经曰∶思虑无穷，所愿不遂，意淫妄想，入房不能，带脉不引，则为白淫。夫肾脏以悭用事
，志意内治，则精全而涩。若眠思梦想，欲淫不能，则淫 不守，辄随溲便而下也。尼姑寡
妇，最多此症。
白淫责于阳虚，当益火之源，鹿茸、肉苁蓉、人参之类，治宜内补丸。要在临症斟酌有火无
火而用之，庶无误矣。
内补丸
鹿茸 丝子 沙蒺藜 紫菀茸 黄 肉桂 桑螵蛸 肉苁蓉 附子（制） 茯神 白蒺藜
上为末蜜丸，如绿豆大，每服二十丸，食远酒服。有火者忌用。宜服清心莲子饮。（见便浊）
妇人之白带、白淋、白淫、白浊，其形相似，病实不同。有虚、实、寒、湿、郁、火，不可
混治。前贤议论，通作湿热，不无偏僻。细考《内经》，治法不一。白淋者，淋沥而不止也
，多起于郁，大抵虚寒者居多，小腹不痛，亦有去多空痛者，俱用养荣汤加香附，补宫汤亦
可。若用热剂，艾煎丸加白芍。痛者，四乌汤加白芍、归身。亦有白淋，久则渐变黄色者，
此将成血淋也，艾煎丸、归附丸皆可服。又有变为沙淋者，溺器中下沉白积一层如沙，小便
出时涩痛者是也。白淋、赤淋而无沙者，须分其气血而治之。白带者，妇人之常病，俗云十
妇九带，甚者腰痛如折，头晕眼花，腰间重滞不断，此是气虚。治宜内补汤加续断，或养荣
汤，再以车前草阴干 灰，频频服之，其效甚捷，屡验。若五色带下，紫金丸主之。白淫乃
思想无穷，有欲不遂，一时放白，寡妇尼姑，此疾居多，乃郁火也，治宜开郁降火，越鞠丸
加郁金、胆草。白浊甚者，膀胱积热，混浊如脓，不治必生痈，宜服莲子清心饮。
莲子清心饮（见白浊） 艾煎丸（见经水过期） 内补丸（见白淫） 四乌汤（见血风） 补宫汤（
见血崩）
越鞠丸
香附 山栀 半夏 神曲 川芎 郁金 胆草
人参养荣汤 治脾肺气虚，荣血不足。
人参 当归 熟地 白术 黄 茯苓 远志 白芍 五味 广皮 肉桂 甘草
加姜枣，
《黄帝内经》中说：思虑没有穷尽，愿望不能实现，意念中产生淫邪的妄想，行房时力不从心，导致带脉松弛无力，就会发生白淫。肾脏以封藏固摄为主要功能，如果意志能够内守调理，那么精气就会充盈且固涩不泄。如果日夜思念梦想，欲望强烈却无法宣泄，就会导致精液失于固守，常常随着小便或大便排出体外。尼姑和寡妇这类人群，最容易患这种病症。
白淫的病机责之于阳气虚弱，治疗应当补益命门之火（即“益火之源”），可使用鹿茸、肉苁蓉、人参等药物，方剂适宜选用内补丸。关键在于临证时要仔细斟酌患者体内是否有火热之邪，再决定是否使用此方，这样才能避免错误。
内补丸
组成：鹿茸、菟丝子、沙苑蒺藜、紫菀茸、黄芪、肉桂、桑螵蛸、肉苁蓉、制附子、茯神、白蒺藜。
制法与用法：将上述药材研为细末，用蜂蜜炼制成丸，大小如绿豆。每次服用二十丸，饭后用酒送服。体内有火热之邪者忌用。若有火者，宜服用清心莲子饮。（参见“便浊”条）
妇女的白带、白淋、白淫、白浊，外形相似，但病因病机实际上不同。涉及虚、实、寒、湿、郁、火等不同性质，不可混淆治疗。前代医家的议论，往往通篇归结为湿热，不免有所偏颇。仔细考察《黄帝内经》，治疗方法并不单一。所谓白淋，是指淋漓不尽的症状，大多起于气郁，大体上属于虚寒证的居多，小腹不疼痛，也有排出后感到空痛的，均可以使用养荣汤加香附，或者使用补宫汤也可以。如果使用温热药剂，可用艾煎丸加白芍。伴有疼痛的，可用四乌汤加白芍、当归身。也有白淋日久逐渐变为黄色的，这是将要发展为血淋的表现，艾煎丸、归附丸都可以服用。又有转变为沙淋的，表现为尿道中有白色沉淀物一层像沙子一样，小便排出时涩痛，这就是沙淋。白淋、赤淋而没有沙粒的，必须分辨气血进行辨证治疗。白带是妇女的常见病，俗话说是“十妇九带”，严重的会出现腰痛如折断感，头晕眼花，腰部沉重滞涩不断，这是气虚所致。治疗适宜用内补汤加续断，或者使用养荣汤，再用阴干的车前草烧成灰，频频服用，效果非常迅速，屡试屡验。如果是五色带下，则以紫金丸为主治方。白淫是由于思虑无穷，有欲望而不能遂意，一时之间精液流出，寡妇和尼姑这类人多患此疾，属于郁火证，治疗适宜开郁降火，可用越鞠丸加郁金、龙胆草。白浊严重的，是膀胱积热，尿液混浊如脓，如果不治疗必然生痈疽，适宜服用莲子清心饮。
莲子清心饮（见白浊条）、艾煎丸（见经水过期条）、内补丸（见白淫条）、四乌汤（见血风条）、补宫汤（见血崩条）。
人参养荣汤：治疗脾肺气虚，营血不足。
组成：人参、当归、熟地黄、白术、黄芪、茯苓、远志、白芍、五味子、广陈皮、肉桂、甘草。
用法：加入生姜、大枣煎服。
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: "When thoughts are endless, wishes remain unfulfilled, and the mind indulges in lewd fantasies, yet sexual intercourse is impossible or ineffective, leading to a loss of tension in the Dai Mai (Girdle Vessel), 'Baiyin' (White Emission/Leukorrhea) occurs." The Kidney governs by storing and securing. If the will and intent are regulated internally, essence remains full and secure. However, if one dreams and thinks of lust but cannot satisfy desires, the seminal fluid loses its containment and often discharges along with urine or stool. Nuns and widows are most prone to this condition.
Baiyin is attributed to Yang deficiency; treatment should focus on tonifying the source of fire (Mingmen Fire). Herbs such as Lu Rong (Cervum Cornu), Rou Cong Rong (Cistanche Herba), and Ren Shen (Ginseng Radix et Rhizoma) may be used, with Nei Bu Wan (Internal Tonification Pill) being the appropriate formula. The key lies in clinical judgment regarding the presence or absence of internal heat before application, to avoid error.
Nei Bu Wan (Internal Tonification Pill)
Ingredients: Lu Rong (Cervum Cornu), Tu Si Zi (Cuscutae Semen), Sha Ji Li (Astragali Complanati Semen), Zi Wan Rong (Asteris Radix et Rhizoma), Huang Qi (Astragali Radix), Rou Gui (Cinnamomi Cortex), Sang Piao Xiao (Mantidis Oötheca), Rou Cong Rong (Cistanche Herba), Fu Zi (Aconiti Lateralis Radix Praeparata), Fu Shen (Poria Cum Radice Pinelli), Bai Ji Li (Tribuli Fructus).
Preparation and Administration: Grind the above herbs into fine powder, mix with honey to form pills the size of mung beans. Take 20 pills per dose, administered after meals with wine. Contraindicated for those with internal heat. For cases with heat, Qing Xin Lian Zi Yin (Heart-Clearing Lotus Seed Decoction) is recommended. (See section on Turbid Urination).
Women's conditions including Dai Xia (Leukorrhea), Bai Lin (White Strangury), Bai Yin (White Emission), and Bai Zhuo (White Turbidity) appear similar but have distinct pathologies. They involve deficiency, excess, cold, dampness, stagnation, and fire, and must not be treated indiscriminately. Previous scholars often generalized these as damp-heat, which is somewhat biased. A careful examination of the *Neijing* reveals varied treatment methods. Bai Lin refers to dribbling that does not cease, mostly arising from Qi stagnation, predominantly presenting as deficiency-cold. There is usually no lower abdominal pain, though some experience emptiness/pain after discharge. These can be treated with Yang Rong Tang (Nourish Ying Decoction) plus Xiang Fu (Cyperi Rhizoma), or Bu Gong Tang (Uterus-Tonifying Decoction). If warm formulas are indicated, Ai Jian Wan (Mugwort Decoction Pill) plus Bai Shao (Paeoniae Radix Alba) may be used. If pain is present, Si Wu Tang (Four Substances Decoction) plus Bai Shao and Dang Gui Shen (Radix Angelicae Sinensis Caulis) is suitable. Some cases of Bai Lin may gradually turn yellow over time, indicating a transition towards Xue Lin (Bloody Strangury); both Ai Jian Wan and Gui Fu Wan are applicable. Another variant is Sha Lin (Sand Strangury), characterized by a layer of white sediment like sand settling in the urinary vessel, causing astringency and pain during urination. For Bai Lin and Chi Lin (Red/Bloody Strangury) without sand, differentiation of Qi and Blood is required. Dai Xia (Leukorrhea) is a common female disease, proverbially described as "nine out of ten women suffer from it." Severe cases present with waist pain as if broken, dizziness, blurred vision, and a sensation of heaviness and stagnation in the waist, indicating Qi deficiency. Treatment should use Nei Bu Tang (Internal Tonification Decoction) plus Xu Duan (Dipsaci Radix), or Yang Rong Tang, followed by frequent consumption of ash made from dried fresh Che Qian Cao (Plantaginis Herba), which yields rapid and reliable results. For multi-colored leukorrhea, Zi Jin Wan (Purple Gold Pill) is the primary formula. Bai Yin results from endless thoughts and unfulfilled desires, leading to sudden emission; it is common among widows and nuns and is caused by stagnant fire. Treatment requires resolving stagnation and descending fire, using Yue Ju Wan (Resolving Six Stagnations Pill) plus Yu Jin (Curcumae Radix) and Dan Cao (Gentianae Radix). Severe Bai Zhuo involves heat accumulation in the Bladder, with turbid urine resembling pus; if untreated, it may lead to abscesses. Lian Zi Qing Xin Yin (Lotus Seed Heart-Clearing Decoction) is indicated.
References: Lian Zi Qing Xin Yin (see Bai Zhuo); Ai Jian Wan (see Delayed Menstruation); Nei Bu Wan (see Bai Yin); Si Wu Tang (see Blood Wind); Bu Gong Tang (see Metrorrhagia).
Yue Ju Wan (Resolving Six Stagnations Pill)
Ingredients: Xiang Fu (Cyperi Rhizoma), Shan Zhi (Gardeniae Fructus), Ban Xia (Pinelliae Tuber), Shen Qu (Massa Medicata Fermentata), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Yu Jin (Curcumae Radix), Dan Cao (Gentianae Radix).
Ren Shen Yang Rong Tang (Ginseng Decoction for Nourishing Ying): Treats Spleen and Lung Qi deficiency with insufficient Ying and Blood.
Ingredients: Ren Shen (Ginseng Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix), Shu Di Huang (Rehmanniae Radix Preparata), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Huang Qi (Astragali Radix), Fu Ling (Poria), Yuan Zhi (Polygalae Radix), Bai Shao (Paeoniae Radix Alba), Wu Wei Zi (Schisandrae Fructus), Guang Pi (Citri Reticulatae Pericarpium), Rou Gui (Cinnamomi Cortex), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Administration: Decoct with Sheng Jiang (Zingiberis Rhizoma Recens) and Da Zao (Jujubae Fructus).