浊病精窍尿自清，秽物如脓阴内疼，赤热精竭不及化，白寒湿热败精成。
【注】赤多属热，亦有浊带日久，精竭阳虚，不及化白而属寒者，白多属寒，亦有败
精湿热酿成腐化，变白而属热者。是则不可概以寒热论赤白也。
清心莲子饮 萆 厘清饮 珍珠粉丸
浊热清心莲子饮，寒萆菖乌益草苓，湿热珍珠炒姜柏，滑黛神曲椿蛤同。
【注】赤浊带下属热者，宜用清心莲子饮，方在淋门。白浊带下属寒者，宜用萆 厘清
饮，即萆 、菖蒲、乌药、益智、甘草、茯苓也。赤白浊带下属湿热者，宜用珍珠粉丸，
即炒黑姜、炒黄柏、滑石，青黛、炒神曲、炒椿皮、蛤粉也。
黑锡丹
黑锡上盛下虚冷，精竭阳虚火上攻，上壅头痛痰气逆，下漏浊带白淫精，骨脂茴香
葫芦巴，肉蔻桂附木金樱，沉香阳起巴戟肉，硫铅法结要研明。
【注】赤白浊带下属虚寒者，及虚阳上攻，头痛喘嗽，痰壅气逆，俱宜黑锡丹。即补骨
脂、小茴香、葫芦巴、肉蔻、附子、肉桂、木香、金樱子、沉香、阳起石、巴戟，硫黄、黑
铅也。
阴盛为饮阳盛痰，稠浊是热沫清寒，燥少粘连咯不易，湿多易出风掉眩，膈满呕吐
为伏饮，支饮喘咳肿卧难，饮流四肢身痛溢，嗽引胁痛谓之悬，痰饮素盛今暴瘦，漉漉声
水走肠间，饮留肺胸喘短渴，在心下悸背心寒。
【注】饮则清稀，故为阴盛。痰则稠浊，故为阳盛。稠浊，是热痰属心也。沫清，是
寒痰属肾也。少而粘连咯不易出，是燥痰属肺也。多而易出，是湿痰属脾也。搐搦眩晕，
是风痰属肝也。膈上痰满，呕吐痰涎，此饮留于膈间，名曰伏饮也。喘咳面肿不得卧，此
饮留于肺，名曰支饮也。饮流四肢，身体重
痛，此饮留行于体，名曰溢饮也。咳嗽引胁疼痛，此饮留于胁下，名曰悬饮也，素盛今
瘦，漉漉有声，水走肠间，此饮留于肠胃，名曰痰饮也。凡饮留于胸肺，则喘满短气而渴。
饮留于膈下，则心下悸或背心寒冷也。
二陈汤 燥痰汤
诸痰橘半茯苓草，惟有燥者不相当，风加南星白附子，热加芩连寒桂姜，气合四七
郁香附，虚入参术湿入苍；燥芩旋海天冬橘，风消枳桔贝蒌霜。
【注】诸痰谓一切痰，皆宜二陈汤治之。即橘红、半夏、茯苓、甘草也。因有苓、半、
性过渗燥，故与燥痰不相当也。根据本方风痰加南星、白附子，热痰加黄芩、黄连，寒痰
加干姜、肉桂，气痰加浓朴、苏叶即是合四七汤也，因郁生痰加香附，气虚有痰加人参、
白术即六君子汤也，湿痰加苍术。燥痰宜用燥痰汤，即枯黄芩、旋复花、海石，天冬、橘
红、风化芒硝、枳壳、桔梗、贝母、栝蒌霜也。
茯苓指迷丸
茯苓风消枳壳半，痰饮平剂指迷丸，寒实瓜蒂透罗治，热实大陷小胃丹。
【注】指迷丸，治一切痰饮平和之剂，即茯苓、风化芒硝、枳壳、半夏也。痰饮寒实
者，用瓜蒂散吐之，或用透罗丹下之。热实者，在膈上用大陷胸汤，丸，在三焦用小胃
丹攻之。
半夏茯苓汤加丁香汤 越婢加术汤
流饮控涎苓桂治，伏饮神佑半苓丁，支饮葶苈悬十枣，溢饮越术小青龙。
【注】留饮者，谓一切饮留于上下、内外也。实者用控涎丹攻之，虚者用苓桂术甘汤
温之。伏饮实者用神佑丸，虚者用半夏三钱、茯苓二钱、丁香一钱、生姜三钱，煎服治之，
即半夏茯苓汤加丁香也。支饮用葶苈大枣汤，悬饮用十枣汤治之。溢饮有热者用越婢加术
汤，即麻黄、石膏、甘草、生姜、大枣，加苍术也。有寒者用小青龙汤治之。
Zhuo disease (Turbid Discharge) presents with clear and white urine from the essence orifice, while turbid matter resembling pus causes pain within the yin. Redness and heat indicate exhaustion of essence and blood failing to transform; whiteness and cold indicate turbid essence formed by damp-heat.
[Note] Redness mostly belongs to Heat patterns, but there are cases where prolonged turbid discharge exhausts essence and Yang deficiency fails to transform into white, belonging to Cold patterns. Whiteness mostly belongs to Cold patterns, but there are cases where failed essence ferments due to damp-heat, turning white and belonging to Heat patterns. Therefore, one cannot generally judge red and white turbid discharge solely by Cold or Heat.
Qingxin Lianzi Yin (Clear Heart Lotus Seed Decoction), Bixie Fenqing Yin (Dioscorea Hypoglauca Separating Turbidity Decoction), Zhenzhu Fen Wan (Pearl Powder Pill).
For Zhuo Heat patterns, use Qingxin Lianzi Yin. For Cold patterns, use Bixie Fenqing Yin, which consists of Bixie (Dioscorea Hypoglauca Rhizome), Shichangpu (Acori Tatarinowii Rhizoma), Wuyao (Linderae Radix), Yizhi (Alpiniae Oxyphyllae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), and Fuling (Poria). For Damp-Heat patterns, use Zhenzhu Fen Wan, which consists of Chao Hei Jiang (Charred Black Ginger), Chao Huangbai (Charred Phellodendri Cortex), Huashi (Talcum), Qingdai (Indigo Naturalis), Chao Shenqu (Charred Mass Medicamentii Fermentati), Chao Chunpi (Charred Toosendan Cortex), and Gafen (Concha Meretricis et Cyprinis).
[Note] For red turbid discharge belonging to Heat patterns, Qingxin Lianzi Yin is suitable (recorded in the Lin Syndrome section). For white turbid discharge belonging to Cold patterns, Bixie Fenqing Yin is suitable, composed of Bixie, Shichangpu, Wuyao, Yizhi, Gancao, and Fuling. For red and white turbid discharge belonging to Damp-Heat patterns, Zhenzhu Fen Wan is suitable, composed of charred black ginger, charred phellodendri cortex, talcum, indigo naturalis, charred mass medicamentii fermentati, charred toosendan cortex, and concha meretricis et cyprinis.
Heixi Dan (Black Tin Pill).
Heixi Dan applies to Upper Excess and Lower Deficiency Cold patterns, characterized by exhausted essence, Yang deficiency, and deficient Fire attacking upward; upper congestion causing headache and rebellious Phlegm-Qi; lower leakage causing turbid discharge, Baiyin (white seminal emission), and spermatorrhea. The formula contains Buguzhi (Psoraleae Fructus), Xiaohuixiang (Foeniculi Fructus), Huluba (Trigonellae Semen), Roukou (Myristicae Semen), Guizhi (Cinnamomi Ramulus), Fuzi (Aconiti Lateralis Radix Praeparata), Muxiang (Aucklandiae Radix), Jinyingzi (Rosae Laevigatae Fructus), Chenxiang (Aquilariae Lignum Resinatum), Yangqishi (Actinoliti Fibrosus et Actinoliti Radiatus), Bajitian (Morindae Officinalis Radix), as well as Liuhuang (Sulfur) and Heiqian (Plumbum), which must be processed according to method and finely ground.
[Note] For red and white turbid discharge belonging to Deficient-Cold patterns, as well as symptoms caused by deficient Yang attacking upward such as headache, wheezing and coughing, Phlegm congestion, and Qi rebellion, Heixi Dan is suitable. It consists of Buguzhi, Xiaohuixiang, Huluba, Roukou, Fuzi, Guizhi, Muxiang, Jinyingzi, Chenxiang, Yangqishi, Bajitian, Liuhuang, and Heiqian.
Yin excess generates Yin (Fluid Retention), Yang excess generates Tan (Phlegm); thick and turbid Tan indicates Heat, clear foam indicates Cold. Dry Tan is scanty, sticky, and difficult to expectorate; Wet Tan is abundant and easy to expel; Wind Tan causes tremors and vertigo. Tan-Yin stagnating in the diaphragm causing fullness and vomiting is called Fu Yin (Hidden Fluid). Tan-Yin stagnating in the lungs causing wheezing, coughing, facial edema, and difficulty lying flat is called Zhi Yin (Supporting Fluid). Water fluid flowing into the four limbs causing body pain is called Yi Yin (Overflowing Fluid). Cough pulling胁肋 pain is called Xuan Yin (Hanging Fluid). Sudden emaciation despite previous robustness, with gurgling sounds of water moving in the intestines, is called Tan Yin (Phlegm-Fluid, specific sense). Fluid retention in the chest and lungs causes wheezing, shortness of breath, and thirst; fluid retention below the diaphragm causes palpitations under the heart and coldness in the back.
[Note] Yin (Fluid) is clear and thin, thus attributed to Yin excess. Tan (Phlegm) is thick and turbid, thus attributed to Yang excess. Thick and turbid Tan is Heat Tan, associated with the Heart. Clear and foamy Tan is Cold Tan, associated with the Kidney. Scanty, sticky, and difficult to expectorate Tan is Dry Tan, associated with the Lung. Abundant and easy-to-expel Tan is Wet Tan, associated with the Spleen. Tremors and vertigo are Wind Tan, associated with the Liver. Fullness above the diaphragm and vomiting of saliva/phlegm indicate Yin retained in the diaphragm, named Fu Yin. Wheezing, coughing, facial edema, and inability to lie flat indicate Yin retained in the Lung, named Zhi Yin. Fluid flowing into the four limbs causing heavy and painful body indicates Yin flowing on the body surface, named Yi Yin. Cough pulling胁肋 pain indicates Yin retained under the胁肋, named Xuan Yin. Previous robustness now emaciated, with gurgling sounds and water moving in the intestines, indicates Yin retained in the stomach and intestines, named Tan Yin. Whenever Yin retains in the chest and lungs, it causes wheezing, fullness, shortness of breath, and thirst. When Yin retains below the diaphragm, it causes palpitations under the heart or coldness in the back.
Erchen Tang (Two-Aged Decoction), Zaotan Tang (Dry Phlegm Decoction).
For various Tan types, use Ju Hong (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), Fuling (Poria), and Gancao (Glycyrrhizae Radix et Rhizoma) [Erchen Tang]; however, this is not suitable for Dry Tan. Add Nanxing (Arisaematis Cum Bile) and Baifuzi (Typhonii Rhizoma) for Wind Tan; add Huangqin (Scutellariae Radix) and Huanglian (Coptidis Rhizoma) for Heat Tan; add Rougui (Cinnamomi Cortex) and Ganjiang (Zingiberis Rhizoma) for Cold Tan; combine with Siqi Tang (Houpo and Suzye) for Qi Tan; add Xiangfu (Cyperi Rhizoma) for Tan generated by Stagnation; add Renshen (Ginseng Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma) for Qi deficiency with Tan (Liujunzi Tang); add Cangzhu (Atractylodis Rhizoma) for Wet Tan. For Dry Tan, use Zaotan Tang, composed of Ku Huangqin (Scutellariae Radix), Xuanshu Hua (Inulae Flos), Haishi (Pietritum), Tiandong (Asparagi Radix), Ju Hong (Citri Reticulatae Pericarpium), Fenghua Mangxiao (Natrii Sulfas exsiccatus), Zhike (Aurantii Fructus Immaturus), Jiegeng (Platycodonis Radix), Beimu (Fritillariae Bulbus), and Gualou Shuang (Trichosanthis Fructus Pulvis).
[Note] "Various Tan" refers to all Phlegm syndromes, which are suitable for treatment with Erchen Tang, consisting of Ju Hong, Banxia, Fuling, and Gancao. Because Fuling and Banxia have overly penetrating and drying properties, they are not suitable for Dry Tan. Based on this formula: add Nanxing and Baifuzi for Wind Tan; add Huangqin and Huanglian for Heat Tan; add Ganjiang and Rougui for Cold Tan; add Houpo and Suzye for Qi Tan (combining with Siqi Tang); add Xiangfu for Tan due to Stagnation; add Renshen and Baizhu for Qi deficiency with Tan (forming Liujunzi Tang); add Cangzhu for Wet Tan. Zaotan Tang is suitable for Dry Tan, composed of Ku Huangqin, Xuanshu Hua, Haishi, Tiandong, Ju Hong, Fenghua Mangxiao, Zhike, Jiegeng, Beimu, and Gualou Shuang.
Fuling Zhimi Wan (Poria Confusing-Dissipating Pill).
Fuling Zhimi Wan, composed of Fuling (Poria), Fenghua Mangxiao (Natrii Sulfas exsiccatus), Zhike (Aurantii Fructus Immaturus), and Banxia (Pinelliae Rhizoma), is a mild agent for treating Tan-Yin. For Cold-Excess Tan-Yin, use Genti San (Cathartics) to induce vomiting or Touluo Dan to purge. For Heat-Excess, use Daxiongxiong Tang or Wan (Major Chest-Harshening Decoction/Pill) for the diaphragm, and Xiaoweidan (Minor Stomach-Purging Pill) for the Triple Burner.
[Note] Zhimi Wan is a mild preparation for treating all Tan-Yin, consisting of Fuling, Fenghua Mangxiao, Zhike, and Banxia. For Cold-Excess Tan-Yin, use Genti San to vomit or Touluo Dan to purge. For Heat-Excess, use Daxiongxiong Tang or Wan in the diaphragm, and Xiaoweidan in the Triple Burner.
Banxia Fuling Tang plus Dingxiang Tang, Yuespi Jia Zhu Tang, Kongyan Dan, Linggui Zhugan Tang, Shenyao Wan, Tingli Dazao Tang, Shizao Tang, Xiao Qinglong Tang.
Retained Yin is treated with Kongyan Dan, Fuling, and Guizhi. Hidden Yin Excess is treated with Shenyao Wan; Hidden Yin Deficiency is treated with Banxia Fuling Tang plus Dingxiang. Supporting Yin is treated with Tingli Dazao Tang; Hanging Yin is treated with Shizao Tang. Overflowing Yin with Heat is treated with Yuespi Jia Zhu Tang (Mahuang, Shigao, Gancao, Shengjiang, Dazao plus Cangzhu); Overflowing Yin with Cold is treated with Xiao Qinglong Tang.
[Note] Retained Yin refers to any Yin fluid retained internally or externally, superior or inferior. For Excess patterns, use Kongyan Dan to purge; for Deficiency patterns, use Linggui Zhugan Tang to warm. For Hidden Yin Excess, use Shenyao Wan; for Hidden Yin Deficiency, use 3 qian Banxia, 2 qian Fuling, 1 qian Dingxiang, and 3 qian Shengjiang decocted and taken orally, which is Banxia Fuling Tang plus Dingxiang. Supporting Yin is treated with Tingli Dazao Tang; Hanging Yin is treated with Shizao Tang. Overflowing Yin with Heat is treated with Yuespi Jia Zhu Tang, consisting of Mahuang, Shigao, Gancao, Shengjiang, Dazao, plus Cangzhu. Overflowing Yin with Cold is treated with Xiao Qinglong Tang.