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Li stated: For metrorrhagia (heavy uterine bleeding outside the menstrual period) and leukorrhea, some treatments employ lifting methods, such as Shengyang Tiaojing Tang (Ascending Yang Regulating Menstruation Decoction); others employ astringent methods, such as Fulonggan San (Dragon's House Earth Powder) or Baizhi San (Angelicae Dahuricae Powder). However, if symptoms cease temporarily but ultimately persist, it is because Wei Qi (Defensive Qi, which circulates outside the vessels and governs opening and closing) controls the aperture and serves as the master of Ying Blood (Nutritive Blood, which circulates within the vessels). The Spleen and Stomach are the convergence point for fluids and blood. When both Wei Qi and Stomach Qi are deficient, blood loses its constraint and control. Therefore, ancient formulas included using Guizhi Tang (Cinnamon Twig Decoction) with Fuzi (Aconiti Lateralis Radix Praeparata) to consolidate Wei Qi; Si Junzi Tang (Four Gentlemen Decoction) with Caoguo (Tsaoko Cardamomi Fructus), Dingxiang (Caryophylli Flos), and Muxiang (Aucklandiae Radix) to dry dampness and strengthen the Spleen; or Lizhong Tang (Regulate the Middle Decoction) with Chenpi (Citri Reticulatae Pericarpium) and Banxia (Pinelliae Rhizoma), or simply Banxia Wan (Pinellia Pill) taken with Xionggui Tang (Ligusticum and Angelica Decoction) as a decoctant; or Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) and Pingwei San (Calm the Stomach Powder). All these aim to tonify Wei Qi and enrich the Spleen, allowing Qi and Blood to return to their normal pathways, rather than relying solely on astringents to forcibly arrest discharge. (Astringency and forcible arrest are considered unorthodox tactics; when used appropriately, they become orthodox methods. This passage emphasizes orthodox treatment, yet acknowledges that unorthodox methods have their place and should not be neglected.)

Fang stated: Female leukorrhea (red and white vaginal discharge) is often caused by anger injuring the Liver. The Liver belongs to Wood, and the Spleen belongs to Earth. When pathogenic factors from the Liver invade the Spleen, Wood overacts upon Earth, causing injury to the Spleen and generating Dampness (when Liver Qi stagnates and fails to extend, it generates Dampness). Dampness generates Heat, and Heat promotes circulation, so turbid and slippery substances seep into the Bladder and exit via urination. (The Lanmen [Gate between Small Intestine and Large Intestine] can separate clear from turbid; thus, turbid substances do not necessarily all seep into the Bladder and exit through the urethra. For instance, does intestinal colic originate from the Bladder?). Danxi attributed this to Damp-Heat and treated it with bitter-cold herbs, which was correct. Nevertheless, there are cases in ancient texts where patients were cured using acrid-warm herbs. It is important to understand that bitter-cold herbs represent the Orthodox Method (Zheng Zhi), while acrid-warm herbs represent the Contrary Method (Cong Zhi). Because Damp-Heat is constrained and stagnant internally, causing abdominal pain and red/white leukorrhea, how else could one disperse the constraint without using the acrid-warm Contrary Method? However, if Damp-Heat has not yet become constrained and the symptom is merely red/white leukorrhea, it is more appropriate to use the bitter-cold Orthodox Method. (Reading this discussion reveals that ancient and modern treatment methods are not contradictory; thus, Danxi's words also supplement the incomplete principles of the sages.)