要略曰∶妇人之病，因虚积冷结气为证。经水断绝，至有历年血寒，积结胞
门，寒伤经络（分耗也）。凝坚在上，呕吐涎唾，久成肺痈，形体损分。在中盘结，绕脐寒疝；或两胁疼
痛，与脏相连，或结热中，病在关元；脉数无疮，肌若鱼鳞，时着男子，非止女身。在下未
多，经候不匀，令阴掣痛，少腹恶寒；或引腰脊，下根气冲，气冲急痛，膝胫疼烦；奄忽眩
冒，状是厥癫；或有忧惨，悲伤多嗔；此皆带下，非有鬼神。久则羸瘦，脉虚多寒；三
十六病，千变万端；审脉阴阳，虚实紧弦；行其针药，治危得安；其虽同病，脉各异源；子
当辨记，勿谓不然。
张子和云∶凡妇人月事不来，用茶调散吐之（据此吐法，能学子和者则可，在他人则不可。用吐固是一法，
然
体虚者不宜），次用玉烛散、芎归汤、三和汤、桂苓白术
散之类，降心火，益肾水，开胃进食，分阴阳，利水道之药也。
一妇人月事不行，寒热往来，口干颊赤，饮食少，旦暮间咳一二声，诸医皆用虻虫、水
蛭、干漆、 砂、芫青、红娘子、没药、血竭之类，惟戴人不然。曰古方虽有此法，奈病患
服之，必脐腹发痛，饮食不进。乃命止药，饮食少进。《内经》曰∶二阳之病发心脾。心受
之则血不流，故女子不月。既心受积热，宜抑火升水，流湿润燥，开胃诱食。乃涌出痰一二
升（惟有痰者可用，亦须形病俱实），下泄水五六行，湿水上下皆去，血气自然湍流，月事不为水湿所隔，自根据期而至
矣。亦不用虻虫、水蛭之类有毒之药，如用之，则月经总来，小溲反闭，他证生矣。凡精血不足，
宜补之以食，大忌有毒之药，偏胜而致夭阏多矣。
一妇人年三十四岁，经水不行，寒热往来，面色萎黄，唇焦颊赤，时咳二三声。问其所
服之药，黑神散、乌金丸、四物汤、烧肝散、鳖甲散、建中汤、宁肺散，针艾千百，转剧，
家人意倦，不欲求治。戴人悯之，先涌痰五六升，午前涌毕，午后进食，饮证悉除（形盛气实病，其药当然非轻试之
法，慎之）。后三日
复轻涌之，又去痰一二升，食益进；不数日，又下通经散，泻讫一二升。数日，去死皮数重
，小者如麸片，大者如苇膜，不月余经水自行，神气大康矣。
《金匮要略》中说：妇女的疾病，多因虚损、积冷、结气而致病证。月经断绝，有的甚至历时多年，血分受寒，积聚凝结于胞宫之门，寒气损伤经络（导致阴血耗损）。寒邪凝滞在上焦，引起呕吐涎沫，日久形成肺痈，形体受损消瘦；寒邪盘结在中焦，出现绕脐的寒疝疼痛；或两胁疼痛，与脏腑相连；或者热结于中，病位在关元穴处；脉象数但体表无疮疡，皮肤干燥如鱼鳞状，这种病有时也发生在男子身上，并非仅限于女性。在下焦症状较少时，月经周期不规律，导致阴部牵引作痛，少腹部恶寒；或者疼痛牵连腰脊，向下放射至气冲穴部位，气冲穴处急痛，膝盖和小腿疼痛烦扰；突然头晕目眩，神志昏蒙，症状类似厥证或癫证；或者情绪忧郁凄惨，悲伤易怒；这些都属于带下病的范畴，并非鬼神作祟。病程长久则身体羸弱消瘦，脉象虚弱且多寒象；三十六种妇科杂病，变化万千；诊察时需辨别脉象的阴阳、虚实、紧弦等特征；运用针灸和药物治疗，可使危重病情转为平安；虽然病症相同，但脉象来源各异；弟子应当仔细辨析记录，不要认为我说得不对。
张子和说：凡是妇女月经不来潮，可以用茶调散进行催吐治疗（根据这种吐法，只有能学习张子和医术的人才能使用，其他人则不宜。使用吐法固然是一种方法，但体质虚弱者不适合）。随后使用玉烛散、芎归汤、三和汤、桂苓白术散之类的药物，以清降心火，补益肾水，开胃进食，调和阴阳，通利水道。
有一位妇女月经不行，伴有寒热往来，口干，脸颊发红，饮食减少，早晚咳嗽一两声。其他医生都使用虻虫、水蛭、干漆、硇砂、芫青、红娘子、没药、血竭等药物，只有戴人（张子和）不这样认为。他说：古方中虽有此法，但患者服用后，必然导致脐腹疼痛，饮食不进。于是命令停止用药，患者饮食逐渐恢复。《内经》说：“二阳之病发于心脾。”心受病则血液运行不畅，所以女子月经闭止。既然心受积热，应当抑制心火，升举肾水，流通津液滋润燥热，开胃诱导进食。于是通过涌吐排出痰液一二升（只有体内有痰且形气俱实的患者可用，这也需要病情属实），随后泻下水液五六次，湿邪和水饮上下皆去，气血自然流畅，月经不再被水湿阻隔，按时而至。也没有使用虻虫、水蛭等有毒的药物，如果使用这些药，则月经虽来，小便反而闭塞，其他病症就会产生。凡是精血不足的患者，宜用食物滋补，大忌使用有毒的药物，偏胜之药导致早夭的情况很多。
又有一位三十四岁的妇女，经水不行，寒热往来，面色萎黄，嘴唇焦枯，脸颊发红，时常咳嗽两三声。询问她之前服用的药物，包括黑神散、乌金丸、四物汤、烧肝散、鳖甲散、建中汤、宁肺散，以及针刺艾灸千百次，病情反而加重，家人意志消沉，不想再求医治疗。戴人怜悯她，先通过涌吐排出痰液五六升，午前吐完，午后进食，饮证全部消除（形体壮实、正气充足的患者，用药当然不能轻率尝试，务必谨慎）。三天后再次轻微涌吐，又排出痰液一二升，食欲更加增进；没过几天，又服用通经散，泻下后排出液体一二升。数日后，脱落死皮数层，小的像麦麸片，大的像芦苇膜，不到一个月，月经自行来潮，精神元气大大恢复。
The *Jingui Yaolue* states: Women's diseases often arise from deficiency, accumulation of cold, and stagnation of qi. Menstruation may cease, sometimes for years. Blood cold accumulates and knots in the uterus (Bao Men), damaging the meridians (leading to consumption of yin blood). If cold condenses in the upper jiao, it causes vomiting of saliva and phlegm; over time, this develops into lung abscess (Fei Yong), resulting in emaciation. If cold knots in the middle jiao, it presents as cold hernia (Han Shan) around the navel; or pain in both hypochondria connected to the zang organs; or heat knotting in the center at the Guanyuan point. The pulse is rapid but there are no sores on the skin; the skin is dry like fish scales. This condition can also affect men, not just women. When symptoms are less prominent in the lower jiao, menstruation becomes irregular, causing pulling pain in the yin region and aversion to cold in the lower abdomen; or pain radiating to the waist and spine, extending down to the Qichong point, where there is urgent pain, and painful restlessness in the knees and shins. Sudden dizziness and vertigo occur, resembling Jue syndrome or Dian syndrome (epilepsy/mania); or the patient may feel depressed, sad, and irritable. All these belong to Dai Xia disease (leukorrhea-related disorders), not caused by ghosts or spirits. Prolonged illness leads to emaciation and a deficient, cold pulse. Among the thirty-six gynecological diseases, manifestations vary endlessly; one must examine the pulse for yin/yang, deficiency/excess, tightness, and wiriness. Applying acupuncture and herbs can turn critical conditions to safety. Although diseases may appear similar, their pulse origins differ; students must distinguish and record these carefully, do not say otherwise.
Zhang Zihe stated: For women with amenorrhea, Cha Tiao San (Tea Regulation Powder) can be used to induce vomiting (Note: Only those who can master Zhang Zihe's techniques should use this method; others should not. While vomiting is a valid method, it is unsuitable for patients with weak constitution). Subsequently, formulas such as Yu Zhu San (Jade Candle Powder), Xiong Gui Tang (Ligusticum and Angelica Decoction), San He Tang (Three Harmonies Decoction), or Gui Ling Bai Zhu San (Atractylodes Macrocephala and Poria Decoction) should be used to descend heart fire, tonify kidney water, open the stomach to promote appetite, balance yin and yang, and promote urination.
A female patient presented with amenorrhea, alternating chills and fever, dry mouth, flushed cheeks, reduced appetite, and occasional coughing (one or two times day and night). Other physicians prescribed toxic substances such as Meng Chong (Bloodsucker Fly Larvae), Shui Zhi (Leech), Gan Qi (Dried Resin of Toxicodendron), Nao Sha (Sal Ammoniac), Yuan Qing (Blister Beetle), Hong Niang Zi (Red Ladybug), Mo Yao (Myrrh), and Xue Jie (Dragon's Blood). Only Dai Ren (Zhang Zihe) disagreed. He said: Although ancient formulas include these methods, patients taking them inevitably suffer abdominal pain and loss of appetite. He ordered the cessation of medication, after which her appetite gradually returned. The *Neijing* states: "Diseases of the Yang Ming channel originate from the Heart and Spleen." If the Heart is affected, blood flow is obstructed, leading to amenorrhea in women. Since the Heart has accumulated heat, one should suppress heart fire, raise kidney water, circulate fluids to moisten dryness, and stimulate appetite. He induced vomiting to expel one to two sheng of phlegm (Only suitable for patients with phlegm and robust constitution/excess pathogen). He then administered purgatives to discharge water five to six times. With dampness and fluid retention cleared from above and below, qi and blood flowed naturally, and menstruation resumed on schedule without being blocked by dampness. No toxic drugs like leeches or flies were used; had they been used, menstruation might have occurred but urinary retention would follow, generating other complications. For patients with insufficient essence and blood, dietary tonification is appropriate; toxic drugs are strictly contraindicated, as excessive use has led to many premature deaths.
Another patient, aged 34, presented with amenorrhea, alternating chills and fever, sallow complexion, cracked lips, flushed cheeks, and occasional coughing (two or three times). Regarding her previous treatments, she had taken Hei Shen San (Black Divine Powder), Wu Jin Wan (Black Gold Pill), Si Wu Tang (Four Substance Decoction), Shao Gan San (Roasted Liver Powder), Bie Jia San (Turtle Shell Powder), Jian Zhong Tang (Establish the Middle Decoction), Ning Fei San (Calming Lung Powder), and undergone thousands of acupuncture and moxibustion sessions, yet her condition worsened. Her family lost hope and refused further treatment. Dai Ren pitied her and first induced vomiting to expel five to six sheng of phlegm. Vomiting finished before noon; she ate after noon, and signs of fluid retention disappeared completely (Caution: This is a heavy method suitable only for patients with robust physique and excess pathogen; do not try lightly). Three days later, he induced mild vomiting again, expelling another one to two sheng of phlegm; her appetite improved further. A few days later, she took Tong Jing San (Menstruation Unblocking Powder), resulting in the discharge of one to two sheng of fluid. Within several days, layers of dead skin peeled off, small pieces like bran flakes, large pieces like reed membranes. Within a month, menstruation resumed spontaneously, and her spirit and vitality greatly recovered.