(无热虚劳乃阳虚症，其病自上而下，损之脉也，法宜温补)
《大全》云∶妇人冷劳属气血不足、脏腑虚寒，以致脐下冷痛，手足时寒，月经失常，
饮食不消，或时呕吐，恶寒发热，骨节酸疼，肌肤羸瘦，面色萎黄也。
薛氏曰∶前症有内外真寒者，有内外真热者。有内真热而外假寒者，有内真寒而外假热
者，
若饮食难化，大便不实，肠鸣腹痛，饮食畏寒，手足逆冷，面黄呕吐，畏见风寒，此内外真
寒之症也。宜用附子理中汤以回阳，八味地黄丸以壮火。若饮食如常，大便坚实，胸腹痞胀
，饮食喜冷，手足烦热，面赤，呕吐，不畏风寒，此内外真热之症也。宜用黄连解毒汤以消
阳，六味地黄丸以壮水。若饮食如常，大便坚实，胸腹痞胀，手足逆冷，面黄呕吐，畏见风
寒，此内真热而外假寒也，亦用解毒汤、六味丸。若饮食少思，大便不实，吞酸嗳气，胸腹
痞满，手足逆冷，面赤呕吐，畏见风寒，此内真寒而外假热也，亦用理中汤、八味丸。当求
其属而治之。经曰∶益火之源，以消阴翳，壮水之主，以镇阳光。使不知真水火之不足，泛
以寒热药治之，则旧疾未去，新病复生矣。夫所谓属者，犹主也，谓心肾也。求其属也者，
言水火不足而求之于心肾也。火之源者，阳气之根，即心是也。水之主者，阴气之根，即肾
是也，非谓火为心、源为肝、水为肾、主为肺也。
（没有发热的虚劳属于阳虚证，其病势从上向下发展，是脏腑受损的脉象，治疗法则应当温补。）
《妇人大全良方》说：妇女冷劳属于气血不足、脏腑虚寒，导致脐下冷痛，手足时常发凉，月经失调，饮食不消化，有时呕吐，恶寒发热，骨节酸痛，肌肤消瘦，面色萎黄。
薛己说：上述病症有内外皆真寒的，有内外皆真热的。有内里真热而外表假寒的，有内里真寒而外表假热的。如果饮食难以消化，大便稀溏不成形，肠鸣腹痛，饮食时畏惧寒冷，手足逆冷，面色发黄并伴有呕吐，畏惧风吹和风寒，这是内外皆真寒的病症。适宜使用附子理中汤来回阳救逆，八味地黄丸来壮命门之火。如果饮食如常，大便干结坚实，胸腹部痞满胀闷，饮食喜好冷饮，手足烦热，面色发红，呕吐，不畏风吹和风寒，这是内外皆真热的病症。适宜使用黄连解毒汤来清泻实火，六味地黄丸来滋补肾阴。如果饮食如常，大便干结坚实，胸腹部痞满胀闷，手足逆冷，面色发黄并伴有呕吐，畏惧风吹和风寒，这是内里真热而外表假寒，也使用解毒汤和六味地黄丸。如果饮食减少思虑，大便稀溏不成形，吞酸嗳气，胸腹部痞满，手足逆冷，面色发红并伴有呕吐，畏惧风吹和风寒，这是内里真寒而外表假热，也使用理中汤和八味地黄丸。应当探求疾病的根本属性而进行治疗。医经说：补益火的源头，以消除阴寒之邪；壮大水的根本，以制约亢盛之阳。如果不了解真阴真阳的不足，泛泛地使用寒热药物治疗，那么旧疾未去，新病又会产生。所谓“属”，就像“主”一样，指的是心和肾。所谓“求其属”，是说水火不足而向心肾寻求根源。火的源头，是阳气的根本，就是心。水的根本，是阴气的根本，就是肾。并不是说火对应心、源对应肝、水对应肾、主对应肺。
(Deficiency consumption without fever belongs to Yang deficiency syndrome. The disease progresses from above downwards, representing a pulse of organ damage; the treatment principle should be warming and tonifying.)
*Daquan* states: Women's cold consumption belongs to insufficiency of Qi and Blood, and deficiency-cold of the Zang-Fu organs, resulting in cold pain below the umbilicus, coldness of the hands and feet at times, irregular menstruation, indigestion, occasional vomiting, aversion to cold with fever, soreness and pain of the bone joints, emaciation of the skin and muscles, and sallow complexion.
Xue Ji said: The aforementioned symptoms include cases of true cold inside and outside, and cases of true heat inside and outside. There are cases of true heat inside with false cold outside, and cases of true cold inside with false heat outside. If digestion is difficult, stools are loose, there is borborygmus and abdominal pain, food intake is feared due to cold, the hands and feet are cold (reversal cold), the face is yellow with vomiting, and there is aversion to wind and cold, these are symptoms of true cold inside and outside. It is appropriate to use Fuzi Lizhong Tang (Aconite Decoction for Regulating the Middle) to restore Yang, and Bawei Dihuang Wan (Eight-Ingredient Pill with Rehmannia) to strengthen the Fire of the Gate of Vitality. If diet is normal, stools are firm, there is fullness and distension in the chest and abdomen, preference for cold drinks, vexatious heat in the hands and feet, red face, vomiting, and no aversion to wind and cold, these are symptoms of true heat inside and outside. It is appropriate to use Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity) to clear excess Yang/Fire, and Liudihuang Wan (Six-Ingredient Pill with Rehmannia) to nourish Water/Yin. If diet is normal, stools are firm, there is fullness and distension in the chest and abdomen, reversal cold in the hands and feet, yellow face with vomiting, and aversion to wind and cold, this is true heat inside with false cold outside; also use Jiedu Tang (Decoction for Resolving Toxicity) and Liudihuang Wan (Six-Ingredient Pill with Rehmannia). If appetite is poor, stools are loose, there is acid regurgitation and belching, fullness and distension in the chest and abdomen, reversal cold in the hands and feet, red face with vomiting, and aversion to wind and cold, this is true cold inside with false heat outside; also use Lizhong Tang (Decoction for Regulating the Middle) and Bawei Dihuang Wan (Eight-Ingredient Pill with Rehmannia). One must seek the root attribute to treat it. The Classics state: "Enrich the source of Fire to dissipate Yin shadows; strengthen the master of Water to suppress excessive Yang." If one does not understand the insufficiency of True Water and True Fire, and indiscriminately uses cold or hot medicines for treatment, old diseases will not be eliminated, and new diseases will arise. What is meant by "attribute" is similar to "master," referring to the Heart and Kidney. "Seeking the attribute" means seeking the root in the Heart and Kidney when Water and Fire are insufficient. The source of Fire is the root of Yang Qi, which is the Heart. The master of Water is the root of Yin Qi, which is the Kidney. This does not mean that Fire corresponds to the Heart, Source to the Liver, Water to the Kidney, and Master to the Lung.