疾病之关于胎孕者,男子则在精,女人则在血,无非不足而然。凡男子之不足,则有精滑、精清、精冷
者;及临事不坚,或流而不射者;或梦遗频数,或便浊淋涩者;或好色以致阴虚,阴虚则腰肾痛惫;或好男风
以致阳极,阳极则亢而亡阴;或过于强固,强固则胜败不洽;或素患阴疝,阴疝则肝肾乖离。此外,则或以阳
衰,阳衰则多寒;或以阴虚,阴虚则多热。若此者是皆男子之病,不得尽诿之妇人也。倘知其由,而宜治则治
之,宜反则反之,必先其在我而后及妇人,则事无不济矣。
妇人所重在血,血能构精,胎孕乃成。欲察其病,惟于经候见之;欲治其病,惟于阴分调之。盖经即血
也,血即阴也,阴以应月,故月月如期,此其常也。及其为病,则有或先或后者;有一月两至者;有两月一至
者;有枯绝不通者;有频来不止者;有先痛而后行者;有先行而后痛者;有淡色、黑色、紫色者;有瘀而为
条、为片者;有精血不充而化作白带、白浊者;有子宫虚冷而阳气不能生化者;有血中伏热而阴气不能凝成
者;有血 、气痞,子脏不收,月水不通者。凡此皆真阴之病也。真阴既病,则阴血不足者,不能育胎;阴气
不足者,不能摄胎。凡此摄育之权,总在命门。正以命门为冲任之血海,而胎以血为主,血不自生,而又以气
为主,是皆真阴之谓也。所以凡补命门则或气或血,皆可谓之补阴,而补阴之法,即培根固本之道也。凡自壮
至老,乃人人之所不可缺者,而矧以先天、后天之肇基,又将舍是而何求乎?是以调经种子之法,亦惟以填
补命门,顾惜阳气为之主。然精血之都在命门,而精血之源又在二阳心脾之间。盖心主血,养心则血生,脾胃
主饮食,健脾胃则气布。二者胥和,则气畅血行。此情志饮食,又当先经脉而为之计者,亦无非补阴之源也。
使不知本末先后,而妄为之治,则又乌足以言调经种子
之法?(以上宜麟策终)
凡是与胎孕有关的疾病,男子在于精气,女子在于血液,无非都是由于不足造成的。大凡男子的不足,有精液滑泄、精液清稀、精液寒冷的;以及行房时阴茎不坚硬,或流出但不射精的;或梦中遗精频繁,或小便浑浊淋漓涩痛的;或贪恋女色导致阴虚,阴虚则腰部和肾脏疼痛疲惫;或喜好男风(男性同性恋)导致阳极,阳极则亢奋而耗亡阴液;或过于强行固守(指忍精不射),强固则阴阳胜败不能协调;或平素患有阴疝,阴疝则肝肾关系乖离。此外,有的因为阳气衰弱,阳衰则多寒证;有的因为阴虚,阴虚则多热证。像这些情况都是男子的病症,不能完全推卸给妇人。如果知道病因所在,该治疗的就治疗,该纠正的就纠正,必须先调理好自身然后再顾及妇人,那么事情就没有办不成的了。
妇人养生重在血液,血液能够结合精子,胎孕才能形成。想要观察她的病症,只能通过月经的情况来查看;想要治疗她的病症,只能通过调理阴分来实现。盖因经血就是血,血属于阴,阴气对应月亮,所以每月按时来潮,这是正常的生理现象。等到发生病变时,则有提前或延后的;有一个月来两次的;有两个月才来一次的;有枯竭断绝不通的;有频繁来潮不止的;有先疼痛后出血的;有先出血后疼痛的;有颜色淡、黑、紫的;有凝结成瘀块如条状、片状的;有精血不充盈而化作白带、白浊的;有子宫虚冷而阳气不能生化血液的;有血中潜伏热邪而阴气不能凝聚成形的;有血滞气痞,子宫松弛不收,月经不通的。所有这些都属于真阴的病变。真阴既然生病,那么阴血不足的,就不能孕育胎儿;阴气不足的,就不能固摄胎儿。大凡这种摄养和孕育的权力,全在于命门。正因为命门是冲任二脉汇聚的血海,而胎孕以血为主,血不是自己生成的,又依赖于气的主导,这都称为真阴。所以凡是补益命门,无论是补气还是补血,都可以称之为补阴,而补阴的方法,就是培植根基、巩固本源的道理。从壮年到老年,这是每个人都不可缺少的,何况它是先天和后天的肇始基础,还能舍弃它去求什么呢?因此调经种子的方法,也以填补命门、顾惜阳气作为主要原则。然而精血的枢纽在命门,而精血的源头又在心和脾这两个“阳”脏之间。因为心主血,养护心脏则血液生成,脾胃主管饮食,健运脾胃则气机布散。两者都调和,则气机通畅血液运行。这些情志和饮食方面的调养,又应当在经脉之前加以筹划,这也不过是补充阴血之源罢了。如果不明白根本与末节、先后顺序,而胡乱进行治疗,那又哪里足以谈论调经种子的方法呢?(以上为《宜麟策》结束)
Any disease related to conception lies in the essence (Jing) for men and in the blood for women, both resulting from deficiency. In men, deficiencies manifest as seminal emission (slippage), thin semen, or cold semen; failure of erection during intercourse, or discharge without ejaculation; frequent nocturnal emissions, or turbid urine with dribbling and dysuria; excessive sexual desire leading to Yin deficiency, causing soreness and fatigue in the lower back and kidneys; preference for male homosexuality leading to extreme Yang, causing hyperactivity and depletion of Yin; excessive retention of semen, causing disharmony between victory and defeat (physiological balance); or chronic Yin hernia, causing disconnection between the Liver and Kidney. Additionally, some suffer from Yang deficiency, characterized by excess cold; others from Yin deficiency, characterized by excess heat. These are all diseases of men and cannot be entirely blamed on women. If the cause is known, treatment should be applied accordingly: treating what needs treatment and reversing what needs reversal. One must first rectify oneself before addressing the woman, ensuring success in all endeavors.
For women, the focus is on blood; when blood combines with sperm, conception occurs. To diagnose their ailments, one observes the menstrual cycle; to treat them, one regulates the Yin aspect. Menstrual blood is blood, and blood belongs to Yin. Yin corresponds to the moon, hence menstruation arrives regularly each month, which is the norm. When pathology arises, variations include early or late onset; twice a month; once every two months; amenorrhea due to exhaustion; frequent and unceasing bleeding; pain preceding flow; flow preceding pain; pale, black, or purple coloration; clotted blood forming strips or flakes; insufficient essence and blood transforming into leukorrhea or turbid discharge; uterine deficiency-cold preventing Yang from generating blood; latent heat in the blood preventing Yin from condensing; blood stasis and Qi stagnation causing uterine laxity and amenorrhea. All these constitute disorders of True Yin. Once True Yin is diseased, insufficient Yin-blood cannot nourish the fetus, and insufficient Yin-Qi cannot secure the fetus. The power of securing and nurturing lies entirely in the Mingmen (Gate of Life). Since Mingmen is the Sea of Blood for the Chong and Ren meridians, and the fetus relies primarily on blood—which does not generate itself but depends on Qi—this is referred to as True Yin. Therefore, tonifying Mingmen, whether by boosting Qi or Blood, is considered tonifying Yin. The method of tonifying Yin is essentially the way of cultivating roots and consolidating the foundation. This is indispensable from youth to old age, especially since it is the basis of both Pre-heaven and Post-heaven constitutions; what else could one seek if not this? Thus, methods for regulating menstruation and facilitating conception mainly involve filling the Mingmen and preserving Yang Qi. However, while the hub of essence and blood is the Mingmen, its source lies between the Heart and Spleen (both considered Yang organs). The Heart governs blood; nourishing the Heart generates blood. The Spleen and Stomach manage digestion; strengthening them ensures Qi distribution. When both harmonize, Qi flows freely and blood circulates. Adjustments in emotions and diet must be planned prior to meridian regulation, serving ultimately as sources to replenish Yin-blood. Without understanding the root and branch, priority and sequence, blind treatment renders one incapable of discussing methods for regulating menstruation and conception. (End of *Yilin Ce*)