方书俱以中风弁首，谓风为百病之长，善行数变。其中方治最多，有真中风、类中风之区别，而熟知其不
然也。风者，厥阴之本气也，在天为风，在地为木，在脏为肝。人身肝血内虚，木不条达。外不充于经络，
内不荣于脏腑，则血虚生风，而有中络、中经、中腑、中脏之不同，实皆中风病也。仲师《金匮》论中风历节
篇云∶风之为病，当半身不遂，或但臂不遂，邪在于络，肌肤不仁，邪在于经，即重不胜。此言风中于络，
或中于经，伤有形之经络而为病，中之浅，病之轻者也。若中风历节，则伤肾主之骨、肝主之筋，疼痛如掣。
此言风伤有形之筋骨而为病，中之深，病之重者也。虽有浅深轻重之不同，皆不死也。又云∶邪入于腑，即
不识人，邪
入于脏，舌即难言，口吐涎。此不伤有形之筋骨，而伤无形之真气，中腑中脏，皆必死矣。但中脏者，立死，
虽延三五日，犹立死也，中腑者，腑与脏表里雌雄相应，或半月，或一月，腑气不外通于经，而内逆于脏，
亦死矣。经云∶连脏则死，连经则生。不入脏而连经者，所用之药，总宜强筋壮骨，补血补气，如 、术、
熟地、归、芍、参、苓、附、桂等，而祛风消散、清凉豁痰，在所禁也。
胎产，乃妇人生育之常，非病也；其半产、漏下，则为病矣。半产者，未满十月而产，俗云小产是也。漏
下者，血不养胎，离经下漏也。未满三月而漏者，胎必不保，以胎未成形，其凝结之血，即胎也，血行，恐胎
亦不成矣。至四五月而漏者，其胎已成，大补气血，不漏则安。至于生产之后，不过气血两虚，谨慎调养，必
无他患。或三四日之间，其身发热，稍有微寒，总因气血暴虚，阴阳不和之故；服药只宜补气调血，阴阳和而
寒热可愈。丹溪云∶产后须大补气血，虽有杂证，以末治之。诚哉斯言！若延医延医，见其身热，复有微寒，
必曰此外感也。投以散寒清热之药，不惟不愈，变证日加，证屡出则治屡更，至身体惫极，然后重用人参。
与其补于既变之后，曷若无损于未变之先，且有力服参者，大半
犹可挽回，若无力服参，不可保矣。至产后恶露，或多或少，或有或无，当听其自然，不可破气行瘀。有生产
恶露无一点者，其身无病，亦无害也。又产后腹痛，多属经脉不和，中土虚寒，但当调其经脉，温其中土，
破气行瘀亦所禁也。我故曰∶生产原非疾病，服药总宜温补，不揣其本而齐其末，不若不药之为得矣。其妇人
妊娠、妇人产后、妇人杂病，已悉仲师《金匮》论中，参究可也。
历代医书都将中风放在卷首，认为风是百病的先导，善于游走且变化多端。其中关于中风的方治方法最多，有真中风和类中风的区别，但深知这种说法是不正确的。风，是厥阴经的本气，在天为风，在地为木，在脏为肝。如果人体肝血内部亏虚，肝木之气就不能舒展条达。对外不能充盈经络，对内不能滋养脏腑，就会因为血虚而生内风，从而出现中络、中经、中腑、中脏的不同情况，实际上都属于中风病。张仲景在《金匮要略》的“中风历节病脉证并治”篇中说：风造成的疾病，应当表现为半身不遂，或者只是手臂不能活动；邪气在络脉，肌肤麻木不仁；邪气在经脉，肢体沉重难以抬举。这是说风邪侵袭了有形的经络而致病，侵入较浅，病情较轻。如果是中风历节病，则会损伤肾所主的骨和肝所主的筋，疼痛如牵引般剧烈。这是说风邪损伤了有形的筋骨而致病，侵入较深，病情较重。虽然深浅轻重有所不同，但都不会导致死亡。又说：邪气进入腑，就会神志不清不认识人；邪气进入脏，舌头僵硬难以言语，口吐涎沫。这没有损伤有形的筋骨，而是损伤了无形的真气，中腑和中脏都是必死的病症。但是中脏的，会立即死亡，即使拖延三五天，最终也是立即死亡；中腑的，由于腑与脏表里相应，如果半月或一月后，腑气不能向外通达于经络，反而向内逆传于脏，也会死亡。经书说：连及脏则死，连及经则生。邪气不入脏而仅连及经的，所用药物，总宜强筋壮骨、补血补气，如白术、熟地黄、当归、白芍、人参、茯苓、附子、肉桂等，而祛风消散、清凉豁痰的药物，则在禁忌之列。
胎产，是妇女生育的正常生理过程，不是疾病；其中的半产（小产）、漏下（非经期阴道出血），才是疾病。半产，是指未满十月就生产，俗称小产。漏下，是指血液不能滋养胎儿，脱离正常经脉而下漏。如果在怀孕未满三个月时漏下，胎儿必定保不住，因为此时胎儿尚未成形，凝结的血液就是胎儿，血液流动，恐怕胎儿也无法形成。到了四五月时漏下，胎儿已经成形，大补气血，如果不继续漏下，胎儿就能安胎保全。至于生产之后，不过是气血两虚，只要谨慎调养，必然不会有其他祸患。如果在产后三四天之间，身体发热，稍有轻微恶寒，总归是因为气血突然亏虚，阴阳不和的缘故；服药只宜补气调血，阴阳调和而寒热症状自然痊愈。朱丹溪说：产后必须大补气血，即使有其他杂症，也要作为次要问题处理。这话真是正确啊！如果延请医生，看到患者身体发热，又有轻微恶寒，一定说是外感病。投用散寒清热的药物，不仅不能治愈，变证还会日益加重，病症屡次出现则治疗方法屡次更改，直到身体极度疲惫，然后才重用人参。与其在变证发生之后进行补益，不如在未发生变证之前避免损害，况且有力气服用的人参的大半还可以挽回，如果没有力气服用人参，就无法保证了。至于产后的恶露，或多或少，或有或无，应当听其自然，不可使用破气行瘀的药物。有的产妇产后恶露一点也没有，身体没有生病，也没有害处。另外产后腹痛，多属于经脉不和，中焦脾胃虚寒，只应当调理经脉，温补中焦脾胃，破气行瘀也在禁忌之列。所以我所以说：生产原本就不是疾病，服药总宜温补，如果不探究根本而只治疗末节，不如不吃药更为得当。关于妇人妊娠、妇人产后、妇人杂病的内容，已经在张仲景《金匮要略》的论述中详尽记载，可以参考研究。
Medical texts generally place Stroke (Zhong Feng) at the beginning of their volumes, asserting that Wind is the leader of a hundred diseases, characterized by its mobility and rapid changes. Among them, there are numerous prescriptions for Stroke, distinguishing between True Stroke (Zhen Zhong Feng) and Pseudo-Stroke (Lei Zhong Feng), yet it is well understood that this distinction is incorrect. Wind is the fundamental Qi of the Jueyin channel; in Heaven it is Wind, on Earth it is Wood, and in the Zang organs it is the Liver. When the Liver Blood within the human body is deficient, the Wood energy fails to flourish and spread freely. Externally, it cannot fill the meridians; internally, it cannot nourish the Zang-Fu organs. Consequently, Blood deficiency generates internal Wind, leading to variations such as invasion of the Luo vessels, Jing channels, Fu organs, and Zang organs. In reality, all these belong to the category of Stroke disease. Master Zhang Zhongjing, in the chapter "Stroke and Joint Pain" of the *Jin Gui Yao Lue* (Essential Prescriptions from the Golden Cabinet), stated: "The disease caused by Wind should present with hemiplegia, or only inability to move one arm; if the pathogen is in the Luo vessels, the skin and muscles will be insensible; if the pathogen is in the Jing channels, the limbs will feel heavy and difficult to lift." This refers to Wind invading the tangible meridians, causing disease with shallow penetration and mild severity. However, in Stroke and Joint Pain, the bones governed by the Kidney and the sinews governed by the Liver are damaged, resulting in pain as if being pulled. This refers to Wind damaging the tangible bones and sinews, causing disease with deep penetration and severe severity. Although there are differences in depth and severity, neither leads to death. He further stated: "If the pathogen enters the Fu organs, the patient loses consciousness and does not recognize people; if it enters the Zang organs, the tongue becomes stiff and speech is difficult, and saliva dribbles from the mouth." This indicates damage not to the tangible bones and sinews, but to the intangible True Qi. Both invasion of the Fu organs and Zang organs are fatal. Specifically, invasion of the Zang organs leads to immediate death; even if delayed for three to five days, death still occurs immediately. Invasion of the Fu organs may lead to death if, after half a month or a month, the Qi of the Fu organs fails to communicate outwardly through the meridians and instead rebels inwardly into the Zang organs. The Classics state: "Connection to the Zang organs leads to death; connection to the Jing channels leads to survival." For cases where the pathogen does not enter the Zang organs but connects to the Jing channels, the prescribed medicines should generally strengthen the sinews and bones, and tonify Blood and Qi, such as Atractylodis Rhizoma (Baizhu), Rehmanniae Radix Preparata (Shudihuang), Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Baishao), Ginseng Radix et Rhizoma (Renshen), Poria (Fuling), Aconiti Lateralis Radix Preparata (Fuzi), and Cinnamomi Ramulus (Guizhi). Medicines that dispel Wind, dissipate accumulation, clear heat, and resolve phlegm are strictly contraindicated.
Pregnancy and childbirth are normal physiological processes of women's reproduction, not diseases; however, miscarriage (Ban Chan) and uterine bleeding (Lou Xia) constitute diseases. Miscarriage refers to delivery before ten months, commonly known as premature birth (Xiao Chan). Uterine bleeding refers to blood failing to nourish the fetus and leaking out of the normal meridians. If leakage occurs before three months of pregnancy, the fetus cannot be preserved, as the fetus has not yet formed; the coagulated blood itself constitutes the fetus, and if the blood flows, the fetus likely will not develop. By four or five months, the fetus has formed; vigorously tonifying Qi and Blood can stop the leakage and secure the fetus. After delivery, the condition is merely a deficiency of both Qi and Blood; careful nursing ensures no other complications arise. If fever and slight aversion to wind occur within three to four days postpartum, it is invariably due to sudden deficiency of Qi and Blood and disharmony of Yin and Yang. Medication should only tonify Qi and regulate Blood; once Yin and Yang harmonize, the fever and chills will resolve. Zhu Danxi stated: "Postpartum requires vigorous tonification of Qi and Blood; even if other miscellaneous conditions exist, they should be treated secondarily." This statement is truly correct! If physicians are consulted and see fever with slight aversion to wind, they often diagnose it as an external contraction. Administering herbs to disperse cold and clear heat not only fails to cure but also causes complications to worsen daily. As symptoms change repeatedly, treatments are altered repeatedly, until the body is extremely exhausted, at which point large doses of Ginseng are used. Is it not better to prevent damage before complications arise than to tonify after they have occurred? Moreover, those who can tolerate Ginseng may recover, but those too weak to take Ginseng cannot be saved. Regarding lochia (E Lu) postpartum, whether abundant or scant, present or absent, one should let nature take its course and avoid using herbs that break Qi and promote blood circulation. Some women have no lochia postpartum; if they have no illness, this is harmless. Additionally, abdominal pain postpartum usually belongs to disharmony of the meridians and deficiency-cold of the Middle Jiao (Spleen/Stomach). One should only regulate the meridians and warm the Middle Jiao; breaking Qi and promoting blood circulation is contraindicated. Therefore, I say: Childbirth is originally not a disease; medication should generally consist of warming and tonifying. If one does not investigate the root and treats only the branches, it is better to take no medicine at all. The topics of pregnant women, postpartum women, and miscellaneous gynecological diseases are fully discussed in Master Zhang Zhongjing’s *Jin Gui Yao Lue*; please refer to it for study.