妇人有带下而色红者，似血非血，淋沥不断，所谓赤带也。夫赤带亦湿病，湿是土之气，宜见黄白之色，今不
见黄白而见赤者，火热故也。火色赤，故带下亦赤耳。惟是带脉系于腰脐之间，近乎至阴之地，不宜有火。而今见
火症，岂其路通于命门，而命门之火出而烧之耶？不知带脉通于肾，而肾气通于肝。妇人忧思伤脾，又加郁怒伤肝，
于是肝经之郁火内炽，下克脾土，脾土不能运化，致湿热之气蕴于带脉之间；而肝不藏血，亦渗于带脉之内，皆由
脾气受伤，运化无力，湿热之气，随气下陷，同血俱下，所以似血非血之形象，现于其色也。其实血与湿不能两分，
世人以赤带属之心火误矣 治法须清肝火而扶脾气，则庶几可愈。
方用清肝止淋汤。
白芍（一两，醋炒） 当归（一两，酒洗） 生地（五钱，酒炒） 阿胶（三钱，白面炒） 粉丹皮（三钱） 黄
柏（二钱） 牛膝（二钱） 香附（一钱，酒炒） 红枣（十个） 小黑豆（一两）
水煎服。一剂少止，二剂又少止，四剂全愈，十剂不再发。此方但主补肝之血，全不利脾之湿者以赤带之为
病，火重而湿轻也。夫火之所以旺者，由于血之衰，补血即足以制火。且水与血合而成赤带之症，竟不能辨其是湿
非湿，则湿亦尽化而为血矣，所以治血则湿亦除，又何必利湿之多事哉！此方之妙，妙在纯于治血，少加清火之味，
故奏功独奇。倘一利其湿，反引火下行，转难遽效矣。或问曰∶“先生前言助其脾土之气，今但补其肝木之血何也？”
不知用芍药以平肝，则肝气得舒，肝气舒自不克土，脾不受克，则脾土自旺，是平肝正所以扶脾耳，又何必加人参、
白术之品，以致累事哉！
眉批∶不用参、术、芩极妙，此症若误认为血漏，巩其久则成崩，用参、术、芩等药治之多不见效，赤带反
甚。若年逾四九，癸水将止，或频频见血，此崩症也，宜分别治之。五带症，古方极多，然有应有不应者，总属未得病
原。此书揭露病原，故用无不效。
歌括∶带下色红因气陷，似血非血淋不断。
肝经郁火克脾土，湿热蕴于带脉间。
清肝止淋用归芍，生地丹皮炒阿胶。
黄柏牛膝小黑豆，酒炒香附加红枣。
Women may experience leukorrhea that is red in color, resembling blood but not being blood, dripping continuously; this is referred to as "red leukorrhea" (Chidai). Red leukorrhea is also a dampness disease. Dampness is the qi manifestation of Earth and should present with yellow or white colors. The fact that it does not show yellow or white but appears red is due to fire-heat. Since the color of fire is red, the leukorrhea thus becomes red. However, the Dai Mai (Belt Vessel) connects between the waist and the umbilicus, an area close to extreme yin, where fire-heat should not normally exist. If fire-symptoms are now observed, could it be that the pathway connects to the Mingmen (Gate of Life), causing the fire of the Mingmen to emerge and scorch? In fact, the Dai Mai connects to the Kidney, and Kidney qi connects to the Liver. Women who suffer from worry and overthinking damage the Spleen, and those who add depression and anger damage the Liver. Consequently, stagnant fire within the Liver channel blazes internally, downwardly overcoming Spleen Earth. The Spleen Earth fails to transform and transport, leading to the accumulation of damp-heat qi between the Dai Mai. Meanwhile, because the Liver fails to store blood, blood also seeps into the Dai Mai. All these result from injury to Spleen qi, where transformation and transportation are powerless. Damp-heat qi sinks along with the descending qi, mixing with blood and descending together. Thus, the image of "resembling blood but not being blood" appears in its color. In reality, blood and dampness cannot be strictly separated. It is erroneous for people to attribute red leukorrhea to Heart fire. The treatment method must clear Liver fire and support Spleen qi; only then can recovery be expected.
The formula used is Qinggan Zhilin Tang (Clear the Liver and Stop Dripping Decoction).
Baishao (Radix Paeoniae Alba, 1 liang, stir-fried with vinegar)
Danggui (Radix Angelicae Sinensis, 1 liang, washed with wine)
Shengdi (Radix Rehmanniae Preparata, 5 qian, stir-fried with wine)
Ejiao (Colla Corii Asini, 3 qian, stir-fried with fine flour)
Fudanpi (Cortex Moutan, 3 qian)
Huangbai (Cortex Phellodendri, 2 qian)
Niuxi (Radix Achyranthis Bidentatae, 2 qian)
Xiangfu (Rhizoma Cyperi Rotundi, 1 qian, stir-fried with wine)
Hongzao (Fructus Jujubae, 10 pieces)
Xiaoheidou (Glycine max var. nigra, 1 liang)
Decoct with water and take orally. After one dose, symptoms will slightly subside; after two doses, they will subside further; after four doses, complete recovery occurs; after ten doses, there will be no recurrence. This formula primarily focuses on nourishing Liver blood and completely avoids draining dampness. This is because in the pathology of red leukorrhea, fire-heat is heavy while dampness is light. The reason fire flares up is due to blood deficiency; nourishing blood is sufficient to restrain fire. Moreover, since water and blood combine to form the symptom of red leukorrhea, and one cannot distinguish whether dampness exists, the dampness has essentially transformed into blood. Therefore, treating the blood resolves the dampness as well; why bother with excessive measures to drain dampness? The brilliance of this formula lies in purely treating the blood, with only a small addition of herbs that clear fire, thus achieving unique efficacy. If one were to drain dampness, it would instead draw fire downward, making rapid recovery difficult. Someone might ask: "You previously mentioned assisting Spleen Earth qi, but now you only nourish Liver Wood blood. Why?" The answer is that using Baishao to calm the Liver allows Liver qi to relax. When Liver qi relaxes, it naturally ceases to overcome Spleen Earth. If Spleen Earth is not overcome, it thrives naturally. Thus, calming the Liver is precisely how one supports the Spleen. Why add herbs like Renshen (Radix Ginseng) and Baizhu (Rhizoma Atractylodis Macrocephalae), which would complicate matters unnecessarily!
Marginal note: It is extremely clever not to use Renshen, Baizhu, and Huangqin (Radix Scutellariae). If this condition is mistaken for blood leakage (Xuelou) and left untreated for a long time, it may become Binglou (uterine bleeding). Using Renshen, Baizhu, Huangqin, etc., often yields poor results, and red leukorrhea may worsen. If a woman is over forty-nine years old, her menstrual cycle (Guishui) is about to cease, or she experiences frequent bleeding, this is Bing syndrome, and treatment should differ. There are many ancient formulas for the five types of leukorrhea, yet some work while others do not, generally because the root cause was not identified. This book reveals the etiology, so the treatments are invariably effective.
Verse:
Red leukorrhea arises from qi sinking,
Resembling blood but not, dripping unceasingly.
Stagnant fire in the Liver channel overcomes Spleen Earth,
Damp-heat accumulates within the Dai Mai.
Qinggan Zhilin uses Danggui and Baishao,
Shengdi, Mudanpi, and stir-fried Ejiao.
Huangbai, Niuxi, and Xiaoheidou,
Jiu-chao Xiangfu added with Hongzao.