〔大〕妇人小便白浊白淫者，皆由心肾不交养，水火不升降，或因劳伤于肾，肾气
虚冷故也。肾主水而开窍在阴，阴为溲便之道，胞冷肾损，故有白浊白淫。宜服《局
方》金锁正元丹。（杂病遗精。）或因心虚而得者，宜服平补镇心丹。（杂病惊。）降心丹、威喜丸。
（杂病遗精。）若因思虑过当，致使阴阳不分，清浊相干而成白浊者，然思则伤脾故也，宜用
四七汤（杂病气。）吞白丸子。（杂病中风。）此药极能分利，更宜小乌沉汤，（杂病鼻衄。）每帖加茯苓
一钱，重者益智二十枚去壳碾，盐煎服。
〔薛〕前证若元气下陷，用补中益气汤。脾胃亏损，六君加升麻、柴胡。脾经郁结，归
脾加黄柏、山栀。肝经怒火，龙胆泻肝汤。虚则用加味逍遥散。宜与带下参看主治。一
妇人善怒，或小腹痞闷，或寒热往来，或小便频数，时下白淫，药久不愈，面青口苦。余
以为积愤而不能发散所致，用龙胆泻肝汤而愈。用加味逍遥散、八珍汤而安。
姜黄散 治血脏久冷，腹胀疼痛，小便浓白如泔。
片姜黄（二两） 大附子（炮，一两） 柳桂 赤芍药 红蓝子 三棱（各半两） 木香
牡丹皮 芫花（醋浸，炒） 郁李仁（去皮） 没药（各二钱半）
上为细末，每服一钱，酒煎服。如腹痛用当归、没药为末，以水七分，酒三分，同
煎热服。
内金鹿茸丸 治妇人劳伤血脉，胞络受寒，小便白浊，日夜无度，脐腹疼痛，腰膝
无力。
鸡内金 鹿茸 黄 肉苁蓉 五味子 远志肉 牡蛎 桑螵蛸 龙骨 附子（各等分）
上为细末，炼蜜和丸，如梧子大。每服五十丸，食前用温酒或米饮送下。
二豆散 治耳鸣心躁，腰脚疼重，腹内虚鸣，脐下冷痛，频下白水如泔，名湛浊证。
（方见前赤白带下。）
乌金散 治身热口燥，气块筑痛，下黄水如葵汁。
百草霜（炒） 紫金皮（米泔浸煮，炒黄） 粉草（炙，各等分）
上为末，每服二钱，艾汤或醋汤空心调下。心嘈，猪血入盐酒下。白带，用鲤
鱼一尾，去肠不去鳞，将油发一团，入鱼肚内，黄泥固济，炭火内 存性，去泥研鱼为
末。每用一钱，以陈酒调同前药服。
四七汤煎成，送下青州白丸子，常服最效。
加味四七汤 治妇女小便不顺，甚者阴户疼痛。
半夏（汤洗七次，一两） 浓朴（姜汁制） 赤茯苓 香附子（炒，各五钱）
紫苏 甘草（各二钱）
上 咀分四帖，每服水二盅，姜五片，煎八分，去滓，加琥珀末一钱，调服。
锁精丸 治小便白浊。
破故纸（炒） 青盐 白茯苓 五味子（各等分）
为末，酒糊丸。空心盐汤或酒，任下三十丸。
固精丸 治下虚胞寒，小便白浊，或如泔，或如凝脂，腰重。
牡蛎（ 粉） 菟丝子（酒蒸，焙） 韭子（炒） 龙骨 五味子 白茯苓 桑螵蛸（酒炙）
白石脂（各等分）
为末，酒糊丸梧桐子大。每服七十丸，空心盐汤下。
治妇人久积虚寒，小便白浊，滑数不禁。
上用鹿茸屑炒黄为细末，每服二钱，空心温酒调下。
又方 用鸡 炙为末，空心酒调服二钱。
【戴元礼】妇女出现小便白浊或白淫的症状，都是由于心肾之间不能相互交养，水火之气不能正常升降所致；或者是因为劳累损伤了肾脏，导致肾气虚弱寒冷。肾主管水液代谢，其窍穴开于阴部，阴部是排泄大小便的通道。如果胞宫寒冷、肾脏受损，就会出现白浊和白淫的症状。适宜服用《太平惠民和剂局方》中的金锁正元丹。（参考杂病遗精章节。）如果是因心脏虚弱而引发的，适宜服用平补镇心丹。（参考杂病惊悸章节。）也可选用降心丹、威喜丸。（参考杂病遗精章节。）如果是因为思虑过度，致使阴阳界限不清，清浊之气相互干扰而形成白浊的，这是因为思虑会损伤脾脏的缘故，适宜使用四七汤（参考杂病气滞章节）吞服白丸子。（参考杂病中风章节。）这些药物具有极强的分利作用，更宜配合小乌沉汤（参考杂病鼻衄章节），每帖药中加入茯苓一钱，病情较重者加入去壳后碾碎的益智仁二十枚，用盐水煎煮服用。
【薛己】上述病症，如果是元气下陷，应使用补中益气汤。如果是脾胃亏损，应在六君子汤基础上加升麻、柴胡。如果是脾经郁结，应在归脾汤基础上加黄柏、山栀。如果是肝经怒火，使用龙胆泻肝汤。如果是虚证，使用加味逍遥散。治疗时应与带下病的辨证主治参照进行。有一位妇人容易发怒，有时小腹痞闷，有时寒热往来，有时小便频数，时常排出白淫，服药很久不见痊愈，面色青，口苦。我认为这是积愤之气无法发散所致，使用龙胆泻肝汤治愈。随后用加味逍遥散、八珍汤调理而安。
姜黄散：治疗血脏长期寒冷，腹胀疼痛，小便浓白如米泔水。
片姜黄（二两） 大附子（炮制，一两） 柳桂 赤芍药 红蓝子 三棱（各半两） 木香 牡丹皮 芫花（醋浸，炒） 郁李仁（去皮） 没药（各二钱半）
以上药物研为细末，每次服用一钱，用酒煎服。如果腹痛，用当归、没药研为末，以七分水、三分酒同煎，热服。
内金鹿茸丸：治疗妇人劳伤血脉，胞络受寒，小便白浊，日夜无度，脐腹疼痛，腰膝无力。
鸡内金 鹿茸 黄芪 肉苁蓉 五味子 远志肉 牡蛎 桑螵蛸 龙骨 附子（各等分）
以上药物研为细末，用炼蜜调和制成丸药，如梧桐子大小。每次服用五十丸，饭前用温酒或米饮送下。
二豆散：治疗耳鸣心躁，腰脚疼重，腹内虚鸣，脐下冷痛，频繁排出白水如米泔，称为湛浊证。（方剂见前文赤白带下章节。）
乌金散：治疗身体发热口干，气块筑痛，排出黄水如葵菜汁。
百草霜（炒） 紫金皮（米泔水浸煮，炒黄） 粉草（炙，各等分）
以上药物研为末，每次服用二钱，空腹时用艾叶汤或醋汤调服。如果心中嘈杂，用猪血加盐酒送服。如果是白带，取鲤鱼一条，去内脏不去鳞，将油发一团放入鱼肚内，用黄泥封固，在炭火中煅烧存性，去掉泥土后将鱼研为末。每次用一钱，用陈酒调合前面的药物一起服用。
加味四七汤：治疗妇女小便不顺，严重的阴户疼痛。
半夏（汤洗七次，一两） 浓朴（姜汁制） 赤茯苓 香附子（炒，各五钱） 紫苏 甘草（各二钱）
以上药物切碎分为四帖，每次用水二盅，生姜五片，煎至八分，去渣，加入琥珀末一钱，调服。
锁精丸：治疗小便白浊。
破故纸（炒） 青盐 白茯苓 五味子（各等分）
研为末，用酒糊制作成丸。空腹时用盐汤或酒送服三十丸。
固精丸：治疗下虚胞寒，小便白浊，或如米泔水，或如凝固的油脂，腰部沉重。
牡蛎（煅粉） 菟丝子（酒蒸，焙干） 韭子（炒） 龙骨 五味子 白茯苓 桑螵蛸（酒炙） 白石脂（各等分）
研为末，用酒糊制作成梧桐子大小的丸药。每次服用七十丸，空腹时用盐汤送下。
治疗妇人久积虚寒，小便白浊，滑数不禁。
以上用鹿茸屑炒黄研为细末，每次服用二钱，空腹时用温酒调下。
又一方：用鸡内金炙后研为末，空腹时用酒调服二钱。
[ Dai Yuanli ] When women experience white turbidity (white turbid urine) or white discharge (leukorrhea-like discharge from the urethra), it is all due to the failure of the Heart and Kidney to nourish each other, and the inability of Water and Fire energies to ascend and descend properly. It may also be caused by labor-induced injury to the Kidney, resulting in deficiency and coldness of Kidney Qi. The Kidney governs water metabolism and opens into the Yin region; the Yin region serves as the pathway for urination and defecation. If the Bao Palace (uterus/womb) is cold and the Kidney is damaged, white turbidity and white discharge will occur. It is appropriate to take Jin Suo Zheng Yuan Dan (Golden Lock Correct Origin Pill) from the *Jufang* (Formulas of the Bureau). (Refer to miscellaneous diseases: spermatorrhea.) If caused by Heart deficiency, it is appropriate to take Ping Bu Zhen Xin Dan (Leveling and Tonifying Calming Heart Pill). (Refer to miscellaneous diseases: palpitations/fright.) Jiang Xin Dan (Descend Heart Pill) and Wei Xi Wan (Wei Xi Pill) are also options. (Refer to miscellaneous diseases: spermatorrhea.) If caused by excessive rumination, leading to a lack of distinction between Yin and Yang, and interference between clear and turbid Qi forming white turbidity, this is because rumination injures the Spleen. In such cases, Si Qi Tang (Four Seven Decoction) should be used to swallow Bai Wan Zi (White Pills). (Refer to miscellaneous diseases: wind-stroke.) These medicines have a strong diaphoretic and draining effect. It is even more suitable to combine them with Xiao Wu Chen Tang (Minor Black Stagnation Decoction); add one qian of Fu Ling (Poria) per dose. For severe cases, add twenty peeled and crushed Yi Zhi Ren (Alpinia Oxyphylla Fructus), decocted with salt water.
[Xue Ji] For the aforementioned conditions, if there is sinking of Yuan Qi (Primal Qi), use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction). If there is damage to the Spleen and Stomach, use Liu Jun Zi Tang (Six Gentlemen Decoction) with added Sheng Ma (Cimicifugae Rhizoma) and Chai Hu (Bupleuri Radix). If there is depression/stagnation in the Spleen Meridian, use Gui Pi Tang (Restore the Spleen Decoction) with added Huang Bo (Phellodendri Cortex) and Shan Zhi (Gardeniae Fructus). If there is fire anger in the Liver Meridian, use Long Dan Xie Gan Tang (Gentian Decoction to Drain the Liver). If it is a deficiency pattern, use Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder). Treatment should refer to the differentiation and management of leukorrhea. A certain woman was prone to anger, sometimes experiencing epigastric fullness and stuffiness, alternating chills and fever, frequent urination, and occasional white discharge. Medication had been ineffective for a long time, her complexion was green, and her mouth tasted bitter. I considered this to be caused by accumulated resentment that could not be dispersed. She was cured using Long Dan Xie Gan Tang. She was then stabilized using Jia Wei Xiao Yao San and Ba Zhen Tang (Eight Treasures Decoction).
Jiang Huang San (Curcuma Powder): Treats chronic cold in the Blood Palace (uterus), abdominal distension and pain, and thick white urine resembling rice washings.
Pian Jiang Huang (Rhizoma Curcumae Longae, 2 liang), Da Fu Zi (Prepared Radix Aconiti Lateralis Preparata, 1 liang), Liu Gui (Cinnamomi Ramulus), Chi Shao Yao (Radix Paeoniae Rubra), Hong Lan Zi (Semen Pruni Persicae), San Leng (Rhizoma Sparganii) (each 0.5 liang), Mu Xiang (Aucklandiae Radix), Mu Dan Pi (Moutan Cortex), Yuan Hua (Genkwa Flos, soaked in vinegar and stir-fried), Yu Li Ren (Semen Pruni Armeniacae, skin removed), Mo Yao (Myrrha) (each 2.5 qian).
Grind all ingredients into fine powder. Take 1 qian per dose, decocted with wine. If abdominal pain occurs, grind Dang Gui (Angelicae Sinensis Radix) and Mo Yao into powder, decoct with 7 parts water and 3 parts wine, and take hot.
Nei Jin Lu Rong Wan (Chicken Gizzard Lining and Deer Antler Pill): Treats blood vessel injury from overwork in women, cold invasion of the Bao Luo (uterine collaterals), white turbid urine day and night without limit, umbilical and abdominal pain, and weakness in the waist and knees.
Ji Nei Jin (Endothelium Corneum Gigeriae Galli), Lu Rong (Cornu Cervi Pantotrichum), Huang Qi (Astragali Radix), Rou Cong Rong (Cistanches Herba), Wu Wei Zi (Schisandrae Chinensis Fructus), Yuan Zhi Rou (Polygalae Radix flesh), Mu Li (Ostreae Concha), Sang Piao Xiao (Mantis Egg Case), Long Gu (Fossilia Ossis Mastodi et Scapulae), Fu Zi (Prepared Radix Aconiti Lateralis Preparata) (equal parts).
Grind into fine powder, mix with refined honey to form pills the size of mulberry seeds. Take 50 pills per dose before meals, washed down with warm wine or rice drink.
Er Dou San (Two Beans Powder): Treats tinnitus and mental restlessness, heavy pain in the waist and legs, empty ringing in the abdomen, cold pain below the umbilicus, and frequent passage of white water like rice washings, known as Zhan Zhuo Syndrome. (Formula see previous section on red and white leukorrhea.)
Wu Jin San (Black Gold Powder): Treats body heat and dry mouth, stabbing pain from Qi masses, and passage of yellow water like hibiscus juice.
Bai Cao Shuang (Soot from Chimneys, stir-fried), Zi Jin Pi (Bark of unknown species, soaked in rice water, boiled, and stir-fried until yellow), Fen Cao (Glycyrrhizae Radix et Rhizoma Preparata) (equal parts).
Grind into powder. Take 2 qian per dose, mixed with mugwort tea or vinegar tea on an empty stomach. If there is heartburn, take with pig blood and salt wine. For leukorrhea, take one carp, remove intestines but keep scales, place a ball of fried dough inside the fish belly, seal with yellow mud, roast over charcoal until preserved in nature, remove mud, and grind the fish into powder. Take 1 qian, mixed with aged wine and the aforementioned medicine.
After decocting Si Qi Tang, swallow Qingzhou Bai Wan Zi (Qingzhou White Pills); regular use is most effective.
Jia Wei Si Qi Tang (Modified Four Seven Decoction): Treats difficulty in urination in women, and severe cases involving pain in the vaginal orifice.
Ban Xia (Pinelliae Rhizoma, washed seven times in boiling water, 1 liang), Hou Po (Magnoliae Officinalis Cortex, processed with ginger juice), Chi Fu Ling (Poria with Red Wood, 5 qian each), Xiang Fu (Cyperii Rhizoma, stir-fried, 5 qian each), Zi Su (Perillae Folium), Gan Cao (Glycyrrhizae Radix et Rhizoma) (2 qian each).
Cut into pieces, divide into four doses. For each dose, decoct with two zhong of water and five slices of ginger until reduced to eight fen. Strain, add 1 qian of Hu Po (Amber) powder, and take mixed.
Suo Jing Wan (Lock Essence Pill): Treats white turbid urine.
Po Gu Zhi (Psoraleae Fructus, stir-fried), Qing Yan (Rock Salt), Bai Fu Ling (Poria), Wu Wei Zi (Schisandrae Chinensis Fructus) (equal parts).
Grind into powder, bind with wine paste to form pills. Take 30 pills on an empty stomach with salt water or wine.
Gu Jing Wan (Solidify Essence Pill): Treats lower deficiency and cold in the Bao Palace, white turbid urine (resembling rice washings or congealed fat), and heaviness in the waist.
Mu Li (Ostreae Concha, calcined powder), Tu Si Zi (Cuscutae Semen, steamed in wine and baked), Jiu Zi (Allii Tuberosi Semen, stir-fried), Long Gu (Fossilia Ossis Mastodi et Scapulae), Wu Wei Zi (Schisandrae Chinensis Fructus), Bai Fu Ling (Poria), Sang Piao Xiao (Mantis Egg Case, wine-processed), Bai Shi Zhi (Kaolinite) (equal parts).
Grind into powder, bind with wine paste to form pills the size of mulberry seeds. Take 70 pills on an empty stomach with salt water.
To treat chronic accumulation of deficiency-cold in women, white turbid urine, and uncontrollable slippery frequency:
Use Lu Rong (Cornu Cervi Pantotrichum) dust, stir-fried until yellow and ground into fine powder. Take 2 qian per dose on an empty stomach, mixed with warm wine.
Another prescription: Roast Ji Nei Jin (Endothelium Corneum Gigeriae Galli), grind into powder, and take 2 qian on an empty stomach mixed with wine.