秦越人曰∶带之为病,腹满,腰溶溶如坐水中。(溶溶缓慢貌)
明堂曰∶带脉二穴,主腰腹纵溶溶如囊水之状。妇人少腹痛,里急后重,螈 月事不调,赤白带下,可针六分,
灸七壮。
张洁古曰∶带脉之病,太阴主之,宜灸章门二穴,三壮。
素问曰∶邪客于太阴之络,令人腰痛引小腹控 ,不可以养息。( 谓季胁下之空软处)
张仲景曰∶大病瘥后,腰以下有水气,牡蛎泽泻散主之。若不已,灸章门穴。
王叔和曰∶带脉为病,左右绕脐,腰脊痛,冲阴股也。
王海脏曰∶小儿 疝,可灸章门三壮而愈,以其与带脉行于厥阴之分,而太阴主之。
又曰∶女子经病血崩,久而成枯者,宜涩之益之。血闭久而成竭者,宜益之破之。破血有三治,始
则四物入红花,调黄 、肉桂。次则四物入红花,调鲮鲤甲、桃仁、桂,童子小便,利酒煎服。末则四物
入红花,调易老没药散。
张子和曰∶十二经与奇经七脉,皆上下周流,惟带脉起少腹之侧,季胁之下,环身一周,络腰而过,
如束带之状。而冲、任二脉,循腹胁,夹脐旁,传流于气冲,属于带脉,络于督脉,冲、任、督三脉,同
起而异行,一源而三岐,皆络带脉。因诸经上下往来,遗热于带脉之间,客热郁抑,白物满溢,随溲而下,
绵绵不绝,是为白带。内经云∶思想无穷,所愿不得,意淫于外,入房太甚,发为筋痿,及为白淫。白淫者,
白物淫衍,如精之状,男子因溲而下,女子绵绵而下也,皆从湿热治之,与治痢同法。赤白痢乃邪热传于
大肠,赤白带乃邪热传于小肠,后世皆以赤为热、白为寒,流误千载,是医误之矣。又曰∶资生经载一妇
人患赤白带下,有人为灸气海未效,次日为灸带脉穴,有鬼附耳云,昨日灸亦好,只灸我不着,今灸着我,
我去矣,可为酒食祭我。其家如其言祭之,遂愈。予初怪其事,因思晋景公膏肓二鬼之事,乃虚劳已甚,
鬼得乘虚居之。此妇亦或劳心虚损,故鬼居之。灸既着穴,不得不去。自是凡有病此者,每为之按此穴,
莫不应手酸痛,令归灸之,无有不愈。其穴,在两胁季肋之下一寸八分,若更灸百会穴尤佳。内经云∶上
有病下取之,下有病,上取之。又曰∶上者下之,下者上之,是矣。
刘宗浓曰∶带下多本于阴虚阳竭,营气不升,经脉凝涩,卫气下陷,精气积滞于下焦奇经之分,蕴酿
而成。以带脉为病得名,亦以病形而名,白者属气,赤者属血,多因醉饱房劳,服食燥热所致。亦有湿痰
流注下焦者,肾肝阴淫湿胜者;或惊恐而木乘土位,浊液下流;或思慕无穷,发为筋痿,所谓二阳之病发心
脾也;或余经湿热,屈滞于少腹之下,或下元虚冷,子宫湿淫。治之之法,或下或吐,或发中兼补,补中
兼利,燥中兼升发,润中兼温养,或温朴,或收涩,诸例不同,亦病机之活法也。
巢元方病源曰∶肾着病,腰痛冷如冰,身重腰如带五千钱,不渴,小便利,因劳汗出,衣里冷湿而得,
久则变为水也。千金用肾着汤,三因用渗湿汤,东垣用独活汤主之。
Qin Yueren stated: When the Dai Mai (Girdle Vessel) is diseased, there is abdominal fullness, and the waist feels loose and weak, as if sitting in water. ("Rongrong" describes a slow, relaxed appearance.)
The *Mingtang Jing* (Classic of the Bright Hall) states: The Dai Mai acupoints (two in number) mainly treat symptoms of the waist and abdomen being loose and flaccid, feeling as if a sack filled with water. For women with lower abdominal pain, tenesmus, convulsions, irregular menstruation, and red or white leukorrhea, needle insertion should be six fen, and moxibustion seven zhuang.
Zhang Jiegu stated: Diseases of the Dai Mai are governed by the Taiyin channel; it is appropriate to apply moxibustion to Zhangmen (LR13), two points, three zhuang each.
The *Suwen* (Basic Questions) states: When pathogenic factors invade the collaterals of the Taiyin, it causes lower back pain radiating to the lower abdomen and controlling the hypochondriac region, making it impossible to rest comfortably. ("Kou" refers to the soft area below the floating ribs.)
Zhang Zhongjing stated: After a major illness has subsided, if there is water qi accumulation below the waist, Muli Zexie San (Oyster Shell and Alisma Powder) is the primary formula. If the condition does not improve, moxibustion on Zhangmen (LR13) should be applied.
Wang Shuhe stated: Disease of the Dai Mai involves pain winding around the navel on both sides, lower back and spine pain, and radiation to the inner thighs.
Wang Haizang stated: Infantile hernia can be cured by applying moxibustion to Zhangmen (LR13) for three zhuang, because this point lies in the distribution of the Jueyin channel where the Dai Mai runs, and is governed by the Taiyin.
He further stated: For women suffering from menstrual disorders leading to metrorrhagia, which becomes depleted over time, astringent and tonifying methods should be used. For blood stasis leading to exhaustion due to long-term obstruction, tonifying and breaking methods should be used. There are three stages for breaking blood stasis: initially, Siwu Tang (Four Substances Decoction) with Honghua (Carthami Flos) is taken with Huangbai (Phellodendri Cortex) and Rougui (Cinnamomi Cortex); secondly, Siwu Tang with Honghua is taken with Linglijia (Manis Squama), Taoren (Persicae Semen), and Guizhi (Cinnamomi Ramulus), decocted with Tongzi Xiaoye (Child's Urine) and wine; finally, Siwu Tang with Honghua is taken with Yilao Moyao San (Yilao Myrrh Powder).
Zihe Zheng stated: The twelve regular meridians and the seven extraordinary vessels all circulate up and down. Only the Dai Mai originates from the side of the lower abdomen, below the hypochondrium, encircles the body once, passes through the waist, and resembles a girdle. The Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) follow the abdomen and hypochondrium, flank the umbilicus, flow into Qichong (ST30), belong to the Dai Mai, and connect with the Du Mai (Governor Vessel). These three vessels—Chong, Ren, and Du—share the same origin but have different pathways, forming one source that branches into three, and all connect with the Dai Mai. Because the regular meridians move up and down, they leave residual heat in the Dai Mai. This pathogenic heat stagnates, causing white discharge to overflow and flow out with urine continuously, which is called white leukorrhea. The *Neijing* states: "Endless thoughts, unfulfilled desires, mental lust directed outward, and excessive sexual activity lead to sinew atrophy and 'white yin'." White yin refers to the profuse discharge of white material resembling semen; in men, it flows out with urine; in women, it flows continuously. These conditions should be treated based on damp-heat, using the same method as treating dysentery. Red and white dysentery results from pathogenic heat transmitting to the Large Intestine; red and white leukorrhea results from pathogenic heat transmitting to the Small Intestine. Later generations mistakenly believed that red indicates heat and white indicates cold, an error propagated for millennia due to physicians' misunderstandings. He also said: *Zisheng Jing* records a woman suffering from red and white leukorrhea. Someone moxibusted Qihai (CV6) without effect. The next day, someone moxibusted the DaMai (EX-B4) acupoint. A ghost whispered, "Moxibustion yesterday was good, but you missed me. Today you hit me, so I am leaving." It requested wine and food offerings. The family followed these instructions, and she recovered. I initially found this strange, recalling the story of Jin Jinggong's two ghosts in the Gaohuang region, which occurred when deficiency consumption was severe, allowing ghosts to occupy the void. This woman likely suffered from mental labor and deficiency, allowing ghosts to reside there. Once the moxibustion accurately targeted the acupoint, the ghosts had to leave. Since then, whenever patients presented with this condition, pressing this acupoint always elicited immediate soreness and pain. Instructing them to moxibustate it resulted in recovery every time. This acupoint is located 1.8 cun below the costal margin in the hypochondriac region. Moxibustion on Baihui (GV20) is especially beneficial. The *Neijing* states: "For diseases above, treat below; for diseases below, treat above." It also says: "Treat high lesions by lowering them, treat low lesions by raising them." This is correct.
Liu Zongnong stated: Leukorrhea mostly originates from Yin deficiency and Yang exhaustion, failure of Ying Qi to ascend, stagnation of meridians, and sinking of Wei Qi. Essence and Qi accumulate in the lower Jiao within the extraordinary vessels, fermenting and transforming. It is named after the Dai Mai disease and the shape of the pathology: white relates to Qi, red relates to Blood. It is often caused by drunkenness, overeating, sexual excess, or taking dry-hot drugs. It can also result from damp-phlegm flowing into the lower Jiao, or excessive dampness from Kidney and Liver Yin. It may arise from fright causing Wood to overact on Earth, leading to turbid fluids flowing downward; or endless longing causing sinew atrophy, known as "diseases of the Two Yang originating from Heart and Spleen"; or damp-heat from other meridians stagnating in the lower abdomen; or deficiency-cold of the Lower Yuan with dampness flooding the Uterus. Treatment methods vary: purging, vomiting, combining attack with tonification, combining tonification with draining, combining drying with ascending, combining moistening with warming, using warm-aromatics, or using astringents. Each case differs, representing flexible applications of pathogenesis treatment.
Chao Yuanyifang in *Bingyuan* (Source of Diseases) stated: Shen Zhuo Bing (Kidney Fixation Disease) presents with lower back pain cold as ice, heavy body, and a waist feeling as heavy as carrying five thousand coins. There is no thirst, urination is free. It is contracted from sweating during labor, with cold-damp clothing sticking to the skin. Over time, it transforms into water retention. *Qianjin Fang* uses Shen Zhuo Tang (Kidney Fixation Decoction), *San Yin Fang* uses Shen Shi Tang (Damp-Permeating Decoction), and Li Dongyuan uses Duhuo Tang (Angelica Pubescens Decoction) as primary treatments.