经曰∶湿痰流下，渗入膀胱经为带，此言肥人也。瘦人由内火煎熬津液而成。然而妇人、女
子带下之证，又多由脾胃湿热所致。白多为气虚，赤多为血热。患久则渐次虚寒，面黄体瘦，肌
肤憔悴，形容枯槁，行动懒怯，多因带证而致焉。何则？但因感此者，外无病患之形，内无痛楚
之苦，隐而不觉，岁月迁延。《脉诀》云∶崩中日久成白带，漏下多时骨木枯。是以气血渐损，
形体渐羸而变成大病者多矣。
调理之要∶治标必以止塞为主，肥人兼消痰，瘦人兼清火，少佐升提固敛。治本必理气和血
，次健脾渗
湿，六君子、五苓，姜炒黄连。大补气血，多不以为急，患之既久，脾胃虚弱。至于月经不调，
甚者淋 崩漏，遂成危疾，难为攻治矣。方药合宜，庶可获效。如日久不止者，专以补气血为主
，先以主方治之；次服十全大补汤去桂，加醋炒芍药，牡蛎粉，禹余粮（补中益气汤见脾胃。）
主方 当归 川芎 赤芍 熟地 艾叶 茯苓 牡丹皮 臭椿根皮 香附（醋炒） 山药（
各一钱） 升麻（三分）上加乌梅两个水煎。另用牡蛎（火 ，醋淬，）龙骨、赤石脂（各七分），研成
末调服，或作丸服亦可。
固真丸 带久不止，腹痛，眼昏溜火，阳明伏火，此丸大泻寒湿。
干姜（炮，一两） 柴胡 白石脂（另研） 白龙骨（另研） 当归（各五钱） 白芍（酒
炒） 黄柏（酒炒） 白术（各二钱）
上为末，醋糊丸桐子大，每服百丸，空心醋汤下，以干物压之，不令热药犯胃。
敛带丸 带久气血两虚，面黄肌瘦，无力身热，饮食无味，四肢倦怠。
当归 川芎 茯苓 白术 香附（醋炒） 山药 臭椿根皮 杜仲（姜汁、酒炒） 牡蛎（
火、醋淬） 鹿角霜（另研） 破故纸（酒炒） 白芍（酒炒） 人参（各等分）
上为末，乌梅肉蒸捣和入，加醋糊丸如桐子大。每服百丸，空心米汤下。
虚加黄 、地黄；热加地骨皮、青黛；痰加陈皮、半夏、南星。小便涩加车前子。瘦人加黄
柏。胸满去人参，加砂仁。腹痛去参，加玄胡、小茴香；冬加炮姜。久加升麻、柴胡。
收带丸 赤白带因湿痰腹痛，燥中宫之湿，提陷下之气。
苍术 白术 白茯苓 陈皮（盐水去白） 当归 白芍（酒炒） 熟地 半夏（姜制） 椿
根皮（各一两） 牡丹皮 黄柏（酒炒） 甘草（炙） 防风（各五钱） 升麻（三钱）
上为末，酒糊丸桐子大。每服百丸，米汤下。
简便方 （止白带） 锻石（风化一两） 白茯苓（二两） 为末，水丸。每三十丸白汤
下。亦止水泻。
又 赤白带下。荞麦面、鸡子清为丸，每服五十丸，白汤送下。
又 香附子（醋煮），臭椿根皮（去粗皮），等分为末，醋糊丸桐子大，百丸空心醋汤下。
《黄帝内经》说：湿痰流注下行，渗入膀胱经形成带下病，这是针对肥胖人群而言的。瘦人则是因为体内虚火煎熬津液而形成的。然而，妇女及女子患带下病，又多由脾胃湿热所致。白带多因气虚引起，赤带多因血热引起。患病日久则逐渐转为虚寒，出现面色萎黄、身体消瘦、肌肤憔悴、形体枯槁、行动懒惰怯弱等症状，大多是由带下病导致的。为什么呢？因为感染此病的人，外表没有明显的病患形态，内部也没有剧烈的痛苦感受，隐蔽而不被察觉，导致岁月迁延。《脉诀》说：崩中（月经量多如注）日久会变成白带，漏下（淋漓不尽）多时会导致骨骼干枯。因此，气血逐渐损耗，形体逐渐消瘦而变成大病的情况很多。
调理的关键：治疗标证必须以止涩为主，肥胖者兼用消痰法，瘦者兼用清火法，稍加升提固敛的药物。治疗本证必须调理气和血，其次健脾渗湿，可用六君子汤、五苓散，以及姜炒黄连。大补气血通常不作为紧急措施，因为患病既久，脾胃已经虚弱。至于月经不调，严重的会出现淋证或崩漏，遂成危重疾病，难以攻治了。方药配合适宜，才可能获得疗效。如果日久不止，专门以补气血为主，先用主方治疗；接着服用十全大补汤去掉桂枝，加入醋炒芍药、牡蛎粉、禹余粮（补中益气汤见脾胃章节）。
主方：当归、川芎、赤芍、熟地黄、艾叶、茯苓、牡丹皮、臭椿根皮、香附（醋炒）、山药（各一钱），升麻（三分），上加乌梅两个，水煎服。另用煅牡蛎（火煅，醋淬）、龙骨、赤石脂（各七分），研成细末调服，或者制成丸剂服用也可以。
固真丸：带下日久不止，伴有腹痛，眼睛昏花似有火星冒出，阳明经伏火，此丸主要泻除寒湿。
干姜（炮制，一两）、柴胡、白石脂（单独研磨）、白龙骨（单独研磨）、当归（各五钱）、白芍（酒炒）、黄柏（酒炒）、白术（各二钱）。
以上药物研为细末，用醋糊制成梧桐子大小的丸剂，每次服用一百丸，空腹时用醋汤送下，并用干食物压住，不让热药损伤胃气。
敛带丸：带下日久导致气血两虚，面色发黄肌肉消瘦，无力且身热，饮食无味，四肢倦怠。
当归、川芎、茯苓、白术、香附（醋炒）、山药、臭椿根皮、杜仲（姜汁、酒炒）、牡蛎（火煅、醋淬）、鹿角霜（单独研磨）、破故纸（酒炒）、白芍（酒炒）、人参（各等分）。
以上药物研为细末，用乌梅肉蒸熟捣烂混合，加入醋糊制成梧桐子大小的丸剂。每次服用一百丸，空腹时用米汤送下。
若属虚证加黄芪、地黄；热证加地骨皮、青黛；痰多加陈皮、半夏、南星。小便涩滞加车前子。瘦人加黄柏。胸满去人参，加砂仁。腹痛去人参，加玄胡索、小茴香；冬季加炮姜。病程久加升麻、柴胡。
收带丸：赤白带下因湿痰引起腹痛，燥化中宫之湿，提升陷下的气机。
苍术、白术、白茯苓、陈皮（盐水浸泡去白）、当归、白芍（酒炒）、熟地黄、半夏（姜制）、椿根皮（各一两）、牡丹皮、黄柏（酒炒）、甘草（炙）、防风（各五钱）、升麻（三钱）。
以上药物研为细末，用酒糊制成梧桐子大小的丸剂。每次服用一百丸，米汤送下。
简便方（止白带）：锻石（风化一两）、白茯苓（二两），研为细末，用水泛为丸。每次三十丸，白开水送下。也可用于止住水泻。
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: "Damp-phlegm flows downward, infiltrating the Bladder Meridian to form leukorrhea," which refers specifically to obese individuals. In thin individuals, it is formed by internal fire simmering and consuming body fluids. However, leukorrhea in women is often caused by damp-heat in the Spleen and Stomach. White discharge is mostly due to Qi deficiency, while red discharge is mostly due to Blood heat. If the condition persists for a long time, it gradually turns into deficiency-cold, presenting with sallow complexion, emaciation, withered skin, haggard appearance, lethargy, and timidity, mostly resulting from the leukorrhea itself. Why? Because those infected with this disease have no external signs of illness and no internal pain, remaining hidden and unnoticed, allowing time to pass. The *Mai Jue* (Pulse Resolution) says: "Leukorrhea results from prolonged metrorrhagia; bone dryness results from prolonged metrorrhexis." Therefore, cases where Qi and Blood are gradually depleted, the body becomes emaciated, and major diseases develop are numerous.
Key to regulation: Treating the branch (symptoms) must focus on astringency. For obese patients, combine with phlegm-resolving methods; for thin patients, combine with fire-clearing methods, slightly assisted by lifting and consolidating agents. Treating the root (cause) requires regulating Qi and harmonizing Blood, followed by strengthening the Spleen and promoting dampness drainage. Formulas such as Liujunzi Tang (Six Gentlemen Decoction), Wuling San (Five-Ling Powder), and Ginger-fried Huanglian (Coptis Rhizome) may be used. Major tonification of Qi and Blood is usually not urgent, as the Spleen and Stomach are already weakened after prolonged illness. Regarding irregular menstruation, severe cases may progress to strangury or metrorrhagia, becoming critical conditions that are difficult to treat with aggressive methods. Only when the prescription matches the syndrome can efficacy be expected. If the condition persists for a long time without stopping, focus primarily on tonifying Qi and Blood, starting with the Main Formula; subsequently, take Shiquan Dabu Tang (Ten Significant Tonifying Decoction) removing Guizhi (Cinnamon Twig), adding Vinegar-fried Shaoyao (Peony Root), Muli (Oyster Shell powder), and Yuyuliang (Haematitum). (Buzhong Yiqi Tang [Tonify the Middle and Augment the Qi Decoction] is seen under Spleen and Stomach.)
Main Formula: Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Chishao (Paeoniae Radix Rubra), Shudi (Rehmanniae Radix Preparata), Aye (Mugwort Leaf), Fuling (Poria), Mudanpi (Moutan Cortex), Chouqungenpi (Toosendan Cortex), Xiangfu (Cyperi Rhizoma [Vinegar-fried]), Shanyao (Dioscoreae Rhizoma) (each 1 qian); Shengma ( Cimicifugae Rhizoma) (3 fen). Add two Wu Mei (Mume Fructus), decoct in water. Separately, use Huo Muli (Calcined Oyster Shell [quench in vinegar]), Longgu (Fossilia Ossis Mastodi et Scapulae), and Chishizhi (Halloysitum Rubrum) (each 7 fen), grind into fine powder, mix and take orally, or prepare as pills.
Guzhen Wan (Solidify Truth Pill): For persistent leukorrhea accompanied by abdominal pain, blurred vision with sensation of sparks, latent fire in the Yangming channel. This pill primarily drains cold-dampness.
Ganjiang (Zingiberis Rhizoma Preparata) [roasted, 1 liang], Chaihu (Bupleuri Radix), Baishi Zhi (Kaolinitum [separately ground]), Bai Longgu (Fossilia Ossis Mastodi et Scapulae [separately ground]), Danggui (Angelicae Sinensis Radix) (each 5 qian), Baishao (Paeoniae Radix Alba [wine-fried]), Huangbai (Phellodendri Cortex [wine-fried]), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 2 qian).
Grind all into powder, make pills with vinegar paste the size of tung seeds. Take 100 pills per dose, with vinegar broth on an empty stomach, pressing down with solid food to prevent hot herbs from damaging the Stomach.
Liandai Wan (Astringe Leukorrhea Pill): For prolonged leukorrhea causing dual deficiency of Qi and Blood, sallow complexion, emaciation, weakness with low-grade fever, loss of appetite, and limb fatigue.
Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Xiangfu (Cyperi Rhizoma [Vinegar-fried]), Shanyao (Dioscoreae Rhizoma), Chouqigenpi (Toosendan Cortex), Duzhong (Eucommiae Cortex [Jiang juice, wine-fried]), Muli (Ostreae Concha [calcined, quenched in vinegar]), Lujiaoshuang (Cornu Cervi Pantotrichum Preparatum [separately ground]), Pogu Zhi (Browneae Semen [wine-fried]), Baishao (Paeoniae Radix Alba [wine-fried]), Renshen (Ginseng Radix et Rhizoma) (equal parts).
Grind into powder, steam and pound Wumei Rou (Mume Fructus pulp) to mix in, add vinegar paste to make pills the size of tung seeds. Take 100 pills per dose, with rice broth on an empty stomach.
If deficiency, add Huangqi (Astragali Radix) and Dihuang (Rehmanniae Radix); if heat, add Digupi (Lycii Cortex) and Qingdai (Indigo Naturalis); if phlegm, add Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), and Nanting (Arisaematis Tuber). If urinary difficulty, add Cheqianzi (Plantaginis Semen). For thin patients, add Huangbai (Phellodendri Cortex). If chest fullness, remove Renshen (Ginseng Radix et Rhizoma) and add Shenren (Amomi Fructus). If abdominal pain, remove Renshen (Ginseng Radix et Rhizoma) and add Xuanyuan (Corydalis Rhizoma) and Xiaohui Xiang (Foeniculi Fructus); in winter, add Paojiang (Zingiberis Rhizoma Preparata). For chronic cases, add Shengma (Cimicifugae Rhizoma) and Chaihu (Bupleuri Radix).
Shoudai Wan (Collect Leukorrhea Pill): For red and white leukorrhea caused by damp-phlegm and abdominal pain, drying dampness in the Middle Burner, and lifting sunken Qi.
Cangzhu (Atractylodis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Bai Fuling (Poria), Chenpi (Citri Reticulatae Pericarpium [salt water soaked, pith removed]), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba [wine-fried]), Shudi (Rehmanniae Radix Preparata), Banxia (Pinelliae Rhizoma [ginger processed]), Chun Gen Pi (Toosendan Cortex) (each 1 liang), Mudanpi (Moutan Cortex), Huangbai (Phellodendri Cortex [wine-fried]), Gancao (Glycyrrhizae Radix et Rhizoma [roasted]), Fangfeng (Saposhnikoviae Radix) (each 5 qian), Shengma (Cimicifugae Rhizoma) (3 qian).
Grind into powder, make pills with wine paste the size of tung seeds. Take 100 pills per dose, with rice broth.
Simple Prescription (Stop White Discharge): Duanshi (Alumen Preparatum [weathered, 1 liang]), Bai Fuling (Poria [2 liang]). Grind into powder, make water pills. Take 30 pills per dose with warm water. Also stops watery diarrhea.
Another Prescription: Red and white leukorrhea. Make pills with Qiaomai Mian (Tartary Buckwheat Flour) and Jizi Qing (Albumen Ovi Galli). Take 50 pills per dose with warm water.
Another Prescription: Xiangfu Zi (Cyperi Rhizoma [boiled in vinegar]), Chouqigenpi (Toosendan Cortex [remove coarse bark]). Equal parts ground into powder, made into pills with vinegar paste the size of tung seeds. Take 100 pills per dose with vinegar broth on an empty stomach.