrheal Discharges)?
Answer: Bai Beng (White Discharge) resembles mucus; Chi Beng (Red Discharge) resembles dark red fluid; Huang Beng (Yellow Discharge) resembles rotting melon; Qing Beng (Green/Blue Discharge) resembles blue color; Hei Beng (Black Discharge) resembles blood.
The Master said: A woman presented with a pulse that was Wei (weak) and Se (choppy). According to pulse theory, vomiting or diarrhea should occur, but the patient denied these symptoms. I asked her age. She replied she was forty-nine years old. Her menstruation should have ceased, but it continues, causing this deficiency.
The Cun Kou pulse is Xian (wiry) and Da (large). Xian indicates reduction/depletion; Da indicates Kong (hollow). Depletion generates Cold; Hollow indicates Deficiency. Cold and Deficiency combine to form Ge (drum-taut) pulse. In women, this indicates spontaneous abortion (Ban Chan) or metrorrhagia (Lou Xia). Xuan Fu Hua Tang (Inula Flower Decoction) is indicated.
For women with sinking of the meridians and continuous black leukorrhea/menorrhagia, Jiao Jiang Tang (Gelatin and Ginger Decoction) is indicated.
For women with irregular menstruation, Di Dang Tang (Ephedra and Ascent Decoction) is indicated. (This formula is found in Shang Han Lun).
For women with amenorrhea or irregular menstruation, with a hard and deviated uterus persisting, containing dried blood, and discharge of white matter, Fan Shi Wan (Alum Pill) is indicated.
For various abdominal pains in women, Dang Gui Shao Yao San (Angelica and Paeony Powder) is indicated. (Another version states it treats abdominal pain during pregnancy).
For abdominal pain in women, Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) is indicated. (This formula is in Shang Han Lun). (Another version states: for abdominal pain with free urination, Li Zhong Tang is indicated).