每经前三五日，脐下作痛，状如刀刺，或有寒热，下黑水如黑豆汁，此湿所致也。经水欲出，逼之外泄，相争而痛
也。寒气凝着，故如刀刺。其人必两足常冷，腰以下重，傅氏有温脐化湿汤。
制白术 炒山药 炒扁豆 建莲子（莲心用） 白茯苓 巴戟肉 白果（捣）
经前十日，服四五剂，拟加淡吴萸，蕲艾叶，二味为佐。
妇人有泄水三日，而后行经者，脾虚也。脾虚不运，故津液不化为精而化为水；脾虚不摄，故经水将下，而脾湿先
为之泄注。治宜健脾补气，与六君子汤。 溏者，加肉果主之；有食加神曲。
炙潞党 炙甘草 广陈皮 制于术 白茯苓 法半夏
竹泉生曰∶余纂《女科集要》一书，首以调经，调经之类凡五，共二十有四条，其义备矣。世之求为女科者，其毋
忘第一要义，则庶几乎。苗有未达，参审于调血门，则必有得矣。
补曰∶经水先期色紫且多，倘兼咽燥眩冒，腰痛，筋酸，无力，脉象浮大，大便结者，即为血不归经，随天癸而外
溢，当作失血论，治法详后调血门中。
竹泉生曰∶前贤论妇人带下一证，惟有明之末年，阳曲傅山青主氏言之最详而精。余节其论，大伸己意，以弁带证
之首。
带证皆属湿，独以带名者，为其伤犯带脉，将成大害，有坤爻初六履霜之警也。夫湿者，不过六淫之一，何至张大
其事，抑若是哉？不知湿而成带，绝非常湿之可比。其邪生于脾，由脾之脂膜，走窜冲任二脉，下贯带脉，而注于胞宫，
于是乎淋漓外泄，稠粘腥臭，是所谓带下之证也。
其为病也，初无大苦，不过秽恶自嫌而已。然胞宫上系于心，下系于肾，为二火一水会盟行成之地，湿浊之邪，久
久蹯踞，阻碍三经既济之功化，是已有害于经水矣。
且督脉为天，任脉为地，天地泰交，故生百物。而带脉周绕约束，有如四维之辅二极也，其保胞宫，有如四渎之卫
华夏也。于是冲脉象人声乎其中，而成三才，此所谓人身一小天地也。今湿邪往来于带脉，阻碍交泰之功化，而伤天地
之和。督脉主生精，任脉主生血，二脉受伤，则精血之源不裕，此岂非带证之所害乎，期不亦履霜而知为坚冰至乎！
虽然，及早为之谋，则一变为复，再变为临，三变为泰，春气勃然而生矣，是亦齐至鲁，鲁至道之意云。
每逢月经来潮前三五天，肚脐下方出现疼痛，痛感如同刀刺一般，有时伴有怕冷或发热的症状，阴道排出黑色液体，颜色像黑豆汁一样，这是由湿气引起的。经血欲出时，被湿气逼迫而外泄，气血相互抗争导致疼痛。寒气凝结附着，所以疼痛如刀刺。患者通常双脚常年冰冷，腰部以下感觉沉重，傅氏有一方名为温脐化湿汤。
处方：制白术、炒山药、炒扁豆、建莲子（莲心使用）、白茯苓、巴戟肉、白果（捣碎）。
在月经前十天服用，连续服用四五剂，建议加入淡吴茱萸、蕲艾叶两味药作为佐使药。
有的妇女先排出水样分泌物三天，然后才来月经，这是脾虚所致。脾虚不能运化，所以津液不能转化为精微物质而转化为水湿；脾虚不能固摄，所以在经血将要下行时，脾湿先随之大量流出。治疗应当健脾补气，使用六君子汤。如果大便稀溏，加肉豆蔻为主药；如果有食积，加神曲。
处方：炙潞党参、炙甘草、广陈皮、制于术、白茯苓、法半夏。
竹泉生说：我编纂《女科集要》一书，首先讲述调经，调经的内容共有五类，总计二十四条，其义理已经完备了。世间追求妇科医术的人，不要忘记第一条重要原则，这样差不多就可以了。如果还有未通达的地方，参考调血门的内容，一定会有所收获。
补注说：如果月经提前且颜色紫红量多，如果同时伴有咽喉干燥、头晕目眩、腰痛、筋脉酸痛、无力、脉象浮大、大便干结等症状，这就是血液不回归经脉，随着天癸（月经）而外溢，应当当作失血症来论治，治疗方法详见后文调血门中。
竹泉生说：前代贤人对妇人带下这一病症的论述，只有明代末年的阳曲人傅山（字青主）说得最详细精辟。我节选他的论述，大大阐发自己的见解，放在带证章节的开头。
带证都属于湿气，唯独以“带”命名，是因为它伤害了带脉，将造成大的危害，有《易经》坤卦初六爻“履霜坚冰至”的警示。湿气不过是六淫（风、寒、暑、湿、燥、火）中的一种，怎么会如此夸大其事呢？不知道湿气形成带下病，绝非常见的湿气可比。这种邪气产生于脾，通过脾的脂膜，走窜进入冲脉和任脉，向下贯穿带脉，注入胞宫，于是淋漓外泄，质地稠粘且有腥臭味，这就是所谓的带下病。
这种病起初并没有太大的痛苦，只是让人因秽恶而感到嫌弃罢了。然而胞宫上连于心，下连于肾，是水火既济、阴阳调和形成的地方，湿浊之邪长久盘踞其中，阻碍了三经（冲、任、督）既济的功能转化，这已经对经血产生了危害。
况且督脉象征天，任脉象征地，天地交泰，所以能化生万物。而带脉周绕约束，就像辅助两极的四维一样，保护胞宫，就像四条大河保卫华夏大地一样。于是冲脉在其中运行，构成天、地、人三才，这就是所谓人身即小天地。现在湿邪在带脉中往来，阻碍了交泰的功能转化，伤害了天和地的和谐。督脉主管生成精气，任脉主管生成血液，这两条经脉受伤，那么精血的源头就不充裕，这难道不是带下病造成的危害吗？这不正是看到脚下有霜就知道坚冰即将降临的道理吗！
虽然如此，如果及早谋划治疗，那么病情可以从剥卦变为复卦，再变为临卦，三变为泰卦，春天的生气就会勃然发生，这也是从齐国到鲁国，再从鲁国到达道的意思。
Every three to five days before menstruation, pain occurs below the umbilicus, feeling like a knife stab. There may be alternating chills and fever, and dark fluid resembling black bean juice is discharged from the vagina. This is caused by Dampness (Shi). As the menstrual blood attempts to emerge, it is forced out by the Dampness; the struggle between the two causes pain. The coagulation of Cold Qi (Han) leads to this stabbing pain. The patient must have cold feet year-round and heaviness in the lower body. Master Fu has a formula called Wenyu Huashi Tang (Warming the Umbilicus and Transforming Dampness Decoction).
Ingredients: Prepared Atractylodis Macrocephalae Rhizoma (Zhi Baizhu), Stir-fried Dioscoreae Hypoglaucae Rhizoma (Chao Shanyao), Stir-fried Dolichoris Semen (Chao Biandou), Jian Lotus Seed with Lotus Plumule (Jian Lianzi - use plumule), Poria (Baifuling), Morindae Officinalis Radix (Bajirou), White Ginkgo Nut (Baiguo, crushed).
Take four or five doses starting ten days before menstruation. It is proposed to add Evodiae Fructus (Dan Wuzhuyu) and Artemisiae Argyi Folium (Qi Aiye) as adjunct herbs.
Some women experience discharge of water for three days before their menstruation begins. This is due to Spleen Deficiency (Pi Xu). When the Spleen is deficient and fails to transport, fluids are not transformed into essence but into water. When the Spleen is deficient and fails to contain, as the menstrual blood is about to descend, Spleen-Dampness leaks out first. Treatment should focus on strengthening the Spleen and tonifying Qi, using Liujunzi Tang (Six Gentlemen Decoction). If there is loose stool, add Myristicae Semen (Rouguo) as the main herb; if there is food stagnation, add Medicated Leaven (Shenqu).
Ingredients: Roasted Codonopsis Radix (Zhi Ludangshen), Roasted Glycyrrhizae Radix et Rhizoma (Zhi Gancao), Tangerine Peel (Guang Chenpi), Prepared Atractylodis Rhizoma (Zhi Yushu), Poria (Baifuling), Processed Pinelliae Tuber (Fa Banxia).
Zhujian Sheng said: In compiling my book *Nüke Jiyao* (Essentials of Gynecology), I begin with regulating menstruation. There are five categories under this topic, totaling twenty-four clauses, covering the principles comprehensively. Those seeking knowledge in gynecology should not forget this primary principle, and they will likely succeed. If there are areas not fully understood, refer to the section on Regulating Blood, and you will surely gain insight.
Supplementary Note: If menstruation arrives early, is purple in color, and abundant, accompanied by dry throat, dizziness, vertigo, lower back pain, soreness of sinews, weakness, a floating and large pulse, and constipation, this indicates Blood failing to return to its vessels and overflowing with Tian Gui (menstrual essence). It should be treated as Hemorrhage (Shi Xue). The treatment methods are detailed later in the Regulating Blood section.
Zhujian Sheng said: Regarding the discussion of leukorrhea (Dai Xia) in women by past sages, only at the end of the Ming Dynasty did Fu Shan (courtesy name Qingzhu) of Yangqu discuss it most extensively and precisely. I excerpted his discussions and greatly expanded upon my own views, placing them at the beginning of the chapter on Dai Syndromes.
All Dai syndromes belong to Dampness. They are named specifically "Dai" because they injure the Dai Mai (Girdle Vessel), posing a great danger, serving as a warning akin to the hexagram Kun's initial line: "Treading on frost, solid ice comes soon." Dampness is merely one of the Six Exogenous Pathogens (Liu Yin); why exaggerate its significance so much? One must understand that when Dampness forms Dai disease, it is incomparable to ordinary Dampness. The pathogen arises from the Spleen, travels through the fatty membranes of the Spleen, moves into the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel), descends through the Dai Mai, and pours into the Bao Gong (Uterus). Thus, it leaks continuously, thick and sticky with a fishy odor; this is what is meant by Dai Xia syndrome.
Initially, the disease causes little suffering, merely causing disgust due to the foul nature. However, the Bao Gong is connected above to the Heart and below to the Kidney, a place where Fire and Water meet and interact. Long-term occupation by Turbid Dampness obstructs the mutual interaction and transformation of the three vessels (Chong, Ren, Du), thereby harming the menstrual blood.
Furthermore, the Du Mai (Governor Vessel) represents Heaven, and the Ren Mai represents Earth. When Heaven and Earth interact smoothly, all things are generated. The Dai Mai encircles and constrains, acting like the four dimensions supporting the two poles. It protects the Bao Gong just as the four great rivers protect China. The Chong Mai operates within, forming the Trinity of Heaven, Earth, and Humanity—this is the concept that the human body is a microcosm. Now, Damp Pathogens move within the Dai Mai, obstructing the smooth interaction and harming the harmony of Heaven and Earth. The Du Mai governs the generation of Essence (Jing), and the Ren Mai governs the generation of Blood. Injury to these two vessels depletes the source of Jing and Blood. Is this not the harm caused by Dai syndromes? Does this not illustrate the principle of seeing frost and knowing solid ice is coming?
Nevertheless, if planned for early, the condition can transform from Pi (Injury) to Fu (Return), then to Lin (Approach), and finally to Tai (Peace), allowing the vibrant energy of Spring to arise. This aligns with the meaning of moving from Qi to Lu, and from Lu to Dao.