石瘕寒气客胞中，状如怀子不经行。胞闭热气迫肺咳，伤心气血不流通。
【注】经曰∶石瘕生于胞中，寒气客于子门，子门闭，寒气不得通，恶血当泻不泻， 以留止，日以益大，
状如怀子，月事不以时下。皆生于女子，可导而下。此论经闭，因寒气客于下，故病石瘕，而不病肺劳也。经曰∶
月事不来者，胞脉闭也。胞脉者，属心而络于胞中。今气上迫于肺，心气不得不通，故月事不来也。此论胞脉闭，
因热气攻于上，故迫肺作咳，病肺劳而不病石瘕也。
二阳之病发心脾，不月有不得隐曲。血枯其传为风消，息贲者死不能医。
【注】二阳者，阳明胃也。女子有隐曲不得之情，则心脾气郁不舒，以致二阳胃病，饮
食日少，血无以生，故不月也。血虚则生内热，愈热愈虚，肌肉干瘦如风之消物，故名
曰风消也。火盛无制，心乘肺金，金气不行，不能运布。水精留于胸中，津液悉化为痰，咳
嗽不已，日久成劳，传为息责，则不能医矣。息贲者，喘也。
脱血过淫产乳众，血枯渐少不行经。骨蒸面白两颧赤，懒食消瘦咳嗽频。
【注】失血过多，面与爪甲之色俱浅淡黄白，乃脱血病也。或因过淫精竭，或因产多
乳众，伤血血枯，经来渐少，二三月后经闭不行，以致证见骨蒸肌热，面色枯白，两颧
红赤，懒于饮食，皮干消瘦，咳嗽频频不已，多成虚损之证。
石瘕是由于寒气侵入子宫，症状像怀孕一样但月经不来。胞闭是因为热气上迫于肺导致咳嗽，伤心血气运行不畅。
【注】《内经》说：石瘕生于子宫，寒气客居在子门（子宫口），子门闭塞，寒气不能通行，恶血应当排出却排不出，因而停留积聚，一天天增大，形状像怀孕，月经不能按时来潮。这些病症都发生在女子身上，可以用导下法治疗。这是论述经闭，因为寒气客居于下焦，所以病名为石瘕，而不是肺劳。《内经》又说：月经不来的原因，是胞脉闭塞。胞脉，属于心并联络于子宫中。现在气机上逆逼迫于肺，心气不得不通，所以月经不来。这是论述胞脉闭塞，因为热气攻冲于上焦，所以逼迫肺部引起咳嗽，病名为肺劳而不是石瘕。
二阳（阳明胃）的病变发于心脾，出现月经不来以及有难以启齿的隐情。血枯证如果传变为风消，或者发展为息贲则死亡且无法医治。
【注】二阳指的是阳明胃。女子如果有难以言说的隐曲之情，就会导致心脾气郁结不舒，进而引起阳明胃病，饮食日渐减少，血液无法生成，所以月经不来。血虚则产生内热，越热越虚，肌肉干瘦如同被风吹消，所以名叫风消。火势旺盛没有制约，心火乘袭肺金，肺气不行，不能运布水精。水液精华留滞于胸中，津液全部化为痰，咳嗽不止，日久形成劳损，传变为息贲，就无法医治了。息贲是指喘促。
脱血过多、房事过度、生产频繁或哺乳过多，会导致血枯逐渐减少直至月经停止。出现骨蒸潮热、面色苍白、两颧发红、食欲不振、身体消瘦、频繁咳嗽等症状。
【注】失血过多，面部和指甲的颜色都呈现浅淡黄白色，这是脱血病。或者因为房事过度导致精竭，或者因为生产多、哺乳多，损伤血液导致血枯，月经逐渐减少，两三个月后月经闭止不行，以致出现骨蒸肌热，面色枯白，两颧红赤，懒于饮食，皮肤干燥消瘦，咳嗽频频不已，多成为虚损之证。
Shijia (Stone Mass) occurs when cold pathogen invades the uterus, presenting with a condition resembling pregnancy but without menstruation. Baobi (Uterine Vessel Closure) is caused by heat pathogen forcing upward to the lungs resulting in cough, and damaging heart blood and qi circulation.
[Note] The *Neijing* states: Shijia arises in the uterus; cold pathogen lodges at the Zi Men (cervical os). When Zi Men closes, cold pathogen cannot pass through, and evil blood should be discharged but remains stagnant, accumulating day by day until it enlarges, resembling pregnancy, and menses do not arrive on time. These conditions occur only in women and can be treated with draining methods. This discusses amenorrhea caused by cold pathogen lodging in the lower jiao, hence the disease is named Shijia rather than Feilao (Lung Consumption). The *Neijing* also says: The reason for absent menses is the closure of Baomai (uterine vessels). Baomai belongs to the Heart and connects to the uterus. Now, if Qi forces upward upon the Lungs, Heart Qi must communicate, yet menses do not arrive. This discusses Baomai closure caused by heat pathogen attacking the upper jiao, thus forcing the Lungs to cause cough; the disease is named Feilao rather than Shijia.
Diseases of Er Yang (Yangming Stomach) originate from the Heart and Spleen, manifesting as amenorrhea accompanied by unspoken distress. If Blood Deficiency (Xueku) transmits into Fengxiao (Wind Wasting), or develops into Xiben (Breathful Accumulation), death ensues and it becomes incurable.
[Note] Er Yang refers to the Yangming Stomach. If a woman harbors unspoken emotional distress, it causes stagnation of Heart and Spleen Qi, leading to Yangming Stomach dysfunction. Food intake decreases daily, and Blood fails to generate, resulting in amenorrhea. Blood deficiency generates internal heat; the more heat, the greater the deficiency. Muscles become dry and emaciated as if consumed by wind, hence named Fengxiao. Excessive Fire acts without restraint; Heart Fire attacks Lung Metal. Lung Qi fails to circulate, unable to distribute water essence. Water essence stagnates in the chest, and all body fluids transform into phlegm. Persistent coughing over a long period leads to consumption, transmitting into Xiben, which becomes incurable. Xiben refers to panting or wheezing.
Excessive blood loss, hypersexuality, frequent childbirth, and excessive lactation lead to gradual depletion of Blood (Xueku) until menstruation ceases. Symptoms include bone-steaming fever, pale complexion, red malar eminences, anorexia, emaciation, and frequent coughing.
[Note] Excessive blood loss results in a pale yellowish-white color of the face and fingernails, indicating a condition of blood exhaustion. Alternatively, due to hypersexuality causing essence depletion, or due to multiple births and heavy lactation damaging Blood and causing Blood Deficiency, menstruation gradually diminishes. After two or three months, amenorrhea occurs, leading to symptoms such as bone-steaming muscle heat, withered pale complexion, red malar eminences, aversion to food, dry skin and emaciation, and incessant coughing. These often develop into deficiency consumptive diseases.