戴氏曰∶赤白带下,皆因七情内伤,或下元虚冷,感非一端(元礼为丹溪弟子,而相背如此,自是一种
翻案)。大率下白带多,间有下赤
者,并宜顺气散,吞震灵丹,仍佐艾附丸,或米饮调沙参末;带下不止成 羸者,四物汤加
牡蛎粉半钱,吞固肠丸,多服取效。有带疾愈后一二月,或再发,半年一发,先血而后下
带,来不可遏,停蓄未几,又复倾泻,此名漏带,最为难治(漏带之名始此,亦或升补可愈也)。下截之血,
少腹主之,有因血
虚而虚热陷入小肠,致小便涩痛,色如白泔,或成沙粒,皆不可作淋治,用冷剂,宜以四物
汤、五苓饮各半帖,和煎。(燥湿合煎,此元礼独创,不读此,便不知用此)
产宝云∶未出女子有三病,何也?答曰∶女子一病者,经水初下,阴中热,或当风
卧,或扇风;二病者,太冲脉盛,气盛则内热,以冷水洗之;三病者,或见带下惊怖者。若
三者,一有所受,后必有带下之证也。(方用神仙聚宝丹。)
准绳云∶带下并肠,有败脓淋漏不已,腥秽殊甚,遂至脐腹更增冷痛,此盖败脓血
所致,卒无已期。须以此排脓,用白芷一两,单叶红蜀葵根二两,白芍药、白矾烧枯各半两
空腹或饭前米饮下十丸,或十五丸,候脓尽,仍别以补药佐之。(此方白芷、葵根,排脓散血;
白芍生肌;枯矾燥湿;和以蜜蜡,此生肌托里之治也。脉经曰∶
妇人肠中有脓,为荣卫相干。血为败浊,有可下不可下之异,宜参考之)
Dai Yuanli stated: Both red and white leukorrhea are caused by internal injury from the seven emotions (joy, anger, worry, thought, sadness, fear, fright) or deficiency-cold of the lower jiao (lower burner). The etiology is not singular. Generally, white discharge is more common, with occasional red discharge. For both, Shunqi San (Qi-Smoothing Powder) should be taken, along with swallowing Zhenling Dan (Vibrating Spirit Pill), assisted by Aifu Wan (Mugwort and Cinnamon Twig Pill), or taking Sand Shen Mo (Ginseng Radicle Powder) mixed with rice water. If leukorrhea persists leading to emaciation, Siwu Tang (Four Substances Decoction) added with Ban Qian of Muli Fen (Oyster Shell Powder) should be used, swallowing Guchang Wan (Intestine-Securing Pill); prolonged administration yields efficacy. In cases where leukorrhea recurs one or two months after recovery, or once every half year, presenting first with blood followed by discharge, coming uncontrollably and then stopping briefly before pouring out again, this is named Loudai (Leaking Leukorrhea), which is most difficult to treat (The name "Loudai" originates here; it may also be curable through lifting and tonifying methods). Lower bleeding is governed by the Shaofu (Lower Abdomen). Some cases involve deficiency-heat sinking into the Xiaochang (Small Intestine) due to blood deficiency, causing dysuria with pain, urine resembling rice washings, or forming sand-like particles. These must not be treated as Lin syndrome (Dysuria) using cold-natured agents. Instead, Siwu Tang (Four Substances Decoction) and Wuling Yin (Five Ling Drink) should be combined in equal halves and decocted together. (This method of decocting drying-dampness herbs together was uniquely created by Dai Yuanli; without reading this, one would not know to use this approach.)
*Chanbao* (Treasures for Childbirth) states: There are three diseases affecting unmarried women. What are they? The answer is: The first disease occurs when menstruation first begins, heat arises in the yin region, lying exposed to wind, or fanning oneself; the second disease involves a flourishing Taichong Mai (Great冲 Vessel), where excess qi generates internal heat, washed with cold water; the third disease involves being frightened by the sight of leukorrhea. If any of these three conditions are contracted, leukorrhea symptoms will inevitably follow later. (The formula used is Shenxian Jubao Dan (Immortal's Treasure-Gathering Pill).)
*Zhunsuo* (Standard Mirror) states: Leukorrhea mixed with intestinal contents presents with persistent leakage of foul pus, extremely offensive odor, leading to increased cold pain in the umbilical and abdominal regions. This is caused by foul pus and blood, with no imminent end. One must use this formula to drain pus: Bai Zhi (Angelicae Dahuricae Radix) 1 liang, Danye Hong Shukui Gen (Root of Malva Verticillata) 2 liang, Bai Shao Yao (Paeoniae Radix Alba) and Bie Jian Bai Fan (Burnt Alum) calcined until dry, each 0.5 liang. Take 10 or 15 pills on an empty stomach or before meals with rice water. Wait until the pus is exhausted, then assist with tonic medicines. (In this formula, Bai Zhi and Shukui Gen drain pus and disperse blood; Bai Shao generates flesh; dried alum dries dampness; combined with beeswax, this constitutes a treatment for generating flesh and supporting the interior. *Maijing* states: Pus in the intestines of women results from conflict between Ying and Wei (Nutritive and Defensive Qi). Blood becomes turbid waste; there are distinctions between what can be purged and what cannot; reference should be made to this.)