妇人带下，脉数虚而兼热，宜服千金散。
千金散
枸杞子（一两） 生地黄（五钱） 酒一钟，煎至半钟服。
带下令人不产育，宜急治之。扁鹊过邯郸闻贵妇人，所以专为带下医也。赤者热入小肠，白者热入大肠，
原其本皆湿热结于任脉，渗入膀胱，出于大小肠之分，溲出津液淋沥以下，故曰白带下。轻则下而不多，重则
下而无度，淋露日久，遂使精血干枯，肌肉消瘦。治当升阳益阴，则清浊自分，补脾养胃，则湿热自除。尤当
断浓味，补元阳，而带下可止矣。
赤白带经验方
当归（酒洗） 生地黄（酒洗） 白芍（酒炒） 白鸡
冠花子 白术（蜜炙） 建莲肉（去心） 川芎（各一钱） 炙甘草（七分） 扁豆花（炒，七分）（白者治
白带，赤者治赤带）
水煎食远服。瘦人多热，加黄连（姜汁炒）、黄柏（酒炒）、香附（醋制）各五分；肥人多痰，加南星
（制）、苍术（米泔浸）、半夏（制）各六分；久下不止，加熟地黄一钱，山茱萸八分；气虚，加人参（去
芦）、黄 各七分；赤带，加黄芩（酒炒）一钱，荆芥六分；腹痛加煨姜一片，或加葵花五朵更炒（白者治白
带，赤者治赤带）。
瘦人血虚生热，多下赤带。宜服清热四物汤，兼三补丸。
清热四物汤
熟地黄 当归（酒洗，各三钱） 白芍（二钱） 川芎（一钱） 黄柏（酒炒） 牡丹皮（各七分）
黄连（姜汁炒） 升麻（炒，各五分）
水煎汤服，后三补丸空心服。
三补丸
黄芩（酒炒） 黄柏（酒炒） 黄连（酒炒，各等分） 蒸饼为丸。
In cases of leukorrhea in women, if the pulse is rapid and deficient with accompanying heat, Qianjin San (Thousand Gold Powder) is suitable for administration.
Qianjin San (Thousand Gold Powder)
Gouqizi (Lycii Fructus, 1 liang), Shengdihuang (Rehmanniae Radix Recens, 5 qian). Decoct with one zhong of wine until half a zhong remains, then take orally.
Leukorrhea can lead to infertility and requires urgent treatment. When Bian Que passed through Handan and learned that noble women were prevalent there, he specialized as a physician for leukorrhea. Red discharge indicates heat entering the Small Intestine; white discharge indicates heat entering the Large Intestine. Fundamentally, this arises from damp-heat accumulating in the Ren Mai (Conception Vessel), seeping into the Bladder, and exiting through the orifices of the Large and Small Intestines. The urinary tract discharges fluids dripping continuously, hence termed "white leukorrhea." Mild cases present with scant discharge; severe cases involve uncontrollable flow. Prolonged dripping depletes essence and blood, causing emaciation. Treatment should focus on raising Yang and nourishing Yin, so that clear and turbid qi separate naturally; tonifying Spleen and Stomach will eliminate damp-heat spontaneously. It is crucial to avoid rich flavors and tonify Yuan Yang (Original Yang), thereby stopping leukorrhea.
Empirical Formula for Red and White Leukorrhea
Danggui (Radix Angelicae Sinensis, washed with wine), Shengdihuang (Rehmanniae Radix Recens, washed with wine), Baishao (Paeoniae Radix Alba, stir-fried with wine), Baijiguanhuazi (Coronillae Spicae Semen), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-roasted), Jianlianrou (Nelumbinis Plumula, heart removed), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 1 qian), Zhigancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, 7 fen), Biandouhua (Flos Lablab Albus, stir-fried, 7 fen). (White agents treat white leukorrhea; red agents treat red leukorrhea.)
Decoct in water and take after meals. For thin individuals prone to heat, add Huanglian (Coptidis Rhizoma, stir-fried with ginger juice), Huangbai (Phellodendri Cortex, stir-fried with wine), Xiangfu (Cyperi Rhizoma, processed with vinegar) (each 5 fen). For obese individuals prone to phlegm, add Nanting (Arisaematis Tuber, processed), Cangzhu (Atractylodis Rhizoma, soaked in rice wash water), Banxia (Pinelliae Tuber, processed) (each 6 fen). For chronic persistent discharge, add Shudihuang (Rehmanniae Radix Praeparata, 1 qian), Shanzhuyu (Corni Fructus, 8 fen). For Qi deficiency, add Renshen (Panax Ginseng Radix, radix removed), Huangqi [implied missing character] (Astragali Radix, 7 fen). For red leukorrhea, add Huangqin (Scutellariae Radix, stir-fried with wine, 1 qian), Jingjie (Schizonepetae Herba, 6 fen). For abdominal pain, add Wei Jiang (Zingiberis Rhizoma Praeparatum, one slice), or add Kuihua (Malvae Flor, five flowers, stir-fried further). (White agents treat white leukorrhea; red agents treat red leukorrhea.)
Thin individuals often suffer from blood deficiency generating heat, leading predominantly to red leukorrhea. Qingre Siwu Tang (Heat-Clearing Four Substances Decoction) combined with Sanbu Wan (Three Tonics Pill) is suitable.
Qingre Siwu Tang (Heat-Clearing Four Substances Decoction)
Shudihuang (Rehmanniae Radix Praeparata), Danggui (Radix Angelicae Sinensis, washed with wine, each 3 qian), Baishao (Paeoniae Radix Alba, 2 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma, 1 qian), Huangbai (Phellodendri Cortex, stir-fried with wine), Mudanpi (Moutan Cortex, each 7 fen), Huanglian (Coptidis Rhizoma, stir-fried with ginger juice), Shengma (Bupleuri Radix, stir-fried, each 5 fen).
Decoct in water to make a decoction. Take Sanbu Wan on an empty stomach afterwards.
Sanbu Wan (Three Tonics Pill)
Huangqin (Scutellariae Radix, stir-fried with wine), Huangbai (Phellodendri Cortex, stir-fried with wine), Huanglian (Coptidis Rhizoma, stir-fried with wine, equal parts). Process into pills using steamed bread dough.