医镜云∶妇女之症，不肯对人言，与小儿之不能自言，其难治一也。医家又未便逐细询问，则更暗中摸
索矣。然大要不离乎中情郁结，盖妇女本坤阴吝啬之性，心地浅窄，识见拘墟，一有逆意，即牢结胸中，又不
能散闷于外，则郁久而成病矣。主治之法，审无外感内伤别症，唯有养血疏肝四字，用四物汤，逍遥散
之类，可以得其八九。其一切杂病与方脉并治，兹不赘叙。若胎
前产后，此其生死交关处，详叙于后，慎毋忽诸。
室女天癸未至，有病从幼科论，天癸即行则与妇人并治矣。然其神完气足，经水应无延期，其有经闭不
行者，若非血海干枯，必其经脉逆转，血枯则少思饮食，内热咳嗽，渐成怯症。经逆则为吐为衄，血必妄行，
皆非轻候也，须速治之。如或经水适来，偶阻逆窍，则小便不通，腹胀欲死，急宜通其经而便自利。用调经
饮或泽兰汤。更有心热烦闷，而如 如饥，恹恹倦怠，面黄肌瘦
者，此其情窦久开，欲火内炽所致，为父母者，察知其意，速宜
择配定期以安其心。若溺爱久留，或不爱冰搁，势必相火刑金，咳
嗽发热，吐血而成痨瘵，慎勿选婿过备，而使俾饮恨以终也。
未诊妇人之病，先问经期与有无妊娠，若不详细审问，倘用
药误触之，则所关匪细，多有变生他证，疑似难明，岂不昧其病之所因哉。
《医镜》中说：妇女的疾病，往往不肯对人言说，这与小儿不能自己表达病情一样，治疗起来都很困难。医生又不便逐一详细询问，这就更加像是在暗中摸索了。但大致的原则不离乎内心郁结，因为妇女本性具有坤阴（象征大地、柔顺、收敛）吝啬的特点，心地浅窄，见识拘泥局限，一旦遇到不顺心的事，就会牢牢郁结在胸中，又不能向外排解闷气，于是郁积久了就形成疾病了。主治的方法，审查确认没有外感或内伤等其他病症，只有“养血疏肝”这四个字，使用四物汤、逍遥散之类的方剂，可以解决八九成的情况。其余一切杂病与脉诊并治的情况，这里不再赘述。至于胎前产后，这是关乎生死的关键时刻，将在后面详细叙述，务必不要忽视。
未婚女子天癸（指月经）尚未到来，有病应从儿科角度论述；天癸已行经后，则与成年妇人一起治疗。然而她们精神完备、气血充足，月经应该按时来潮，如果有经闭不行的情况，如果不是血海干枯，必然是经脉逆转。血枯则食欲减退，内有虚热咳嗽，逐渐形成虚怯之症。经脉逆乱则表现为呕吐或鼻衄，血液妄行，这些都不是轻浅的证候，必须迅速治疗。如果恰逢月经刚来，偶然阻滞了窍道，导致小便不通，腹胀痛苦欲死，应当紧急通经，小便自然通畅。可用调经饮或泽兰汤。更有心中烦热郁闷，如饥似渴，倦怠无力，面色萎黄肌肉消瘦的，这是情窦久开，欲火在内炽盛所致，做父母的，察觉到了她的心意，应尽快选择配偶并确定婚期以安其心。如果溺爱长久滞留不嫁，或不爱惜将其冷置一旁，势必导致相火（肾中命门之火）刑克肺金，出现咳嗽发热、吐血而成为痨瘵（肺结核等慢性消耗性疾病），千万不要因择婿要求过备，而使她饮恨终身。
未诊治妇人的疾病之前，先询问经期以及是否有妊娠，如果不详细审问，倘若用药误触禁忌，那么关系非同小可，多有变生其他病症，疑似难明，这难道不是蒙蔽了疾病的起因吗？
The *Yi Jing* (Mirror of Medicine) states: Women's ailments are often kept secret from others, just as young children cannot speak for themselves; both are difficult to treat. Physicians find it inconvenient to inquire in minute detail, which makes the situation even more like feeling one's way in the dark. However, the general principle does not deviate from emotional stagnation. This is because women inherently possess a nature akin to Kun Yin (symbolizing earth, yielding, and storing), with narrow-mindedness and limited perspective. Once they encounter dissatisfaction, it becomes firmly knotted in the chest, and since they cannot vent their frustration outward, prolonged stagnation leads to disease. The primary treatment method, after confirming the absence of external contraction or internal injury and other syndromes, lies in the four characters "nourish blood and soothe the liver." Formulas such as Siwu Tang (Four Substances Decoction) and Xiaoyao San (Free and Easy Wanderer Powder) can address eight or nine out of ten cases. Other miscellaneous diseases treated alongside pulse diagnosis are not elaborated here. As for conditions before and after childbirth, these are critical junctures involving life and death, and will be detailed later; do not neglect them.
For unmarried girls whose Tian Gui (menstruation) has not yet arrived, illnesses should be discussed according to pediatric principles; once menstruation begins, they are treated similarly to adult women. However, since their spirit is complete and Qi and Blood are sufficient, menstruation should occur on schedule. If amenorrhea occurs, it is either due to the drying up of the Sea of Blood or reversal of the meridians. Drying of the Blood leads to poor appetite, internal heat, coughing, and gradually develops into a deficiency-cold syndrome. Reversal of the meridians manifests as vomiting or epistaxis, with blood flowing recklessly; neither is a mild condition and requires prompt treatment. If menstruation has just started but is suddenly obstructed, causing urinary retention and severe abdominal distension, one must urgently unblock the menses, after which urination will naturally resume. Use Tiaojing Yin (Menstruation Regulating Decoction) or Zelan Tang (Lycopus Decoction). In cases where there is mental restlessness and irritability, a sensation of hunger without actual appetite, lethargy, sallow complexion, and emaciation, this is caused by long-standing opening of emotional desires and blazing internal fire. Parents who perceive this intent should promptly arrange marriage to calm her mind. If indulgence leads to prolonged delay in marriage, or if she is neglected and left idle, it will inevitably cause Minister Fire (Fire of the Mingmen) to damage Lung Metal, resulting in cough, fever, hemoptysis, and consumption diseases (such as tuberculosis). Do not let excessive standards in choosing a husband cause her to die full of regret.
Before diagnosing a woman's illness, one must first inquire about her menstrual cycle and whether she is pregnant. Failure to ask in detail may lead to medication errors that violate taboos, which can have serious consequences, potentially generating other syndromes that are difficult to distinguish. Would this not obscure the true cause of the disease?