夫妇人年及二、三十者，虽无病而无子，经血如常，或经血不调，乃阴不升，阳
不降之故也。可独圣散，上吐讫冷痰三、二升；后用导水丸、禹功散，泻讫三、五行及十余行；或
用无忧散，泻十余行；次后吃葱醋白粥三、五日。胃气既通，肠中得实，可服玉烛散，更助以桂苓白
术丸散。二药是降心火，益肾水，既济之道，不数月而必有孕也。
若妇人有癃闭、遗溺、嗌干之诸证，虽服药、针灸，亦不能孕也。盖冲、任、督三脉之病，
不治也。表证见内证及热论中。
夫妇人半产，俗呼曰小产也。或三月，或四、五、六月，皆为半产，已成男女故也。
或因忧恐暴怒，悲哀太甚；或因劳力，打扑伤损，及触风寒；或触暴热。不可用黑神散、乌
金散之类，内犯干姜之故。止可用玉烛散、和经散汤之类是也。
夫妇人大产，十月满足降诞者是也。或脐腰痛，乃败血恶物之致然也。举世便作
虚寒，以燥热治之，误人多矣。《难经》曰∶诸痛为实。实者，热也。可用导水丸、禹功散
，泻五、七行。慎不可便服黑神散、乌金散燥之。同半产治之则可矣。
夫妇人产后心风者，则用调胃承气汤一、二两，加当归半两，细锉，用水三、四
盏，同煎去滓，分作二服，大下三、五行则愈。如不愈，三圣散吐之。
对于二三十岁的女性，虽然没有其他疾病但无法怀孕，月经正常或月经不调，这是由于阴气不能上升、阳气不能下降的缘故。可以使用独圣散，待催吐排出两三升冷痰后；接着使用导水丸、禹功散，泻下三到五次甚至十几次；或者使用无忧散，泻下十几次；之后连续吃三到五天的葱醋白粥。胃气通畅，肠道充实后，可以服用玉烛散，并配合桂苓白术丸/散。这两种药的作用是降心火、益肾水，符合既济（水火相济）的道理，不出几个月必然能怀孕。
如果女性患有癃闭（小便不通）、遗溺（尿失禁）、咽干等症状，即使服药、针灸治疗，也不能怀孕。这是因为冲脉、任脉、督脉这三条经脉患病，属于难治之症。表证见内证及热论中。
女性半产，俗称小产。无论是怀孕三个月，还是四、五、六个月流产，都称为半产，因为此时胎儿男女特征已经形成。原因可能是因忧恐暴怒，悲哀过度；或因劳累用力，被打扑伤损，以及感受风寒；或感受酷热。不可使用黑神散、乌金散之类的方剂，因为这些方剂中含有干姜，会内犯损伤。只可用玉烛散、和经散汤之类的方剂。
女性大产，指十月满足分娩的。如果出现脐部腰部疼痛，这是败血恶物导致的。世人常将其当作虚寒证，用燥热的方法治疗，误人很多。《难经》说：各种疼痛属于实证。实证，就是热证。可以使用导水丸、禹功散，泻下五到七次。千万不要立即服用黑神散、乌金散等燥热药物。按照半产的方法来治疗就可以了。
女性产后心风病，则使用调胃承气汤一两到二两，加入当归半两，细细切碎，用水三到四盏，共同煎煮去渣，分两次服用，大便泻下三到五次即可痊愈。如果不好转，用三圣散催吐。
For women aged twenty to thirty, who are infertile despite having no other diseases, with regular or irregular menstruation, this is due to the failure of Yin Qi (vital energy associated with substance and cooling) to ascend and Yang Qi (vital energy associated with function and warming) to descend. Dusheng San (Single Holy Powder) may be used; after inducing vomiting to expel two or three sheng [approx. 0.6-1 liter] of cold phlegm, Dao Shui Wan (Water-Guiding Pill) and Yu Gong San (Yu's Meritorious Powder) should be administered to induce diarrhea three to five times, or even more than ten times; alternatively, Wuyou San (Worry-Free Powder) may be used to induce diarrhea over ten times. Subsequently, a diet of white porridge with scallions and vinegar should be consumed for three to five days. Once the Stomach Qi (digestive energy) is unblocked and the intestines are filled, Yuzhuo San (Jade Candle Powder) can be taken, supplemented by Guiling Baizhu Wan/San (Cinnamon Twig, Poria, and Atractylodes Macrocephala Pill/Powder). These two preparations lower Heart Fire (excess heat in the Heart system) and nourish Kidney Water (Kidney Yin), following the principle of Ji Ji (Mutual Interaction of Water and Fire); pregnancy will surely occur within a few months.
If a woman suffers from symptoms such as long bi (difficulty in urination), yin ni (urinary incontinence), or yi gan (dry throat), she will not conceive even with medication and acupuncture. This is because the Chong Mai (Penetrating Vessel), Ren Mai (Conception Vessel), and Du Mai (Governor Vessel) are diseased, which constitutes an incurable condition. Exterior syndromes presenting with interior signs are discussed in the Treatise on Heat Diseases.
A "half-birth" (spontaneous abortion/miscarriage) in women, commonly called xiao chan, refers to miscarriage occurring at three months, or four, five, or six months, because the male or female characteristics of the fetus have already formed. Causes may include sudden worry, fear, or rage, excessive grief; or physical exertion, trauma from blows or falls, exposure to wind-cold; or exposure to extreme heat. Formulas containing Gan Jiang (Dried Ginger), such as Hei Shen San (Black Divine Powder) and Wu Jin San (Black Gold Powder), must not be used internally as they violate the interior. Only formulas like Yuzhuo San (Jade Candle Powder) and Hejing San Tang (Harmonizing the Channels Decoction) should be used.
A "full birth" (term delivery) refers to childbirth after ten full months. If there is pain in the umbilicus and lower back, it is caused by retained blood and foul matter. The world generally mistakes this for deficiency-cold and treats it with drying-warmth methods, causing much harm. The Nan Jing (Classic of Difficult Issues) states: "All pain belongs to excess." Excess implies heat. Dao Shui Wan (Water-Guiding Pill) and Yu Gong San (Yu's Meritorious Powder) can be used to induce diarrhea five to seven times. One must strictly avoid immediately administering drying agents like Hei Shen San (Black Divine Powder) or Wu Jin San (Black Gold Powder). Treating it according to the protocol for half-birth is acceptable.
For postpartum Xin Feng (Heart Wind syndrome), Tiaowei Chengqi Tang (Stomach-Harmonizing Bowel-Purging Decoction) one or two liang [approx. 30-60g], plus Dang Gui (Angelica Sinensis) half a liang [approx. 15g], finely chopped, is decocted with three to four zhan [approx. 600-800ml] of water. After straining, divide into two doses. Curing occurs after profuse defecation of three to five times. If not cured, use Sansheng San (Three Holy Powders) to induce vomiting.