肥人气虚生痰,多下白带。宜服柴术六君汤,兼苍附导痰丸。
柴术六君汤
人参 白术(蜜炙) 茯苓(各二钱) 甘草(蜜炙,一钱)
陈皮 半夏(制) 苍术(各一钱五分) 柴胡(一钱) 升麻(炒五分)
姜三片,水煎,空心服。
苍附导痰丸
苍术(米泔浸) 香附(四制) 枳壳(麸炒,各二钱) 陈皮 茯苓(各一两五钱) 胆星 甘草(各一两)
上为末,姜汁和神曲丸,柴术六君汤送下五十丸。
带久不止,阳气虚极,下流白滑如涕,腥气难闻,多悲不乐,此大寒之证也。宜服桂附汤。
桂附汤
附子(甘草汤制熟) 肉桂(多油者,各一钱) 黄柏(酒炒) 知母(炒,各五分)
水煎,食前服。
白带日久不止,脐腹冷痛,宜服九霄丸。
九霄丸
靳艾(酒浸一宿煮干) 牡蛎粉 尤骨( ) 当归(酒炒,各一两) 干姜(炮,二两) 吴茱萸(滚
汤泡炒) 白芍(酒炒,各七钱) 山药(姜汁炒,一两半) 白石脂( ,醋淬七次,研,一两)
为末,酒丸,白汤下三十丸。
白淫时常随小便而出,混浊如米泔,此胃中浊气渗入膀胱而成,是带之类也。宜服益智汤。
益智汤
陈皮 茯苓 白术(蜜炙) 甘草(炙) 苍术(制,各二钱) 益智仁 柴胡(各一钱) 升麻(五分)
水煎,空心服。
Obese individuals, due to Qi deficiency generating phlegm-dampness, often present with excessive leukorrhea. It is appropriate to administer Chai Zhu Liu Jun Tang (Bupleurum and Atractylodes Six Gentlemen Decoction), combined with Cang Fu Dao Tan Wan (Atractylodes and Cyperus Phlegm-Resolving Pill).
Chai Zhu Liu Jun Tang (Bupleurum and Atractylodes Six Gentlemen Decoction)
Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Rhizoma, honey-fried), Fu Ling (Poria, each 2 qian), Gan Cao (Licorice Root, honey-fried, 1 qian);
Chen Pi (Citri Reticulatae Pericarpium), Ban Xia (Pinelliae Rhizoma, processed), Cang Zhu (Atractylodis Rhizoma, each 1.5 qian), Chai Hu (Bupleuri Radix, 1 qian), Sheng Ma (Cimicifugae Rhizoma, stir-fried, 0.5 qian);
Add three slices of fresh ginger, decoct in water, and take on an empty stomach.
Cang Fu Dao Tan Wan (Atractylodes and Cyperus Phlegm-Resolving Pill)
Cang Zhu (Atractylodis Rhizoma, soaked in rice washing water), Xiang Fu (Cyperi Rhizoma, quadruple-processed), Zhi Ke (Aurantii Fructus, bran-stir-fried, each 2 qian), Chen Pi (Citri Reticulatae Pericarpium), Fu Ling (Poria, each 1 liang 5 qian), Dan Nan Xing (Arisaematis Cum Bile, 1 liang), Gan Cao (Licorice Root, 1 liang);
Grind the above into powder, mix with ginger juice and Shen Qu (Medicated Leaven) to form pills. Take 50 pills, washed down with Chai Zhu Liu Jun Tang.
When leukorrhea persists for a long time without cessation, it indicates extreme Yang Qi deficiency. The discharge flows downward, white and slippery like nasal mucus, with a foul fishy odor. The patient often experiences sadness and lack of joy. This is a syndrome of severe cold. It is appropriate to administer Gui Fu Tang (Cinnamon Twig and Aconite Decoction).
Gui Fu Tang (Cinnamon Twig and Aconite Decoction)
Fu Zi (Aconiti Lateralis Radix Praeparata, cooked in Licorice decoction), Rou Gui (Cinnamomi Cortex, rich in oil, each 1 qian), Huang Bo (Phellodendri Cortex, wine-stir-fried), Zhi Mu (Anemarrhenae Rhizoma, stir-fried, each 0.5 qian);
Decoct in water and take before meals.
When leukorrhea persists for a long time accompanied by cold pain in the umbilical and abdominal regions, it is appropriate to administer Jiu Xiao Wan (Nine Heavens Pill).
Jiu Xiao Wan (Nine Heavens Pill)
Jin Ai (Artemisiae Argyi Folium, soaked in wine overnight then boiled dry), Mu Li (Ostreae Concha), You Gu (Animal Bone, original text missing character), Dang Gui (Angelicae Sinensis Radix, wine-stir-fried, each 1 liang), Gan Jiang (Zingiberis Rhizoma, processed, 2 liang), Wu Zhu Yu (Evodiae Fructus, soaked in boiling water then stir-fried), Bai Shao (Paeoniae Radix Alba, wine-stir-fried, each 7 qian), Shan Yao (Dioscoreae Rhizoma, ginger juice-stir-fried, 1 liang 5 qian), Bai Shi Zhi (Halloysit Rubrum, original text missing processing term, quenched in vinegar seven times, ground, 1 liang);
Grind into powder, form pills with wine, and take 30 pills with warm water.
In Bai Yin (White Turbidity) syndrome, turbid discharge resembling rice wash water occurs frequently along with urination. This is caused by turbid Qi from the Stomach seeping into the Bladder and belongs to the category of leukorrhea. It is appropriate to administer Yi Zhi Tang (Yi Zhi Decoction).
Yi Zhi Tang (Yi Zhi Decoction)
Chen Pi (Citri Reticulatae Pericarpium), Fu Ling (Poria), Bai Zhu (Atractylodis Rhizoma, honey-fried), Gan Cao (Licorice Root, roasted), Cang Zhu (Atractylodis Rhizoma, processed, each 2 qian), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus), Chai Hu (Bupleuri Radix, each 1 qian), Sheng Ma (Cimicifugae Rhizoma, 0.5 qian);
Decoct in water and take on an empty stomach.