痰，喉间不利，带下青黄，腹胁膨胀。又用行气之剂，胸膈不利，肢体如麻。此乃郁怒
伤损肝脾，朝用归脾汤以解脾郁、生脾气。夕用加味逍遥散，以生肝血、清肝火。百余剂
而愈。一妇人久疟兼带，发热口干体倦，用七味白术散加麦门、五味，大剂煎与恣饮，再
发稍可。乃用补中益气加茯苓、半夏，十余剂而愈。一妇人头晕吐痰，胸满气喘，得
食稍缓，苦于白带二十余年矣，诸药不应。此气虚而痰饮也，痰饮愈而带自愈。遂朝用六
君子汤，夕用六味地黄丸，不月而验。一妇人耳鸣胸痞，内热口干，喉中若有一核，吞
吐不利，月经不调，兼之带下。余以为肝脾郁结，用归脾汤加半夏、山栀、升麻、柴胡，
间以四七汤下白丸子而愈。一妇人吞酸饱满，食少便泄，月经不调。服清气化痰丸，两
膝渐肿，寒热往来，带下黄白，面痿体倦。此脾胃俱虚，湿痰下注，用补中益气倍用参、术，
加茯苓、半夏、炮姜而愈。一妇人带下，四肢无力。余曰∶四肢者，土也。此脾胃虚弱，
湿痰下注，以补中益气、济生归脾二药治之而愈。一妇人带下黄白，怒则胸隔不利，饮
食少思。或用消导利气之药，痰喘胸满，大便下血。余曰∶此因脾气亏损，不能摄血归
源。用补中益气加茯苓、半夏、炮姜，四剂顿减。又用八珍加柴胡、山栀而痊。
〔补涩温〕
牡蛎散 治带下兼经水过多，或暴下片血，不限年月远近。
牡蛎 龙骨 赤石脂 肉苁蓉（酒浸，切焙） 石斛（去根） 乌贼骨（去甲）
黄（锉，各一两半） 牛角腮灰 阿胶（炒燥） 熟地黄（焙） 芍药（炒，各二两）
干姜（炮） 当归（切，焙） 人参 白术 桑耳（各一两二钱半） 桂（去粗皮）
芎 附子（炮，去皮脐） 艾叶（炒，各一两）
上为细末，每服三钱，平旦米饮调服，日再。
茯苓散 治妇人血伤兼带下，积久不止，面黄体瘦，渐成虚劳，腰脚沉重，胎气多损。
白茯苓（去黑皮） 木香 熟地黄（焙） 诃黎勒皮 柏子仁（研） 杜仲（去粗皮，炙）
青橘皮（去白，焙） 乌贼鱼骨（去甲） 五加皮（锉） 艾叶（烧灰） 菖蒲 牛角腮灰 秦
艽（去苗土） 赤石脂 菟丝子（酒浸，另捣） 当归（切、焙，各一两）
上为细末，每服二钱，温酒调下。糯米饮亦得。或有胎息，用鲤鱼糯米粥下药。
卷柏丸 治妇人室女，腹脏冷热相攻，心腹绞痛，腰腿疼，赤白带下，面色痿黄，四
肢羸乏。
卷柏（醋炙） 鹿茸（醋炙） 白石脂 赤石脂（各火 ，醋淬七次） 芎 艾叶（醋炒）
桑寄生 代赭石（火 ，醋淬七次） 鳖甲（醋炙） 当归（去芦，酒浸炒） 地榆（各一两）
木香（不见火） 龙骨（各半两） 干姜（炮，七钱半） 黄 （去芦，蜜炙） 熟地黄（洗，各一两半）
上为细末，醋煮糯米糊和丸，如梧桐子大。每服七十丸，空心米饮送下。
艾煎丸 （《百一》）治妇人一切虚寒，胎前产后，赤白带下，或成血瘕，久服此药，自
然融化。
伏道艾（揉去尘土，择净枝梗，取叶秤五两，先用大肥淮枣一十二两，砂瓶内煮烂，
去核，同艾叶一处捶烂如泥，捻作薄饼子，猛火焙干，乘热急碾为末） 大汉椒（去目枝梗及合
口者，净秤五两，以阿胶二两，米醋三升，同椒于砂瓶内煮极干，取出焙干燥，碾为细末）
当归（去芦，酒浸） 白芍药 川芎 白薇 附子（大者，炮，去皮脐） 卷柏（取青叶）
泽兰（去枝粳取叶，以上各焙干秤用） 熟地黄（如铺上买者，须净洗漉去浮者，晒干，
酒浸蒸晒，再入酒浸蒸五七次，如糖煎香美方可用，亦焙干，秤各一两。）
上同为细末，与前艾末、椒末拌匀，米醋煮糊和丸，如梧桐子大。每服五、七十丸，
至百丸、二百丸，空心艾醋汤送下。
一妇人因产后虚寒，呕恶不食，腹痛如割，时作寒热，复出盗汗，瘦悴骨立，脐腹
之左，结成硬块，其大如掌，冰冷，虽盛暑此处独无汗，每块微动则痛不可忍，百药治
不效。梦中忽有人授以此方，因服之，恶心寒热盗汗辄止，尽一料遂平复，独血块如故。
服至五六料，其块自融化而出，如鱼冻。
沉香牡丹丸 治妇人血海久虚，经候不利，赤白带下，血气冲心，多发刺痛，四肢
烦困。
沉香（七钱半） 牡丹皮（去心） 赤芍药 吴茱萸（汤泡去苦，炒） 当归
桂心 川芎 黄 （去芦，蜜炙） 人参 茯苓 山药 川巴戟（去心） 白术 橘红 木香
干生姜 白龙骨 牛膝（去苗，酒洗） 枳壳（去幅，麸炒） 肉豆蔻 浓朴（制，各半两）
上为细末，炼蜜和丸，如梧桐子大。每服二十丸，空心温酒下。若心腹痛，白芷煎
酒下。
紫桂丸 补益血海。治冲任气虚，经脉
不调，腰痛腹痛，冷滞崩漏。
禹余粮（火 ，醋淬七次，三两） 龙骨 艾叶（醋炒） 赤石脂 牡蛎（ ） 地榆（各二两）
牡丹皮 浓朴 当归 阿胶（蛤粉炒成珠子） 吴茱萸（汤洗） 香白芷 肉桂（去粗皮，各一两）
附子（炮，半两）
上为末，面糊为丸，梧桐子大。每服三十丸，浓煎醋汤下。
〔涩剂〕
固真丸 治白带久下不止，脐腹冷痛，其寒扪之如冰，阴中亦然，目中溜火上壅，视物KT KT
无所见，齿皆恶热饮痛，须得黄连末擦之，其痛乃止，惟喜干食，大恶汤饮。此病皆寒湿乘其胞内，故喜干
而恶湿。肝经阴火上溢走于标，故上壅而目中溜火。肾水侵肝而上溢，故目中KT KT 无所见。齿恶
热饮者，是少阳、阳明经中伏火也，当大泻寒湿，以丸药治之。故曰∶寒在下焦，治主宜缓，大
忌汤散。以酒制白石脂、白龙骨以枯其湿。以炮干姜，大辛热泻寒水。以黄柏之大寒为因用，
又为向导。治法云∶古者虽有重罪，不绝人之后。又为之伏其所主，先其所因之意，又泻齿中恶热饮也。
以柴胡为本经之使，以芍药半钱以导之，又恐辛热之药太甚，损其肝经，故微泻之，以当归身之辛温，
大和其血脉。此用药之法备矣。
白石脂（烧赤，水飞研细，晒干） 柴胡（各一钱） 白龙骨（二钱，酒煮水飞）
当归（酒洗，三钱） 干姜（炮，四钱） 黄柏（酒洗） 白芍（各五分）
上为细末，水煮稀糊为丸，如鸡头大。每服三十丸，空心宿食消尽，煎白沸汤放温送
下，无令胃中停住，待少时以早膳压之，是不令热药犯胃。忌生冷硬物与酒、湿面。
上石脂、龙骨之涩以去脱，盖湿多滑脱者宜之。
治妇人赤白带下，不问远年近日，并皆治之。
龙骨（半两） 舶上硫黄（三钱）
上为细末，每服半钱，空心无灰酒下。
茅花散 治妇人血崩不止，赤白带下。
茅花（一握） 棕树皮（三寸） 嫩荷叶（三张） 甘草节（二寸）
上为细末，空心酒调半匙服。
〔山〕治赤白带下。旧莲房为末，入麝香，空心米饮下。
〔凉剂〕
少腹热痛为热瘕。以刘河间法治之。
〔保〕赤者热入小肠，白者热入大肠。原其本，皆湿热结于脉，故津液涌溢，是为赤白带下。
本不病结，缘五经脉虚，结热屈滞于带，故女子脐下痛，阴中绵绵而下也。经曰∶任脉为病，男子内结七
疝，女子带下瘕聚。王注云∶任脉自胞上过带脉，贯于脐上，故男子内结七疝，女子带下。带脉起
于季胁章门，似束带状，今湿热冤结不散，故为病也。经曰∶脾传之肾，名曰疝瘕，小肠冤结
而痛出白，一名曰蛊，所以为带下冤结也。冤，屈也。屈滞而病热不散，先以十枣汤下之，后
服苦楝丸、大延胡散调下之，热去湿除，病自愈矣。（十枣汤见前注。大延胡散，方见调经门破
血条。）
苦楝丸 治妇人赤白带。
苦楝（碎，酒浸） 香（炒） 当归（各等分）
上为末，酒糊丸。每服三、五十丸，空心温酒下。如腰腿疼，四物汤四两，加羌活、防风各一两，
煎汤送下。
〔大〕地榆膏 治赤白带下骨立者。
地榆一斤，用水三升，煎至一半，去渣再煎如稠饧，绞净空心服三合，日二服。
治漏下五色
地榆三两，锉，用醋一升，煮十余沸，去滓稍热，食前服一合。
〔千〕治妇人赤白带下。
三叶酸浆草，阴干为末，空心温酒下三钱匕。
上三方治带，地榆例寒涩之剂，亦湿热盛而滑脱者宜之。按∶三叶酸浆草，叶细如
萍，丛生，茎端有三叶，俗又名布谷饭，布
谷者，鸠也。盖鸠常食之，故又名鸠浆草。《衍义》误人苦HT 条。即曰三叶酸浆草，岂苦HT 即酸浆欤？
（苦HT 有子，大如金柑，味酸可食，故亦名酸浆，非三叶也。三叶酸浆，小草布地而生，叶皆三瓣，
惟开黄花，其茎叶皆酸者。）
按∶地榆本血分之药，而其性寒，故凡血分有热而妄行者能止之，非涩剂也。
〔丹〕治赤白带下，腰痛或少腹痛有热者。
樗皮（二两） 延胡索 桃仁 侧柏叶 川楝肉 香 当归（各半两） 香附子（八钱）
官桂（去粗皮） 乌药（各三钱） 麦皮曲（一两，炒）
上末之，酒糊为丸。每服五、六十丸，神效。
麒麟竭汤 治妇人血伤，赤白带下，小腹疼痛。
麒麟竭 黄柏（去粗皮，炙） 地榆（各一两） 禹余粮（火 ，醋淬七次）
赤芍药（炒，各一两半） 熟地黄（切，炒，四两。一作生干地黄）
上锉碎，每服三钱，水一盏，煎至七分，去滓，不拘时服。一方，为细末，粥饮调下二钱。
治白崩方
棕榈（烧灰） 丝瓜（俗云鱼 ，夏月人家栽作凉棚者是也。）
上等分为细末，空心酒调下。
豆花散 治妇人白崩。
上用白扁豆花焙干为末，炒米煮饮，入烧盐，空心服数次即效。紫花勿用。
〔温剂〕
调经补真汤 冬后一月，微有地泥冰泮，其白带再来，阴户中寒，一服立止，大进饮
食。
麻黄（半钱，不去节） 杏仁（三枚） 桂枝（少许） 甘草（炙，五分）
良姜（一钱） 黄 （七分） 人参 当归身 白术（各五分） 苍术（二分）
泽泻（一钱） 羌活（四分） 防风（二钱） 柴胡（四分） 独活 本（各二分） 升麻根
黄芩（各五分） 干姜（二分，炮） 白葵花（七朵，去萼）
上除黄芩、麻黄外，都为粗末。先将二味，水二盏，煎麻黄一味令沸，掠去沫，入
余药同煎至二盏，又再入生黄芩煎至一盏，去滓，稍热服，空心宿食消尽，日高服之，一
时许可食早膳。
〔本〕治妇人月经不调，每行数日不止，兼有白带，渐渐瘦悴，饮食少味，累年无子。
地黄丸
熟地黄（二两） 山茱萸 白芜荑 干姜 白芍药（微炒） 代赭石（醋淬，各一两）
浓朴 白僵蚕（各半两）
上细末，炼蜜丸，如桐子大。每服四五十丸，空心酒下，日三服。此庞老方，妇人
有白带是第一等病，令人不产育，宜急治之。此扁鹊过邯郸，闻贵妇人，所以专为带下医也。
〔垣〕桂附汤 治白带腥臭，多悲不乐，大寒。
肉桂（一钱） 附子（三钱） 黄柏 知母（各五分）
为粗末，作一服，水二盏，煎至一盏，法如常食，远热服。如少食常饱，有时似腹
胀，加白芍药半钱。如不思饮食，加五味子二十个。如烦恼，面上麻木如虫行，乃胃
中元气极虚，加黄 一钱，人参七分，甘草二分，升麻半钱。
〔海〕香附六合汤 治赤白带下。（即四物加 香、桂也。）
〔大〕治赤白带下，年月深久不瘥。
白芍药（二两） 干姜（半两）
上各炒黄色，同为末，空心米饮调下二钱，日二服。
二豆散 治耳鸣心躁，腰脚疼重，腹内虚鸣，脐下虚冷，频下白水，如疳湛浊证。
白豆蔻 肉豆蔻 丁香 白茯苓 巴戟 丁皮 苍术 黑附子（火煨） 桂心（各一两）
人参 白术 山药 桔梗 香 粉草（各半两）
上锉碎，每服三钱，水一盏半，生姜三片，紫苏叶三片，同煎至七分，去滓，空心
温服。
鹤顶丸 治带下之证有三。未嫁之女，月经初下，止而即得，或浴之以冷水，或热而
扇，或当风，此室女病带下之由，有家之妇，阴阳过多，即伤胞络，风邪乘虚而入，胞经
触冷，遂使秽液与血水相连而下之。产后带下，由亡血失气，伤动包络，门开而外风袭，
肌体虚而冷风入，冷风与热气相连，故成液而下。冷则多白，而热则多赤，冷热相交，赤
白俱下。
当归（七钱半，酒浸） 附子（半两，炮去皮） 龙骨（盐泥 ） 吴茱萸（汤泡去涎）
赤石脂（火 ，醋淬） 干姜（炮，各一两半） 牡蛎（一两三钱，盐泥 ） 艾叶（一两，
以醋半盏煮干，为末）
上为细末，研匀醋糊和丸，如梧子大，以赤石脂末为衣。每服五十丸，空心，用艾叶、
盐汤、乌梅煎汤下。
济生白垩丸 治妇人白带，久而不止，腰膝冷痛，日渐羸困。
白垩（ ） 禹余粮 鳖甲 乌贼骨（各用醋淬及炙） 当归（酒浸） 鹊巢灰 干姜
Phlegm obstructing the throat causing discomfort, leukorrhea of green or yellow color, abdominal and hypochondriac distension. After using qi-moving agents, chest and diaphragm discomfort worsened, and limbs felt numb. This is due to depression and anger injuring the Liver and Spleen. In the morning, Guipi Tang (Restore the Spleen Decoction) is used to resolve Spleen depression and generate Spleen Qi; in the evening, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) is used to nourish Liver Blood and clear Liver Fire. After taking more than a hundred doses, the patient recovered.
A woman with chronic malaria complicated by leukorrhea presented with fever, dry mouth, and fatigue. Seven-Ingredient White Atractylodes Macrocephala Decoction (Qiwei Baizhu San) was modified with Ophiopogon Radix (Mendong) and Schisandra Fruit (Wuweizi), decocted in large quantities for her to drink freely. Symptoms subsided slightly upon recurrence. Then, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) was modified with Poria (Fuling) and Pinellia Rhizome (Banxia). After more than ten doses, she recovered.
A woman suffered from dizziness and vomiting of phlegm, chest fullness, and asthma, which relieved slightly after eating, but had been troubled by leukorrhea for over twenty years without response to various medicines. This is deficiency of Qi leading to retention of fluid-phlegm; once the fluid-phlegm is resolved, the leukorrhea will heal spontaneously. Thus, Liujunzi Tang (Six-Gentlemen Decoction) was administered in the morning, and Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) in the evening. Effect was seen within less than a month.
A woman presented with tinnitus, chest stuffiness, internal heat, dry mouth, a sensation of a lump in the throat with difficulty in swallowing, irregular menstruation, and leukorrhea. I diagnosed it as stagnation and knotting of the Liver and Spleen. Guipi Tang (Restore the Spleen Decoction) was modified with Pinellia Rhizome (Banxia), Gardenia Fruit (Shanzhi), Cimicifuga Rhizome (Shengma), and Bupleurum Root (Chaihu). Intermittently, Six-Ingredient Decoction for Four Stagnations (Siqi Tang) was used to administer Baiwanzi (White Pellet). She recovered.
A woman presented with acid regurgitation, fullness, poor appetite, loose stools, and irregular menstruation. After taking Qingqi Huatan Wan (Clear Qi and Resolve Phlegm Pill), her knees gradually swelled, chills and fever alternated, leukorrhea was yellow and white, complexion was sallow, and body fatigued. This is deficiency of both Spleen and Stomach with downward pouring of damp-phlegm. Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) was used with increased doses of Ginseng Radix (Renshen) and Atractylodes Macrocephala Rhizome (Baizhu), plus Poria (Fuling), Pinellia Rhizome (Banxia), and Prepared Ginger (Paojiang). She recovered after more than ten doses.
A woman with leukorrhea complained of weakness in the four limbs. I said: The four limbs correspond to Earth (Spleen/Stomach). This is deficiency of Spleen and Stomach with downward pouring of damp-phlegm. It was treated with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) and Jisheng Guipi Tang (Jisheng Restore the Spleen Decoction), and she recovered.
A woman with yellow-white leukorrhea experienced chest discomfort when angry and reduced desire for food. Someone used digestive and qi-moving drugs, leading to phlegm-wheezing, chest fullness, and bloody stool. I said: This is due to Spleen Qi deficiency failing to control blood and return it to its source. Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) was modified with Poria (Fuling), Pinellia Rhizome (Banxia), and Prepared Ginger (Paojiang). Symptoms decreased drastically after four doses. Then, Bazhen Tang (Eight-Treasure Decoction) was modified with Bupleurum Root (Chaihu) and Gardenia Fruit (Shanzhi). She recovered.
[Supplementing, Astringing, Warming]
Muli San (Oyster Shell Powder): Treats leukorrhea accompanied by excessive menstruation, or sudden heavy bleeding, regardless of duration.
Ingredients: Ostreae Concha (Muli), Longgu (Dragon Bone), Hongshizhi (Red Halloysite), Rongzhi Rou (Cistanche Stem), Shihu (Dendrobium Stem), Hai Zhe Gu (Cuttlefish Bone), Huangqi (Astragalus Root), Niujiaosai Hui (Ash of Buffalo Horn Hair), Ejiao (Donkey-Hide Gelatin), Shudihuang (Prepared Rehmannia Root), Shaoyao (Peony Root), Ganjiang (Dried Ginger), Danggui (Angelica Sinensis Root), Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Sang'er (Mulberry Mould), Guizhi (Cinnamon Twig), Chuanxiong (Ligusticum Chuanxiong Rhizome), Fuzi (Prepared Aconite Lateral Root), Aiye (Mugwort Leaf).
Grind into fine powder. Take 3 qian each time, mixed with rice drink at dawn, twice daily.
Fuling San (Poria Powder): Treats women with blood injury complicated by leukorrhea, persisting for a long time, with sallow complexion and emaciation, gradually developing into consumptive disease, heavy waist and legs, and frequent damage to fetal qi.
Ingredients: Baifuling (White Poria), Muxiang (Costus Root), Shudihuang (Prepared Rehmannia Root), Helilepi (Pericarp of Terminalia Chebula), Baiziren (Biota Seed), Duzhong (Eucommia Bark), Qingjupi (Green Tangerina Peel), Wuzei Yu Gu (Cuttlefish Bone), Wujia Pi (Acanthopanax Bark), Aiye (Mugwort Leaf), Changpu (Acorus Rhizome), Niujiaosai Hui (Ash of Buffalo Horn Hair), Qinjiao (Gentiana Macrophylla Root), Hongshizhi (Red Halloysite), Tusizi (Cuscuta Seed), Danggui (Angelica Sinensis Root).
Grind into fine powder. Take 2 qian each time, mixed with warm wine. Rice gruel drink is also acceptable. If there is fetal restlessness, use carp and rice gruel to take the medicine.
Juanbai Wan (Selaginella Pill): Treats women and unmarried girls with cold and heat attacking the abdominal organs, severe colic, waist and leg pain, red and white leukorrhea, sallow complexion, and weak limbs.
Ingredients: Juanbai (Selaginella Tamariscina), Lurong (Deer Antler), Baishizhi (White Halloysite), Hongshizhi (Red Halloysite), Chuanxiong (Ligusticum Chuanxiong Rhizome), Aiye (Mugwort Leaf), Sangjisheng (Taxillus Branch), Daizheshi (Haematitum), Biejia (Tartar Testudinis), Danggui (Angelica Sinensis Root), Diyü (Sanguisorba Root), Muxiang (Costus Root), Longgu (Dragon Bone), Ganjiang (Dried Ginger), Huangqi (Astragalus Root), Shudihuang (Prepared Rehmannia Root).
Grind into fine powder. Mix with paste made from glutinous rice boiled in vinegar. Form pills the size of Sophora seeds. Take 70 pills each time, with rice drink on an empty stomach.
Ai Jian Wan (Mugwort Decoction Pill, from "Bai Yi"): Treats all deficiency-cold conditions in women, antepartum and postpartum, red and white leukorrhea, or blood masses. Long-term use naturally dissolves them.
Ingredients: Fudao Ai (Mugwort Leaves collected from paths), Dazao (Jujube), Dahua Jiao (Large Sichuan Pepper), Danggui (Angelica Sinensis Root), Baishaoyao (White Peony Root), Chuanxiong (Ligusticum Chuanxiong Rhizome), Baiwei (Cynanchum Atratum Root), Fuzi (Prepared Aconite Lateral Root), Juanbai (Selaginella Tamariscina), Zelan (Leonurus Japonicus Herb), Shudihuang (Prepared Rehmannia Root).
Grind into fine powder. Mix with mugwort ash and pepper powder. Use rice vinegar paste to form pills the size of Sophora seeds. Take 50-70 pills, up to 100-200 pills, with mugwort vinegar soup on an empty stomach.
A woman suffered from postpartum deficiency-cold, nausea, vomiting, inability to eat, cutting abdominal pain, alternating chills and fever, night sweats, extreme emaciation, and a hard mass the size of a palm on the left side of the umbilicus, which was ice-cold and sweatless even in summer. Movement caused unbearable pain. Various medicines failed. In a dream, someone taught her this formula. Upon taking it, nausea, chills, fever, and night sweats stopped immediately. After one dose, she recovered, except for the blood mass. After 5-6 doses, the mass melted and discharged like fish jelly.
Chenxiang Mudan Wan (Agarwood and Moutan Pill): Treats long-standing deficiency of the Sea of Blood, irregular menstruation, red and white leukorrhea, blood and qi rushing to the heart, frequent stabbing pain, and limb fatigue.
Ingredients: Chenxiang (Aquilaria Wood), Mudanpi (Moutan Cortex), Chi Shaoyao (Red Peony Root), Wuzhuyu (Evodia Fruit), Danggui (Angelica Sinensis Root), Guixin (Cinnamon Twig Heart), Chuanxiong (Ligusticum Chuanxiong Rhizome), Huangqi (Astragalus Root), Renshen (Ginseng Root), Fuling (Poria), Shanyao (Dioscorea Rhizome), Bajitian (Morinda Officinalis Root), Baizhu (Atractylodes Macrocephala Rhizome), Juhong (Citrus Reticulata Pericarpium Rubrum), Muxiang (Costus Root), Ganshengjiang (Dried Ginger), Bailonggu (White Dragon Bone), Niuxi (Achyranthes Root), Zhike (Aurantii Fructus), Roudoukou (Myristica Seed), Houpo (Magnolia Bark).
Grind into fine powder. Mix with refined honey to form pills the size of Sophora seeds. Take 20 pills each time, with warm wine on an empty stomach. For heart/abdominal pain, take with BaiZhi decocted in wine.
Zigui Wan (Purple Cinnamon Pill): Tonifies the Sea of Blood. Treats deficiency of Chong and Ren vessels, irregular menstruation, waist and abdominal pain, cold stasis, and metrorrhagia.
Ingredients: Yuyuliang (Halloysita Rubra), Longgu (Dragon Bone), Aiye (Mugwort Leaf), Hongshizhi (Red Halloysite), Muli (Oyster Shell), Diyü (Sanguisorba Root), Mudanpi (Moutan Cortex), Houpo (Magnolia Bark), Danggui (Angelica Sinensis Root), Ejiao (Donkey-Hide Gelatin), Wuzhuyu (Evodia Fruit), Xiangbaizhi (Angelica Dahurica Root), Rougui (Cinnamon Bark), Fuzi (Prepared Aconite Lateral Root).
Grind into powder. Make pills with flour paste, size of Sophora seeds. Take 30 pills each time, with strong vinegar soup.
[Astringents]
Guzhen Wan (Solidify Truth Pill): Treats persistent leukorrhea, cold pain in umbilicus and abdomen (cold as ice), internal heat rising to eyes causing blurred vision, teeth pain sensitive to hot drinks (relieved by applying Coptis powder), preference for dry food, aversion to liquid drinks. This disease is caused by cold-damp invading the uterus, hence preferring dryness and avoiding dampness. Yin fire of Liver channel overflowing upwards causes eye symptoms. Kidney water invading Liver causes upward overflow and blurred vision. Teeth sensitivity indicates latent fire in Shaoyang and Yangming channels. One must strongly drain cold-damp using pills. Cold in lower jiao requires slow treatment; decoctions are contraindicated. Wine-processed Baishizhi and Bailonggu dry dampness. Paojiang (Prepared Ginger) drains cold water with acrid-hot nature. Huangbo (Phellodendron Bark) uses bitter-cold nature as auxiliary guide. Chaihu (Bupleurum Root) guides the action; Shaoyao (Peony Root) directs it. Danggui (Angelica Sinensis Root) harmonizes blood vessels.
Ingredients: Baishizhi (White Halloysite), Chaihu (Bupleurum Root), Bailonggu (White Dragon Bone), Danggui (Angelica Sinensis Root), Ganjiang (Dried Ginger), Huangbo (Phellodendron Bark), Baishao (White Peony Root).
Grind into fine powder. Make pills with water-boiled thin paste, size of cocklebur fruit. Take 30 pills each time, after empty stomach and digestion of old food, with warm boiling water. Do not let hot medicine stay in stomach; press with breakfast later. Avoid raw, cold, hard foods, alcohol, and wet noodles. The astringency of Shizhi and Longgu removes leakage, suitable for dampness-induced sliding.
Longgu (Dragon Bone) and Boshang Liuhuang (Imported Sulfur): Treat red and white leukorrhea, regardless of duration. Grind into powder. Take half qian each time, with unadulterated wine on an empty stomach.
Maohua San (Thatch Flower Powder): Treats unstoppable uterine bleeding and red/white leukorrhea.
Ingredients: Maohua (Thatch Flower), Zongpishu (Areca Catkin), Nen Heye (Young Lotus Leaf), Gancao Jie (Licorice Joint).
Grind into powder. Take half spoon with wine on an empty stomach.
[Shan]: Treats red and white leukorrhea. Old lotus seedpod powder with musk, taken with rice drink on empty stomach.
[Cooling Agents]
Lower abdominal hot pain is Re Jia (Heat Mass). Treat with Liu Hejian's method.
[Bao]: Red leukorrhea indicates heat entering Small Intestine; white indicates heat entering Large Intestine. Fundamentally, damp-heat knots in vessels, causing fluid overflow, resulting in red/white leukorrhea. Due to deficiency of five vessel pulses, heat stagnates in Dai Mai (Girdle Vessel), causing lower abdominal pain and continuous discharge. Ren Mai disease causes seven hernias in men and leukorrhea/masses in women. Dai Mai originates at Zhangmen, encircling like a belt. Damp-heat knotting causes disease. Spleen transmitting to Kidney is called Shan Xia; Small Intestine knotting causes white discharge, also called Gu. First use Shizao Tang (Ten Date Decoction) to purge, then Kulan Wan (Toona Pill) and Dayanhù San (Major Corydalis Powder) to regulate. Heat removed, dampness eliminated, disease heals.
Kulan Wan (Toona Pill): Treats red and white leukorrhea.
Ingredients: Kulán (Toona Sinensis), Xiang (Agarwood/Aromatic herb - context implies aromatic), Danggui (Angelica Sinensis Root).
Grind into powder. Make pills with wine paste. Take 30-50 pills with warm wine on empty stomach. For waist/leg pain, take with Siwu Tang (Four-Substance Decoction) modified with Qianghuo and Fangfeng.
[Da] Diyü Gao (Sanguisorba Paste): Treats emaciated patients with red/white leukorrhea.
Diyü (Sanguisorba Root) one jin, boil in three sheng water until half remains, strain, boil again until thick syrup consistency. Strain clean, take three he on empty stomach, twice daily.
Treat Leukorrhea of Five Colors:
Diyü (Sanguisorba Root) three liang, chop, boil in one sheng vinegar for ten boils. Strain, take one he slightly warm before meals.
[Qian]: Treats red/white leukorrhea.
San Ye Suan Jiang Cao (Three-leaf Sorrel), dried in shade, powdered. Take 3 qian with warm wine on empty stomach.
The above three formulas treat leukorrhea; Diyü is a cold-astringent agent, suitable for excess damp-heat with sliding. Note: Three-leaf Sorrel has leaves like duckweed, clustered, three leaves at stem tip, commonly called Cuckoo Rice. Cuckoo is a dove/pigeon, often eats it, hence also called Jiu Jiang Cao. Yan Yi mistakenly confused it with Ku Hu. Ku Hu has fruit like kumquat, sour, named Suan Jiang, not three-leaved. Three-leaf Sorrel is small grass, three petals per leaf, yellow flowers, sour stems/leaves.
Note: Diyü is a blood-level herb, cold in nature, stops bleeding from heat in blood level, not merely an astringent.
[Dan]: Treats red/white leukorrhea with waist/lower abdominal pain and heat.
Chupi (Tree-of-Heaven Bark), Yán Hú Suǒ (Corydalis Rhizome), Táorén (Peach Seed), Cèbǎi Yè (Platycladi Leaf), Chuān Liàn Ròu (Toona Fruit Flesh), Xiāng (Aromatic herb), Dāngguī (Angelica Sinensis Root), Xiāngfù Zi (Cyperi Rhizome), Guānguì (Cinnamon Bark), Wūyào (Lindera Root), Màipí Qū (Wheat Bran Qu).
Grind into powder. Make pills with wine paste. Take 50-60 pills. Highly effective.
Qilinjie Tang (Kirin Blood Decoction): Treats blood injury, red/white leukorrhea, lower abdominal pain.
Ingredients: Qílínjié (Dragon's Blood), Huángbò (Phellodendron Bark), Dìyú (Sanguisorba Root), Yǔyúliáng (Halloysita Rubra), Chì Sháoyào (Red Peony Root), Shúdìhuáng (Prepared Rehmannia Root).
Chop. Take 3 qian, boil in one cup water to 70%. Strain. Take anytime. Alternative: Powder, take 2 qian with gruel drink.
Formula for White Beng (White Flood):
Zōnglǘ (Date Palm Spadix Ash), Sīguā (Loofah).
Equal parts, powdered. Take with wine on empty stomach.
Dòuhuā San (Bean Flower Powder): Treats white beng.
Báibiǎndòuhuā (White Hyacinth Bean Flower), dried and powdered. Boil with fried rice, add roasted salt. Take on empty stomach multiple times for effect. Purple flowers not used.
[Warming Agents]
Tiaojing Buzhen Tang (Regulate Menstruation and Tonify True Decoction): Used in winter when ground thaws, for recurring leukorrhea, cold vagina. Stops immediately after one dose, improves appetite greatly.
Ingredients: Máhuáng (Ephedra Herb), Xìngrén (Apricot Seed), Guìzhī (Cinnamon Twig), Gāncǎo (Licorice Root), Liángjiāng (Galangal Rhizome), Huángqí (Astragalus Root), Rénshēn (Ginseng Root), Dāngguī Shēn (Angelica Root Body), Báizhú (Atractylodes Macrocephala Rhizome), Cāngzhú (Atractylodes Rhizome), Zéxiè (Alisma Rhizome), Qiánghuó (Notopterygium Rhizome), Fángfēng (Saposhnikovia Root), Cháihú (Bupleurum Root), Dúhuó (Angelica Pubescens Root), Běn (Ligusticum Wallichii Rhizome), Shēngmá (Cimicifuga Rhizome), Huángqín (Scutellaria Root), Gānjiāng (Dried Ginger), Báikuǐhuā (White Sunflower Head).
Except Huangqin and Mahuang, grind coarsely. Boil Mahuang first, skim foam, add other herbs, boil to two cups. Add raw Huangqin, boil to one cup. Strain, take warm on empty stomach after digestion. Eat breakfast shortly after.
[Ben] Treats irregular menstruation lasting days, with leukorrhea, gradual emaciation, poor appetite, infertility for years.
Dìhuáng Wán (Rehmannia Pill):
Ingredients: Shúdìhuáng (Prepared Rehmannia Root), Shānzhūyú (Cornus Fruit), Bái Wúyí (White Wormseed), Gānjiāng (Dried Ginger), Báisháoyào (White Peony Root), Dàizhěshí (Haematitum), Nóngpò (Magnolia Bark), Báijiāngcán (White Silkworm).
Grind fine. Honey pills, size of sesame. Take 40-50 pills with wine on empty stomach, three times daily. This is Pang Lao's formula. Leukorrhea is the primary cause of infertility in women; treat urgently. Bian Que went to Handan, heard of valuing women, so specialized in treating leukorrhea.
[Yuan] Guifu Tang (Cinnamon and Aconite Decoction): Treats foul-smelling leukorrhea, sadness, severe cold.
Ingredients: Ròuguì (Cinnamon Bark), Fùzǐ (Prepared Aconite Lateral Root), Huángbò (Phellodendron Bark), Zhīmǔ (Anemarrhena Rhizome).
Coarse powder. One dose, boil in two cups water to one cup. Take warm, away from hot food. If feeling full with little intake, add Baishaoyao. If no appetite, add Wuweizi. If irritable with facial numbness, add Huangqi, Renshen, Gancao, Shengma.
[Hai] Xiangfu Liuhe Tang (Cyperi Six-Harmony Decoction): Treats red/white leukorrhea. (Siwu Tang plus Xiangfu and Guizhi).
[Da] Treats chronic red/white leukorrhea.
Ingredients: Báisháoyào (White Peony Root), Gānjiāng (Dried Ginger).
Stir-fry until yellow, powder. Take 2 qian with rice drink on empty stomach, twice daily.
Èrdòu San (Two Beans Powder): Treats tinnitus, irritability, heavy waist/legs, abdominal rumbling, cold below umbilicus, frequent white watery discharge resembling parasitic turbidity.
Ingredients: Báidòukòu (Cardamom Seed), Ròudòukòu (Nutmeg), Dīngxiāng (Clove), Báifúlíng (White Poria), Bājǐ (Morinda Root), Dīngpí (Clove Stem Bark), Cāngzhú (Atractylodes Rhizome), Hēi Fùzǐ (Black Prepared Aconite), Guìxīn (Cinnamon Twig Heart), Rénshēn (Ginseng Root), Báizhú (Atractylodes Macrocephala Rhizome), Shānyào (Dioscorea Rhizome), Jiégěng (Platycodon Root), Xiāng (Aromatic herb), Fěncǎo (Licorice Root).
Chop. Take 3 qian, boil in 1.5 cups water with ginger and perilla leaves to 70%. Strain, take warm on empty stomach.
Heding Wan (Crane Top Pill): Treats three types of leukorrhea. Unmarried girls: early menstruation stopping abruptly, bathing in cold water, fanning while hot, exposure to wind. Married women: excessive intercourse damaging Bao Luo (uterine collaterals), wind evil entering, cold touching meridians, causing foul fluid and blood to mix and discharge. Postpartum: blood/qi loss damaging Bao Luo, external wind entering due to deficiency, cold wind mixing with heat forming fluid discharge. Cold yields white, heat yields red; mixed yields both.
Ingredients: Dāngguī (Angelica Sinensis Root), Fùzǐ (Prepared Aconite Lateral Root), Lónggǔ (Dragon Bone), Wúzhūyú (Evodia Fruit), Hóngshízhī (Red Halloysite), Gānjiāng (Dried Ginger), Mǔlì (Oyster Shell), Àiyè (Mugwort Leaf).
Grind fine. Mix with vinegar paste, coat with Hongshizhi powder. Take 50 pills on empty stomach with Aiye, salt water, and wumei decoction.
Jisheng Bai'e Wan (Jisheng White Kaolin Pill): Treats persistent leukorrhea, cold pain in waist/knees, gradual emaciation.
Ingredients: Báiyún (Kaolin), Yǔyúliáng (Halloysita Rubra), Biējia (Tartar Testudinis), Wūzéigǔ (Cuttlefish Bone), Dāngguī (Angelica Sinensis Root), Quècháo Huī (Ash of Magpie Nest), Gānjiāng (Dried Ginger).