妇人感冒，发热恶寒，经水适来，得之七八日，热除脉迟，身凉，胸胁满，谵语，此为热入
血室。当刺期门，随其实而泻之。
凡发热恶寒七八日，热除脉迟身凉，当自愈矣。今反胸胁满如结胸状，谵语，此因经水适来
，血海正开，热邪乘虚入于厥阴藏血之室。肝主魂，热邪内扰神明，是以胸满谵语，如见鬼
状，故刺期门厥阴所注之 ，泻其热以外泄。
妇人感冒七八日，续发寒热，发作有时，经水适断者，此为热入血室。其血必结，故使如疟
状，或昼明夜甚，谵语如见鬼状，无犯胃气，及上中二焦，必自愈。
上条言脉迟身凉，但刺期门，此条言七八日，续发寒热，发作有时，经水适断，血室未闭，
其血必结，忌用苦寒凝滞之药。今有大坝吕天祥媳，经水适断，医以大剂黄连投之，少腹结
块而殒。
妇人热入血室，但头汗出，仲景以小柴胡汤和之，家秘倍加柴芩，重加归芍，其功最专，再
加丹皮、地骨皮，则身热易退。
热入血室发热，昼静夜甚者，亦有虚实不同。血虚发热者，皆因营血不足，如阴虚内热之证
，脉必细数，宜补血凉血。血热发热，邪热入于血分，脉必数大，不必补血，归芍柴胡汤或
导赤各半汤之类。
导赤各半汤 病后心下不硬，腹不满，二便如常，身无热，神昏不语，或独话，目赤
口干，不饮水，与食则咽，不与不思，形如醉人。
黄连 黄芩 犀角 知母 滑石 麦冬 人参 茯神 甘草
加灯心姜枣煎。
妇女患感冒，出现发热、恶寒的症状，正值月经来潮。经过七八天后，热势退去，脉象变迟，身体转凉，但出现胸胁部胀满、胡言乱语的症状，这是热邪侵入血室的表现。应当针刺期门穴，根据实证的情况采用泻法以祛除邪气。
凡是发热恶寒持续七八天，热退脉迟身凉，本应自行痊愈。现在反而出现胸胁部胀满，症状类似结胸证，并伴有胡言乱语，这是因为月经刚来，血海正开，热邪乘虚侵入厥阴经藏血的部位。肝主藏魂，热邪在内扰乱神明，所以出现胸满、胡言乱语，甚至像看见鬼怪一样的幻觉，因此针刺期门穴（厥阴经气血灌注之处），通过泻法使热邪向外发散。
妇女患感冒七八天，随后又出现忽冷忽热的症状，且发作有定时，此时月经刚好停止，这也是热邪侵入血室的表现。体内的血液必然凝结，所以症状像疟疾一样，或者白天清醒夜间加重，胡言乱语像看见鬼怪一样。治疗时不要损伤胃气，也不要攻伐上焦和中焦，病必然会自愈。
上一条条文说的是脉迟身凉，只需针刺期门穴；这一条条文说的是发病七八天，随后又出现忽冷忽热、发作有定时、月经刚停，说明血室尚未闭合，血液必然凝结，忌讳使用苦寒凝滞的药物。以前有大坝人吕天祥的儿媳，月经刚停，医生用了大剂量的黄连投药，导致患者少腹结成肿块而死亡。
妇女热邪侵入血室，仅头部出汗，张仲景用小柴胡汤调和，家传秘方加倍使用柴胡和黄芩，重用当归和白芍，功效最为专一，再加入牡丹皮和地骨皮，则身体发热容易消退。
热邪侵入血室引起的发热，白天安静夜间加重的情况，也有虚实不同之分。血虚发热者，都是因为营血不足，如同阴虚内热的证候，脉象必定细数，适宜补血凉血。血热发热，是邪热进入血分，脉象必定数而大，不必补血，可用归芍柴胡汤或导赤各半汤之类的方剂。
导赤各半汤：适用于病后心下不硬、腹部不满、二便正常、身体无热、神志昏迷不说话，或者自言自语、眼睛发红、口干但不想喝水、给食物才吃、不给就不想吃、形态像喝醉的人。
When a woman contracts a cold, presenting with fever and aversion to cold, and her menses happen to commence, after seven or eight days, if the heat subsides, the pulse becomes slow, and the body feels cool, yet she experiences fullness in the chest and hypochondrium along with delirium, this is termed "Heat Entering the Blood Chamber" (Re Ru Xue Shi). One should puncture Qimen (LR14) and apply the reducing method according to the excess condition.
Generally, if fever and aversion to cold persist for seven or eight days, followed by the subsidence of heat, a slow pulse, and a cool body, the condition should resolve spontaneously. However, if instead there is fullness in the chest and hypochondrium resembling the Jie Xiong syndrome (Knotting Chest), accompanied by delirium, it is because the menses have just started, the Sea of Blood is open, and pathogenic heat has entered the empty space of the Liver (Jue Yin), which stores blood. The Liver houses the Hun (Ethereal Soul); when pathogenic heat disturbs the Spirit internally, it causes chest fullness and delirium, even hallucinations of seeing ghosts. Therefore, puncturing Qimen, the Shu-stream point of the Foot-Jueyin Liver Meridian, helps to drain the heat and allow it to exit externally.
If a woman suffers from a cold for seven or eight days, subsequently developing alternating chills and fever that occur at regular intervals, and her menses have just ceased, this also constitutes "Heat Entering the Blood Chamber." The blood must be congealed, causing symptoms similar to malaria, or being clear during the day and worse at night, with delirium as if seeing ghosts. In such cases, one must not injure the Stomach Qi, nor use treatments targeting the Upper and Middle Jiao; the disease will heal itself.
The previous clause described a slow pulse and cool body, requiring only puncture of Qimen. This clause describes the recurrence of alternating chills and fever after seven or eight days, occurring at regular intervals, with menses just stopped. Since the Blood Chamber is not yet closed and blood is likely congealed, bitter-cold and stagnating drugs are contraindicated. Previously, the daughter-in-law of Lu Tianxiang from Daba had her menses cease. A physician administered a large dose of Huanglian (Coptis Rhizome), resulting in a mass forming in the lower abdomen, leading to her death.
For Heat Entering the Blood Chamber where only the head sweats, Zhang Zhongjing used Xiaochaihu Tang (Minor Bupleurum Decoction) to harmonize. Our family secret formula doubles the dosage of Chaihu (Bupleuri Radix) and Huangqin (Scutellariae Radix), heavily increases Guizhi (actually Guibai/Guidan usually implies Danggui/Baishao in this context, but text says Gui/Shao - Danggui/Baishao: Angelicae Sinensis Radix/Paeoniae Radix Alba) [Note: Text says 归芍, referring to Danggui and Baishao], making its action most specific. Adding Mudanpi (Moutan Cortex) and Digupi (Lycii Cortex) facilitates the reduction of body heat.
Fever due to Heat Entering the Blood Chamber, which is quiet during the day and severe at night, can differ in deficiency and excess. Fever due to Blood Deficiency arises from insufficient Ying and Blood, similar to Yin Deficiency with internal heat; the pulse must be fine and rapid, and treatment should tonify blood and cool blood. Fever due to Blood Heat occurs when pathogenic heat enters the Blood level; the pulse must be rapid and large. There is no need to tonify blood; formulas such as Guishao Chaihu Tang (Angelica, Peony, and Bupleurum Decoction) or Daochi Geban Tang (Half-and-Half Daochi Decoction) may be used.
Daochi Geban Tang (Half-and-Half Daochi Decoction): Indicated for post-illness conditions where the epigastrium is not hard, the abdomen is not distended, urination and defecation are normal, there is no body heat, but the patient is comatose and silent, or speaks alone, has red eyes, dry mouth without desire to drink, swallows food if given but does not seek it if not offered, and appears intoxicated.
Ingredients: Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Xijiao (Rhinocerotis Cornu), Zhimu (Anemarrhenae Rhizoma), Huashi (Talcum), Maidong (Ophiopogonis Tuber), Renshen (Ginseng Radix), Fushen (Poria with Hostwood), Gancao (Glycyrrhizae Radix et Rhizoma).
Preparation: Decoct with Dengxin (Junci Medulla), Jiang (Zingiberis Rhizoma), and Zao (Jujubae Fructus).