脉经云∶妇人带下、六极之病，脉浮则为肠鸣腹满，紧则为腹中痛，数则为阴中痒
，痛则生疮，弦则阴中掣痛。妇人带下，脉浮恶寒者不治。（带下不治症）
清白散 治白带。（得丹溪法，然配四物，似与瘦人多火者相宜）
当归 川芎 白芍药（炒） 生地黄 黄柏（盐水炒） 樗根皮（酒炒 ） 贝母（各一钱） 干
姜（炒黑） 甘草（各五分）
上锉。加生姜三片，水煎（黄柏清下焦之热，樗皮燥下部之湿，干姜从火，甘草和中，若贝母者，必有所兼症
也）。肥白人多湿痰，加白术、半夏；赤带，加酒炒条芩、荆芥；
久下，加熟地黄、牡蛎；气虚，加人参、黄 ；腰腿酸痛，加鹿角胶，或只以二陈汤加苍、
白术；如升膀胱之湿，加升麻、柴胡、苍、白术。（非升膀胱之湿，盖气陷之湿也）
解带散 治血气不调，湿热白带，四肢倦怠，五心烦热，痰郁嘈杂。（此大家法）
当归身（酒洗） 香附子（醋炒，各一钱五分） 白芍药（酒炒） 白术（土炒，各一钱二分） 苍
术白茯苓 陈皮（去白） 牡丹皮（各一钱） 川芎 玄胡索（各八分） 甘草（炙，四分）
上锉一剂。加生姜水煎，空心服。
樗皮丸 治赤白带，有湿热者。（以下四方，皆丹溪独造，均以清湿热为主，故用椿皮黄柏，然芍药收肝火，
良姜为从治而烧灰之法，独超于诸方，奇哉）
芍药（五钱） 良姜（三钱，烧灰） 黄柏（二钱，俱烧成灰） 椿根皮（一两五钱）
上为末，粥丸桐子大。每服四五十丸，空心米饮下。
胜湿丸 治赤白带，因湿热胜而下者。
苍术（盐炒） 白芍药 滑石（炒，各一两） 椿根皮（炒，一两） 干姜（煨，二钱） 地榆（五钱）
枳壳（炒） 甘草（各三钱）
上为末，粥丸桐子大。空心米饮下一百丸。（干姜一方用二两，似误。）（此方加苍术以燥中宫；地榆以温下部；枳
壳宽气于上；滑石利湿于下；干姜从而燥湿也，用二两者非）
苍曲樗皮丸 治带下。（主于胃中湿热，故立方如此）
椿根皮（二两） 芍药（一两半） 苍术 神曲（炒） 麦皮曲（炒） 黄柏（炒，各一两） 滑石 枳
壳（各半两）
上为末，粥丸桐子大。每服五十丸，空心米饮下。
侧柏樗皮丸 治白带因七情所伤，而脉数者。（以脉数，为用黄连、侧柏，不用苍术，为其燥性多也，烧白芷
入阳明，而有涩止之能，白术补中气而有培土之妙，其他不言喻矣）
椿根皮（炒，二两） 香附子（醋炒） 白芍药 白术（炒，各一两） 侧柏叶（酒蒸） 黄连（炒）
黄柏（炒，各半两） 白芷（烧存性，三钱）
上粥丸，桐子大。米饮下七十丸。
按椿根皮性凉而燥湿，热盛者宜之，后一方有黄连、香附、木香，故可治七情所伤。
苦楝丸 治赤白带下甚妙。（下部痛者尤宜）
苦楝（碎，酒浸） 香（炒，一方大茴香） 当归（各等分）
上为末，酒和丸，如桐子大。每服三五十丸，空心温酒下。瘀血，加桃仁；血海寒，加
桂。如腰腿疼，四物汤四钱加羌活、防风各一钱，煎汤送下。
四神丸 治带下。（此方温燥，非有热所宜）
香附（四制，八两） 苍术（泔浸，牡蛎粉炒） 椿根皮（蜜水炒） 砂仁（炒，各二两）
上为末，黄米煮饭丸，桐子大。每服五六十丸，空心酒下。
以上诸方俱轻剂。
万安散 治女人赤白带下，或出白物如脂，或有臭浊污水，并神效。（此利气温行之剂，与寒湿相宜）
小茴香（炒香） 木香（各二钱半） 黑牵牛（一两，另取头末）
上为细末，以生姜自然汁调二钱，临卧服。取尽恶物为效，未尽间日再服二钱，后以白
粥补之。忌热毒物。
大圣万安散 治女人 瘕癖气，腹胀胸满，赤白带下，久患血气虚弱，萎黄无力，
并休息赤白痢疾，并皆治之，其效不可具述。孕妇不可服，天阴晦不可服。
白术 木香 胡椒（各二钱半） 陈皮（去白） 黄 桑白皮 木通（各五钱） 白牵牛（炒，
取头末，二两）
上为末。每服二钱，用生姜五片，水一钟半，煎至一钟去姜，调药临卧服，须臾又用姜
汤或温白汤，饮三五口催之，平明可行三五次，取下恶物及臭污水为度，后以白粥补之。服
药不可食晚饭及荤酒等物。（二方皆燥热下气导水之药，惟真寒湿者宜之）
宣明导水丸 治湿热郁于下焦之分，赤白带下不止，燥热烦渴。（清热渗湿导滞，妙在气血两分）
大黄 黄芩（各二两） 牵牛（头末） 滑石（各四两）
上为末，水丸如桐子大。每服四五十丸，滚水下，随证加减。
以上诸方俱重剂。
《脉经》记载：妇女带下病，属于“六极”病症之一。若脉象浮，则伴有肠鸣、腹部胀满；脉象紧，则腹中疼痛；脉象数，则阴部瘙痒，疼痛处生疮；脉象弦，则阴部有牵引性疼痛。妇女患带下病，若脉浮且恶寒，属于难治之症。（这是带下病的不治之证）
清白散：治疗白带。（此方得自朱丹溪之法，但配伍了四物汤，似乎适合阴虚火旺的瘦人服用）
药材：当归、川芎、白芍药（炒）、生地黄、黄柏（盐水炒）、樗根皮（酒炒）、贝母（各一钱）；干姜（炒黑）、甘草（各五分）。
制法与用法：将药物捣碎。加入生姜三片，加水煎煮。（注：黄柏清下焦之热，樗皮燥下部之湿，干姜温中助阳，甘草调和脾胃，至于贝母，则是针对兼夹症状而设。）形体肥白者多湿痰，加白术、半夏；赤带，加酒炒的黄芩、荆芥；久病不止，加熟地黄、牡蛎；气虚，加人参、黄芪；腰腿酸痛，加鹿角胶，或者仅用二陈汤加苍术、白术；若是提升膀胱之气以祛湿，加升麻、柴胡、苍术、白术。（并非提升膀胱之湿，而是提升下陷之气以祛湿）
解带散：治疗气血不调，湿热引起的白带，四肢倦怠，五心烦热，痰郁导致的嘈杂感。（这是大家常用的法则）
药材：当归身（酒洗）、香附子（醋炒，各一钱五分）；白芍药（酒炒）、白术（土炒，各一钱二分）；苍术、白茯苓、陈皮（去白）、牡丹皮（各一钱）；川芎、玄胡索（各八分）；甘草（炙，四分）。
制法与用法：将药物捣碎为一剂量。加入生姜，加水煎煮，空腹服用。
樗皮丸：治疗赤白带下，属湿热证者。（以下四方，均为朱丹溪独创，均以清除湿热为主，故使用椿皮、黄柏。然而芍药收敛肝火，良姜作为从治药并采用烧灰的方法，其法独超于其他方剂，颇为奇特）
药材：芍药（五钱）、良姜（三钱，烧成灰）、黄柏（二钱，均烧成灰）、椿根皮（一两五钱）。
制法与用法：研为细末，用米粥制成梧桐子大小的丸药。每次服用四五十丸，空腹用米饮送服。
胜湿丸：治疗因湿热偏盛而导致的赤白带下。
药材：苍术（盐炒）、白芍药、滑石（炒，各一两）；椿根皮（炒，一两）；干姜（煨，二钱）；地榆（五钱）；枳壳（炒）、甘草（各三钱）。
制法与用法：研为细末，用米粥制成梧桐子大小的丸药。空腹用米饮送服一百丸。（另一版本干姜用二两，似乎是错误的。）（此方加苍术以燥中焦脾土之湿；地榆以温补下部；枳壳在上部宽理气机；滑石在下部利湿；干姜辅助燥湿。用二两干姜是不对的）
苍曲樗皮丸：治疗带下。（主要针对胃中湿热，故如此组方）
药材：椿根皮（二两）、芍药（一两半）、苍术、神曲（炒）、麦皮曲（炒）、黄柏（炒，各一两）；滑石、枳壳（各半两）。
制法与用法：研为细末，用米粥制成梧桐子大小的丸药。每次服用五十丸，空腹用米饮送服。
侧柏樗皮丸：治疗因七情所伤导致脉数的白带。（因为脉数，所以用黄连、侧柏，而不用苍术，因为苍术燥性太大。烧白芷入阳明经，具有涩止的作用；白术补中气，有培土的功效，其余不言自明）
药材：椿根皮（炒，二两）、香附子（醋炒）、白芍药、白术（炒，各一两）；侧柏叶（酒蒸）、黄连（炒）、黄柏（炒，各半两）；白芷（烧存性，三钱）。
制法与用法：用米粥制丸，梧桐子大小。米饮送服七十丸。
按语：椿根皮性凉而能燥湿，热盛者适宜。后一方含有黄连、香附、木香，故可治疗七情所伤。
苦楝丸：治疗赤白带下效果极佳。（下部疼痛者尤其适宜）
药材：苦楝（捣碎，酒浸）、香附（炒，一方用大茴香）、当归（各等分）。
制法与用法：研为细末，用酒和丸，梧桐子大小。每次服用三五十丸，空腹用温酒送服。若有瘀血，加桃仁；血海寒冷，加桂枝。若腰腿疼，用四物汤四钱加羌活、防风各一钱，煎汤送下。
四神丸：治疗带下。（此方温燥，不适合有热证者）
药材：香附（四制，八两）、苍术（泔水浸，牡蛎粉炒）、椿根皮（蜜水炒）、砂仁（炒，各二两）。
制法与用法：研为细末，用黄米煮饭为丸，梧桐子大小。每次服用五六十丸，空腹用酒送服。
以上诸方均为轻剂。
万安散：治疗妇女赤白带下，或排出白色如脂样的物体，或有臭浊污水，均有神效。（此为利气温行之剂，适宜寒湿证）
药材：小茴香（炒香）、木香（各二钱半）、黑牵牛（一两，另取头末）。
制法与用法：研为细末，用生姜自然汁调服二钱，临睡前服用。以排尽恶物为见效，若未排尽，隔日再服二钱，之后用白粥调养。忌食热毒之物。
大圣万安散：治疗妇女瘕癖气（腹内结块），腹胀胸满，赤白带下，久病导致气血虚弱，面色萎黄无力，以及休息痢（时发时止的赤白痢疾），均可治疗，疗效不可详尽描述。孕妇不可服用，天气阴雨晦暗时不可服用。
药材：白术、木香、胡椒（各二钱半）；陈皮（去白）、黄芪、桑白皮、木通（各五钱）；白牵牛（炒，取头末，二两）。
制法与用法：研为细末。每次服用二钱，用生姜五片，水一碗半，煎至一碗，去掉姜片，调匀药粉，临睡前服用。片刻后又喝几口姜汤或温开水以催动药力，天亮后可排便三四次，以排出恶物及臭污水为度，之后用白粥调养。服药期间不可吃晚饭及荤腥酒类。（这两方都是燥热、下气、导水的药物，只有真正的寒湿证才适宜）
宣明导水丸：治疗湿热郁结于下焦，导致赤白带下不止，伴有燥热烦渴。（清热渗湿导滞，妙在气血两分调理）
药材：大黄、黄芩（各二两）、牵牛子（头末）、滑石（各四两）。
制法与用法：研为细末，用水泛丸，梧桐子大小。每次服用四五十丸，滚水送服，随证加减。
以上诸方均为重剂。
The *Mai Jing* (Pulse Classic) states: For women with leukorrhea, which is one of the "Six Extremes" diseases, a floating pulse indicates intestinal murmurs and abdominal fullness; a tight pulse indicates abdominal pain; a rapid pulse indicates itching in the vagina, with sores forming where it hurts; a wiry pulse indicates pulling pain in the vagina. If a woman with leukorrhea has a floating pulse and aversion to cold, it is considered difficult to treat. (This is an untreatable syndrome of leukorrhea).
Qingbai San (Clear White Powder): Treats white leukorrhea. (This formula derives from Zhu Danxi's method, but combined with Siwu Tang, it seems suitable for thin individuals prone to deficiency fire.)
Herbs: Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma), Baishao Yao (Fried Paeoniae Radix Alba), Sheng Dihuang (Rehmanniae Radix Recens), Huangbai (Salt-water fried Phellodendri Cortex), Chugenpi (Wine-fried Ailanthi Cortex), Beimu (each 1 qian); Ganjiang (Charred dried ginger), Gancao (each 0.5 qian).
Preparation and Administration: Crush the herbs. Add three slices of fresh ginger, decoct in water. (Note: Huangbai clears heat from the lower jiao; Chugenpi dries dampness in the lower part; Ganjiang warms the middle and assists yang; Gancao harmonizes the spleen and stomach. Beimu is included to address concurrent symptoms.) For obese individuals with much phlegm-damp, add Baizhu (Atractylodis Macrocephalae Rhizoma) and Banxia (Pinelliae Rhizoma); for red leukorrhea, add wine-fried Huangqin (Scutellariae Radix) and Jingjie (Schizonepetae Herba); for chronic cases, add Shudihuang (Prepared Rehmanniae Radix) and Muli (Ostreae Concha); for qi deficiency, add Renshen (Ginseng Radix et Rhizoma) and Huangqi (Astragali Radix); for soreness and pain in the waist and legs, add Lujiaojiao (Colla Cornus Cervi), or simply use Erchen Tang (Two-Cured Decoction) plus Cangzhu (Atractylodis Rhizoma) and Baizhu; if the goal is to raise bladder qi to dispel dampness, add Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix), Cangzhu, and Baizhu. (It is not raising bladder dampness, but raising sunken qi to dispel dampness.)
Jiedai San (Leukorrhea-Relieving Powder): Treats irregular qi and blood, damp-heat-induced white leukorrhea, fatigue in the four limbs, five-palm heat, and dyspepsia due to phlegm stagnation. (This is a standard method used by masters.)
Herbs: Dangguishen (Wine-washed Angelicae Sinensis Radix), Xiangfuzi (Vinegar-fried Cyperi Rhizoma, each 1.5 qian); Baishao Yao (Wine-fried Paeoniae Radix Alba), Baizhu (Earth-fried Atractylodis Macrocephalae Rhizoma, each 1.2 qian); Cangzhu (Atractylodis Rhizoma), Baifuling (Poria), Chenpi (Tangerine Peel, pith removed), Mudanpi (Moutan Cortex, each 1 qian); Chuanxiong (Chuanxiong Rhizoma), Yanhusuo (Corydalis Rhizoma, each 0.8 qian); Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma, 0.4 qian).
Preparation and Administration: Crush for one dose. Add fresh ginger, decoct in water, and take on an empty stomach.
Chupi Wan (Toona Pill): Treats red and white leukorrhea due to damp-heat. (The following four formulas are all unique creations of Zhu Danxi, focusing primarily on clearing damp-heat, thus using Chunpi [Toona sinensis bark] and Huangbai. However, Shaoyao [Paeoniae Radix] astringes liver fire, and Liangjiang [Alpiniae Officinarum Rhizoma] is used as an adjunctive agent charred to ash, a method superior to other formulas, quite remarkable.)
Herbs: Shaoyao (Paeoniae Radix, 5 qian), Liangjiang (Alpiniae Officinarum Rhizoma, 3 qian, charred to ash), Huangbai (Phellodendri Cortex, 2 qian, both charred to ash), Chun Genpi (Ailanthi Radicis Cortex, 1 liang 5 qian).
Preparation and Administration: Grind into fine powder, make pills with rice porridge the size of paulownia seeds. Take 40-50 pills per dose, on an empty stomach with rice water.
Shengshi Wan (Dampness-Overcoming Pill): Treats red and white leukorrhea caused by excessive damp-heat.
Herbs: Cangzhu (Salt-fried Atractylodis Rhizoma), Baishao Yao (Fried Paeoniae Radix Alba), Huashi (Fried Talcum, each 1 liang); Chun Genpi (Fried Ailanthi Radicis Cortex, 1 liang); Ganjiang (Roasted Dried Ginger, 2 qian); Diyü (Sanguisorbae Radix, 5 qian); Zhiqiao (Fried Aurantii Fructus), Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma, each 3 qian).
Preparation and Administration: Grind into fine powder, make pills with rice porridge the size of paulownia seeds. Take 100 pills on an empty stomach with rice water. (Another version uses 2 liang of Ganjiang, which seems erroneous.) (This formula adds Cangzhu to dry dampness in the middle jiao; Diyü to warm the lower part; Zhiqiao to regulate qi in the upper part; Huashi to promote urination and drain dampness in the lower part; Ganjiang assists in drying dampness. Using 2 liang of Ganjiang is incorrect.)
Cangqu Chupi Wan (Atractylodes, Yeast, and Toona Pill): Treats leukorrhea. (Primarily targets damp-heat in the stomach, hence this formulation.)
Herbs: Chun Genpi (Ailanthi Radicis Cortex, 2 liang), Shaoyao (Paeoniae Radix, 1.5 liang), Cangzhu (Atractylodis Rhizoma), Shenqu (Fermented Mass, fried), Maipi Qu (Wheat Bran Fermented Mass, fried), Huangbai (Phellodendri Cortex, fried, each 1 liang); Huashi (Talcum), Zhiqiao (Aurantii Fructus, each 0.5 liang).
Preparation and Administration: Grind into fine powder, make pills with rice porridge the size of paulownia seeds. Take 50 pills per dose, on an empty stomach with rice water.
Cebei Chupi Wan (Platycladi and Toona Pill): Treats white leukorrhea caused by emotional injury, indicated by a rapid pulse. (Because the pulse is rapid, Huanglian [Coptidis Rhizoma] and Cebeiye [Platycladi Cacumen] are used instead of Cangzhu, as Cangzhu is too drying. Burning Baizhi [Angelicae Dahuricae Radix] enters the Yangming meridian and has astringent properties; Baizhu tonifies middle qi and strengthens the spleen, the rest being self-evident.)
Herbs: Chun Genpi (Fried Ailanthi Radicis Cortex, 2 liang), Xiangfuzi (Vinegar-fried Cyperi Rhizoma), Baishao Yao (Fried Paeoniae Radix Alba), Baizhu (Fried Atractylodis Macrocephalae Rhizoma, each 1 liang); Cebeiye (Wine-steamed Platycladi Cacumen), Huanglian (Fried Coptidis Rhizoma), Huangbai (Fried Phellodendri Cortex, each 0.5 liang); Baizhi (Burnt to retain nature, Angelicae Dahuricae Radix, 3 qian).
Preparation and Administration: Make pills with rice porridge, size of paulownia seeds. Take 70 pills with rice water.
Commentary: Chun Genpi is cool in nature and dries dampness, suitable for excess heat. The latter formula contains Huanglian, Xiangfu, and Muxiang, making it suitable for emotional injuries.
Kelian Wan (Melia Pill): Excellent for treating red and white leukorrhea. (Especially suitable for pain in the lower part.)
Herbs: Kelian (Meliae Semen, crushed, soaked in wine), Xiangfu (Cyperi Rhizoma, fried; one version uses Da Huixiang [Illicii Fructus]), Danggui (Angelicae Sinensis Radix, equal parts).
Preparation and Administration: Grind into fine powder, mix with wine to form pills the size of paulownia seeds. Take 30-50 pills per dose, on an empty stomach with warm wine. For blood stasis, add Taoren (Persicae Semen); for cold in the Blood Sea, add Guizhi (Cinnamomi Ramulus). For waist and leg pain, take 4 qian of Siwu Tang (Four Substances Decoction) plus 1 qian of Qianghuo (Notopterygii Rhizoma et Radix) and Fangfeng (Saposhnikoviae Radix), decocted in water to swallow the pills.
Sishen Wan (Four Gods Pill): Treats leukorrhea. (This formula is warm and drying, not suitable for heat syndromes.)
Herbs: Xiangfu (Four-process processed Cyperi Rhizoma, 8 liang), Cangzhu (Soaked in rice water, fried with Oyster Shell Powder), Chun Genpi (Fried with honey water), Sharen (Cardamomi Fructus, fried, each 2 liang).
Preparation and Administration: Grind into fine powder, make pills with yellow millet cooked rice, size of paulownia seeds. Take 50-60 pills per dose, on an empty stomach with wine.
The above formulas are all light agents.
Wan'an San (Ten Thousand Peace Powder): Treats women with red and white leukorrhea, or discharge of white substance like fat, or foul turbid fluid, with miraculous effects. (This is a formula for promoting qi circulation and warming, suitable for cold-damp syndromes.)
Herbs: Xiaohuixiang (Stellariae Fructus, fried until fragrant), Muxiang (Aucklandiae Radix, each 2.5 qian), Hei Qianniu (Black Pharbitis Seed, 1 liang, separately taken head powder).
Preparation and Administration: Grind into fine powder. Mix 2 qian with natural juice of fresh ginger, take before bed. Effect is achieved when foul matter is expelled completely. If not fully expelled, take another 2 qian every other day, followed by nourishment with white rice porridge. Avoid hot and toxic foods.
Dasheng Wan'an San (Great Sage Ten Thousand Peace Powder): Treats women with zhang ji mass (abdominal masses), abdominal distension and chest fullness, red and white leukorrhea, chronic qi and blood deficiency leading to sallow complexion and weakness, and intermittent red and white dysentery. All can be treated, with effects indescribable. Pregnant women should not take it; do not take it on cloudy or rainy days.
Herbs: Baizhu (Atractylodis Macrocephalae Rhizoma), Muxiang (Aucklandiae Radix), Hujiao (Piperis Longi Fructus, each 2.5 qian); Chenpi (Tangerine Peel, pith removed), Huangqi (Astragali Radix), Sangbaipi (Mori Cortex), Mutong (Akebiae Caulis, each 5 qian); Bai Qianniu (White Pharbitis Seed, fried, head powder taken, 2 liang).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose. Use five slices of fresh ginger and 1.5 zhong of water, decoct to 1 zhong, remove ginger, mix with medicine, and take before bed. Shortly after, drink 3-5 mouthfuls of ginger soup or warm plain water to induce action. By dawn, bowel movements will occur 3-5 times. Stop when foul matter and turbid fluid are expelled, then nourish with white rice porridge. Do not eat dinner or consume meat/alcohol during medication. (Both formulas are drying, heating, qi-moving, and water-draining drugs, suitable only for true cold-damp syndromes.)
Xuanming Dao Shui Wan (Xuanming Water-Guiding Pill): Treats damp-heat stagnating in the lower jiao, causing persistent red and white leukorrhea, accompanied by dryness, heat, irritability, and thirst. (Clears heat, promotes diuresis to drain dampness, and guides out stagnation, ingeniously addressing both qi and blood levels.)
Herbs: Dahuang (Rhei Radix et Rhizoma), Huangqin (Scutellariae Radix, each 2 liang), Qianniu (Pharbitidis Semen, head powder), Huashi (Talcum, each 4 liang).
Preparation and Administration: Grind into fine powder, make water pills the size of paulownia seeds. Take 40-50 pills per dose with boiling water, adjust according to symptoms.
The above formulas are all heavy agents.