妇人之疾，与男子无异，惟经期胎产之病不同，并多 瘕之疾。其所以多 瘕之故，亦
以经
带胎产之血，易于凝滞，故较之男子为多。故古人名妇科谓之带下，医以其病总属于带下也
。主治妇人，必先明冲任之脉。冲脉起于气街，（在毛际两旁。）并少阴之经兵脐上行，至胸
中而散。任脉起于中极之下，（脐下四寸。）以上毛际，循腹里，上关元。又云；冲任脉皆起
于胞中，上循背里，为经脉之海。此皆血之所从生，而胎之所由系。明于冲任之故，则本原
洞悉，而后其所生之病，千条万绪，以可知其所从起。更参合古人所用之方，而神明变化之
，则每症必有传受，不概治以男子泛用之药，自能所治辄效矣。至于如俗相传之邪，如胎前
宜凉，产后宜温等论。夫胎前宜凉，理或有之。若产后宜温，则脱血之后，阴气大伤，孤阳
独炽；又瘀血未 ，结为蕴热，乃反用姜桂等药，我见时医以此杀人无数。观仲景先生于产
后之疾，以石膏、白薇、竹茹等药治之，无不神效。或云∶产后瘀血，得寒则凝，得热则行
，此大谬也。凡瘀血凝结，因热而凝者，得寒降而解；因寒而凝者，得热降而解。如桃仁承
气汤，非寒散而何？未闻此汤能凝血也。盖产后瘀血，热结为多。热瘀成块，更益以热，则
炼成干血，永无解散之日。其重者阴涸而即死，轻者成坚反宗后人之邪说，皆足以害人。诸
科皆然，不独妇科也。
妇女的疾病，与男子没有本质区别，只是在月经、怀孕和分娩期间的病症有所不同，并且容易患瘕积（腹内结块）类的疾病。之所以多患瘕积，也是因为经血、带下、胎产过程中的血液，容易发生凝滞，所以比男子更多见。因此古人将妇科称为“带下科”，是因为认为这些病总归属于带脉病变。治疗妇人疾病，必须先明了冲脉和任脉的循行。冲脉起始于气街穴（位于耻骨联合两旁），并足少阴肾经上行至脐部，到达胸中而散开。任脉起始于中极穴之下（脐下四寸），向上经过毛际，沿腹部内侧上行至关元穴。又有说法称：冲脉和任脉都起始于胞宫（子宫），向上沿背部内侧行走，被称为经脉之海。这些都是血液生成的源头，也是胎儿依附的根本。明白了冲任二脉的道理，就能洞察疾病的本源，那么由此产生的各种病症，千头万绪，也就能够知道它们的起因了。再参考古人所使用的方剂，灵活运用变化，那么每种病症必然有其传变规律，不再一概使用男子通用的药物，自然能做到治疗即见效。至于世俗相传的一些谬误观点，比如“胎前宜凉，产后宜温”等理论。其中“胎前宜凉”，道理或许存在。但如果说“产后宜温”，那么在大量失血之后，阴气大伤，孤阳独亢；加上瘀血未去，郁结化为蕴热，此时反而使用干姜、肉桂等温热药物，我见到当时的医生因此杀害了无数人。看张仲景先生治疗产后疾病，使用石膏、白薇、竹茹等寒凉药物，无不神效。有人说：产后瘀血，遇寒则凝结，遇热则运行，这是极大的谬误。凡是瘀血凝结，因热而凝的，用寒凉药降泄即可解除；因寒而凝的，用温热药降泄即可解除。如桃仁承气汤，难道不是寒凉发散之剂吗？没听说过此汤能凝固血液。大概产后瘀血，多为热结所致。热邪与瘀血结成块状，如果再加以热药，就会煎熬成干血，永远无法解散。病情重的会因阴液枯竭而死，轻的会变成坚硬的积聚。这都是后人邪说的危害，足以害人。各科都是如此，不仅仅是妇科。
Women's diseases are essentially no different from men's, except for conditions related to menstruation, pregnancy, and childbirth, and they are more prone to *zheng* and *jia* (abdominal masses). The reason for the prevalence of *zheng* and *jia* lies in the fact that blood during menstruation, leukorrhea, pregnancy, and childbirth is easily stagnant, making it more common than in men. Therefore, ancients referred to gynecology as "Dai Xia" (Leukorrhea-related diseases), as these ailments were generally categorized under disorders of the Dai Mai (Girdle Vessel). To treat women, one must first understand the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel). The Chong Mai originates at Qichuan (located on both sides of the pubic symphysis), runs alongside the Foot-Shaoyin Kidney Meridian up to the navel, and disperses in the chest. The Ren Mai originates below Zhongji (four cun below the umbilicus), ascends through the pubic region, follows the interior of the abdomen, and reaches Guanyuan. Another view states that both the Chong and Ren Mai originate from the Bao Zhong (Uterus), ascend along the interior of the back, and are known as the Sea of Meridians. These are the sources from which blood is generated and where the fetus is anchored. Understanding the principles of the Chong and Ren Mai allows one to grasp the root causes; thus, the myriad manifestations of disease can be traced to their origins. By referencing ancient formulas and applying flexible variations, one recognizes the transmission patterns of each condition, avoiding the indiscriminate use of general male prescriptions, thereby ensuring efficacy. Regarding popular fallacies such as "cooling is suitable before delivery, warming is suitable after delivery": while cooling may have some rationale before delivery, claiming warming is suitable after delivery is erroneous. After significant blood loss, Yin Qi is severely damaged, leaving isolated Yang hyperactive; furthermore, retained blood stasis transforms into latent heat. Using warm herbs like Sheng Jiang (Rhizoma Zingiberis Recens) and Rou Gui (Cortex Cinnamomi) in such cases has led me to witness countless deaths caused by contemporary physicians. Observing Master Zhang Zhongjing's treatment of postpartum conditions, he used cold-natured herbs such as Shi Gao (Gypsum Fibrosum), Bai Wei (Radix Cynanchi Atrati), and Zhu Ru (Caulis Bambusae in Taenia) with miraculous results. Some argue: "Postpartum blood stasis coagulates with cold and moves with heat." This is a grave error. Blood stasis caused by heat resolves with cold-draining methods; stasis caused by cold resolves with heat-draining methods. For instance, Tao Ren Cheng Qi Tang (Peach Kernel Decoction to Order the Qi) is clearly a cold-dispersing formula; it is unheard of for this decoction to coagulate blood. Generally, postpartum blood stasis is mostly due to heat accumulation. Heat combined with stasis forms clumps; adding heat herbs further fries the blood into dry stasis, which can never be dispersed. Severe cases result in death due to Yin exhaustion, while mild cases lead to hard accumulations. Such heretical theories from later generations are harmful. This applies to all medical specialties, not just gynecology.