任脉为病，女子带下赤白，冲任伤带脉不能收引，伤于气分则为白带，伤于血分则为赤带。良由思想无穷，
所愿不得意，淫于外入房太甚，宗筋弛纵发为筋痿，久为白淫，白淫即白带之甚者，淫溢不止，常如米泔或如粘胶，
以及劳伤元气或肝木乘脾，或湿痰下注，或湿热伤阴，或寒湿伤脏，皆能令女子带下。
风令脉浮，湿令脉缓，湿热洪涩，滑则痰注，虚衰脉弱，滑脱虚微，大则劳伤，脉脱者不治。
扶元理湿为主，养阴涩脱为佐，疏风清湿热，升阳实脾肾，当
随证治法则存乎其人。
主以二陈二术汤，气虚加参 ，血虚加归地，挟热加牡蛎、黄柏，挟寒加益智、炮姜，赤带加白芍、阿胶，
湿热加炒柏、黑荆。冲任两虚地黄汤，肝脾两虚逍遥散，心脾两虚归脾汤，脾肺两虚补中益气汤。
解带汤
治湿热白带，脉缓涩者。
当归（二两） 苍术（一两，炒） 白芍（一两半，炒） 香附（二两，醋炒） 茯苓（一两） 丹皮（一两）
白术（二两，炒） 川芎（一两，炒） 甘草（五钱）
制为散空心米饮服三钱。
冲任为湿热所伤而带脉不能收引，故带下色白淫溢不已焉。苍术燥湿强脾，白术健脾燥湿，当归养血荣经脉，
白芍敛阴和血脉，茯苓渗湿以清经气，丹皮凉血以清伏热，香附调气解郁，川芎活血调经，甘草缓中以和胃气也。
为散以散之，米饮以和之，使脾胃调和则湿热自化而带脉完固，何带下之淫溢不已哉。
侧柏樗皮丸
治带下脉数涩者。
黄连（五钱） 白术（一两，炒） 黄柏（五钱，炒） 柏叶（一两，炒） 白芍（一两，炒） 白芷
（三钱，烧灰） 香附（一两，醋炒） 椿皮（二两，炒）
制为末粥丸米饮下三钱。
湿热伤于冲任，带脉不能收引，故带下赤白淫溢不止焉。黄连清热燥湿，白术燥湿健脾，黄柏清下焦之湿
热，柏叶燥血分之湿热，白芍敛阴和血，香附调气解郁，白芷燥湿升阳，椿皮涩脱
以止带下也，粥以丸之，饮以下之，使脾胃调和则湿热自化而经脉清和带脉完固，带下无不自止矣。
苍柏辛芎散
治白带兼头风鼻涕，脉弦数者。
苍术（一两，炒） 辛荑（一两） 川芎（五钱） 黄柏（一两，酒炒） 南星（一两，制） 半夏
（一两，制） 滑石（五钱） 黄芩（一两，酒炒） 牡蛎（三两， ）
制为散，米饮煎下三钱。
风湿袭伤头脑，抑遏清阳之气，带脉不能收引，故头痛涕出，带下淫溢焉。苍术燥湿强脾兼举清阳之气，
辛荑轻阳解热兼泄内伏之风，南星散痰于胸膈，半夏燥痰于腹胁，黄芩清上焦之湿热，黄柏清下焦之湿热，滑石
利窍以除上甚之湿热，牡蛎涩脱以摄带脉之不收，川芎之辛下行血海上行头角也。为散煎服，使风湿外解则遏热顿
化而清阳无抑遏之患，带脉有约束之权，何头痛鼻涕不除，带下淫溢不已哉。
当归泽兰丸
治赤白带下，经愆无子，脉数涩弦者。
香附（一斤童便、醇酒、姜汁、酽醋各浸四两，经宿晒干） 熟地（四两） 当归（三两） 白芍（二两，炒）
川芎（一两） 生地（四两） 白术（二两，炒） 泽兰（二两） 艾叶（一两，醋炒） 黄芩（一两，炒黑）
为末醋丸，白汤煎下三钱。
血亏气滞，天癸愆期而带脉不能收引，故赤白带下，经久不能生子焉。熟地补阴滋血，生地凉血滋阴，当
归养血脉以荣经，白芍敛营阴以和血，川芎行血中之气，艾叶暖子宫之血，泽兰去宿生新，白术健脾燥湿，黄芩
清肺气以肃生水之源，香附解郁结以调冲任之气，醋以丸之，汤以下之，使经脉有资则血气调和而天癸无不如度，
带脉约束有权，何赤白带之不除哉，自此带愈经调，天下应无不孕之妇矣。
止带丸
治冷热不调，经愆带下，脉软数弦涩者。
人参（一两） 当归（一两） 白术（一两，炒） 山药（一两，炒） 川芎（六钱） 杜仲（一两，炒）
香附（一两，炒） 青黛（六钱） 破故纸（一两，炒） 牡蛎（一两） 续断（一两） 椿皮（一两，炒）
制为末炼蜜丸，米饮下三钱，腹痛加延胡、小茴，肥人加姜制半夏，瘦人加酒炒黄柏，冬月加干姜，夏月加黄柏。
冷热不调，血气不足而冲任少冲和之气，带脉不能约束，故天癸愆期，带下淫溢焉。人参扶元补气，当归养血
荣经，白术健脾气以燥湿，山药补脾元以益阴，川芎活血调经脉，香附调气解郁结，青黛解郁清热，故纸补火暖肾，
杜仲壮腰膝以强肾，续断续筋络以壮肝，牡蛎涩脱益阴，椿皮涩脱止带也。蜜丸以润之，饮下以和之，使血气内充则
冷热自调而天癸无不如度，带下无不自止矣。腹痛加延胡、小茴温经活血，肥人加半夏燥湿化痰，瘦人加黄柏清热存
阴，冬月加干姜温中却寒，夏月加黄柏以清下燥湿，此随证救逆法，亦因时从证法。
苁蓉菟丝丸
治赤白带下，脉弦浮数者。
苁蓉（一两，酒洗，蒸） 菟丝（二两，焙） 覆盆（一两，炒） 蛇床（一两，炒） 当归（二两，焙）
白芍（一两，炒） 川芎（一两，焙） 牡蛎（一两， ） 乌贼骨（一两， ） 黄芩（一两，炒） 防风
（六钱，炒） 五味（五钱，炒） 艾叶（五钱，炒）
制为末，炼蜜丸，盐汤下三钱。
血亏湿热，带脉不能收引，故赤白带下，淫溢不止焉。肉苁蓉温肾润燥，菟丝饼补肾填精，覆盆子固溺窍，蛇
床子祛湿热，当归养血荣经脉，白芍敛阴和血脉，川芎行血中之气，防风疏坎陷之风，牡蛎涩脱益阴，乌贼涩血止
带，黄芩清热燥湿，五味敛液收津，艾叶以温胞门也。炼蜜以丸之，盐汤以下之，使润下之性
速归肾脏，是补其母而木荣土润，则湿热自化而经脉清和带脉完固，何赤白带之淫溢不已哉。
暖宫妙应丸
治赤白带久不孕，脉虚涩者。
熟地（四两） 当归（二两） 白芍（一两半，炒） 川芎（八钱） 龙骨（一两， ） 丹皮（一两）
牡蛎（二两， ） 茯苓（一两） 赤石脂（二两，醋 ） 艾叶（一两，炒黑）
制为末，醋丸，米饮下三钱。
血虚湿热带脉不收，故赤白带下，经久而子宫虚衰不孕焉。熟地补阴滋血，当归养血荣经，川芎行血中之
气，白芍敛营中之阴，茯苓渗湿以清子室，丹皮凉血以平相火，龙骨、牡蛎收涩精气以止白带，艾灰、石脂止涩
赤带以温子宫也。醋丸饮下，使湿热化而血脉充，则子宫雄壮而赤白带下无不止，安有不孕之妇哉。
Ren Mai (Conception Vessel) pathology manifests in women as leukorrhea with red and white discharge. This occurs because injury to the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) damages the Dai Mai (Girdle Vessel), impairing its ability to restrain and hold. If the pathogen injures the Qi level, it presents as white leukorrhea; if it injures the Blood level, it presents as red leukorrhea. This is largely due to endless thoughts and unfulfilled desires, or excessive sexual intercourse, leading to flaccidity of the Zong Jin (Tendons) and resulting in Jin Wei (Sinew Impotence). Over time, this develops into Bai Yin (White Emission), which is a severe form of white leukorrhea characterized by continuous overflow, often resembling rice water or sticky glue. Additionally, labor-induced damage to Yuan Qi (Original Qi), Liver Wood overacting on Spleen Earth, downward pouring of Damp-Phlegm, Yin injury by Damp-Heat, or organ damage by Cold-Dampness can all cause leukorrhea in women.
Wind causes the pulse to be Floating (Fu); Dampness causes the pulse to be Slow (Huan); Damp-Heat causes a Surging (Hong) and Choppy (Se) pulse; Slippery (Hua) indicates Phlegm pouring downward; Deficiency and decline present with a Weak (Ruo) pulse; Slippage and deficiency present with a Vacuous and Minute (Wei) pulse; Large (Da) indicates internal injury from overexertion; a Pulse that is Depleted (Tuo) indicates an untreatable condition.
The treatment principle focuses on supporting Original Qi and regulating Dampness, assisted by nourishing Yin and astringing slippage. One should dispel Wind, clear Damp-Heat, raise Yang, and strengthen Spleen and Kidney, adapting the method according to the specific syndrome.
The primary formula is Er Chen Er Zhu Tang (Two-Chen Two-Atractylodes Decoction). Add Ginseng for Qi deficiency; add Angelica Sinensis and Rehmannia for Blood deficiency; add Oyster Shell and Phellodendron Bark for accompanying Heat; add Alpinia Oxyphylla and Prepared Ginger for accompanying Cold; add White Peony Root and Donkey-hide Gelatin for red leukorrhea; add Fried Phellodendron Bark and Black Schizonepeta for Damp-Heat. For deficiency of both Chong and Ren, use Di Huang Tang (Rehmannia Decoction); for deficiency of Liver and Spleen, use Xiao Yao San (Free and Easy Wanderer Powder); for deficiency of Heart and Spleen, use Gui Pi Tang (Restore the Spleen Decoction); for deficiency of Spleen and Lung, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction).
Jie Dai Tang (Leukorrhea-Resolving Decoction): Treats white leukorrhea caused by Damp-Heat, with a Slow and Choppy pulse.
Ingredients: Dang Gui (Angelicae Sinensis Radix, 2 liang), Cang Zhu (Atractylodis Rhizoma, 1 liang, fried), Bai Shao (Paeoniae Radix Alba, 1.5 liang, fried), Xiang Fu (Cyperi Rhizoma, 2 liang, vinegar-fried), Fu Ling (Poria, 1 liang), Dan Pi (Moutan Cortex, 1 liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 2 liang, fried), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 1 liang, fried), Gan Cao (Glycyrrhizae Radix et Rhizoma, 5 qian).
Preparation and Administration: Processed into a powder, take 3 qian with rice decoction on an empty stomach.
Analysis: When Chong and Ren are injured by Damp-Heat, the Dai Mai cannot restrain, causing continuous white leukorrhea. Cang Zhu dries Dampness and strengthens Spleen; Bai Zhu strengthens Spleen and dries Dampness; Dang Gui nourishes Blood to benefit meridians; Bai Shao astringes Yin and harmonizes Blood vessels; Fu Ling leaches out Dampness to clear meridian Qi; Dan Pi cools Blood to clear latent Heat; Xiang Fu regulates Qi and resolves depression; Chuan Xiong invigorates Blood and regulates menstruation; Gan Cao moderates the middle and harmonizes Stomach Qi. The powder disperses pathogens, and rice decoction harmonizes the Spleen and Stomach. When Spleen and Stomach are harmonized, Damp-Heat transforms naturally, and the Dai Mai becomes secure, stopping the leukorrhea.
Ce Bai Chu Pi Wan (Platycladus Seed and Toona Pill): Treats leukorrhea with a Rapid and Choppy pulse.
Ingredients: Huang Lian (Coptidis Rhizoma, 5 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 liang, fried), Huang Bo (Phellodendri Chinensis Cortex, 5 qian, fried), Bai Ye (Platycladi Cacumen, 1 liang, fried), Bai Shao (Paeoniae Radix Alba, 1 liang, fried), Bai Zhi (Angelicae Dahuricae Radix, 3 qian, burnt to ash), Xiang Fu (Cyperi Rhizoma, 1 liang, vinegar-fried), Chun Pi (Toonae Cortex, 2 liang, fried).
Preparation and Administration: Processed into powder, formed into pills with congee, take 3 qian with rice decoction.
Analysis: Damp-Heat injures Chong and Ren, preventing the Dai Mai from restraining, causing continuous red and white leukorrhea. Huang Lian clears Heat and dries Dampness; Bai Zhu dries Dampness and strengthens Spleen; Huang Bo clears Damp-Heat from the Lower Jiao; Bai Ye dries Damp-Heat in the Blood level; Bai Shao astringes Yin and harmonizes Blood; Xiang Fu regulates Qi and resolves depression; Bai Zhi dries Dampness and raises Yang; Chun Pi astringes slippage to stop leukorrhea. Congee forms the pill, and rice decoction aids administration. Harmonizing Spleen and Stomach allows Damp-Heat to transform, meridians to clear, and Dai Mai to secure, stopping leukorrhea.
Cang Bai Xin Xiong San (Atractylodes, Phellodendron, Asarum, and Ligusticum Powder): Treats white leukorrhea accompanied by head wind and nasal discharge, with a Wiry and Rapid pulse.
Ingredients: Cang Zhu (Atractylodis Rhizoma, 1 liang, fried), Xin Yi (Magnoliae Flos, 1 liang), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 5 qian), Huang Bo (Phellodendri Chinensis Cortex, 1 liang, wine-fried), Nan Xing (Arisaematis Cum Bile, 1 liang, processed), Ban Xia (Pinelliae Rhizoma, 1 liang, processed), Hua Shi (Talcum, 5 qian), Huang Qin (Scutellariae Radix, 1 liang, wine-fried), Mu Li (Ostreae Concha, 3 liang, calcined).
Preparation and Administration: Processed into powder, take 3 qian with boiled rice decoction.
Analysis: Wind-Damp attacks the head, suppressing Clear Yang, preventing the Dai Mai from restraining, causing headache, nasal discharge, and leukorrhea. Cang Zhu dries Dampness, strengthens Spleen, and raises Clear Yang; Xin Yi is light and ascending to resolve Heat and vent latent Wind; Nan Xing disperses Phlegm in the chest and diaphragm; Ban Xia dries Phlegm in the abdomen and hypochondrium; Huang Qin clears Damp-Heat in the Upper Jiao; Huang Bo clears Damp-Heat in the Lower Jiao; Hua Shi opens orifices to remove severe upper Damp-Heat; Mu Li astringes slippage to restrain the Dai Mai; Chuan Xiong’s acrid nature descends to the Blood Sea and ascends to the head. Taking the powder helps resolve Wind-Damp externally, transforming trapped Heat, allowing Clear Yang to rise without suppression, and giving the Dai Mai its restraining power, thus resolving headache, nasal discharge, and leukorrhea.
Dang Gui Ze Lan Wan (Angelica and Lycopus Pill): Treats red and white leukorrhea, irregular menstruation, and infertility, with a Rapid, Choppy, and Wiry pulse.
Ingredients: Xiang Fu (Cyperi Rhizoma, 1 jin, soaked separately in 4 liang each of infant urine, strong wine, ginger juice, and thick vinegar overnight, then dried); Shu Di Huang (Prepared Rehmanniae Radix, 4 liang); Dang Gui (Angelicae Sinensis Radix, 3 liang); Bai Shao (Paeoniae Radix Alba, 2 liang, fried); Chuan Xiong (Ligustici Chuanxiong Rhizoma, 1 liang); Sheng Di Huang (Raw Rehmanniae Radix, 4 liang); Bai Zhu (Atractylodis Macrocephalae Rhizoma, 2 liang, fried); Ze Lan (Lycopersici Herba, 2 liang); Ai Ye (Artemisiae Argyi Folium, 1 liang, vinegar-fried); Huang Qin (Scutellariae Radix, 1 liang, charred).
Preparation and Administration: Processed into powder, formed into pills with vinegar paste, take 3 qian with boiled water.
Analysis: Blood deficiency and Qi stagnation cause Tian Gui (menstrual fluid) to be irregular and the Dai Mai to fail in restraint, resulting in red and white leukorrhea and infertility. Shu Di Huang tonifies Yin and nourishes Blood; Sheng Di Huang cools Blood and nourishes Yin; Dang Gui nourishes Blood vessels to benefit meridians; Bai Shao astringes Ying Yin to harmonize Blood; Chuan Xiong moves Qi within Blood; Ai Ye warms the uterus’s Blood; Ze Lan removes old blood and generates new; Bai Zhu strengthens Spleen and dries Dampness; Huang Qin clears Lung Qi to regulate the source of Water metabolism; Xiang Fu resolves stagnation to regulate Chong and Ren Qi. Vinegar forms the pill, and water aids administration. Nourishing meridians harmonizes Qi and Blood, regularizes Tian Gui, empowers the Dai Mai, and cures leukorrhea, thereby restoring fertility.
Zhi Dai Wan (Leukorrhea-Stopping Pill): Treats imbalance of Cold and Heat, irregular menstruation with leukorrhea, with a Soft, Rapid, Wiry, and Choppy pulse.
Ingredients: Ren Shen (Ginseng Radix, 1 liang); Dang Gui (Angelicae Sinensis Radix, 1 liang); Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 liang, fried); Shan Yao (Dioscoreae Rhizoma, 1 liang, fried); Chuan Xiong (Ligustici Chuanxiong Rhizoma, 6 qian); Du Zhong (Eucommiae Cortex, 1 liang, fried); Xiang Fu (Cyperi Rhizoma, 1 liang, fried); Qing Dai (Indigo Naturalis, 6 qian); Po Gu Zhi (Psoraleae Fructus, 1 liang, fried); Mu Li (Ostreae Concha, 1 liang); Xu Duan (Dipsaci Radix, 1 liang); Chun Pi (Toonae Cortex, 1 liang, fried).
Preparation and Administration: Processed into powder, formed into honey pills, take 3 qian with rice decoction. Modifications: Add Yan Hu Suo and Xiao Hui Xiang for abdominal pain; add Ginger-processed Ban Xia for obese patients; add Wine-fried Huang Bo for thin patients; add Gan Jiang in winter; add Huang Bo in summer.
Analysis: Imbalance of Cold and Heat, insufficient Qi and Blood, and lack of harmony in Chong and Ren prevent the Dai Mai from restraining, causing irregular Tian Gui and leukorrhea. Ren Shen supports Original Qi and tonifies Qi; Dang Gui nourishes Blood and benefits meridians; Bai Zhu strengthens Spleen Qi to dry Dampness; Shan Yao tonifies Spleen Yuan to benefit Yin; Chuan Xiong invigorates Blood and regulates meridians; Xiang Fu regulates Qi and resolves stagnation; Qing Dai resolves depression and clears Heat; Po Gu Zhi tonifies Fire and warms Kidney; Du Zhong strengthens waist and knees to fortify Kidney; Xu Duan connects sinews and tendons to strengthen Liver; Mu Li astringes slippage and benefits Yin; Chun Pi astringes slippage to stop leukorrhea. Honey moistens, and decoction harmonizes. Replenishing Qi and Blood balances Cold and Heat, regularizes Tian Gui, and stops leukorrhea. These modifications address symptoms based on constitution and season.
Cong Rong Tu Si Wan (Cistanche and Cuscuta Pill): Treats red and white leukorrhea, with a Wiry, Floating, and Rapid pulse.
Ingredients: Rou Cong Rong (Cistanchenis Caulis, 1 liang, wine-washed, steamed); Tu Si Zi (Cuscutae Semen, 2 liang, roasted); Fu Pen Zi (Rubiae Fructus, 1 liang, fried); She Chuang Zi (Cnidii Fructus, 1 liang, fried); Dang Gui (Angelicae Sinensis Radix, 2 liang, roasted); Bai Shao (Paeoniae Radix Alba, 1 liang, fried); Chuan Xiong (Ligustici Chuanxiong Rhizoma, 1 liang, roasted); Mu Li (Ostreae Concha, 1 liang, calcined); Wu Mei Gu (Sepiae Endoconcha, 1 liang, calcined); Huang Qin (Scutellariae Radix, 1 liang, fried); Fang Feng (Saposhnikoviae Radix, 6 qian, fried); Wu Wei Zi (Schisandrae Fructus, 5 qian, fried); Ai Ye (Artemisiae Argyi Folium, 5 qian, fried).
Preparation and Administration: Processed into powder, formed into honey pills, take 3 qian with salt water.
Analysis: Blood deficiency with Damp-Heat prevents the Dai Mai from restraining, causing continuous red and white leukorrhea. Rou Cong Rong warms Kidney and moistens dryness; Tu Si Zi tonifies Kidney and fills Essence; Fu Pen Zi secures the urinary orifice; She Chuang Zi dispels Damp-Heat; Dang Gui nourishes Blood and benefits meridians; Bai Shao astringes Yin and harmonizes Blood vessels; Chuan Xiong moves Qi within Blood; Fang Feng disperses Wind trapped in the Kan position; Mu Li astringes slippage and benefits Yin; Wu Mei Gu stops bleeding and leukorrhea; Huang Qin clears Heat and dries Dampness; Wu Wei Zi astringes fluids and collects essence; Ai Ye warms the uterine gate. Honey forms the pill, and salt water guides the action to the Kidney. Tonifying the Mother (Water) nourishes Wood and moistens Earth, transforming Damp-Heat, clearing meridians, and securing the Dai Mai, thus stopping leukorrhea.
Nuan Gong Miao Ying Wan (Warming Palace Miraculous Effect Pill): Treats long-standing red and white leukorrhea with infertility, with a Vacuous and Choppy pulse.
Ingredients: Shu Di Huang (Prepared Rehmanniae Radix, 4 liang); Dang Gui (Angelicae Sinensis Radix, 2 liang); Bai Shao (Paeoniae Radix Alba, 1.5 liang, fried); Chuan Xiong (Ligustici Chuanxiong Rhizoma, 8 qian); Long Gu (Fossilia Ossis Mastodi, 1 liang, calcined); Dan Pi (Moutan Cortex, 1 liang); Mu Li (Ostreae Concha, 2 liang, calcined); Fu Ling (Poria, 1 liang); Chi Shi Zhi (Halloysit Rubra, 2 liang, vinegar-quenched); Ai Ye (Artemisiae Argyi Folium, 1 liang, charred black).
Preparation and Administration: Processed into powder, formed into vinegar pills, take 3 qian with rice decoction.
Analysis: Blood deficiency with Damp-Heat prevents the Dai Mai from restraining, causing long-standing red and white leukorrhea and uterine deficiency leading to infertility. Shu Di Huang tonifies Yin and nourishes Blood; Dang Gui nourishes Blood and benefits meridians; Chuan Xiong moves Qi within Blood; Bai Shao astringes Ying Yin; Fu Ling leaches Dampness to clear the uterus; Dan Pi cools Blood to calm Minister Fire; Long Gu and Mu Li astringe Essence and Qi to stop white leukorrhea; Ai Ash and Chi Shi Zhi astringe red leukorrhea and warm the uterus. Vinegar forms the pill, and rice decoction aids absorption. Transforming Damp-Heat and replenishing Blood vessels strengthens the uterus, stopping leukorrhea and curing infertility.