严氏曰∶巢氏《病源》论妇人有三十六疾者，七 、八瘕、九痛、十二带下也（凡巢氏所论，不可稽者
什九，即此言，亦无延医之法，何可凭也）。而
带下不显其证，今人唯知赤白二带耳，此由劳伤冲任，风冷据于胞络。妇人平居，血欲常多
，气欲常少，百疾不生。或气倍（倍字作滞字看）于血，气倍生寒，血不化赤，遂成白带。若气平血少，血少
生热，血不化红，遂成赤带。寒热交并，则赤白俱下（二句透彻），其脉右手尺浮，浮为阳，阳绝者无
子。若足冷带下，轻则漏下，甚则崩中，皆心不荣血，肝不藏血所致（宗脉经语）。其脉寸口弦而大，弦
则为减，大则为芤，减为寒，芤为虚，寒虚相搏，其脉为革，主半产漏下。又尺寸脉虚者漏
血，漏血脉浮者，不可治。
产宝云∶带下三十六疾者，是十二 、九痛、七害、五伤、三固，谓之三十六
疾也（虽分三十六种，总是冷热微甚所致。故后人只以赤白二 总之）。十二 者，是所下之物，一者如膏，二者如
青血，三者如紫汁，四如赤皮，五如
脓痂，六如豆汁，七如葵羹，八如凝血，九如清血似水，十如米泔，十一如月浣，十二如经
度不应期也。九痛者，一阴中痛，二阴中淋痛，三小便痛，四寒冷痛，五月来时腹痛，六气
满来时足痛，七汗出阴中如虫啮痛，八胁下皮痛，九腰痛。七害者，一害食，二害气，三害
冷，四害劳，五害房，六害妊，七害睡。五伤者，一窍孔痛，二寒冷痛，三小腹痛，四脏不
仁，五子门不正引背痛。三固者，月水闭塞不通，其余二者，文缺不载，而仲景所说，三十
六种疾，皆由子脏冷热劳损，而夹下起于阴内也。
严氏说：巢元方在《诸病源候论》中论述妇人有三十六种疾病，包括七瘕、八瘕（腹部结块）、九痛和十二带下（凡属巢氏所论述的内容，不可信据的占十分之九；即使是这里的说法，也没有提供就医治疗的方法，怎么能作为依据呢）。而且原文中没有明确描述带下的具体证候，现在的人只知道有赤带和白带两种，这主要是由于劳累损伤了冲脉和任脉（冲脉和任脉为调节月经及生殖功能的重要经脉），导致风冷邪气占据胞宫络脉。妇女平时居住时，血液应当常多，气机应当常少，这样百病才不会发生。如果气机比血多得多（“倍”字可理解为“滞”），气盛则生寒，血液不能化为红色，于是形成白带。如果气机平和而血少，血少则生热，血液不能化为红色，于是形成赤带。寒热邪气交杂并见，则赤带和白带同时出现（这两句话分析得很透彻）。此时脉象右手尺部浮，浮脉属阳，阳气绝者难以受孕。如果出现足冷且伴有带下，轻则表现为经血淋漓不断，重则发生崩中（大量阴道出血），这都是因为心不能濡养血液、肝不能贮藏血液所致（引用自《脉经》的观点）。其脉象寸口部弦而大，弦脉表示阳气衰减，大脉表示中空如葱管（芤脉），衰减主寒，中空主虚，寒与虚相互搏结，脉象变为革脉，主半产（小产）或经血淋漓不止。另外，尺寸两部脉象虚弱的，主漏血；漏血脉象浮的，属于难治之症。
《产宝》说：带下三十六疾，是指十二瘕、九痛、七害、五伤、三固，合称为三十六疾（虽然分为三十六种，但总是由冷热邪气的轻重程度不同所致。所以后人只以赤带和白带来概括）。十二瘕，是指排出的分泌物形态：第一种像膏脂，第二种像青色血液，第三种像紫色汁液，第四种像赤色皮屑，第五种像脓痂，第六种像豆汁，第七种像葵菜羹，第八种像凝固的血块，第九种像清水样的血，第十种像米泔水，第十一种像月经期排出的污血，第十二种是经期已过但仍有经血排出，即月经周期不规律。九痛，指：一是阴中疼痛，二是阴中淋沥疼痛，三是小便疼痛，四是寒冷引起的疼痛，五是月经来时腹痛，六是气胀满时足部疼痛，七是出汗时阴中如有虫咬般的疼痛，八是胁下皮肤疼痛，九是腰痛。七害，指：一害食（进食后不适），二害气（情绪郁结不适），三害冷（受寒不适），四害劳（劳累后不适），五害房（性生活后不适），六害妊（怀孕后不适），七害睡（睡眠中不适）。五伤，指：一是孔窍疼痛，二是寒冷疼痛，三是小腹痛，四是脏腑感觉迟钝麻木，五是子门不正牵引背部疼痛。三固，指：月经闭塞不通，其余两种情况，因文献缺失未记载。而张仲景所说的三十六种疾病，都是由子宫冷热失调、劳损引起，并且病变起始于阴内。
Yan stated: Chao Yuanfang's *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases) discusses thirty-six diseases in women, including seven types of *xia* (abdominal masses), eight types of *jia* (abdominal masses), nine types of pain, and twelve types of leukorrhea. (Most of what Chao described is unreliable; even this statement lacks methods for seeking medical treatment, so it cannot be relied upon.) Moreover, the original text does not clearly specify the manifestations of leukorrhea. Nowadays, people only know of red and white leukorrhea. This condition arises from labor injury to the Chong and Ren vessels (the Penetrating Vessel and Conception Vessel, which regulate menstruation and reproduction), allowing wind-cold pathogens to occupy the collaterals of the uterus. In daily life, a woman's blood should be abundant while qi should be relatively scarce, preventing various diseases. If qi significantly exceeds blood (the character "bei" can be interpreted as "stagnation"), excess qi generates cold, and blood fails to transform into red, resulting in white leukorrhea. If qi is balanced but blood is deficient, deficiency of blood generates heat, and blood fails to transform into red, resulting in red leukorrhea. When cold and heat intertwine, both red and white leukorrhea occur simultaneously (these two sentences provide a thorough analysis). The pulse at the right chi position is floating. A floating pulse indicates yang; if yang is exhausted, conception is impossible. If cold feet accompany leukorrhea, mild cases present as dripping bleeding (lou xia), while severe cases present as uterine bleeding (beng zhong). These are caused by the Heart failing to nourish blood and the Liver failing to store blood (quoting the *Mai Jing*). The pulse at the cunkou position is wiry and large. Wiry indicates decline, and large indicates hollow (kou); decline signifies cold, and hollow signifies deficiency. Cold and deficiency interacting result in a leather-like pulse (ge mai), indicating miscarriage or persistent dripping bleeding. Furthermore, deficiency pulses at both cun and chi positions indicate leaking blood; if the pulse in leaking blood cases is floating, it is incurable.
The *Chan Bao* states that the thirty-six leukorrhea diseases refer to twelve types of *xia*, nine types of pain, seven types of harm, five types of injury, and three types of fixation, collectively called the thirty-six diseases. (Although divided into thirty-six types, they all stem from varying degrees of cold and heat. Hence, later generations summarized them simply as red and white leukorrhea.) The twelve types of *xia* refer to the appearance of discharged substances: 1. like paste, 2. like green blood, 3. like purple juice, 4. like red skin flakes, 5. like pus crusts, 6. like bean soup, 7. like mallow broth, 8. like clotted blood, 9. like clear water mixed with blood, 10. like rice wash water, 11. like menstrual dregs, 12. like menstruation extending beyond its proper period. The nine types of pain are: 1. pain in the yin, 2. dripping pain in the yin, 3. painful urination, 4. pain due to cold, 5. abdominal pain during menstruation, 6. foot pain when qi distension occurs, 7. pain in the yin like insect bites when sweating, 8. pain in the hypochondriac skin, 9. lower back pain. The seven types of harm are: 1. harm from food, 2. harm from qi stagnation, 3. harm from cold, 4. harm from labor, 5. harm from sexual intercourse, 6. harm from pregnancy, 7. harm from sleep. The five types of injury are: 1. pain in the orifices, 2. pain from cold, 3. lower abdominal pain, 4. insensitivity of the zang organs, 5. misalignment of the zi men (cervix/os) pulling on the back. The three types of fixation are: closure and obstruction of menstruation. The other two types are missing from the text. Zhang Zhongjing stated that the thirty-six diseases all arise from cold-heat imbalance and damage to the zi zang (uterus), originating within the yin.