师曰∶妇人带下、六极之病，脉浮则为肠鸣腹满，紧则为腹中痛，数则为阴中痒，痛则生疮，弦则阴疼掣痛。师曰∶
带下有三门∶一曰胞门，二曰龙门，三曰玉门。已产属胞门，未产属龙门，未嫁女属玉门。
问曰∶未出门女有三病，何谓也？师曰∶一病者，经水初下，阴中热，或有当风，或有扇者。二病者，或有以寒水
洗之，三病者，或见丹下，惊怖得病，属带下。师曰∶妇人带下，九实中事，假令得鼠乳之病，剧易，当剧有期，当庚
辛为期。余皆仿此。
问曰∶有一妇人，年五十所，病但苦背痛，时时腹中痛，少食多厌，喜 胀，其脉阳微关尺小紧，形脉不相应，愿
知所说？师曰∶当问病者饮食何如。假令病者言，我不欲饮食，闻谷气臭者，病为在上焦。假令病者言，我少多为欲食，
不食亦可，病为在中焦。假令病者言，我自饮食如故，病为在下焦，为病属带下，当以带下治之。
妇人带下，经水不利，少腹满痛，经一月再见，土瓜根散主之。
妇人带下，脉浮，恶寒、漏下者，不治。
师曰∶有一妇人将一女子，年十五所来诊。言女年十四时经水自下，今经反断，其母言恐怖。师曰∶言此女为是夫
人亲女，非耶？若亲者，当相为说之。妇人因答言∶自是女尔。师曰∶所以问者无他，夫人年十四时，亦以经水下，所
以断，此为避年，勿怪，后当自下。
妇人少腹冷，恶寒久，年少者得之，此为无子；年大者得之，绝产。
师曰∶脉微弱而涩，年少得此为无子，中年得此为绝产。
师曰∶少阴脉浮而紧，紧则疝瘕，腹中痛，半产而堕伤。浮则亡血，绝产，恶寒。
师曰∶肥人脉细，胞有寒，故令少子。其色黄者，胸上有寒。
妇人少腹HT （音衮）磊（力罪切）转痛，而复自解，发作无常，经反断，膀胱中结坚急痛，下引阴中气冲者，久
必两胁拘急。
问曰∶妇人年五十所，病下利，数十日不止，暮则发热，少腹里急痛，腹满，手掌热。唇口干燥，何也？师曰∶此
病属带下，何以故？曾经半产，瘀血在少腹中不去，何以知之？其证唇口干燥，故知之。当与温经汤。
问曰∶妇人病下利，而经水反断者，何也？师曰∶但当止利，经自当下，勿怪。所以利不止而血断者，但下利亡津
液，故经断。利止，津液复，经当自下。妇人血下，咽干而不渴，其经必断，此荣不足，本自有微寒，故不引饮。渴而
引饮者，津液得通，荣卫自和，其经必复下。师曰∶寸口脉微而涩，微则卫气不足，涩则血气无余。卫不足，其息短，
其形燥；血不足其形逆，荣卫俱虚，言语谬误。趺阳脉浮而涩，涩则胃气虚，虚则短气，咽燥而口苦，胃气涩则失液。
少阴脉微而迟，微则无精，迟则阴中寒，涩则血不来，此为居经，三月一来。师曰；脉微血气俱虚，年少者亡血也。乳
子下利为可，不者，此为居经，三月一来。
问曰∶妇人妊娠三月，师脉之，言此妇人非躯，今月经当下。其脉何类？何以别之？师曰∶寸口脉，卫浮而大，荣
反而弱，浮大则气强，反弱则少血，孤阳独呼，阴不能吸，二气不停，卫降荣竭，阴为积寒，阳为聚热，阳盛不润，经
络不足，阴虚阳往（一作实），故令少血。时发洒淅，咽燥汗出，或溲稠数，多唾涎沫，此令重虚。津液漏泄，故知非躯，
畜烦满洫，月禀一经，三月一来，阴盛则泻，名曰居经。
问曰∶妇人年五十所，一朝而清血，二、三日不止。何以治之？师曰∶此妇人前绝生，经水不下，今反清血，此为
居经，不须治，当自止。经水下常五日止者，五日愈。妇人月经一月再来者，经来，其脉欲自如常。而反微，不利，不
汗出者，其经二月必来。
老师说：妇女的带下病，属于“六极”（六种极度虚损的病证）之一。脉象浮，则出现肠鸣、腹部胀满；脉象紧，则腹中疼痛；脉象数，则阴部瘙痒，甚至生疮；脉象弦，则阴部牵引性疼痛。
老师说：带下病分为三门：一是胞门，二是龙门，三是玉门。已生育过的妇女属胞门，未生育过的妇女属龙门，未出嫁的女子属玉门。
问：未曾出门（指未嫁或深居简出）的女子有三种病，是什么？老师说：第一种病，是月经刚来潮时，阴部发热，此时若当风受邪，或用扇子扇风所致。第二种病，是用冷水清洗阴部所致。第三种病，是见到红色经血时，因惊恐而致病，这都属于带下病的范畴。
老师说：妇女带下病，有九种实证的情况。假如得了名为“鼠乳”的病，病情剧烈且变化快，应当以庚日或辛日作为判断预后的期限。其余情况都仿照此法推断。
问：有一位五十岁左右的妇女，只苦于背痛，时常腹中疼痛，食欲减退且厌恶食物，喜欢腹胀，她的脉象寸口微、关部和尺部小且紧，形体表现与脉象不相符合，请问这是什么意思？老师说：应当询问病人的饮食情况。假如病人说，我不想吃东西，闻到谷物的气味就感到恶心，这是病在上焦。假如病人说，我有时很想吃东西，不吃也可以忍受，这是病在中焦。假如病人说，我的饮食如常，那么病在下焦，属于带下病，应当用治疗带下病的方法来处理。
妇女带下病，月经不通畅，少腹满痛，一个月来两次月经的，用土瓜根散主治。
妇女带下病，脉浮，恶寒，漏下（非经期阴道持续出血）的，属于难治之症。
老师说：有一位妇人带着一个十五岁左右的女儿来就诊。说女儿十四岁时月经自然来潮，现在月经反而中断了，母亲非常恐惧。老师问：这个女孩是你的亲生女儿吗？如果是亲生的，我就为你解释一下。妇人回答说：确实是亲生女儿。老师说：我问这个没有别的意思，你十四岁时，也是月经来潮后中断，这叫“避年”，不要奇怪，以后月经自然会来。
妇女少腹寒冷，长期恶寒，年轻女子得此病，会导致不孕；年纪较大的女子得此病，会导致绝产。
老师说：脉象微弱而涩，年轻女子得此脉象为无子；中年女子得此脉象为绝产。
老师说：少阴脉浮而紧，紧主疝瘕（腹内结块），腹中疼痛，半产或小产损伤。浮主亡血，绝产，恶寒。
老师说：肥胖的人脉细，说明胞宫有寒，所以导致子女稀少。面色发黄，说明胸中有寒。
妇女少腹中如有物滚动撞击般疼痛，并且自行缓解，发作没有定时，月经反而中断，膀胱中有结聚坚硬急痛，向下牵引至阴部气冲，时间久了必然导致两胁拘急。
问：妇女五十岁左右，患下利（腹泻），几十天不止，傍晚发热，少腹里急疼痛，腹部胀满，手掌心发热，嘴唇和口腔干燥，这是什么原因？老师说：此病属于带下病，为什么？曾经有过小产，瘀血留在少腹中不去，怎么知道呢？其症状表现为嘴唇和口腔干燥，所以由此得知。应当给予温经汤治疗。
问：妇女患下利，而月经反而中断，是什么原因？老师说：只要止住下利，月经自然会来，不要奇怪。之所以下利不止而血断，是因为下利耗伤了津液，所以月经中断。下利停止，津液恢复，月经自然会来。妇女阴道出血，咽干但不口渴，其月经必然中断，这是因为营血不足，原本就有轻微的寒邪，所以不引起饮水欲望。如果口渴而想喝水，说明津液得以通畅，营卫调和，月经必然会再来。老师说：寸口脉微而涩，微表示卫气不足，涩表示血气亏虚。卫气不足，呼吸短促，形体燥热；血不足则形体逆乱，营卫俱虚，言语错乱。趺阳脉浮而涩，涩表示胃气虚，虚则短气，咽燥口苦，胃气涩滞则津液流失。少阴脉微而迟，微表示精气不足，迟表示阴部寒冷，涩表示血液不来，这叫“居经”，三个月来一次月经。老师说：脉微表示血气俱虚，年轻女子出现这种情况是亡血。哺乳期的妇女下利是可以理解的，如果不是哺乳期，这叫居经，三个月来一次月经。
问：妇女妊娠三个月，老师诊脉后，说这位妇女并非怀孕，现在的月经应当来了。她的脉象是什么样的？如何辨别？老师说：寸口脉，卫气脉浮大，营气脉反而弱。浮大表示气强，反弱表示血少。孤阳独自呼出，阴气不能吸入，二气不相协调，卫气下降，营血枯竭，阴成为积寒，阳成为聚热。阳气盛而不能滋润，经络不足，阴虚而阳往（一作实），所以导致血少。时常发生洒淅恶寒，咽干汗出，或者小便稠数，多唾涎沫，这叫重虚。津液漏泄，所以知道不是怀孕，而是蓄积烦满，每月禀受一经之气，三个月来一次月经，阴气盛则泻下，名叫居经。
问：妇女五十岁左右，一天之内流出清血，两三天不止。如何治疗？老师说：这位妇女之前已经绝育，月经不再来潮，现在反而流出清血，这叫居经，不需要治疗，自然会停止。月经正常来潮通常持续五天，五天就会痊愈。妇女月经一个月来两次，月经来时，脉象应该像往常一样。但如果反而微弱，不利，不出汗，那么她的月经两个月后一定会来。
The Master said: Leukorrhea in women is one of the "Six Extremes" (six types of extreme deficiency syndromes). A floating pulse indicates intestinal murmurs and abdominal fullness; a tight pulse indicates abdominal pain; a rapid pulse indicates itching in the yin region, potentially leading to sores; a string-taut pulse indicates pulling pain in the yin region.
The Master said: Leukorrhea is categorized into three gates: one is the Bao Gate (Uterine Gate), two is the Long Gate (Dragon Gate), and three is the Yu Gate (Jade Gate). Women who have given birth belong to the Bao Gate; those who have not given birth belong to the Long Gate; and unmarried girls belong to the Yu Gate.
Questioned: What are the three diseases affecting unmarried women who rarely go out? The Master said: The first disease occurs when menstruation first begins, with heat in the yin region, caused by exposure to wind or fanning. The second disease is caused by washing with cold water. The third disease arises from fright upon seeing menstrual blood, which falls under the category of leukorrhea.
The Master said: There are nine types of excess patterns in leukorrhea. If one contracts the disease known as "Shu Ru" (Mouse Breast), which is severe and changes rapidly, the prognosis should be judged on Geng or Xin days. Other cases follow this pattern.
Questioned: A woman around fifty years old suffers only from back pain, frequent abdominal pain, loss of appetite with aversion to food, and a preference for abdominal distension. Her pulse is faint at the Cun position, and small and tight at the Guan and Chi positions. The physical symptoms do not correspond with the pulse. What does this mean? The Master said: One should ask about the patient's diet. If the patient says she has no desire to eat and feels nauseous smelling grain, the disease is in the Upper Jiao. If the patient says she sometimes desires food but can manage without it, the disease is in the Middle Jiao. If the patient says her diet remains unchanged, the disease is in the Lower Jiao, belonging to leukorrhea, and should be treated accordingly.
For leukorrhea accompanied by irregular menstruation, lower abdominal fullness and pain, and menstruation occurring twice a month, Tu Gua Gen San (Trichosanthes Root Powder) is the primary prescription.
For leukorrhea with a floating pulse, aversion to cold, and metrorrhagia (non-cyclic vaginal bleeding), the condition is difficult to treat.
The Master said: A woman brought her fifteen-year-old daughter for consultation. She stated that her daughter's menstruation started normally at fourteen but has now ceased, causing great fear. The Master asked: Is this girl your biological daughter? If so, I will explain. The woman replied: Yes, she is my biological daughter. The Master said: I ask this for no other reason than that you also experienced cessation of menstruation after it began at fourteen. This is called "Bi Nian" (Avoiding the Year), do not be alarmed; menstruation will resume naturally.
Cold in the lower abdomen with long-term aversion to cold leads to infertility in young women and sterility in older women.
The Master said: A faint and choppy pulse in a young woman indicates infertility; in a middle-aged woman, it indicates sterility.
The Master said: A floating and tight Shao Yin pulse indicates Hernia-Jia (abdominal masses) and abdominal pain, resulting from miscarriage or abortion injury. Floating indicates blood loss, sterility, and aversion to cold.
The Master said: In obese individuals, a fine pulse indicates Cold in the Bao Palace (Uterus), leading to few offspring. Yellowish complexion indicates Cold in the Chest.
In women, rolling and striking pain in the lower abdomen that resolves spontaneously, with irregular onset and cessation of menstruation, combined with hard, urgent pain in the bladder radiating to the yin region, will eventually lead to stiffness and tension in both hypochondriac regions if prolonged.
Questioned: A woman around fifty suffers from diarrhea lasting dozens of days without cessation, evening fever, urgency and pain in the lower abdomen, abdominal fullness, hot palms, and dry lips and mouth. What is the cause? The Master said: This disease belongs to leukorrhea. Why? Because there was a previous miscarriage, leaving Blood Stasis in the lower abdomen. How do we know? The symptom of dry lips and mouth confirms this. Wen Jing Tang (Warming the Menses Decoction) should be administered.
Questioned: Why does a woman suffering from diarrhea experience the cessation of menstruation? The Master said: Merely stop the diarrhea, and menstruation will return naturally; do not be surprised. The reason diarrhea persists while menstruation ceases is the loss of Body Fluids due to diarrhea. Once diarrhea stops and fluids recover, menstruation will resume. If a woman experiences vaginal bleeding with dry throat but no thirst, menstruation must cease because Ying Blood is insufficient and there is inherent slight Cold, hence no desire to drink. If there is thirst and desire to drink, it indicates that Body Fluids are flowing freely, Ying and Wei are harmonized, and menstruation will surely resume. The Master said: A faint and choppy Cun Kou pulse indicates insufficiency of Wei Qi (Defensive Qi) and deficiency of Blood Qi. Insufficient Wei Qi causes shortness of breath and dry form; deficient Blood causes physical disorder. When both Ying and Wei are deficient, speech may be erroneous. A floating and choppy Zu Yang pulse indicates deficiency of Stomach Qi, leading to shortness of breath, dry throat, bitter taste, and loss of fluids due to stagnant Stomach Qi. A faint and slow Shao Yin pulse indicates lack of Essence (slow implies Cold in the yin); choppy implies blood does not flow. This is called Ju Jing (Residing Menstruation), occurring once every three months. The Master said: Faint pulses indicate dual deficiency of Blood and Qi. In young women, this is Blood Loss. Diarrhea during lactation is acceptable; otherwise, it is Ju Jing, occurring once every three months.
Questioned: A woman at three months of pregnancy consults the Master, who diagnoses that she is not pregnant and that her monthly menses should arrive. What is the pulse like? How to distinguish it? The Master said: At the Cun Kou, the Wei pulse is floating and large, while the Ying pulse is surprisingly weak. Floating and large indicate strong Qi; surprisingly weak indicates little Blood. Solitary Yang exhalation cannot be absorbed by Yin; the two energies do not interact. Wei descends, Ying exhausts; Yin becomes accumulated Cold, Yang becomes gathered Heat. Excess Yang fails to moisten, meridians and collaterals are insufficient. Yin deficiency allows Yang to advance (or excess), leading to scant blood. Occasional chills, dry throat, sweating, thick frequent urination, and excessive saliva indicate double deficiency. Leakage of Body Fluids confirms non-pregnancy. Accumulated irritability and fullness, receiving one channel's energy per month, results in menstruation every three months. Excess Yin causes discharge, named Ju Jing.
Questioned: A woman around fifty experiences sudden clear blood discharge for a day, continuing for two or three days. How to treat? The Master said: This woman previously had sterility and amenorrhea. Now she suddenly discharges clear blood; this is Ju Jing. No treatment is needed; it will stop spontaneously. Normal menstruation lasts five days; here, five days will bring recovery. If a woman's menstruation comes twice a month, upon arrival, the pulse should be normal. If it is surprisingly faint, unfavorable, and without sweating, her menstruation will definitely come in two months.