妇人除妊娠外,有病多与男子相同,但男子以元阳为主,女子以阴血为主,男子多肾虚为病,女子多冲任
虚为病。盖冲为血海,任主胞胎,血信之行,皆由冲任而来,若一月一次为无病,愆期者为虚,不及期者为实,
脉沉细而涩,月信不来者,虚寒也。血崩者,冲任虚脱也。崩者,倒也。白带者,任脉冷也。任为胞门子户,
故有此也。发热减食,皆为气血脾胃之虚;不减食,止发热者,心脏虚也。此外疾病治法皆与男子同。(妇人
另立一科,原属无谓,业方脉者,不知男女
之分,阴阳之异,冲任之原,月信之期,胎孕之病,产乳之疾者,则是走方小技之俦,乌得称大方哉。)
妇人血旺气衰则多子,气旺血衰则无子。若发黑,面色光润,肌肤滑泽,腋隐毛稀,乃气衰血旺也,主
多子。若发黄,面无光彩,肌肉粗涩,腋隐毛多,乃气旺血衰也,主无子。若交合时,女精先至,男精后冲者,
乃血开裹精也,主成男。若男精先至,女精后来者,乃精开裹血也,主成女。若男女精血前后不齐至者,则不
成胎。(为子嗣计者,重在择妇,妇人端庄则生子凝重。交合有节,则生子秀美。既生之后,又须选择乳母,
儿吮其乳,习其教导,往往类之。先天性情虽禀于父母,而后天体局往往多肖乳母。)
除了妊娠之外,妇女所患疾病大多与男子相同。但是,男子以元阳(人体生命活动的原动力)为主,女子以阴血(滋养身体的血液和津液)为主。男子多因肾虚而致病,女子多因冲任二脉虚弱而致病。
因为冲脉是血海,任脉主司胞胎,月经的来潮,都源于冲任二脉。如果每月按时来潮一次,就是没有病;如果延期不来,属于虚证;如果提前来潮,属于实证。脉象沉细而涩,月经不来的,属于虚寒证。血崩症,是冲任二脉虚脱所致。“崩”的意思就是倒陷、失控。白带症,是任脉寒冷所致。任脉被称为胞门子户(子宫门户),所以会出现这种情况。发热且食欲减退,都是气血和脾胃虚弱的表现;如果不减食,只是发热,则是心脏虚弱所致。除此之外的疾病治法都与男子相同。(妇女单独设立一个科室,原本是没有必要的。那些精通方脉的医生,如果不知道男女的区别、阴阳的差异、冲任的起源、月经的周期、胎孕的疾病以及产乳的疾苦,那就只是走方卖药的小技之流,怎么能称为大方之家呢?)
妇女如果血旺气衰,就容易多子;如果气旺血衰,就容易无子。如果头发黑,面色光润,肌肤滑泽,腋下隐毛稀少,这是气衰血旺的表现,主多子。如果头发黄,面无光彩,肌肉粗涩,腋下隐毛多,这是气旺血衰的表现,主无子。如果在交合时,女精先到,男精后到,这是血打开包裹住精,主生男孩。如果男精先到,女精后到,这是精打开包裹住血,主生女孩。如果男女的精血不是先后同时到达,就不能成胎。(为了子嗣考虑,重点在于选择妻子,妇人端庄则生子稳重。交合有节制,则生子秀美。孩子出生之后,又必须选择乳母,孩子吸吮她的乳汁,学习她的教导,往往变得像她一样。先天的性情虽然禀受于父母,但后天的体格格局往往大多像乳母。)
Except for pregnancy, the diseases suffered by women are mostly the same as those of men. However, men primarily rely on Yuan Yang (the original vitality and driving force of human life), while women primarily rely on Yin Blood (blood and body fluids that nourish the body). Men often suffer from diseases due to Kidney Deficiency, whereas women often suffer from diseases due to the deficiency of the Chong and Ren meridians.
The Chong Meridian is the Sea of Blood, and the Ren Meridian governs the uterus and fetus. The onset of menstruation originates from both the Chong and Ren meridians. If menstruation occurs once a month at regular intervals, it indicates health; if delayed, it indicates a Deficiency pattern; if premature, it indicates an Excess pattern. A pulse that is deep, fine, and choppy, accompanied by amenorrhea, indicates Cold-Deficiency. Metrorrhagia (uterine bleeding) is caused by the collapse of the Chong and Ren meridians. "Beng" implies falling or losing control. Leukorrhea (white vaginal discharge) is caused by coldness in the Ren Meridian. Since the Ren Meridian is referred to as the gate of the womb, such conditions arise. Fever accompanied by loss of appetite indicates Deficiency of Qi and Blood and Spleen-Stomach weakness; fever without loss of appetite indicates Heart Deficiency. The treatment methods for other diseases are the same as those for men. (Establishing a separate department for women was originally unnecessary. Physicians who claim expertise in formulas and pulse diagnosis but fail to understand the distinctions between men and women, the differences between Yin and Yang, the origins of the Chong and Ren meridians, the cycles of menstruation, diseases of conception, and disorders of childbirth and lactation are merely charlatans practicing trivial skills; how can they be called masters of great medicine?)
If a woman has abundant Blood and deficient Qi, she is likely to have many children; if she has abundant Qi and deficient Blood, she is likely to be infertile. If her hair is black, complexion lustrous, skin smooth and glossy, and axillary hair sparse, this indicates deficient Qi and abundant Blood, suggesting she will bear many children. If her hair is yellow, complexion dull, muscles rough and dry, and axillary hair abundant, this indicates abundant Qi and deficient Blood, suggesting infertility. During intercourse, if the female essence arrives first and the male essence follows later, the Blood opens to envelop the Essence, indicating the birth of a male child. If the male essence arrives first and the female essence follows later, the Essence opens to envelop the Blood, indicating the birth of a female child. If the male and female essences and blood do not arrive in a coordinated sequence, conception will not occur. (For the sake of offspring, the emphasis lies in selecting a wife; if the woman is dignified, the child will be steady and solemn. Intercourse with moderation results in beautiful children. After birth, one must carefully select a wet nurse; the child sucks her milk and learns from her guidance, often becoming similar to her. Although innate temperament is inherited from parents, postnatal physical constitution often resembles the wet nurse.)