遗风庞 血虚嘈杂，知饥少纳，脉虚细，腰酸带下，舌色灰浓。姑宜养血、和中、平肝
当归身（钱半） 仙半夏（钱半） 遍金钗（三钱） 鸡血藤（三钱） 茯神（四钱） 左金丸（
八分） 木蝴蝶（四分） 佩兰（钱半） 丹参（三钱） 炒谷芽（四钱） 生牡蛎（四钱）
清煎五帖。
介按∶冲脉之血，系是阳明水谷所化，兹以胃液已虚，未能容纳水谷，而致知饥嘈杂。
且肝肾并亏，而致腰酸带下，故以柔肝、和胃、养血为治。
遗风庞 带下腰酸，脉关尺涩细，经停七月，腹中有形，病在冲任。宜柔肝、涩下。（三月二十三日。）
桑螵蛸（三钱） 归身（钱半） 菟丝子（三钱） 生香附（钱半） 炒杜仲（三钱） 木蝴蝶（
四分） 川断（三钱） 绿萼梅（钱半） 生牡蛎（四钱） 大腹绒（三钱） 覆盆子（三钱）
清煎四帖。
介按∶任脉通，太冲脉盛，则月事以时下。兹以冲任并亏，而经停七月，肝郁不畅，则
腹中有形，肾虚而带脉不固，则酸下腰带。治以柔肝涩下，即是摄冲任之意。
黄公 徐 小腹仍属滞痛，脉尚涩，白带未除，冲任腰胯酸痛。宜和肝涩下为稳（六月七号乙巳二十二日。）
当归（钱半，小茴香炒拌） 省头草（三钱） 覆盆子（三钱） 杜仲（三钱） 延胡（钱半） 九
香虫（一钱） 乌药（钱半） 香附（三钱） 炒小胡麻（三钱） 生牡蛎（四钱） 玫瑰花（五朵）
清煎七帖。
介按∶王叔和曰∶带脉为病，左右绕脐，腰脊痛，冲阴股也。据是以观，则此症系是带脉失司，肝逆未平之候。
盛陵徐 冲任内怯，腰疼背掣，带下，脉涩细，癸涩不调，头疼。姑宜养血、调经、涩
下。（八月二十二号戊申十四日。）
全当归（三钱） 茺蔚子（三钱） 鸡血藤（三钱） 草（三钱） 炒白芍（钱半） 炒杜仲
（三钱） 覆盆子（三钱） 化龙骨（三钱） 川芎（钱半） 生牡蛎（四钱） 桑寄生（三钱）
清煎七帖。
介按∶女人月水，由诸络之血，汇集血海而下，兹以冲任内怯，肝肾液虚，是以头疼腰
痛，背掣带下，养血补肾以调经，深得内经先其所因，伏其所主之旨。
安昌马 带下如注，小腹滞痛，脉涩左弦细，癸涩不调，舌浓腻，汗出 。宜疏泄厥阴为主。（四月二十八日。）
川楝子（三钱） 当归（钱半） 桑螵蛸（钱半） 柏子仁（三钱） 延胡（三钱） 麻子仁（四
钱） 生香附（钱半） 海金沙（四钱） 省头草（三钱） 车前子（三钱） 青木香（八分）
清煎三帖。
介按∶此系肝郁侵脾，湿热下陷，是以脾精不守，未能化为经水，反变白滑之物，直下
而为带。故治以疏泄厥阴，兼渗湿热而涩下。
Shao Lansun's Medical Cases: Leukorrhea Chapter
Patient Yi Fengpang suffers from blood deficiency causing epigastric discomfort and a sensation of hunger without desire to eat (Zhi Ji Shao Na). The pulse is deficient and fine, accompanied by soreness of the lower back and leukorrhea. The tongue coating is gray and thick. Treatment should initially focus on nourishing blood, harmonizing the middle jiao, and calming the liver.
Prescription: Danggui Shen (Radix Angelicae Sinensis) - 1.5 qian; Xian Banxia (Rhizoma Pinelliae Preparatum) - 1.5 qian; Bian Jinchai (Dendrobium nobile stem) - 3 qian; Jixueteng (Caulis Spatholobi) - 3 qian; Fushen (Poria with Hostwood) - 4 qian; Zuo Jin Wan (Left Metal Pill) - 0.8 fen; Muhu Die (Membrana Pterygii) - 0.4 fen; Peilan (Herba Pogostemonis) - 1.5 qian; Danshen (Radix Salviae Miltiorrhizae) - 3 qian; Chao Guya (Frumentum Hordeum Germinatum Torrefactum) - 4 qian; Sheng Muli (Concha Ostreae) - 4 qian. Decocted in water, taken as five doses.
Commentary: The blood of the Chong Mai (Penetrating Vessel) is transformed from the water and grain essence of the Yangming Stomach channel. Currently, due to deficiency of stomach fluids, the body cannot accommodate food and drink, leading to the sensation of knowing hunger yet feeling uncomfortable (Zao Za). Furthermore, simultaneous deficiency of the Liver and Kidney results in lower back soreness and leukorrhea. Therefore, the treatment employs softening the liver, harmonizing the stomach, and nourishing blood.
Patient Yi Fengpang presents with leukorrhea and lower back soreness. The pulse at the Guan (Bar) and Chi (Cubit) positions is choppy and fine. Menstruation has ceased for seven months, and there is a palpable mass in the abdomen. The pathology lies in the Chong and Ren vessels. Treatment should soften the liver and astringe discharge. (March 23rd)
Prescription: Sangpiaoxiao (Coco Sacculus Mantidis) - 3 qian; Guishen (Radix Angelicae Sinensis) - 1.5 qian; Tusizi (Semen Cuscutae) - 3 qian; Sheng Xiangfu (Rhizoma Cyperi) - 1.5 qian; Chao Duzhong (Cortex Eucommiae Torrefacta) - 3 qian; Muhu Die (Membrana Pterygii) - 0.4 fen; Chuanduan (Radix Dipsaci) - 3 qian; Lue Mei (Flos Pruni Mume Viridis) - 1.5 qian; Sheng Muli (Concha Ostreae) - 4 qian; Dafurong (Fructus Citri Reticulatae Viridis) - 3 qian; Fupenzi (Fructus Rubi) - 3 qian. Decocted in water, taken as four doses.
Commentary: When the Ren Mai (Conception Vessel) is unobstructed and the Taichong Mai (Great Surge Vessel) is abundant, menstruation occurs on time. Currently, deficiency of both Chong and Ren vessels causes amenorrhea for seven months. Liver qi stagnation leads to abdominal masses. Kidney deficiency causes insecurity of the Dai Mai (Girdle Vessel), resulting in lower back soreness and leukorrhea. Treating by softening the liver and astringing discharge embodies the intent of securing the Chong and Ren vessels.
Mr. Huang Xu complains of persistent dull pain in the lower abdomen. The pulse remains choppy, and leukorrhea has not cleared. There is soreness and pain in the waist and hips due to Chong and Ren disharmony. Harmonizing the liver and astringing discharge is advisable for stability. (June 7th, Yisi Year, 22nd day)
Prescription: Danggui (Radix Angelicae Sinensis) - 1.5 qian (stir-fried with Xiaohuixiang); Shentoucao (Herba Houttuyniae) - 3 qian; Fupenzi (Fructus Rubi) - 3 qian; Duzhong (Cortex Eucommiae) - 3 qian; Yanhu (Rhizoma Corydalis) - 1.5 qian; Jiuxiangchong (Insectus Aspongopus) - 1 qian; Wuyao (Radix Linderae) - 1.5 qian; Xiangfu (Rhizoma Cyperi) - 3 qian; Chao Xiaohuma (Semen Sesami Nigrum Torrefactum) - 3 qian; Sheng Muli (Concha Ostreae) - 4 qian; Meiguihua (Flos Rosae Rugosae) - 5 flowers. Decocted in water, taken as seven doses.
Commentary: Wang Shuhe stated: "Disease of the Dai Mai involves pain winding around the umbilicus, affecting the lower back and spine, and radiating to the inner thighs." Based on this, this case represents dysfunction of the Dai Mai and uncalmed rebellious Liver qi.
Xu from Shengling suffers from weakness in the Chong and Ren vessels, lower back pain with pulling sensations in the back, leukorrhea, choppy and fine pulse, irregular menstruation, and headache. Initially, nourish blood, regulate menstruation, and astringe discharge. (August 22nd, Wushen Year, 14th day)
Prescription: Quandonggui (Radix Angelicae Sinensis) - 3 qian; Chongweizi (Fructus Leonuri) - 3 qian; Jixueteng (Caulis Spatholobi) - 3 qian; [Caoyao] (Herb - *Note: Original text says 'Grass', likely missing character such as Yimucao*) - 3 qian; Chao Baishao (Radix Paeoniae Alba Torrefacta) - 1.5 qian; Chao Duzhong (Cortex Eucommiae Torrefacta) - 3 qian; Fupenzi (Fructus Rubi) - 3 qian; Huagu Long (Os Draconis Calcinarum) - 3 qian; Chuanxiong (Rhizoma Chuanxiong) - 1.5 qian; Sheng Muli (Concha Ostreae) - 4 qian; Sangjisheng (Ramulus Taxilli) - 3 qian. Decocted in water, taken as seven doses.
Commentary: Women's menstruation is formed by blood from various collaterals gathering in the Sea of Blood and flowing downward. Currently, due to deficiency in the Chong and Ren vessels and depletion of Liver and Kidney fluids, headaches, lower back pain, back pulling, and leukorrhea occur. Nourishing blood and tonifying the kidney to regulate menstruation deeply follows the principle of the *Neijing*: "Address the root cause first, and subdue the governing factor."
Ma from Anchang presents with profuse leukorrhea like a gush, dull pain in the lower abdomen, choppy and wiry-fine pulse on the left side, irregular menstruation, thick greasy tongue coating, and sweating. Treatment should primarily focus on dispersing and draining the Jueyin Liver channel. (April 28th)
Prescription: Chuanlianzi (Fructus Toosendan) - 3 qian; Danggui (Radix Angelicae Sinensis) - 1.5 qian; Sangpiaoxiao (Coco Sacculus Mantidis) - 1.5 qian; Baiziren (Semen Biotae) - 3 qian; Yanhu (Rhizoma Corydalis) - 3 qian; Maziren (Semen Cannabis) - 4 qian; Sheng Xiangfu (Rhizoma Cyperi) - 1.5 qian; Haijinsha (Spora Lygodii) - 4 qian; Shentoucao (Herba Houttuyniae) - 3 qian; Cheqianzi (Semen Plantaginis) - 3 qian; Qingmuxiang (Radix Aucklandiae) - 0.8 fen. Decocted in water, taken as three doses.
Commentary: This is caused by Liver qi stagnation invading the Spleen, with damp-heat sinking downward. Consequently, Spleen essence fails to be retained and does not transform into menstrual blood, but instead becomes white and slippery matter, flowing directly down as leukorrhea. Thus, treatment focuses on dispersing and draining the Jueyin Liver, while simultaneously leaching out damp-heat and astringing discharge.