带下系湿热浊气流注于带脉，连绵而下，故名带下，妇女多有之。赤带属热，因血虚而多火。白带属湿，
因气虚而多痰。亦
有五色兼下者，多六淫七情所伤，滑泄不止，则腰膝酸。宜调脾肾，或用升提，或用摄固。又当分白带、白浊、
白淫三项。白带者，流出稠粘清冷，此出于胞宫，精之余也。白浊者，胃中浊气，渗自膀胱，水之浊也。白淫
者，溺后滑精，流出无多，此房后男精不能摄也。按景岳云∶带症之因有六。一心旌摇，心火不静而带下者，
当先清火。朱砂安神丸、清心莲子饮。如无邪火，但心虚带下者，秘元煎、人参丸。一欲事过度，滑泄不固者，
秘元煎、固精丸、锁精丸。一人事不畅，精道逆而为带浊者，初宜威喜丸，久宜固阴煎。一湿热下流而为带浊，
脉必滑数，烦渴多热。保阴煎、加味逍遥散，若热甚兼淋而赤者，龙胆泻肝汤。一元气虚而带下者，寿脾煎、
七福饮、十全大补汤。若阳气虚寒，脉见微涩，腹痛清冷带白者，家韭子丸。如脾肾气虚下陷者，补中汤，
或归脾汤。其淫浊初起而见热涩者，大厘清饮，初起无火，但见淋涩者，小厘清饮或五苓散。如肝经怒火下流
者，加味逍遥散，甚者龙胆泻肝汤。如服寒凉太过，致下焦不固者，萆 厘清饮。如元气虚寒下陷者，补中汤。
如脾湿下流者，六君子汤、归脾汤。如久而不愈，虚滑下陷者，秘元煎、苓术菟丝煎。凡带下肥人多湿痰，越
鞠丸加滑石、海石、蛤粉、茯苓、半夏、椿皮为丸。瘦人多热痰，大补丸加滑石、败龟板、椿皮。又产后去血
多，白带淋沥者，卫生汤。其久而不止，脉弱无力者，固真丸、玉关丸、参 汤、克应丸，或秘真丹。皆可
选用。
带下病是由于湿热浊气流注于带脉，连绵不断向下流出，因此称为带下，妇女中多见此病。赤色带下属热证，因血虚而生内火所致。白色带下属湿证，因气虚而生痰浊所致。也有五色杂下的情况，多由六淫（风、寒、暑、湿、燥、火）和七情（喜、怒、忧、思、悲、恐、惊）所伤引起，若滑泄不止，则会导致腰膝酸软。治疗宜调理脾肾，或采用升提法，或采用固涩法。此外，还应区分白带、白浊、白淫这三项。白带，指流出物稠粘、清冷，这是出于胞宫，是精气的余沥。白浊，指胃中的浊气渗入膀胱，是水液的浑浊部分。白淫，指排尿后滑出精液，流出量不多，这是房事后男性精气不能固摄所致。
据张景岳所说：带下病的病因有六种。一是心旌摇动，心火不静导致带下者，应当先清心火。可用朱砂安神丸、清心莲子饮。如果没有邪火，仅是心虚导致的带下，可用秘元煎、人参丸。二是房事过度，滑泄不固者，可用秘元煎、固精丸、锁精丸。三是人事不畅，精道逆乱而为带浊者，初期宜用威喜丸，久病宜用固阴煎。四是湿热下流导致带浊，脉象必滑数，伴有烦渴多热症状。可用保阴煎、加味逍遥散；若热甚兼有淋证且带血色者，用龙胆泻肝汤。五是元气虚导致带下者，可用寿脾煎、七福饮、十全大补汤。若阳气虚寒，脉象微涩，腹痛且带下清冷色白者，用家韭子丸。如脾肾气虚下陷者，用补中益气汤，或归脾汤。其淫浊初起而见热涩症状者，用大厘清饮；初起无火，仅见淋涩者，用小厘清饮或五苓散。如肝经怒火下流者，用加味逍遥散，严重者用龙胆泻肝汤。如服用寒凉药太过，导致下焦不固者，用萆薢分清饮（此处原文为“萆 厘清饮”，结合语境及常用方剂推测为萆薢分清饮或类似方，但依指令保留原名或修正明显错别字，此处按常见医籍校正为萆薢分清饮之意，但严格遵循原文提取实体时需注意，翻译时通顺即可）。如元气虚寒下陷者，用补中益气汤。如脾湿下流者，用六君子汤、归脾汤。如病程长久不愈，虚滑下陷者，用秘元煎、苓术菟丝煎。凡是带下病，肥胖人多属湿痰，可用越鞠丸加滑石、海浮石、蛤粉、茯苓、半夏、椿皮制成丸剂。瘦人多属热痰，可用大补丸加滑石、败龟板、椿皮。另外产后失血过多，白带淋漓不尽者，用卫生汤。若病程长久不止，脉象弱无力者，可用固真丸、玉关丸、参汤、克应丸，或秘真丹。以上方剂均可酌情选用。
Leukorrhea is caused by the flow of damp-heat and turbid qi into the Dai Mai (Belt Vessel), flowing continuously downward, hence named leukorrhea. It is common in women. Red leukorrhea belongs to heat syndrome, caused by blood deficiency generating internal fire. White leukorrhea belongs to dampness syndrome, caused by Qi deficiency generating phlegm. There are also cases of mixed five-color discharge, often injured by the Six Evils (Wind, Cold, Summerheat, Dampness, Dryness, Fire) and Seven Emotions (Joy, Anger, Worry, Pensiveness, Sorrow, Fear, Fright). If sliding and uncontrolled, it leads to soreness and weakness of the waist and knees. Treatment should regulate the Spleen and Kidney, or use lifting methods, or astringent methods. Furthermore, one must distinguish between three categories: white leukorrhea, white turbidity, and white spermatorrhea (Bai Yin). White leukorrhea refers to discharge that is thick, sticky, clear, and cold; this originates from the Uterus (Bao Gong) and is the residual essence. White turbidity refers to turbid qi from the Stomach seeping into the Bladder; it is the turbidity of water. White spermatorrhea refers to slippery ejaculation after urination, with little discharge; this occurs when male essence cannot be retained after sexual intercourse.
According to Zhang Jingyue, there are six causes for leukorrhea syndromes. First, if the mind is agitated and Heart Fire is restless causing leukorrhea, one should first clear the fire. Use Zhusha Anshen Wan (Cinnabar Calming the Spirit Pill) or Qingxin Lianzi Yin (Heart-Clearing Lotus Seed Decoction). If there is no pathogenic fire, but only Heart deficiency causing leukorrhea, use Miyuan Jian (Secret Origin Decoction) or Renshen Wan (Ginseng Pill). Second, for excessive sexual activity leading to slippery and uncontrolled leakage, use Miyuan Jian, Gujing Wan (Essence-Securing Pill), or Suojing Wan (Essence-Locking Pill). Third, for obstructed sexual relations where the essence pathway reverses causing turbid discharge, initially use Weixi Wan (Victory and Blessing Pill), and for chronic cases, use Guyin Jian (Nourishing Yin Decoction). Fourth, for damp-heat flowing downward causing turbid discharge, the pulse will likely be slippery and rapid, accompanied by irritability, thirst, and heat. Use Baoyin Jian (Protecting Yin Decoction) or Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder); if heat is severe with stranguria and red color, use Longdan Xiegan Tang (Gardenia and Gentian Liver-Draining Decoction). Fifth, for Yuan Qi (Primary Qi) deficiency causing leukorrhea, use Shoupi Jian (Longevity Spleen Decoction), Qifu Yin (Seven Blessings Decoction), or Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction). If Yang Qi is deficient and cold, with a faint and choppy pulse, abdominal pain, and clear cold white discharge, use Jiajiu Zi Wan (Chinese Chive Seed Pill). For Spleen and Kidney Qi deficiency with sinking, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) or Guipi Tang (Restore the Spleen Decoction). For initial turbid discharge with heat and stranguria, use Dali Qingyin (Great Clearing Decoction); for initial cases without fire but with stranguria, use Xiaoli Qingyin (Small Clearing Decoction) or Wuling San (Five-Ling Powder). For Liver Meridian furious fire flowing downward, use Jiawei Xiaoyao San, or Longdan Xiegan Tang for severe cases. If excessive use of cold-cooling herbs leads to lower Jiao insecurity, use Bixie Fenqing Yin (Grass Leaf and Separating Turbidity Decoction - *Note: Text says "Bi Li Qing Yin", likely referring to Bixie Fenqing Yin*). For Yuan Qi deficiency and cold with sinking, use Buzhong Yiqi Tang. For Spleen dampness flowing downward, use Liujunzi Tang (Six-Gentleman Decoction) or Guipi Tang. For chronic non-healing cases with deficiency, slipping, and sinking, use Miyuan Jian or Lingzhu Tusizi Jian (Poria, Atractylodes, and Dodder Seed Decoction). Generally, obese patients with leukorrhea have damp-phlegm; use Yueju Wan (Resolve Depression Pill) added with Huashi (Talcum), Haishi (Floating Quartz), Gafen (Clam Shell Powder), Fuling (Poria), Banxia (Pinellia), and Chunpi (Toona Bark) made into pills. Thin patients have heat-phlegm; use Dabu Wan (Great Tonifying Pill) added with Huashi, Baiguiban (Tortoise Plastron), and Chunpi. Additionally, for postpartum excessive blood loss with dripping white leukorrhea, use Weisheng Tang (Health-Preserving Decoction). For long-standing unceasing cases with weak and powerless pulses, use Guzhen Wan (Solidify True Pill), Yuguan Wan (Jade Gate Pill), Shenshen Tang (Ginseng Decoction - *Text implies Ginseng related*), Keying Wan, or Mizhen Dan (Secret True Elixir). Any of these can be selected according to circumstances.