汪石山曰∶带证色有赤白之分，病有气血之异，与痢相似，尽由中气亏败，运动失常，致湿热郁结于下焦
带脉之分，渗流而下，故名带下。治先清湿为主，必须却浓味，以防湿热之气。故丹溪论赤白带下，由七情内
伤，使下元虚惫，致湿热痰积，乘虚下流。叔和谓崩中日久为白带。崩中日久者，下元虚
惫之意。治法∶罗太无谓十枣汤、神佑丸、玉烛散皆可用。但虚弱者，不可峻攻，丹溪用升提法，真妙谛也。
慎斋按∶以上六条，序带下之属湿热为病也。带下自《圣惠》、元方以下，主于风冷之邪，子和非之，断
为湿热冤郁，不可作风冷治。故河间、洁古，均从湿热立论。但湿热有主于任脉经虚者，有主于热乘太阳者，
有主于中焦浊气者，有主于下焦郁滞者。无非明湿热下乘，有各经不同。总不若子和据经考证带脉受病原委，
为详悉也。
张仲景曰∶问妇人年五十，病下利，数十日不止，暮即发热，少腹里急，腹满，手掌烦热，唇口干燥，何
也？师曰∶此病属带下。何以故？曾经半产，瘀血在少腹不去，何以知之？其证唇口干燥，故知之，当以温经主之。
王叔和曰∶妇人带下，肠中有脓，为荣卫相干，血为败浊，有可下不可下之异。
《准绳》按∶带下，有败脓淋沥不已，腥秽之甚，遂至脐腹冷痛，此盖败脓所致。用白芷一两，单叶红蜀
葵根二两，白芍药、白矾各五钱，为末，蜡丸米饮，候脓尽，以补药佐之。
汪石山说：带下病的分泌物颜色有赤色和白色之分，病因涉及气分和血分的不同，症状与痢疾相似，但根本原因都是中气亏虚衰败，运化功能失常，导致湿热邪气郁结在下焦带脉的分布区域，渗漏流注而下，所以称为“带下”。治疗应以清除湿邪为主，必须戒除肥甘厚味的饮食，以防助长湿热之气。因此，朱丹溪论述赤白带下，认为是由七情内伤，导致下元（肾与命门）虚惫，致使湿热痰浊积聚，乘虚下行。王叔和认为，崩漏日久不愈会转为白带。“崩中日久”，指的就是下元虚惫的意思。治疗方法方面：罗太无认为十枣汤、神佑丸、玉烛散都可以使用。但对于身体虚弱者，不可使用猛烈攻下的药物；朱丹溪采用升提法，真是精妙的见解。
慎斋按语：以上六条，叙述了带下病属于湿热致病的情况。从《圣惠方》及元代医方以来，多主张风冷之邪是带下主因，张子和对此提出反对，断定为湿热冤郁所致，不能当作风冷来治疗。因此，刘河间、李洁古都从湿热立论。但是，湿热致病有的主要在于任脉经气虚弱，有的在于热邪侵犯太阳经，有的在于中焦浊气上逆或停滞，有的在于下焦气机郁滞。无非是阐明湿热下乘，但在各经络的表现有所不同。总之，不如张子和依据经络考证带脉受病的原委，更为详尽完备。
张仲景说：问一位五十岁的女性，患下利（腹泻），数十日不止，傍晚即出现发热，少腹内部拘急不适，腹部胀满，手掌心烦热，嘴唇口舌干燥，这是什么病？医生回答说：此病属于带下范畴。为什么这样说？因为她曾经有过小产史，瘀血停留在少腹没有消散。怎么知道的呢？根据她嘴唇口舌干燥的症状，所以可以判断，应当以温经汤为主进行治疗。
王叔和说：妇人带下病，如果肠中有脓液，是因为营卫之气相互干扰，血液化为败浊之物，这种情况有可以使用下法和不适用下法的区别。
《医学纲目·准绳》按语：带下病中，有败脓淋漓不断，气味腥臭至极，甚至导致脐腹部冷痛，这大概是败脓所致。可用白芷一两，单叶红蜀葵根二两，白芍药、白矾各五钱，研为细末，用蜡制成丸剂，米汤送服，等到脓液排尽后，再用补益药物辅助调理。
Wang Shishan stated: Leukorrhea presents with discharge that is either red or white, and the pathology involves differences in Qi and Blood. Its symptoms resemble dysentery (Li Ji), but it stems entirely from the deficiency and collapse of Middle Qi, leading to abnormal transport and transformation. This causes damp-heat to stagnate in the Lower Jiao, specifically within the distribution area of the Dai Mai (Girdle Vessel), where fluids渗流 (seep and flow) downward, hence the name "Leukorrhea" (Dai Xia). Treatment should primarily focus on clearing dampness; one must avoid rich and greasy foods to prevent aggravating damp-heat. Therefore, Zhu Danxi discussed red and white leukorrhea as resulting from internal injury by the Seven Emotions, which exhausts the Lower Yuan (Kidney and Mingmen), causing damp-heat and phlegm accumulation to flow downward due to deficiency. Wang Shuhe stated that prolonged bleeding from metrorrhagia can transform into white leukorrhea. "Prolonged bleeding" implies the exhaustion of the Lower Yuan. Regarding treatment methods: Luo Taiwu suggested that Shizao Tang (Ten Date Decoction), Shenyou Wan (Divine Protection Pill), and Yuzhu San (Jade Candle Powder) are all applicable. However, for patients who are weak, harsh purgatives should not be used. Zhu Danxi’s use of the lifting method is truly a profound insight.
Shen Zhai commented: The above six items describe leukorrhea caused by damp-heat. Since the *Taiping Shenghui Fang* and Yuan dynasty formulas, the prevailing view attributed leukorrhea to wind-cold pathogens. Zhang Zihe refuted this, asserting it is caused by stagnant damp-heat, not wind-cold. Consequently, Liu Hejian and Li Jiegou both based their theories on damp-heat. However, damp-heat pathology may stem from deficiency in the Ren Mai (Conception Vessel), heat invading the Taiyang (Greater Yang) channel, turbid Qi in the Middle Jiao, or stagnation in the Lower Jiao. In all cases, damp-heat descends, but the specific meridians involved differ. Overall, Zhang Zihe’s examination of the etiology regarding the Dai Mai (Girdle Vessel) is the most detailed and accurate.
Zhang Zhongjing said: A woman aged fifty suffers from diarrhea for dozens of days without cessation, experiences fever in the evening, urgency and tightness in the lower abdomen, abdominal fullness, vexatious heat in the palms, and dryness of the lips and mouth. What is the diagnosis? The Master replied: This disease belongs to the category of leukorrhea. Why? Because she has a history of miscarriage, and blood stasis remains in the lower abdomen. How do we know this? The symptom of dry lips and mouth indicates this condition. It should be treated primarily with Wen Jing Tang (Warm the Menses Decoction).
Wang Shuhe stated: In women with leukorrhea, if there is pus in the intestines, it is due to the conflict between Ying (Nutrient) and Wei (Defensive) Qi, where blood transforms into foul turbidity. There are distinctions between cases suitable for purgation and those that are not.
The commentary in *Zhunsheng* (Standard of Medical Science) states: In leukorrhea, foul pus may drip continuously with an extremely fishy and foul odor, leading to cold pain in the umbilical and abdominal regions. This is likely caused by foul pus. One may use Bai Zhi (Angelicae Dahuricae Radix) 1 liang, Dan Ye Hong Shu Kui Gen (Hibisci Malvae Root) 2 liang, Bai Shao Yao (Paeoniae Radix Alba) and Bai Fan (Alumen) each 5 qian. Grind into powder, make pills with wax, and administer with rice water. Once the pus is exhausted, follow up with tonic herbs to support recovery.