（自制）
治阳痿症。
鹿角霜（二钱） 淡苁蓉（三钱） 怀牛膝（三钱） 枸杞子（三钱） 远志肉（六分）
菟丝子（三
加大枣五枚。○如禀赋不足者。加人参（二钱）○如色伤肾阳。相火不足。加肉桂（五
分）
川柏
腽肭脐。
脉候肾经之病。其脉多柔。两尺紧数。相火失收。左尺来搏。阳与阴仇。右
火外浮。两尺不起。痿症之由。重按无力。固涩宜投。欲绝之脉
可追求。肾家之病脉来濡。阳痿难振温补符。若诊尺
因多怒。脉象弦迟温散扶。根本已离沉候决
读诸大家书。知女科与男子分立一科。金匮要略中着妇科三篇。妊娠。产后。杂症。大
略已
男子
女
命
血精别样。而十二经脉。所行之终始。五脏之定位。则一也。岂得以女人脉位反背倒置乎。
故言妇人之症。多与男子同。惟行经胎产与男子异耳。兹特举所异者逐一详述。以备吾侪参
考。凡所同者。悉照男子治例。不当复赘。又凡金匮所有之治法。兹不复述。宜宗金匮可也
调经 带下 白淫 白淋 气淋 劳淋 七疝 症瘕 五积
且夫经者。常也。营运有常。一月一行。故名月信。信。约信也。如约信之有定期也。
又曰
则溢
月事
生血
所归
脉。
冲任
带为
漏瘕
绵绵
女子
者阴
阳
调
如带之状。绵绵不绝。流利难停。治宜疏木补土。调理带任二脉。白淫者。小溲之后有白物
。见亦不多。治宜补心益脾。兼调气分。白淋者。膀胱之内有湿热蕴结。必小腹坠痛而后下
者。治宜化气之法。兼清湿热可也。况淋病有五。一曰气淋。气虚下陷。小便频数。溺有余
沥。宜补心益气。兼清湿热之治。一曰劳淋。遇劳即淋。损在脾肾。宜补中益气为治。又有
血淋砂淋膏淋三者。皆因湿热久蕴。伤及肾阴所致。宜滋养化源。以大补阴丸治之最妙。凡
妇人科以经水趱前属热。趱后属寒为断。论非不确。然亦不可拘执也。如经水淋漓。频频而
见。或为气所阻。或因血瘀滞着。不得以此例赅之。又有血枯内热。经候亦必衍期。因血虚
内耗所致。凡妇人脉盛内热。经水先期而至。斯为属热。若脉衰肢逆。经水后期而至者。斯
为属寒。故诊妇人病。必当问天癸何如。血分多寡否。腰腹有痛否。经色紫黑黄赤否。有瘀
否。或经先腹痛。经后腹痛。经先腹痛属气滞。经后腹痛属血虚。更当究其脉之虚实而合病
之盛衰。如内热者脉必数。内寒者脉必迟。血虚者脉必涩而少神。气虚者脉必沉而兼微
痛者脉紧。血瘀者脉革。血脱者脉芤。古人之言女尺恒盛者。指平脉也。近时妇女。两
滞涩小者居多。因吾乡地属东南。湿热为胜。气虚血滞者为多。北方风寒为胜。地属西
血虚气旺者为多。故西北之人。病带下者十之一二。以寒盛故也。东南之人。病带下者
常八九。以湿胜故也。又肥人血多滞为寒。瘦人血多滑为热。肥者难孕而易育。瘦者易孕而
难育也。调经之道。血盛则补气。气盛则补血。使血气无偏胜。阴阳无盛衰。何患乎难孕。
何患乎难育哉。余以妇科之最切急者以备参考焉。
（自制方）
治疗阳痿症。
鹿角霜（二钱） 淡苁蓉（三钱） 怀牛膝（三钱） 枸杞子（三钱） 远志肉（六分） 菟丝子（三钱）。加大枣五枚。○如果禀赋不足者，加人参（二钱）。○如果因房事损伤肾阳，相火不足，加肉桂（五分）、川柏、腽肭脐。
脉候：肾经之病，其脉多柔和。两尺脉紧数，为相火失于收敛；左尺脉来搏指，是阳与阴相仇视；右尺脉火外浮，两尺脉不起，重按无力，这是痿症的成因，宜用固涩法投治。欲绝之脉可追求吗？肾家之病，脉来濡软。阳痿难振，宜用温补之法。若因多怒，脉象弦迟，宜用温散法扶持。根本已离，需从沉候决断。
读诸大家之书，知道女科与男子分立一科。《金匮要略》中著录妇科三篇：妊娠、产后、杂症，大略已备。女子与男子的生理命血精液别样，但十二经脉所行的终始，五脏的定位，则是一样的。岂能以女人的脉位反背倒置呢？所以说妇人的病症，大多与男子相同，只有行经、胎产与男子不同罢了。这里特别列举所不同的地方逐一详述，以备我们参考。凡是相同的，都照男子的治例，不必再赘述。又凡是《金匮要略》中已有的治法，这里不再复述，应当宗法《金匮要略》即可。
况且“经”就是常道，营运有常规，一月一行，所以叫月信。“信”，就是约信，如同约定守信有定期一样。又说……则溢……月事……生血……所归……脉……冲任……带为……漏瘕……绵绵……女子……者阴……阳……调……如带之状，绵绵不绝，流利难停，治疗宜疏木补土，调理带脉和任脉。白淫，是小便之后有白色物体流出，所见不多，治疗宜补心益脾，兼调气分。白淋，是膀胱内有湿热蕴结，必须小腹坠痛而后排出，治疗宜化气之法，兼清湿热即可。况且淋病有五种，一是气淋，气虚下陷，小便频数，尿有余沥，宜补心益气，兼清湿热之治。二是劳淋，遇劳累即淋，损伤在脾肾，宜补中益气为治。又有血淋、砂淋、膏淋三者，皆因湿热久蕴，伤及肾阴所致，宜滋养化源，以大补阴丸治疗最妙。凡妇人科以月经提前属热，推后属寒来判断，论断并非不正确，但也不可拘泥执着。如经水淋漓，频频而见，或为气所阻，或因血瘀滞着，不能以此例概括。又有血枯内热，经期也必延期，因血虚内耗所致。凡妇人脉盛内热，经水先期而至，这属于热证。若脉衰肢逆，经水后期而至者，这属于寒证。所以诊察妇人病，必须问天癸如何，血分多寡否，腰腹有痛否，经色紫黑黄赤否，有瘀否。或者经前腹痛，经后腹痛，经前腹痛属气滞，经后腹痛属血虚。更应当究其脉之虚实而合病之盛衰。如内热者脉必数，内寒者脉必迟，血虚者脉必涩而少神，气虚者脉必沉而兼微，痛者脉紧，血瘀者脉革，血脱者脉芤。古人之言女尺恒盛者，指平脉而言。近时妇女，两尺脉滞涩小者居多，因吾乡地属东南，湿热为胜，气虚血滞者为多。北方风寒为胜，地属西，血虚气旺者为多。所以西北之人，病带下者十之一二，以寒盛故也。东南之人，病带下者常八九，以湿胜故也。又肥人血多滞为寒，瘦人血多滑为热。肥者难孕而易育，瘦者易孕而难育也。调经之道，血盛则补气，气盛则补血，使血气无偏胜，阴阳无盛衰，何患乎难孕，何患乎难育哉。我以妇科中最切急者以备参考焉。
Treats pain caused by cold hernia. The formula is seen in the Jue Syndrome chapter.
(Self-made formula)
Treats impotence syndrome.
Lu Jiao Shuang (Deer Antler Frost, *Cornu Cervi Degloriatum*) (2 qian), Dan Cong Rong (Cistanche, *Cistanches Herba*) (3 qian), Huai Niu Xi (Achyranthes Root, *Achyranthis Bidentatae Radix*) (3 qian), Gou Qi Zi (Goji Berry, *Lycii Fructus*) (3 qian), Yuan Zhi Rou (Polygala Root Flesh, *Polygalae Radix*) (6 fen), Tu Si Zi (Dodder Seed, *Cuscutae Semen*) (3 qian). Add five large dates (Da Zao, *Jujubae Fructus*). ○ If there is congenital insufficiency, add Ren Shen (Ginseng, *Panacis Ginseng Radix*) (2 qian). ○ If kidney yang is damaged by sexual excess and ministerial fire is insufficient, add Rou Gui (Cinnamon Bark, *Cinnamomi Cortex*), Chuan Bai (Phellodendron Bark, *Phellodendri Chinensis Cortex*), and Tan Na Qi (Sea Otter Testicle, *Mustela Sibirica Testis*).
Pulse diagnosis: Diseases of the Kidney meridian often present with a soft pulse. A tight and rapid pulse at both Chi positions indicates loss of restraint over ministerial fire; a pulsating left Chi position indicates Yang conflicting with Yin; floating external fire at the right Chi position with non-rising pulses at both Chi positions, weak upon deep pressure, are causes of flaccidity syndrome (Wei Zheng), for which astringent methods should be employed. Can a nearly extinct pulse be sought? Kidney diseases present with a soggy pulse. Impotence difficult to revive requires warming and tonifying methods. If due to excessive anger, with a string-taut and slow pulse, warming and dispersing methods should support it. When the root has departed, judgment must be made from the deep position.
Reading the works of various masters, one knows that Gynecology is established as a separate discipline from Men's Medicine. In *Jin Gui Yao Lue* (Essential Prescriptions of the Golden Cabinet), three chapters on gynecology are recorded: Pregnancy, Postpartum, and Miscellaneous Diseases, covering the general outline. Women's physiological essence and blood differ from men's, but the beginning and end of the twelve meridians and the fixed locations of the five Zang organs are the same. How can women's pulse positions be reversed? Therefore, it is said that women's diseases are mostly the same as men's, except for menstruation, pregnancy, and childbirth. Here, the differences are specifically listed and described in detail for our reference. For those that are the same, follow the treatment principles for men without repetition. Also, treatment methods already existing in *Jin Gui Yao Lue* are not repeated here; one should adhere to *Jin Gui Yao Lue*.
Regulating menstruation, leukorrhea, white turbid discharge, white strangury, Qi strangury, fatigue strangury, seven types of hernia, masses and accumulations, five accumulations.
Furthermore, "Jing" (Menstruation) means constancy. It circulates regularly, once a month, hence called "Yue Xin" (Monthly Trust). "Xin" means trust or agreement, like keeping an appointment with regularity. It is also said... then overflow... menstrual flow... generating blood... destination... pulse... Chong and Ren vessels... Dai vessel acts as... leakage and masses... continuous... women... yin... yang... regulate... Like a belt, continuous and unceasing, smooth and hard to stop. Treatment should soothe the Liver (Wood) and tonify the Spleen (Earth), regulating the Dai and Ren vessels. White turbid discharge (Bai Yin) refers to white material flowing after urination, seen in small amounts. Treatment should tonify the Heart and benefit the Spleen, while adjusting the Qi aspect. White strangury (Bai Lin) involves damp-heat accumulation in the Bladder, requiring lower abdominal distending pain before discharge. Treatment should use qi-transforming methods combined with clearing damp-heat. There are five types of strangury: First is Qi strangury, where Qi deficiency sinks, causing frequent urination with residual dripping. Treatment should tonify the Heart and boost Qi, combined with clearing damp-heat. Second is Fatigue strangury, occurring upon exertion, damaging the Spleen and Kidney. Treatment should use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction). Thirdly, Blood strangury, Gravel strangury, and Paste strangury are all caused by long-standing damp-heat damaging Kidney Yin. Treatment should nourish the source of transformation, using Da Bu Yin Wan (Great Yin Tonifying Pill) for best results. In gynecology, judging early menstruation as Heat and delayed menstruation as Cold is not incorrect, but one should not be rigid. If menstruation is dripping and frequent, it may be blocked by Qi or stagnant by Blood stasis, so this rule cannot cover all cases. Blood depletion with internal heat also delays menstruation due to Yin/Blood consumption. If a woman has a full pulse and internal heat, with early menstruation, it belongs to Heat. If the pulse is weak and limbs are inverted, with late menstruation, it belongs to Cold. Thus, diagnosing women's diseases requires asking about Tian Gui (Heavenly Water/Menstrual Essence), the amount of Blood, waist/abdominal pain, menstrual color (purple, black, yellow, red), presence of stasis. Pre-menstrual pain indicates Qi stagnation; post-menstrual pain indicates Blood deficiency. One must investigate the deficiency/excess of the pulse and combine it with the severity of the disease. Internal heat presents with a rapid pulse; internal cold with a slow pulse; Blood deficiency with a choppy pulse lacking spirit; Qi deficiency with a deep and faint pulse; pain with a tight pulse; Blood stasis with a taut pulse; Blood loss with a hollow pulse. Ancients saying "women's Chi pulse is always strong" referred to normal pulses. Modern women often have sluggish and small Chi pulses because my hometown is in the Southeast, where damp-heat prevails, leading to Qi deficiency and Blood stagnation. The North has prevailing wind-cold, located in the West, where Blood deficiency and Qi prosperity are common. Thus, in the Northwest, only 10-20% suffer from leukorrhea due to severe cold. In the Southeast, 80-90% suffer from leukorrhea due to dampness prevalence. Fat people have more Blood stagnation leading to Cold; thin people have smoother Blood leading to Heat. Fat people find conception difficult but easy to give birth; thin people conceive easily but find childbirth difficult. The way to regulate menstruation: if Blood is abundant, tonify Qi; if Qi is abundant, tonify Blood. This ensures no bias in Blood and Qi, and no excess/deficiency in Yin and Yang. Why worry about difficulty conceiving or giving birth? I record these most urgent aspects of gynecology for reference.