带下有赤白之分。人有带脉，横于腰间，如束带之状，病生于此，故名为带。赤带〔即赤淋。〕
多缘忧思郁怒，损伤心脾，肝火时发，因之血不归经，遂下赤矣。治宜补养心脾，益肝凉血清火。若下
久则阴血渐虚，中气渐损是当大补气血为主。白带是湿热夹痰，有虚有实。按仲淳云∶白带多属脾
虚。盖肝气郁则脾受伤，脾伤则湿士之气下陷，而下白滑之物不止矣。皆由风水郁于地中使然耳。当
开提肝气，补助脾元为主，佐以清热除湿之药。又云∶若带下如浓泔而臭秽者，湿热甚也，宜清热除湿
为主，而佐以升提之剂，若带下如鸡子清者，脾肾虚极也。面色必不华，足胫必浮肿，腰腿必酸。宜益
气健脾，兼滋阴补肾二方，分进以治之。陈自明论带下有五色之异，分属五脏。东垣治带下有主寒之
说，临症者并宜精察焉。
加味归脾汤 加味逍遥散 天王补心丹〔俱见虚劳。〕
此三方通治赤带，临症合宜加减用之。归脾、逍遥，亦并治白带。
补中益气汤〔见泄泻。〕白带主此加减。
原方〔补助脾元，开提肝气。〕宜合二妙散，加麦冬、茯苓、车前，〔清热除湿。〕枣
仁。〔敛收。〕〔浓煎不时饮之。〕
兼用六味地黄；加牛膝、杜仲、牡蛎、海螵蛸，〔蜜丸空心服。〕
仲淳云∶白带属气虚，补气健脾，乃治法之大纲。又叔和云∶崩中日久为白带漏下，当脾肾兼补。
加味二妙散
苍术 白术〔燥湿。〕黄柏 黄芩〔清热。〕茯苓〔消痰。〕车前〔利水。〕
或加白芷〔升提。〕此治湿热夹痰，带下如脓泔臭秽者宜之。
Leukorrhea is divided into red and white types. The human body possesses a meridian named the Dai Mai (Belt Vessel), which encircles the waist horizontally, resembling a belt. Diseases occurring at this location are thus named "Dai" (Belt). Red leukorrhea (i.e., Chi Lin, bloody strangury) often arises from worry, thought, depression, and anger, which damage the Heart and Spleen. When Liver Fire flares up intermittently, blood fails to return to its vessels, resulting in the downward discharge of red fluid. Treatment should focus on nourishing the Heart and Spleen, benefiting the Liver, cooling the blood, and clearing fire. If the condition persists for a long time, Yin-blood gradually becomes deficient, and Middle Qi gradually declines; in such cases, major tonification of Qi and Blood is required. White leukorrhea is caused by Damp-Heat combined with Phlegm, presenting as either deficiency or excess patterns. According to Zhong Chun: White leukorrhea mostly belongs to Spleen Deficiency. When Liver Qi stagnates, the Spleen is injured; when the Spleen is injured, the Qi of Earth-Dampness sinks downward, causing continuous discharge of white, slippery substances. This is all due to Wind-Water stagnating within the interior. Treatment should primarily involve raising and lifting Liver Qi and supplementing Spleen Yuan, assisted by herbs that clear heat and remove dampness. Furthermore, if the discharge resembles thick rice water and has a foul odor, it indicates severe Damp-Heat; treatment should prioritize clearing heat and removing dampness, assisted by agents that raise and lift. If the discharge resembles egg white, it indicates extreme deficiency of the Spleen and Kidney. The complexion will necessarily lack luster, the calves will necessarily be edematous, and the lower back and legs will necessarily ache. Treatment should involve boosting Qi and strengthening the Spleen, combined with nourishing Yin and tonifying the Kidney using two formulas administered separately. Chen Ziming discussed the five different colors of leukorrhea, assigning them to the Five Zang Organs. Li Dongyuan proposed a theory regarding cold as the primary factor in treating leukorrhea; clinicians should carefully examine these aspects during practice.
Jiawei Guipi Tang (Modified Guipi Decoction) Jiawei Xiaoyao San (Modified Xiaoyao Powder) Tianwang Buxin Dan (Emperor of Heaven's Heart-Nourishing Pill) [All seen in Xu Lao (Deficiency Consumption)].
These three formulas generally treat red leukorrhea; they should be modified according to clinical suitability. Guipi Tang and Xiaoyao San also treat white leukorrhea.
Buzhong Yiqi Tang (Tonify the Middle and Boost Qi Decoction) [Seen in Xie Xie (Diarrhea)]. This formula, modified, is the main treatment for white leukorrhea.
The original formula [Supplements Spleen Yuan, raises and lifts Liver Qi] should be combined with Er Miao San (Two Marvels Powder), adding Maidong (Ophiopogonis Radix), Fuling (Poria), Cheqian (Plantaginis Semen) [Clears heat and removes dampness], and Zaoren (Ziziphi Spinosae Semen) [Astringes]. [Decoct strongly and drink frequently.]
Additionally use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill); add Niuxi (Achyranthis Bidentatae Radix), Duzhong (Eucommiae Cortex), Muli (Concha Ostreae), Haipiaoxiao (Endoconcha Sepiae) [Make honey pills, take on an empty stomach].
Zhong Chun stated: White leukorrhea belongs to Qi Deficiency; boosting Qi and strengthening the Spleen is the general principle of treatment. Wang Shuhe stated: Prolonged bleeding from metrorrhagia transforms into leukorrhea and leakage; one should tonify both the Spleen and Kidney.
Jiawei Ermiao San (Modified Two Marvels Powder)
Cangzhu (Atractylodis Rhizoma) Baizhu (Atractylodis Macrocephalae Rhizoma) [Dries dampness] Huangbai (Phellodendri Cortex) Huangqin (Scutellariae Radix) [Clears heat] Fuling (Poria) [Resolves phlegm] Cheqian (Plantaginis Semen) [Promotes urination].
Or add Baizhi (Angelicae Dahuricae Radix) [Raises and lifts]. This treats cases where Damp-Heat combines with Phlegm, and the leukorrhea resembles pus-like rice water with a foul odor.