或因六淫七情，或因醉饱房劳，或因膏粱浓味，或服燥剂所致，脾胃亏损，阳气下陷；或湿
痰下注，蕴积而成，故言带也。凡此皆当壮脾胃、升阳气为主，佐以各经见症之药。若属肝
则青，小柴胡加山栀；或湿热壅滞，小便赤涩，龙胆泻肝汤；属心则赤，小柴胡加黄连、山
栀、当归；属肺则白，补中益气加山栀；属脾则黄，六君子加山栀、柴胡，不应，归脾汤；
属肾则黑，六味地黄丸；若气血俱虚，八珍汤；阳气下陷，补中益气汤；湿痰下注，前汤加
茯苓、半夏、苍术、黄柏；气虚痰饮下注，四七汤送肾气丸。
治验
一妇人年逾六十，内热口干，劳则头晕，吐痰带下，或用化痰行气，前症益甚，饮食愈少，
肢体或麻，恪服祛风化痰，肢体常麻，手足或冷或热，日渐消瘦。余曰∶症属脾气虚弱而不
能生肺，祛风之剂，复损诸经也，当滋化源。遂用补中益气加茯苓、半夏、炮姜，二十余剂
，脾气渐复，饮食渐加，诸症顿愈。
一孀妇腹胀胁痛，内热晡热，月经不调，肢体酸麻，不时吐痰，或用清气化痰，喉间不利，
带下青黄，腹胁膨胀；用行气之剂，胸膈不利，肢体时麻，此郁怒伤损肝脾，前药益甚也。
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，兼服百余剂，而诸症愈。
一妇人疟久，兼之带下，发后口干倦甚。余用七味白术散加麦门、五味，作大剂，煎与恣饮
，再发稍可，乃用补中益气加茯苓、半夏，十余剂而愈。凡截疟，余常以参、术各一两，生
姜四两，煨熟煎服即止，或以大剂补中益气加煨姜，其功尤捷。
一妇人头晕唾痰，胸满气喘，得食稍缓，苦于白带，二十余年矣，诸药不应。余曰∶此气虚
而痰饮也，饮愈而带始愈，遂用六味地黄丸，不月而验。
一妇人耳鸣胸痞，内热口干，咳中若有一核，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。
一妇人吞酸胸满，食少便泄，月经不调，服法制清气化痰丸，两膝渐肿，寒热往来，带下黄
白，面黄体倦。余以为脾胃虚，湿热下注，用补中益气，倍用参、术加茯苓、半夏、炮姜而
愈。若因怒，发热少食，或两腿赤肿，或指缝常湿，用六君加柴胡、升麻及补中益气。
一妇人带下，四肢无力，劳则倦怠。余曰∶四肢者土也，此属脾胃虚弱，湿痰下注。遂以补
中益气、济生归脾二药，治之而愈。
一妇人年逾六十，带下黄白，因怒胸膈不利，饮食少思，服消导利气之药，反痰喘胸满，大
便下血。余曰∶此脾气亏损，不能摄血归源也。用补中益气加茯苓、半夏、炮姜，四剂，诸
症顿愈，又用八珍加柴胡、炒栀而安。
有的因为感受六淫（风、寒、暑、湿、燥、火六种外感病邪）和七情（喜、怒、忧、思、悲、恐、惊七种情志变化），有的因为醉酒饱食或房劳过度，有的因为食用肥甘厚味，或者服用燥热药物所致。这些情况导致脾胃亏损，阳气下陷；或者是湿痰下注，蕴积而成，所以称为“带下”。凡是上述情况，都应当以健脾壮胃、升举阳气为主，辅以治疗各经具体症状的药物。如果病属肝经，带下色青，用小柴胡汤加山栀；如果是湿热壅滞，小便赤涩，用龙胆泻肝汤；病属心经，带下色赤，用小柴胡汤加黄连、山栀、当归；病属肺经，带下色白，用补中益气汤加山栀；病属脾经，带下色黄，用六君子汤加山栀、柴胡，若无效，改用归脾汤；病属肾经，带下色黑，用六味地黄丸；如果是气血俱虚，用八珍汤；如果是阳气下陷，用补中益气汤；如果是湿痰下注，在前述方剂基础上加茯苓、半夏、苍术、黄柏；如果是气虚导致的痰饮下注，用四七汤送服肾气丸。
治验案例：
一位六十多岁的妇人，出现内热口干，劳累后头晕，吐痰且带下。之前有人使用化痰行气的药物，导致前述症状更加严重，饮食越来越少，肢体有时麻木。严格服用祛风化痰药后，肢体经常麻木，手足有时冷有时热，日渐消瘦。我说：此症属于脾气虚弱而不能滋养肺金，祛风的药物进一步损伤了各条经络，应当滋生化之源。于是使用补中益气汤加茯苓、半夏、炮姜，服用二十多剂后，脾气逐渐恢复，饮食逐渐增加，各种症状顿时痊愈。
一位寡妇腹胀胁痛，内有虚热，傍晚发热，月经不调，肢体酸麻，不时吐痰。之前有人使用清气化痰药，导致喉间不利，带下青黄色，腹部和胁部膨胀；又使用行气药物，导致胸膈不利，肢体时常麻木。这是郁怒损伤了肝脾，之前的药物使病情加重。早晨服用归脾汤以解除脾郁、生发脾气，晚上服用加味逍遥散以生肝血、清肝火，兼服一百多剂，各种症状痊愈。
一位妇人患疟疾日久，兼有带下，发作后口干极度疲倦。我使用七味白术散加麦门冬、五味子，制成大剂量，煎汤让她随意饮用，再次发作时症状稍减，于是改用补中益气汤加茯苓、半夏，十余剂后痊愈。凡截断疟疾，我常用人参、白术各一两，生姜四两，煨熟后煎服即可停止，或者用大剂量补中益气汤加煨姜，效果尤其迅速。
一位妇人头晕吐痰，胸满气喘，进食后稍缓解，苦于白带，已有二十多年，各种药物无效。我说：这是气虚导致的痰饮，痰饮消除后带下才会痊愈，于是使用六味地黄丸，不到一个月见效。
一位妇人耳鸣胸痞，内热口干，咳嗽时感觉喉间有一核，吞吐不利，月经不调，兼有带下。我认为这是肝脾郁结，使用归脾汤加半夏、山栀、升麻、柴胡，间歇性配合四七汤送服白丸子而痊愈。
一位妇人吞酸胸满，食少便泄，月经不调，服用法制清气化痰丸后，两膝逐渐肿胀，寒热往来，带下黄白色，面色萎黄身体疲倦。我认为这是脾胃虚弱，湿热下注，使用补中益气汤，加倍用人参、白术，加茯苓、半夏、炮姜而痊愈。如果是因为愤怒，发热少食，或者双腿赤肿，或者指缝常湿，用六君子汤加柴胡、升麻及补中益气汤。
一位妇人带下，四肢无力，劳累则倦怠。我说：四肢属土，这属于脾胃虚弱，湿痰下注。于是用补中益气汤、济生归脾汤两种药物治疗，痊愈。
一位六十多岁的妇人，带下黄白色，因愤怒导致胸膈不利，饮食减少，服用消导利气的药物后，反而出现痰喘胸满，大便下血。我说：这是脾气亏损，不能摄血归源。使用补中益气汤加茯苓、半夏、炮姜，四剂后各种症状顿时痊愈，又用八珍汤加柴胡、炒栀子而安定。
Some cases arise from the invasion of the Six Excesses (Wind, Cold, Summer-heat, Dampness, Dryness, Fire) and Seven Emotions (Joy, Anger, Worry, Pensiveness, Sorrow, Fear, Fright); some result from drunkenness, overeating, or sexual exhaustion; some are caused by rich and greasy foods; or by taking drying agents. These conditions lead to Spleen-Stomach deficiency and sinking of Yang Qi; or they result from Damp-Phlegm pouring downward and accumulating, hence termed "Leukorrhea" (Dai Xia). All such cases should be treated primarily by strengthening the Spleen and Stomach and raising Yang Qi, assisted by herbs addressing specific symptoms of the affected meridians. If the pathology belongs to the Liver meridian, the discharge is green; use Xiao Chai Hu Tang (Minor Bupleurum Decoction) with Gardenia (Shan Zhi). If it is Damp-Heat congestion with red and scanty urination, use Long Dan Xie Gan Tang (Gentian Liver-Draining Decoction). If it belongs to the Heart meridian, the discharge is red; use Xiao Chai Hu Tang with Coptis (Huang Lian), Gardenia, and Angelica Sinensis (Dang Gui). If it belongs to the Lung meridian, the discharge is white; use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) with Gardenia. If it belongs to the Spleen meridian, the discharge is yellow; use Liu Jun Zi Tang (Six Gentlemen Decoction) with Gardenia and Bupleurum (Chai Hu); if ineffective, switch to Gui Pi Tang (Restore the Spleen Decoction). If it belongs to the Kidney meridian, the discharge is black; use Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill). If both Qi and Blood are deficient, use Ba Zhen Tang (Eight Treasures Decoction). If Yang Qi is sinking, use Bu Zhong Yi Qi Tang. If Damp-Phlegm pours downward, add Atractylodes Macrocephala (Cang Zhu) and Phellodendron (Huang Bo) to the aforementioned formulas. If Qi deficiency leads to Phlegm-Fluid pouring downward, use Si Qi Tang administered with Shen Qi Wan (Kidney-Energy Pill).
Clinical Cases:
A woman over sixty years old suffered from internal heat and dry mouth, dizziness upon exertion, expectoration, and leukorrhea. Previous treatment with phlegm-resolving and Qi-moving herbs exacerbated these symptoms, reduced appetite, caused occasional limb numbness. Strict adherence to wind-dispelling and phlegm-resolving treatments resulted in frequent limb numbness, alternating cold and hot sensations in hands and feet, and progressive emaciation. I stated: This syndrome belongs to Spleen-Qi deficiency failing to nourish the Lungs; wind-dispelling agents further damaged the meridians. The source of transformation must be nourished. Thus, I prescribed Bu Zhong Yi Qi Tang with Poria (Fu Ling), Pinellia (Ban Xia), and Roasted Ginger (Pao Jiang). After more than twenty doses, Spleen-Qi gradually recovered, appetite increased, and all symptoms resolved suddenly.
A widow suffered from abdominal distension and hypochondriac pain, internal heat, afternoon tidal fever, irregular menstruation, limb soreness and numbness, and intermittent expectoration. Previous treatment with Qi-clearing and phlegm-resolving herbs caused throat discomfort, green-yellow leukorrhea, and abdominal/hypochondriac bloating. Subsequent use of Qi-moving agents led to chest oppression and intermittent limb numbness. This was due to depression and anger injuring the Liver and Spleen, worsened by previous medications. In the morning, she took Gui Pi Tang to resolve Spleen depression and generate Spleen-Qi; in the evening, Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) to generate Liver Blood and clear Liver Fire. After taking these for over a hundred doses, all symptoms resolved.
A woman suffered from chronic malaria accompanied by leukorrhea, with extreme thirst and fatigue after attacks. I used Qi Wei Bai Zhu San (Seven-Ingredient Atractylodes Macrocephala Powder) with Ophiopogon (Mai Men Dong) and Schisandra (Wu Wei Zi), prepared in large doses for her to drink freely. Upon recurrence, symptoms were slightly alleviated, so I switched to Bu Zhong Yi Qi Tang with Poria and Pinellia, curing her in ten doses. To arrest malaria, I often use Codonopsis (Ren Shen) and Atractylodes Macrocephala (Bai Zhu) one tael each, with four taels of Ginger (Sheng Jiang), roasted and decocted, which stops the attack immediately. Alternatively, using a large dose of Bu Zhong Yi Qi Tang with roasted Ginger yields even faster results.
A woman suffered from dizziness, expectoration, chest fullness, and asthma, relieved slightly by eating, plagued by leukorrhea for over twenty years without success from various medicines. I stated: This is Qi deficiency leading to Phlegm-Fluid retention; once the fluid resolves, the leukorrhea will heal. Thus, I used Liu Wei Di Huang Wan, showing efficacy within a month.
A woman suffered from tinnitus, chest stuffiness, internal heat, dry mouth, a sensation of a lump in the throat during coughing (plum-pit qi), difficulty swallowing, irregular menstruation, and leukorrhea. I diagnosed Liver-Spleen depression and stagnation, prescribing Gui Pi Tang with Pinellia, Gardenia, Cimicifuga (Sheng Ma), and Bupleurum, intermittently combined with Si Qi Tang and Bai Wan Zi (White Pills), resulting in recovery.
A woman suffered from acid regurgitation, chest fullness, poor appetite, loose stools, and irregular menstruation. After taking processed Qing Qi Hua Tan Wan (Clear Qi and Resolve Phlegm Pill), her knees swelled, she experienced alternating chills and fever, yellow-white leukorrhea, sallow complexion, and fatigue. I diagnosed Spleen-Stomach deficiency with Damp-Heat pouring downward, treating with Bu Zhong Yi Qi Tang, doubling the dosage of Codonopsis and Atractylodes Macrocephala, adding Poria, Pinellia, and Roasted Ginger, resulting in recovery. If symptoms arise from anger, featuring fever, poor appetite, red swollen legs, or moist finger webs, use Liu Jun Zi Tang with Bupleurum and Cimicifuga, along with Bu Zhong Yi Qi Tang.
A woman suffered from leukorrhea, limb weakness, and fatigue upon exertion. I stated: Limbs belong to Earth (Spleen/Stomach); this belongs to Spleen-Stomach deficiency with Damp-Phlegm pouring downward. She was cured using Bu Zhong Yi Qi Tang and Ji Sheng Gui Pi Tang.
A woman over sixty suffered from yellow-white leukorrhea. Due to anger causing chest oppression and poor appetite, she took digestion-promoting and Qi-moving drugs, which instead caused phlegm-asthma, chest fullness, and hematochezia. I stated: This is Spleen-Qi deficiency failing to control blood and return it to its source. She was treated with Bu Zhong Yi Qi Tang plus Poria, Pinellia, and Roasted Ginger; after four doses, all symptoms resolved suddenly. She then stabilized with Ba Zhen Tang plus Bupleurum and Stir-fried Gardenia.