朱丹溪曰∶赤属血，白属气、属痰，俱是胃中痰积流下，渗入膀胱，宜用升举，无人知此。肥人多属湿痰，
瘦人带病少，如有，属热痰，用半夏、南星、苍术、海石、炒黄柏、青黛、川芎、椿树皮之属。
《济阴纲目》按∶立斋云，不可拘肥人多痰，瘦人多火，轻用燥湿泻火之法。夫肥痰瘦火之说，为丹溪认
病总诀，何尝教人泥定一方。虽不可轻治，而火湿终莫能逃。若以
稳当之言，犹不可轻治，则洁古之十枣，子和之吐下，太无之神佑、玉烛，与小胃丹之类，可轻用欤？
慎斋按∶以上三条，序带下之属瘀血、败脓、湿痰为病也。带下有风冷、有湿热，是外感有余之病。有瘀血、
有败脓、有湿痰，是内伤有余之病。病机不一，不可不审。
李东垣曰∶有病白带，常下漏、久服诸药不止。诊得心包尺脉微，下流不止。叔和曰∶崩中日久为白带，
漏下时多骨水枯。崩中者，始病血崩，久则血少，复亡其阳，故白滑之物，下流不止。是本经血海将枯，津
液复亡，枯干不能滋养筋骨，以本部行经药为引使，以大辛甘油腻之药，润其枯燥，滋养精液。以大辛热气味
之药，补其阳道，生其血脉。以苦寒之药，泻肺而救上热。气伤者，以人参补之，以苦温之药为佐，名补经
固真汤。
缪仲淳曰∶妇人多忧思郁怒，损伤心脾，肺火时发，血走不归经，此多患赤白带也。白带多是脾虚，肝气郁
则脾受伤，脾伤则湿土之气下陷，是脾精不守，不能输为荣血，而下白滑之物，皆由肝木郁于地中使然，法当
开提肝气，补助脾元。盖以白带多属气虚，故健脾补气要法也。若有带下如米泔水，腥秽臭者，湿热胜也。亦有
脾胃气虚，不能约制其水，而湿痰下坠者，宜二术、茯苓、芩、柏、车前主之，佐以升提。若带下如鸡子清者，
脾肾虚极也。面色必不华，足胫必浮，腰腿必酸，宜五味子、八味丸，间用开脾养心之剂，如归脾汤之类。阴虚
有火，宜六味丸，如菟丝、五味、车前、黄柏。叔和云，崩中日久为白带，漏下时多骨水枯。言崩久气血虚耗，
白滑之物下不止耳。此证虽有气血寒热之分，总属气虚下陷。
朱丹溪说：赤色带下属于血分病变，白色带下属于气分病变或痰湿为患，这些都是由于胃中痰浊积聚流注下行，渗入膀胱所致，治疗应当采用升提举陷的方法，但很少有人知晓这一道理。肥胖之人多属湿痰证；消瘦之人患带下病较少，如果患病，多属热痰证，治疗可用半夏、南星、苍术、海浮石、炒黄柏、青黛、川芎、椿树皮等药物。
《济阴纲目》按语：薛立斋说，不可拘泥于“肥胖人多痰，消瘦人多火”的说法，轻易使用燥湿或泻火的治疗方法。“肥痰瘦火”的说法，是朱丹溪认识疾病的总纲领，哪里是教人死守一方不变呢？虽然不能轻率治疗，但火热与湿邪终究无法逃脱（被识别）。如果认为这是稳妥之论，因而不敢轻率用药，那么洁古老人的十枣汤、张子和的吐下法、太无的神佑丸、玉烛散，以及小胃丹之类峻猛之剂，就可以轻率使用了么？
慎斋按语：以上三条，论述了带下病由瘀血、败脓、湿痰引起的情况。带下病有因风冷所致者，有因湿热所致者，这属于外感有余的病证；有因瘀血、败脓、湿痰所致者，这属于内伤有余的病证。病机各不相同，不可不仔细审察。
李东垣说：有人患白带病，经常淋漓不断，久服各种药物均无效。诊察发现其心包经尺部脉象微弱，导致下元滑脱不止。王叔和说：崩中日久转化为白带，漏下时多则骨髓枯竭。所谓崩中，起初是血崩，日久则血液亏少，进而阳气亡失，因此白滑之物下流不止。这是因为本经血海即将枯竭，津液再次亡失，干枯而不能滋养筋骨。治疗应以通行本部经脉的药物为引使，用大辛甘且油腻的药物，滋润其枯燥，滋养精液。用大辛热气味的药物，补益其阳道，生发血脉。用苦寒的药物，清泻肺热以救治上焦之热。对于气虚者，用人参补益，佐以苦温药物，名为补经固真汤。
缪仲淳说：妇人多忧思郁怒，损伤心脾，肺火时常发作，血液妄行不归经，因此多患赤白带下病。白带多是脾虚所致，肝气郁结则脾脏受伤，脾伤则湿土之气下陷，导致脾精不能固守，不能输布化为荣血，而下注白滑之物，这都是因为肝木郁结于地中（脾土）所致。治法应当开提肝气，补助脾元。大概因为白带多属气虚，所以健脾补气是主要法则。如果有带下如米泔水般，腥秽臭者，是湿热盛所致。也有因脾胃气虚，不能约束控制水液，而湿痰下坠者，宜用苍术、白术、茯苓、黄芩、黄柏、车前子为主药，佐以升提药物。若带下如鸡蛋清者，是脾肾极度虚弱所致。面色必然不华彩，足胫必然浮肿，腰腿必然酸痛，宜用五味子、八味丸，间或用开脾养心的方剂，如归脾汤之类。阴虚有火者，宜用六味地黄丸，如菟丝子、五味子、车前子、黄柏等。王叔和说：崩中日久转化为白带，漏下时多则骨髓枯竭。意思是崩漏日久气血虚耗，白滑之物下流不止罢了。此证虽然有气血寒热的区别，但总归属于气虚下陷。
Zhu Danxi stated: Red discharge belongs to the blood level, while white discharge belongs to the qi level or phlegm-dampness. All such cases are due to phlegm accumulation in the Stomach flowing downward and infiltrating the Bladder. Treatment should employ lifting and raising methods, yet few are aware of this principle. Obese individuals mostly suffer from damp-phlegm; thin individuals rarely suffer from leukorrhea, but if they do, it is mostly hot-phlegm. Treatment may use Pinelliae Rhizoma (Banxia), Aconiti Lateralis Preparata Radix (Tianxing), Atractylodis Rhizoma (Cangzhu), Spongia (Haishi), Phellodendri Cortex (Huangbai) stir-fried, Indigo Naturalis (Qingdai), Chuanxiong Rhizome (Chuanxiong), and Toona Bark (Chunpishu).
*Ji Yin Gang Mu* commentary: Xue Lizhai said, one must not rigidly adhere to the notion that "obese people have much phlegm, thin people have much fire," and lightly apply drying-dampness or purging-fire methods. The theory of "phlegm in obesity, fire in emaciation" is Zhu Danxi's general key to recognizing diseases; it does not teach one to stick blindly to a single formula. Although treatment should not be casual, fire and dampness ultimately cannot escape detection. If one considers this a prudent statement and thus dares not treat lightly, then could Jiegu's Shizao Tang (Ten Date Decoction), Hezi's vomiting and purging methods, Taiwu's Shenyou Wan (Divine Protection Pill), Yuzhu San (Jade Candle Powder), and Xiaowei Dan (Small Stomach Pill) be used casually?
Shenzhai noted: The above three sections discuss leukorrhea caused by blood stasis, putrid pus, and damp-phlegm. Leukorrhea can be caused by wind-cold or damp-heat, which are excess conditions from external pathogens. Leukorrhea caused by blood stasis, putrid pus, or damp-phlegm are excess conditions from internal injury. The pathogenesis varies and must be carefully examined.
Li Dongyuan said: There is a case of white leukorrhea that constantly leaks and has not stopped despite long-term medication. Pulse diagnosis revealed a faint pulse at the Chi position of the Pericardium channel, indicating continuous downward leakage. Wang Shuhe stated: Prolonged metrorrhagia transforms into leukorrhea; frequent leakage leads to bone marrow exhaustion. Metrorrhagia initially involves bloody flooding; over time, blood becomes deficient, leading to the loss of Yang Qi. Consequently, white slippery substances flow down continuously. This occurs because the Blood Sea is nearly exhausted, and body fluids are further depleted, causing dryness that fails to nourish the sinews and bones. Treatment should use herbs that guide action along the relevant meridian as guides, employing pungent-sweet and greasy herbs to moisten dryness and nourish essence. Pungent-hot herbs should be used to tonify the Yang pathway and generate blood vessels. Bitter-cold herbs should be used to purge Lung heat and rescue upper jiao heat. For Qi deficiency, Ginseng Radix et Rhizoma (Renshen) is used for tonification, assisted by bitter-warm herbs, named Bu Jing Gu Zhen Tang (Tonify Meridian and Secure True Decoction).
Miao Zhongchun said: Women often suffer from worry, thought, depression, and anger, damaging the Heart and Spleen. Lung Fire flares up intermittently, causing blood to wander and fail to return to its vessels, leading to frequent red and white leukorrhea. White leukorrhea is mostly due to Spleen deficiency. Liver Qi stagnation injures the Spleen; Spleen injury causes Damp-Earth Qi to sink, resulting in the failure of Spleen Essence to guard itself and transform into Ying-Blood, instead leaking down as white slippery substances. This is caused by Liver Wood stagnating within the Earth (Spleen). The method should involve lifting Liver Qi and assisting Spleen Yuan. Generally, since white leukorrhea often belongs to Qi deficiency, strengthening the Spleen and tonifying Qi is the essential method. If leukorrhea resembles rice water with a fishy, foul odor, it indicates excessive damp-heat. In cases of Spleen-Stomach Qi deficiency failing to control water, leading to sinking damp-phlegm, Atractylodis Rhizoma (Baizhu/Cangzhu), Poria (Fuling), Scutellariae Radix (Huangqin), Phellodendri Cortex (Huangbai), and Plantaginis Semen (Cheqianzi) should be the main herbs, assisted by lifting agents. If leukorrhea resembles egg white, it indicates extreme Spleen-Kidney deficiency. The complexion will likely lack luster, legs and shins will swell, and lower back and legs will ache. Wuweizi (Schisandrae Fructus) and Jiwei Wan (Eight Ingredient Pill) should be used, interspersed with formulas that open the Spleen and nourish the Heart, such as Guipi Tang (Restore the Spleen Decoction). For Yin deficiency with fire, Liuwei Wan (Six Ingredient Pill) should be used, including Tusisi (Cuscutae Semen), Wuweizi, Cheqianzi, and Huangbai. Wang Shuhe stated: Prolonged metrorrhagia transforms into leukorrhea; frequent leakage leads to bone marrow exhaustion. This means that after prolonged bleeding, Qi and Blood are depleted, and white slippery substances leak continuously. Although this condition has distinctions regarding Qi/Blood and Cold/Heat, it fundamentally belongs to Qi deficiency with sinking.