严冬之后，必有阳春。是知天地之间，不收敛则不能发生，不中和则不能发生，自然之
理也。今人
既昧收藏之理，纵欲竭精，以耗散真气，靡所不至。及其无子，既云血冷，又谓精寒，燥热
之剂
投，而真阴益耗矣，安得有子。大抵无子之故，不独在女，亦多由男子。男子房劳过度，施
泄过
多，精清如水，或冷如冰，及思虑无穷，谋望高远，皆难有子。盖心主神，有所施则心驰
于
外，致君火伤而不能降，肾主智，有所劳则智乱于中，俾肾亏而不能升，上下不交，水火
不
构，而能生育者，未之有也。(求嗣者，广积阴功，然后节欲保精，自获天锡，佳儿非徒
恃药饵无
益，而有损，慎之。余《治验录》中已缕晰言之矣。又有天禀男子阴痿，女子瘕疝，及体肥
脂
实者，皆无子之端，不可执一而治。治之之法，若系房劳过度，精清如水，冷如冰者，六神
丸
主之。精竭者，五味补精丸主之。精方衰微，不能远射者，六子丸主之。禀赋元弱，气血虚
损者，肾气
丸加鹿茸主之。思虑多与心火太盛不能节欲者，大凤髓丹主之。仍以六神丸间服，上下午服
，临
卧服定志丸。或安神丸之类。若审系虚寒者，固真丸亦可服，其阴痿痹等症，仍当于本症门
求之。
女人无子，当调其经。于月事门求之，(调经首在治肝滋水，肝气为患，妇女尤甚，往
往左胁
下痞积胀满，呕逆，皆先天肝血不足，治从滋养则平。若误投疏伐则殆。若血亏肝旺，上犯
胃脘
，下侵两足，纳食则吐，两足挛痛，遂发痉厥，乃肝病入络，因血少不能流通，慎勿执肝无
补法，妄用克伐，宜滋水生肝，乙癸同源之治。)若体中有热者，增损地黄丸，艾附当归丸
主之。
仍间服逍遥散。若禀赋素弱，及脾胃气虚，不能荣养冲任者，补中丸主之。肢体本实，但多
郁怒，遂致
月事失期，不能成孕者，煮附丸，或香附散主之。体肥脂实，不能成孕者，《良方》荡胞之
法，并
坐导之法，亦可采用。亦当常服经验育胎丸。若的系禀受素弱，起居失节，恣啖生冷，致子
宫虚寒，不能成孕者，宜以育胎丸为主，壬子丸之类，亦可间服。
以上服药之时，俱宜谨戒房室，方能奏功，即念虑之间亦不可轻动，盖心火一动，真精
即从而走失，前功尽弃矣，戒之戒之。
按∶种子之道有四，一曰择地，二曰养种，三曰乘时，四曰投虚。何谓地，母血是也。
何谓种
，父精是也。何谓时，精血交感之会是也。何谓投虚，去旧生新之初是也。古法以月经行后
三十时辰为准，过此子宫闭，虽交而不孕，即乘时之理也。总以清心寡欲，为最上乘妙法也
。余
治胎产三十余年，遇大险大危之候，竟得十全八九者，皆用补得法，不随流俗以治标逐瘀为
先务。余《治验录》中择载甚多，参阅可增智识也。
严冬过后，必然迎来温暖的春天。由此可知，天地之间，如果不具备收敛的特性，就不能产生生机；如果不具备中和的性质，也不能产生生机，这是自然的规律。现在的人既然不明白收藏（冬季闭藏精气）的道理，放纵欲望、耗尽肾精，从而耗散真气，无所不至。等到他们无法生育时，既说是血冷，又说是精寒，便投用燥热性质的药物，结果真阴更加耗损，怎么能有孩子呢？大抵无子的原因，不仅在于女方，也多由男方造成。男子房事过度，射精过多，导致精液清稀如水，或者寒冷如冰；以及思虑无穷，谋望高远，都难以有子。因为心主宰神志，有所施泄则心神驰于外，导致君火受伤而不能下降；肾主宰智慧，有所劳倦则智乱于中，致使肾亏而不能上升，上下不交，水火不济，而能生育的情况，是从来没有的。（求子者，应广积阴德，然后节制欲望、保护精气，自然能获得上天赐予的好儿子，并非仅仅依靠药物有益，反而可能有害，务必谨慎。我在《治验录》中已经详细阐述过这一点。又有天生禀赋不足的男子出现阳痿，女子患有瘕疝，以及身体肥胖脂实的人，都是无子的征兆，不可固执一端来治疗。治疗的方法，如果是房劳过度，精液清稀如水，寒冷如冰的，以六神丸为主治。精竭的，以五味补精丸为主治。精液刚刚衰微，不能远射的，以六子丸为主治。禀赋元气虚弱，气血虚损的，以肾气丸加鹿茸为主治。思虑多且心火太盛不能节制欲望的，以大凤髓丹为主治。同时间歇服用六神丸，早晚服用，临睡前服用定志丸或安神丸之类。如果确认为虚寒证，固真丸也可以服用，其阳痿痹症等表现，仍应当在相关病症门类中寻求治疗方法。女人无子，应当调理月经。在调经门类中寻求方法，（调理月经首要在疏肝滋水，肝气为患，妇女尤为严重，往往左胁下痞积胀满，呕逆，这都是先天肝血不足，治疗从滋养则平复。如果误用疏伐则危险。如果血亏肝旺，上犯胃脘，下侵两足，进食则吐，两足挛痛，于是发生痉厥，这是肝病入络，因血少不能流通，千万不要执着于“肝无补法”的说法，妄用克伐，应当滋水生肝，遵循乙癸同源的治疗原则。）如果体内有热的，以增损地黄丸、艾附当归丸为主治。同时间歇服用逍遥散。如果禀赋素弱，以及脾胃气虚，不能荣养冲任二脉的，以补中丸为主治。肢体本来结实，只是多郁怒，于是导致月经失期，不能成孕的，以煮附丸或香附散为主治。身体肥胖脂实，不能成孕的，《良方》中的荡胞之法，以及坐导之法，也可以采用。也应当常服经验育胎丸。如果确实是禀受素弱，起居没有节制，恣意吃生冷食物，导致子宫虚寒，不能成孕的，宜以育胎丸为主，壬子丸之类，也可以间歇服用。以上服药期间，都必须严格戒除房事，才能奏效，即使在念头之间也不可轻动，因为心火一动，真精就会随之走失，前功尽弃了，务必戒慎。按：种子的道理有四条，一是择地，二是养种，三是乘时，四是投虚。什么是地？母血就是地。什么是种？父精就是种。什么是时？精血交感契合的时候就是时。什么是投虚？去旧生新的初期就是投虚。古法以月经行后三十时辰为准，过了这个时间子宫闭合，虽然交合也不怀孕，这就是乘时的道理。总之以清心寡欲，为最上乘的妙法。我治疗胎产三十多年，遇到大险大危的情况，竟然得到十分之八九痊愈的，都是因为使用补法得当，不随流俗以治标逐瘀为先务。我的《治验录》中选择记载了很多，参阅可以增加见识。
After the severe winter, there must be the warm spring. From this, we know that within heaven and earth, if there is no convergence (storage), life cannot arise; if there is no harmony and centrality, life cannot arise. This is the natural principle. Nowadays, people, ignorant of the principle of storage (winter conservation of essence), indulge their desires, exhaust their kidney essence, and dissipate their true qi without limit. When they find themselves unable to conceive, some claim it is due to cold blood, others say it is due to cold semen, and administer drying and heating agents, thereby further depleting their true yin. How can they have children? Generally speaking, the cause of infertility lies not only with the woman but also frequently with the man. Men who engage in sexual activity excessively, ejaculating too much, may have semen as clear as water or as cold as ice. Those with endless worries and high ambitions also find it difficult to father a child. The heart governs the spirit (Shen); when ejaculation occurs, the spirit wanders outward, injuring the Ministerial Fire (Jun Huo) so that it fails to descend. The kidneys govern wisdom; when overworked, wisdom becomes chaotic internally, causing Kidney deficiency so that it fails to ascend. When the upper and lower do not interact, and water and fire do not intermingle, it has never been known for conception to occur. (Those seeking offspring should accumulate merit, then regulate desires and preserve essence, naturally receiving good children from Heaven. Relying solely on medicine is not only ineffective but potentially harmful; be cautious. I have elaborated on this in my *Records of Clinical Cases*. Additionally, men with congenital impotence, women with abdominal masses (Jia Shan), and those who are obese and fleshy all show signs of infertility; one must not treat them rigidly based on a single pattern. For treatment: if caused by excessive sexual fatigue with semen clear as water and cold as ice, Liushen Wan (Six Divine Pills) is indicated. If essence is exhausted, Wuwei Jingjing Wan (Five-Flavor Essence-Replenishing Pill) is indicated. If essence is just beginning to decline and cannot project far, Liu Zi Wan (Six-Seed Pill) is indicated. If constitutionally weak with Qi and Blood deficiency, Shenqi Wan (Kidney Qi Pill) plus Cervus Antler (Ronglu) is indicated. If there is excessive thinking and flourishing Heart Fire preventing desire regulation, Dafengsui Dan (Great Phoenix Marrow Pill) is indicated. Intermittently take Liushen Wan, morning and evening, and before bed take Dingzhi Wan (Stabilizing Will Pill) or Anshen Wan (Calming Spirit Pill). If confirmed as deficiency-cold, Guzhen Wan (Solidify Truth Pill) may also be taken. Symptoms such as impotence and numbness should still be addressed according to their respective disease categories. For women, infertility requires regulating the menses. Refer to the Menses Regulation section. (Regulating menses primarily involves soothing the Liver and nourishing Water. Liver Qi disorders are particularly severe in women, often presenting as fullness and distension under the left hypochondrium, nausea, and vomiting, all stemming from congenital Liver Blood insufficiency. Treatment via nourishment brings balance. Misusing draining methods is dangerous. If Blood deficiency leads to hyperactive Liver Qi attacking the Stomach epigastrium and invading the legs, causing vomiting upon eating and leg cramps leading to spasms and convulsions, this indicates Liver disease entering the collaterals due to insufficient Blood flow. Do not adhere to the notion that "the Liver has no tonification method" and recklessly use draining agents; instead, nourish Water to generate Liver Wood, following the principle that Liver and Kidney share the same source.) If there is heat in the body, Zengsun Dihuang Wan (Modified Rehmannia Pill) and Aifu Danggui Wan (Mugwort and Ligusticum Angelica Pill) are indicated. Intermittently take Xiaoyao San (Free and Easy Wanderer Powder). If constitutionally weak with Spleen-Stomach Qi deficiency failing to nourish the Chong and Ren vessels, Buzhong Wan (Tonify Middle Pill) is indicated. If the physique is solid but prone to depression and anger, leading to irregular menses and inability to conceive, Zhufu Wan (Boiled Aconite Pill) or Xiangfu San (Cyperus Powder) are indicated. If obese and fleshy, unable to conceive, the Baotang Method (Uterus-Cleansing Method) from *Excellent Prescriptions* and sit-guidation methods may be adopted. Also, regularly take Jingyan Yutai Wan (Experienced Fetus-Nourishing Pill). If indeed constitutionally weak, irregular lifestyle, and indulgence in raw/cold foods lead to uterine deficiency-cold and inability to conceive, Yutai Wan (Fetus-Nourishing Pill) is primary; Renzi Wan (Renzi Pill) may be taken intermittently. During medication periods above, strict abstinence from sexual intercourse is required for efficacy. Even thoughts must not be lightly stirred; once Heart Fire moves, true essence will follow and leak away, rendering previous efforts futile. Be vigilant! Note: The principles of seed-conception involve four aspects: 1. Selecting the ground, 2. Nourishing the seed, 3. Timing the moment, 4. Applying to emptiness. What is ground? Mother's Blood. What is seed? Father's Essence. What is timing? The convergence of Essence and Blood interaction. What is applying to emptiness? The initial stage of discarding the old and generating the new. Ancient methods set the standard at thirty hours after menstruation ends; beyond this, the uterus closes, and even if intercourse occurs, pregnancy does not result—this is the principle of timing. Ultimately, clearing the mind and reducing desires is the supreme excellent method. In my thirty-plus years of treating obstetrics and gynecology, encountering major dangers and crises, achieving eight or nine out of ten recoveries, was all due to correct application of tonification, not following the vulgar trend of prioritizing symptom relief and blood stasis removal. My *Records of Clinical Cases* contain many selected examples; reviewing them will increase knowledge."