古者虽有重罪，不绝人之后。又为之伏其所主，先其所因之意。又泻齿中恶热饮也，以柴胡为本经之使，
以芍药半钱以导之，又恐辛热之药太甚，损其肝经，故微泻之，以当归身之辛温，大和其血脉，此用药
之法备矣。
白石脂（一钱，烧赤，水飞，研细，晒干） 干姜（炮，四钱） 黄柏（酒洗，五分） 柴胡（一钱）
白龙骨（二钱，酒煮，水飞） 白芍（五分） 当归（三钱，酒洗）
上为细末，水煮稀糊为丸，如鸡头大。每服三十丸，空心宿食消尽，煎白沸汤，放温送下。无令胃中停住，
待少时以早膳压之，是不令热药犯胃。忌生冷硬物与酒湿面。
上石脂、龙骨之涩以去脱，盖湿多滑脱者宜之。
补真润肠汤 治白带下，阴户中痛，控心而急痛，身黄皮缓，身重如山，阴中如冰。（一名助阳汤。）
防风（一钱） 柴胡（一钱二分） 良姜（二钱） 干姜（一钱） 陈皮（五分） 白葵花（七朵） 生黄芩（五
分）
郁李仁 甘草（各一钱）
上为细末锉散，只作一服，水二盏，煎至一盏，去渣，热服，食前。
上葵花、郁李仁之滑以润燥，盖枯涸滞着者宜之。
〔丹〕摩腰丹治白带腹痛。（方见腰痛门，甚效。）
〔洁〕治带下，少腹冤结而痛者，先以十枣汤下之，次服苦楝丸、大玄胡散调之，是先攻后补之法也。
〔丹〕治结痰白带，先于半饥时，以津下小胃丹十余粒，服至郁积行，却用白术四物等药补之，亦先攻后
补之药也。
〔丹〕胡安人，白带下，月经甚多，食少倦怠，面黄，经中如有血块者，有如筋膜者。与参、术等补血气
调脾胃，后诸症皆退，惟带未止，以樗皮丸主之。（方见湿热条。）
上法治带下虚而有热者。若虚而有寒，脉微面白不泽，无力以言者，东垣补经固真汤、丁香胶艾汤、香
桂六合汤是也。
〔子和〕顷顿丘一妇人，病带下连绵不绝，白物或来已三载矣。命予脉之。诊其两手脉俱滑大而有力，得
六七至。常上热口干，眩晕，时呕酢水。余知其实有寒痰在胸中，以瓜蒂散吐出冷痰二三升，皆酢水也，间如
黄涎，状如烂胶。次以浆粥养其胃气，又次用导水禹功以泻其下，然后以淡剂渗泄之药利其水道，不数日而愈。
息城李左衙之妻，病白带如水，窈漏中绵绵不绝，秽臭之气不可近，面黄食减，已三年矣。诸医皆
云积冷，阳起石、硫黄、姜、附之药，重重燥补，污水转多。戴人断之曰∶此带浊水本热乘太阳经，其寒
水不禁固，故
如此也。夫水自高而趋下，宜先绝其上源。乃涌痰三二升，次日下沃水斗余，行三遍，汗出周身。
至明旦，病患云∶污已不下矣。次用寒凉之剂，服及半载，产一男。
〔仲〕问曰∶妇人年五十，所病下利数十日不止，暮即发热，少腹里急，腹满，手掌烦热，唇口干燥，
何也？师曰∶此病属带下。何以故？曾经半产，瘀血在少腹不去。何以知之？其证唇口干燥，故知
之。当以温经汤主之。
吴茱萸（三两） 当归 芎 芍药 人参 桂枝 阿胶 牡丹（去心） 生姜 甘草（各二两）
半夏（半升） 麦门冬（一升）
上十二味，以水一斗，煮取三升，分温三服。亦主妇人少腹寒，久不受胎，兼取崩中去血，或月水
来过多及至期不来。
〔丹〕赤白带。用五灵脂半生半熟为末，酒调服。
〔《大》〕治白带下。
茅花（一握，炒） 棕榈灰（三寸） 嫩莲叶（三叶） 甘草节（一钱）
上为细末，空心酒下方寸匕。
益母散 治带下赤白，恶露下不止。
益母草开花时，采捣为细末，空心温酒二钱，日三服。
香矾散神效。（方见崩中血见黑止条，即醋炒香附灰也。）
〔丹〕赤白带皆属于血，有出于大小肠之分。黄荆子炒焦为末，米饮调服。
又方 治白带。用白芷以锻石炒去皮，茜草少许，粥糊丸服。
〔《大》〕白芷散 治赤白带下。
白芷（一两） 海螵蛸（二个，烧） 胎发（一团， ）
上为细末，空心，温酒调下二钱。
〔《山》〕治赤白带下。旧莲房为末，入麝香，空心，米饮下。
〔《大》〕治带下，用芍药炒黑为末，每服三钱匕，调酒下。
〔丹〕赤白带。用生狗头骨烧灰存性，酒调服，或入药服。
〔《千》〕治带下。温水和服云母末三方寸匕，立见神效。
崔氏四花穴 治赤白带如神。（取穴法见劳瘵门。）
〔《玉》〕赤白带∶中极（二寸半，赤泻白补。） 白环俞（一寸半，泻六吸，补一吸。）
〔《撮》〕又法∶中极 白环俞（各五十壮。） 肾俞（二寸半，灸，随年壮。）
〔《集》〕又法∶气海 中极 白环俞（不效，取后穴。） 三阳交（补多泻少，灸七壮。）
三阴交
〔东〕又法∶荣池（三分，灸三十壮，在内踝前后两边池中脉，一名阴阳穴。）又法∶阴阳（在足
拇指下屈里表头白肉际是也。）又法∶三阴交（五分，灸。）交仪（二寸，灸。）漏阴（在内踝下五分，
微有动脉是穴，刺入一分，灸三十壮。）
〔桑〕赤带（《心术》如下赤带不已，渐渐如蛊，亦用此法∶）气海（六分） 中极 委中（各五分。）
白带（《心术》如下白带不已，渐渐如蛊，亦用此法∶） 曲骨 承阴（各七分。）中极（在两
傍柱骨下六分。）
〔《心》〕妇人得子，多变成白水，淋漓而下，经久身面虚肿∶阴谷（二寸半。） 绝骨（二寸半。）
如喘满，鱼际透太渊（左右共四十九呼，治肺经水气，极妙。）
〔海〕带病，太阴主之。灸章门穴，麦粒大各三壮，效。
〔《甲》〕妇人下赤白沃后，阴中干痛，恶合阴阳，少腹 坚，小便闭，曲骨主之。女子赤白带，
腰主之。女子赤淫，大赫主之。女子绝子，阴挺出，不禁白沥，上 主之。女子赤白沥，心下积胀，
次主之。女子赤淫，时白，气癃，月事少，中 主之。女子下苍汁不禁，赤沥，阴中痒，痛引少腹
控，不可俯仰，下
主之。女子疝，少腹肿，赤白淫，时多时少，蠡沟主之。月事不利，见赤白而有身，及前阴寒，行间
主之。女子疝及少腹肿，溏泄，癃，遗溺，阴痛，面尘黑，目下 痛，太冲主之。女子侠脐疝，中封主之。女
子疝瘕，按之如以汤沃两股中，小腹肿，阴挺出痛，经水来下，阴中肿或痒，漉清汁若葵羹，血闭，
曲泉主之。妇人下赤白，里急 螈，五枢主之。
〔《素》〕肾脉小急，肝脉小急，心脉小急，不鼓，皆为瘕。（大奇论 王注云∶小急为寒甚，不鼓
则血不流，血不流而寒薄，故血内凝而为瘕也。）
三阳急为瘕，三阴急为疝。（王注云∶太阳受寒，血聚为瘕，太阴受寒，气聚为疝。）脉急者，
曰疝瘕，少腹痛。（平人气象论）
〔《脉》〕师曰∶妇人带下，六极之病，脉浮则为肠鸣腹满，紧则为腹中痛，数则为阴中痒，痛则生疮，
弦则阴疼掣痛。妇人带下，脉浮恶寒者不治。
Although ancient times had severe crimes, one's lineage was not extinguished. This also embodies the therapeutic intent of "subduing the primary pathogen and addressing the initial cause." Furthermore, to drain the malignant heat from the teeth, Chai Hu (Bupleuri Radix) is used as the guiding herb for its meridian, and Ban Qian (Half a Qian) of Shaoyao (Paeoniae Radix) is used to guide the medicinal action. Fearing that acrid-hot herbs might be too excessive and damage the Liver Meridian, mild purging is employed. Danggui Shen (the body of Angelicae Sinensis Radix), with its acrid-warm nature, greatly harmonizes the blood vessels. Thus, the method of medication preparation is complete.
Baishizhi (Calcined Halloysitum Rubrum, 1 Qian, calcined until red, levigated with water, ground fine, dried) Ganjiang (Processed Ginger Rhizome, 4 Qian) Huangbai (Phellodendri Cortex washed with wine, 5 Fen) Chaihu (Bupleuri Radix, 1 Qian)
Bailonggu (Processed Os Draconis et Ossis Mamillae, 2 Qian, boiled in wine, levigated) Baishao (White Peony Root, 5 Fen) Danggui (Angelicae Sinensis Radix washed with wine, 3 Qian)
The above ingredients are ground into a fine powder, mixed with water-boiled thin paste to form pills, sized like chicken heads. Take 30 pills per dose. When empty-stomached and after residual food has digested, decoct plain boiling water, let it cool to warm, and swallow the pills. Do not allow the medicine to stagnate in the stomach; wait a while and then take breakfast to suppress the medicinal effect, preventing hot herbs from irritating the stomach. Avoid cold, raw, hard foods, alcohol, and damp wheat products.
The astringent properties of Shizhi (Halloysitum) and Longgu (Os Draconis) are used to consolidate and stop discharge, suitable for cases of slipping and incontinence due to excessive dampness.
Buzhen Runchang Tang (Tonify True and Moisten Intestines Decoction): Treats leukorrhea (vaginal discharge), pain in the vaginal orifice, urgent pain radiating to the heart, yellowish complexion with loose skin, heaviness of the body like carrying mountains, and a sensation of ice within the vagina. (Also known as Zhuyang Tang.)
Fangfeng (Saposhnikoviae Radix, 1 Qian) Chaihu (Bupleuri Radix, 1.2 Qian) Liangjiang (Alpiniae Katsumadai Rhizome, 2 Qian) Ganjiang (Processed Ginger Rhizome, 1 Qian) Chenpi (Citri Reticulatae Pericarpium, 5 Fen) Bai Kuihua (White Hibiscus Flower, 7 flowers) Sheng Huangqin (Scutellariae Radix, 5 Fen)
Yuliren (Prunus Armeniaca Seed) Gancao (Licorice Root, each 1 Qian)
The above ingredients are ground into a fine powder and cut into fragments. Prepare as a single dose: add two cups of water, decoct to one cup, remove dregs, and take hot before meals.
The slippery properties of Kuihua (Hibiscus Flower) and Yuliren (Apricot Seed) are used to moisten dryness, suitable for cases of withering, drying, and stagnation.
[Zhu Danxi] Moyao Dan (Waist-Massaging Pill): Treats leukorrhea accompanied by abdominal pain. (Formula found in the Lower Back Pain section, very effective.)
[Zhang Jiegou] For leukorrhea with painful knotting in the lower abdomen, first administer Shizao Tang (Ten Date Decoction) to purge, then treat with Kulian Wan (Toosendan Pill) and Da Xuan Hu San (Large Corydalis Powder) to regulate. This is a method of attacking first and tonifying later.
[Zhu Danxi] For leukorrhea caused by congealed phlegm, when half-hungry, swallow more than ten grains of Xiaowei Dan (Small Stomach Pill) with saliva. Once the stagnant accumulation moves, use Baizhu Siwu Tang (Atractylodes and Four Substances Decoction) etc. to tonify. This is also a method of attacking first and tonifying later.
[Zhu Danxi] Lady Hu suffered from leukorrhea, heavy menstruation, poor appetite, fatigue, yellowish face, and blood clots in the menses resembling fascia. She was given Renshen (Ginseng) and Baizhu (Atractylodes Macrocephalae Rhizome) etc. to tonify blood and Qi and regulate the Spleen and Stomach. Afterward, all symptoms subsided except the leukorrhea, which was treated with Chupi Wan (Tree Bark Pill). (Formula found in the Damp-Heat section.)
The above methods treat leukorrhea characterized by deficiency with heat. If there is deficiency with cold, presenting with faint pulse, pale lusterless complexion, and weakness in speech, use Dongyuan's Bujing Guzhen Tang (Tonify Meridian and Consolidate True Decoction), Dingxiang Jiao Ai Tang (Clove and Moxa Decoction), or Xianggui Liuhe Tang (Cinnamon and Cyperus Six-Harmony Decoction).
[Zhang Hezi] Previously, a woman from Dunqiu suffered from continuous leukorrhea, with white discharge for three years. I instructed her to have her pulse taken. Both hands showed slippery, large, and forceful pulses, beating six to seven times per breath. She often experienced upper heat, dry mouth, dizziness, and occasional vomiting of sour fluid. I knew she had cold phlegm in the chest. Using Guiti San (Melon Pedicle Powder), I induced vomiting of two to three sheng of cold phlegm, mostly sour fluid, interspersed with yellow sputum resembling rotten glue. Then, I nourished her Stomach Qi with grain porridge. Next, I used Dao Shui Yu Gong San (Water-Guiding Yu Gong Powder) to purge the lower body, followed by bland diuretic herbs to promote urination. Within a few days, she recovered.
The wife of Li Zuo Ya from Xicheng suffered from watery leukorrhea, dripping continuously from the vagina, with an offensive odor that could not be approached. Her face was yellow, appetite reduced, for three years. All physicians claimed it was accumulated cold, repeatedly using warming and tonifying drugs like Yangqishi (Pyrite), Liuhuang (Sulfur), Jiang (Ginger), and Fu (Aconite), resulting in increased discharge. Dai Ren diagnosed: "This turbid water discharge is originally due to heat invading the Taiyang Meridian, causing cold water to fail in consolidation." Water flows from high to low; one must first cut off its source. Thus, he induced vomiting of two to three sheng of phlegm. The next day, he purged over a dou of watery stool. After three bowel movements and profuse sweating,
by the next morning, the patient reported: "The discharge has stopped." Subsequently, she took cold-natured medicines for half a year and gave birth to a son.
[Zhang Zhongjing] Asked: A fifty-year-old woman suffers from diarrhea for dozens of days without stopping, fever in the evening, urgency and fullness in the lower abdomen, palm heat, and dry lips and mouth. What is this? Master said: This disease belongs to leukorrhea. Why? Because she previously had a miscarriage, and blood stasis remains in the lower abdomen. How do we know? The symptom of dry lips and mouth indicates this. It should be treated with Wenjing Tang (Warm the Meridian Decoction).
Wuzhuyu (Evodiae Fructus, 3 Liang) Danggui (Angelicae Sinensis Radix) Xiong (Ligustici Chuanxiong Rhizoma) Shaoyao (Paeoniae Radix) Renshen (Ginseng Radix) Guizhi (Cinnamomi Ramulus) Ejiao (Colla Corii Asini) Mudan (Moutan Cortex, heart removed) Shengjiang (Fresh Ginger) Gancao (Licorice Root, each 2 Liang)
Banxia (Pinelliae Tuber, half Sheng) Maidong (Ophiopogonis Tuber, 1 Sheng)
The above twelve ingredients are decocted in ten dou of water to yield three sheng. Divide into three warm doses. It also treats cold in the lower abdomen of women, infertility due to long-term cold, metrorrhagia and metrostaxis, excessive menstrual flow, or delayed menstruation.
[Zhu Danxi] Red and white leukorrhea: Use Wulingzhi (Trogopteri Dung) half raw and half cooked, ground into powder, taken with wine.
[Tai Ping Hui Min He Ji Ju Fang] Treats leukorrhea.
Maohua (Imperatae Rhizoma Pappus, one handful, stir-fried) Zonglue Hui (Areca Cataphylla Ash, 3 Cun) Nen Lianye (Young Lotus Leaf, 3 leaves) Gancao Jie (Licorice Joint, 1 Qian)
Grind into fine powder. Take a square-inch spoonful with wine on an empty stomach.
Yimu San (Motherwort Powder): Treats red and white leukorrhea and continuous lochia.
Harvest Motherwort (Leonurus Japonicus) when flowering, crush and grind into fine powder. Take 2 Qian with warm wine on an empty stomach, three times daily.
Xiangfan San (Fragrant Alum Powder): Divine efficacy. (Formula found in the Metrorrhagia section where blood turns black and stops; this is Vinegar-processed Cyperi Rhizoma ash.)
[Zhu Danxi] Red and white leukorrhea both belong to Blood disorders, originating from the Large Intestine or Small Intestine. Fried Huangjingzi (Vitex Negundo Fruit) ground into powder, taken with rice drink.
Another prescription for leukorrhea: Use Baizhi (Angelicae Dahuricae Radix) stir-fried with Duanshi (Iron Ore) until the skin is removed, add a little Qiancao (Rubia Cordifolia Radix), and form pills with congee paste.
[Tai Ping Hui Min He Ji Ju Fang] Baizhi San (Angelica Dahurica Powder): Treats red and white leukorrhea.
Baizhi (Angelicae Dahuricae Radix, 1 Liang) Haipiaoxiao (Sepiae Endoconcha, two, calcined) Taifa (Human Placenta Hair, one ball, calcined)
Grind into fine powder. Take 2 Qian with warm wine on an empty stomach.
[Shan Ju Si Yao] Treats red and white leukorrhea. Old Lotus Pod (Nelumbinis Nelumbo) ground into powder, mixed with Shexiang (Moschus), taken with rice drink on an empty stomach.
[Tai Ping Hui Min He Ji Ju Fang] Treats leukorrhea: Stir-fry Shaoyao (Paeoniae Radix) until black, grind into powder. Take 3 Qian-bi per dose, mixed with wine.
[Zhu Danxi] Red and white leukorrhea: Burn fresh Dog Head Bone (Canis Os) to ash retaining its nature, mix with wine and take, or incorporate into other medicines.
[Qian Jin Fang] Treats leukorrhea: Take Yunmu Mo (Muscovite Powder) equal to three square-inch spoons with warm water; immediate divine effect.
Cui Shi Si Hua Xue (Cui's Four Flower Acupoints): Treats red and white leukorrhea with divine efficacy. (Acupuncture point location see Tuberculosis section.)
[Yu Ji Wei Yi] Red and white leukorrhea: Zhongji (CV3) (Depth 2.5 Cun, Red discharge uses reducing method, White discharge uses reinforcing method.) Bairuan Shu (BL30) (Depth 1.5 Cun, Reduce six inhalations, Reinforce one inhalation.)
[Cuo Yao] Another method: Zhongji (CV3), Bairuan Shu (BL30) (Each moxa 50 cones.) Shenshu (BL23) (Depth 2.5 Cun, moxa according to age.)
[Ji Yan] Another method: Qihai (CV6), Zhongji (CV3), Bairuan Shu (BL30) (If ineffective, take posterior points.) Sanyinjiao (SP6) (Reinforce more, reduce less, moxa 7 cones.)
Sanyinjiao
[Li Dongyuan] Another method: Rongchi (3 Fen, moxa 30 cones, located in the pool-like pulse anterior and posterior to the medial malleolus, also named Yinyang Xue.) Another method: Yinyang (Located at the junction of white and flesh skin on the flexor side of the big toe.) Another method: Sanyinjiao (SP6) (Depth 5 Fen, moxa.) Jiaoyi (2 Cun, moxa.) Louyin (5 Fen below the medial malleolus, slight arterial pulsation indicates the point, needle 1 Fen, moxa 30 cones.)
[Sang Chong] Red discharge (Xin Shu states if red discharge persists and gradually resembles gu poison, use this method:) Qihai (CV6) (6 Fen) Zhongji (CV3), Weizhong (BL40) (Each 5 Fen.)
White discharge (Xin Shu states if white discharge persists and gradually resembles gu poison, use this method:) Qugu (CV2), Chengyin (Extra point) (Each 7 Fen.) Zhongji (CV3) (6 Fen below the adjacent pubic bone.)
[Xin Yin] After childbirth, women often develop white water discharge, dripping continuously, leading to chronic facial and bodily edema: Yinggu (KI10) (Depth 2.5 Cun.) Jiegu (GB39) (Depth 2.5 Cun.)
If panting and fullness occur, needle Yuji (LU10) penetrating to Taiyuan (LU9) (49 breaths total left and right, treats Lung meridian water qi, extremely effective.)
[Wang Haizang] Leukorrhea disease is governed by the Taiyin. Moxa Zhangmen (LR13) with millet-grain-sized cones, 3 cones each, effective.
[Jia Yi Jing) After postpartum red and white discharge, dry and painful vagina, aversion to intercourse, hardness/fullness of lower abdomen, urinary retention: QuGu (CV2) governs. For women with red and white leukorrhea,腰部 (Waist) points govern. For women with red discharge, Dahe (KI12) governs. For women with infertility, prolapsed uterus, and involuntary white discharge, Upper [Abdomen] points govern. For women with red/white discharge, epigastric distension, Middle [Abdomen] points govern. For women with red discharge, intermittent white discharge, Qi stagnation, and scanty menstruation, [Specific Point] governs. For women with involuntary clear discharge, red discharge, vaginal itching, pain radiating to lower abdomen controlling movement, inability to bend or straighten, Lower [Abdomen] points govern. For women with hernia, swollen lower abdomen, red/white discharge varying in amount, Ligou (LR5) governs. For irregular menstruation, seeing red/white during pregnancy, and cold in the anterior yin, Xingjian (LR2) governs. For women with hernia and swollen lower abdomen, loose stools, strangury, enuresis, genital pain, dusty dark complexion, and infraorbital pain, Taichong (LR3) governs. For women with umbilical hernia, Zhongfeng (LR4) governs. For women with hernia masses, feeling like hot water poured on thighs, swollen lower abdomen, prolapsed uterus pain, menstrual flow, swollen or itchy vagina, clear dripping juice like okra soup, blood obstruction, Ququan (LR8) governs. For women with red/white discharge, internal urgency and convulsions, Wushu (GB26) governs.
Su Wen] If Kidney, Liver, and Heart pulses are small and urgent, and do not drum (pulse wave is weak), they all indicate Jia (abdominal masses). (Da Qi Lun Wang Bing commentary: Small and urgent indicates severe cold; no drumming means blood does not flow; lack of blood flow and thin cold cause blood to coagulate internally forming Jia.)
Urgency in the Three Yang meridians indicates Jia; urgency in the Three Yin meridians indicates Shan (hernia). (Wang Bing commentary: Taiyang cold causes blood aggregation forming Jia; Taiyin cold causes Qi aggregation forming Shan.) Urgent pulses are called Shan Jia, with lower abdominal pain. (Ping Ren Qi Xiang Lun)
Mai Jing] Master said: Leukorrhea in women is one of the Six Extremes diseases. Floating pulse indicates borborygmus and abdominal fullness; Tight pulse indicates abdominal pain; Rapid pulse indicates vaginal itching and sores; Wiry pulse indicates vaginal pulling pain. If a woman with leukorrhea has a floating pulse and aversion to cold, it is incurable.