凡妇人淋带，虽分微甚，而实为同类。盖带其微，而淋其甚者也。总由命门不固。而不固之病，其因有
六∶盖一以心旌之摇之也，心旌摇则命门应，命门应则失其所守，此由于不遂者也；一以多欲之滑之也，情欲
无度，纵肆不节，则精道滑而命门不禁，此由于太遂者也；一以房室之逆之也，凡男女相临，迟速有异，此际
权在男子，而妇人情兴多致中道而止，止则逆，逆则为浊为淋，此由于遂而不遂，乃女子之最多而最不肯言者
也。以上三证，凡带浊之由乎此者，十居八九，而三者之治，必得各清其源，庶可取效。然源未必清，而且旋
触旋发，故药饵之功，必不能与情窦争胜，此带浊之所以不易治也。此三者之外，则尚有湿热下流者；有虚寒
不固者；有脾肾亏陷而不能收摄者。当各因其证而治之。
心旌摇，心火不静而带下者，先当清火，宜朱砂安神丸、清心莲子饮、直指固精丸之类主之。若无邪火而
但见心虚带下者，宜秘元煎、人参丸、心虚白浊歌、茯菟丸之类。
东垣 朱砂安神丸（见《古方八阵·寒阵》）一名黄连安神丸。治心神烦乱，发热怔忡，不寐或寐
中惊悸、头运（同晕）等证。
生地 朱砂（另飞为衣） 当归（各一钱） 甘草（五分） 黄连（一钱半）
汤浸蒸饼为丸，黍米大，每服十五丸或二十丸，津液咽之，或食后用温水、凉水送下亦可。
清心莲子饮（见《古方八阵·寒阵》）治热在气分，口干作渴，小便淋浊，或口舌生疮，咽疼烦躁。
黄芩 麦冬 地骨皮 车前子（炒） 甘草（各钱半） 人参 黄 石莲子 柴胡 茯苓（各一钱）
上每服五钱，水煎服。
直指固精丸（见《古方八阵·固阵》）治肾虚有火，精滑，心神不安。
黄柏（酒炒） 知母（酒炒各一两） 牡蛎（ ） 龙骨（ ） 莲蕊 芡实 山茱萸 远志（甘草制）
茯苓（各三钱）
上为末，山药糊丸桐子大，每服五十丸，空心温酒下。
秘元煎（见血虚经乱）
人参丸（见《古方八阵·补阵》）宁心益智，安神固精。
人参 茯苓 茯神 枣仁 远志 益智 牡蛎（各五钱） 朱砂（二钱半）
为末，枣肉丸，服。
心虚白浊歌（见《古方八阵·补阵》）
白浊皆因心气虚，不应只作肾虚医，
四君子汤加远志，一服之间见效奇。
《局方》茯菟丸（见《古方八阵·固阵》）治思虑太过，心肾虚损，真阳不固，尿有余沥或小便
白浊，梦寐遗精等证。
菟丝子（制五两） 白茯苓（三两） 石莲肉（二两）
酒糊丸，桐子大，每服三、五十丸，空心盐汤或米汤下。一方有北五味子四两，兼治三消。
欲事过度，滑泄不固而带下者，宜秘元煎、寿脾煎、固阴煎、苓术菟丝丸、济生固精丸、锁精丸、金锁
思仙丹之类主之。
寿脾煎（见血虚经乱）
固阴煎（见肾虚经乱）
苓术菟丝丸（见《新方八阵·固阵》）治脾肾虚损不能收摄，以致梦遗、精滑、困倦等证。
白茯苓 白术（米泔洗炒） 莲肉（去心各四两） 五味（二两酒蒸） 山药（炒二两） 杜仲（酒炒三两）
炙甘草（五钱） 菟丝子（用好水淘净，入陈酒浸一日，文火煮极烂，捣为饼，焙干为末十两）
上用山药末，以陈酒煮糊为丸，桐子大，空心滚白汤或酒下百余丸。如气虚神倦，不能收摄者，加人参
三、四两，尤妙。
济生固精丸（见《古方八阵·固阵》）治下元虚损，白浊如脂，或胞气虚寒，腰重少力，小便无度，
并效。
牡蛎（ ） 菟丝子（酒浸蒸炒） 韭子（炒） 龙骨（ ） 北五味（炒） 白茯苓 桑螵蛸（酒炙）
白石脂（ 各等分）
上为细末，酒糊丸，桐子大，每服七十丸，空心盐汤下。
《局方》锁精丸（见《古方八阵·固阵》）治白浊、白带，小便频数。
破故纸 青盐 白茯苓 五味子（炒等分）
一方用五倍子。
上为末，酒糊丸，桐子大，每服三十丸，空心温酒下。
万氏 金锁思仙丹（见《古方八阵·固阵》）治男子嗜欲太过，精血不固。此涩以去脱之剂。
莲蕊 芡实 石莲子（各十两） 金樱膏（三斤）
上以金樱煎膏如饧，入前三味药末，和丸桐子大，空心盐酒下三十丸，服久精神完固，大能延年。平
时服食，忌葵菜、车前子。
人事不畅，精道逆而为浊、为带者，初宜六味地黄汤，或威喜丸之属以利之，久不止者，宜固阴煎、苓术
菟丝丸之属以固之。
六味地黄汤（见经不调）
《和剂》威喜丸（见《古方八阵·固阵》）治元阳虚惫，精滑白浊遗尿，及妇人血海久冷，淫带梦泄等证。
白茯苓去皮四两切块，同猪苓二钱五分，同于瓷器内煮二十余沸，取出晒干，不用猪苓 黄蜡（四两）
上以茯苓为末，熔黄蜡搜和为丸，如弹子大，每空心细嚼满口生津，徐徐咽服，以小便清利为效。忌米
醋，惟糠醋可用。尤忌气怒动性。
湿热下流而为带浊，脉必滑数，色见红赤，证有烦渴而多热者，宜保阴煎、加味逍遥散、或经验猪肚丸亦
佳。若热甚兼淋而赤者，宜龙胆泻肝汤。
保阴煎（见血热经早）
加味逍遥散（见经不调）
经验猪肚丸（见《古方八阵·固阵》）止梦遗泄精。进饮食，健肢体。此药神应。瘦者服之自肥，
莫测其理。
白术（面炒五两） 苦参（白者三两） 牡蛎（左扇者 研四两）
上为末，用雄猪肚一具，洗净，以瓷罐煮极烂，木石臼捣如泥，和药，再加（猪）肚汁捣半日，丸如小豆
大，每服四、五十丸，日进三服，米饮下。久服自觉身肥，而梦遗永止。
龙胆泻肝汤（见产门不闭）
元气虚弱而带下者，宜寿脾煎、菟丝煎、七福饮、十全大补汤、九龙丸之属。若阳气虚寒，脉见微涩，色
白清冷，腹痛多寒者，宜加姜、附，或用家韭子丸。
菟丝煎（见安胎）
七福饮（见血虚经乱）
十全大补汤（见调经论外备用方）
丹溪 九龙丸（见《古方八阵·固阵》）治肾虚精滑。
金樱子 枸杞 山茱萸 莲蕊 莲肉 当归 熟地 芡实 白茯苓（各等分）
上为末，酒糊丸，桐子大，每服五、六十丸，或酒或盐汤下。
《三因》家韭子丸（见《古方八阵·固阵》）治少长
遗溺，及男子虚剧，阳气衰败，小便白浊，夜梦遗精。此药补养元气，进美余食。按∶此方当除去石斛，倍
用菟丝，庶乎尤效。
家韭子（炒六两） 鹿茸（酥炙四两） 肉苁蓉（酒浸） 牛膝（酒浸） 熟地 当归（各二两）
菟丝子（酒煮） 巴戟肉（各一两半） 杜仲（炒） 石斛 桂心 干姜（炮各一两）
酒糊丸，桐子大，每服五、七十丸，加至百余丸，食前温酒、盐汤任下。凡小儿遗尿者，多因胞（指膀
胱）寒，亦禀受阳气不足也。作小丸服之。
脾肾气虚下陷而多带者，宜用寿脾煎、归脾汤、补中益气汤之属。
归脾汤（见经不调）
补中益气汤（见经不调）
立斋曰∶前证或因六淫七情；或因醉饱房劳；或因膏粱浓味；或服燥剂所伤；或亏损阳气下陷；或湿痰下注
蕴积而成，故言带也。凡此皆当壮脾胃、升阳气为主，佐以各经见证之药。若色青者属肝，用小柴胡加山栀。
或湿热壅滞，小便赤涩，龙胆泻肝汤。色赤者属心，用小柴胡加黄连、山栀、当归。思虑过伤，用妙香散等
药。色白者属肺，用补中益气加山栀。色黄者属脾，用六君子加山栀、柴胡，不应，归脾汤。色黑者属肾，用
六味地黄丸。若气血俱虚，八珍汤。阳气陷下，补中益气汤。湿痰下注，前汤加茯苓、半夏、苍术、黄柏。
气虚痰饮下注，四七汤送肾气丸。不可拘肥人多痰，瘦人多火，而以燥湿泻火之药轻治之也。
小柴胡汤（见崩淋经漏不止）
《良方》辰砂妙香散（见《古方八阵·固阵》）治心气不足，惊痫或精神恍惚，虚烦少气少睡，夜
多盗汗，心虚遗精白浊。服之安神镇心。
黄 山药（姜汁炒） 茯苓 茯神 远志（甘草汤制各一两） 人参 炙甘草 桔梗（各五钱） 木香（二钱）
麝香（一钱另研） 朱砂（三钱另研）
上为末，每服二钱，不拘时温酒调下，或用麦面汤调下。
《局方》王荆公妙香散（见《古方八阵·固阵》）安神秘精，定心气。
人参 龙骨（五色者） 益智（各一两） 白茯神 白茯苓 远志（制） 甘草（炙各五钱） 朱砂（飞二钱半）
上为末，每服二钱，空心临卧温酒调下。
六君子汤（见经期腹痛）
八珍汤（见经不调）
四七汤（见安胎）
肾气丸（即八味丸。见经不调）
凡妇女的淋证和带下病，虽然病情有轻重之分，但实际上属于同类疾病。带下病较轻，而淋证较重。总归是由于命门（肾与膀胱之门户，主藏精）不固所致。而导致不固的原因有六种：一是由于心念动摇引起的，心神摇动则命门响应，命门响应则失去其守持功能，这是由于欲望未能满足所致；二是由于纵欲过度导致的滑泄，情欲无度，放纵不加节制，则精道滑利而命门无法禁固，这是由于欲望过度满足所致；三是由于房事不当引起的逆乱，凡是男女交合，快慢节奏各异，此时主动权在男子，但女子往往情兴正浓时被迫中途停止，停止则气机逆乱，逆乱则化为浊液或淋证，这是由于既满足又不满足的心理状态造成的，这是女子中最常见却最不愿提及的情况。以上三种情况，凡是导致带下浑浊的，十有八九源于此，而这三种情况的治療，必须分别清除其根源，才可能取得疗效。然而根源未必能彻底清除，且稍加触动便会复发，所以药物的作用，必然不能胜过情欲的萌动，这就是带下浑浊之所以不易治疗的原因。在这三种情况之外，还有湿热下注的；有虚寒不固的；有脾肾亏虚下陷而不能收摄的。应当根据各自的证候进行治疗。
如果是心火摇动、心火不静导致的带下，应当先清泻心火，适宜使用朱砂安神丸、清心莲子饮、直指固精丸等方剂为主治。如果没有邪火，只是见到心虚导致的带下，适宜使用秘元煎、人参丸、心虚白浊歌、茯菟丸等方剂。
东垣的朱砂安神丸（见《古方八阵·寒阵》），又名黄连安神丸。治疗心神烦乱、发热怔忡、失眠或睡中惊悸、头晕等症状。
组成：生地黄、朱砂（另研飞为衣）、当归（各一钱）、甘草（五分）、黄连（一钱半）。
制法与用法：用汤浸过的蒸饼制成丸药，大小如黍米，每次服用十五丸或二十丸，用津液咽下，或者饭后用温水、凉水送服也可以。
清心莲子饮（见《古方八阵·寒阵》）治疗热在气分，口干口渴，小便淋浊，或口舌生疮，咽喉疼痛烦躁。
组成：黄芩、麦冬、地骨皮、车前子（炒）、甘草（各一钱半）、人参、黄芪、石莲子、柴胡、茯苓（各一钱）。
用法：以上药物每服五钱，水煎服。
直指固精丸（见《古方八阵·固阵》）治疗肾虚有火，精关不固滑泄，心神不安。
组成：黄柏（酒炒）、知母（酒炒，各一两）、牡蛎（煅）、龙骨（煅）、莲蕊、芡实、山茱萸、远志（甘草制）、茯苓（各三钱）。
制法与用法：以上药物研为细末，用山药糊制成丸药，大小如梧桐子，每次服用五十丸，空腹时用温酒送下。
人参丸（见《古方八阵·补阵》）宁心安神益智，安神固精。
组成：人参、茯苓、茯神、酸枣仁、远志、益智仁、牡蛎（各五钱）、朱砂（二钱半）。
制法与用法：研为细末，用枣肉制成丸药，服用。
心虚白浊歌（见《古方八阵·补阵》）：
白浊皆因心气虚，不应只作肾虚医，
四君子汤加远志，一服之间见效奇。
《局方》茯菟丸（见《古方八阵·固阵》）治疗思虑过度，心肾虚损，真阳不固，尿有余沥或小便白浊，梦遗等症。
组成：菟丝子（制五两）、白茯苓（三两）、石莲肉（二两）。
制法与用法：用酒糊制成丸药，大小如梧桐子，每次服用三五十丸，空腹时用盐汤或米汤送下。另一配方中有北五味子四两，兼治三消症。
如果房事过度，滑泄不固导致带下，适宜使用秘元煎、寿脾煎、固阴煎、苓术菟丝丸、济生固精丸、锁精丸、金锁思仙丹等方剂为主治。
苓术菟丝丸（见《新方八阵·固阵》）治疗脾肾虚损不能收摄，以致梦遗、精滑、困倦等症状。
组成：白茯苓、白术（米泔水洗净炒）、莲肉（去心，各四两）、五味子（二两，酒蒸）、山药（炒二两）、杜仲（酒炒三两）、炙甘草（五钱）、菟丝子（用好水淘净，入陈酒浸泡一天，文火煮极烂，捣成饼，焙干研末十两）。
制法与用法：以上药物用山药末，以陈酒煮糊制成丸药，大小如梧桐子，空腹时用滚开的白开水或酒送服百余丸。如果是气虚神倦，不能收摄的，加入人参三、四两，效果更佳。
济生固精丸（见《古方八阵·固阵》）治疗下元虚损，白浊如脂，或胞气虚寒，腰重无力，小便频数无度，均有疗效。
组成：牡蛎（煅）、菟丝子（酒浸蒸炒）、韭子（炒）、龙骨（煅）、北五味子（炒）、白茯苓、桑螵蛸（酒炙）、白石脂（煅，各等分）。
制法与用法：以上药物研为细末，用酒糊制成丸药，大小如梧桐子，每次服用七十丸，空腹时用盐汤送下。
《局方》锁精丸（见《古方八阵·固阵》）治疗白浊、白带，小便频数。
组成：破故纸（补骨脂）、青盐、白茯苓、五味子（炒，等分）。
一方使用五倍子。
制法与用法：以上药物研为细末，用酒糊制成丸药，大小如梧桐子，每次服用三十丸，空腹时用温酒送下。
万全的金锁思仙丹（见《古方八阵·固阵》）治疗男子嗜欲太过，精血不固。这是涩以固脱的方剂。
组成：莲蕊、芡实、石莲子（各十两）、金樱膏（三斤）。
制法与用法：以上药物将金樱煎制成膏状如饴糖，加入前三味药的细末，调和制成丸药，大小如梧桐子，空腹时用盐酒送下三十丸，长期服用精神完固，大能延年益寿。平时服用忌食葵菜、车前子。
如果人事不畅，精道逆乱化为浊、带，初期适宜使用六味地黄汤，或威喜丸之类以利导之，久治不止者，适宜使用固阴煎、苓术菟丝丸之类以固摄之。
《和剂局方》威喜丸（见《古方八阵·固阵》）治疗元阳虚惫，精滑白浊遗尿，以及妇人血海久冷，淫带梦泄等症。
组成：白茯苓去皮四两切块，同猪苓二钱五分，一同在瓷器内煮二十余沸，取出晒干，不用猪苓；黄蜡（四两）。
制法与用法：以上药物将茯苓研为细末，熔化黄蜡调和制成丸药，大小如弹子，每次空腹细细咀嚼至满口生津，徐徐咽服，以小便清利为有效。忌食米醋，只有糠醋可以使用。尤其忌讳生气动怒。
如果是湿热下注导致的带浊，脉象必滑数，颜色红赤，症状有烦渴而多热的，适宜使用保阴煎、加味逍遥散，或者经验猪肚丸也很好。如果热甚兼有淋证且色赤的，适宜使用龙胆泻肝汤。
经验猪肚丸（见《古方八阵·固阵》）止梦遗泄精，增进饮食，强健肢体。此药神效。瘦弱者服用后自然变胖，其理莫测。
组成：白术（面炒五两）、苦参（白色者三两）、牡蛎（左扇者，研四两）。
制法与用法：以上药物研为细末，用雄猪肚一个，洗净，用瓷罐煮极烂，在木石臼中捣如泥状，混合药物，再加猪肚汁捣半天，制成小豆大小的丸药，每次服用四五十丸，每日进服三次，用米饮送下。长期服用自觉身体发胖，且梦遗永止。
元气虚弱导致带下的，适宜使用寿脾煎、菟丝煎、七福饮、十全大补汤、九龙丸等方剂。如果是阳气虚寒，脉象微涩，颜色白清冷，腹痛多寒的，适宜加入姜、附子，或者使用家韭子丸。
菟丝煎（见安胎章节）。
朱丹溪的九龙丸（见《古方八阵·固阵》）治疗肾虚精滑。
组成：金樱子、枸杞、山茱萸、莲蕊、莲肉、当归、熟地黄、芡实、白茯苓（各等分）。
制法与用法：以上药物研为细末，用酒糊制成丸药，大小如梧桐子，每次服用五六十丸，或用酒或盐汤送下。
《三因方》家韭子丸（见《古方八阵·固阵》）治疗老少遗尿，以及男子虚剧，阳气衰败，小便白浊，夜梦遗精。此药补养元气，增进食欲。按语：此方应当除去石斛，加倍使用菟丝子，效果尤佳。
组成：家韭子（炒六两）、鹿茸（酥炙四两）、肉苁蓉（酒浸）、牛膝（酒浸）、熟地黄、当归（各二两）、菟丝子（酒煮）、巴戟天肉（各一两半）、杜仲（炒）、石斛、桂心、干姜（炮，各一两）。
制法与用法：用酒糊制成丸药，大小如梧桐子，每次服用五七十丸，加至百余丸，饭前用温酒、盐汤任便送下。凡是小儿遗尿，多因膀胱寒冷，也是禀受阳气不足所致。做成小丸服用。
脾肾气虚下陷导致带下多的，适宜使用寿脾煎、归脾汤、补中益气汤等方剂。
薛立斋说：前面的证候或因六淫七情引起；或因醉饱房劳损伤；或因膏粱厚味所伤；或服用燥剂所伤；或亏损阳气下陷；或湿痰下注蕴积而成，所以称为带下病。凡此种种都应当以壮脾胃、升阳气为主，佐以各经见证的药物。如果颜色青的属肝，用小柴胡汤加山栀。或者是湿热壅滞，小便赤涩，用龙胆泻肝汤。颜色红的属心，用小柴胡汤加黄连、山栀、当归。思虑过伤，用妙香散等药。颜色白的属肺，用补中益气汤加山栀。颜色黄的属脾，用六君子汤加山栀、柴胡，无效时，用归脾汤。颜色黑的属肾，用六味地黄丸。如果气血俱虚，用八珍汤。阳气陷下，用补中益气汤。湿痰下注，在前汤基础上加茯苓、半夏、苍术、黄柏。气虚痰饮下注，用四七汤送服肾气丸。不可拘泥于肥人多痰，瘦人多火，而以燥湿泻火的药物轻率治疗。
《良方》辰砂妙香散（见《古方八阵·固阵》）治疗心气不足，惊痫或精神恍惚，虚烦少气少睡，夜间多盗汗，心虚遗精白浊。服用后可安神镇心。
组成：黄芪、山药（姜汁炒）、茯苓、茯神、远志（甘草汤制，各一两）、人参、炙甘草、桔梗（各五钱）、木香（二钱）、麝香（一钱，另研）、朱砂（三钱，另研）。
制法与用法：以上药物研为细末，每次服用二钱，不拘时间，用温酒调下，或者用麦面汤调下。
《局方》王荆公妙香散（见《古方八阵·固阵》）安神秘精，定心气。
组成：人参、龙骨（五色者）、益智仁（各一两）、白茯神、白茯苓、远志（制）、甘草（炙，各五钱）、朱砂（飞，二钱半）。
制法与用法：以上药物研为细末，每次服用二钱，空腹及临睡前用温酒调下。
For women, leukorrhea (vaginal discharge) and strangury (painful urinary difficulty), although varying in severity, are essentially of the same category. Leukorrhea is the milder form, while strangury is the more severe. The root cause generally lies in the insecurity of the Mingmen (Gate of Life). The reasons for this insecurity are sixfold: First, it arises from the agitation of the Heart spirit (Shen). When the Heart spirit agitates, the Mingmen responds, losing its capacity to hold fast; this stems from unfulfilled desires. Second, it results from excessive indulgence in sexual desire. Unrestrained passion without moderation causes the essence pathway to become slippery, and the Mingmen fails to restrain it; this stems from over-fulfillment. Third, it is caused by improper intercourse. During coitus, rhythms vary, and the initiative often lies with the man, but women frequently experience interrupted arousal, stopping midway. This interruption leads to Qi rebellion, which transforms into turbid discharge or strangury. This condition arises from a state of partial fulfillment and non-fulfillment, and it is the most common yet least confessed issue among women. Among these three causes, eight or nine out of ten cases of turbid leukorrhea originate here. Treatment for these three types must address their respective sources to be effective. However, since the source may not be fully cleared, and symptoms recur upon slight provocation, the efficacy of herbal medicine cannot compete with the stirring of emotional desires, which explains why leukorrhea and turbidity are difficult to treat. Beyond these three, there are cases due to damp-heat flowing downward, deficiency-cold failing to secure, and Spleen-Kidney deficiency with sinking unable to grasp and retain. Treatment should be tailored to each syndrome.
If leukorrhea is caused by Heart fire agitation and restlessness, clear the fire first. Suitable formulas include Zhusha Anshen Wan (Cinnabar Calming the Spirit Pill), Qingxin Lianzi Yin (Clear the Heart Lotus Seed Decoction), or Zhizhi Gujing Wan (Directly Pointing Essence-Securing Pill). If there is no pathogenic fire but only Heart deficiency leading to leukorrhea, suitable formulas include Miyuan Jian (Secret Origin Decoction), Renshen Wan (Ginseng Pill), Xin Xu Bai Zhuo Ge (Song for Heart Deficiency White Turbidity), or Futu Wan (Poria and Dodder Pill).
Dongyuan's Zhusha Anshen Wan (see *Gu Fang Ba Zhen · Han Zhen*), also known as Huanglian Anshen Wan, treats mental restlessness, fever, palpitations, insomnia, or night terrors, and dizziness.
Ingredients: Shengdi Huang (Rehmanniae Radix), Zhusha (Cinnabar, prepared separately as coating), Dang Gui (Angelicae Sinensis Radix) (each 1 qian), Gan Cao (Licorice Root) (0.5 qian), Huang Lian (Coptidis Rhizoma) (1.5 qian).
Preparation and Administration: Form pills using steamed dough soaked in decoction, size of millet seeds. Take 15–20 pills per dose, swallowed with saliva, or taken after meals with warm or cool water.
Qingxin Lianzi Yin (see *Gu Fang Ba Zhen · Han Zhen*) treats heat in the Qi level, dry mouth with thirst, strangury with turbid urine, mouth/tongue sores, sore throat, and irritability.
Ingredients: Huang Qin (Scutellariae Radix), Mai Dong (Ophiopogonis Tuber), Digupi (Lycii Cortex), Cheqian Zi (Plantaginis Semen, stir-fried), Gan Cao (Licorice Root) (each 1.5 qian); Renshen (Ginseng Radix et Rhizoma), Huang Qi (Astragali Radix), Shilianzi (Nelumbinis Semen), Chai Hu (Bupleuri Radix), Fuling (Poria) (each 1 qian).
Administration: Take 5 qian of the mixture, decoct in water, and drink.
Zhizhi Gujing Wan (see *Gu Fang Ba Zhen · Gu Zhen*) treats Kidney deficiency with fire, seminal emission, and unsettled mind.
Ingredients: Huang Bo (Phellodendri Cortex, wine-fried), Zhi Mu (Anemarrhenae Rhizoma, wine-fried) (each 1 liang); Muli (Concha Ostreae, calcined), Longgu (Os Draconis, calcined), Lianrui (Nelumbinis Plumula), Qianshi (Euryales Semen), Shanzhuyu (Corni Fructus), Yuanzhi (Polygalae Radix, processed with Licorice), Fuling (Poria) (each 3 qian).
Preparation and Administration: Grind into powder, make pills with Yam paste, size of Sophora seeds. Take 50 pills per dose, with warm wine on an empty stomach.
Miyuan Jian (see section on Blood Deficiency Menstrual Disorder).
Renshen Wan (see *Gu Fang Ba Zhen · Bu Zhen*) calms the mind, benefits intelligence, secures the spirit, and stabilizes essence.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Fushen (Poria with Hostwood), Zaoren (Ziziphi Spinosae Semen), Yuanzhi (Polygalae Radix), Yizhi (Alpiniae Oxyphyllae Fructus), Muli (Concha Ostreae) (each 5 qian); Zhusha (Cinnabar) (2.5 qian).
Preparation and Administration: Grind into powder, make pills with Jujube pulp, and take.
Xin Xu Bai Zhuo Ge (Song for Heart Deficiency White Turbidity) (see *Gu Fang Ba Zhen · Bu Zhen*):
White turbidity all stems from Heart Qi deficiency,
Do not treat only as Kidney deficiency.
Si Jun Zi Tang (Four Gentlemen Decoction) plus Yuanzhi,
Shows miraculous effect after one dose.
Ju Fang's Futu Wan (see *Gu Fang Ba Zhen · Gu Zhen*) treats excessive thinking causing Heart-Kidney deficiency, failure of True Yang to secure, dribbling urine, white turbid urine, or nocturnal emission.
Ingredients: Tusizi (Cuscutae Semen, processed) (5 liang), Baifuling (White Poria) (3 liang), Shilianrou (Lotus Seed Embryo) (2 liang).
Preparation and Administration: Make pills with wine paste, size of Sophora seeds. Take 30–50 pills per dose, with salt water or rice soup on an empty stomach. Another prescription adds Bei Wuweizi (Schisandrae Fructus) 4 liang, treating San Xiao (Three Wasting-Thirst syndromes).
If excessive sexual activity causes slipping and insecure leakage leading to leukorrhea, suitable formulas include Miyuan Jian, Shoupi Jian (Spleen-Nourishing Decoction), Guyin Jian (Kidney-Yin Securing Decoction), Lingzhu Tusizi Wan (Poria, Atractylodes, and Dodder Pill), Jisheng Gujing Wan (Jisheng Essence-Securing Pill), Suojing Wan (Locking Essence Pill), or Jin suo Sixian Dan (Golden Lock Immortal-Delighting Pill).
Shoupi Jian (see section on Blood Deficiency Menstrual Disorder).
Guyin Jian (see section on Kidney Deficiency Menstrual Disorder).
Lingzhu Tusizi Wan (see *Xin Fang Ba Zhen · Gu Zhen*) treats Spleen-Kidney deficiency unable to grasp and retain, resulting in nocturnal emission, seminal slip, and fatigue.
Ingredients: Baifuling (White Poria), Baizhu (Atractodis Macrocephalae Rhizoma, washed in rice water and stir-fried), Lianrou (Lotus Seed Meat, heart removed) (each 4 liang); Wuwei Zi (Schisandrae Fructus, 2 liang, wine-steamed), Shanyao (Dioscoreae Rhizoma, stir-fried, 2 liang), Duzhong (Eucommiae Cortex, wine-fried, 3 liang), Zhigancao (Honey-fried Licorice Root) (5 qian); Tusizi (Dodder Seed, washed clean, soaked in aged wine for one day, boiled until very soft, pounded into cake, dried and powdered, 10 liang).
Preparation and Administration: Use Yam powder, make pills with aged wine paste, size of Sophora seeds. Take over 100 pills per dose, with boiling plain water or wine on an empty stomach. For Qi deficiency with mental fatigue and inability to retain, add Renshen (Ginseng Radix et Rhizoma) 3–4 liang for better effect.
Jisheng Gujing Wan (see *Gu Fang Ba Zhen · Gu Zhen*) treats lower Yuan deficiency, white turbidity like fat, or cold deficiency of the Bladder Qi causing heavy waist and weakness, frequent urination without control.
Ingredients: Muli (Concha Ostreae, calcined), Tusizi (Cuscutae Semen, wine-soaked, steamed, stir-fried), Jiu Zi (Allii Tuberosi Semen, stir-fried), Longgu (Os Draconis, calcined), Bei Wuwei Zi (Schisandrae Fructus, stir-fried), Baifuling (White Poria), Sangpiaoxiao (Mantis Ootheca, wine-roasted), Baishizhi (Kaolinite, calcined) (equal parts).
Preparation and Administration: Grind into fine powder, make pills with wine paste, size of Sophora seeds. Take 70 pills per dose, with salt water on an empty stomach.
Ju Fang's Suojing Wan (see *Gu Fang Ba Zhen · Gu Zhen*) treats white turbidity, leukorrhea, and frequent urination.
Ingredients: Pozhuzi (Kochiae Fructus), Qingyan (Green Salt), Baifuling (White Poria), Wuweizi (Schisandrae Fructus, stir-fried) (equal parts).
Another formula uses Wubeizi (Galla Chinensis).
Preparation and Administration: Grind into powder, make pills with wine paste, size of Sophora seeds. Take 30 pills per dose, with warm wine on an empty stomach.
Wan Quan's Jin suo Sixian Dan (see *Gu Fang Ba Zhen · Gu Zhen*) treats men with excessive lust and insecure essence-blood. This is astringent to prevent collapse.
Ingredients: Lianrui (Nelumbinis Plumula), Qianshi (Euryales Semen), Shilianzi (Nelumbinis Semen) (each 10 liang); Jinying Gao (Cherokee Rose Fruit Paste) (3 jin).
Preparation and Administration: Boil Cherokee Rose fruit into a thick paste, mix with the powders of the three ingredients, make pills size of Sophora seeds. Take 30 pills with salt wine on an empty stomach. Long-term use consolidates spirit and extends life. Avoid eating Malva verticillata (Kui Cai) and Plantago seed during consumption.
If interpersonal relations are obstructed, causing Jing pathway rebellion turning into turbidity and leukorrhea, initially use Liuwei Dihuang Tang (Six-Ingredient Rehmannia Decoction) or Weixi Wan (Weixi Pill) to promote drainage. If persistent, use Guyin Jian or Lingzhu Tusizi Wan to secure.
Liuwei Dihuang Tang (see section on Irregular Menstruation).
Heji Ju Fang's Weixi Wan (see *Gu Fang Ba Zhen · Gu Zhen*) treats deficiency-exhaustion of Primordial Yang, seminal slip, white turbidity, enuresis, and in women, long-standing coldness of the Blood Sea, profuse leukorrhea, and nocturnal emission.
Ingredients: Baifuling (White Poria, peeled, cut into pieces, 4 liang), cooked together with Zhuling (Polyporus) (2.5 qian) in a porcelain vessel for over 20 boils. Remove and dry, discard Zhuling. Huangla (Yellow Beeswax) (4 liang).
Preparation and Administration: Powder the Poria, melt the beeswax, and knead into pills size of marbles. Chew slowly on an empty stomach until saliva fills the mouth, then swallow gradually. Effective when urine becomes clear. Avoid rice vinegar; bran vinegar is acceptable. Especially avoid anger and emotional disturbance.
If damp-heat flows downward causing turbid leukorrhea, the pulse is likely slippery and rapid, color red, with symptoms of irritability, thirst, and heat. Suitable formulas include Baoyin Jian (Nourish Yin Decoction), Jiawei Xiaoyao San (Modified Free Wanderer Powder), or Jingyan Zhudu Wan (Empirical Pig Stomach Pill). If heat is severe with strangury and redness, use Longdan Xiegan Tang (Gentian Liver-Draining Decoction).
Baoyin Jian (see section on Early Menstruation due to Blood Heat).
Jiawei Xiaoyao San (see section on Irregular Menstruation).
Jingyan Zhudu Wan (see *Gu Fang Ba Zhen · Gu Zhen*) stops nocturnal emission and seminal loss, promotes appetite, and strengthens the body. This medicine is miraculous. Thin people gain weight after taking it, though the mechanism is inexplicable.
Ingredients: Baizhu (Atractodis Macrocephalae Rhizoma, flour-stir-fried, 5 liang), Kushen (Sophorae Flavescentis Radix, white variety, 3 liang), Muli (Concha Ostreae, left shell, powdered, 4 liang).
Preparation and Administration: Grind into powder. Take one male pig stomach, wash clean, boil until very soft in a ceramic jar, pound into mud in a stone mortar, mix with medicine, add stomach juice, and pound for half a day. Make pills size of small beans. Take 40–50 pills per dose, three times daily, with rice drink. Long-term use leads to weight gain and permanent cessation of nocturnal emission.
Longdan Xiegan Tang (see section on Vaginal Non-Closure).
If Yuan Qi is weak causing leukorrhea, suitable formulas include Shoupi Jian, Tusiji Jian (Dodder Decoction), Qifu Yin (Seven Blessings Decoction), Shiquan Dabu Tang (Ten Complete Tonifying Decoction), or Jiulong Wan (Nine Dragons Pill). If Yang Qi is deficient and cold, pulse is faint and choppy, color is white and clear/cold, with abdominal pain and cold sensations, add Jiang (Ginger) and Fu Zi (Aconite Root), or use Jiajiu Zi Wan (Leek Seed Pill).
Tusiji Jian (see section on Fetus Security).
Qifu Yin (see section on Blood Deficiency Menstrual Disorder).
Shiquan Dabu Tang (see Supplementary Formulas for Menstrual Regulation Theory).
Zhu Danxi's Jiulong Wan (see *Gu Fang Ba Zhen · Gu Zhen*) treats Kidney deficiency with seminal slip.
Ingredients: Jinyingzi (Cherokee Rose Fruit), Gouqi (Lycii Fructus), Shanzhuyu (Corni Fructus), Lianrui (Nelumbinis Plumula), Lianrou (Lotus Seed Meat), Dang Gui (Angelicae Sinensis Radix), Shudi (Rehmanniae Radix Preparata), Qianshi (Euryales Semen), Baifuling (White Poria) (equal parts).
Preparation and Administration: Grind into powder, make pills with wine paste, size of Sophora seeds. Take 50–60 pills per dose, with wine or salt water.
San Yin Fang's Jiajiu Zi Wan (see *Gu Fang Ba Zhen · Gu Zhen*) treats enuresis in young and old, and in men, severe deficiency, decline of Yang Qi, white turbid urine, and nocturnal emission. This tonic nourishes Yuan Qi and improves appetite. Note: Remove Shihu (Dendrobii Caulis) and double the amount of Tusizi (Cuscutae Semen) for better efficacy.
Ingredients: Jiajiu Zi (Allii Tuberosi Semen, stir-fried, 6 liang), Lurong (Cervi Cornu Degelatinatum, roasted with butter, 4 liang), Rongcongrou (Cynomorii Herba, wine-soaked), Niuxi (Achyranthis Bidentatae Radix, wine-soaked), Shudi (Rehmanniae Radix Preparata), Dang Gui (Angelicae Sinensis Radix) (each 2 liang); Tusizi (Cuscutae Semen, wine-boiled), Bajirou (Morinda Officinalis Cortex, 1.5 liang), Duzhong (Eucommiae Cortex, stir-fried), Shihu (Dendrobii Caulis), Guixin (Cinnamon Twig), Ganjiang (Zingiberis Rhizoma, processed) (each 1 liang).
Preparation and Administration: Make pills with wine paste, size of Sophora seeds. Take 50–70 pills, up to over 100, before meals with warm wine or salt water. Enuresis in children is often due to Cold in the Bladder and insufficient inherited Yang Qi. Make small pills for them.
If Spleen-Kidney Qi deficiency with sinking causes abundant leukorrhea, suitable formulas include Shoupi Jian, Guipi Tang (Restore the Spleen Decoction), or Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction).
Guipi Tang (see section on Irregular Menstruation).
Buzhong Yiqi Tang (see section on Irregular Menstruation).
Li Zai said: The aforementioned syndromes may arise from Six Excesses and Seven Emotions; drunkenness, overeating, or sexual excess; rich and greasy foods; damage from drying agents; depletion and sinking of Yang Qi; or accumulation of Damp-Phlegm flowing downward. Thus, it is called leukorrhea. All such cases should primarily strengthen the Spleen and Stomach and raise Yang Qi, supplemented by herbs addressing specific channel manifestations. If the color is green, it belongs to the Liver; use Xiao Chai Hu Tang (Minor Bupleurum Decoction) plus Zhizi (Gardeniae Fructus). If Damp-Heat stagnation causes red, scanty, painful urination, use Longdan Xiegan Tang. If the color is red, it belongs to the Heart; use Xiao Chai Hu Tang plus Huang Lian (Coptidis Rhizoma), Zhizi, and Dang Gui. If excessive worry injures, use Miaoxiang San (Wonderful Fragrance Powder). If the color is white, it belongs to the Lung; use Buzhong Yiqi Tang plus Zhizi. If the color is yellow, it belongs to the Spleen; use Liujun Zi Tang (Six-Gentlemen Decoction) plus Zhizi and Chai Hu; if ineffective, use Guipi Tang. If the color is black, it belongs to the Kidney; use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). If both Qi and Blood are deficient, use Bazhen Tang (Eight-Treasure Decoction). If Yang Qi sinks, use Buzhong Yiqi Tang. If Damp-Phlegm flows downward, add Fuling (Poria), Banxia (Pinelliae Rhizoma), Cangzhu (Atractodis Rhizoma), and Huangbai (Phellodendri Cortex) to the previous decoction. If Qi deficiency with Phlegm-Fluid flows downward, send down Shenqi Wan (Kidney Qi Pill) with Sizhi Tang (Four-Seven Decoction). Do not rigidly adhere to the idea that fat people have much Phlegm and thin people have much Fire, lightly treating them with drying-dampness or draining-fire herbs.
Xiao Chai Hu Tang (see section for Unceasing Metrorrhagia and Leukorrhea).
Liang Fang's Chen Sha Miaoxiang San (see *Gu Fang Ba Zhen · Gu Zhen*) treats Heart Qi deficiency,惊痫 (startle epilepsy) or mental confusion, emptiness with irritability, shortness of breath, insomnia, night sweats, and Heart deficiency causing seminal slip or white turbidity. It calms the spirit and anchors the Heart.
Ingredients: Huang Qi (Astragali Radix), Shanyao (Dioscoreae Rhizoma, fried with Ginger juice), Fuling (Poria), Fushen (Poria with Hostwood), Yuanzhi (Polygalae Radix, processed with Licorice decoction) (each 1 liang); Renshen (Ginseng Radix et Rhizoma), Zhigancao (Honey-fried Licorice Root), Jiegeng (Platycodonis Radix) (each 5 qian); Muxiang (Aucklandiae Radix) (2 qian); Shexiang (Moschus, ground separately) (1 qian); Zhusha (Cinnabar, ground separately) (3 qian).
Preparation and Administration: Grind into powder. Take 2 qian per dose, at any time, mixed with warm wine or wheat noodle soup.
Ju Fang's Wang Jinggong Miaoxiang San (see *Gu Fang Ba Zhen · Gu Zhen*) calms the spirit and secures essence, stabilizes Heart Qi.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Longgu (Os Draconis, five-colored), Yizhi (Alpiniae Oxyphyllae Fructus) (each 1 liang); Baifushen (White Poria with Hostwood), Baifuling (White Poria), Yuanzhi (Polygalae Radix, processed), Zhigancao (Honey-fried Licorice Root) (each 5 qian); Zhusha (Cinnabar, flown/prepared) (2.5 qian).
Preparation and Administration: Grind into powder. Take 2 qian per dose, on an empty stomach and before bed, mixed with warm wine.
Liujun Zi Tang (see section on Abdominal Pain during Menstruation).
Bazhen Tang (see section on Irregular Menstruation).
Sizhi Tang (see section on Fetus Security).
Shenqi Wan (also known as Bawei Wan, see section on Irregular Menstruation).