张子和曰∶妇人带下,《圣惠方》与巢氏二家之说皆非也。夫治病,当先识经络。人身大经有十二,奇经
有八脉。十二经与八脉,通身往来,经络共二十道,上下流走环周,昼
夜不息。然此十二经上下周流者,止十九道耳。唯带脉起少腹季胁之端,乃章门穴也。环周一身,络腰而过,如
束带之于身。《难经》云,带之为病,溶溶如坐水中。冲任者,是经脉之海也,循腹胁,夹脐旁,传流于气冲,
属于带脉,络于督脉。督脉者,起于关元穴。任脉者,女子养胎孕之所。督脉乃是督领妇人经脉之海也。冲任督
三脉,同起而异行,一源而三歧,皆络于带脉。冲任督三脉,皆统于篡户,循阴器,行廷孔、溺孔上端。冲任
督三脉,以带脉束之。因余经上下往来,遗热于带脉之间,客热所郁,热者血也,血积多日不流,从金之化而为
白,乘少腹冤热,白物满溢,随溲而下,绵绵不绝,是为白带。多不痛,或有痛者,因壅碍而成也。经曰,少
腹冤热,溲出白液,冤者屈滞也,病非本经,为他经冤郁而成此疾。皆从湿热治之。遗热于小肠,从金化而为白,
与治痢同法。赤白痢,乃邪热传于大肠。赤白带,邪热传于小肠。故治二证,不可骤用峻热药燥之,燥之则内水
涸,内水涸则必烦渴,烦渴则小便不利,则足肿面浮,渐至不起。治法∶先以导水、禹功泻之,次以淡剂降心
火,益肾水,下小溲,利水道,则愈矣。
Zhang Zihe stated: Regarding leukorrhea in women, the theories presented in *Shenghui Fang* and those of Chao Yuanfang are both incorrect. In treating diseases, one must first understand the meridians. The human body has twelve main meridians and eight extraordinary vessels. The twelve regular meridians and the eight extraordinary vessels circulate throughout the body; together there are twenty meridian pathways, flowing up and down in a continuous cycle day and night without cessation. However, among these twelve regular meridians, only nineteen pathways actually flow up and down in a cycle. Only the Dai Mai (Girdle Vessel) originates from the end of the lower abdomen and lateral hypochondrium, specifically at the Zhangmen (LR13) acupoint. It encircles the body once, passing through the waist, binding the body like a belt. As stated in the *Nan Jing*, disease of the Dai Mai presents as flaccidity and weakness, as if sitting in water. The Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) are the seas of the meridians. They follow the abdomen and hypochondrium, run alongside the umbilicus, transmit to the Qichong (ST30) acupoint, belong to the Dai Mai, and connect with the Du Mai (Governor Vessel). The Du Mai originates from the Guanyuan (CV4) acupoint. The Ren Mai is the site where women nourish the fetus. The Du Mai serves as the governor and leader of the sea of women's meridians. The Chong, Ren, and Du meridians share the same origin but have different courses; they branch out from one source into three, all connecting with the Dai Mai. These three meridians are all governed by the Chuankou (perineum), follow the genitalia, and pass through the upper ends of the Tingkong (urethral opening) and Niao Kong (urinary meatus). The Chong, Ren, and Du meridians are bound by the Dai Mai. Because other meridians flow up and down, they leave residual heat within the Dai Mai. This pathogenic heat becomes stagnant. Heat relates to blood; when blood accumulates for many days without flowing, it transforms according to the nature of Metal into white discharge. Accompanied by "injustice heat" (stagnant heat) in the lower abdomen, the white substance overflows and is discharged with urine, continuously and endlessly, which constitutes leukorrhea (white discharge). It usually does not cause pain; if pain occurs, it is due to obstruction and stagnation. The classic states: "Injustice heat in the lower abdomen causes white fluid to be excreted with urine." "Injustice" refers to屈曲阻滞 (twisted stagnation). This disease does not originate from the affected meridian itself but is caused by stagnation in other meridians. All such cases should be treated based on damp-heat. Residual heat left in the Small Intestine transforms into white discharge following the nature of Metal; the treatment method is the same as that for dysentery. Red and white dysentery indicates pathogenic heat transmitted to the Large Intestine. Red and white leukorrhea indicates pathogenic heat transmitted to the Small Intestine. Therefore, when treating these two conditions, one must not abruptly use harsh hot drugs to dry dampness. If dried, internal fluids will be depleted; depletion of internal fluids leads to vexation and thirst; vexation and thirst results in difficult urination, followed by edema of the feet and face, eventually leading to bedridden state. The treatment method: First, use Daoshui Wan (Water-Guiding Pill) and Yugong San (Yu Gong Powder) to purge; subsequently, use bland-tasting agents to descend Heart Fire, tonify Kidney Water, promote urination, and unblock the water passages, then the disease will resolve.