妇人赤白带下者，皆因月经不调、房色过度，或产后血虚、胃中湿痰流下，渗入膀胱而带也。腰酸、头晕、
眼花、小腹胀痛、四肢无力、困倦而虚。用八物汤加减，吞下止带丸。肥人多痰有带症，瘦人多火亦有之。带
与梦遗同法。
带下属气血虚者。
加减八物汤 治妇人赤白带下。
当归 川芎 白芍（酒炒） 生地黄 人参（去芦） 白术（去芦） 茯苓（去皮） 山药 杜仲（酒炒）
香附（各等分，炒） 甘草（减半） 乌梅（一个）
上锉一剂，姜枣煎，食前温服。肥人加半夏；瘦人加黄柏；饱闷去人参，加砂仁；腹痛加小茴、玄胡，去
人参；冬加煨干姜少许。
止带丸
当归（酒洗） 川芎 白术（去芦） 人参（去芦） 山药 杜仲（姜汁，
酒炒去丝） 香附（醋炒） 青黛（减半） 牡蛎（火 ） 破故纸（酒炒） 续断 椿根皮（此药大治白带，
酒炒。各等分）
上为细末，炼蜜为丸，如梧桐子大。每服五十丸，空心清米汤吞下。腹痛加玄胡素、茴香，去人参；饱闷
加砂仁，去人参；夏月加黄柏；冬月加煨干姜少许，肥人加姜汁、半夏；瘦人加酒炒黄柏。
带下属虚寒者，五积散治妇人赤白带下，（方见中寒。）根据本方加香附子、小茴香、吴茱萸。
四仙散 治妇人白带。
苍术（一两，酒浸去黑皮炒干） 白芷 川芎 大附子（面包裹，去皮脐，各五钱）
上为末，每服五分，空心，好酒调下。
香术丸 治妇人白带，脐腹胀痛。
香附（醋浸煮干，八两） 苍术（米泔浸，四两） 陈皮 当归（酒洗） 川芎 白芍（酒炒）
熟地黄（姜汁，酒浸焙。各二两。）
上为末，酒糊为丸，如梧桐子大。每服三十丸，空心温酒送下。
带下属湿痰者，加味二陈汤。
带下属湿热者。
固经丸
黄柏（酒浸炒） 香附（炒。各一两） 山栀（炒黑，二两） 苦参（五钱） 白术（去芦） 白芍
（酒炒。各七钱半） 山茱萸（酒蒸去核） 椿根皮（酒炒。各五钱） 贝母（去心） 干姜（炒。各二钱）
败龟板（酒炙，二两）
上为末，酒糊为丸，如梧桐子大。每服八十丸，空心，白滚水下。
加减六合汤 治妇人上有痰火，下有白带，腹痛。
当归（酒洗，一钱） 白芍（酒炒，八分） 川芎（盐水浸，八分） 熟地黄
（酒洗焙，一钱） 橘红（盐水洗去白，八分） 白茯苓（去皮，七分） 甘草（炙，四分） 半夏（姜制，
七分） 贝母（去心） 糯米（拌炒，七分） 白术（去芦，二钱） 黄柏（酒浸，七分） 知母（酒浸，
七分） 椿根皮（酒炒，一钱）
上锉一剂，生姜三片，水煎，空心热服。若上痰火盛，加枯芩七分，临卧服。
收带六合丸（一名益气固肠丸） 治赤白带下、肚腹疼痛。和脾胃、燥中宫之湿、提下陷之气、化痰
清火。
白术（米泔浸焙） 苍术（米泔浸焙） 白茯苓（去皮） 陈皮（盐水炒去白） 当归（酒洗） 白芍
（酒炒。各二两） 熟地黄（酒洗） 半夏（姜制。各一两半） 椿根白皮（洗炒） 牡丹皮 黄柏（酒炒。
各一两二钱） 防风（九钱） 甘草（炙，一两） 升麻（八钱）
上为末，酒糊丸，如梧桐子大。每服百丸，空心米汤下，盐汤亦可。一方加香附、枳壳。
滋荣收带丸 治崩后气下陷，或白带，小腹胀满痛甚等症。
当归（酒洗） 白芍（酒炒） 苍术（米泔制） 白茯苓（去皮） 黄柏（酒炒） 椿根皮（焙，各一两）
白术（二两） 半夏（姜制，八钱） 川芎（盐汤浸，切，七钱） 香附米（盐水浸，炒，六钱） 防风 升麻
青皮（醋炒。各五钱） 木香 大甘草（炮。各四钱）
上为细末，酒打糊为丸，如梧桐子大。每服一百二十丸，空心，盐汤、米汤、白汤送下。
双白丸 治白带如神。
锻石一两 白茯苓二两为末，水丸。每服三十丸，空心，白水送下。
专治赤白带下 荞麦面不拘多少，用鸡子清为丸。每服三五十丸，白汤送下即愈。
一妇人头晕吐痰、胸满气喘，得食稍缓，苦于白带二十
余年，诸药不应。此气虚而痰饮也，痰饮愈而带自愈。遂朝用六君子汤，夕用六味丸，不月而验。（方见补益。）
一妇人带下，四肢无力。余曰∶四肢者，土也。此脾胃虚弱，湿痰下注。以补中益气、归脾二药治之而愈。
一妇人，年逾六十，内热口干，劳则头晕吐痰、带下。或用化痰行气，前症益甚，饮食愈少，肢体或麻；
恪服祛风化痰、肢体常麻，手足或冷或热，日渐消瘦。余曰∶症属脾气虚弱而不能生肺，祛风之剂复损诸经也，
当滋化源。遂用补中益气加茯苓、半夏、炮姜，二十余剂，脾气渐复，饮食渐加，诸症顿愈。（方见补益。）
Women suffering from red and white leukorrhea (vaginal discharge) are all caused by irregular menstruation, excessive sexual activity, or postpartum blood deficiency. Additionally, damp-phlegm in the stomach may flow downward, seeping into the Bladder to cause leukorrhea. Symptoms include soreness and weakness of the lower back, dizziness, blurred vision, distending pain in the hypogastrium, weakness of the four limbs, fatigue, and general debility. Treatment involves using Bajiu Tang (Eight-Ingredient Decoction) with modifications, taken together with Zhidai Wan (Leukorrhea-Stopping Pill). Obese individuals often suffer from leukorrhea due to phlegm-dampness, while thin individuals may also suffer from it due to internal heat. The treatment method for leukorrhea is similar to that for nocturnal emission.
Leukorrhea belonging to the type of Qi and Blood deficiency:
Modified Bajiu Tang: Treats red and white leukorrhea in women.
Ingredients: Danggui (Radix Angelicae Sinensis), Chuanxiong (Rhizoma Chuanxiong), Baishao (Radix Paeoniae Alba, stir-fried with wine), Shengdihuang (Radix Rehmanniae Preparata), Renshen (Radix Ginseng, rhizome removed), Baizhu (Rhizoma Atractylodis Macrocephalae, rhizome removed), Fuling (Poria, peel removed), Shanyao (Rhizoma Dioscoreae), Duzhong (Cortex Eucommiae, stir-fried with wine), Xiangfu (Rhizoma Cyperi, equal parts, stir-fried), Gancao (Radix Glycyrrhizae, half dose), Wumei (Fructus Mume, one piece).
The above ingredients are chopped into one dose, decocted with fresh ginger and jujube, and taken warm before meals. For obese patients, add Banxia; for thin patients, add Huangbai; for fullness and oppression, remove Renshen and add Sharen; for abdominal pain, add Xiaohuixiang and Yuanhusu, and remove Renshen; in winter, add a small amount of Wei Ganjiang (calcined dried ginger).
Zhidai Wan (Leukorrhea-Stopping Pill)
Ingredients: Danggui (washed with wine), Chuanxiong, Baizhu (rhizome removed), Renshen (rhizome removed), Shanyao, Duzhong (stir-fried with ginger juice and wine, silk fibers removed), Xiangfu (stir-fried with vinegar), Qingdai (half dose), Muli (fire-calcined), Poguzhi (Radix Psoraleae, stir-fried with wine), Xuduan (Radix Dipsaci), Chun Genpi (Cortex Ailanthi, this herb is highly effective for treating white leukorrhea, stir-fried with wine; equal parts).
The above ingredients are ground into fine powder, mixed with refined honey to form pills the size of sophora seeds. Take 50 pills per dose, swallowed with clear rice soup on an empty stomach. For abdominal pain, add Yuanhusu and Huixiang, and remove Renshen; for fullness and oppression, add Sharen and remove Renshen; in summer, add Huangbai; in winter, add a small amount of calcined dried ginger; for obese patients, add ginger juice and Banxia; for thin patients, add Huangbai stir-fried with wine.
Leukorrhea belonging to the type of deficiency-cold: Use Wuji San (Five Accumulations Powder) to treat red and white leukorrhea in women (formula see "Cold Damage"). Modify this formula by adding Xiangfu Zi, Xiaohuixiang, and Wuzhuyu.
Six Immortals Powder (Sixxian San): Treats white leukorrhea in women.
Ingredients: Cangzhu (Rhizoma Atractylodis Lanceae, 1 liang, soaked in wine, black skin removed, stir-fried dry), Baizhi (Radix Angelicae Dahuricae), Chuanxiong, Dafuzi (Radix Aconiti Lateralis Preparata, wrapped in bread, peel and umbilical scar removed, each 5 qian).
The above ingredients are ground into powder. Take 5 fen per dose, mixed with good wine on an empty stomach.
Xiangshu Wan (Cyperi and Atractylodes Pill): Treats white leukorrhea in women, along with distending pain in the navel and abdomen.
Ingredients: Xiangfu (soaked in vinegar and boiled dry, 8 liang), Cangzhu (soaked in rice wash water, 4 liang), Chenpi (Pericarpium Citri Reticulatae), Danggui (washed with wine), Chuanxiong, Baishao (stir-fried with wine), Shudihuang (Radix Rehmanniae Preparata, ginger juice, soaked in wine and baked; each 2 liang).
The above ingredients are ground into powder, mixed with wine paste to form pills the size of sophora seeds. Take 30 pills per dose, sent down with warm wine on an empty stomach.
Leukorrhea belonging to the type of damp-phlegm: Use Jiawei Erchen Tang (Modified Two-Chen Decoction).
Leukorrhea belonging to the type of damp-heat:
Gujing Wan (Consolidate the Menses Pill)
Ingredients: Huangbai (Cortex Phellodendri, soaked in wine and stir-fried), Xiangfu (stir-fried; each 1 liang), Shanzhi (Fructus Gardeniae, stir-fried until black, 2 liang), Kushen (Radix Sophorae Flavescentis, 5 qian), Baizhu (rhizome removed), Baishao (stir-fried with wine; each 7.5 qian), Shanzhuyu (Fructus Corni, steamed with wine, pits removed), Chun Genpi (Cortex Ailanthi, stir-fried with wine; each 5 qian), Beimu (Bulbus Fritillariae Cirrhosae, heart removed), Ganjiang (Radix Zingiberis Preparata, stir-fried; each 2 qian), Baiguiban (Plastrum Testudinis, stir-fried with wine, 2 liang).
The above ingredients are ground into powder, mixed with wine paste to form pills the size of sophora seeds. Take 80 pills per dose, on an empty stomach, washed down with plain boiled water.
Modified Liuhe Tang: Treats women with phlegm-fire above and leukorrhea below, accompanied by abdominal pain.
Ingredients: Danggui (washed with wine, 1 qian), Baishao (stir-fried with wine, 8 fen), Chuanxiong (soaked in salt water, 8 fen), Shudihuang (washed with wine and baked, 1 qian), Juhong (Exocarpium Citri Reticulatae Rubrum, washed with salt water to remove white pith, 8 fen), Bai Fuling (Poria, peel removed, 7 fen), Gancao (Radix Glycyrrhizae, roasted, 4 fen), Banxia (prepared with ginger, 7 fen), Beimu (heart removed), Nuomi (Oryza Sativa Glutinosa, mixed and stir-fried, 7 fen), Baizhu (rhizome removed, 2 qian), Huangbai (soaked in wine, 7 fen), Zhimu (Radix Anemarrhenae, soaked in wine, 7 fen), Chun Genpi (stir-fried with wine, 1 qian).
The above ingredients are chopped into one dose, decocted with three slices of fresh ginger in water, and taken hot on an empty stomach. If there is severe phlegm-fire above, add Kuxin (Radix Scutellariae, 7 fen) and take before bedtime.
Shoudai Liuhe Wan (Consolidate Leukorrhea Six-Harmony Pill, also known as Yiqi Guchang Wan): Treats red and white leukorrhea and abdominal pain. It harmonizes the Spleen and Stomach, dries dampness in the Middle Jiao, lifts sinking Qi, resolves phlegm, and clears fire.
Ingredients: Baizhu (soaked in rice wash water and baked), Cangzhu (soaked in rice wash water and baked), Bai Fuling (peel removed), Chenpi (stir-fried with salt water to remove white pith), Danggui (washed with wine), Baishao (stir-fried with wine; each 2 liang), Shudihuang (washed with wine), Banxia (prepared with ginger; each 1.5 liang), Chun Genbaipi (washed and stir-fried), Mudanpi (Cortex Moutan), Huangbai (stir-fried with wine; each 1.2 liang), Fangfeng (Radix Saposhnikoviae, 9 qian), Gancao (roasted, 1 liang), Shengma (Rhizoma Cimicifugae, 8 qian).
The above ingredients are ground into powder, made into pills with wine paste, the size of sophora seeds. Take 100 pills per dose, with rice soup on an empty stomach; salt water is also acceptable. Another prescription adds Xiangfu and Zhike.
Zirong Shoudai Wan: Treats symptoms such as Qi sinking after metrorrhagia, white leukorrhea, and severe distending pain in the lower abdomen.
Ingredients: Danggui (washed with wine), Baishao (stir-fried with wine), Cangzhu (processed with rice wash water), Bai Fuling (peel removed), Huangbai (stir-fried with wine), Chun Genpi (baked; each 1 liang), Baizhu (2 liang), Banxia (prepared with ginger, 8 qian), Chuanxiong (soaked in salt water, sliced, 7 qian), Xiangfumii (soaked in salt water, stir-fried, 6 qian), Fangfeng, Shengma, Qingpi (Pericarpium Citri Reticulatae Viride, stir-fried with vinegar; each 5 qian), Muxiang (Radix Aucklandiae), Da Gancao (Radix Glycyrrhizae, processed; each 4 qian).
The above ingredients are ground into fine powder, made into pills with wine paste, the size of sophora seeds. Take 120 pills per dose, on an empty stomach, sent down with salt water, rice soup, or plain water.
Shuangbai Wan: Treats white leukorrhea miraculously.
Ingredients: Duanshi (Calcined Stone, 1 liang), Bai Fuling (2 liang). Ground into powder, formed into pills with water. Take 30 pills per dose, on an empty stomach, sent down with plain water.
Specifically for Red and White Leukorrhea: Buckwheat flour, any amount, formed into pills with egg white. Take 30-50 pills per dose, sent down with plain water for immediate cure.
A woman suffered from dizziness, expectoration of phlegm, chest fullness, and shortness of breath, which were slightly relieved by eating. She had been troubled by leukorrhea for over twenty years, and various medicines were ineffective. This was Qi deficiency leading to fluid retention; once the fluid retention was resolved, the leukorrhea would heal spontaneously. Therefore, she took Liujunzi Tang (Six-Gentlemen Decoction) in the morning and Liuwei Wan (Six-Ingredient Pill) in the evening, showing results within a month. (Formula see "Tonification" section.)
Another woman suffered from leukorrhea and weakness of the four limbs. I said, "The four limbs belong to Earth." This indicated Spleen and Stomach weakness with damp-phlegm pouring downward. She was cured using Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) and Guipi Tang (Restore the Spleen Decoction).
Another woman, over sixty years old, suffered from internal heat, dry mouth, dizziness, expectoration of phlegm, and leukorrhea upon exertion. Someone used phlegm-resolving and Qi-moving agents, causing previous symptoms to worsen, food intake to decrease further, and occasional numbness in the limbs. Persistently taking wind-dispelling and phlegm-resolving drugs led to constant limb numbness, cold or hot hands and feet, and gradual emaciation. I said, "The syndrome belongs to Spleen Qi deficiency failing to generate Lung Qi; wind-dispelling agents have damaged the meridians. One should nourish the source of transformation." Thus, she used Buzhong Yiqi Tang added with Fuling, Banxia, and Pa Jiang (processed ginger). After more than twenty doses, Spleen Qi gradually recovered, food intake increased, and all symptoms suddenly resolved. (Formula see "Tonification" section.)