妇人月水不调，由劳伤气血，致体虚受风冷，风冷之气客于胞内，伤冲脉、任脉，损手
太阳、少阴之经也。冲任之脉，皆起于胞内，为经络之海。手太阳小肠之经，手少阴心之经
，此二经为表里，主上为乳汁，下为月水。然则月水是经络之余，若冷热调和，则冲脉、任
脉气盛，太阳、少阴所主之血宣流，以时而下。若寒温乖适，经脉则虚，有风冷乘之，邪搏
于血，或寒或温，寒则血结，温则血消，故月水乍多乍少，为不调也。
诊其脾脉，沉之而濡，浮之而虚，苦腹胀烦满，胃中有热，不嗜食，食不化，大便难，
四肢苦痹，时不仁，得之房内，月事不来，来而并。
又，少阴脉涩则血不来，此为居经，三月一来。又，脉微，血气俱虚，年少者，亡血之
脉也。乳子、下利为可，不尔者，此为居经，亦三月一来。又，经水一月再来者，经来时，
其脉欲自如常，而反微者，不利、不汗出者，其经三月必来。
《养生方》云∶病忧恚泣哭，以令阴阳结气不和，故令月水时少时多，内热苦渴，色恶
，体肌枯，身重。
妇人月水不利者，由劳伤血气，致令体虚而受风冷；风冷客于胞内，损伤冲任之脉，手
太阳、少阴之经故也。冲脉、任脉为经脉之海，皆起于胞内；手太阳小肠之经也，手少阴心
之经也，此二经为表里，主下为月水。风冷客于经络，搏于血气，血得冷则壅滞，故令月水来不宣利也。
诊其脉，从寸口邪入上者，名曰解脉，来至状如琴弦，苦小腹痛，经月不利，孔窍生疮
。又，左手关上脉，足厥阴经也，沉为阴，阴虚者，主月经不利，腰腹痛。尺脉滑，血气实
，经绝不利。又，脉左手尺来而断绝者，月水不利也。又，脉寸关调如故，而尺脉绝不至者
，月经不利，当患小腹引腰绞痛，气积聚上叉胸胁。
妇人月经周期紊乱，是由于劳倦损伤气血，导致身体虚弱而感受风冷之邪。风冷之气侵入胞宫内部，伤害冲脉和任脉，并损及手太阳小肠经和手少阴心经。冲脉和任脉，都起源于胞宫，被称为经络之海。手太阳小肠经与手少阴心经，这两条经脉互为表里，主要功能是上化为乳汁，下化为月经。既然月经是经络中剩余的血气所化，若体内冷热调和，则冲脉、任脉之气旺盛，手太阳、手少阴经所主的血液通畅流动，按时而下。如果寒温失调，经脉就会虚弱，风冷之邪乘虚而入，邪气与血相搏结，或因寒或因热：受寒则血液凝结，受热则血液耗散，因此月经量时多时少，这就是月经不调。
诊察脾脉，重按感觉濡软，轻取感觉虚弱，患者苦于腹部胀满烦闷，胃中有热，食欲不振，食物不消化，大便困难，四肢苦于痹痛，时常麻木不仁。这些症状多因房事不节所致，表现为月经不来，或者来潮时量异常大。
另外，少阴脉涩滞，则血液不通，这称为“居经”，即三个月来一次月经。又，脉象微弱，表示气血俱虚，对于年少者而言，这是失血的脉象。若是哺乳期妇女或患有腹泻，出现这种脉象尚可理解；否则，这也属于“居经”，同样是三个月来一次月经。还有，月经一个月来两次的情况，在经期来临时，脉象本应如常，反而微弱的，若伴有经行不畅、无汗出等症状，其月经必定三个月才来一次。
《养生方》说：因忧愁愤怒哭泣，导致阴阳之气郁结不和，从而引起月经时多时少，体内发热且口渴难耐，面色晦暗，肌肉消瘦枯槁，身体沉重。
妇人月经排出不畅利，是由于劳倦损伤血气，导致身体虚弱而感受风冷；风冷之邪客居于胞宫内部，损伤了冲脉和任脉，以及手太阳、手少阴经脉。冲脉、任脉是经络之海，都起源于胞宫；手太阳是小肠经，手少阴是心经，这两条经脉互为表里，主要功能在下化为月经。风冷之邪客居于经络，与血气相搏结，血液遇到寒冷就会壅滞不通，从而导致月经来潮时不畅利。
诊察脉象，从寸口脉邪气向上侵犯的，名为“解脉”，脉来形状像琴弦一样紧绷，患者苦于小腹痛，月经数月不通畅，孔窍处生疮。另外，左手关部脉象，对应足厥阴肝经，脉沉属阴，阴虚者，主司月经排出不畅，伴有腰部和腹部疼痛。尺脉滑利，表示血气充实，但若经血闭绝而不通，则为不利。还有，左手尺部脉象来去中断绝止的，是月经排出不畅的表现。此外，寸脉和关脉调匀如常，但尺脉绝迹不至的，也是月经排出不畅，应当患小腹牵引腰部绞痛，气机积聚上行冲击胸胁。
Women's irregular menstruation is caused by fatigue and injury to Qi and Blood, leading to a weak constitution susceptible to Wind-Cold. The pathogenic factor of Wind-Cold lodges in the interior of the uterus (Bao Gong), damaging the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel), as well as affecting the Hand-Taiyang Small Intestine Meridian and Hand-Shaoyin Heart Meridian. Both the Chong Mai and Ren Mai originate from the interior of the uterus and are regarded as the "Sea of Meridians." The Hand-Taiyang Small Intestine Meridian and the Hand-Shaoyin Heart Meridian are exterior-interior paired meridians; their functions include transforming substances upward into breast milk and downward into menstrual blood. Since menstrual blood is the surplus of the meridian system, when Cold and Heat are harmonious, the Qi of the Chong and Ren meridians becomes abundant, and the blood governed by the Hand-Taiyang and Hand-Shaoyin meridians flows freely and descends at regular intervals. However, if Cold and Warmth are imbalanced, the meridians become deficient, allowing Wind-Cold to invade. Pathogenic factors contend with the blood; under Cold conditions, blood coagulates, while under Warm conditions, blood dissipates. Consequently, menstrual volume fluctuates between excessive and scanty, constituting irregular menstruation.
Palpation of the Spleen pulse reveals a soft (Ru) quality upon deep pressure and a deficient (Xu) quality upon superficial pressure. The patient suffers from abdominal distension and fullness with irritability, heat in the Stomach, anorexia, indigestion, difficult defecation, bi-syndrome (obstruction) in the four limbs, and occasional numbness. These conditions arise from improper sexual activity, manifesting as amenorrhea or menorrhagia (excessive bleeding).
Furthermore, a choppy (Se) pulse in the Shaoyin position indicates blocked blood flow, known as "Ju Jing" (Resident Menstruation), where menstruation occurs once every three months. A faint (Wei) pulse indicates deficiency of both Qi and Blood; in young individuals, this is a pulse signifying blood loss. In nursing mothers or those suffering from diarrhea, such a pulse may be acceptable; otherwise, it also constitutes "Ju Jing," occurring once every three months. Regarding menstruation occurring twice a month: during the onset of menstruation, the pulse should normally appear regular. If it is instead faint, accompanied by dysmenorrhea/oligomenorrhea and absence of sweating, the menstruation will inevitably occur only once every three months.
The *Yangsheng Fang* states: Worry, anger, and weeping cause the stagnation of Yin and Yang Qi and disharmony, resulting in irregular menstrual volume (sometimes scanty, sometimes excessive), internal heat with severe thirst, poor complexion, emaciation of muscles, and heaviness of the body.
Irregular and obstructed menstruation is caused by fatigue injuring Qi and Blood, leading to a weak constitution susceptible to Wind-Cold. Wind-Cold lodges in the interior of the uterus, damaging the Chong Mai and Ren Mai, as well as the Hand-Taiyang and Hand-Shaoyin meridians. The Chong and Ren meridians are the Sea of Meridians, originating from the interior of the uterus. The Hand-Taiyang corresponds to the Small Intestine Meridian, and the Hand-Shaoyin to the Heart Meridian; these two are exterior-interior pairs, primarily governing the downward transformation into menstrual blood. When Wind-Cold lodges in the meridians and contends with Qi and Blood, blood becomes stagnant due to cold, causing menstruation to be obstructed and not flow smoothly.
Palpation of the pulse: If pathogenic Qi enters from the Cun Kou (Radial Artery) and moves upward, it is named "Jie Mai" (Loose Pulse). The pulse feels taut like a zither string. The patient suffers from lower abdominal pain, menstrual obstruction for months, and sores in the orifices. Additionally, the pulse at the Guan position on the left hand corresponds to the Foot-Jueyin Liver Meridian. A deep (Chen) pulse belongs to Yin; Yin deficiency governs obstructed menstruation accompanied by waist and abdominal pain. A slippery (Hua) pulse at the Chi position indicates substantial Qi and Blood, but if menses are absent and obstructed, it signifies pathology. If the pulse at the left Chi position appears and then cuts off abruptly, it indicates obstructed menstruation. Furthermore, if the Cun and Guan pulses are regular and normal, but the Chi pulse is absent, it indicates obstructed menstruation. The patient should suffer from lower abdominal pain radiating to the waist with colic, and Qi accumulation rising to pierce the chest and hypochondrium.