凡妇人女子赤白带下，多由脾胃湿热所致。白多为气虚，赤多为血热。久之，渐次虚寒，
面黄体瘦。始初须是调胃健脾，清热渗湿，如六君子汤、五苓散加姜炒黄连之属。人多不以为
急，延患既久，脾胃渐弱，至于月经不调，甚则淋沥崩中，遂成大患，调治费工。须方药合
宜，庶可获效。如人参黄 汤、补中益气汤为主，加升固之药是也。
人参黄 汤方见螽斯门）加醋炒芍药、牡蛎粉、禹余粮。
补中益气汤（方见脾胃门。）
秘验方 治带下神效。（方见《快捷方式六书·明集》）
妇人崩漏最为大病。年少之人，火炽血热房事过多，经行时而有交感，俱致斯疾。大都凉
血固涩，升气益荣而可愈也。中年以上人，及高年嫠妇，多是忧思过度，气血俱虚。此为难治，
必须大补气血，养脾升固，庶保十之二三。斯疾若不早治，则如颓圮之厦，斜倒倾散，势难
支撑而使之正，又如苗槁而后溉灌，何可使之秀耶？
凉血地黄汤、黄芩散、阿艾丸、七灰散（四方并见螽斯门。）
十全大补汤换桂枝加炮黑干姜、阿胶珠。（方见虚损门。）
秘验方（见《快捷方式六书·明集》）
螽斯广育者，孰集之？徐氏汝元集而传之，以公于人也。汝元，余故友襄府典鳝鹤山遗
腹子也，生质敏颖，幼从学于太学生叶光山，攻举子业，既而多病，复问医学于余族侄子良。
子良素以医术鸣，时汝元以儒通医，故其术易精。其存心，每每以济人为急务，弗规于利，良
可嘉也。频来于余，常以《素问》脉理、病机、治法及刘、李、张、朱诸氏之书诘之，汝元
皆 条析，随问随对，略无凝滞。此见汝元医有所本，业有师承，非复近时俗医记本草而
疗病，泥古方而药人也，不侔矣。凡医书自上古轩岐《灵》《素》，历汉、唐、宋，而至于我
皇明，作术之行于世者，二百余家，汝元悉究精微，叙而集之，名曰《古今医统》。凡有关于
医者，靡不博极该详，诚集诸医之大成者也。《螽斯广育》卷，余披而阅之，有原始要终论、
阴虚论、调经诸论，尤见生生不息之功多。余嘉其有心得之妙，凿凿有理，谆谆恳恳，以嗣续
为重，果能体而行之，未必无螽斯之产也。其用心，亦仁矣哉！胡云峰云∶医而儒，明医也，
汝元以之。汝元，名春甫；思鹤，号也。龄青质颖，该博群集，而况精义不已，诚为鸣世之
士云。新安韩溪道人汪衢序。
凡是妇女出现赤带或白带下注的症状，大多是由脾胃湿热引起的。白带多是因为气虚，赤带多是因为血热。病程久了，逐渐转为虚寒，出现面色萎黄、身体消瘦。初期必须调理胃气、健脾益气，清热利湿，比如使用六君子汤（由人参、白术、茯苓、甘草、陈皮、半夏组成）、五苓散（由猪苓、泽泻、白术、茯苓、桂枝组成）加上姜汁炒制的黄连等方药。人们往往不认为这是急症，拖延日久，脾胃逐渐虚弱，导致月经不调，甚至发展为淋漓不尽的崩漏，从而酿成大患，治疗起来非常费力。此时必须方药对症，才可能获得疗效。比如以人参黄芪汤（即补中益气汤类方，此处指代补气固摄之剂，原文似有脱字或异名，结合下文补中益气汤，此处应指补气为主之方，但按原文保留人名/方名逻辑，若为方剂名则保留，若为人参黄芪组成的汤剂则保留）、补中益气汤（由黄芪、人参、白术、甘草、当归、陈皮、升麻、柴胡组成）作为主方，加入提升和固涩的药物即可。
人参黄芪汤（方见《螽斯广育》门）：加醋炒芍药、牡蛎粉、禹余粮。
补中益气汤（方见《脾胃论》门）。
秘验方：治疗带下神效。（方见《快捷方式六书·明集》）
妇人崩漏是最严重的疾病之一。年轻女子，因火旺血热、房事过多，或在月经期间行房，都会导致这种病证。大体上，治疗应以凉血固涩、升提气机、滋养营血为主，就可以痊愈。中年以上的人，以及年老寡妇，大多是因为忧思过度，导致气血两虚。这属于难治之症，必须大补气血，养护脾气并升提固摄，才能保住十分之二三的生命。这种病如果不早点治疗，就像即将倒塌的房屋，倾斜散乱，很难支撑使其复原；又像是禾苗枯死后再灌溉，怎么还能让它茂盛呢？
凉血地黄汤、黄芩散、阿艾丸、七灰散（这四个方子都见《螽斯广育》门）。
十全大补汤（由人参、肉桂、川芎、当归、白芍、白术、茯苓、熟地黄、黄芪、甘草组成），将桂枝换成炮黑干姜，加入阿胶珠。（方见《虚损论》门）。
秘验方（见《快捷方式六书·明集》）。
《螽斯广育》这一卷，是谁收集的呢？是徐氏汝元收集并流传出来的，以此公之于众。汝元，是我老朋友襄王府典膳鹤山先生的遗腹子。他天资聪敏颖悟，小时候跟随太学生叶光山学习，攻读科举学业，后来多病，便向我族侄子子良请教医学。子良一向以医术闻名，当时汝元以儒生身份通晓医学，所以他的医术容易精进。他存心每每把救济他人当作紧急事务，不谋求私利，确实值得称赞。他频繁来找我，常常拿《素问》中的脉理、病机、治法以及刘完素、李东垣、张从正、朱丹溪各位医家的书籍来问我，汝元都能条理清晰地分析，随问随答，毫无凝滞。这说明汝元的医学是有根源的，学业有师承，不是像近时那些庸俗医生那样只记诵本草而治病，拘泥于古方而用药，不可同日而语。凡是从上古轩辕黄帝、岐伯的《灵枢》《素问》，历经汉、唐、宋，直到我大明王朝，行世的各种医书，二百多家，汝元都探究其精微之处，叙述并汇编成书，命名为《古今医统》。凡是与医学有关的，无不广泛穷尽、详细完备，确实是集合众医之大成的著作。《螽斯广育》这一卷，我翻阅阅读，其中有追溯本源、探究终局的论述，有阴虚论、调经诸论，尤其可见其生生不息的功效很多。我赞赏他有心得的妙处，道理确凿恳切，以延续后代为重，如果能切实体会并实行它，未必没有像螽斯那样多子的结果。他的用心，也是仁爱啊！胡云峰说：以儒者之心行医者之事，是明白的医生，汝元正是如此。汝元，名春甫；思鹤，是他的号。他年龄轻、资质颖悟，广博地汇集群书，更何况对精义不懈追求，确实是闻名于世的人士。新安韩溪道人汪衢作序。
Translation of the original text into academic English based on the provided vernacular translation.
Any woman presenting with red or white leukorrhea (vaginal discharge) is mostly caused by damp-heat in the Spleen and Stomach. White discharge is mostly due to Qi deficiency, while red discharge is mostly due to Blood heat. After a long time, it gradually turns into deficiency-cold, manifesting as sallow complexion and emaciation. Initially, one must regulate the Stomach and strengthen the Spleen, clear heat and leach out dampness, such as using Liu Jun Zi Tang (Six Gentlemen Decoction), Wu Ling San (Five-Ingredient Powder with Poria), plus ginger-fried Huang Lian (Coptidis Rhizoma). People often do not consider this urgent; delaying treatment for a long time weakens the Spleen and Stomach, leading to irregular menstruation, and even severe dripping or metrorrhagia (flooding), thus becoming a major affliction that requires considerable effort to treat. At this stage, the prescription must be appropriate to achieve efficacy. For example, using Ren Shen Huang Qi Tang (Ginseng and Astragalus Decoction - note: context implies a tonic formula similar to Bu Zhong Yi Qi Tang) or Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) as the main formula, adding herbs that lift and secure is the method.
Ren Shen Huang Qi Tang (See formula in the section "Zhong Si Guang Yu"): Add vinegar-processed Shao Yao (Paeoniae Radix Alba), Mu Li Fen (Ostreae Concha Pulvis), and Yu Yu Liang (Yuyuliang).
Bu Zhong Yi Qi Tang (See formula in the section "Pi Wei").
Secret Effective Formula: Highly effective for treating leukorrhea. (See formula in "Kuai Jie Fang Shi Liu Shu · Ming Ji").
Metrorrhagia and metrostaxis (bleeding from the uterus) are among the most serious diseases in women. Young women, due to blazing fire and blood heat, excessive sexual intercourse, or coitus during menstruation, all contract this disease. Generally, cooling the blood, astringing, lifting Qi, and nourishing Ying (Nutritive) Qi can lead to recovery. For those above middle age, and elderly widows, it is mostly due to excessive worry and thought, resulting in dual deficiency of Qi and Blood. This is difficult to treat; one must greatly tonify Qi and Blood, nourish the Spleen, and lift and secure, so as to save two out of ten cases. If this disease is not treated early, it is like a dilapidated building, slanting and collapsing, making it hard to support and straighten it; it is also like irrigating after the seedling has withered, how can it make it flourish?
Liang Xue Di Huang Tang (Cool Blood and Rehmannia Decoction), Huang Qin San (Scutellaria Powder), A Ai Wan (Artemisia and Moxa Pill), Qi Hui San (Seven Ashes Powder) (All four formulas are seen in the section "Zhong Si Guang Yu").
Shi Quan Da Bu Tang (Comprehensive Great Tonifying Decoction): Replace Gui Zhi (Cinnamomi Ramulus) with Pao Hei Gan Jiang (Prepared Black Zingiberis Rhizoma), add E Jiao Zhu (Processed Donkey-hide Gelatin Bead). (See formula in the section "Xu Sun").
Secret Effective Formula (See "Kuai Jie Fang Shi Liu Shu · Ming Ji").
Who collected the volume "Zhong Si Guang Yu" (Abundant Procreation)? It was collected and transmitted by Xu Ru Yuan, to share with the public. Ru Yuan is the posthumous son of my old friend, Xiang Prince's Steward, Mr. He Shan. He was naturally sharp and intelligent. In his youth, he studied under Ye Guang Shan, a Imperial Student, focusing on civil service examinations. Later, suffering from frequent illness, he asked my clan nephew, Zi Liang, about medicine. Zi Liang was well-known for his medical skills. At that time, Ru Yuan, being a Confucian scholar who understood medicine, could easily refine his techniques. His intention was always to prioritize helping others, not seeking profit, which is truly commendable. He frequently visited me, often questioning me about the pulse theory, pathogenesis, and treatment methods from the *Su Wen* (Basic Questions), as well as the books of Liu (Wansu), Li (Dongyuan), Zhang (Congzheng), and Zhu (Danxi). Ru Yuan analyzed them clearly, answering questions immediately without hesitation. This shows that Ru Yuan’s medicine has its roots and his profession has a lineage; he is not like the vulgar doctors of recent times who merely memorize herbal materia medica to treat diseases or stick rigidly to ancient prescriptions to medicate people. They are incomparable. All medical books from the ancient times of Xuanyuan (Yellow Emperor) and Qibo's *Ling Shu* (Spiritual Pivot) and *Su Wen*, through Han, Tang, and Song dynasties, up to our illustrious Ming Dynasty, numbering over two hundred works circulating in the world, Ru Yuan investigated their subtleties thoroughly, narrated and compiled them, naming the work *Gu Jin Yi Tong* (Comprehensive Collection of Ancient and Modern Medical Standards). Anything related to medicine is extensively covered and detailed; it is indeed the grand synthesis of various physicians' achievements. I read the volume "Zhong Si Guang Yu", which contains discussions on tracing origins and examining ends, Yin deficiency, and regulating menstruation, showing much merit in promoting continuous life. I appreciate his insightful brilliance, which is solidly logical and earnest, emphasizing the importance of continuing the family line. If one can embody and practice this, there may well be abundant offspring like the locusts (symbolizing fertility). His intention is indeed benevolent! Hu Yun Feng said: A physician who is also a Confucian is a enlightened doctor; Ru Yuan embodies this. Ru Yuan, named Chun Fu; Si He is his pseudonym. Young and gifted, broadly collecting and compiling, let alone pursuing profound meanings tirelessly, he is truly a scholar renowned in the world. Wang Qu, Daoist of Hanxi in Xin'an, wrote the preface.