寇宗 曰∶夫人之生，以气血为本。人之病，未有不先伤其血气者，若室女童男，积想
在心，思虑过度，多致劳损，男子则神色消散，女子则月水先闭。盖忧愁思虑则伤心，而血
逆竭，神色先散，月水先闭；且心病，则不能养脾，故不嗜食；脾虚则金亏，故发嗽，肾水
绝，则木气不荣，而四肢干痿，故多怒，鬓发焦，筋骨痿，若五脏传遍则死。自能改易心志
。用药扶持，庶可保生。切不可用青蒿（此用青蒿者亦不妨，以其清气中热也）、虻虫等凉血行血，宜用柏子仁丸、泽
兰汤，益阴血，
薛氏曰∶经云五谷入于胃，其糟粕津液宗气，分为三隧。故宗气积于胸中，出于喉咙，
以贯心肺而行呼吸。荣气者，泌其津液，注之于脉，化以为血，以荣四末，内养五脏六腑
（亦须兼脾，尽胃阳脾阴，主治有异也）。
若服苦寒之剂，复伤胃气，必致不起。
一室女年十七， 久不愈，天癸未通，发热咳嗽，饮食少思，欲用通经丸。余曰∶此盖
因禀气不足，阴血未充故耳，但养气血，益津液，其经自行。彼惑于速效，仍用之。余曰∶
非其治也。此乃剽悍之剂，大助阳火，阴血得之则妄行，脾胃得之则愈虚。后果经血妄行，
饮食愈少，遂致不救。
脉经云，有一妇将一女子，年十五所来诊。言女子年十四时，经水自下，今经反断
，其母言恐怖。师曰∶若是夫人亲女，必夫人年十四时，亦以经水下，所以断，此为避年
（既有避年之名，不必强求其治），
勿怪，后当自下。此真气犹怯，禀赋素弱而然也。宜固天元真气，使水升火降，则五脏自和
，而经脉通矣。
寇宗奭说：人的生存，以气血为根本。人的疾病，没有不先损伤其血气的。如果是未婚少女和少年，心中积存杂念，思虑过度，多会导致劳损。男子则神色消散，女子则月经首先闭止。因为忧愁思虑会损伤心脏，导致血液逆乱枯竭，神色首先消散，月经首先闭止；而且心脏受损，就不能滋养脾脏，所以食欲不振；脾虚则肺气亏损（土不生金），所以发生咳嗽；肾水枯竭，则肝木之气得不到荣养，而四肢干枯痿弱，所以容易发怒，鬓角头发焦枯，筋骨痿软，如果五脏病气传遍全身就会死亡。如果能改变心志，用药扶持，或许可以保全生命。切不可使用青蒿、虻虫等凉血行血的药物。（此处使用青蒿也无妨，因为它能清解气分中的热邪）。适宜使用柏子仁丸、泽兰汤，来补益阴血。
薛己说：医经记载，五谷进入胃中，其糟粕、津液和宗气，分为三条通道运行。所以宗气积聚在胸中，出于喉咙，贯通心肺并推动呼吸。营气，分泌津液，注入脉管中，转化为血液，以荣养四肢末端，向内滋养五脏六腑（同时也需要兼顾脾脏，尽到胃阳和脾阴的作用，主治功能有所不同）。
如果服用苦寒的药物，再次损伤胃气，必定导致无法救治。
有一位十七岁的未婚少女，（病情）长久不愈，天癸（指促进女性生殖机能成熟的物质/月经）尚未通畅，出现发热咳嗽，饮食减少缺乏食欲，想要使用通经丸。我说：这大概是因先天禀赋不足，阴血未充盈的缘故罢了，只要调养气血，补充津液，月经自然会通行。她迷惑于追求速效，仍然使用了该药。我说：这不是正确的治疗方法。这是剽悍猛烈的药剂，大大助长阳火，阴血遇到它则会妄行，脾胃遇到它则会更加虚弱。后果确实是经血妄行，饮食更加减少，最终导致无法救治。
《脉经》记载，有一位母亲带着一个十五岁的女儿来就诊。说女儿十四岁时，月经自然来潮，现在月经反而中断了，母亲感到恐惧。医生说：如果是这位母亲亲生女儿，必定是母亲在十四岁时，也是月经来潮，所以现在中断，这叫作“避年”（既然有避年的名称，不必强行寻求治疗），不要奇怪，后来月经自然会来。这是因为真气尚且怯弱，先天禀赋素来虚弱所致。应当固护天元真气，使肾水上升、心火下降，那么五脏自然调和，经脉也就通畅了。
Kou Zongshi stated: Human life is based on Qi and Blood. Diseases in humans invariably begin with the injury of Qi and Blood. In the case of unmarried girls and boys, if they harbor obsessive thoughts and overthink, it often leads to consumptive damage. Men will exhibit a dissipation of their spirit and complexion, while women will experience amenorrhea first. This is because sorrow and overthinking injure the Heart, causing blood to become rebellious and exhausted; consequently, the spirit and complexion dissipate first, and menstruation ceases first. Furthermore, if the Heart is injured, it fails to nourish the Spleen, leading to anorexia. Spleen deficiency results in Lung metal deficiency (Earth failing to generate Metal), causing coughing. When Kidney Water is exhausted, Liver Wood qi fails to flourish, leading to dry and flaccid limbs, irritability, scorched hair at the temples, and flaccid sinews and bones. If the pathological qi spreads through all five zang organs, death ensues. If one can alter their mindset and use medicinal support, life may be preserved. One must absolutely avoid using cooling and blood-invigorating herbs such as Qinghao (Artemisiae Annuae Herba) or Mengchong (Tabanidae). It is advisable to use Baiziren Wan (Biota Seed Pill) or Zelan Tang (Lycopus Decoction) to tonify Yin and Blood.
Xue Ji stated: The medical classics record that when the five grains enter the stomach, their dregs, fluids, and Zong Qi (Gathering Qi) are distributed through three pathways. Thus, Zong Qi accumulates in the chest, emerges from the throat, penetrates the Heart and Lungs, and governs respiration. Ying Qi (Nutritive Qi) secretes its fluids, injects them into the vessels, transforms them into blood, and thereby nourishes the four extremities and internally nourishes the five zang and six fu organs (this also requires attending to the Spleen, fulfilling the functions of Stomach Yang and Spleen Yin, though their therapeutic focuses differ).
If bitter-cold agents are taken, further injuring Stomach Qi, it will inevitably lead to untreatable conditions.
A seventeen-year-old unmarried girl suffered from a condition that had not healed for a long time; her Tian Gui (menstruation/reproductive essence) had not yet commenced, accompanied by fever, cough, and poor appetite. She wished to use Tongjing Wan (Menstruation-Promoting Pill). I said: This is likely due to insufficient congenital constitution and unfulfilled Yin Blood. By nourishing Qi and Blood and replenishing body fluids, menstruation will naturally resume. Confused by the desire for rapid effects, she still used the medicine. I said: This is not the correct treatment. This is a fierce and potent preparation that greatly assists Yang Fire; upon contact with it, Yin Blood will flow recklessly, and the Spleen and Stomach will become increasingly deficient. Indeed, the consequence was reckless menstrual bleeding, further reduced food intake, and ultimately, untreatable decline.
The Mai Jing (Pulse Classic) records: A mother brought her fifteen-year-old daughter for consultation. She stated that her daughter’s menstruation began naturally at age fourteen, but has now ceased, causing the mother great fear. The physician said: If this is your biological daughter, you must have also begun menstruating at age fourteen. Therefore, the cessation is known as "Bi Nian" (Avoidance Year) (Since there is a name for Avoidance Year, no forced treatment is necessary). Do not be alarmed; menstruation will resume spontaneously later. This occurs because the True Qi is still weak and the congenital constitution is inherently frail. One should consolidate the Tian Yuan True Qi, causing Water to ascend and Fire to descend, so that the five zang organs harmonize naturally and the meridians and vessels become unobstructed.