浊病精窍尿自清，秽物如脓阴内疼，赤热精竭不及化，白寒湿热败精成。
【注】赤多属热，亦有浊带日久，精竭阳虚，不及化白而属寒者，白多属寒，亦有败
精湿热酿成腐化，变白而属热者。是则不可概以寒热论赤白也。
清心莲子饮 萆 厘清饮 珍珠粉丸
浊热清心莲子饮，寒萆菖乌益草苓，湿热珍珠炒姜柏，滑黛神曲椿蛤同。
【注】赤浊带下属热者，宜用清心莲子饮，方在淋门。白浊带下属寒者，宜用萆 厘清
饮，即萆 、菖蒲、乌药、益智、甘草、茯苓也。赤白浊带下属湿热者，宜用珍珠粉丸，
即炒黑姜、炒黄柏、滑石，青黛、炒神曲、炒椿皮、蛤粉也。
黑锡丹
黑锡上盛下虚冷，精竭阳虚火上攻，上壅头痛痰气逆，下漏浊带白淫精，骨脂茴香
葫芦巴，肉蔻桂附木金樱，沉香阳起巴戟肉，硫铅法结要研明。
【注】赤白浊带下属虚寒者，及虚阳上攻，头痛喘嗽，痰壅气逆，俱宜黑锡丹。即补骨
脂、小茴香、葫芦巴、肉蔻、附子、肉桂、木香、金樱子、沉香、阳起石、巴戟，硫黄、黑
铅也。
阴盛为饮阳盛痰，稠浊是热沫清寒，燥少粘连咯不易，湿多易出风掉眩，膈满呕吐
为伏饮，支饮喘咳肿卧难，饮流四肢身痛溢，嗽引胁痛谓之悬，痰饮素盛今暴瘦，漉漉声
水走肠间，饮留肺胸喘短渴，在心下悸背心寒。
【注】饮则清稀，故为阴盛。痰则稠浊，故为阳盛。稠浊，是热痰属心也。沫清，是
寒痰属肾也。少而粘连咯不易出，是燥痰属肺也。多而易出，是湿痰属脾也。搐搦眩晕，
是风痰属肝也。膈上痰满，呕吐痰涎，此饮留于膈间，名曰伏饮也。喘咳面肿不得卧，此
饮留于肺，名曰支饮也。饮流四肢，身体重
痛，此饮留行于体，名曰溢饮也。咳嗽引胁疼痛，此饮留于胁下，名曰悬饮也，素盛今
瘦，漉漉有声，水走肠间，此饮留于肠胃，名曰痰饮也。凡饮留于胸肺，则喘满短气而渴。
饮留于膈下，则心下悸或背心寒冷也。
二陈汤 燥痰汤
诸痰橘半茯苓草，惟有燥者不相当，风加南星白附子，热加芩连寒桂姜，气合四七
郁香附，虚入参术湿入苍；燥芩旋海天冬橘，风消枳桔贝蒌霜。
【注】诸痰谓一切痰，皆宜二陈汤治之。即橘红、半夏、茯苓、甘草也。因有苓、半、
性过渗燥，故与燥痰不相当也。根据本方风痰加南星、白附子，热痰加黄芩、黄连，寒痰
加干姜、肉桂，气痰加浓朴、苏叶即是合四七汤也，因郁生痰加香附，气虚有痰加人参、
白术即六君子汤也，湿痰加苍术。燥痰宜用燥痰汤，即枯黄芩、旋复花、海石，天冬、橘
红、风化芒硝、枳壳、桔梗、贝母、栝蒌霜也。
茯苓指迷丸
茯苓风消枳壳半，痰饮平剂指迷丸，寒实瓜蒂透罗治，热实大陷小胃丹。
【注】指迷丸，治一切痰饮平和之剂，即茯苓、风化芒硝、枳壳、半夏也。痰饮寒实
者，用瓜蒂散吐之，或用透罗丹下之。热实者，在膈上用大陷胸汤，丸，在三焦用小胃
丹攻之。
半夏茯苓汤加丁香汤 越婢加术汤
流饮控涎苓桂治，伏饮神佑半苓丁，支饮葶苈悬十枣，溢饮越术小青龙。
【注】留饮者，谓一切饮留于上下、内外也。实者用控涎丹攻之，虚者用苓桂术甘汤
温之。伏饮实者用神佑丸，虚者用半夏三钱、茯苓二钱、丁香一钱、生姜三钱，煎服治之，
即半夏茯苓汤加丁香也。支饮用葶苈大枣汤，悬饮用十枣汤治之。溢饮有热者用越婢加术
汤，即麻黄、石膏、甘草、生姜、大枣，加苍术也。有寒者用小青龙汤治之。
浊病表现为精窍排尿正常而清白，尿道内有如脓液般的秽物且疼痛；若伴有赤色、热象，是因精血枯竭无法化生所致；若伴有白色、寒象，则是湿热导致败精形成。
【注】赤色多属热证，但也有浊带日久，导致精血枯竭、阳气虚弱，无法化白而属于寒证的；白色多属寒证，但也有因败精在湿热作用下酿成腐化，变白而属于热证的。因此，不能一概以寒热来论断赤白浊带。
清心莲子饮、萆薢分清饮、珍珠粉丸
治疗浊热证用清心莲子饮；治疗寒证用萆薢分清饮，该方由萆薢、石菖蒲、乌药、益智仁、甘草、茯苓组成；治疗湿热证用珍珠粉丸，该方由炒黑干姜、炒黄柏、滑石、青黛、炒神曲、炒椿皮、蛤粉组成。
【注】赤浊带下属热证的，适宜使用清心莲子饮，该方记载于淋证门。白浊带下属寒证的，适宜使用萆薢分清饮，即由萆薢、石菖蒲、乌药、益智仁、甘草、茯苓组成。赤白浊带下属湿热证的，适宜使用珍珠粉丸，即由炒黑干姜、炒黄柏、滑石、青黛、炒神曲、炒椿皮、蛤粉组成。
黑锡丹
黑锡丹适用于上盛下虚之冷证，症见精竭阳虚、虚火上攻；上部壅滞导致头痛、痰气上逆，下部漏泄导致浊带、白淫、遗精。方中包含补骨脂、小茴香、葫芦巴、肉豆蔻、肉桂、附子、木香、金樱子、沉香、阳起石、巴戟天，以及硫黄和黑铅，需依法炮制并仔细研磨。
【注】赤白浊带下属虚寒证的，以及虚阳上攻引起的头痛、喘咳、痰壅气逆等症，均适宜使用黑锡丹。该方由补骨脂、小茴香、葫芦巴、肉豆蔻、附子、肉桂、木香、金樱子、沉香、阳起石、巴戟天、硫黄、黑铅组成。
阴气盛则为饮，阳气盛则为痰；痰质稠浊属热，沫清稀属寒；燥痰量少且粘连难咯，湿痰量多易出，风痰则引起抽搐眩晕。痰饮停聚膈间引起胸膈满闷、呕吐的，称为伏饮；痰饮停聚肺部引起喘咳、面肿、难以平卧的，称为支饮；水饮流注四肢引起身体疼痛的，称为溢饮；咳嗽牵引胁肋疼痛的，称为悬饮；素日形体丰盛如今突然消瘦，肠间有水声漉漉作响的，称为痰饮（狭义）。水饮停留于肺胸，则出现喘促、短气、口渴；水饮停留于心下（胃脘），则出现心悸、背心寒冷。
【注】饮邪性质清稀，所以归为阴盛。痰邪性质稠浊，所以归为阳盛。质地稠浊，是热痰，归属于心。泡沫清稀，是寒痰，归属于肾。量少且粘连、难以咯出的，是燥痰，归属于肺。量多且容易排出的，是湿痰，归属于脾。抽搐眩晕，是风痰，归属于肝。膈上痰满，呕吐痰涎，这是饮邪留于膈间，名为伏饮。喘咳、面肿、不能平卧，这是饮邪留于肺，名为支饮。水饮流注四肢，身体沉重疼痛，这是饮邪流布于体表，名为溢饮。咳嗽牵引胁肋疼痛，这是饮邪留于胁下，名为悬饮。素日丰盛如今消瘦，肠间漉漉有声，水流走于肠间，这是饮邪留于肠胃，名为痰饮。凡是饮邪停留于胸肺，就会出现喘满、短气而口渴。饮邪停留于膈下，就会出现心下悸动或背心寒冷。
二陈汤、燥痰汤
治疗各类痰证用橘红、半夏、茯苓、甘草（即二陈汤），唯独燥痰证不适用此方。风痰加南星、白附子；热痰加黄芩、黄连；寒痰加肉桂、干姜；气痰合用四七汤（厚朴、苏叶）；郁证生痰加香附；气虚有痰加入人参、白术（即六君子汤）；湿痰加入苍术。治疗燥痰用燥痰汤，由枯黄芩、旋覆花、海浮石、天冬、橘红、风化芒硝、枳壳、桔梗、贝母、栝蒌霜组成。
【注】所谓“诸痰”，指一切痰证，都适宜用二陈汤治疗。该方由橘红、半夏、茯苓、甘草组成。因为茯苓、半夏性味过于渗利燥湿，所以与燥痰证不相适宜。根据本方，风痰加南星、白附子，热痰加黄芩、黄连，寒痰加干姜、肉桂，气痰加浓朴、苏叶即是合用四七汤，因郁结生痰加香附，气虚有痰加入人参、白术即为六君子汤，湿痰加苍术。燥痰适宜使用燥痰汤，即由枯黄芩、旋覆花、海浮石、天冬、橘红、风化芒硝、枳壳、桔梗、贝母、栝蒌霜组成。
茯苓指迷丸
茯苓、风化芒硝、枳壳、半夏组成的茯苓指迷丸，是治疗痰饮的平和之剂。对于寒实型痰饮，可用瓜蒂散催吐或用透罗丹攻下；对于热实型痰饮，在膈上可用大陷胸汤或丸，在三焦可用小胃丹攻逐。
【注】指迷丸，是治疗一切痰饮的平和药剂，由茯苓、风化芒硝、枳壳、半夏组成。痰饮属寒实证的，用瓜蒂散涌吐，或用透罗丹泻下。热实证，在膈上用大陷胸汤或丸剂，在三焦用小胃丹攻逐。
半夏茯苓汤加丁香汤、越婢加术汤、控涎丹、苓桂术甘汤、神佑丸、葶苈大枣汤、十枣汤、小青龙汤
留饮证用控涎丹、茯苓、桂枝治疗；伏饮实证用神佑丸，虚证用半夏茯苓汤加丁香治疗；支饮用葶苈大枣汤，悬饮用十枣汤治疗；溢饮有热者用越婢加术汤，即麻黄、石膏、甘草、生姜、大枣加苍术；有寒者用小青龙汤治疗。
【注】留饮，是指一切饮邪停留于上下、内外。实证用控涎丹攻逐，虚证用苓桂术甘汤温化。伏饮实证用神佑丸，虚证用半夏三钱、茯苓二钱、丁香一钱、生姜三钱煎服治疗，即半夏茯苓汤加丁香。支饮用葶苈大枣汤治疗，悬饮用十枣汤治疗。溢饮有热者用越婢加术汤，即麻黄、石膏、甘草、生姜、大枣加苍术。有寒者用小青龙汤治疗。
Zhuo disease (Turbid Discharge) presents with clear and white urine from the essence orifice, while turbid matter resembling pus causes pain within the yin. Redness and heat indicate exhaustion of essence and blood failing to transform; whiteness and cold indicate turbid essence formed by damp-heat.
[Note] Redness mostly belongs to Heat patterns, but there are cases where prolonged turbid discharge exhausts essence and Yang deficiency fails to transform into white, belonging to Cold patterns. Whiteness mostly belongs to Cold patterns, but there are cases where failed essence ferments due to damp-heat, turning white and belonging to Heat patterns. Therefore, one cannot generally judge red and white turbid discharge solely by Cold or Heat.
Qingxin Lianzi Yin (Clear Heart Lotus Seed Decoction), Bixie Fenqing Yin (Dioscorea Hypoglauca Separating Turbidity Decoction), Zhenzhu Fen Wan (Pearl Powder Pill).
For Zhuo Heat patterns, use Qingxin Lianzi Yin. For Cold patterns, use Bixie Fenqing Yin, which consists of Bixie (Dioscorea Hypoglauca Rhizome), Shichangpu (Acori Tatarinowii Rhizoma), Wuyao (Linderae Radix), Yizhi (Alpiniae Oxyphyllae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), and Fuling (Poria). For Damp-Heat patterns, use Zhenzhu Fen Wan, which consists of Chao Hei Jiang (Charred Black Ginger), Chao Huangbai (Charred Phellodendri Cortex), Huashi (Talcum), Qingdai (Indigo Naturalis), Chao Shenqu (Charred Mass Medicamentii Fermentati), Chao Chunpi (Charred Toosendan Cortex), and Gafen (Concha Meretricis et Cyprinis).
[Note] For red turbid discharge belonging to Heat patterns, Qingxin Lianzi Yin is suitable (recorded in the Lin Syndrome section). For white turbid discharge belonging to Cold patterns, Bixie Fenqing Yin is suitable, composed of Bixie, Shichangpu, Wuyao, Yizhi, Gancao, and Fuling. For red and white turbid discharge belonging to Damp-Heat patterns, Zhenzhu Fen Wan is suitable, composed of charred black ginger, charred phellodendri cortex, talcum, indigo naturalis, charred mass medicamentii fermentati, charred toosendan cortex, and concha meretricis et cyprinis.
Heixi Dan (Black Tin Pill).
Heixi Dan applies to Upper Excess and Lower Deficiency Cold patterns, characterized by exhausted essence, Yang deficiency, and deficient Fire attacking upward; upper congestion causing headache and rebellious Phlegm-Qi; lower leakage causing turbid discharge, Baiyin (white seminal emission), and spermatorrhea. The formula contains Buguzhi (Psoraleae Fructus), Xiaohuixiang (Foeniculi Fructus), Huluba (Trigonellae Semen), Roukou (Myristicae Semen), Guizhi (Cinnamomi Ramulus), Fuzi (Aconiti Lateralis Radix Praeparata), Muxiang (Aucklandiae Radix), Jinyingzi (Rosae Laevigatae Fructus), Chenxiang (Aquilariae Lignum Resinatum), Yangqishi (Actinoliti Fibrosus et Actinoliti Radiatus), Bajitian (Morindae Officinalis Radix), as well as Liuhuang (Sulfur) and Heiqian (Plumbum), which must be processed according to method and finely ground.
[Note] For red and white turbid discharge belonging to Deficient-Cold patterns, as well as symptoms caused by deficient Yang attacking upward such as headache, wheezing and coughing, Phlegm congestion, and Qi rebellion, Heixi Dan is suitable. It consists of Buguzhi, Xiaohuixiang, Huluba, Roukou, Fuzi, Guizhi, Muxiang, Jinyingzi, Chenxiang, Yangqishi, Bajitian, Liuhuang, and Heiqian.
Yin excess generates Yin (Fluid Retention), Yang excess generates Tan (Phlegm); thick and turbid Tan indicates Heat, clear foam indicates Cold. Dry Tan is scanty, sticky, and difficult to expectorate; Wet Tan is abundant and easy to expel; Wind Tan causes tremors and vertigo. Tan-Yin stagnating in the diaphragm causing fullness and vomiting is called Fu Yin (Hidden Fluid). Tan-Yin stagnating in the lungs causing wheezing, coughing, facial edema, and difficulty lying flat is called Zhi Yin (Supporting Fluid). Water fluid flowing into the four limbs causing body pain is called Yi Yin (Overflowing Fluid). Cough pulling胁肋 pain is called Xuan Yin (Hanging Fluid). Sudden emaciation despite previous robustness, with gurgling sounds of water moving in the intestines, is called Tan Yin (Phlegm-Fluid, specific sense). Fluid retention in the chest and lungs causes wheezing, shortness of breath, and thirst; fluid retention below the diaphragm causes palpitations under the heart and coldness in the back.
[Note] Yin (Fluid) is clear and thin, thus attributed to Yin excess. Tan (Phlegm) is thick and turbid, thus attributed to Yang excess. Thick and turbid Tan is Heat Tan, associated with the Heart. Clear and foamy Tan is Cold Tan, associated with the Kidney. Scanty, sticky, and difficult to expectorate Tan is Dry Tan, associated with the Lung. Abundant and easy-to-expel Tan is Wet Tan, associated with the Spleen. Tremors and vertigo are Wind Tan, associated with the Liver. Fullness above the diaphragm and vomiting of saliva/phlegm indicate Yin retained in the diaphragm, named Fu Yin. Wheezing, coughing, facial edema, and inability to lie flat indicate Yin retained in the Lung, named Zhi Yin. Fluid flowing into the four limbs causing heavy and painful body indicates Yin flowing on the body surface, named Yi Yin. Cough pulling胁肋 pain indicates Yin retained under the胁肋, named Xuan Yin. Previous robustness now emaciated, with gurgling sounds and water moving in the intestines, indicates Yin retained in the stomach and intestines, named Tan Yin. Whenever Yin retains in the chest and lungs, it causes wheezing, fullness, shortness of breath, and thirst. When Yin retains below the diaphragm, it causes palpitations under the heart or coldness in the back.
Erchen Tang (Two-Aged Decoction), Zaotan Tang (Dry Phlegm Decoction).
For various Tan types, use Ju Hong (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), Fuling (Poria), and Gancao (Glycyrrhizae Radix et Rhizoma) [Erchen Tang]; however, this is not suitable for Dry Tan. Add Nanxing (Arisaematis Cum Bile) and Baifuzi (Typhonii Rhizoma) for Wind Tan; add Huangqin (Scutellariae Radix) and Huanglian (Coptidis Rhizoma) for Heat Tan; add Rougui (Cinnamomi Cortex) and Ganjiang (Zingiberis Rhizoma) for Cold Tan; combine with Siqi Tang (Houpo and Suzye) for Qi Tan; add Xiangfu (Cyperi Rhizoma) for Tan generated by Stagnation; add Renshen (Ginseng Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma) for Qi deficiency with Tan (Liujunzi Tang); add Cangzhu (Atractylodis Rhizoma) for Wet Tan. For Dry Tan, use Zaotan Tang, composed of Ku Huangqin (Scutellariae Radix), Xuanshu Hua (Inulae Flos), Haishi (Pietritum), Tiandong (Asparagi Radix), Ju Hong (Citri Reticulatae Pericarpium), Fenghua Mangxiao (Natrii Sulfas exsiccatus), Zhike (Aurantii Fructus Immaturus), Jiegeng (Platycodonis Radix), Beimu (Fritillariae Bulbus), and Gualou Shuang (Trichosanthis Fructus Pulvis).
[Note] "Various Tan" refers to all Phlegm syndromes, which are suitable for treatment with Erchen Tang, consisting of Ju Hong, Banxia, Fuling, and Gancao. Because Fuling and Banxia have overly penetrating and drying properties, they are not suitable for Dry Tan. Based on this formula: add Nanxing and Baifuzi for Wind Tan; add Huangqin and Huanglian for Heat Tan; add Ganjiang and Rougui for Cold Tan; add Houpo and Suzye for Qi Tan (combining with Siqi Tang); add Xiangfu for Tan due to Stagnation; add Renshen and Baizhu for Qi deficiency with Tan (forming Liujunzi Tang); add Cangzhu for Wet Tan. Zaotan Tang is suitable for Dry Tan, composed of Ku Huangqin, Xuanshu Hua, Haishi, Tiandong, Ju Hong, Fenghua Mangxiao, Zhike, Jiegeng, Beimu, and Gualou Shuang.
Fuling Zhimi Wan (Poria Confusing-Dissipating Pill).
Fuling Zhimi Wan, composed of Fuling (Poria), Fenghua Mangxiao (Natrii Sulfas exsiccatus), Zhike (Aurantii Fructus Immaturus), and Banxia (Pinelliae Rhizoma), is a mild agent for treating Tan-Yin. For Cold-Excess Tan-Yin, use Genti San (Cathartics) to induce vomiting or Touluo Dan to purge. For Heat-Excess, use Daxiongxiong Tang or Wan (Major Chest-Harshening Decoction/Pill) for the diaphragm, and Xiaoweidan (Minor Stomach-Purging Pill) for the Triple Burner.
[Note] Zhimi Wan is a mild preparation for treating all Tan-Yin, consisting of Fuling, Fenghua Mangxiao, Zhike, and Banxia. For Cold-Excess Tan-Yin, use Genti San to vomit or Touluo Dan to purge. For Heat-Excess, use Daxiongxiong Tang or Wan in the diaphragm, and Xiaoweidan in the Triple Burner.
Banxia Fuling Tang plus Dingxiang Tang, Yuespi Jia Zhu Tang, Kongyan Dan, Linggui Zhugan Tang, Shenyao Wan, Tingli Dazao Tang, Shizao Tang, Xiao Qinglong Tang.
Retained Yin is treated with Kongyan Dan, Fuling, and Guizhi. Hidden Yin Excess is treated with Shenyao Wan; Hidden Yin Deficiency is treated with Banxia Fuling Tang plus Dingxiang. Supporting Yin is treated with Tingli Dazao Tang; Hanging Yin is treated with Shizao Tang. Overflowing Yin with Heat is treated with Yuespi Jia Zhu Tang (Mahuang, Shigao, Gancao, Shengjiang, Dazao plus Cangzhu); Overflowing Yin with Cold is treated with Xiao Qinglong Tang.
[Note] Retained Yin refers to any Yin fluid retained internally or externally, superior or inferior. For Excess patterns, use Kongyan Dan to purge; for Deficiency patterns, use Linggui Zhugan Tang to warm. For Hidden Yin Excess, use Shenyao Wan; for Hidden Yin Deficiency, use 3 qian Banxia, 2 qian Fuling, 1 qian Dingxiang, and 3 qian Shengjiang decocted and taken orally, which is Banxia Fuling Tang plus Dingxiang. Supporting Yin is treated with Tingli Dazao Tang; Hanging Yin is treated with Shizao Tang. Overflowing Yin with Heat is treated with Yuespi Jia Zhu Tang, consisting of Mahuang, Shigao, Gancao, Shengjiang, Dazao, plus Cangzhu. Overflowing Yin with Cold is treated with Xiao Qinglong Tang.