费右 营虚肝旺，肝郁化火，脾虚生湿，湿郁生热，湿热郁火流入带脉，带无约束之权，以致内热溲赤，腰
酸带下；湿热下迫大肠，肛门坠胀。郁火宜清，清火必佐养营，蕴湿宜渗，渗湿必兼扶土。
白归身（二钱） 赤茯苓（三钱） 浓杜仲（二钱） 六一散（包，三钱） 大白芍（二钱） 淮山药（三钱）
乌贼骨（三钱） 炒条芩（一钱五分） 黑山栀（一钱五分） 黄柏炭（八分） 生白术（一钱五分） 荸荠梗（一钱
五分）
吴右 三阴不足，湿热下注，带下频频，阴挺坠胀，腑行不实，里急后重。拟益气升清，滋阴化湿。
生黄 （三钱） 黄柏炭（八分） 小生地（三钱） 川升麻（三分） 蜜炙枳壳（一钱） 乌贼骨（三钱）
粉丹皮（一钱） 净槐米（包，三钱） 生甘草（八分） 苦桔梗（一钱） 福泽泻（一钱五分） 威喜丸（包，三钱）
黄右 营血亏，肝火旺，挟湿热入扰带脉，带下赤白，头眩腰酸。与养肝化湿束带。
白归身（二钱） 云茯苓（三钱） 浓杜仲（二钱） 鲜藕（切片，二两） 生苡仁（四钱） 乌贼骨（三钱）
生白芍（二钱） 嫩白薇（一钱五分） 川断肉（二钱） 黄柏炭（八分） 粉丹皮（一钱五分） 福泽泻（一钱五分）
生白术（三钱） 震灵丹（包，三钱）
复诊 赤白带下，已见轻减。经事超前，营阴不足，肝火有余，冲任不调。再拟养血柔肝，而调奇经。
前方去白薇，加炙鳖甲（三钱）。
费姓患者，右侧脉象显示营血虚弱而肝气亢盛。肝气郁结化生火热，脾气虚弱滋生湿邪，湿邪郁久化热，湿热与郁火交织流入带脉。带脉失去约束之力，导致体内发热、小便色赤、腰部酸痛及白带异常；湿热下迫大肠，引起肛门坠胀感。治疗上，郁火应当清泄，但清火时必须辅以滋养营血；蕴积的湿邪应当渗利，但渗湿时必须兼以扶持脾胃（土）。
处方：白归身二钱，赤茯苓三钱，浓杜仲二钱，六一散（包煎）三钱，大白芍二钱，淮山药三钱，乌贼骨三钱，炒条芩一钱五分，黑山栀一钱五分，黄柏炭八分，生白术一钱五分，荸荠梗一钱五分。
吴姓患者，右侧脉象显示足三阴经（肝、脾、肾）不足，湿热下注，导致白带频繁流出，阴道有物脱出并伴有坠胀感，大便不成形，排便时腹部急迫且肛门重坠。拟定益气升提清气，滋阴化除湿邪的治疗方案。
处方：生黄芪三钱，黄柏炭八分，小生地三钱，川升麻三分，蜜炙枳壳一钱，乌贼骨三钱，粉丹皮一钱，净槐米（包煎）三钱，生甘草八分，苦桔梗一钱，福泽泻一钱五分，威喜丸（包煎）三钱。
黄姓患者，右侧脉象显示营血亏虚，肝火旺盛，挟带湿热侵入并扰乱带脉，导致白带中夹杂血色，头晕目眩，腰部酸痛。采用滋养肝脏、化除湿邪、固束带脉的治疗方法。
处方：白归身二钱，云茯苓三钱，浓杜仲二钱，鲜藕切片二两，生苡仁四钱，乌贼骨三钱，生白芍二钱，嫩白薇一钱五分，川断肉二钱，黄柏炭八分，粉丹皮一钱五分，福泽泻一钱五分，生白术三钱，震灵丹（包煎）三钱。
复诊时，赤白带下症状已见减轻。月经提前来潮，提示营阴不足，肝火有余，冲任二脉不调。再次拟定养血柔肝，调理奇经八脉的方案。
前方去掉白薇，加入炙鳖甲三钱。
Mr. Fei, Right side: Ying deficiency with Liver hyperactivity. Liver Qi stagnation transforms into fire; Spleen deficiency generates dampness; dampness stagnates and transforms into heat. Damp-heat and stagnant fire flow into the Dai Mai (Girdle Vessel), which loses its restraining power, resulting in internal heat, red urine, soreness of the lower back, and leukorrhea; damp-heat presses downward on the Large Intestine, causing a sensation of bearing down at the anus. Stagnant fire should be cleared, but clearing fire must be assisted by nourishing Ying; accumulated dampness should be leached out, but leaching dampness must be combined with supporting the Earth element (Spleen).
Prescription: Bai Guishen (Radix Angelicae Sinensis) 2 qian, Chi Fuling (Poria with Red Core) 3 qian, Nong Duzhong (Cortex Eucommiae) 2 qian, Liu Yi San (Six-to-One Powder) [wrapped] 3 qian, Da Baishao (Radix Paeoniae Lactiflorae) 2 qian, Huai Shanyao (Rhizoma Dioscoreae) 3 qian, Wutougu (Cuttlefish Bone) 3 qian, Chao Tiao Qin (Flos Scutellariae, stir-fried) 1.5 qian, Hei Shanzhi (Fructus Gardeniae, charred) 1.5 qian, Huangbai Tan (Cortex Phellodendri, charred) 0.8 fen, Sheng Baizhu (Rhizoma Atractylodis Macrocephalae) 1.5 qian, Qiji Geng (Stem of Eleocharis) 1.5 qian.
Mr. Wu, Right side: Deficiency of the Three Yin meridians (Liver, Spleen, Kidney), with damp-heat pouring downward. Frequent leukorrhea, vaginal prolapse with a bearing-down sensation, loose stools, tenesmus. The strategy is to tonify Qi and raise clear Yang, nourish Yin and transform dampness.
Prescription: Sheng Huangqi (Radix Astragali) 3 qian, Huangbai Tan (Cortex Phellodendri, charred) 0.8 fen, Xiao Shengdi (Radix Rehmanniae) 3 qian, Chuan Shengma (Rhizoma Cimicifugae) 0.3 qian, Mi Zhi Zhike (Pericarpium Citri Reticulatae, honey-fried) 1 qian, Wutougu (Cuttlefish Bone) 3 qian, Fen Danpi (Cortex Moutan) 1 qian, Jing Huaimi (Flos Sophorae) [wrapped] 3 qian, Sheng Gancao (Radix Glycyrrhizae) 0.8 fen, Ku Jiegeng (Radix Platycodonis) 1 qian, Fu Zexie (Tuberm Alismatis) 1.5 qian, Weixi Wan (Weixi Pill) [wrapped] 3 qian.
Mr. Huang, Right side: Deficiency of Ying and Blood, with Hyperactive Liver Fire, carrying damp-heat to disturb the Dai Mai (Girdle Vessel). Leukorrhea with blood and white discharge, dizziness, soreness of the lower back. The treatment is to nourish the Liver, transform dampness, and bind the Dai Mai.
Prescription: Bai Guishen (Radix Angelicae Sinensis) 2 qian, Yun Fuling (Poria) 3 qian, Nong Duzhong (Cortex Eucommiae) 2 qian, Xian Ou (Rhizoma Nelumbinis, sliced) 2 liang, Sheng Yiren (Semen Coicis) 4 qian, Wutougu (Cuttlefish Bone) 3 qian, Sheng Baishao (Radix Paeoniae Lactiflorae) 2 qian, Nen Baiwei (Herba Cynanchi Atrati) 1.5 qian, Chuan Duanrou (Radix Dipsaci) 2 qian, Huangbai Tan (Cortex Phellodendri, charred) 0.8 fen, Fen Danpi (Cortex Moutan) 1.5 qian, Fu Zexie (Tuberm Alismatis) 1.5 qian, Sheng Baizhu (Rhizoma Atractylodis Macrocephalae) 3 qian, Zhenling Dan (Zhenling Elixir) [wrapped] 3 qian.
Follow-up visit: The leukorrhea with blood and white discharge has decreased. Menstruation comes early, indicating deficiency of Ying-Yin, excess Liver Fire, and disharmony of the Chong and Ren vessels. Again, the strategy is to nourish Blood and soften the Liver, thereby regulating the Extraordinary Vessels.
From the previous prescription, remove Baiwei, add Zhi Biejia (Carapax Trionycis, honey-fried) 3 qian.