带下之症，方书以青、黄、赤、白、黑，分属五脏，各立药方。其实不必拘泥，大抵此
症不外脾虚有湿。脾气壮旺，则饮食之精华生气血而不生带；脾气虚弱则五味之实秀，生带
而不生气血。南方地土卑湿，人禀常弱，故浊带之症，十人有九，予以五味异功散，加扁豆
、苡仁、山药之类，投之辄效。倘挟五色，则加本脏药一、二味足矣。夫带症似属寻常，若
崩而不止，多至髓竭骨枯而成损。治此者，宁可忽诸！
五味异功散（见虚劳） 健脾止浊带，前症若专下白色，属肺，倍用苡仁。若兼赤色，属
心，加丹参、当归。若兼青色，属肝，加柴胡、山栀。若兼黄色，属脾，加石斛、荷叶、陈
米。若兼黑色，属肾，加杜仲、续断。若脉数有热，加炒黄柏、莲子心。若脉迟厥冷，加黑
子嗣者，极寻常事，而不得者，则极其艰难。皆由男女之际，调摄未得其方也。男子以
葆精为主，女子以调经为主。葆精之道，莫如寡欲。远房帏，勿纵饮，少劳神，则精气足矣
如或先天不足，则用药培之。大抵左尺无力，或脉数有热，此真水虚也，六味丸，合五子丸
以补天一之水。若右尺无力，或脉迟厥冷，此真火衰也，八味丸，合五子丸，以补地二之
火。若二尺俱无力，或中气馁弱，是水火两亏，气血并虚也，用十补丸合五子丸，而大补之
倘精薄不凝，更加鱼螵、鹿角胶之属。精不射远，更用黄 斤许熬膏为丸，以益其气，此
治男子之法也。调经之道，先在养性。诗云∶妇人和平，则乐有子。和则气血不乖，平则阴
阳不争。书云∶和平之气，三旬一见是已。如或经事愆期，则用药调之。大抵先期而至，或
脉数有热，此血热也，益母胜金丹加生地、丹皮主之。若后期而至，或脉迟厥冷，此血寒也
益母胜金丹加肉桂主之。若将行而腹痛者，是气滞也，更加顺气之药。若食少气虚，面色
白，四肢无力，是为气血两亏，即用前方减香附一半，加人参、黄 、河车、茯神、
枣仁、远志之属。俾其气血充旺，则经脉自调。譬如久旱不雨，河道安得流通，河道不通，
而欲其润泽万物，不亦难乎？女人经水不通，或淋漓希少，而欲其生子，何可得耶？此论女子
之治法也。是以葆精之道，责之男子；调经之要，责之女子。各有病处，须细心体认，不可
蒙混而失生生之理也。求嗣者，念之哉！
带下病，医书中常根据分泌物的颜色分为青、黄、赤、白、黑五种，分别归属于五脏，并设立相应的药方。其实不必拘泥于这种分法，大抵这类病症不外乎是脾虚伴有湿气。脾气壮旺时，饮食的精华会转化为气血而不会生成带下；脾气虚弱时，饮食的精微物质就会转化为带下而不能生成气血。南方地势低洼潮湿，人们禀赋通常较弱，所以患浊白带下症的人，十个中有九个。我用五味异功散（Wuwei Yigong San, Five-Ingredient Powder for Extraordinary Efficacy），加入扁豆、薏苡仁、山药等药物，投药后往往见效。如果夹杂五色分泌物，只需加入对应脏腑的药物一两味即可。带下症看似寻常，但如果发展为崩漏不止，会导致髓竭骨枯，形成虚损重症。治疗此病，岂能忽视！
五味异功散（见虚劳篇）具有健脾止浊带的功效。前述症状若仅下白色带下，属肺，应加倍使用薏苡仁。若兼有赤色，属心，加丹参、当归。若兼有青色，属肝，加柴胡、山栀。若兼有黄色，属脾，加石斛、荷叶、陈米。若兼有黑色，属肾，加杜仲、续断。若脉数且有热象，加炒黄柏、莲子心。若脉迟且四肢厥冷，加黑附子。
生育子嗣本是极寻常的事，但若不能生育，则极其艰难。这都是因为男女房事之间，调摄保养不得其法所致。男子以保养精气为主，女子以调理月经为主。保养精气的道理，莫过于减少欲望。远离房事，不要纵酒，少费心神，那么精气就充足了。如果先天不足，就用药物培补。大抵左尺脉无力，或脉数有热，这是真阴（真水）虚亏，用六味地黄丸（Liuwei Dihuang Wan, Six-Ingredient Rehmannia Pill），配合五子衍宗丸（Wuzi Yanzong Wan, Five-Seed Progeny-Deriving Pill）来补益天一之水。若右尺脉无力，或脉迟四肢厥冷，这是真阳（真火）衰微，用八味地黄丸（Bawei Dihuang Wan, Eight-Ingredient Rehmannia Pill），配合五子衍宗丸，来补益地二之火。若两尺脉都无力，或中气气馁弱，这是水火两亏，气血并虚，用十补丸（Shibu Wan, Ten-Ingredient Pill）合五子衍宗丸，进行大补。如果精液稀薄不凝固，再加鱼鳔胶、鹿角胶之类的药物。如果射精不远，更用黄芪一斤熬膏制成丸药，以益气，这是治疗男子的方法。调理月经的道理，首先在于修养性情。《诗经》说：“妇人平和，则乐于生子。”和则气血不调乱，平则阴阳不争斗。书上说：“平和之气，三十天行经一次是正常的。”如果月经延期，就用药物调理。大抵月经先期而至，或脉数有热，这是血热，用益母胜金丹（Yimu Shengjin Dan, Motherwort Golden Pill for Victory）加生地、丹皮主治。若月经后期而至，或脉迟四肢厥冷，这是血寒，用益母胜金丹加肉桂主治。若在月经将行时腹痛，这是气滞，再加顺气之药。如果食少气虚，面色苍白，四肢无力，这是气血两亏，即用前方减去一半香附，加人参、黄芪、紫河车、茯神、枣仁、远志等药物。使其气血充盛旺盛，则经脉自然调和。譬如久旱不雨，河道怎能流通？河道不通，却想让它润泽万物，不是很难吗？女人经血不通，或淋漓稀少，却想让她生子，怎么可能呢？这是论述女子的治疗方法。因此，保养精气的责任在男子；调理月经的关键在女子。各有病灶，须细心体察认识，不可马虎而失去生生不息的道理。求子之人，要牢记啊！
Leukorrhea is often classified in medical texts into five colors—green, yellow, red, white, and black—each associated with the Zang organs, with specific formulas prescribed. However, one should not be rigidly bound by this classification. Generally, this condition stems from Spleen deficiency accompanied by dampness. When Spleen Qi is robust, the essence derived from food and drink transforms into Qi and Blood rather than leukorrhea; when Spleen Qi is deficient, the refined essence of food transforms into leukorrhea instead of generating Qi and Blood. In southern regions where the terrain is low and damp, people generally have weaker constitutions; thus, nine out of ten suffer from turbid leukorrhea. I treat this with Wuwei Yigong San (Five-Ingredient Powder for Extraordinary Efficacy), adding herbs such as Faba Seed (Viciae Fabae Semen), Coix Seed (Coicis Semen), and Chinese Yam (Dioscoreae Rhizoma), which yields prompt results. If the discharge exhibits mixed colors, simply add one or two herbs corresponding to the affected Zang organ. Although leukorrhea seems trivial, if it progresses to metrorrhagia that does not stop, it can lead to exhaustion of marrow and emaciation of bones, resulting in consumptive disease. How can one neglect its treatment!
Wuwei Yigong San (see Consumption chapter) strengthens the Spleen and stops turbid leukorrhea. If the discharge is purely white, it belongs to the Lung; increase the dosage of Coix Seed. If mixed with red, it belongs to the Heart; add Salvia Root (Salviae Miltiorrhizae Radix) and Angelica Sinensis Root (Angelicae Sinensis Radix). If mixed with green, it belongs to the Liver; add Bupleurum Root (Bupleuri Radix) and Gardenia Fruit (Gardeniae Fructus). If mixed with yellow, it belongs to the Spleen; add Dendrobium Stem (Dendrobii Caulis), Lotus Leaf (Nelumbinis Folium), and aged rice. If mixed with black, it belongs to the Kidney; add Eucommia Bark (Eucommiae Cortex) and Teasel Root (Dipsaci Radix). If the pulse is rapid with heat signs, add stir-fried Phellodendron Bark (Phellodendri Cortex) and Lotus Plumule (Nelumbinis Plumula). If the pulse is slow with cold extremities, add processed Aconite Root (Aconiti Lateralis Radix Praeparata).
Conceiving offspring is a common occurrence, yet infertility can be extremely difficult to resolve. This is usually due to improper regulation during sexual intercourse. For men, the primary goal is preserving Jing (Essence); for women, it is regulating menstruation. The way to preserve Jing is through reducing desires: avoiding excessive sexual activity, refraining from overindulgence in alcohol, and minimizing mental exertion ensures sufficient Jing and Qi. If there is congenital insufficiency, medicinal tonification is required. Generally, a weak pulse at the left Chi position or a rapid pulse with heat indicates deficiency of True Yin (True Water); treat with Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) combined with Wuzi Yanzong Wan (Five-Seed Progeny-Deriving Pill) to nourish the Water of Tianyi. A weak pulse at the right Chi position or a slow pulse with cold extremities indicates deficiency of True Yang (True Fire); treat with Bawei Dihuang Wan (Eight-Ingredient Rehmannia Pill) combined with Wuzi Yanzong Wan to nourish the Fire of Erdi. If both Chi pulses are weak, or if Middle Qi is deficient, indicating dual deficiency of Water and Fire along with Qi and Blood depletion, use Shibu Wan (Ten-Ingredient Pill) combined with Wuzi Yanzong Wan for strong tonification. If semen is thin and uncoagulated, add Fish Swim Bladder Gelatin (Ichthyoswetonis Colla) and Deer Antler Glue (Cervi Cornus Colla). If ejaculation lacks force, decoct approximately one jin (500g) of Astragalus Root (Astragali Radix) into a paste to make pills, thereby benefiting Qi. This constitutes the treatment method for men.
The principle of regulating menstruation lies first in cultivating temperament. The Book of Songs states: "If a woman is harmonious and peaceful, she will joyfully conceive." Harmony ensures Qi and Blood do not conflict; peace ensures Yin and Yang do not contend. Medical texts state: "With a harmonious constitution, menstruation occurs once every thirty days, which is normal." If menstruation is delayed, medication should regulate it. Generally, early onset with a rapid pulse and heat indicates Blood Heat; treat with Yimu Shengjin Dan (Motherwort Golden Pill for Victory) plus Rehmannia Root (Rehmanniae Radix) and Moutan Bark (Moutan Cortex). Late onset with a slow pulse and cold extremities indicates Blood Cold; treat with Yimu Shengjin Dan plus Cinnamon Bark (Cinnamomi Cortex). Abdominal pain preceding menstruation indicates Qi Stagnation; add Qi-regulating herbs. Poor appetite, Qi deficiency, pale complexion, and limb weakness indicate dual deficiency of Qi and Blood; modify the previous formula by halving the amount of Cyperus Rhizome (Cyperī Rhizoma) and adding Ginseng Root (Ginseng Radix), Astragalus Root (Astragali Radix), Placenta Hominis (Placentae Hominis), Poria (Poria), Jujube Seed (Ziziphi Spinosae Semen), and Polygala Root (Polygalae Radix). This enriches Qi and Blood, allowing the meridians to regulate naturally. Just as prolonged drought prevents river flow, and blocked rivers cannot nourish all things, how can a woman with amenorrhea or scanty menstruation conceive? This outlines the treatment methods for women. Thus, preserving Jing is the responsibility of men; regulating menstruation is the key for women. Each has specific pathologies requiring careful identification; one must not act carelessly and lose the principle of generation. Those seeking offspring, take heed!