月水不通。久则血结于内。生块变为血瘕。亦作血 。血水相并。壅塞不通。脾胃虚弱
为水肿。所以然者。脾候身之肌肉象于土。土主克水。水血既并脾气衰弱。不能克消。致水
气流溢。浸渍肌肉。故肿满也。观此岂宜用克伐之剂。
妇人情性执滞不能宽解。多被七情所伤。遂致遍身作痛。或肢节肿痛。或气填胸满。或
核塞喉。咽吐不出。或痰涎壅盛。上气喘急。或呕逆恶心。甚者渴闷欲绝。产妇多有此症。
宜服四七汤。先调滞气。更以养血之药。若因思忧致小便白浊者。用此药吞青州白丸子。屡
妇人热劳者。由心肺壅热。伤于气血。气血不调。脏腑壅滞。热毒内积。不得宣通之所
。其候。心神烦躁。颊赤头痛。眼涩神昏。四肢壮热。烦渴不止。口舌生疮。神思昏沉。嗜
卧少寐。饮食无味。身体酸疼。或时心怔。或时盗汗。肌肤日渐消瘦。故名热劳也。
自汗。小便少。不可以药利之。既已自汗。则津液外亡。小便自少。若利之则荣卫枯竭。
无以制火。烦热愈甚。当俟热退汗止。小便自行也。兼此症乃阳明经。大忌利小便。
下血服凉血药不应。必因中气虚。不能摄血。非补中升阳之药不能愈。切忌寒凉之剂。
伤湿热之食成肠癖而下脓血者。宜苦寒之剂。以内疏之。脉弦绝涩者难治。滑大柔和者易治
月经闭止不通。日久则血液凝结于体内。形成肿块变为血瘕（腹内结块，推之不移，痛有定处）。也表现为血癥（腹部积块）。血与水湿相互搏结。壅塞导致经络不通。脾胃虚弱
就会引发水肿。之所以这样。是因为脾脏对应身体的肌肉，在五行中象征土。土具有克制水的作用。当血与水湿已经结合，脾气衰弱。无法克制和消除水湿。导致水
气流溢扩散。浸渍肌肉组织。所以出现肿胀满闷的症状。观察这种情况，难道适宜使用攻伐损伤正气的药物吗？
妇女性格固执拘泥，不能宽舒解郁。多被七情（喜、怒、忧、思、悲、恐、惊）所伤。于是导致全身疼痛。或者肢体关节肿痛。或者气机阻滞胸部胀满。或者
痰核阻塞咽喉。想咽吐不出来。或者痰涎壅盛。呼吸急促气喘。或者呕吐恶心。严重的甚至口渴烦闷几乎要断气。产妇多有这种症状。
适宜服用四七汤（行气散结，降逆化痰的方剂）。先调理滞涩的气机。再用养血的药物。如果因为思虑忧愁导致小便浑浊发白。用此药送服青州白丸子（祛风化痰的方剂）。多次
妇女患有热劳（一种以虚热为主要表现的慢性消耗性疾病）。是由于心肺壅滞郁热。损伤了气血。气血不调。脏腑壅滞。热毒在内积聚。不得宣通散发的情
况。其症状表现。心神烦躁不安。两颊发红头痛。眼睛干涩神志昏沉。四肢高热。烦渴不止。口舌生疮。精神思维昏沉。嗜睡但睡眠少。饮食没有味道。身体酸痛。或者偶尔心悸。或者夜间盗汗。肌肤日渐消瘦。所以称为热劳。
自汗（不因劳累、炎热或服用发散药物而自然出汗）。小便量少。不可以用药利尿。既然已经自汗。那么津液向外流失。小便自然减少。如果强行利尿则营卫之气枯竭。
无法制约火邪。烦热更加严重。应当等待热退汗止。小便自然会恢复。兼有此症属于阳明经病变。特别忌讳利小便。
下血（便血或尿血等出血症状）服用凉血止血药无效。必定是因为中气虚弱。不能统摄血液。不是补益中气、升举阳气的药物不能治愈。切忌使用寒凉的药物。
因食用湿热食物导致肠癖（痢疾或肠道湿热病证）而下脓血的。适宜用苦寒性质的药物。从内部疏泄清热。脉象弦绝且涩的难治。脉象滑大柔和的易治
Menstruation is obstructed and does not flow. After a long time, blood coagulates internally, forming masses that transform into Xuejia (blood masses in the abdomen). It may also present as Xuezhen (abdominal accumulations). Blood and water-dampness combine, causing obstruction and blockage. Spleen-Stomach deficiency leads to edema. The reason for this is that the Spleen corresponds to the muscles of the body and symbolizes Earth in the Five Elements. Earth controls Water. When blood and water-dampness have combined, if Spleen Qi is weak, it cannot control and eliminate the water-dampness, leading to the overflow and diffusion of water-qi, which infiltrates the muscle tissue, resulting in swelling and fullness. Observing this condition, is it appropriate to use harsh purgative or attacking agents?
Women often have stubborn and rigid dispositions, unable to relax and resolve emotional constraints. They are frequently injured by the Seven Emotions (joy, anger, worry, thought, sadness, fear, fright), leading to pain throughout the body, or swelling and pain in the limbs and joints, or qi stagnation causing chest fullness, or phlegm nodules blocking the throat, making swallowing difficult or expectoration impossible, or excessive phlegm-fluids causing rapid breathing and asthma, or vomiting and nausea. In severe cases, there is extreme thirst, irritability, and a sensation of impending collapse. Postpartum women often suffer from these symptoms. It is suitable to administer Siqi Tang (Four-Seven Decoction) to first regulate stagnant qi, followed by blood-nourishing herbs. If white turbid urine results from excessive thinking and worry, this medicine can be used to swallow Qingzhou Baiwanzi (Qingzhou White Pills). Repeatedly...
Women suffering from Relapse Fever (Re Lao), a chronic consumptive disease characterized by deficient heat, arise from congested heat in the Heart and Lungs, damaging Qi and Blood. Disharmony of Qi and Blood leads to congestion and stagnation in the Zang-Fu organs, with internal accumulation of heat-toxins that cannot be vented or circulated. Symptoms include mental restlessness and irritability, red cheeks and headache, dry eyes and blurred vision, high fever in the four limbs, incessant thirst and irritability, sores on the mouth and tongue, mental dullness, lethargy with poor sleep, loss of appetite, body aches, occasional palpitations, night sweats, and gradual emaciation of the skin and flesh. Hence, it is named Relapse Fever.
Spontaneous sweating accompanied by scanty urine should not be treated with diuretics. Since spontaneous sweating has occurred, body fluids are lost externally, leading naturally to reduced urine output. If diuretics are forced, Ying and Wei Qi will become depleted, failing to control Fire, thereby worsening irritability and heat. One should wait for the heat to subside and sweating to cease, after which urination will normalize. This syndrome involves the Yangming Channel; diuresis is strictly contraindicated.
For lower bleeding (hematochezia or hematuria) unresponsive to cooling-blood herbs, the cause must be deficiency of Middle Qi failing to contain blood. Only herbs that tonify the Middle and raise Yang can cure it. Cold-cold agents must be strictly avoided. For intestinal dysentery (Chang Pi) presenting with pus and blood due to damp-heat food retention, bitter-cold agents are suitable for internal drainage and clearing. A wiry, absent, or choppy pulse indicates a difficult prognosis, while a slippery, large, and gentle pulse indicates an easy prognosis.