痰，喉间不利，带下青黄，腹胁膨胀。又用行气之剂，胸膈不利，肢体如麻。此乃郁怒
伤损肝脾，朝用归脾汤以解脾郁、生脾气。夕用加味逍遥散，以生肝血、清肝火。百余剂
而愈。一妇人久疟兼带，发热口干体倦，用七味白术散加麦门、五味，大剂煎与恣饮，再
发稍可。乃用补中益气加茯苓、半夏，十余剂而愈。一妇人头晕吐痰，胸满气喘，得
食稍缓，苦于白带二十余年矣，诸药不应。此气虚而痰饮也，痰饮愈而带自愈。遂朝用六
君子汤，夕用六味地黄丸，不月而验。一妇人耳鸣胸痞，内热口干，喉中若有一核，吞
吐不利，月经不调，兼之带下。余以为肝脾郁结，用归脾汤加半夏、山栀、升麻、柴胡，
间以四七汤下白丸子而愈。一妇人吞酸饱满，食少便泄，月经不调。服清气化痰丸，两
膝渐肿，寒热往来，带下黄白，面痿体倦。此脾胃俱虚，湿痰下注，用补中益气倍用参、术，
加茯苓、半夏、炮姜而愈。一妇人带下，四肢无力。余曰∶四肢者，土也。此脾胃虚弱，
湿痰下注，以补中益气、济生归脾二药治之而愈。一妇人带下黄白，怒则胸隔不利，饮
食少思。或用消导利气之药，痰喘胸满，大便下血。余曰∶此因脾气亏损，不能摄血归
源。用补中益气加茯苓、半夏、炮姜，四剂顿减。又用八珍加柴胡、山栀而痊。
〔补涩温〕
牡蛎散 治带下兼经水过多，或暴下片血，不限年月远近。
牡蛎 龙骨 赤石脂 肉苁蓉（酒浸，切焙） 石斛（去根） 乌贼骨（去甲）
黄（锉，各一两半） 牛角腮灰 阿胶（炒燥） 熟地黄（焙） 芍药（炒，各二两）
干姜（炮） 当归（切，焙） 人参 白术 桑耳（各一两二钱半） 桂（去粗皮）
芎 附子（炮，去皮脐） 艾叶（炒，各一两）
上为细末，每服三钱，平旦米饮调服，日再。
茯苓散 治妇人血伤兼带下，积久不止，面黄体瘦，渐成虚劳，腰脚沉重，胎气多损。
白茯苓（去黑皮） 木香 熟地黄（焙） 诃黎勒皮 柏子仁（研） 杜仲（去粗皮，炙）
青橘皮（去白，焙） 乌贼鱼骨（去甲） 五加皮（锉） 艾叶（烧灰） 菖蒲 牛角腮灰 秦
艽（去苗土） 赤石脂 菟丝子（酒浸，另捣） 当归（切、焙，各一两）
上为细末，每服二钱，温酒调下。糯米饮亦得。或有胎息，用鲤鱼糯米粥下药。
卷柏丸 治妇人室女，腹脏冷热相攻，心腹绞痛，腰腿疼，赤白带下，面色痿黄，四
肢羸乏。
卷柏（醋炙） 鹿茸（醋炙） 白石脂 赤石脂（各火 ，醋淬七次） 芎 艾叶（醋炒）
桑寄生 代赭石（火 ，醋淬七次） 鳖甲（醋炙） 当归（去芦，酒浸炒） 地榆（各一两）
木香（不见火） 龙骨（各半两） 干姜（炮，七钱半） 黄 （去芦，蜜炙） 熟地黄（洗，各一两半）
上为细末，醋煮糯米糊和丸，如梧桐子大。每服七十丸，空心米饮送下。
艾煎丸 （《百一》）治妇人一切虚寒，胎前产后，赤白带下，或成血瘕，久服此药，自
然融化。
伏道艾（揉去尘土，择净枝梗，取叶秤五两，先用大肥淮枣一十二两，砂瓶内煮烂，
去核，同艾叶一处捶烂如泥，捻作薄饼子，猛火焙干，乘热急碾为末） 大汉椒（去目枝梗及合
口者，净秤五两，以阿胶二两，米醋三升，同椒于砂瓶内煮极干，取出焙干燥，碾为细末）
当归（去芦，酒浸） 白芍药 川芎 白薇 附子（大者，炮，去皮脐） 卷柏（取青叶）
泽兰（去枝粳取叶，以上各焙干秤用） 熟地黄（如铺上买者，须净洗漉去浮者，晒干，
酒浸蒸晒，再入酒浸蒸五七次，如糖煎香美方可用，亦焙干，秤各一两。）
上同为细末，与前艾末、椒末拌匀，米醋煮糊和丸，如梧桐子大。每服五、七十丸，
至百丸、二百丸，空心艾醋汤送下。
一妇人因产后虚寒，呕恶不食，腹痛如割，时作寒热，复出盗汗，瘦悴骨立，脐腹
之左，结成硬块，其大如掌，冰冷，虽盛暑此处独无汗，每块微动则痛不可忍，百药治
不效。梦中忽有人授以此方，因服之，恶心寒热盗汗辄止，尽一料遂平复，独血块如故。
服至五六料，其块自融化而出，如鱼冻。
沉香牡丹丸 治妇人血海久虚，经候不利，赤白带下，血气冲心，多发刺痛，四肢
烦困。
沉香（七钱半） 牡丹皮（去心） 赤芍药 吴茱萸（汤泡去苦，炒） 当归
桂心 川芎 黄 （去芦，蜜炙） 人参 茯苓 山药 川巴戟（去心） 白术 橘红 木香
干生姜 白龙骨 牛膝（去苗，酒洗） 枳壳（去幅，麸炒） 肉豆蔻 浓朴（制，各半两）
上为细末，炼蜜和丸，如梧桐子大。每服二十丸，空心温酒下。若心腹痛，白芷煎
酒下。
紫桂丸 补益血海。治冲任气虚，经脉
不调，腰痛腹痛，冷滞崩漏。
禹余粮（火 ，醋淬七次，三两） 龙骨 艾叶（醋炒） 赤石脂 牡蛎（ ） 地榆（各二两）
牡丹皮 浓朴 当归 阿胶（蛤粉炒成珠子） 吴茱萸（汤洗） 香白芷 肉桂（去粗皮，各一两）
附子（炮，半两）
上为末，面糊为丸，梧桐子大。每服三十丸，浓煎醋汤下。
〔涩剂〕
固真丸 治白带久下不止，脐腹冷痛，其寒扪之如冰，阴中亦然，目中溜火上壅，视物KT KT
无所见，齿皆恶热饮痛，须得黄连末擦之，其痛乃止，惟喜干食，大恶汤饮。此病皆寒湿乘其胞内，故喜干
而恶湿。肝经阴火上溢走于标，故上壅而目中溜火。肾水侵肝而上溢，故目中KT KT 无所见。齿恶
热饮者，是少阳、阳明经中伏火也，当大泻寒湿，以丸药治之。故曰∶寒在下焦，治主宜缓，大
忌汤散。以酒制白石脂、白龙骨以枯其湿。以炮干姜，大辛热泻寒水。以黄柏之大寒为因用，
又为向导。治法云∶古者虽有重罪，不绝人之后。又为之伏其所主，先其所因之意，又泻齿中恶热饮也。
以柴胡为本经之使，以芍药半钱以导之，又恐辛热之药太甚，损其肝经，故微泻之，以当归身之辛温，
大和其血脉。此用药之法备矣。
白石脂（烧赤，水飞研细，晒干） 柴胡（各一钱） 白龙骨（二钱，酒煮水飞）
当归（酒洗，三钱） 干姜（炮，四钱） 黄柏（酒洗） 白芍（各五分）
上为细末，水煮稀糊为丸，如鸡头大。每服三十丸，空心宿食消尽，煎白沸汤放温送
下，无令胃中停住，待少时以早膳压之，是不令热药犯胃。忌生冷硬物与酒、湿面。
上石脂、龙骨之涩以去脱，盖湿多滑脱者宜之。
治妇人赤白带下，不问远年近日，并皆治之。
龙骨（半两） 舶上硫黄（三钱）
上为细末，每服半钱，空心无灰酒下。
茅花散 治妇人血崩不止，赤白带下。
茅花（一握） 棕树皮（三寸） 嫩荷叶（三张） 甘草节（二寸）
上为细末，空心酒调半匙服。
〔山〕治赤白带下。旧莲房为末，入麝香，空心米饮下。
〔凉剂〕
少腹热痛为热瘕。以刘河间法治之。
〔保〕赤者热入小肠，白者热入大肠。原其本，皆湿热结于脉，故津液涌溢，是为赤白带下。
本不病结，缘五经脉虚，结热屈滞于带，故女子脐下痛，阴中绵绵而下也。经曰∶任脉为病，男子内结七
疝，女子带下瘕聚。王注云∶任脉自胞上过带脉，贯于脐上，故男子内结七疝，女子带下。带脉起
于季胁章门，似束带状，今湿热冤结不散，故为病也。经曰∶脾传之肾，名曰疝瘕，小肠冤结
而痛出白，一名曰蛊，所以为带下冤结也。冤，屈也。屈滞而病热不散，先以十枣汤下之，后
服苦楝丸、大延胡散调下之，热去湿除，病自愈矣。（十枣汤见前注。大延胡散，方见调经门破
血条。）
苦楝丸 治妇人赤白带。
苦楝（碎，酒浸） 香（炒） 当归（各等分）
上为末，酒糊丸。每服三、五十丸，空心温酒下。如腰腿疼，四物汤四两，加羌活、防风各一两，
煎汤送下。
〔大〕地榆膏 治赤白带下骨立者。
地榆一斤，用水三升，煎至一半，去渣再煎如稠饧，绞净空心服三合，日二服。
治漏下五色
地榆三两，锉，用醋一升，煮十余沸，去滓稍热，食前服一合。
〔千〕治妇人赤白带下。
三叶酸浆草，阴干为末，空心温酒下三钱匕。
上三方治带，地榆例寒涩之剂，亦湿热盛而滑脱者宜之。按∶三叶酸浆草，叶细如
萍，丛生，茎端有三叶，俗又名布谷饭，布
谷者，鸠也。盖鸠常食之，故又名鸠浆草。《衍义》误人苦HT 条。即曰三叶酸浆草，岂苦HT 即酸浆欤？
（苦HT 有子，大如金柑，味酸可食，故亦名酸浆，非三叶也。三叶酸浆，小草布地而生，叶皆三瓣，
惟开黄花，其茎叶皆酸者。）
按∶地榆本血分之药，而其性寒，故凡血分有热而妄行者能止之，非涩剂也。
〔丹〕治赤白带下，腰痛或少腹痛有热者。
樗皮（二两） 延胡索 桃仁 侧柏叶 川楝肉 香 当归（各半两） 香附子（八钱）
官桂（去粗皮） 乌药（各三钱） 麦皮曲（一两，炒）
上末之，酒糊为丸。每服五、六十丸，神效。
麒麟竭汤 治妇人血伤，赤白带下，小腹疼痛。
麒麟竭 黄柏（去粗皮，炙） 地榆（各一两） 禹余粮（火 ，醋淬七次）
赤芍药（炒，各一两半） 熟地黄（切，炒，四两。一作生干地黄）
上锉碎，每服三钱，水一盏，煎至七分，去滓，不拘时服。一方，为细末，粥饮调下二钱。
治白崩方
棕榈（烧灰） 丝瓜（俗云鱼 ，夏月人家栽作凉棚者是也。）
上等分为细末，空心酒调下。
豆花散 治妇人白崩。
上用白扁豆花焙干为末，炒米煮饮，入烧盐，空心服数次即效。紫花勿用。
〔温剂〕
调经补真汤 冬后一月，微有地泥冰泮，其白带再来，阴户中寒，一服立止，大进饮
食。
麻黄（半钱，不去节） 杏仁（三枚） 桂枝（少许） 甘草（炙，五分）
良姜（一钱） 黄 （七分） 人参 当归身 白术（各五分） 苍术（二分）
泽泻（一钱） 羌活（四分） 防风（二钱） 柴胡（四分） 独活 本（各二分） 升麻根
黄芩（各五分） 干姜（二分，炮） 白葵花（七朵，去萼）
上除黄芩、麻黄外，都为粗末。先将二味，水二盏，煎麻黄一味令沸，掠去沫，入
余药同煎至二盏，又再入生黄芩煎至一盏，去滓，稍热服，空心宿食消尽，日高服之，一
时许可食早膳。
〔本〕治妇人月经不调，每行数日不止，兼有白带，渐渐瘦悴，饮食少味，累年无子。
地黄丸
熟地黄（二两） 山茱萸 白芜荑 干姜 白芍药（微炒） 代赭石（醋淬，各一两）
浓朴 白僵蚕（各半两）
上细末，炼蜜丸，如桐子大。每服四五十丸，空心酒下，日三服。此庞老方，妇人
有白带是第一等病，令人不产育，宜急治之。此扁鹊过邯郸，闻贵妇人，所以专为带下医也。
〔垣〕桂附汤 治白带腥臭，多悲不乐，大寒。
肉桂（一钱） 附子（三钱） 黄柏 知母（各五分）
为粗末，作一服，水二盏，煎至一盏，法如常食，远热服。如少食常饱，有时似腹
胀，加白芍药半钱。如不思饮食，加五味子二十个。如烦恼，面上麻木如虫行，乃胃
中元气极虚，加黄 一钱，人参七分，甘草二分，升麻半钱。
〔海〕香附六合汤 治赤白带下。（即四物加 香、桂也。）
〔大〕治赤白带下，年月深久不瘥。
白芍药（二两） 干姜（半两）
上各炒黄色，同为末，空心米饮调下二钱，日二服。
二豆散 治耳鸣心躁，腰脚疼重，腹内虚鸣，脐下虚冷，频下白水，如疳湛浊证。
白豆蔻 肉豆蔻 丁香 白茯苓 巴戟 丁皮 苍术 黑附子（火煨） 桂心（各一两）
人参 白术 山药 桔梗 香 粉草（各半两）
上锉碎，每服三钱，水一盏半，生姜三片，紫苏叶三片，同煎至七分，去滓，空心
温服。
鹤顶丸 治带下之证有三。未嫁之女，月经初下，止而即得，或浴之以冷水，或热而
扇，或当风，此室女病带下之由，有家之妇，阴阳过多，即伤胞络，风邪乘虚而入，胞经
触冷，遂使秽液与血水相连而下之。产后带下，由亡血失气，伤动包络，门开而外风袭，
肌体虚而冷风入，冷风与热气相连，故成液而下。冷则多白，而热则多赤，冷热相交，赤
白俱下。
当归（七钱半，酒浸） 附子（半两，炮去皮） 龙骨（盐泥 ） 吴茱萸（汤泡去涎）
赤石脂（火 ，醋淬） 干姜（炮，各一两半） 牡蛎（一两三钱，盐泥 ） 艾叶（一两，
以醋半盏煮干，为末）
上为细末，研匀醋糊和丸，如梧子大，以赤石脂末为衣。每服五十丸，空心，用艾叶、
盐汤、乌梅煎汤下。
济生白垩丸 治妇人白带，久而不止，腰膝冷痛，日渐羸困。
白垩（ ） 禹余粮 鳖甲 乌贼骨（各用醋淬及炙） 当归（酒浸） 鹊巢灰 干姜
痰湿阻滞，咽喉部感觉不畅，白带呈青色或黄色，腹部和胁肋部胀满。又使用行气类药物后，胸膈部位更加不适，肢体出现麻木感。这是由于郁怒损伤了肝脾功能，早晨服用归脾汤以解除脾脏郁结、生发脾气；晚上服用加味逍遥散，以滋养肝血、清泻肝火。服用百余剂后痊愈。
一位患有长期疟疾兼带下病的妇女，出现发热、口干、身体疲倦的症状，使用七味白术散加入麦门冬、五味子，大剂量煎煮让她随意饮用，再次发作时症状稍有好转。随后改用补中益气汤加入茯苓、半夏，服用十余剂后痊愈。
一位妇女头晕并呕吐痰涎，胸部胀满气喘，进食后症状稍缓解，但被白带困扰二十多年，各种药物均无效。这是气虚导致痰饮内停，痰饮消除后带下自然自愈。于是早晨服用六君子汤，晚上服用六味地黄丸，不到一个月见效。
一位妇女耳鸣、胸脘痞闷，体内发热、口干，喉咙里好像有一个核，吞咽不利，月经不调，兼有带下。我认为是肝脾郁结所致，使用归脾汤加入半夏、山栀、升麻、柴胡，间歇配合四七汤送服白丸子而痊愈。
一位妇女吞酸、腹胀，食少便溏，月经不调。服用清气化痰丸后，双膝逐渐肿胀，出现寒热往来，白带黄白相间，面色萎黄，身体疲倦。这是脾胃俱虚，湿痰下注所致，使用补中益气汤并重用人参、白术，加入茯苓、半夏、炮姜而痊愈。
一位妇女带下病，四肢无力。我说：四肢属土（对应脾胃）。这是脾胃虚弱，湿痰下注所致，用补中益气汤和济生归脾汤两种药治疗而痊愈。
一位妇女白带黄白，发怒则胸膈不畅，饮食减少思虑。有人使用消导利气的药物，导致痰喘、胸满，大便下血。我说：这是因为脾气亏损，不能摄血归源。使用补中益气汤加入茯苓、半夏、炮姜，四剂后症状顿减。又用八珍汤加入柴胡、山栀而痊愈。
【补涩温法】
牡蛎散：治疗带下兼月经量过多，或突然大量出血，不论病程长短。
药材：牡蛎、龙骨、赤石脂、肉苁蓉（酒浸，切，焙干）、石斛（去根）、乌贼骨（去甲）、黄芪（锉碎，各一两半）、牛角腮灰、阿胶（炒燥）、熟地黄（焙干）、芍药（炒，各二两）、干姜（炮制）、当归（切，焙干）、人参、白术、桑耳（各一两二钱半）、桂枝（去粗皮）、川芎、附子（炮制，去皮脐）、艾叶（炒，各一两）。
以上研为细末，每次服用三钱，清晨用米汤调服，每日两次。
茯苓散：治疗妇人血伤兼带下，积久不止，面色黄、身体瘦弱，渐渐形成虚劳，腰脚沉重，胎气多受损。
药材：白茯苓（去黑皮）、木香、熟地黄（焙干）、诃黎勒皮、柏子仁（研碎）、杜仲（去粗皮，炙）、青橘皮（去白，焙干）、乌贼鱼骨（去甲）、五加皮（锉碎）、艾叶（烧成灰）、菖蒲、牛角腮灰、秦艽（去苗土）、赤石脂、菟丝子（酒浸，另捣）、当归（切，焙干，各一两）。
以上研为细末，每次服用二钱，用温酒送下。也可以用糯米饮送下。如果有胎动不安，可用鲤鱼糯米粥送服药物。
卷柏丸：治疗妇人和未婚女子，腹内脏器冷热相攻，心腹绞痛，腰腿疼痛，赤白带下，面色萎黄，四肢瘦弱乏力。
药材：卷柏（醋炙）、鹿茸（醋炙）、白石脂、赤石脂（各火煅，醋淬七次）、川芎、艾叶（醋炒）、桑寄生、代赭石（火煅，醋淬七次）、鳖甲（醋炙）、当归（去芦，酒浸炒）、地榆（各一两）、木香（不经过火）、龙骨（各半两）、干姜（炮制，七钱半）、黄芪（去芦，蜜炙）、熟地黄（洗，各一两半）。
以上研为细末，用醋煮糯米糊调和做成丸药，如梧桐子大小。每次服用七十丸，空腹用米汤送下。
艾煎丸（出自《百一选方》）：治疗妇人一切虚寒证，产前产后，赤白带下，或形成血瘕，长期服用此药，血块自然融化。
药材：伏道艾（揉去尘土，选择干净的枝梗，取叶子称五两，先用大肥淮枣十二两，在砂瓶中煮烂，去核，与艾叶一起捶烂如泥，捏成薄饼，猛火焙干，趁热急碾为末）、大汉椒（去掉目、枝梗及合口的，净称五两，用阿胶二两，米醋三升，同花椒在砂瓶中煮极干，取出焙干燥，碾为细末）、当归（去芦，酒浸）、白芍药、川芎、白薇、附子（大的，炮制，去皮脐）、卷柏（取青叶）、泽兰（去枝梗取叶，以上各焙干秤用）、熟地黄（如果是市场上买的，必须洗净滤去浮沫，晒干，酒浸蒸晒，再入酒浸蒸五到七次，像糖煎一样香甜美味才可用，也需焙干，秤各一两）。
以上共同研为细末，与前艾末、椒末拌匀，用米醋煮糊调和做成丸药，如梧桐子大小。每次服用五、七十丸，至一百丸、二百丸，空腹用艾醋汤送下。
一位妇女因产后虚寒，恶心呕吐不能进食，腹痛如割，时常出现寒热，又出盗汗，消瘦憔悴，骨骼突出，脐腹左侧结成硬块，大如手掌，冰冷，即使在盛夏此处也无汗，每块微动则痛不可忍，百药治疗无效。梦中忽然有人传授此方，服用后，恶心、寒热、盗汗立即停止，吃完一料药后完全平复，只有血块依然存在。服用到五六料，血块自行融化排出，状如鱼冻。
沉香牡丹丸：治疗妇人血海长期亏虚，月经不调，赤白带下，血气冲心，经常发生刺痛，四肢烦扰困倦。
药材：沉香（七钱半）、牡丹皮（去心）、赤芍药、吴茱萸（汤泡去苦味，炒）、当归、桂心、川芎、黄芪（去芦，蜜炙）、人参、茯苓、山药、川巴戟天（去心）、白术、橘红、木香、干生姜、白龙骨、牛膝（去苗，酒洗）、枳壳（去瓤，麸炒）、肉豆蔻、厚朴（制，各半两）。
以上研为细末，炼蜜和丸，如梧桐子大小。每次服用二十丸，空腹用温酒送下。如果心腹痛，用白芷煎酒送下。
紫桂丸：补益血海。治疗冲任气虚，经脉不调，腰痛腹痛，冷滞崩漏。
药材：禹余粮（火煅，醋淬七次，三两）、龙骨、艾叶（醋炒）、赤石脂、牡蛎（煅）、地榆（各二两）、牡丹皮、厚朴、当归、阿胶（蛤粉炒成珠子状）、吴茱萸（汤洗）、香白芷、肉桂（去粗皮，各一两）、附子（炮制，半两）。
以上研为末，面糊为丸，梧桐子大小。每次服用三十丸，浓煎醋汤送下。
【涩剂】
固真丸：治疗白带久下不止，脐腹冷痛，摸上去像冰一样冷，阴部也是如此，眼中似有火向上冲，视物模糊不清，牙齿都厌恶热饮且疼痛，需用黄连末擦拭，疼痛才停止，只喜欢干食，非常厌恶汤饮。此病都是寒湿侵袭胞宫内部，所以喜干恶湿。肝经阴火上溢走于标窍，所以上壅而眼中似有火。肾水侵肝而上溢，所以眼中视物模糊。牙齿厌恶热饮，是少阳、阳明经中有伏火，应当大泻寒湿，用丸药治疗。所以说：寒在下焦，治疗主宜缓，大忌汤散。用酒制白石脂、白龙骨以枯其湿。用炮干姜，大辛热以泻寒水。用黄柏之大寒作为因用，又作为向导。治法说：古者虽有重罪，不绝人之后。又遵循“伏其所主，先其所因”的意思，又泻齿中恶热饮。用柴胡为本经之使，用半钱芍药以引导它，又担心辛热之药太甚，损伤肝经，所以轻微泻之，用当归身之辛温，大和其血脉。这是用药的方法完备了。
药材：白石脂（烧赤，水飞研细，晒干）、柴胡（各一钱）、白龙骨（二钱，酒煮水飞）、当归（酒洗，三钱）、干姜（炮制，四钱）、黄柏（酒洗）、白芍（各五分）。
以上研为细末，水煮稀糊为丸，如鸡头大小。每次服用三十丸，空腹宿食消尽，煎白沸汤放温送下，不要让药在胃中停留，等一会儿用早膳压住，是不让热药犯胃。忌生冷硬物与酒、湿面。
上石脂、龙骨的涩性以去除脱泄，大概湿气多滑脱者适宜。
治疗妇人赤白带下，不问远年近日，都治疗。
药材：龙骨（半两）、舶上硫黄（三钱）。
以上研为细末，每次服用半钱，空腹用无灰酒送下。
茅花散：治疗妇人血崩不止，赤白带下。
药材：茅花（一握）、棕树皮（三寸）、嫩荷叶（三张）、甘草节（二寸）。
以上研为细末，空腹用酒调半匙服。
〔山〕治疗赤白带下。旧莲房研为末，加入麝香，空腹用米饮送下。
〔保〕赤色带下是热入小肠，白色带下是热入大肠。推究其本源，都是湿热结于脉，所以津液涌溢，这就是赤白带下。本不病结，缘于五经脉虚，结热屈滞于带脉，所以女子脐下痛，阴中绵绵而下。经说：任脉为病，男子内结七疝，女子带下瘕聚。王注云：任脉自胞上过带脉，贯于脐上，所以男子内结七疝，女子带下。带脉起于季胁章门，似束带状，现在湿热冤结不散，所以为病。经说：脾传之肾，名曰疝瘕，小肠冤结而痛出白，一名曰蛊，所以为带下冤结也。冤，屈也。屈滞而病热不散，先用十枣汤下之，后服苦楝丸、大延胡散调下之，热去湿除，病自愈矣。（十枣汤见前注。大延胡散，方见调经门破血条。）
苦楝丸：治疗妇人赤白带。
药材：苦楝（碎，酒浸）、香附（炒）、当归（各等分）。
以上研为末，酒糊丸。每次服用三、五十丸，空腹温酒送下。如果腰腿疼，用四物汤四两，加羌活、防风各一两，煎汤送下。
〔大〕地榆膏：治疗赤白带下身体消瘦如骨立者。
地榆一斤，用水三升，煎至一半，去渣再煎如稠饴，绞净空腹服三合，每日两次。
治疗漏下五色
地榆三两，锉碎，用醋一升，煮十余沸，去滓稍热，食前服一合。
〔千〕治疗妇人赤白带下。
三叶酸浆草，阴干为末，空腹温酒下三钱匕。
以上三方治带，地榆例寒涩之剂，亦湿热盛而滑脱者宜之。按：三叶酸浆草，叶细如萍，丛生，茎端有三叶，俗又名布谷饭，布谷者，鸠也。盖鸠常食之，故又名鸠浆草。《衍义》误人苦HT条。即曰三叶酸浆草，岂苦HT即酸浆欤？（苦HT有子，大如金柑，味酸可食，故亦名酸浆，非三叶也。三叶酸浆，小草布地而生，叶皆三瓣，惟开黄花，其茎叶皆酸者。）
按：地榆本血分之药，而其性寒，故凡血分有热而妄行者能止之，非涩剂也。
〔丹〕治疗赤白带下，腰痛或少腹痛有热者。
樗皮（二两）、延胡索、桃仁、侧柏叶、川楝肉、香附、当归（各半两）、香附子（八钱）、官桂（去粗皮）、乌药（各三钱）、麦皮曲（一两，炒）。
以上研末，酒糊为丸。每次服用五、六十丸，神效。
麒麟竭汤：治疗妇人血伤，赤白带下，小腹疼痛。
药材：麒麟竭、黄柏（去粗皮，炙）、地榆（各一两）、禹余粮（火煅，醋淬七次）、赤芍药（炒，各一两半）、熟地黄（切，炒，四两。一作生干地黄）。
以上锉碎，每次服用三钱，水一盏，煎至七分，去滓，不拘时服。一方，为细末，粥饮调下二钱。
治疗白崩方
棕榈（烧灰）、丝瓜（俗云鱼梁，夏月人家栽作凉棚者是也）。
上等分为细末，空腹酒调下。
豆花散：治疗妇人白崩。
上用白扁豆花焙干为末，炒米煮饮，入烧盐，空腹服数次即效。紫花勿用。
【温剂】
调经补真汤：冬后一月，微有地泥冰泮，其白带再来，阴户中寒，一服立止，大进饮食。
药材：麻黄（半钱，不去节）、杏仁（三枚）、桂枝（少许）、甘草（炙，五分）、良姜（一钱）、黄芪（七分）、人参、当归身、白术（各五分）、苍术（二分）、泽泻（一钱）、羌活（四分）、防风（二钱）、柴胡（四分）、独活、藁本（各二分）、升麻根、黄芩（各五分）、干姜（二分，炮）、白葵花（七朵，去萼）。
以上除黄芩、麻黄外，都为粗末。先将二味，水二盏，煎麻黄一味令沸，掠去沫，入余药同煎至二盏，又再入生黄芩煎至一盏，去滓，稍热服，空腹宿食消尽，日高服之，一时许可食早膳。
〔本〕治疗妇人月经不调，每行数日不止，兼有白带，渐渐瘦悴，饮食少味，累年无子。
地黄丸
药材：熟地黄（二两）、山茱萸、白芜荑、干姜、白芍药（微炒）、代赭石（醋淬，各一两）、厚朴、白僵蚕（各半两）。
以上细末，炼蜜丸，如桐子大。每次服用四五十丸，空腹酒下，日三服。此庞老方，妇人有白带是第一等病，令人不产育，宜急治之。此扁鹊过邯郸，闻贵妇人，所以专为带下医也。
〔垣〕桂附汤：治疗白带腥臭，多悲不乐，大寒。
药材：肉桂（一钱）、附子（三钱）、黄柏、知母（各五分）。
为粗末，作一服，水二盏，煎至一盏，法如常食，远热服。如少食常饱，有时似腹胀，加白芍药半钱。如不思饮食，加五味子二十个。如烦恼，面上麻木如虫行，乃胃中元气极虚，加黄芪一钱，人参七分，甘草二分，升麻半钱。
〔大〕治疗赤白带下，年月深久不瘥。
药材：白芍药（二两）、干姜（半两）。
以上各炒黄色，同为末，空腹米饮调下二钱，日二服。
二豆散：治疗耳鸣心躁，腰脚疼重，腹内虚鸣，脐下虚冷，频下白水，如疳湛浊证。
药材：白豆蔻、肉豆蔻、丁香、白茯苓、巴戟天、丁皮、苍术、黑附子（火煨）、桂心（各一两）、人参、白术、山药、桔梗、香附、粉草（各半两）。
以上锉碎，每次服用三钱，水一盏半，生姜三片，紫苏叶三片，同煎至七分，去滓，空心温服。
鹤顶丸：治疗带下之证有三。未嫁之女，月经初下，止而即得，或浴之以冷水，或热而扇，或当风，此室女病带下之由；有家之妇，阴阳过多，即伤胞络，风邪乘虚而入，胞经触冷，遂使秽液与血水相连而下之；产后带下，由亡血失气，伤动包络，门开而外风袭，肌体虚而冷风入，冷风与热气相连，故成液而下。冷则多白，而热则多赤，冷热相交，赤白俱下。
药材：当归（七钱半，酒浸）、附子（半两，炮去皮）、龙骨（盐泥煅）、吴茱萸（汤泡去涎）、赤石脂（火煅，醋淬）、干姜（炮，各一两半）、牡蛎（一两三钱，盐泥煅）、艾叶（一两，以醋半盏煮干，为末）。
以上研为细末，研匀醋糊和丸，如梧子大，以赤石脂末为衣。每次服用五十丸，空腹，用艾叶、盐汤、乌梅煎汤下。
济生白垩丸：治疗妇人白带，久而不止，腰膝冷痛，日渐羸困。
药材：白垩（煅）、禹余粮、鳖甲、乌贼骨（各用醋淬及炙）、当归（酒浸）、鹊巢灰、干姜
Phlegm obstructing the throat causing discomfort, leukorrhea that is green or yellow, and abdominal and hypochondriac distension. After using qi-moving agents, chest and diaphragm discomfort worsened, and the limbs felt numb. This was due to depression and anger damaging the Liver and Spleen. In the morning, Guipi Tang (Restore the Spleen Decoction) was used to resolve Spleen depression and generate Spleen Qi. In the evening, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) was used to nourish Liver Blood and clear Liver Fire. After taking more than a hundred doses, the patient recovered.
A woman with chronic malaria accompanied by leukorrhea presented with fever, dry mouth, and fatigue. Seven-Ingredient White Atractylodes Macrocephala Decoction (Qiw Wei Ba Zhu San) added with Ophiopogon Tuber (Maimen Dong) and Schisandra Berry (Wu Wei Zi) was decocted in large quantities for her to drink freely. Symptoms improved slightly upon recurrence. Subsequently, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Poria (Fuling) and Pinellia Rhizome (Banxia) was used, and she recovered after more than ten doses.
A woman suffered from dizziness and vomiting of phlegm, chest fullness, and asthma, which relieved slightly after eating. She had been troubled by leukorrhea for over twenty years without response to various medicines. This was Qi deficiency leading to fluid retention and phlegm; once the phlegm resolved, the leukorrhea healed spontaneously. Thus, Liu Junzi Tang (Six-Gentlemen Decoction) was taken in the morning, and Liuhuang Dihuang Wan (Six-Ingredient Pill with Rehmannia) in the evening, showing results within a month.
A woman presented with tinnitus, chest stuffiness, internal heat, dry mouth, a sensation of a lump in the throat with difficulty swallowing, irregular menstruation, and leukorrhea. I diagnosed it as Liver and Spleen depression. Guipi Tang (Restore the Spleen Decoction) added with Pinellia Rhizome (Banxia), Gardenia Fruit (Shanzhi), Cimicifuga Rhizome (Shengma), and Bupleurum Root (Chaihu) was used, intermittently combined with Siqi Tang (Four-Seven Decoction) administered with Baiwanzi (White Pills), resulting in recovery.
A woman suffered from acid regurgitation, fullness, poor appetite, loose stools, and irregular menstruation. After taking Qingqi Huatan Wan (Clear Qi and Resolve Phlegm Pill), her knees gradually swelled, she experienced alternating chills and fever, yellowish-white leukorrhea, sallow complexion, and fatigue. This was due to dual deficiency of the Spleen and Stomach with damp-phlegm sinking downward. Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with increased amounts of Ginseng (Renshen) and Atractylodes Macrocephala Rhizome (Baizhu), added with Poria (Fuling), Pinellia Rhizome (Banxia), and Prepared Ginger (Paojiang), cured her.
A woman with leukorrhea complained of weakness in the four limbs. I said: The four limbs belong to Earth (Spleen/Stomach). This was Spleen-Stomach deficiency with damp-phlegm sinking downward. Treatment with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) and Jisheng Guipi Tang (Jisheng Restore the Spleen Decoction) led to recovery.
A woman with yellowish-white leukorrhea experienced chest diaphragm discomfort when angry and reduced appetite. Someone used digestive and qi-promoting drugs, leading to phlegm-induced asthma, chest fullness, and hematochezia. I said: This was due to Spleen Qi damage failing to control blood and return it to its source. Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Poria (Fuling), Pinellia Rhizome (Banxia), and Prepared Ginger (Paojiang) reduced symptoms drastically in four doses. Then, Bazhen Tang (Eight-Treasure Decoction) added with Bupleurum Root (Chaihu) and Gardenia Fruit (Shanzhi) cured her.
[Supplementing, Astringing, and Warming]
Muli San (Oyster Shell Powder): Treats leukorrhea accompanied by menorrhagia, or sudden massive bleeding, regardless of duration.
Ingredients: Concha Ostreae (Muli), Longgu (Dragon Bone), Hongshizhi (Red Halloysite), Rongshong (Cistanche Stem), Shihu (Dendrobium Stem), Hai Zhe Gu (Cuttlefish Bone), Huangqi (Astragalus Root), Niujiaosai Hui (Ash of Buffalo Horn Membrane), Ejiao (Donkey-Hide Gelatin), Shudihuang (Prepared Rehmannia Root), Shaoyao (Peony Root), Ganjiang (Dried Ginger), Danggui (Angelica Sinensis Root), Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Sang'er (Mulberry Mould), Rougui (Cinnamon Bark), Chuanxiong (Ligusticum Chuanxiong Rhizome), Fuzi (Prepared Aconite Root), Aiye (Mugwort Leaf).
Grind into fine powder. Take 3 qian each time, mixed with rice water at dawn, twice daily.
Fuling San (Poria Powder): Treats women with blood injury and leukorrhea persisting for a long time, presenting with sallow complexion, emaciation, progressing to consumptive disease, heavy waist and legs, and frequent fetal damage.
Ingredients: Baifuling (White Poria), Muxiang (Costus Root), Shudihuang (Prepared Rehmannia Root), Helilepi (Pericarpio Terminaliae Fructus), Baiziren (Biota Seed), Duzhong (Eucommia Bark), Qingjupi (Green Tangerine Peel), Wuzei Yu Gu (Cuttlefish Bone), Wujia Pi (Acanthopanacis Cortex), Aiye (Mugwort Leaf), Changpu (Acorus Rhizome), Niujiaosai Hui (Ash of Buffalo Horn Membrane), Qinjiao (Gentiana Macrophylla Root), Hongshizhi (Red Halloysite), Tusizi (Cuscuta Seed), Danggui (Angelica Sinensis Root).
Grind into fine powder. Take 2 qian each time, washed down with warm wine. Rice gruel is also acceptable. If there is fetal restlessness, use carp and rice porridge to wash down the medicine.
Juanbai Wan (Selaginella Pill): Treats women and unmarried girls suffering from cold and heat attacking the abdominal organs, severe heart and abdominal pain, waist and leg pain, red and white leukorrhea, sallow complexion, and emaciated limbs.
Ingredients: Juanbai (Selaginella Tamariscina), Lurong (Deer Antler), Baishizhi (White Halloysite), Hongshizhi (Red Halloysite), Chuanxiong (Ligusticum Chuanxiong Rhizome), Aiye (Mugwort Leaf), Sangjisheng (Taxillus Branch), Daizheshi (Haematitum), Biejia (Carapax et Plastrum Testudinis), Danggui (Angelica Sinensis Root), Diyü (Sanguisorba Root), Muxiang (Costus Root), Longgu (Dragon Bone), Ganjiang (Dried Ginger), Huangqi (Astragalus Root), Shudihuang (Prepared Rehmannia Root).
Grind into fine powder. Mix with paste made from glutinous rice boiled in vinegar to form pills the size of Sophora seeds. Take 70 pills each time, washed down with rice water on an empty stomach.
Ai Jian Wan (Mugwort Paste Pill) [from "Bai Yi"]: Treats all deficiency-cold conditions in women, antepartum and postpartum, red and white leukorrhea, or blood masses. Long-term use naturally melts them away.
Ingredients: Fudao Ai (Mugwort Leaves collected from paths), Da Huai Zao (Large Jujube), Dahua Jiao (Large Sichuan Pepper), Danggui (Angelica Sinensis Root), Baishaoyao (White Peony Root), Chuanxiong (Ligusticum Chuanxiong Rhizome), Baiwei (Cichorii Radix), Fuzi (Prepared Aconite Root), Juanbai (Selaginella Tamariscina), Zelan (Leonurus Japonicus Herb), Shudihuang (Prepared Rehmannia Root).
Grind into fine powder, mix with previous mugwort and pepper powders, and bind with paste made from glutinous rice boiled in vinegar to form pills the size of Sophora seeds. Take 50-70 pills, up to 100-200 pills, washed down with mugwort-vinegar soup on an empty stomach.
A woman suffered from postpartum deficiency-cold, nausea, inability to eat, cutting abdominal pain, intermittent chills and fever, night sweats, extreme emaciation, and a hard mass the size of a palm on the left side of the umbilicus, which was ice-cold and sweatless even in summer. Movement caused unbearable pain, and hundreds of medicines failed. In a dream, someone taught her this formula. After taking it, nausea, chills, fever, and night sweats stopped immediately. After one dose, she recovered completely, except for the blood mass. After 5-6 doses, the mass melted and discharged like fish jelly.
Chenxiang Mudan Wan (Agarwood and Moutan Pill): Treats long-term deficiency of the Blood Sea, irregular menstruation, red and white leukorrhea, blood and qi rushing to the heart, frequent stabbing pain, and vexed fatigue in the limbs.
Ingredients: Chenxiang (Aquilaria Wood), Mudanpi (Moutan Cortex), Chi Shaoyao (Red Peony Root), Wuzhuyu (Evodia Fruit), Danggui (Angelica Sinensis Root), Guixin (Cinnamon Twig), Chuanxiong (Ligusticum Chuanxiong Rhizome), Huangqi (Astragalus Root), Renshen (Ginseng Root), Fuling (Poria), Shanyao (Dioscorea Rhizome), Bajitian (Morinda Officinalis Root), Baizhu (Atractylodes Macrocephala Rhizome), Juhong (Citrus Reticulata Pericarpium), Muxiang (Costus Root), Ganshengjiang (Dried Ginger), Bailonggu (White Dragon Bone), Niuxi (Achyranthes Root), Zhike (Aurantii Fructus), Roudoukou (Myristica Seed), Houpo (Magnolia Bark).
Grind into fine powder, bind with refined honey to form pills the size of Sophora seeds. Take 20 pills each time, washed down with warm wine on an empty stomach. For heart/abdominal pain, wash down with Angelica Dahurica wine decoction.
Zigui Wan (Purple Cinnamon Pill): Tonifies the Blood Sea. Treats deficiency of Chong and Ren vessels, irregular menstruation, waist and abdominal pain, cold stagnation, and metrorrhagia.
Ingredients: Yuyuliang (Hematitum), Longgu (Dragon Bone), Aiye (Mugwort Leaf), Hongshizhi (Red Halloysite), Muli (Concha Ostreae), Diyü (Sanguisorba Root), Mudanpi (Moutan Cortex), Houpo (Magnolia Bark), Danggui (Angelica Sinensis Root), Ejiao (Donkey-Hide Gelatin), Wuzhuyu (Evodia Fruit), Xiangbaizhi (Angelica Dahurica Root), Rougui (Cinnamon Bark), Fuzi (Prepared Aconite Root).
Grind into powder, bind with flour paste to form pills the size of Sophora seeds. Take 30 pills each time, washed down with strong vinegar soup.
[Astringents]
Guzhen Wan (Solidify Truth Pill): Treats persistent leukorrhea, cold pain in the umbilical and abdominal region feeling like ice, similarly in the vagina, upward surging fire in the eyes causing blurred vision, teeth hating hot drinks and hurting (relieved by applying Coptis powder), preferring dry food, and hating liquid drinks. This disease is caused by cold-damp invading the uterus, hence preferring dryness and hating dampness. Yin fire of the Liver channel surges to the exterior, causing upward congestion and eye issues. Kidney Water invades the Liver and surges upward, causing blurred vision. Teeth hating hot drinks indicates latent fire in the Shaoyang and Yangming channels. One must strongly drain cold-damp using pills. It is said: Cold in the Lower Jiao requires slow treatment; decoctions and powders are strictly forbidden. Use wine-processed Baishizhi and Bailonggu to dry dampness. Use Pao Jiang (Prepared Ginger) to drain cold-water with great acridity and heat. Use Huangbo (Phellodendron Bark) of great cold as the specific agent and guide. The treatment principle states: Even for grave crimes, do not cut off the lineage. Follow the intent of subduing the primary pathogen and addressing the cause, and draining the heat hated by the teeth. Use Chaihu (Bupleurum Root) as the guiding herb of its channel, and half a qian of Shaoyao (Peony Root) to guide it. To prevent excessive damage to the Liver channel from acrid-hot herbs, mildly drain it. Use Xinwen (Acrid-Warm) Danggui Shen (Body of Angelica Root) to harmonize the blood vessels. This method of medication is complete.
Ingredients: Baishizhi (White Halloysite), Chaihu (Bupleurum Root), Bailonggu (White Dragon Bone), Danggui (Angelica Sinensis Root), Ganjiang (Dried Ginger), Huangbo (Phellodendron Bark), Baishao (White Peony Root).
Grind into fine powder, bind with water-boiled thin paste to form pills the size of cocklebur fruits. Take 30 pills each time, after empty stomach and digestion of old food, wash down with warm boiled water. Do not let the medicine stay in the stomach; wait a moment and press with breakfast to prevent hot herbs from harming the stomach. Avoid raw, cold, hard foods, alcohol, and wet noodles.
The astringency of Shizhi (Halloysite) and Longgu (Dragon Bone) removes leakage, suitable for cases with much dampness and sliding discharge.
Treats red and white leukorrhea in women, regardless of recent or distant onset.
Ingredients: Longgu (Dragon Bone), Boshang Liuhuang (Boat-up Sulfur).
Grind into fine powder. Take half a qian each time, washed down with unadulterated wine on an empty stomach.
Maohua San (Thatch Flower Powder): Treats uterine bleeding that does not stop, and red and white leukorrhea.
Ingredients: Maohua (Thatch Flower), Zongshupi (Areca Palm Husk), Nen Heye (Young Lotus Leaf), Gancao Jie (Licorice Joint).
Grind into fine powder. Take half a spoonful mixed with wine on an empty stomach.
[Shan]: Treats red and white leukorrhea. Old lotus seedpod ground into powder, mixed with Moschus, washed down with rice water on an empty stomach.
[Cooling Agents]
Heat pain in the lower abdomen is Heat Mass (Re Jia). Treat according to Liu Hejian's method.
[Bao]: Red leukorrhea indicates heat entering the Small Intestine; white indicates heat entering the Large Intestine. Fundamentally, both are damp-heat knotting in the vessels, causing fluids to surge, resulting in red and white leukorrhea. Originally not a knotting disease, but due to deficiency of the five vessel pulses, heat knots and stagnates in the Dai Vessel, causing lower abdominal pain and continuous discharge from the yin in women. The Classic says: Disease of the Ren Vessel causes seven types of hernia in men internally, and leukorrhea and masses in women. Wang's Commentary says: The Ren Vessel passes over the Dai Vessel from the uterus, piercing above the navel, hence hernia in men and leukorrhea in women. The Dai Vessel originates at Zhangmen in the flank, resembling a belt. Now, damp-heat knots and does not disperse, causing disease. The Classic says: Spleen transmitting to Kidney is named Hernia-Mass; Small Intestine knotting causes pain and white discharge, also named Gu, thus causing leukorrhea knotting. 'Yuan' means屈 (stagnation). Stagnation and heat not dispersing: first use Shizao Tang (Ten Date Decoction) to purge, then take Kulian Wan (Melia Pill) and Dayanhusan (Great Corydalis Powder) to regulate. Once heat leaves and dampness is removed, the disease heals itself. (Shizao Tang seen in previous notes. Dayanhusan formula seen in Menstrual Regulation Section, Blood-Breaking条目.)
Kulian Wan (Melia Pill): Treats red and white leukorrhea in women.
Ingredients: Kulian (Melia Fruit), Xiangfu (Cyperus Rhizome), Danggui (Angelica Sinensis Root) in equal parts.
Grind into powder, bind with wine paste to form pills. Take 30-50 pills each time, washed down with warm wine on an empty stomach. For waist/leg pain, take 4 liang of Siwu Tang (Four-Substance Decoction) added with Qianghuo (Notopterygium Root) and Fangfeng (Saposhnikovia Root) 1 liang each, decocted in water to wash down.
[Da] Diyü Gao (Sanguisorba Paste): Treats red and white leukorrhea with extreme emaciation.
One jin of Diyü (Sanguisorba Root), add three sheng of water, decoct until half remains, remove dregs, decoct again until thick like syrup. Strain clearly and take three he on an empty stomach, twice daily.
Treats leakage of five colors
Three liang of Diyü (Sanguisorba Root), chopped, boil in one sheng of vinegar for ten boils. Remove dregs, take one he slightly warm before meals.
[Qian]: Treats red and white leukorrhea in women.
San Ye Suan Jiang Cao (Three-leaf Sorrel), dried in shade, ground into powder. Take three qian bi washed down with warm wine on an empty stomach.
The above three formulas treat leukorrhea. Diyü is a cold-astringent agent, suitable for cases with abundant damp-heat and sliding discharge. Note: San Ye Suan Jiang Cao has leaves fine as duckweed, growing in clusters, with three leaves at the stem tip. Commonly known as Cuckoo Rice. Cuckoo refers to the dove/pigeon, which often eats it, hence also called Jiujang Cao (Dove Juice Grass). "Yanyi" mistakenly confused it with Ku HT (Oxalis). Is Ku HT the same as Suan Jiang? (Ku HT has fruit the size of a kumquat, sour and edible, hence also called Suan Jiang, not three-leaved. San Ye Suan Jiang is a small grass spreading on the ground, leaves all in three lobes, only opens yellow flowers, stems and leaves are all sour.)
Note: Diyü is originally a blood-level herb, and its nature is cold, so it can stop bleeding caused by heat in the blood level forcing movement; it is not an astringent agent.
[Dan]: Treats red and white leukorrhea with waist or lower abdominal pain and heat.
Chupi (Tree-of-Heaven Bark), Yanhusuo (Corydalis Rhizome), Taoren (Peach Seed), Ce Bai Ye (Biota Tops), Chuanlian Rou (Melia Fruit Flesh), Xiangfu (Cyperus Rhizome), Danggui (Angelica Sinensis Root) each half liang; Xiangfuzi (Cyperi Rhizoma) 8 qian; Guan Gui (Cinnamon Bark) 3 qian; Wuyao (Lindera Root) 3 qian; Maipi Qu (Wheat Bran Fermented Cake) 1 liang, stir-fried.
Grind into powder, bind with wine paste to form pills. Take 50-60 pills each time, miraculous effect.
Qilinjie Tang (Kirin Blood Decoction): Treats blood injury in women, red and white leukorrhea, lower abdominal pain.
Ingredients: Qilinjie (Dragon's Blood), Huangbo (Phellodendron Bark), Diyü (Sanguisorba Root), Yuyuliang (Hematitum), Chi Shaoyao (Red Peony Root), Shudihuang (Prepared Rehmannia Root).
Chop finely. Take 3 qian each time, one zhan of water, decoct to 0.7 zhan, remove dregs, take anytime. Another method: grind into fine powder, take 2 qian mixed with gruel drink.
Formula for White Beng (White Flood)
Zonglü (Areca Palm Fiber), Sigua (Loofah).
Grind equally into fine powder. Take mixed with wine on an empty stomach.
Douhua San (Bean Flower Powder): Treats white beng in women.
Use Bai Biandou Hua (White Hyacinth Bean Flower), bake dry, grind into powder. Cook with fried rice to make drink, add burnt salt. Take on empty stomach several times for effect. Do not use purple flowers.
[Warming Agents]
Tiaojing Buzhen Tang (Regulate Menstruation and Tonify Truth Decoction): One month after winter, slight thawing of frozen mud, leukorrhea returns, cold in the vaginal opening. One dose stops it immediately, greatly increasing appetite.
Ingredients: Mahuang (Ephedra Herb), Xingren (Apricot Seed), Guizhi (Cinnamon Twig), Gancao (Licorice Root), Liangjiang (Galangal Rhizome), Huangqi (Astragalus Root), Renshen (Ginseng Root), Danggui Shen (Body of Angelica Root), Baizhu (Atractylodes Macrocephala Rhizome), Cangzhu (Atractylodes Lancea Rhizome), Zexie (Alisma Rhizome), Qianghuo (Notopterygium Rhizome), Fangfeng (Saposhnikovia Root), Chaihu (Bupleurum Root), Duhuo (Angelica Pubescens Root), Bencao (Ligusticum Wallichii Rhizome), Shengma Gen (Cimicifuga Rhizome Root), Huangqin (Scutellaria Root), Ganjiang (Dried Ginger), Bai Kuihua (White Sunflower Head).
Except for Huangqin and Mahuang, all are coarse powder. First, take two zhan of water, decoct Mahuang alone until boiling, skim foam, add remaining herbs, decoct to two zhan, then add raw Huangqin, decoct to one zhan. Remove dregs, take slightly warm. On empty stomach after digestion of old food, take late in the morning. Breakfast allowed after an hour.
[Ben]: Treats irregular menstruation in women, lasting several days continuously, accompanied by leukorrhea, gradual emaciation, poor taste in food, and infertility for years.
Dihuang Wan (Rehmannia Pill)
Ingredients: Shudihuang (Prepared Rehmannia Root), Shanzhuyu (Cornus Fruit), Bai Wuyi (White Melia Seed), Ganjiang (Dried Ginger), Baishaoyao (White Peony Root), Daizheshi (Haematitum), Houpo (Magnolia Bark), Bai Jiangcan (White Silkworm).
Grind into fine powder, bind with refined honey to form pills the size of Sophora seeds. Take 40-50 pills each time, washed down with wine on an empty stomach, three times daily. This is Master Pang's formula. Leukorrhea in women is the primary disease preventing childbirth; it should be treated urgently. This is why Bian Que traveled to Handan, heard they valued women, and became a specialist in leukorrhea treatment.
[Yuan] Guifu Tang (Cinnamon and Aconite Decoction): Treats foul-smelling leukorrhea, frequent sadness and unhappiness, severe cold.
Ingredients: Rougui (Cinnamon Bark), Fuzi (Prepared Aconite Root), Huangbo (Phellodendron Bark), Zhimu (Anemarrhena Rhizome).
Make coarse powder. One dose, two zhan of water, decoct to one zhan. Take as usual, far from heat. If eating little but feeling full, or occasional bloating, add Baishaoyao half a qian. If no appetite, add 20 Wuweizi (Schisandra Berries). If vexed, facial numbness like insects crawling, indicating extreme deficiency of Stomach Yuan Qi, add Huangqi 1 qian, Renshen 0.7 qian, Gancao 0.2 qian, Shengma 0.5 qian.
[Hai] Xiangfu Liuhe Tang (Cyperi Six-Harmony Decoction): Treats red and white leukorrhea. (This is Siwu Tang added with Xiangfu and Guizhi.)
[Da]: Treats red and white leukorrhea, deep-rooted and long-standing not healing.
Ingredients: Baishaoyao (White Peony Root) 2 liang, Ganjiang (Dried Ginger) half liang.
Stir-fry both until yellow, grind into powder. Take 2 qian mixed with rice water on an empty stomach, twice daily.
Er Dou San (Two Beans Powder): Treats tinnitus, mental restlessness, heavy waist and leg pain, hollow ringing in abdomen, cold below umbilicus, frequent discharge of clear water, resembling parasitic turbid syndrome.
Ingredients: Baodoukou (White Cardamom), Roudoukou (Nutmeg), Dingxiang (Clove), Baifuling (White Poria), Bajitian (Morinda Officinalis Root), Dingpi (Symplocos Bark), Cangzhu (Atractylodes Lancea Rhizome), Hei Fuzi (Black Prepared Aconite Root), Guixin (Cinnamon Twig), Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Shanyao (Dioscorea Rhizome), Jiegeng (Platycodon Root), Xiangfu (Cyperus Rhizome), Fencǎo (Licorice Root).
Chop finely. Take 3 qian each time, one and a half zhan of water, three slices of fresh ginger, three perilla leaves. Decoct to 0.7 zhan, remove dregs, take warm on an empty stomach.
Hetou Wan (Crane Top Pill): There are three types of leukorrhea. Unmarried girls: menstruation starts, stops, and immediately gets leukorrhea, perhaps from bathing in cold water, fanning while hot, or exposure to wind. This is the cause of leukorrhea in unmarried girls. Married women: excessive intercourse damages the uterus collaterals, wind pathogens enter via deficiency, cold touches the uterus meridians, causing foul fluid to connect with blood and discharge. Postpartum leukorrhea: due to blood loss and qi deficiency, damaging the uterus lining, opening the gate for external wind, body deficiency allowing cold wind in. Cold wind connects with heat qi, forming fluid discharge. Cold yields mostly white, heat yields mostly red. Cold and heat intersect, yielding both red and white.
Ingredients: Danggui (Angelica Sinensis Root), Fuzi (Prepared Aconite Root), Longgu (Dragon Bone), Wuzhuyu (Evodia Fruit), Hongshizhi (Red Halloysite), Ganjiang (Dried Ginger), Muli (Concha Ostreae), Aiye (Mugwort Leaf).
Grind into fine powder, mix evenly with vinegar paste to form pills the size of Sophora seeds, coat with Hongshizhi powder. Take 50 pills each time, on an empty stomach, washed down with decoction of Mugwort Leaf, salt water, and Chinese Plum.
Jisheng Bai'e Wan (Jisheng White Chalk Pill): Treats leukorrhea in women persisting for a long time, cold pain in waist and knees, gradual emaciation and fatigue.
Ingredients: Bai'e (White Chalk), Yuyuliang (Hematitum), Biejia (Carapax et Plastrum Testudinis), Wuzei Gu (Cuttlefish Bone), Danggui (Angelica Sinensis Root), Quechao Hui (Magpie Nest Ash), Ganjiang (Dried Ginger).