主湿热。赤属血，白属气、属痰。带漏，俱是胃中痰积流下，渗入膀胱，宜用升举，无人知此。肥人多是湿痰，
海石、半夏、南星、苍术、炒柏、川芎、椿根皮、青黛；瘦人带病少，如有带者是热，黄柏、滑石、椿皮、川芎、海
石、青黛，作丸服。又方，椒目为末，米饮调下。甚者，上必用吐，以提其气，下用二陈汤加苍术、白术，仍用瓦楞
子。又云，赤白带皆属于血，但出于大肠、小肠之分。一方，黄荆子炒焦为末，米饮调，治白带，亦治心痛，罗先
生法或十枣汤、或神 丸、或玉烛散，皆可用。不可峻攻。实者，可用此法；血虚者，加减四物汤；气虚者，以人参、
陈皮、白术间与之；湿甚者，固肠丸∶樗根白皮（二两） 炒滑石（一两） 为末，研粥为丸；相火动者，诸药中少
加炒黄柏；滑者，加龙骨、赤石脂；滞者，加葵花；性躁者，加黄连。寒月少入姜附，随机应变，必须断浓味。又方
用∶良姜 芍药 黄连（各二钱半，烧灰） 入椿皮（一两） 上为末，粥丸，米饮下。痰气带下者，苍术、香附、
滑石、蛤粉、半夏、茯苓。一妇人白带兼痛风，半夏、茯苓、川芎、陈皮、甘草、苍术，米泔浸南星、黄柏，酒洗晒
干，牛膝酒洗。一妇人上有头风鼻涕，南星、苍术、酒芩、辛夷、川芎；下有
白带，南星、苍术、黄柏、炒焦白术、滑石、半夏、牡蛎。粉白带方∶龟板 栀子（各二两） 炒柏（一两） 白
芍药（七钱半） 香附（五钱） 干姜（二钱半） 山茱萸 苦参 椿皮（各五钱） 贝母（三钱半） 上
末之，酒糊丸。赤白带方∶酒炙龟板（二两） 炒柏（一两） 炒姜（一钱） 栀子（二钱半） 上末之，酒糊丸，
日服二次，每服七十丸。有孕白带方∶苍术（三钱） 白芷（二钱） 黄连（炒一钱半） 黄芩（三钱炒）
黄柏（一钱炒） 白芍药（二钱半） 椿根皮（一钱半炒） 山茱萸（一钱半）。治
结痰白带以小胃丹，半饥半饱津液下数丸，候郁积开，却宜服补药∶白术（一两） 黄芩（五钱） 红白葵花（半钱
二） 白芍药（七钱半） 上末之，蒸饼丸，空心煎四物汤下二十丸。白带须用滑石、南星、黄柏、条芩。固肠丸，
治湿气下利，大便血，白带，去胃肠陈积之候，用此以燥下湿，亦不可单用，看病作汤使椿白皮炒为末，糊丸。又方，
凉而燥∶椿白皮（四两） 滑石（二两） 为末粥丸。治白带因七情所伤而脉数者∶黄连（五钱炒） 扁柏（五
钱酒蒸） 黄柏（五钱炒） 香附（一两醋炒） 白术（一两） 白芷（二钱烧灰存性） 椿皮（二两炒） 白芍药（
一两） 上粥丸服。治赤白带湿胜而下者∶苍术（一两盐炒） 白芍药（一两） 枳壳（三钱） 椿白
皮（三两炒） 干姜（二钱煨） 地榆（五钱） 甘草（三钱） 滑石（一两炒） 上末之，粥丸，米饮下。治妇
人赤白带下，先以四物汤加减与之，次用破旧漆器烧灰存性，为末，无灰酒调五钱，空心一
服止。又方，治带病年深久不瘥者∶白芍药（三两） 干姜（五钱） 上炒黄色为末，空心米饮服二钱，带病漏下五
色羸瘦者，烧鳖甲令黄色为末，空心米饮调二钱。一妇人体肥带下∶海石（四两） 南星 黄芩 苍术 香附（各三两）
白术 椿根皮 神曲（各一两半） 当归（二两） 白芷（一两二钱） 川芎（一两二钱半） 茯苓（一两
半） 白芍药 黄柏（各一两） 滑石（一两半） 上末之，神曲糊丸。
带下病主乎湿热，白葵花治白带，赤葵花治赤带。带下病多者与久者，当于湿热药中兼用升举，性躁者加黄连。
The primary etiology of leukorrhea (Dai Xia) is damp-heat. Red discharge relates to the Blood level, while white discharge relates to Qi or Phlegm. Leukorrhea with continuous dripping is caused by Phlegm-fluid accumulation in the Stomach flowing downward and seeping into the Bladder; treatment should employ lifting and raising methods, yet few are aware of this principle. Obese individuals are prone to Damp-Phlegm; formulas may include Hai Shi (Magnitum Laricis), Ban Xia (Pinelliae Rhizoma), Nan Xing (Arisaematis Rhizoma), Cang Zhu (Atractylodis Rhizoma), Chao Bai (Scrophulariae Radix processed), Chuan Xiong (Chuanxiong Rhizoma), Chun Gen Pi (Toosendan Fructus Cortex), and Qing Dai (Indicum). Lean individuals rarely suffer from leukorrhea; if they do, it is typically due to Heat, treated with Huang Bo (Phellodendri Cortex), Hua Shi (Talcum), Chun Pi (Toosendan Fructus Cortex), Chuan Xiong (Chuanxiong Rhizoma), Hai Shi (Magnitum Laricis), and Qing Dai (Indicum) made into pills. Another prescription uses Jiao Mu (Zanthoxyli Semen) powdered and taken with rice water. In severe cases, emetics must be used at the upper jiao to lift the Qi, while at the lower jiao, Er Chen Tang (Two-Cured Decoction) is added with Cang Zhu (Atractylodis Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), and Wa Leng Zi (Arcae Concha). Another view holds that red and white discharges both belong to the Blood level but originate from the regions of the Large Intestine and Small Intestine. One formula uses Huang Jing Zi (Viticipolygami Semen) charred and powdered, taken with rice water, treating white discharge and also heart pain. Master Luo’s methods may utilize Shi Zao Tang (Ten Jujube Decoction), Shen Wan (Divine Pill), or Yu Zhu San (Jade Candle Powder), all usable, but harsh purgatives must be avoided. For excess patterns, this method applies; for Blood deficiency, Si Wu Tang (Four Substances Decoction) is modified; for Qi deficiency, Ren Shen (Ginseng Radix), Chen Pi (Citri Reticulatae Pericarpium), and Bai Zhu (Atractylodis Macrocephalae Rhizoma) are alternated; for severe Dampness, Gu Chang Wan (Intestine-Securing Pill) is used: Chu Gen Bai Pi (Toosendan Fructus Cortex) (2 liang) charred, Hua Shi (Talcum) (1 liang), powdered and mixed with rice porridge to form pills. If Ministerial Fire is hyperactive, add a small amount of Chao Huang Bo (Phellodendri Cortex processed); if slippery/loose, add Long Gu (Fossilia Ossis Mastodi) and Chi Shi Zhi (Halloysit Rubra); if stagnant, add Kui Hua (Hibisci Mutabilis Flos); if irritable, add Huang Lian (Coptidis Rhizoma). In cold months, add small amounts of Gan Jiang (Zingiberis Rhizoma) and Fu Zi (Aconiti Lateralis Radix Praeparata), adapting to circumstances, and one must abstain from rich flavors. Another formula uses Liang Jiang (Alpiniae Katsumadai Rhizoma), Shao Yao (Paeoniae Radix Alba), Huang Lian (Coptidis Rhizoma) (each 2.5 qian, charred to ash), plus Chun Pi (Toosendan Fructus Cortex) (1 liang), powdered and pillified with rice porridge, taken with rice water. For Phlegm-Qi leukorrhea, use Cang Zhu (Atractylodis Rhizoma), Xiang Fu (Cyperi Rhizoma), Hua Shi (Talcum), Ge Fen (Concha Meretricis), Ban Xia (Pinelliae Rhizoma), and Fu Ling (Poria). A woman with white discharge and gouty pain was treated with Ban Xia (Pinelliae Rhizoma), Fu Ling (Poria), Chuan Xiong (Chuanxiong Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Nan Xing (Arisaematis Rhizoma) soaked in rice wash water, Huang Bo (Phellodendri Cortex) washed with wine and dried, and Niu Xi (Achyranthis Bidentatae Radix) washed with wine. A woman with head wind and nasal discharge above used Nan Xing (Arisaematis Rhizoma), Cang Zhu (Atractylodis Rhizoma), Jiu Qin (Scutellariae Radix processed with wine), Xin Yi (Magnoliae Flos), and Chuan Xiong (Chuanxiong Rhizoma); below with white discharge, she used Nan Xing (Arisaematis Rhizoma), Cang Zhu (Atractylodis Rhizoma), Huang Bo (Phellodendri Cortex), Chao Bai Zhu (Atractylodis Macrocephalae Rhizoma charred), Hua Shi (Talcum), Ban Xia (Pinelliae Rhizoma), and Mu Li (Ostrea Concha). Formula for powdery white discharge: Gui Ban (Carapax et Plastrum Testudinis), Zhi Zi (Gardeniae Fructus) (each 2 liang), Chao Bai (Scrophulariae Radix processed) (1 liang), Bai Shao Yao (Paeoniae Radix Alba) (7.5 qian), Xiang Fu (Cyperi Rhizoma) (5 qian), Gan Jiang (Zingiberis Rhizoma) (2.5 qian), Shan Zhu Yu (Corni Fructus), Ku Shen (Sophorae Flavescentis Radix), Chun Pi (Toosendan Fructus Cortex) (each 5 qian), Bei Mu (Fritillariae Thunbergii Bulbus) (3.5 qian), powdered and pillified with wine paste. Formula for red and white discharge: Jiu Zhi Gui Ban (Carapax et Plastrum Testudinis processed with wine) (2 liang), Chao Bai (Scrophulariae Radix processed) (1 liang), Chao Jiang (Zingiberis Rhizoma processed) (1 qian), Zhi Zi (Gardeniae Fructus) (2.5 qian), powdered and pillified with wine paste, taken twice daily, 70 pills per dose. Pregnancy leukorrhea formula: Cang Zhu (Atractylodis Rhizoma) (3 qian), Bai Zhi (Angelicae Dahuricae Radix) (2 qian), Huang Lian (Coptidis Rhizoma) (charred 1.5 qian), Huang Qin (Scutellariae Radix) (charred 3 qian), Huang Bo (Phellodendri Cortex) (charred 1 qian), Bai Shao Yao (Paeoniae Radix Alba) (2.5 qian), Chun Gen Pi (Toosendan Fructus Cortex) (charred 1.5 qian), Shan Zhu Yu (Corni Fructus) (1.5 qian). To treat phlegm-binding leukorrhea, use Xiao Wei Dan (Small Stomach Pill), swallowing several pills with saliva between meals; after stagnation opens, tonics are appropriate: Bai Zhu (Atractylodis Macrocephalae Rhizoma) (1 liang), Huang Qin (Scutellariae Radix) (5 qian), Hong Bai Kui Hua (Hibisci Mutabilis Flos red and white) (0.5 qian 2 fen), Bai Shao Yao (Paeoniae Radix Alba) (7.5 qian), powdered and pillified with steamed bread dough, taken on an empty stomach with Si Wu Tang (Four Substances Decoction) decoction, 20 pills. White discharge requires Hua Shi (Talcum), Nan Xing (Arisaematis Rhizoma), Huang Bo (Phellodendri Cortex), and Tiao Qin (Scutellariae Radix). Gu Chang Wan (Intestine-Securing Pill) treats dampness-induced diarrhea, bloody stool, and leukorrhea, removing chronic gastrointestinal accumulation; it dries and descends dampness but should not be used alone. Depending on the pattern, decoct Chu Bai Pi (Toosendan Fructus Cortex) charred and powdered, pillified with paste. Another formula, cool and drying: Chu Bai Pi (Toosendan Fructus Cortex) (4 liang), Hua Shi (Talcum) (2 liang), powdered and pillified with rice porridge. For white discharge injured by Seven Emotions with rapid pulse: Huang Lian (Coptidis Rhizoma) (charred 5 qian), Bian Bai (Platycladi Cacumen) (wine-steamed 5 qian), Huang Bo (Phellodendri Cortex) (charred 5 qian), Xiang Fu (Cyperi Rhizoma) (vinegar-processed 1 liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (1 liang), Bai Zhi (Angelicae Dahuricae Radix) (charred to retain nature 2 qian), Chun Pi (Toosendan Fructus Cortex) (charred 2 liang), Bai Shao Yao (Paeoniae Radix Alba) (1 liang), pillified with rice porridge. For red and white discharge with excessive dampness descending: Cang Zhu (Atractylodis Rhizoma) (salt-processed 1 liang), Bai Shao Yao (Paeoniae Radix Alba) (1 liang), Zhi Ke (Aurantii Fructus) (3 qian), Chu Bai Pi (Toosendan Fructus Cortex) (charred 3 liang), Gan Jiang (Zingiberis Rhizoma) (baked 2 qian), Di Yu (Sanguisorbae Radix) (5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (3 qian), Hua Shi (Talcum) (charred 1 liang), powdered and pillified with rice porridge, taken with rice water. For women with red and white discharge, first administer modified Si Wu Tang (Four Substances Decoction), then use ashes from broken lacquerware charred to retain nature, powdered and taken with non-intoxicating wine, 5 qian on an empty stomach to stop discharge. Another formula for long-standing leukorrhea unhealed: Bai Shao Yao (Paeoniae Radix Alba) (3 liang), Gan Jiang (Zingiberis Rhizoma) (5 qian), charred yellow, powdered, taken with rice water on an empty stomach, 2 qian. For leukorrhea with five-colored discharge, leanness, and wasting: Tortoise Carapace charred yellow, powdered, taken with rice water on an empty stomach, 2 qian. An obese woman with leukorrhea: Hai Shi (Magnitum Laricis) (4 liang), Nan Xing (Arisaematis Rhizoma), Huang Qin (Scutellariae Radix), Cang Zhu (Atractylodis Rhizoma), Xiang Fu (Cyperi Rhizoma) (each 3 liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Chun Gen Pi (Toosendan Fructus Cortex), Shen Qu (Massa Medicata Fermentata) (each 1.5 liang), Dang Gui (Angelicae Sinensis Radix) (2 liang), Bai Zhi (Angelicae Dahuricae Radix) (1.2 liang), Chuan Xiong (Chuanxiong Rhizoma) (1.25 liang), Fu Ling (Poria) (1.5 liang), Bai Shao Yao (Paeoniae Radix Alba), Huang Bo (Phellodendri Cortex) (each 1 liang), Hua Shi (Talcum) (1.5 liang), powdered and pillified with Shen Qu (Massa Medicata Fermentata) paste.
Leukorrhea fundamentally stems from damp-heat. Bai Kui Hua (White Hibiscus Flower) treats white discharge; Chi Kui Hua (Red Hibiscus Flower) treats red discharge. For frequent and chronic leukorrhea, lifting and raising methods should be combined with damp-heat clearing herbs; for irritable patients, add Huang Lian (Coptidis Rhizoma).