凡妇女病损至旬月半载后，未有不经闭者，此因阴竭，所以血枯，最为危殆。必须渐
，方可回生。若或久久断绝，断难施治。然欲其不枯，无如养营，欲其通之，无如充之，但
使雪消，则春水自来，血盈则经脉自至耳。若再用桃仁、红花之类，是与榨干汁者无异，非
治法也。
血枯经闭，通用乌贼丸。水不制火，夜热盗汗，及烦渴咳嗽者，宜一二三四五阴等煎
用之。欲念不遂，心脾郁结者，宜逍遥饮。三阴亏弱，无寒无热平脏者，宜小营煎、五福饮
，或左归饮、左归丸之类。三阴亏弱，兼阳虚者，宜大营煎、理阴煎，及右归饮、右归丸、
八味地黄汤丸之类。
两颧红或唇红，阴虚于下，逼阳于上也。仲景先生云∶其面戴阳者，下虚故也。
虚而渴欲多饮，肾水不足，引水自救也，又火乘金位也。
足心如烙，虚火烁阴，涌泉涸竭也。
喑哑声不出，肾气竭也。盖声出于喉，而根于肾。经曰∶内夺而厥，则为喑俳，肾气
虚而喘急，阴虚肺格，气无所归也。又水不制火，冲脉上冲也。
喉干咽痛，真水亏，虚火上炎也。
不眠恍惚，血不养心，神不能藏也。又肾不交心，心火无制也。
时多烦躁，阳中无阴，柔不济刚也。
易生嗔怒，水亏木燥也。
盗汗不止，有火则阴不能守，无火则阳不能固也。
骨痛如折，肾主骨，真阴败竭也。寻常痛，骨衰而火乘之也。
筋急酸痛，肝失所滋也。
痰如清水，而口不渴，水泛为痰，脾不制水也。
痰多白沫而口渴，水沸为痰，阴火煎熬也。宜壮水以制相火。
心下跳动，气不归精也。经曰∶胃之大络，名曰虚里，出于左乳下，其动应衣，宗气
泄也。欲纳气归原者，惟有补阴以配阳一法。
小便黄涩淋沥，真阴亏，气不化水也。
消瘦，精不生气也。又燥万物者，莫HT 乎火，阴火盛也。若肉极者，阴火久灼难治，
若劳倦伤脾而然，宜用十全大补汤。
善惊，火起于心也，或心伤而神不安也。
爪甲痛，木极筋亏，金气乘之也。用猪膏养筋。
腰胁痛，肝肾虚也。
不能久立，筋不束骨也。当滋肾生肝。
不能独卧，肝肾虚也。
皮毛枯，无津液以充泽皮毛也。
足心痛，肝肾伤也。
手指微胀，言语急遽，真阴亏也。当清金滋水。
合目恍惚不宁，阴虚而三焦包络之火游行也。
内热，五心热，水亏火炎也。
虚损呃逆，水不制火，木挟火势，冲逆而上也。
口疮，心火上炎也。宜天王补心丸。
目昏，肾虚也。宜六味地黄，加柴胡、五味。
虚而大便结，水亏液涸也，宜地六汤。
胸膈隐痛，肾虚不能纳气归源，气滞于上，而不流畅也。补阴之中须纳气。
虚损头运，上焦阳气虚也，或阴虚血损，气逆上冲也。
怔忡不宁，血虚或有痰也。各脏有疾，皆能与包络之火合动而为怔忡，随其所犯而补
泻之，更须从包络而调之平之。如各脏移热于心，以致包络火动，治亦如之。
健忘，心血不足，而痰与火乱其神明也。又肾不足而志衰，不能上通于心也。
膻中不乐，怒则气上，恐则气下，一怒一恐，拂于膻中也。宜用柴胡、苓、泽以升降
之，亦有可用连以平其逆者。
胸中痞塞，居暗避人，病名卑 ，血不足也。宜养营汤加减治之。
自觉吾身之外，更有一我，病为离魂，心气虚也。单补其心，心足而魂自定。
须发脱落，肾枯火炎，肺失治节，而内风妄动也。
虚人头顶出汗，肾水不足，而肾火有余也。宜滋肾清肺，用桑叶、熟地、五味、麦冬
蜜丸，服二月愈。若用止涩之药，则目昏耳聋矣。
虚人每饭头汗，胃火胜也。宜用固本，加元参、五味、枣仁。
两足不能步履，肝肾虚，精血不足也。或因气虚不能运动，宜用补中益气汤，及牛膝
、钗斛、黄 。
舌根苦直，不能咽唾，脾不能行气于三阴也。
手足烦痛，不欲行动，骨肉空虚也。
饮食不甘，肌肉渐削，脾元失守，化机日败也。
悬心，胃阴不足，胃火消烁心血，而悬悬不宁也。
虚损善谷，阴虚火盛，则速于传化也。
气短口干，气不足，无以化液也，又金受火制也。
气逆左胁，上呕酸水，脉弦数而濡，此火郁肝血燥也。
按之至骨，其热烙手，骨困不任肾热也。惟乌梅能引诸药入骨，而收其热。
面黑羸瘦，肌肤甲错，不能饮食，此血积胃中，而中土失其灌溉，虚极也。
汗出淋漓，一昼夜津液随热势外越也，速用人参。
梦与鬼交，真阴败也，血海瘀积，经断蒸热，亦有是症。宜补血加参以行之。
虚而脐腹疼痛不止，肾水亏极也，重用杞子。
少腹拘急，小便牵痛，真阳内衰也。
恶寒不乐，而五心烦热，重阴覆其阳，火不得伸也。宜用升柴以举之。
下唇生疮，此血瘀营虚发热，蒸其所瘀之血，化而为虫，遂成此症，盖即传尸劳之谓
足寒无论阴阳，凡下虚者，皆能致此，治须辨别。又肺气虚则逆而不行，无以及于四
虚而气哽，火盛则津枯，津枯则气哽也。
膝下冷，火不归源也。若上气喘，命门衰绝也。
不时溏泄，脾肾虚弱也，或心火不生脾土也。
发尖生穗，血虚火炎也。
身冷，营卫虚寒也。宜用当归、干姜。
凡是妇女患病损耗，经过十天、一个月甚至半年之后，没有不出现月经闭止的，这是因为阴液枯竭，导致血液干枯，病情最为危险。必须逐渐调养，才能挽回生命。如果长久断绝，就难以施治了。然而想要使经血不枯，不如滋养营血；想要使经血通畅，不如充盈它。只要像雪融化一样自然恢复，春天的经水自然会来，血液充盈则经脉自然通畅。如果再使用桃仁、红花这类破血逐瘀的药物，与榨干汁液没有什么区别，这不是正确的治疗方法。
血枯经闭，通用乌贼丸。如果是肾水不能制约心火，出现夜间发热、盗汗，以及心烦口渴、咳嗽的症状，适宜使用一二三四五阴等煎剂服用。如果是欲望未能满足，导致心脾郁结，适宜使用逍遥饮。如果是三阴（肝、脾、肾）亏弱，身体无寒无热、脏腑平和者，适宜使用小营煎、五福饮，或者左归饮、左归丸之类的方剂。如果是三阴亏弱，兼有阳虚者，适宜使用大营煎、理阴煎，以及右归饮、右归丸、八味地黄汤丸之类的方剂。
两颧发红或嘴唇发红，是下焦阴虚，逼迫阳气上浮于上部的表现。张仲景先生说：面部戴阳（面色泛红如妆），是因为下元虚损的缘故。
身体虚弱而口渴想多饮水，是肾水不足，引水自救的表现，也是火邪侵犯肺金之位。
足心感觉像被火烧灼，是虚火灼伤阴液，涌泉穴处的阴精枯竭所致。
声音嘶哑发不出声，是肾气衰竭的表现。因为声音出于喉咙，但根源在肾。《内经》说：内部精气夺失而发生厥逆，就会变成失音和瘫痪，这是肾气虚而喘急，阴虚导致肺气格拒，气无所归附。另外，水不能制约火，冲脉之气上冲所致。
喉咙干燥、咽喉疼痛，是真阴亏损，虚火上炎所致。
失眠、神志恍惚，是血液不能滋养心脏，心神不能内守所致。另外，肾水不能上济心火，导致心火失去制约。
时常烦躁，是阳中无阴，柔和之阴不能调和刚强之阳。
容易生气发怒，是水亏导致肝木燥烈。
盗汗不止，是有火邪时阴液不能内守，无火邪时阳气不能固摄所致。
骨头疼痛如同折断，是因为肾主骨，真阴败竭所致。一般的疼痛，是骨骼衰弱而火邪乘虚侵袭所致。
筋脉拘急酸痛，是肝脏失去滋养所致。
痰液像清水一样，且口不渴，是水湿泛滥成为痰饮，脾脏不能制约水湿所致。
痰多白沫且口渴，是水沸腾化为痰，由阴火煎熬所致。适宜壮水以制约相火。
心下跳动，是气不能归于精微。《内经》说：胃的大络，名叫虚里，出于左侧乳下，其搏动可以透过衣服看到，这是宗气外泄的表现。想要纳气归原，只有补阴以配阳这一种方法。
小便黄赤涩痛、淋漓不尽，是真阴亏损，气化功能失常不能化水所致。
身体消瘦，是精不能化生气的表现。另外，使万物干燥的，没有比火更厉害的了，这是阴火旺盛所致。如果肌肉极度消瘦，是阴火长期灼烧难以治疗；如果是因劳倦损伤脾胃而导致，适宜使用十全大补汤。
指甲疼痛，是木极筋亏，金气乘虚侵袭所致。可用猪膏来滋养筋脉。
手指轻微肿胀，言语急促，是真阴亏损。应当清金滋水。
虚损导致的呃逆，是水不能制约火，木挟带火势，冲逆而上所致。
虚弱而大便干结，是水亏液涸所致，适宜地六汤。
胸膈隐痛，是肾虚不能纳气归源，气滞于上部，而不流畅所致。在补阴之中须要纳气。
虚损导致的头晕，是上焦阳气虚，或者是阴虚血损，气逆上冲所致。
怔忡不宁，是血虚或者有痰。各个脏腑有病，都能与心包络之火合动而引发怔忡，根据其所犯的脏腑进行补泻，更须从心包络来调理平复。如各脏移热于心，导致心包络火动，治疗也与此相同。
健忘，是心血不足，而痰与火扰乱神明所致。另外，肾不足导致志气衰微，不能上通于心。
膻中部位感到不乐，怒则气上，恐则气下，一怒一恐，拂逆于膻中部位。适宜用柴胡、茯苓、泽泻来升降气机，也有可用黄连来平抑逆气的。
胸中痞塞，居住在暗处躲避他人，病名卑豚（注：此处原文可能有误，通常指类似百合病或脏躁等情志病，或指“卑惵”），是血不足所致。适宜养营汤加减治疗。
自觉身体之外还有一个我，病为离魂症，是心气虚所致。单补其心，心气充足而神魂自然安定。
虚损之人头顶出汗，是肾水不足，而肾火有余所致。适宜滋肾清肺，用桑叶、熟地黄、五味子、麦冬制成蜜丸，服用两个月痊愈。如果使用收敛止涩的药物，会导致目昏耳聋。
虚损之人每顿饭时头部出汗，是胃火胜所致。适宜用固本丸，加玄参、五味子、酸枣仁。
两脚不能行走，是肝肾虚，精血不足所致。也可能是因为气虚不能运动，适宜使用补中益气汤，以及牛膝、石斛、黄芪。
舌根发苦僵硬，不能吞咽唾液，是脾不能行气于三阴所致。
手足烦痛，不想行动，是骨肉空虚所致。
饮食不甘美，肌肉逐渐消瘦，是脾元失守，运化机能日益败坏所致。
悬心（心中悬空不安），是胃阴不足，胃火消烁心血，导致心中悬悬不宁。
虚损之人食欲好消化快，是阴虚火盛，传化迅速所致。
气短口干，是气不足，无以化生津液，又是肺金受到火邪制约所致。
气逆向左胁，向上呕吐酸水，脉象弦数而濡，这是火郁肝血燥所致。
按压至骨，热度烫手，骨头困重不能承受肾热。只有乌梅能引导诸药入骨，而收敛其热。
面色黑瘦，肌肤甲错（皮肤粗糙如鳞甲），不能饮食，这是血积在胃中，而中土失去灌溉，虚损至极所致。
梦与鬼交，是真阴败竭，血海瘀积，经断蒸热，也有这种症状。适宜补血加人参以行之。
少腹拘急，小便牵引疼痛，是真阳内衰所致。
恶寒且不快乐，而五心烦热，是重阴覆盖其阳，火不得伸展所致。适宜用升麻、柴胡来升举阳气。
下唇生疮，这是血瘀营虚发热，蒸腾所瘀之血，化而为虫，遂成此症，这大概就是传尸劳的说法。
足寒无论阴阳，凡是下元虚损的人，都能导致这种情况，治疗须辨别。另外肺气虚则气逆而不行，无法到达四肢末端。
膝盖以下冷，是火不归源。如果上气喘促，是命门衰绝所致。
发尖生穗（头发分叉或枯萎），是血虚火炎所致。
Whenever a woman suffers from disease and depletion for ten days, a month, or even half a year, menstrual cessation invariably occurs. This is due to the exhaustion of Yin fluids, leading to blood dryness, representing a critical condition. Gradual nourishment is required to restore life. If menstruation has been absent for a long time, treatment becomes extremely difficult. However, to prevent dryness, nothing is better than nourishing Ying (Nutritive) Blood; to promote flow, nothing is better than replenishment. Just as snow melts naturally, spring menses will arrive on their own; when blood is abundant, meridians will flow freely. Using herbs such as Tao Ren (Persicae Semen) and Hong Hua (Carthami Flos) at this stage is akin to squeezing out all the juice, which is not a proper therapeutic method.
For blood-depletion amenorrhea, Wuzei Wan (Cuttlefish Bone Pill) is generally used. In cases where Kidney Water fails to control Heart Fire, presenting with night fever, night sweats, irritability, thirst, and cough, decoctions such as Yiyersanwu Yin (One-Two-Three-Four-Five Yin Decoction) are appropriate. When desires are unfulfilled, causing stagnation in the Heart and Spleen, Xiaoyao Yin (Free and Easy Wanderer Decoction) is indicated. For deficiency of the Three Yin (Liver, Spleen, Kidney) without cold or heat signs, indicating balanced Zang organs, Xiaoying Jian (Small Nourishing Decoction), Wufu Yin (Five Blessings Decoction), Zuogui Yin (Left Restoring Decoction), or Zuogui Wan (Left Restoring Pill) are suitable. For Three Yin deficiency accompanied by Yang deficiency, Daying Jian (Great Nourishing Decoction), Liyin Jian (Regulating Yin Decoction), Yougui Yin (Right Restoring Decoction), Yougui Wan (Right Restoring Pill), or Bawei Dihuang Tang/Wan (Eight-Ingredient Rehmannia Decoction/Pill) are appropriate.
Redness on both cheekbones or lips indicates Yin deficiency below, forcing Yang to float upward. Master Zhang Zhongjing stated: "Facial Daiyang (flushed face like makeup)" is due to lower Yuan deficiency.
Weakness with excessive thirst and drinking indicates insufficient Kidney Water, drawing water to save itself, and also signifies Fire invading the position of Metal (Lung).
Burning sensation in the soles of the feet indicates deficient Fire scorching Yin, leading to the exhaustion of Yongquan (KI1).
Hoarseness and inability to speak indicate the exhaustion of Kidney Qi. Sound originates from the throat but roots in the Kidney. The Classics state: "Internal depletion leading to Jue (reversal) results in aphonia and paralysis." This is due to Kidney Qi deficiency causing panting, Yin deficiency causing Lung Qi rejection, and Qi having no place to return. Additionally, it may be caused by Water failing to control Fire, leading to the rushing upward of the Chong Mai (Penetrating Vessel).
Dry throat and sore throat indicate true Yin deficiency and deficient Fire flaming upward.
Insomnia and mental confusion indicate that Blood fails to nourish the Heart, preventing the Shen (Spirit) from residing within. Alternatively, Kidney Water fails to ascend to control Heart Fire.
Frequent irritability indicates Yang without Yin, where soft Yin fails to harmonize hard Yang.
Easily angered indicates Water deficiency leading to dry Liver Wood.
Persistent night sweats occur because, with Fire, Yin cannot hold; without Fire, Yang cannot consolidate.
Bone pain as if broken indicates true Yin exhaustion, as the Kidney governs bones. Ordinary pain indicates bone weakness with Fire invasion.
Tendon stiffness and soreness indicate the Liver losing its nourishment.
Phlegm resembling clear water without thirst indicates water flooding transforming into phlegm, due to the Spleen's failure to control water.
Profuse white foamy phlegm with thirst indicates water boiling into phlegm due to Yin Fire simmering. It is appropriate to strengthen Water to control Ministerial Fire.
Palpitations in the epigastrium indicate Qi failing to return to essence. The Classics state: "The great collateral of the Stomach is named Xuli, emerging below the left breast; its movement is visible through clothing, indicating leakage of Zong (Gathering) Qi." To gather Qi back to its source, only the method of tonifying Yin to match Yang is effective.
Yellow, astringent, dribbling urination indicates true Yin deficiency and failure of Qi transformation to process water.
Emaciation indicates Jing (Essence) failing to generate Qi. Furthermore, nothing dries things more than Fire; this indicates vigorous Yin Fire. If muscles are extremely wasted, prolonged Yin Fire burning is difficult to treat; if caused by fatigue injuring the Spleen, Shiquan Dabu Tang (Complete Great Tonifying Decoction) is indicated.
Fearfulness indicates Fire arising from the Heart, or Heart injury causing unstable Shen.
Nail pain indicates extreme Wood and tendon deficiency, with Metal Qi invading. Pig fat (Zhugao) can be used to nourish tendons.
Hypochondriac pain indicates Liver and Kidney deficiency.
Inability to stand for long periods indicates tendons failing to bind bones. One should nourish Kidney Water to generate Liver Blood.
Inability to sleep alone indicates Liver and Kidney deficiency.
Withered skin and hair indicate a lack of Jin-Ye (Body Fluids) to moisten them.
Foot sole pain indicates Liver and Kidney injury.
Slight finger swelling and rapid speech indicate true Yin deficiency. One should clear Metal and nourish Water.
Restlessness with closed eyes indicates Yin deficiency causing Fire in the Sanjiao and Pericardium to wander.
Internal heat and Five Hearts Heat (heat in palms, soles, and chest) indicate Water deficiency and Fire flaming.
Hiccups in deficiency conditions indicate Water failing to control Fire, with Wood carrying Fire energy rushing upward.
Mouth ulcers indicate Heart Fire flaming upward. Tianwang Buxin Wan (Heavenly Emperor Heart-Nourishing Pill) is indicated.
Blurred vision indicates Kidney deficiency. Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) added with Chai Hu (Bupleuri Radix) and Wu Wei Zi (Schisandrae Fructus) is indicated.
Constipation in weak individuals indicates Water deficiency and fluid exhaustion. Di Liu Tang (Earth-Six Decoction) is indicated.
Dull pain in the chest and diaphragm indicates Kidney deficiency failing to grasp Qi, causing Qi stagnation above and poor flow. Tonifying Yin must include grasping Qi.
Dizziness in deficiency conditions indicates upper Jiao Yang Qi deficiency, or Yin/Blood deficiency causing rebellious Qi rushing upward.
Palpitations and restlessness indicate Blood deficiency or Phlegm. Diseases in any Zang organ can interact with Pericardium Fire to cause palpitations; treatment involves tonifying or reducing based on the affected organ, regulating via the Pericardium. If heat shifts from other organs to the Heart, causing Pericardium Fire agitation, treatment follows the same principle.
Forgetfulness indicates insufficient Heart Blood, with Phlegm and Fire disturbing the Shen. Alternatively, Kidney insufficiency leads to weak Zhi (Will), failing to connect to the Heart.
Discomfort in the Danzhong (Chest center) arises because anger causes Qi to rise and fear causes Qi to sink, disrupting the Danzhong. Chai Hu, Fu Ling (Poria), and Ze Xie (Alisma) can regulate Qi ascent and descent; Lian (Coptidis Rhizoma) may also be used to calm rebellion.
Chest oppression, preferring dark places and avoiding people, known as Beidun (Low-spiritedness), indicates Blood deficiency. Yangying Tang (Nourishing Ying Decoction) modified is indicated.
Feeling an extra self outside one's body, known as Li Hun (Departing Soul), indicates Heart Qi deficiency. Tonifying the Heart alone will stabilize the Hun (Ethereal Soul).
Hair loss indicates Kidney exhaustion with Fire flaming, Lung failing in regulation, and internal Wind stirring.
Head sweating in weak individuals indicates Kidney Water deficiency and excess Kidney Fire. Nourish Kidney and clear Lung using Sang Ye (Mori Folium), Shu Di Huang (Rehmanniae Radix Preparata), Wu Wei Zi, and Mai Dong (Ophiopogonis Tuber) made into honey pills; cure takes two months. Using astringents will cause blurred vision and deafness.
Head sweating during meals indicates Stomach Fire excess. Guben Wan (Root-Firming Pill) added with Xuan Shen (Scrophulariae Radix), Wu Wei Zi, and Suan Zao Ren (Ziziphi Spinosae Semen) is indicated.
Inability to walk with both legs indicates Liver/Kidney deficiency and insufficient Jing-Blood. It may also be due to Qi deficiency failing to move; Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) plus Niu Xi (Achyranthis Bidentatae Radix), Tie Shi Hu (Dendrobii Officinalis Caulis), and Huang Qi (Astragali Radix) are indicated.
Bitter, stiff tongue root and inability to swallow saliva indicate the Spleen failing to circulate Qi in the Three Yin.
Vexing pain in hands and feet and reluctance to move indicate emptiness of flesh and bones.
Poor appetite and gradual muscle wasting indicate Spleen Yuan failing to hold, with digestive mechanisms deteriorating daily.
"Xuanxin" (Heart hanging in anxiety) indicates Stomach Yin deficiency, with Stomach Fire consuming Heart Blood, causing restless anxiety.
Good appetite and rapid digestion in deficiency indicate Yin deficiency and vigorous Fire accelerating transmission.
Shortness of breath and dry mouth indicate Qi insufficiency failing to transform fluids, and Metal受制 (controlled) by Fire.
Qi rebelling to the left hypochondrium with vomiting of sour fluid, and a wiry, rapid, soggy pulse, indicate Fire depression and Liver Blood dryness.
Heat burning upon pressing to the bone indicates Kidney Heat overwhelming the bones. Wu Mei (Mume Fructus) alone can guide herbs into the bones and absorb the heat.
Dark, emaciated face, ichthyosis-like skin, and inability to eat indicate Blood stasis in the Stomach, with Central Earth losing irrigation, representing extreme deficiency.
Profuse sweating indicates fluids escaping outward with heat throughout the day and night; Ren Shen (Ginseng Radix) should be used urgently.
Dreams of sexual intercourse with spirits indicate true Yin exhaustion, Blood Sea stasis, post-menopausal steaming heat, or similar symptoms. Tonifying Blood with Ren Shen is indicated.
Unceasing umbilical/abdominal pain in weakness indicates extreme Kidney Water deficiency; heavy use of Gou Qi Zi (Lycii Fructus) is needed.
Lower abdominal tension and painful urination indicate internal decline of True Yang.
Chills, unhappiness, and Five Hearts Heat indicate Heavy Yin covering Yang, preventing Fire from extending. Sheng Ma (Cimicifugae Rhizoma) and Chai Hu should be used to lift.
Ulcers on the lower lip indicate Blood stasis and Ying deficiency with fever, steaming stagnant Blood into "worms," constituting Chuanshi Lao (Transmitting Consumption Tuberculosis).
Cold feet in any Yin/Yang pattern result from lower deficiency; differentiation is required. Lung Qi deficiency causes reversal and failure to reach extremities.
Qi choking in weakness indicates Fire excess drying fluids, leading to Qi choking.
Cold below knees indicates Fire failing to return to its source. Panting indicates Mingmen (Gate of Life) exhaustion.
Intermittent loose stools indicate Spleen/Kidney weakness or Heart Fire failing to generate Spleen Earth.
Split hair tips indicate Blood deficiency and Fire flaming.
Cold body indicates Ying and Wei deficiency-cold. Dang Gui (Angelicae Sinensis Radix) and Gan Jiang (Zingiberis Rhizoma) are indicated.