（赤属血、白属气、主治燥湿为先。）
带、漏、俱是胃中痰积流下，渗入膀胱。宜升。无人知此。肥人多是湿痰。
海石 半夏 南星 苍术 川芎 椿皮 黄柏
瘦人带病少，如有带者，是热也。
黄柏 滑石 川芎 椿皮 海石
甚者，上必用吐，以提其气；下用二陈汤加苍术、白术，仍用丸子（一本作瓦龙子）。
又云∶赤白带皆属于热，出于大肠小肠之分。
一方∶黄荆子炒焦为末，米饮汤下，治白带；亦治心痛。
罗先生治法∶或十枣汤、或神 丸、或玉烛散、皆可用，不可峻攻。实者可用此法，虚则不宜。
血虚者，加减四物汤。
气虚者，以参术陈皮间与之。
湿甚者，用固肠丸。
相火动者，于诸药中少加炒柏。
滑者，加龙骨、赤石脂。
滞者，加葵花。性燥者，加黄连。
寒月少入姜附。临机应变，必须断浓味。
良姜 芍药 黄柏（二钱，各烧灰） 入椿树皮末（一两半）
上为末，粥为丸。每服三四十丸。
痰气带下者∶
苍术 香附 滑石 蛤粉 半夏 茯苓
妇人上有头风、鼻涕，下有白带。
南星 苍术 黄柏（炒焦） 滑石 半夏 川芎 辛夷 牡蛎粉（炒） 茯苓
白带并痛风∶
半夏 茯苓 川芎 陈皮 甘草 苍术（炒浸） 南星 牛膝 黄柏（酒浸，晒干炒）
(Chronic leukorrhea with red discharge belongs to blood pathology, while white discharge belongs to Qi pathology; treatment should prioritize regulating dryness and dampness.)
Leukorrhea (chronic vaginal discharge) and metrorrhagia (irregular uterine bleeding) are both caused by phlegm-fluid accumulation in the Stomach flowing downward and infiltrating the Bladder. The therapeutic method should involve lifting [the sinking Qi]. Few people understand this principle. Obese individuals are mostly prone to damp-phlegm patterns.
Hai Shi (Spongia Silicica), Ban Xia (Pinelliae Rhizoma), Nan Xing (Arisaematis Rhizoma), Cang Zhu (Atractylodis Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Chun Pi (Toosendan Cortex), Huang Bo (Phellodendri Cortex).
Lean individuals rarely suffer from leukorrhea; if they do, it is due to heat.
Huang Bo (Phellodendri Cortex), Hua Shi (Talcum), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Chun Pi (Toosendan Cortex), Hai Shi (Spongia Silicica).
In severe cases, emesis [induced by vomiting] must be used on the upper body to lift its Qi; on the lower body, Er Chen Tang (Two-Cured Decoction) is added with Cang Zhu (Atractylodis Rhizoma) and Bai Zhu (Atractylodis Macrocephalae Rhizoma), still prepared as pills (another version suggests Wa Long Zi/Valvula Arcae).
It is also said: Both red and white leukorrhea belong to heat, originating from the regions of the Large Intestine and Small Intestine.
One prescription: Jiao Huang Jing Zi (Fried Vitex Fruit) is fried until charred, ground into powder, and taken with rice water decoction to treat white leukorrhea; it also treats heart pain.
Master Luo’s (Luo Zhi Ti) treatment methods: Either Shi Zao Tang (Ten Jujube Decoction), or Shen Wan (Miraculous Pill), or Yu Zhu San (Jade Candle Powder), can all be used, but harsh purgation should not be employed. This method is applicable for excess patterns, but not for deficiency patterns.
For blood deficiency, Jia Jian Si Wu Tang (Modified Four Substances Decoction) is used.
For Qi deficiency, Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), and Chen Pi (Citri Reticulatae Pericarpium) are administered alternately.
For severe dampness, Gu Chang Wan (Intestine-Stabilizing Pill) is used.
When ministerial fire moves recklessly, a small amount of fried Huang Bo (Phellodendri Cortex) is added to the aforementioned herbs.
For slippery/uncontrolled discharge, Long Gu (Fossilia Ossis Mastodi) and Chi Shi Zhi (Halloysitum Rubrum) are added.
For stagnation, Kui Hua (Helianthi Annuus Flos) is added. For dry-heat constitutions, Huang Lian (Coptidis Rhizoma) is added.
During cold months, Jiang (Zingiberis Rhizoma) and Fu Zi (Aconiti Lateralis Radix Praeparata) are added in small amounts. Clinical application requires flexibility, and rich, greasy foods must be strictly avoided.
Liang Jiang (Alpiniae Officinarum Rhizoma), Shao Yao (Paeoniae Radix Alba), Huang Bo (Phellodendri Cortex) (2 qian each, burnt to ash), Chun Pi Mu (Powder of Toosendan Bark) (1 liang 5 qian).
The above are ground into powder and formed into pills using congee. Each dose consists of 30–40 pills.
For leukorrhea caused by phlegm-Qi obstruction:
Cang Zhu (Atractylodis Rhizoma), Xiang Fu (Cyperi Rhizoma), Hua Shi (Talcum), Ge Fen (Concha Meretricis), Ban Xia (Pinelliae Rhizoma), Fu Ling (Poria).
Women presenting with head wind (cephalalgia) and nasal discharge above, and leukorrhea below.
Nan Xing (Arisaematis Rhizoma), Cang Zhu (Atractylodis Rhizoma), Huang Bo (Phellodendri Cortex) (fried until charred), Hua Shi (Talcum), Ban Xia (Pinelliae Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Xin Yi (Magnoliae Flos), Mu Li Fen (Concha Ostreae, fried), Fu Ling (Poria).
For leukorrhea accompanied by gout:
Ban Xia (Pinelliae Rhizoma), Fu Ling (Poria), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Cang Zhu (Atractylodis Rhizoma) (fried and soaked), Nan Xing (Arisaematis Rhizoma), Niu Xi (Achyranthis Bidentatae Radix), Huang Bo (Phellodendri Cortex) (soaked in wine, dried, then fried).