带下，赤属血，白属气。主治燥湿为先。漏与带，俱是胃中痰积流
下，渗入膀
胱，无人知此。只宜升提，甚者上必用吐以提其气，下用二陈汤加苍术、白术，仍用丸子
（一本作瓦楞子）。又云∶赤白带下皆属血，出于大肠小肠之分。肥人多是湿痰，海石、半
夏、
炒黄柏、滑石、椿皮、川芎、海石如无海石，以蛤粉亦可。一方，有青黛作丸子服。赤
白带下，炒黄荆子为末，酒调下二钱，或米汤亦可，又治心痛。罗先生法，或十枣汤，或神佑
，或玉烛散，皆可服。实者可行，虚者不可峻攻。血虚者，加减四物汤；气虚者，参、术
陈皮间与之；湿胜者，用固肠丸；相火动者，于诸药中少加黄柏；滑者，加龙骨、赤石脂
；滞者，加葵花（葵花白者治白带，赤者治赤带；）性燥者，加黄连；痰气带下者，苍术、香
附、滑石、蛤粉、半夏、茯苓丸服。寒月少加干姜，临机应变。必须断浓味。
入方
良姜 芍药 黄柏（二钱，各炒成灰） 椿树根皮（一两半）
上为末，粥丸。每服四五十丸，空心。
又方 一妇人白带兼风痛。
半夏 茯苓 川芎 陈皮 甘草 苍术 黄柏（酒炒） 南星 牛膝（酒洗）
治妇人上有头风鼻涕，下有白带。
南星 苍术 柏皮（炒） 滑石 半夏 川芎 辛夷 牡蛎粉（炒） 酒芩
上 咀。水煎，去渣
又方 治白带。
龟板（炙） 枳子（各二两） 黄柏（炒，一两） 白芍药（七钱半） 香附（半两） 干姜（炒，二钱半
山茱萸 苦参 椿根皮（各半两） 贝母
上为末，酒糊丸桐子大。空心米汤下，五十丸。
又方 治赤白带下，或时腹痛。
龟板（酒炙，二两） 黄柏（炒，一两） 干姜（炒，二钱） 枳子（二钱半）
上为末，酒糊丸如桐子大。每服七十丸，日服二次。
又方 治妇人有孕，白带。
苍术（三钱） 白芷（二钱） 黄连（炒，二钱） 黄芩（炒，三钱） 黄柏（炒，一钱半） 白芍（二钱半）
椿根皮（炒，一钱半） 山茱萸（二钱半）
上为末，糊丸。空心温酒下，五十丸。
治结痰白带 先以小胃丹，半饥半饱，津液下数丸。候郁积开，却宜服补药。
白术（二两） 黄芩（半两） 红白葵花（二钱半） 白芍（七钱半）
上为末，蒸饼丸。空心煎四物汤下，三五十丸。
固肠丸 治湿气下利，大便血，白带，去脾胃陈积之疾。用此以燥其湿，亦不可单用，
须看病作汤使。
椿根白皮（性凉而燥须炒用）
上为末，酒糊丸服。
又方
椿根皮（四两） 滑石（二两）
上为末，粥丸桐子大。空心白汤下，一百丸。
又方 治白带，因七情所伤而脉数者。
黄连（炒） 扁柏（酒蒸） 黄柏（炒，各半两） 香附（醋炒） 白芍 白术（各一两） 椿根皮（
炒，三两） 白芷（烧存性，三钱）
上为末，粥丸桐子大。每服七十丸，食前米饮下。
又方 治赤白带，因湿胜而下者。
苍术（盐炒） 白芍 滑石（炒，各一两） 枳壳（炒） 甘草（各三钱） 椿根皮（炒，二两） 干姜
（炮，二钱） 地榆（半两）
上为末，粥丸。空心米饮下一百丸。
〔附录〕赤白带者，皆因七情内伤，或下元虚惫，感非一端。叔和云∶“崩中日久为白带
，漏
海将枯，津液复亡，枯干不能滋养筋骨。执剂之法，须以本部行经药为引用，为使。大辛甘
油腻之药，润其枯燥，而滋益津液，以大卒热之气味药，补其阳道，生其血脉。以寒苦之药
，泄其肺而救上热伤气。以人参补之。以微苦温之药为佐，而益元气。此治之大法也。
附方
戴人玉烛散 治经候不通，腹胀或痛。
当归 芍药 川芎 熟地黄 芒硝 大黄 甘草
上 咀。生姜三片，煎服。
十枣汤 见胁痛类。
神佑丸 见中湿类。
带下病，赤色带下属于血分病变，白色带下属于气分病变。治疗应以燥湿为首要原则。漏下与带下，都是胃中痰饮积聚流注下行，渗入膀胱所致，无人知晓这一机理。治疗只宜采用升提法，病情严重的，上部必须用吐法以提举其气，下部使用二陈汤加苍术、白术，仍制成丸剂服用（另一版本作瓦楞子）。又有人说：赤白带下都属于血分病变，出自大肠和小肠的分野。肥胖之人多患湿痰证，可用海浮石、半夏、炒黄柏、滑石、椿根皮、川芎等药制丸；若没有海浮石，用蛤粉代替也可以。有一方，加入青黛制成丸剂服用。对于赤白带下，将炒黄的荆芥子研为细末，用酒调服二钱，或用米汤送服亦可，此方还能治疗心痛。罗先生的治法，可以使用十枣汤，或神佑丸，或玉烛散，都可以服用。实证可以攻下，虚证不可峻猛攻伐。血虚者，使用加减四物汤；气虚者，在人参、白术、陈皮之间酌情选用给予；湿气盛者，使用固肠丸；相火妄动者，在上述诸药中少量加入黄柏；滑泄不止者，加入龙骨、赤石脂；气滞者，加入葵花（白色的葵花治疗白带，红色的葵花治疗赤带）；性燥者，加入黄连；痰气交阻导致的带下，服用苍术、香附、滑石、蛤粉、半夏、茯苓制成的丸剂。寒冷月份少量加入干姜，根据病情灵活变通。必须断绝浓腻厚味的食物。
良姜、芍药、黄柏（各二钱，分别炒成炭灰）、椿树根皮（一两半）。
以上药物研为细末，用米粥调和制成丸剂。每次服用四五十丸，空腹时服用。
又一方案：治疗一位妇人白带兼有风痛。
半夏、茯苓、川芎、陈皮、甘草、苍术、黄柏（酒炒）、南星、牛膝（酒洗）。
治疗妇人上有头风鼻涕，下有白带。
南星、苍术、柏皮（炒）、滑石、半夏、川芎、辛夷、牡蛎粉（炒）、酒芩（酒炒的黄芩）。
以上药物切碎。加水煎煮，去渣滓。
又一方案：治疗白带。
龟板（炙）、枳椇子（各二两）、黄柏（炒，一两）、白芍药（七钱半）、香附（半两）、干姜（炒，二钱半）、山茱萸、苦参、椿根皮（各半两）、贝母。
以上药物研为细末，用酒糊制成如梧桐子大小的丸剂。空腹时用米汤送服五十丸。
又一方案：治疗赤白带下，有时伴有腹痛。
龟板（酒炙，二两）、黄柏（炒，一两）、干姜（炒，二钱）、枳椇子（二钱半）。
以上药物研为细末，用酒糊制成如梧桐子大小的丸剂。每次服用七十丸，每日服用两次。
又一方案：治疗孕妇白带。
苍术（三钱）、白芷（二钱）、黄连（炒，二钱）、黄芩（炒，三钱）、黄柏（炒，一钱半）、白芍（二钱半）、椿根皮（炒，一钱半）、山茱萸（二钱半）。
以上药物研为细末，用面糊制成丸剂。空腹时用温酒送服五十丸。
治疗结痰引起的白带：先用小胃丹，在半饥半饱的状态下，用津液送服数丸。待郁积开通后，再适宜服用补益药物。
白术（二两）、黄芩（半两）、红白葵花（二钱半）、白芍（七钱半）。
以上药物研为细末，用蒸饼制成丸剂。空腹时用煎好的四物汤送服三五十丸。
固肠丸：治疗湿气下注导致的腹泻、大便出血、白带，去除脾胃陈旧的积滞疾病。用此药以燥其湿气，但也不可单独使用，必须根据病情配合汤剂使用。
椿根白皮（性凉而燥，须炒用）。
以上药物研为细末，用酒糊制成丸剂服用。
又一方案：
椿根皮（四两）、滑石（二两）。
以上药物研为细末，用米粥制成如梧桐子大小的丸剂。空腹时用白开水送服一百丸。
又一方案：治疗白带，因七情内伤导致脉象数急者。
黄连（炒）、侧柏叶（酒蒸）、黄柏（炒，各半两）、香附（醋炒）、白芍、白术（各一两）、椿根皮（炒，三两）、白芷（烧存性，三钱）。
以上药物研为细末，用米粥制成如梧桐子大小的丸剂。每次服用七十丸，饭前用米饮送服。
又一方案：治疗赤白带下，因湿气盛而下注者。
苍术（盐炒）、白芍、滑石（炒，各一两）、枳壳（炒）、甘草（各三钱）、椿根皮（炒，二两）、干姜（炮，二钱）、地榆（半两）。
以上药物研为细末，用米粥制成丸剂。空腹时用米饮送服一百丸。
〔附录〕赤白带下，都是因为七情内伤，或者下元虚惫，致病原因不只一端。王叔和说：“崩中日久为白带，漏下日久经血枯竭，津液复亡，干枯不能滋养筋骨。”执方用药的方法，必须以本部行经药作为引经药，作为使药。大辛甘油腻的药物，润其枯燥，而滋益津液；以大辛大热气味的药物，补其阳道，生其血脉；以寒苦的药物，泄其肺热而救上热伤气；用人参补之；以微苦温的药物为佐药，而益元气。这是治疗的大法。
附方：
戴人玉烛散：治疗月经不通，腹胀或痛。
当归、芍药、川芎、熟地黄、芒硝、大黄、甘草。
以上药物切碎。加生姜三片，煎服。
十枣汤：见胁痛类。
Leukorrhea: red discharge belongs to the blood level, and white discharge belongs to the Qi level. The primary treatment principle is to dry dampness. Both metrorrhagia (irregular uterine bleeding) and leukorrhea result from phlegm accumulation in the Stomach flowing downward and infiltrating the Bladder; this mechanism is unknown to many. Treatment should primarily employ lifting methods. In severe cases, emesis (inducing vomiting) must be used at the upper body to lift the Qi, while at the lower body, Er Chen Tang (Two-Cured Decoction) combined with Cang Zhu (Atractylodis Rhizoma) and Bai Zhu (Atractylodis Macrocephalae Rhizoma) should be used, preferably prepared as pills (another version suggests Wa Leng Zi / Arca Shell). It is also said that both red and white leukorrhea belong to the blood level and originate from the boundaries of the Large Intestine and Small Intestine. Obese individuals are prone to damp-phlegm patterns; they may use Hai Shi (Ardisia Stone), Ban Xia (Pinelliae Rhizoma), Chao Huang Bo (Stir-fried Phellodendri Cortex), Hua Shi (Talcum), Chun Pi (Toosendan Fructus or Ailanthi Cortex - context implies Ailanthi/Chun Zhi Gen Pi usually, but text says Chun Pi, often associated with Toosendan or Ailanthi depending on region, here likely Ailanthi based on other formulas, but strictly translating term Chun Pi), Chuan Xiong (Ligustici Chuanxiong Rhizoma) into pills. If Hai Shi is unavailable, Ge Fen (Clam Powder) can be substituted. One formula adds Qing Dai (Indigo Naturalis) for pill preparation. For red and white leukorrhea, stir-fried Jing Ji Zi (Schizonepetae Capitium) can be ground into powder and taken with wine (2 qian) or rice soup; it also treats heart pain. Master Luo’s method involves using Shi Zao Tang (Ten Jujube Decoction), Shen You Wan (Divine Protection Pill), or Yu Zhu San (Jade Candle Powder), all of which are applicable. Excess patterns can be purged, but deficiency patterns must not be aggressively attacked. For blood deficiency, Jia Jian Si Wu Tang (Modified Four Substances Decoction) is used; for Qi deficiency, Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), and Chen Pi (Citri Reticulatae Pericarpium) are selected according to the situation; for damp excess, Gu Chang Wan (Intestine-Strengthening Pill) is used; if ministerial fire is hyperactive, a small amount of Huang Bo (Phellodendri Cortex) is added to the aforementioned herbs; for slippery/prolapse symptoms, Long Gu (Fossilia Ossis Mastodi) and Chi Shi Zhi (Halloysitum Rubrum) are added; for stagnation, Kui Hua (Sunflower Petal) is added (white petals treat white leukorrhea, red petals treat red leukorrhea); for dryness patterns, Huang Lian (Coptidis Rhizoma) is added; for phlegm-Qi leukorrhea, pills made of Cang Zhu (Atractylodis Rhizoma), Xiang Fu (Cyperi Rhizoma), Hua Shi (Talcum), Ge Fen (Clam Powder), Ban Xia (Pinelliae Rhizoma), and Fu Ling (Poria) are taken. In cold months, Gan Jiang (Zingiberis Rhizoma) is added in small amounts, adapting to clinical changes. Rich and greasy foods must be avoided.
**Formula 1:**
Liang Jiang (Alpiniae Officinarum Rhizoma), Shao Yao (Paeoniae Radix Alba), Huang Bo (Phellodendri Cortex, 2 qian, each stir-fried to charcoal), Chun Shu Gen Pi (Ailanthi Cortex, 1.5 liang).
Grind into powder, mix with congee to form pills. Take 40-50 pills on an empty stomach.
**Another Prescription:** Treats a woman with white leukorrhea accompanied by wind-pain.
Ban Xia (Pinelliae Rhizoma), Fu Ling (Poria), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Cang Zhu (Atractylodis Rhizoma), Huang Bo (Phellodendri Cortex, wine-fried), Nan Xing (Arisaematis Rhizoma), Niu Xi (Achyranthis Bidentatae Radix, wine-washed).
Treats women with head wind and nasal discharge above, and white leukorrhea below.
Nan Xing (Arisaematis Rhizoma), Cang Zhu (Atractylodis Rhizoma), Bai Pi (Phellodendri Cortex, stir-fried), Hua Shi (Talcum), Ban Xia (Pinelliae Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Xin Yi (Magnoliae Flos), Mu Li Fen (Ostreae Concha, stir-fried), Jiu Qin (Scutellariae Radix, wine-fried).
Cut into pieces. Decoct in water, strain.
**Another Prescription:** Treats white leukorrhea.
Gui Ban (Testudinis Carapax et Plastrum, roasted), Zhi Zi (Chaenomelis Fructus, 2 liang each), Huang Bo (Phellodendri Cortex, stir-fried, 1 liang), Bai Shao Yao (Paeoniae Radix Alba, 7.5 qian), Xiang Fu (Cyperi Rhizoma, 0.5 liang), Gan Jiang (Zingiberis Rhizoma, stir-fried, 2.5 qian), Shan Zhu Yu (Corni Fructus), Ku Shen (Sophorae Flavescentis Radix), Chun Gen Pi (Ailanthi Cortex, 0.5 liang each), Bei Mu (Fritillariae Thunbergii Bulbus).
Grind into powder, make pills with wine paste, size of wu-tong seeds. Take 50 pills on an empty stomach with rice soup.
**Another Prescription:** Treats red and white leukorrhea, sometimes with abdominal pain.
Gui Ban (Testudinis Carapax et Plastrum, wine-roasted, 2 liang), Huang Bo (Phellodendri Cortex, stir-fried, 1 liang), Gan Jiang (Zingiberis Rhizoma, stir-fried, 2 qian), Zhi Zi (Chaenomelis Fructus, 2.5 qian).
Grind into powder, make pills with wine paste, size of wu-tong seeds. Take 70 pills per dose, twice daily.
**Another Prescription:** Treats pregnant women with white leukorrhea.
Cang Zhu (Atractylodis Rhizoma, 3 qian), Bai Zhi (Angelicae Dahuricae Radix, 2 qian), Huang Lian (Coptidis Rhizoma, stir-fried, 2 qian), Huang Qin (Scutellariae Radix, stir-fried, 3 qian), Huang Bo (Phellodendri Cortex, stir-fried, 1.5 qian), Bai Shao (Paeoniae Radix Alba, 2.5 qian), Chun Gen Pi (Ailanthi Cortex, stir-fried, 1.5 qian), Shan Zhu Yu (Corni Fructus, 2.5 qian).
Grind into powder, make pills with flour paste. Take 50 pills on an empty stomach with warm wine.
**For Leukorrhea due to Phlegm Accumulation:** First use Xiao Wei Dan (Minor Stomach Pill), taken with saliva when half-hungry or half-full, several pills at a time. After the stagnation opens, proceed with tonifying medicines.
Bai Zhu (Atractylodis Macrocephalae Rhizoma, 2 liang), Huang Qin (Scutellariae Radix, 0.5 liang), Hong Bai Kui Hua (Red and White Sunflower Petals, 2.5 qian), Bai Shao (Paeoniae Radix Alba, 7.5 qian).
Grind into powder, make pills with steamed bread dough. Take 30-50 pills on an empty stomach with decocted Si Wu Tang (Four Substances Decoction).
**Gu Chang Wan (Intestine-Strengthening Pill):** Treats diarrhea due to dampness descending, bloody stools, and leukorrhea; removes chronic accumulations in the Spleen and Stomach. This herb dries dampness but should not be used alone; it must be prescribed as a decoction component based on the specific condition.
Chun Gen Bai Pi (White Bark of Ailanthus Root, cool and drying nature, must be stir-fried).
Grind into powder, take as pills made with wine paste.
**Another Prescription:**
Chun Gen Pi (Ailanthi Cortex, 4 liang), Hua Shi (Talcum, 2 liang).
Grind into powder, make congee pills size of wu-tong seeds. Take 100 pills on an empty stomach with plain water.
**Another Prescription:** Treats leukorrhea caused by emotional injury with a rapid pulse.
Huang Lian (Coptidis Rhizoma, stir-fried), Bian Bo (Platycladi Cacumen, wine-steamed), Huang Bo (Phellodendri Cortex, stir-fried, 0.5 liang each), Xiang Fu (Cyperi Rhizoma, vinegar-fried), Bai Shao (Paeoniae Radix Alba), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 liang each), Chun Gen Pi (Ailanthi Cortex, stir-fried, 3 liang), Bai Zhi (Angelicae Dahuricae Radix, burned to retain character, 3 qian).
Grind into powder, make congee pills size of wu-tong seeds. Take 70 pills before meals with rice drink.
**Another Prescription:** Treats red and white leukorrhea caused by dampness excess descending.
Cang Zhu (Atractylodis Rhizoma, salt-fried), Bai Shao (Paeoniae Radix Alba), Hua Shi (Talcum, stir-fried, 1 liang each), Zhi Qiao (Aurantii Fructus, stir-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 qian each), Chun Gen Pi (Ailanthi Cortex, stir-fried, 2 liang), Gan Jiang (Zingiberis Rhizoma, processed, 2 qian), Di Yu (Sanguisorbae Radix, 0.5 liang).
Grind into powder, make congee pills. Take 100 pills on an empty stomach with rice drink.
[Appendix] Red and white leukorrhea are all caused by internal injury from the Seven Emotions, or deficiency and exhaustion of the Lower Yuan; the causes are manifold. He Su He (Wang Shuhe) said: "Metrorrhagia lasting long becomes leukorrhea; leakage depletes the sea of blood, causing loss of fluids, leading to dryness that fails to nourish sinews and bones." The method of prescribing requires using channel-guiding herbs from the relevant category as guiding and guiding agents. Great acrid-sweet and greasy drugs moisten dryness and nourish fluids; great acrid-hot drugs tonify Yang channels and generate blood vessels; bitter-cold drugs drain Lung heat and rescue upper heat damaging Qi; Ren Shen (Ginseng Radix et Rhizoma) tonifies; slightly bitter-warm drugs serve as assistants to benefit Yuan Qi. This is the general principle of treatment.
**Attached Formulas:**
**Dai Ren's Yu Zhu San (Jade Candle Powder):** Treats amenorrhea with abdominal distension or pain.
Dang Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Shu Di Huang (Rehmanniae Radix Preparata), Mang Xiao (Natrii Sulfas), Da Huang (Rhei Radix et Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Cut into pieces. Decoct with three slices of fresh ginger, and take.
**Shi Zao Tang (Ten Jujube Decoction):** See section on Hypochondriac Pain.
**Shen You Wan (Divine Protection Pill):** See section on Dampness Invasion.