Abstract： The classic Xue Zheng Lun (Treatise on Blood Syndromes)， based on the theory of yinyang， qi- blood and water- fire and the theory of difference between men and women， proposes the following diagnosis and treatment ideas： qi and blood should be treated simultaneously when regulating menstruation；the main treatment of flooding is to treat the spleen；the syndrome of menstrual block can be divided into cold，heat，deficiency and excess；the suitable treatment of leukorrhea is to harmonize the spleen to promote urination； the syndrome of vaginal bleeding can be divided into water and blood； the treatment of cough during pregnancy is to treat from the lung and the kidney；and puerperal pathogenesis is mostly of deficiency and stasis. These ideas are hoped to be conducive to the establishment of clinical thinking of gynecological blood syndrome，so as to better guide the diagnosis and treatment of this kind of diseases.