〔丹〕赤白带罗先生法∶或十枣汤，或神佑丸，或玉烛散皆可用之。虚者不可峻攻，实者可行。血
虚，加减四物汤。气虚，以术、参、陈皮间与之。赤属血，白属气，主治燥湿为先。湿甚者，固肠丸。相
火动者，诸药中加炒黄柏。滑者加龙骨、赤石脂。滞者加葵花。（白者治白带，赤者治赤带。）
性躁者，加黄连。寒月少加姜、附。临机应变，先须断浓味。带下与梦遗，同法治之。肥人有带，多是
湿痰，用海石、半夏、南星、炒柏、青黛、苍术、川芎。瘦人带病少，如有多是热，用炒柏、蛤粉、
滑石、川芎、青黛、樗皮。带、漏，俱是胃中痰积流下渗膀胱，出于大肠小肠，宜升提，甚者上必用吐，
以提其气，下用二陈汤加白术、苍术，仍用丸子。治结痰白带，以小胃丹，半饥半饱，津液下数丸，
候郁积行，却服补药。
白术（一两） 苍术（半两） 红白葵花（二钱半） 白芍（七钱半）
上蒸饼为丸，空心，煎四物汤下二十丸。
陶遵道外姑，年七十，形瘦善啖，白带。食前，姜汤吞大补丸五十丸一二次，午膳后及临卧时，
各与小胃丹十五丸，愈。
〔《大》〕乳香散 治赤白带下。
草果（一个，去皮，入麝香一小块，用面饼裹，火炮焦黄，留性，取出和面用之）
上为细末，每服二钱，陈皮饮调下，重者三钱。
〔丹〕带下不止，用椒目、白芷。治白带用椒目为末，米饮调服。
樗皮丸 治赤白带有湿热者。
芍药（五钱） 良姜（三钱，烧灰） 黄柏（二钱。各炒成灰） 椿根皮（一两半）
上为末，粥丸，每服三五十丸。米饮空心吞下。
赤白带因湿热胜而下者。
苍术（盐炒） 白芍（各一两） 枳壳（三钱） 椿根皮（炒，二两） 干姜（煨，二两） 地榆（半两）
甘草（三钱） 滑石（一两，炒）
上末粥丸，米饮下。
治带下。
椿根皮（二两） 神曲（炒） 麦皮曲（炒） 黄柏（各一两，炒） 芍药（一两半） 滑石（半两）
枳壳（半两） 苍术（一两）
上为末，糊丸桐子大。每服五十丸，空心。
固肠丸 治湿气下利，大便血，白带。去脾胃陈积之后，用此以燥下湿，亦不曾单用，看病作汤使。
椿根皮为末，粥糊为丸。此药性凉而燥，须炒用。一方加滑石一半。
治白带因七情所伤，脉数者。
黄连（炒） 侧柏（酒蒸） 黄柏（炒。各半两） 香附（醋炒） 白术（炒。各一两） 白芷（烧存
性，三钱） 椿根皮（二两，炒） 白芍（一两） 木香（三钱）
上为末，饭粥为丸，米饮汤送下。
上五方治带椿皮例。凉燥之剂，湿热盛者宜之。后一方有黄连、香附、木香，故可治七情所伤。
〔《大》〕地榆膏 治赤白带下，骨立者。
地榆一斤，用水三升，煎至一半，去渣再煎如稠饧，绞净，空心服三合，日二服。
治漏下五色。地榆三两，锉，用醋一升，煮十余沸，去渣，稍热，食前服一合。
〔《千》〕治妇人赤白带下。三叶酸浆草，阴干为末，空心温酒下三钱匕。
上三方治带地榆例。寒涩之剂，亦湿热盛而滑脱者宜之。按三叶酸浆草，叶细如萍，丛生，
茎端有三叶，俗又名布谷饭。布谷者鸠也，盖鸠常食之，故又名鸠浆草。《衍义》误入苦HT 条，
即曰三叶酸浆草，岂苦HT 即酸浆欤。（苦HT 有子大如金柑，味酸可食，故亦名酸浆，非三叶也。三叶酸浆，
小草布地而生，叶皆三瓣，惟开黄花，其茎叶皆酸者。）
〔丹〕白带。
龟板（炙） 枳子（各二两） 黄柏（一两，炒） 白芍（七钱半） 干姜（炒，二钱半） 香附（半两）
山茱萸 苦参 樗皮 贝母（各半两）
上为末，以酒糊为丸，空心下。
赤白带。
龟板（二两，酒炙） 黄柏（一两，炒） 干姜（一钱，炒） 枳子（二钱半）
上酒糊为丸，日二服，每服七十丸。
又方 治带下，脉数者。
枸杞根（一斤） 生地（五斤）
上二味，以水一斗，煮取五升，分三服。
上三方治带，龟扳、黄柏、地黄例，肾水真阴虚者宜之。
脾传之肾，病名曰疝瘕，少腹冤热而痛，出白，一名曰蛊。当此之时，可按可药。（全文见诊生死。
王注云∶出白，溲出白液也。盖便浊白带之类。戴人云∶遗溺闭癃，阴痿脬痹，精滑白淫，男子之
疝也。血涸不月，月罢腰膝上热，足 ，嗌干，癃闭，少腹有块，或定或移，前阴突出，后阴痔核，
皆女子之疝也。又云∶女子不谓之疝而谓之瘕也。）
小肠移热于大肠，为伏瘕，为沉。（全文见诊病传变。）
〔《保》〕赤者热入小肠，白者热入大肠，原其本，皆湿热结于脉，故津液涌溢，是为赤白带下。本不病
结，缘五经脉虚结热，屈滞于带，故女子脐下痛，阴中绵绵而下也。经曰∶任脉为病，男子内结七疝，女子带
下瘕聚。王注云∶任脉自胞上过，带脉贯于脐上，故男子内结七疝，女子带下。带脉起于季胁章门，似束
带状。今湿热冤结不散，故为病也。经曰∶脾传之肾，名曰疝瘕。小肠冤结而痛，出白，一名曰蛊，所以为
带下冤结也。冤，屈也，屈滞而病，热不散。先以十枣汤下之，后服苦楝丸、大延胡散调下之，热去湿除，
病自愈矣。（十枣汤方见伤寒。）
苦楝丸 治妇人赤白带。
苦楝（碎，酒浸） 茴香（炒） 当归
上等分，为末，酒糊为丸。每服三五十丸，空心，温酒下。如腰腿疼，四物汤四两，加羌活、
防风各一两，煎汤送下。
〔丹〕治赤白带下，腰痛，或少腹痛有热者。
樗皮（二两） 延胡索 桃仁 侧柏叶 川楝肉 茴香 当归（各半两） 香附（八钱） 官桂 乌药（各三钱）
麦皮曲（一两，炒）
上末，酒糊为丸。每服五六十丸，神效。
〔《衍》〕治带下并肠有败脓，淋露不已，腥秽殊甚，遂至脐腹更增冷痛。此盖败脓血所致，卒无已期，
须以此排脓。白芷一两，单叶红蜀葵根二两，白芍药、白矾各半两。矾烧枯另研，余为末，同以蜡丸如桐子大。
空肚及饭前，米饮下十丸或十五丸。候脓尽，仍别以补药佐之。
〔垣〕固真丸治白带不止，脐下冷痛，喜干食，恶汤饮者。（方见寒疝带条。）
〔《本》〕治妇人赤白带下。
龙骨（半两） 舶上硫黄（三钱半）
上为末，每服半钱，无灰酒调，空心服，一日三服。不问远年近日，尽效。
〔《大》〕伏龙肝散 治妇人赤白带下，久不瘥，肌瘦瘁黄。
棕榈（烧存性） 伏龙肝 屋梁上尘（悬长者，炒烟尽出火毒）
上等分，研和，入龙脑、麝香各少许，每服二钱，酒调，醋亦可。患十年者，半年可安。有人经年崩
漏不止，诸药不效，脉濡微，与此伏龙肝散，兼白矾丸服之愈。（白矾丸用白矾四两，附子二两，黄狗头骨灰
四两，为末，粥丸桐子大，每服三十丸。）
〔垣〕补经固真汤 白文举正室，白带常漏久矣，诸药不效。诊得心包尺脉极微，其白带下流不止。叔和
《脉经》云∶崩中日久为白带，漏下多时骨水枯。言崩中者，始病血崩，久则血少，复亡其阳，故白滑之
物下流不止。是本经血海将枯，津液复亡，枯干不能滋养筋骨。以本部行经为引，用为使；以大辛甘油腻
之药，润其枯燥
而益津液，以大辛热之气味，补其阳道，生其血脉；以苦寒之药，泄其肺而救上热伤气；以人参补之，
以微苦温之药为佐而益元气，名曰补经固真汤。
柴胡 甘草（各一钱，炙） 干姜（细末，二钱） 橘皮（不去白，一钱） 人参（二钱） 郁
李仁（一钱，去皮尖，另研如泥） 白葵花（七朵，去萼） 生黄芩（一钱，细切，另入）
上件除黄芩外，以水二大盏，煎至一盏七分，再入黄芩同煎至一盏，去渣，空心无宿食，热服之，
候少时，早膳压之。
调经补真汤 冬后一月，微有地泥冰泮，其白带再来，阴户中寒，一服立止，大进饮食。
麻黄（半钱，不去节） 杏仁（三个） 桂枝（少许） 甘草（炙，五分） 良姜（一钱） 黄
（七分） 人参 归身 白术（各五分） 苍术（二分） 泽泻（一钱） 羌活（四分） 防风（二钱） 柴
胡（四分） 独活 本（各二分） 升麻根 黄芩（各五分） 干姜（二分，炮） 白葵花（七朵，去萼）
上除黄芩、麻黄外，都为粗末，先将二味水二盏煎，麻黄一味令沸，掠去沫，入余药同煎至二盏，
又再入生黄芩煎至一盏，去渣，稍热服，空心宿食消尽，日高服之，一时许，可食早膳。
〔《本》〕治妇人月经不调，每行数日不止，兼有白带，渐渐瘦瘁，饮食少味，累年无子，地黄丸。
熟地（一两） 山茱萸 白芜荑 干姜 白芍（微炒） 代赭石（醋淬，各一两） 浓朴 白僵蚕
上细末，炼蜜丸如桐子大。每服四五十丸，空心酒下。日三服。此庞老方，妇人有白带是第一等
病，令人不产育，宜急治之。此扁鹊过邯郸，闻贵妇人，所以专为带下医也。
〔垣〕桂附汤 治白带腥臭，多悲不乐，大寒。
肉桂（一钱） 附子（三钱） 黄柏 知母（各五分）
如少食常饱，有时似腹胀，加白芍药半钱。如不思饮食，加五味子二十个。如烦恼，面上麻木如
虫行，乃胃中元气极虚，加黄 一钱，人参七分，炙甘草二分，升麻半钱。为粗末，作一服，水二盏，
煎至一盏，法如常，食远热服。
〔海〕香附六合汤 治赤白带下。（方见妇人大法条，即四物加茴香、桂也。）
〔《大》〕治赤白带下，年月深久不瘥。
白芍（二两） 干姜（半两）
上各炒黄色，同为末，空心，米饮调下二钱，日二服。
〔垣〕坐药龙盐膏
丁香（一钱半） 全蝎（五个） 木香（一钱半） 良姜（一钱） 川乌头（一钱半，炮） 枯矾（半钱）
龙骨 茴香 归梢（各二钱） 玄胡（五钱） 炒黄盐（二钱） 浓朴（三钱） 酒防己 红豆 肉桂（各二钱）
木通（一钱）
上为末，炼蜜丸如弹子大。绵裹，留丝在外，纳阴户内。
又方胜阴丹 为上药力小，再取三钱，内加行性热药。
三柰子 川乌 大椒（各五分） 柴胡 羌活（各二钱） 全蝎（三个） 大蒜 破故纸（与蒜同焙。各一钱）
升麻（二分） 麝香（少许） 甘松（三分） 白矾（二分，枯）
上为细末，同前法用制。
又方 回阳丹
全蝎 升麻（各二分） 草乌头（三分） 水蛭（三个，炒） 虻虫（三个，去翅足，炒） 川乌（七分）
大椒（五分） 柴胡（七分） 大蒜 破故纸（各二钱） 三柰子 荜茇（各五分） 甘松（二分） 羌活（三分）
枯矾（五分） 炒黄盐（一钱，必用之，药去之则不效）
上为极细末，根据前制如指尖大，用绵裹，纳阴户中，觉脐下暖为效。
酒煮当归丸 治 疝白带，下疰香港脚，腰以下如在冰雪中，以火焙炕，重浓绵衣盖上，犹冷不任，寒
之极也。面白如枯鱼之象，肌如刀削，消瘦之速也。小便不止，与白带长流而不禁固，自不知觉，面白，
目青蓝如菜色，目KT KT 无所见，身重如山，行步欹侧，不能安地，腿膝枯细，大便秘结，口不能言，
无力之极，食不下，心下痞，烦心懊 ，不任其苦，面停垢，背恶寒，小便遗而不知。此上中下三阳真
气俱竭，故哕呕不止，胃
寒之极也。其脉沉厥紧而涩，按之空虚。若脉洪大而涩，按之无力，犹为中寒之证，况按之虚空者乎，
按之不鼓，是为阴寒之极也，其空虚乃气血俱虚之极也。
当归（一两） 茴香（半两） 黑附子（七钱，炮制，去皮脐） 良姜（七钱）
上四味，锉如麻豆大，以好酒一升半同煎，煮至酒尽为度，炭火焙干，同为极细末。入
炒黄盐 丁香（各半两） 全蝎（三钱） 柴胡（二钱） 升麻根 木香（各一钱） 苦楝子 甘
草（各半钱，炙） 玄胡索（四钱）
上与前四味药末，同为细末，酒煮面糊，为丸如桐子大。每服二十丸，空心宿食消尽，淡醋汤下。
忌油腻、冷物、酒、面。
当归附子汤 治脐下冷痛，赤白带下。
柴胡（七分） 良姜 干姜 附子（各一钱） 升麻（五分） 甘草（炙，六分） 当归（二钱） 蝎梢（五分）
炒黄盐（三分） 黄柏（少许）
上件为粗末，用五钱，水二盏，煎至一盏，去渣，热服。为丸亦得。
上炒盐例。东垣回阳丹注云∶必用炒黄盐，无则不效，盖寒疝之要药也。
固真丸 治白带久下不止，脐腹冷痛，其寒扪之如冰，阴中亦然，目中溜火上壅，视物KT KT
无所见，齿皆恶热饮痛，须得黄连末擦之，其痛乃止。惟喜干食，大恶汤饮。此病皆寒湿乘其胞内，故
喜干而恶湿。肝经阴火上溢，走于标，故上壅而目中溜火。肾水侵肝而上溢，故目中KT KT 无所见。齿
恶热饮者，是少阳阳明经中伏火也。当大泻寒湿，以丸药治之。故曰寒在下焦，治主宜缓，大忌汤散，
以酒制白石脂、白龙骨以枯其湿，以炮干姜大辛热泻寒水，以黄柏之大寒为因用，又为乡导。治法云∶
[Danxi] For leukorrhea (leukorrhea) of red and white discharge, adopt Master Luo's method: Shizao Tang (Ten Jujube Decoction), Shenyuan Wan (Divine Protection Pill), or Yuzhu San (Jade Candle Powder) may all be used. For those with deficiency, harsh purgatives must not be used; for those with excess, they may be employed. In cases of Blood deficiency, use Jiajian Siwu Tang (Modified Four Substances Decoction). In cases of Qi deficiency, administer Atractylodis Rhizoma (Baizhu, 白术), Ginseng Radix (Renshen, 人参), and Chenpi (Tangerine Peel) alternately. Red discharge pertains to the Blood level, while white discharge pertains to the Qi level; treatment prioritizes drying dampness. In cases of severe dampness, use Guchang Wan (Intestine-Stabilizing Pill). If Ministerial Fire is hyperactive, add Chao Huangbai (Fried Phellodendron Bark) to the formulas. In cases of slipping/looseness, add Longgu (Dragon Bone) and Chishizhi (Red Halloysite). In cases of stagnation, add Sunflower (Kuihua). (White discharge is treated as white leukorrhea, red discharge as red leukorrhea.) For those with irritable temper, add Huanglian (Coptis Rhizome). In cold months, add small amounts of Shengjiang (Fresh Ginger) and Fuzi (Aconite Root). Clinical application requires flexibility; first, one must cut off rich and greasy foods. Leukorrhea and nocturnal emission are treated with the same methods. Obese individuals suffering from leukorrhea often have damp-phlegm, treated with Haishi (Flint), Banxia (Pinellia Tuber), Nanxing (Arisaema Tuber), Chao Huangbai (Fried Phellodendron Bark), Qingdai (Indigo Naturalis), Cangzhu (Atractylodes Lancea Rhizome), and Chuanxiong (Ligusticum Rhizome). Thin individuals rarely suffer from leukorrhea; if present, it is mostly heat, treated with Chao Huangbai (Fried Phellodendron Bark), Ge Fen (Margarita Shell), Huashi (Talcum), Chuanxiong (Ligusticum Rhizome), Qingdai (Indigo Naturalis), and Chupi (Bark of Toona Sinensis). Leukorrhea and metrorrhagia both stem from phlegm accumulation in the Stomach flowing downward into the Bladder, exiting through the Large and Small Intestines; lifting methods should be used. In severe cases, emetics must be used on the upper body to lift the Qi, while Erchen Tang (Two-Cured Decoction) plus Baizhu (Atractylodis Rhizoma) and Cangzhu (Atractylodes Lancea Rhizoma) should be used on the lower body, still prepared as pills. To treat white leukorrhea caused by knotted phlegm, use Xiaowei Dan (Small Stomach Pill); take several pills with saliva when half-hungry and half-full; after the stagnation moves, then administer tonic medicines.
Atractylodis Rhizoma (Baizhu, 白术) (1 liang) Atractylodis Lanceae Rhizoma (Cangzhu, 苍术) (0.5 liang) Red and White Sunflower (Hongbai Kuihua, 红白葵花) (2.5 qian) Paeoniae Radix Alba (Baishao, 白芍) (7.5 qian)
Steamed with steamed bread dough to form pills; taken empty-stomached, washed down with twenty pills decocted from Siwu Tang (Four Substances Decoction).
Master Tao Zundao's aunt, aged seventy, thin but with a good appetite, suffered from white leukorrhea. Before meals, swallow fifty pills of Dabu Wan (Great Tonifying Pill) once or twice with Ginger Decoction; after lunch and before bed, take fifteen pills of Xiaowei Dan (Small Stomach Pill) each time, resulting in cure.
[TPHAC] Ruxiang San (Frankincense Powder), treats red and white leukorrhea.
Tsao Guo (Cardamom Fruit) (one fruit, peel removed, insert a small piece of Moschus (Shexiang, 麝香), wrap in dough cake, fire-roast until yellow and charred externally but retaining internal properties, remove and mix with flour)
Grind into fine powder; take two qian per dose, mixed with Chenpi Yin (Tangerine Peel Drink); for severe cases, three qian.
[Danxi] For unceasing leukorrhea, use Jiaomu (Pepper Seed) and Baizhi (Angelica Dahurica Root). To treat white leukorrhea, grind Jiaomu (Pepper Seed) into powder and take with Rice Decoction.
Chupi Wan (Toona Bark Pill), treats red and white leukorrhea with damp-heat.
Paeoniae Radix (Baishao, 白芍) (5 qian) Alpiniae Katsumadai Rhizoma (Liangjiang, 良姜) (3 qian, burnt to ash) Phellodendri Cortex (Huangbai, 黄柏) (2 qian. Both fried to ash) Toonae Cortex (Chun Gen Pi, 椿根皮) (1.5 liang)
Grind into powder, make pills with porridge paste; take thirty to fifty pills per dose. Swallow empty-stomached with Rice Decoction.
For red and white leukorrhea caused by excessive damp-heat descending.
Atractylodis Rhizoma (Cangzhu, 苍术) (salt-fried) Paeoniae Radix Alba (Baishao, 白芍) (each 1 liang) Aurantii Fructus Immaturus (Zhiqiao, 枳壳) (3 qian) Toonae Cortex (Chun Gen Pi, 椿根皮) (fried, 2 liang) Zingiberis Rhizoma Recens (Ganjiang, 干姜) (roasted, 2 liang) Sanguisorbae Radix (Diyu, 地榆) (0.5 liang)
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (3 qian) Talcum (Huashi, 滑石) (1 liang, fried)
Grind into powder, make pills with porridge paste, take with Rice Decoction.
To treat leukorrhea.
Toonae Cortex (Chun Gen Pi, 椿根皮) (2 liang) Mass Media Saccharomyces (Shenqu, 神曲) (fried) Wheat Bran Fermented Mass (Maipi Qu, 麦皮曲) (fried) Phellodendri Cortex (Huangbai, 黄柏) (each 1 liang, fried) Paeoniae Radix (Baishao, 白芍) (1.5 liang) Talcum (Huashi, 滑石) (0.5 liang)
Aurantii Fructus Immaturus (Zhiqiao, 枳壳) (0.5 liang) Atractylodis Rhizoma (Cangzhu, 苍术) (1 liang)
Grind into powder, make pills with paste size of paulownia seeds. Take fifty pills per dose, empty-stomached.
Guchang Wan (Intestine-Stabilizing Pill), treats dampness-induced diarrhea, bloody stools, and white leukorrhea. After removing chronic accumulations in the Spleen and Stomach, use this to dry and remove lower dampness; it is not used alone, but prescribed as a decoction based on the condition.
Toonae Cortex (Chun Gen Pi, 椿根皮) ground into powder, made into pills with porridge paste. This medicine is cool and drying in nature, must be fried before use. Another formula adds half the amount of Talcum (Huashi, 滑石).
To treat white leukorrhea caused by emotional injury, with rapid pulse.
Coptidis Rhizoma (Huanglian, 黄连) (fried) Platycladi Cacumen (Ce Bai Ye, 侧柏) (wine-steamed) Phellodendri Cortex (Huangbai, 黄柏) (fried. Each 0.5 liang) Cyperi Rhizoma (Xiangfu, 香附) (vinegar-fried) Atractylodis Rhizoma (Baizhu, 白术) (fried. Each 1 liang) Angelicae Dahuricae Radix (Baizhi, 白芷) (burnt to retain nature, 3 qian) Toonae Cortex (Chun Gen Pi, 椿根皮) (2 liang, fried) Paeoniae Radix Alba (Baishao, 白芍) (1 liang) Aucklandiae Radix (Muxiang, 木香) (3 qian)
Grind into powder, make pills with rice porridge, send down with Rice Decoction.
The above five formulas treat leukorrhea using Chun Pi (Toona Bark) as an example. They are cool and drying agents, suitable for those with abundant damp-heat. The latter formula contains Huanglian (Coptis Rhizome), Xiangfu (Cyperi Rhizome), and Muxiang (Aucklandiae Radix), thus treating emotional injuries.
[TPHAC] Diyugao (Sanguisorba Paste), treats red and white leukorrhea, where the body is emaciated like sticks.
Sanguisorbae Radix (Diyu, 地榆) (1 jin), boil in three sheng of water until reduced by half, remove dregs, boil again until thick like syrup, strain cleanly, take three he empty-stomached, twice daily.
To treat metrorrhagia with five colors. Sanguisorbae Radix (Diyu, 地榆) (3 liang), chop, boil in one sheng of vinegar for more than ten boils, remove dregs, take slightly warm, one he before meals.
[Qianjin] To treat women's red and white leukorrhea. San Ye Suan Jiang Cao (Oxalis Corniculata Herb), dry in shade, grind into powder, take three qian bi with warm wine empty-stomached.
The above three formulas treat leukorrhea using Diyu (Sanguisorbae Radix) as an example. They are cold and astringent agents, also suitable for those with abundant damp-heat and slipping/descending. Note: San Ye Suan Jiang Cao (Oxalis Corniculata Herb) has leaves fine as duckweed, growing in clusters, with three leaves at the stem tip, commonly known as "Cuckoo Rice". Cuckoo refers to the dove/pigeon, likely because doves often eat this grass, hence also called "Jiu Jiang Cao" (Dove Juice Grass). *Yanyi* mistakenly included it under the Ku HT entry, stating it is San Ye Suan Jiang Cao; could Ku HT be Suan Jiang? (Ku HT fruits are large like golden kumquats, sour and edible, hence also named Suan Jiang, not three-leaved. San Ye Suan Jiang is a small grass spreading on the ground, leaves all three-petaled, only opens yellow flowers, its stems and leaves are all sour.)
[Danxi] White leukorrhea.
Testudinis Carapax et Plastrum (Guiban, 龟板) (roasted) Ziziphi Spinosae Semen (Zhizi, 枳子) (each 2 liang) Phellodendri Cortex (Huangbai, 黄柏) (1 liang, fried) Paeoniae Radix Alba (Baishao, 白芍) (7.5 qian) Zingiberis Rhizoma Recens (Ganjiang, 干姜) (fried, 2.5 qian) Cyperi Rhizoma (Xiangfu, 香附) (0.5 liang)
Cornus Officinalis Fruit (Shanzhuyu, 山茱萸) Sophorae Flavescentis Radix (Kushen, 苦参) Toonae Cortex (Chupi, 樗皮) Fritillariae Bulbus (Beimu, 贝母) (each 0.5 liang)
Grind into powder, make pills with wine paste, take empty-stomached.
Red and white leukorrhea.
Testudinis Carapax et Plastrum (Guiban, 龟板) (2 liang, wine-roasted) Phellodendri Cortex (Huangbai, 黄柏) (1 liang, fried) Zingiberis Rhizoma Recens (Ganjiang, 干姜) (1 qian, fried) Ziziphi Spinosae Semen (Zhizi, 枳子) (2.5 qian)
Make pills with wine paste, take twice daily, seventy pills per dose.
Another formula, to treat leukorrhea with rapid pulse.
Lycii Cortex (Gouqigen, 枸杞根) (1 jin) Rehmanniae Radix Recens (Shengdi, 生地) (5 jin)
These two ingredients, boil in one dou of water until five sheng remain, divide into three doses.
The above three formulas treat leukorrhea using Guiban (Testudinis Carapax et Plastrum), Huangbai (Phellodendri Cortex), and Dihuang (Rehmanniae Radix) as examples, suitable for Kidney Water True Yin deficiency.
When Spleen transmits to Kidney, the disease is named Shanxia (hernia-mass), with冤热 (oppressive heat) and pain in the lower abdomen, discharging white fluid, also named Gu (worm). At this time, massage and medication can be applied. (Full text see Diagnosis of Life and Death. Wang Bing notes: Discharging white refers to urinating white fluid. It is similar to cloudy urine or leukorrhea. Dai Ren says: Enuresis and stranguria, impotence and bladder paralysis, seminal emission and white discharge, are men's hernias. Blood exhaustion and amenorrhea, heat above waist and knees after menstruation stops, weak legs, dry throat, stranguria, masses in lower abdomen that move or stay, protrusion of anterior yin, hemorrhoids at posterior yin, are all women's hernias. He also says: Women do not call it hernia but jia (mass).)
When Small Intestine transfers heat to Large Intestine, it forms Fu Xia (latent mass) and Chen (sinking). (Full text see Diagnosis of Disease Transmission.)
[Baomingji] Red discharge indicates heat entering the Small Intestine, white discharge indicates heat entering the Large Intestine. Tracing the root, all are damp-heat knotting in the vessels, causing fluids to surge, thus forming red and white leukorrhea. It is not originally a knotting disease; due to deficiency and knotting heat in the Five Zang meridians, stagnating in the Dai Mai (Conception Vessel belt), women experience pain below the umbilicus and continuous discharge from the vagina. The Classics state: When the Ren Mai (Conception Vessel) is diseased, men develop internal seven hernias, women develop leukorrhea and jia masses. Wang Bing notes: The Ren Mai passes over from the uterus, the Dai Mai crosses above the umbilicus, hence men develop internal seven hernias, women develop leukorrhea. The Dai Mai originates from the lateral costal region at Zhangmen, resembling a belt. Now, damp-heat oppression and knotting do not dissipate, thus causing disease. The Classics state: Spleen transmitting to Kidney is named Shanxia. Small Intestine oppression and knotting cause pain and discharge of white fluid, named Gu, thus becoming leukorrhea oppression. Oppression means stagnation; stagnating and causing disease, heat does not dissipate. First use Shizao Tang (Ten Jujube Decoction) to purge, then take Kulian Wan (Melia Pill) and Dayanhuan San (Large Corydalis Powder) to regulate; once heat is gone and dampness removed, the disease heals itself. (Shizao Tang formula see Shanghan Lun.)
Kulian Wan (Melia Pill), treats women's red and white leukorrhea.
Meliae Semen (Kulian, 苦楝) (crushed, soaked in wine) Foeniculi Fructus (Huixiang, 茴香) (fried) Angelicae Sinensis Radix (Danggui, 当归)
Equal parts, grind into powder, make pills with wine paste. Take thirty to fifty pills per dose, empty-stomached, with warm wine. If waist and leg pain occur, use Siwu Tang (Four Substances Decoction) four liang, add Qianghuo (Notopterygium Rhizome) and Fangfeng (Saposhnikovia Root) one liang each, decoct soup to send down.
[Danxi] To treat red and white leukorrhea, lower back pain, or lower abdominal pain with heat.
Toonae Cortex (Chupi, 樗皮) (2 liang) Corydalis Rhizoma (Yanhusuo, 延胡索) Persicae Semen (Taoren, 桃仁) Platycladi Cacumen (Ce Bai Ye, 侧柏叶) Meliae Cortex (Chuanlian Rou, 川楝肉) Foeniculi Fructus (Huixiang, 茴香) Angelicae Sinensis Radix (Danggui, 当归) (each 0.5 liang) Cyperi Rhizoma (Xiangfu, 香附) (8 qian) Cinnamomi Cortex (Guigui, 官桂) Linderae Radix (Wuyao, 乌药) (each 3 qian)
Wheat Bran Fermented Mass (Maipi Qu, 麦皮曲) (1 liang, fried)
Grind into powder, make pills with wine paste. Take fifty to sixty pills per dose, miraculous effect.
[Yanyi] To treat leukorrhea and putrid pus in the intestines, dripping endlessly, extremely foul-smelling, leading to increased cold pain in the navel and abdomen. This is likely caused by putrid blood and pus, having no sudden end; pus must be expelled with this. Baizhi (Angelicae Dahuricae Radix) one liang, Dan Ye Hong Shu Kui Gen (Single-leaf Red Hibiscus Root) two liang, Baishao Yao (Paeoniae Radix Alba) and Baifan (Alumen) half liang each. Burn Alumen until dry and grind separately, grind others into powder, mix together and make pills with wax size of paulownia seeds. Empty stomach and before meals, take ten or fifteen pills with Rice Decoction. After pus is exhausted, assist with tonic medicines.
[Li Dongyuan] Guzhen Wan (Solidify Truth Pill) treats unceasing white leukorrhea, cold pain below the navel, preferring dry food, rejecting liquid drinks. (Formula see Cold Hernia Leukorrhea section.)
[Bencao] To treat women's red and white leukorrhea.
Longgu (Dragon Bone) (0.5 liang) Bo Shang Liuhuang (Marine Sulfur) (3.5 qian)
Grind into powder, take half qian per dose, mixed with non-gray wine, take empty-stomached, three times a day. Effective regardless of how long the disease has lasted.
[TPHAC] Fulonggan San (Dragon Liver Powder), treats women's red and white leukorrhea, lingering uncured, emaciated and sallow.
Zonglv (Palma Leaf) (burnt to retain nature) Fulonggan (Dragon Liver Soil) Dust from roof beams (long hanging ones, fried until smoke ceases to remove fire toxicity)
Equal parts, grind and mix, add small amounts of Borneolum Syntheticum (Longnao, 龙脑) and Moschus (Shexiang, 麝香), take two qian per dose, mixed with wine, vinegar is also acceptable. Those suffering for ten years can be stabilized in half a year. Someone suffered from metrorrhagia for years, ineffective with various medicines, pulse was soft and faint; given this Fulonggan San, combined with Baifan Wan (Alumen Pill), cured. (Baifan Wan uses Baifan (Alumen) four liang, Fuzi (Aconite Root) two liang, Huang Goutou Guhui (Yellow Dog Skull Ash) four liang, grind into powder, make pills with porridge size of paulownia seeds, take thirty pills per dose.)
[Li Dongyuan] Bu Jing Gu Zhen Tang (Tonify Meridian Solidify Truth Decoction), Madam Bai Wenju, white leukorrhea has leaked for a long time, various medicines ineffective. Pulse at Heart Protector Cunchi is extremely faint, white leukorrhea flows incessantly. Shuhe's *Maijing* states: Metrorrhagia lasting long becomes leukorrhea, prolonged leakage causes bone and water depletion. Regarding metrorrhagia, initially it is bloody flooding, long-term leads to blood deficiency, further Yang loss, thus white slippery substances flow incessantly. This is the Blood Sea about to dry up, fluids depleted, dryness cannot nourish sinews and bones. Use meridian-guiding herbs from this department as guides and messengers; use pungent-sweet and greasy medicines to moisten dryness and replenish fluids, use pungent-hot aromatics to tonify Yang pathways and generate blood vessels; use bitter-cold medicines to drain Lung and save upper heat damaging Qi; tonify with Ren Shen (Ginseng Radix), assist with slightly bitter-warm medicines to benefit Yuan Qi, named Bu Jing Gu Zhen Tang.
Bupleuri Radix (Chaihu, 柴胡) Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (each 1 qian, roasted) Zingiberis Rhizoma Recens (Ganjiang, 干姜) (fine powder, 2 qian) Citri Reticulatae Pericarpium (Jupi, 橘皮) (do not remove white pith, 1 qian) Ginseng Radix (Renshen, 人参) (2 qian) Pruni Semen (Yulingren, 郁李仁) (1 qian, remove skin and tips, grind separately into paste) White Sunflower (Bai Kuihua, 白葵花) (seven flowers, remove calyx) Raw Scutellariae Radix (Sheng Huangqin, 生黄芩) (1 qian, finely cut, add separately)
Except for Huangqin (Scutellariae Radix), boil other ingredients in two large bowls of water until one bowl seven fen remains, then add Huangqin (Scutellariae Radix) and boil until one bowl remains, remove dregs, take hot empty-stomached without residual food, wait a moment, then eat breakfast to suppress it.
Tiao Jing Bu Zhen Tang (Regulate Menstruation Tonify Truth Decoction), One month after winter, slight thawing of frozen mud, leukorrhea returns, cold in vaginal opening, stopped immediately after one dose, appetite greatly improved.
Ephedrae Herba (Mahuang, 麻黄) (0.5 qian, do not remove joints) Armeniacae Semen Amarum (Xingren, 杏仁) (three pieces) Cinnamomi Ramulus (Guizhi, 桂枝) (small amount) Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (roasted, 5 fen) Alpiniae Katsumadai Rhizoma (Liangjiang, 良姜) (1 qian) Astragali Radix (Huangqi, 黄芪) (7 fen) Ginseng Radix (Renshen, 人参) Angelicae Sinensis Radix (Guishen, 归身) Atractylodis Rhizoma (Baizhu, 白术) (each 5 fen) Atractylodis Lanceae Rhizoma (Cangzhu, 苍术) (2 fen) Alismatis Rhizoma (Zexie, 泽泻) (1 qian) Notopterygii Rhizoma et Radix (Qianghuo, 羌活) (4 fen) Saposhnikoviae Radix (Fangfeng, 防风) (2 qian) Bupleuri Radix (Chaihu, 柴hu) (4 fen) Angelicae Pubescentis Radix (Duhuo, 独活) Ligustici Rhizoma et Radix (Gabenz, 藁本) (each 2 fen) Cimicifugae Rhizoma (Shengma Gen, 升麻根) Scutellariae Radix (Huangqin, 黄芩) (each 5 fen) Zingiberis Rhizoma Recens (Ganjiang, 干姜) (2 fen, processed) White Sunflower (Bai Kuihua, 白葵花) (seven flowers, remove calyx)
Except for Huangqin (Scutellariae Radix) and Mahuang (Ephedrae Herba), grind into coarse powder. First boil Mahuang (Ephedrae Herba) and Huangqin (Scutellariae Radix) in two bowls of water; let Mahuang (Ephedrae Herba) boil, skim foam, add remaining herbs, boil until two bowls remain, then add raw Huangqin (Scutellariae Radix) and boil until one bowl remains, remove dregs, take slightly warm, empty-stomached after residual food is digested, take late morning, after about an hour, can eat breakfast.
[Bencao] To treat women's irregular menstruation, bleeding for several days continuously, accompanied by leukorrhea, gradually emaciated, poor appetite, infertile for years, Dihuang Wan (Rehmannia Pill).
Prepared Rehmanniae Radix (Shudi, 熟地) (1 liang) Cornus Officinalis Fruit (Shanzhuyu, 山茱萸) Pyrethri Fructus (Bai Wuyi, 白芜荑) Zingiberis Rhizoma Recens (Ganjiang, 干姜) Paeoniae Radix Alba (Baishao, 白芍) (lightly fried) Haematitum (Daizheshi, 代赭石) (quenched in vinegar, each 1 liang) Magnoliae Cortex (N Hou, 浓朴) Bombyx Batryticatus (Bai Jiangcan, 白僵蚕)
Grind into fine powder, refine honey to make pills size of paulownia seeds. Take forty to fifty pills per dose, with wine empty-stomached. Three times daily. This is Master Pang's prescription; for women, leukorrhea is the primary disease, causing infertility, should be treated urgently. This is why Bian Que, passing through Handan, heard of respect for women, so specialized as a leukorrhea physician.
[Li Dongyuan] Gui Fu Tang (Cinnamon and Aconite Decoction), treats leukorrhea with fishy odor, frequent sadness and unhappiness, severe cold.
Cinnamomi Cortex (Rougui, 肉桂) (1 qian) Aconiti Lateralis Radix Praeparata (Fuzi, 附子) (3 qian) Phellodendri Cortex (Huangbai, 黄柏) Anemarrhenae Rhizoma (Zhimu, 知母) (each 5 fen)
If eating little but feeling full, sometimes bloated, add Paeoniae Radix Alba (Baishao, 白芍) half qian. If no appetite, add Schisandrae Fructus (Wuweizi, 五味子) twenty pieces. If vexed, face numbness like insects crawling, indicates extreme deficiency of Stomach Yuan Qi, add Astragali Radix (Huangqi, 黄芪) 1 qian, Ginseng Radix (Renshen, 人参) 7 fen, roasted Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) 2 fen, Cimicifugae Rhizoma (Shengma, 升麻) half qian. Grind into coarse powder, make one dose, boil in two bowls of water until one bowl remains, follow usual method, take hot long after meals.
[Wang Haizang] Xiangfu Liuhe Tang (Cyperi Six-Harmony Decoction), treats red and white leukorrhea. (Formula see Women's Major Methods section, which is Siwu Tang plus Foeniculi Fructus and Cinnamomi Ramulus.)
[TPHAC] To treat red and white leukorrhea, lingering for years uncured.
Paeoniae Radix Alba (Baishao, 白芍) (2 liang) Zingiberis Rhizoma Recens (Ganjiang, 干姜) (0.5 liang)
Each fried until yellow, grind together into powder, take two qian empty-stomached with Rice Decoction, twice daily.
[Li Dongyuan] Sitting Medicine Longyan Gao (Dragon Salt Paste)
Sichuan Pepper (Dingxiang, 丁香) (1.5 qian) Scorpio (Quanxie, 全蝎) (five pieces) Aucklandiae Radix (Muxiang, 木香) (1.5 qian) Alpiniae Katsumadai Rhizoma (Liangjiang, 良姜) (1 qian) Aconiti Radix (Chuan Wutou, 川乌头) (1.5 qian, processed) Calcined Alum (Kufan, 枯矾) (0.5 qian)
Longgu (Dragon Bone) Foeniculi Fructus (Huixiang, 茴香) Angelicae Sinensis Radix Tip (Guishao, 归梢) (each 2 qian) Corydalis Rhizoma (Yanhu, 玄胡) (5 qian) Fried Yellow Salt (Chao Huangyan, 炒黄盐) (2 qian) Magnoliae Cortex (N Hou, 浓朴) (3 qian) Wine-prepared Stephaniae Tetrandrae Radix (Jiu Fangji, 酒防己) Adonis Amurensis (Hongdou, 红豆) Cinnamomi Cortex (Rougui, 肉桂) (each 2 qian) Akebiae Caulis (Mutong, 木通) (1 qian)
Grind into powder, refine honey to make pills size of bullet. Wrap in silk, leave thread outside, insert into vaginal opening.
Another formula, Shengyin Dan (Victory Yin Pill), because the above medicine power is small, take another three qian, add strongly heating herbs.
Kaempferiae Rhizoma (Sannai Zi, 三柰子) Aconiti Radix (Chuan Wu, 川乌) Piperis Fructus (Da Jiao, 大椒) (each 5 fen) Bupleuri Radix (Chaihu, 柴胡) Notopterygii Rhizoma et Radix (Qianghuo, 羌活) (each 2 qian) Scorpio (Quanxie, 全蝎) (three pieces) Allium Sativum (Dasuan, 大蒜) Cnidii Fructus (Po Gu Zhi, 破故纸) (roasted with garlic. Each 1 qian)
Cimicifugae Rhizoma (Shengma, 升麻) (2 fen) Moschus (Shexiang, 麝香) (small amount) Nardostachys Radix et Rhizoma (Gansong, 甘松) (3 fen) Alum (Baifan, 白矾) (2 fen, calcined)
Grind into fine powder, prepare using previous method.
Another formula, Huiyang Dan (Return Yang Pill)
Scorpio (Quanxie, 全蝎) Cimicifugae Rhizoma (Shengma, 升麻) (each 2 fen) Aconiti Radix (Caowutou, 草乌头) (3 fen) Hirudo (Shuizhi, 水蛭) (three pieces, fried) Tabanidae (Mengchong, 虻虫) (three pieces, remove wings and feet, fried) Aconiti Radix (Chuan Wu, 川乌) (7 fen)
Piperis Fructus (Da Jiao, 大椒) (5 fen) Bupleuri Radix (Chaihu, 柴hu) (7 fen) Allium Sativum (Dasuan, 大蒜) Cnidii Fructus (Po Gu Zhi, 破故纸) (each 2 qian) Kaempferiae Rhizoma (Sannai Zi, 三柰子) Pfeffer Longum Fruit (Bibo, 荜茇) (each 5 fen) Nardostachys Radix et Rhizoma (Gansong, 甘松) (2 fen) Notopterygii Rhizoma et Radix (Qianghuo, 羌活) (3 fen)
Calcined Alum (Kufan, 枯矾) (5 fen) Fried Yellow Salt (Chao Huangyan, 炒黄盐) (1 qian, must use, if removed medicine is ineffective)
Grind into extremely fine powder, prepare according to previous method size of fingertip, wrap in silk, insert into vaginal opening, warmth felt below navel indicates efficacy.
Jiu Zhu Danggui Wan (Wine-Boiled Angelica Pill), treats hernia leukorrhea, downward injection of Hong Kong foot, lower body feels like in ice and snow, baked by fire, covered with heavy thick cotton clothes, still unbearable cold, extreme cold. Face pale like dried fish, muscles like carved by knife, rapid emaciation. Urination uncontrolled, leukorrhea flows long without restraint, unaware, face pale, eyes blue-green like vegetable color, vision blurred, body heavy as mountain, walking unsteady, unable to stand firm, legs and knees withered and thin, constipation, inability to speak, extreme weakness, unable to eat, epigastric fullness, vexed and restless, unable to bear the bitterness, face dirty, back fears cold, urinary incontinence unaware. This is exhaustion of True Qi of Upper, Middle, and Lower Yang channels, thus constant hiccups and vomiting, extreme Stomach cold. Pulse is deep, cold, tight, and choppy, empty upon pressure. If pulse is surging and choppy, powerless upon pressure, still indicates middle cold syndrome, let alone empty upon pressure. If not drumming upon pressure, it is extreme Yin cold; emptiness indicates extreme Qi and Blood deficiency.
Angelicae Sinensis Radix (Danggui, 当归) (1 liang) Foeniculi Fructus (Huixiang, 茴香) (0.5 liang) Prepared Aconiti Radix (Hei Fuzi, 黑附子) (7 qian, processed, remove skin and navel) Alpiniae Katsumadai Rhizoma (Liangjiang, 良姜) (7 qian)
These four ingredients, chop like hemp beans, boil together in one and a half sheng of good wine until wine is exhausted, bake dry over charcoal fire, grind together into extremely fine powder. Add Fried Yellow Salt (Chao Huangyan, 炒黄盐) and Sichuan Pepper (Dingxiang, 丁香) (each 0.5 liang) Scorpio (Quanxie, 全蝎) (3 qian) Bupleuri Radix (Chaihu, 柴hu) (2 qian) Cimicifugae Rhizoma (Shengma Gen, 升麻根) Aucklandiae Radix (Muxiang, 木香) (each 1 qian) Meliae Semen (Kulian Zi, 苦楝子) Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (each 0.5 qian, roasted) Corydalis Rhizoma (Yanhusuo, 玄胡索) (4 qian)
Mix with previous four herb powders, grind into fine powder, make pills with wine-boiled wheat paste size of paulownia seeds. Take twenty pills per dose, empty-stomached after residual food digested, with light vinegar soup.
Avoid greasy, cold foods, alcohol, and wheat/noodles.
Danggui Fuzi Tang (Angelica and Aconite Decoction), treats cold pain below navel, red and white leukorrhea.
Bupleuri Radix (Chaihu, 柴hu) (7 fen) Alpiniae Katsumadai Rhizoma (Liangjiang, 良姜) Zingiberis Rhizoma Recens (Ganjiang, 干姜) Aconiti Lateralis Radix Praeparata (Fuzi, 附子) (each 1 qian) Cimicifugae Rhizoma (Shengma, 升麻) (5 fen) Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (roasted, 6 fen) Angelicae Sinensis Radix (Danggui, 当归) (2 qian) Scorpio Tail (Xieshao, 蝎梢) (5 fen)
Fried Yellow Salt (Chao Huangyan, 炒黄盐) (3 fen) Phellodendri Cortex (Huangbai, 黄柏) (small amount)
Grind into coarse powder, use five qian, boil in two bowls of water until one bowl remains, remove dregs, take hot. Pills are also acceptable.
Above frying salt example. Dongyuan's note on Huiyang Dan states: Must use Fried Yellow Salt (Chao Huangyan, 炒黄盐), otherwise ineffective, it is the key medicine for cold hernia.
Guzhen Wan (Solidify Truth Pill), treats long-term unceasing white leukorrhea, cold pain in navel and abdomen, cold feels like ice upon touch, same in vagina, eye juices rise and obstruct upward, vision blurred, teeth hurt with hot drinks, must apply Huanglian (Coptidis Rhizome) powder to stop pain. Only prefers dry food, greatly rejects liquid drinks. This disease is caused by cold-damp invading the uterus, thus preferring dry and rejecting damp. Liver channel Yin fire overflows, travels to the branch, thus obstructing upward and eye juices rising. Kidney Water invades Liver and overflows, thus vision blurred. Teeth hurting with hot drinks indicate latent fire in Shaoyang and Yangming channels. Should strongly purge cold-damp, treat with pill medicine. Thus it says: Cold in Lower Jiao, treatment should be slow, strongly avoid decoctions and powders; use wine-processed Baitongshi (White Halloysite) and Bailonggu (White Dragon Bone) to dry dampness, use processed Ganjiang (Zingiberis Rhizoma Recens) pungent-hot to purge cold water, use Huangbai's (Phellodendri Cortex) great cold as the causal agent, and also as a guide. Treatment method states: