人参 白术（炒） 茯苓 甘草（炙） 当归 川芎 熟地黄 白芍药（酒炒）
月来血少者，此方主之。
血盛则月来而多，血衰则月来而少。故用当归、川芎、芍药、熟地四物以养血，而又用
人参、白术、茯苓、甘草以养气也。所以必兼养气者，太极之妙，阴生于阳故也。
酒黄芩 龟板 白芍药（各一两） 黄柏（炒褐色，三钱） 樗根白皮（七钱半） 香
附（童便浸一宿，焙干，三钱）
月来过多不止者，此方主之。
月来过多不止，是阴血不足以镇守胞络之火，故血走失而越常度也。是方也，黄芩、黄
柏、芍药、龟板，皆滋阴制火之品，所谓壮水之主以镇阳光也。樗皮之涩，所以固脱；香附
之辛，所以开其郁热尔。
白带者，胃中湿热下注而成，犹之溺注于器而生溺底 耳。前古名医有单用焦白芷而主
者，有单用焦荆实而主者，有单用瓦垄粉而主者。盖以白芷之性，香而升举。荆实之性，辛
而利气。瓦垄之性，燥而胜湿。炒而焦之，则火可以生土，土可以防水；炼而粉之，则燥可
以
凡人腰脐之间有带脉，奇经八脉之一也，环腰一周，如束带焉。下焦虚损，督任有亏，
则下焦气血乘虚而袭之，陷于带脉之下，气病为白，血病为赤，名曰赤白带下也。东垣曰∶
白葵花治白带，红葵花治赤带。赤治血燥，白治气燥，此何言哉？昆谓葵花乃朝阳之萼也，
禀草之阴，涵天地之阳，故能润燥而升阳，使营卫上行，不复陷于带脉之下而为带下也。或
问∶带下一疾耳，此言气血陷于带脉之下为带下，前言胃中湿热下注为带下，何相悖也？余
曰∶妇人无病容，单下白者，责之湿热下注。妇人久病，赤白并下，责之气血下陷，多成瘵
也。又曰∶有言白者属寒，赤者属热，其说何如？余曰∶曾见寒者固有赤带，热者益多白带，
此
人参、白术（炒制）、茯苓、甘草（炙烤）、当归、川芎、熟地黄、白芍药（酒炒制）
月经量少者，此方主治。
血液充盛则月经量多，血液衰少则月经量少。因此使用当归、川芎、芍药、熟地四物汤来养血，同时用人参、白术、茯苓、甘草四君子汤来补气。之所以必须兼补气血，是因为太极的奥妙在于阴生于阳的缘故。
酒黄芩、龟板、白芍药（各一两）、黄柏（炒至褐色，三钱）、樗根白皮（七钱半）、香附（用童便浸泡一夜，焙干，三钱）
月经量过多且淋漓不止者，此方主治。
月经量过多且淋漓不止，是因为阴血不足以镇守胞宫络脉之火，导致血液走失而超越常度。这个方子中，黄芩、黄柏、芍药、龟板，都是滋阴制火的药物，也就是所谓“壮水之主以制阳光”。樗皮具有涩性，用来固脱止血；香附具有辛散之性，用来疏通郁热。
白带症，是由胃中湿热下注而成，就像尿液注入容器中产生尿底沉淀一样。前代名医有单用焦白芷主治的，有单用焦荆实主治的，有单用瓦垄粉主治的。大概因为白芷的性质，芳香而能升举。荆实的性质，辛散而能利气。瓦垄的性质，燥烈而能胜湿。炒成焦状，则火可以生土，土可以防水；炼成粉末，则燥可以……
大凡人在腰脐之间有带脉，它是奇经八脉之一，环绕腰部一周，像束带一样。下焦虚损，督脉和任脉有亏缺，那么下焦的气血乘虚侵袭，陷于带脉之下，气病表现为白带，血病表现为赤带，称为赤白带下。李东垣说：白葵花治疗白带，红葵花治疗赤带。赤色治疗血燥，白色治疗气燥，这是什么意思呢？吴昆认为葵花是朝向太阳的花萼，禀受草木之阴，蕴含天地之阳，所以能够润燥并升发阳气，使营卫之气上行，不再陷于带脉之下成为带下病。有人问：带下只是一种疾病罢了，这里说气血陷于带脉之下导致带下，前面又说胃中湿热下注导致带下，为什么相互矛盾呢？我回答说：妇人没有生病的症状，只出现白带，归咎于湿热下注。妇人久病，赤白二色并下，归咎于气血下陷，多形成劳瘵（慢性消耗性疾病）。又有人说：白色属寒，红色属热，这种说法如何？我回答说：曾见到寒证确实有赤带，热证更多见白带，这……
Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Rhizoma, stir-fried), Fu Ling (Poria), Gan Cao (Licorice Root, honey-fried), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Shu Di Huang (Rehmanniae Radix Praeparata), Bai Shao Yao (Paeoniae Radix Alba, wine-fried)
For cases of scanty menstruation, this formula is the primary treatment.
When blood is abundant, menstruation is heavy; when blood is deficient, menstruation is scanty. Therefore, Si Wu Tang (Four Substance Decoction), composed of Dang Gui, Chuan Xiong, Bai Shao Yao, and Shu Di Huang, is used to nourish blood, while Ren Shen, Bai Zhu, Fu Ling, and Gan Cao are used to nourish qi. The necessity of nourishing both qi and blood lies in the subtlety of Taiji (Supreme Ultimate), where yin arises from yang.
Jiu Huang Qin (Scutellariae Radix, processed with wine), Gui Ban (Testudinis Carapax et Plastrum), Bai Shao Yao (Paeoniae Radix Alba), each 1 liang; Huang Bo (Phellodendri Cortex, stir-fried until brown), 3 qian; Chu Gen Bai Pi (Stemonae Radix), 7.5 qian; Xiang Fu (Cyperi Rhizoma, soaked in child's urine overnight, dried by baking), 3 qian
For cases of menorrhagia that does not stop, this formula is the primary treatment.
Menorrhagia that persists indicates that yin blood is insufficient to anchor the fire in the uterus and its collaterals, causing blood to escape and exceed normal limits. In this formula, Huang Qin, Huang Bo, Bai Shao Yao, and Gui Ban are all substances that nourish yin and suppress fire, embodying the principle of "strengthening the master of water to control the sunlight" (nourishing kidney yin to subdue hyperactive yang). The astringent nature of Chu Pi (Stemonae Radix) secures leakage and stops bleeding; the acrid nature of Xiang Fu disperses stagnation and clears heat.
Leukorrhea (white vaginal discharge) is formed by damp-heat pouring downward from the stomach, similar to sediment forming at the bottom of a vessel containing urine. Ancient famous physicians have treated it using only Jiao Bai Zhi (Angelicae Dahuricae Radix, charred), or only Jiao Jing Shi (Viticis Fructus, charred), or only Wa Long Fen (Arcae Concha, powdered). This is because Bai Zhi has an aromatic nature that lifts and raises; Jing Shi has an acrid nature that promotes qi movement; Wa Long has a drying nature that overcomes dampness. When stir-fried until charred, fire generates earth, and earth controls water; when refined into powder, dryness can...
Generally, between the waist and umbilicus lies the Dai Mai (Belt Vessel), one of the Eight Extraordinary Vessels, encircling the waist like a belt. If the lower jiao is deficient and the Du Mai (Governor Vessel) and Ren Mai (Conception Vessel) are impaired, qi and blood of the lower jiao invade due to deficiency and sink below the Dai Mai. Qi pathology manifests as white discharge, and blood pathology manifests as red discharge, collectively termed Chi Bai Dai Xia (Red and White Leukorrhea). Li Dong Yuan stated: Bai Kui Hua (White Sunflower Flower) treats white leukorrhea, Hong Kui Hua (Red Sunflower Flower) treats red leukorrhea. Red treats blood dryness, white treats qi dryness. What does this mean? Wu Kun argues that the sunflower is a calyx facing the morning sun, inheriting the yin of herbs and containing the yang of heaven and earth. Thus, it can moisten dryness and raise yang, allowing Ying Wei (Nutritive and Defensive Qi) to ascend upward, no longer sinking below the Dai Mai to cause leukorrhea. Someone asked: Leukorrhea is merely one disease. Here it says qi and blood sinking below the Dai Mai causes leukorrhea, while previously it was said that damp-heat pouring downward causes leukorrhea. Why do these contradict? I reply: If a woman shows no signs of illness but has only white discharge, blame is placed on damp-heat pouring downward. If a woman suffers from chronic illness with both red and white discharge, blame is placed on sinking of qi and blood, often leading to Lao Zhai (Consumption Disease). It is also said that white belongs to cold and red belongs to heat. How is this view? I reply: I have seen cold patterns indeed presenting with red discharge, and heat patterns more commonly presenting with white discharge. This...