《产宝方》序云∶大率治病，先论所主，男子调其气，女人调其血。气血者，人之神也
。然
妇人以血为基本，苟能谨于调护，则气血宣行，其神自清，月水如期，血凝成孕。若脾胃虚
弱，饮食不化，荣卫不足，月经不调，肌肤索泽，寒热腹痛，则难于子息矣。或崩漏带下，
血不流行，而成 瘕。
按立斋云∶妇人脾胃久虚，以致气血俱虚，而月经不行，宜调其胃气，滋其化源，经自
下矣
。或患中消胃热，津液不行，而致血海干枯，宜清胃补脾，其经自行。经曰∶胃者卫之源，
脾
者荣之本。《针经》曰∶荣出中焦，卫出下焦，卫不足益之以辛，荣不足补之以甘，辛甘相
合，脾胃健而荣卫生，是以气血俱旺，或因劳心，虚火妄动，月经错行，宜安心、补血、泻
火，此东垣之治法。
《济生方》论云∶经言百病皆生于气也。所谓七气者，喜怒忧思悲恐惊也。又有谓九
气者
，七情之外益之寒热二症也。气之为病，男子妇人皆有之，惟妇人为患尤甚。盖人身血随气
行，气一壅滞则血与气并，或月事不调，心腹作痛，或月事将行，预先作痛，或月事已行，
淋沥不断，心腹作痛，或腰胁引背，上下攻刺，吐逆不食，甚则手足搐搦，状类惊痫，或
作寒热，或作 瘕，肌肉消瘦，非特不能受孕，久而不治，转而为瘵疾者多矣。
按∶妇人性偏见鄙，婢外家志不得伸，郁怒无时不起，故先哲谓妇人气旺于血，当耗气而
益血
，此说一倡，举世宗之，专任辛散导滞之品，以为快捷方式法门。殊不知阳为阴使，血为气配，
故气热则热，气寒则寒，气降则降，气升则升，气滞则滞，气行则行。其体本属相纽，其用
未尝殊也。如果郁火气盛于血者，方可开郁行血。若气乱则调，气冷则温，气虚则补。男女
一般阳生则阴自长，气衰则血亦涸，岂可专任耗气耶?
《产宝方》的序言中说：大抵治疗疾病，首先要明确主治方向，男子调理气，女子调理血。气和血，是人的精神活动的根本。然而妇女以血作为基本物质基础，如果能够谨慎地进行调养护理，那么气血就能通畅运行，人的精神自然清明，月经按时来潮，血液凝聚而成孕。如果脾胃虚弱，饮食不能消化，营卫之气不足，导致月经不调，肌肤干枯无光泽，出现寒热往来和腹痛等症状，那么就难以受孕生子了。或者出现崩漏、带下病，血液运行不畅，从而形成瘕积（腹内结块）。
按语引用立斋的观点说：妇女如果脾胃长期虚弱，导致气血都虚弱，而月经不来，应当调理胃气，滋养化生之源，月经自然会下行。或者患有中消证（多食易饥）、胃中有热，津液不能正常输布，而导致血海干枯，应当清胃火、补脾气，月经就会自行恢复。医经说：胃是卫气的源头，脾是荣气（营气）的根本。《针经》说：荣气产生于中焦，卫气产生于下焦（注：此处原文引文有误，通常《灵枢·营卫生会》云“营出中焦，卫出上焦”，但依原文翻译），卫气不足用辛味药来增益，荣气不足用甘味药来补益，辛味和甘味相互结合，脾胃功能强健，荣卫之气滋生，因此气血都旺盛。另外，如果因为劳心过度，虚火妄动，导致月经错乱不行，应当安心神、补血、泻火，这是东垣的治疗法则。
《济生方》的论述说：医经说各种疾病大多都生于气机失调。所谓七气，是指喜、怒、忧、思、悲、恐、惊这七种情志。又有说是九气，即在七情之外加上寒、热两种病症。气机失调引起的疾病，男性和女性都会有，只是妇女患病尤为严重。大概是因为人体的血随着气运行，气一旦壅滞，血就会与气并聚，或者月经不调，心腹部疼痛；或者月经将要来时，预先感到疼痛；或者月经已经来了，淋漓不断，心腹部疼痛；或者腰胁部牵引背部疼痛，上下攻刺作痛，呕吐逆气不能进食，严重时手足抽搐，症状类似惊痫；或者表现为寒热往来，或者形成瘕积，肌肉消瘦，这不仅不能受孕，如果长久不治疗，转变成痨瘵（消耗性疾病）的情况很多。
按语：妇女性格往往偏狭鄙陋，婢妾及外嫁女儿志向不得伸展，郁怒之情无时无刻不在升起，所以先哲说妇女的气旺于血，应当耗损气而补充血，这种说法一被倡导，举世之人便都遵循它，专门使用辛散、导滞的药物，认为这是快捷的方法。却不知道阳依附于阴，血配属于气，所以气热则身体热，气寒则身体寒，气降则下降，气升则上升，气滞则停滞，气行则运行。气和血的本质属性本是相互纽结联系的，它们的作用并没有不同。如果确实是郁火之气盛于血中，才可以开郁结、行血脉。如果气机紊乱就调理气机，气冷就温煦，气虚就补益。男女都一样，阳气生发则阴血自然生长，气衰败则血液也会枯竭，怎么可以专门使用耗损元气的药物呢？
The preface of *Chanbao Fang* (Prescriptions for Childbirth) states: In general, treating diseases requires first determining the primary focus; for men, one regulates Qi (vital energy), and for women, one regulates Blood. Qi and Blood are the spirit (Shen) of human beings. However, women take Blood as their fundamental basis. If they can be cautious in regulation and care, then Qi and Blood will circulate freely, their spirit will naturally be clear, menstruation will occur on schedule, and congealed Blood will lead to pregnancy. If the Spleen and Stomach are weak, food is not digested, Ying (Nutritive) and Wei (Defensive) energies are insufficient, leading to irregular menstruation, dry and lusterless skin, alternating chills and fever, and abdominal pain, then conception becomes difficult. Or, if metrorrhagia (bing) and leukorrhea (dai) occur, with Blood failing to flow smoothly, it may form Zha masses (abdominal masses).
Commentary citing Lizhai's view: If a woman has long-standing deficiency of the Spleen and Stomach, resulting in deficiency of both Qi and Blood, and amenorrhea, one should regulate Stomach Qi and nourish the source of transformation, so that menstruation will descend naturally. Or, if suffering from Zhongxiao syndrome (middle jiao consumption characterized by excessive hunger) with heat in the Stomach, where body fluids fail to circulate, leading to dryness of the Sea of Blood, one should clear Stomach heat and tonify the Spleen, so that menstruation will resume spontaneously. The Classics state: The Stomach is the source of Wei Qi (Defensive Energy), and the Spleen is the root of Ying Qi (Nutritive Energy). The *Zhenjing* (Needle Classic) says: Ying Qi arises from the Middle Jiao, and Wei Qi arises from the Lower Jiao [Note: Textual variant]. For insufficiency of Wei Qi, add pungent flavors; for insufficiency of Ying Qi, tonify with sweet flavors. When pungent and sweet flavors combine, the Spleen and Stomach become robust, and Ying and Wei Qi are generated, thus making both Qi and Blood abundant. Additionally, if mental overwork causes deficient fire to move recklessly, leading to irregular menstruation, one should calm the Mind, tonify Blood, and drain fire; this is Dongyuan's therapeutic method.
The discussion in *Jisheng Fang* states: The Classics say that all diseases arise from Qi dysfunction. The so-called "Seven Qi" refers to Joy, Anger, Worry, Thought, Sorrow, Fear, and Fright. There is also mention of "Nine Qi," which adds Cold and Heat syndromes to the Seven Emotions. Diseases caused by Qi affect both men and women, but the harm is particularly severe in women. This is because Blood follows Qi in circulation; when Qi becomes stagnant, Blood and Qi merge. This may result in irregular menstruation and epigastric/abdominal pain; or pain occurring prior to menstruation; or prolonged, dripping menstruation with abdominal pain after onset; or pain radiating from the waist and hypochondrium to the back, stabbing sensations up and down, vomiting, inability to eat, and in severe cases, convulsions of hands and feet resembling Jingxian (convulsive epilepsy); or alternating chills and fever, or formation of Zha masses, emaciation. Not only does this prevent conception, but if left untreated for a long time, it often transforms into Zhai disease (consumptive disease/tuberculosis).
Commentary: Women's natures are often biased and narrow-minded; concubines and married daughters out of their natal homes find their ambitions unfulfilled, causing depression and anger to rise at any time. Therefore, ancient sages stated that women's Qi is more prominent than Blood, and one should deplete Qi and benefit Blood. Once this theory was advocated, the world followed it, exclusively using acrid-dispersing and stagnation-resolving agents as a shortcut. They did not realize that Yang serves Yin, and Blood pairs with Qi. Thus, if Qi is hot, the body is hot; if Qi is cold, the body is cold; if Qi descends, it descends; if Qi ascends, it ascends; if Qi stagnates, it stagnates; if Qi moves, it moves. Their substance is inherently linked like knots, and their function is not different. Only if depressive fire is indeed abundant in Blood can one open stagnation and move blood. If Qi is chaotic, regulate it; if Qi is cold, warm it; if Qi is deficient, tonify it. Men and women are the same: when Yang generates, Yin grows naturally; when Qi declines, Blood dries up. How can one exclusively use methods that deplete Qi?