李氏曰∶带下有虚寒带腥臭者，因小水淋沥不已（淋漓不已属虚寒，然亦有虚热者），
或崩中暴下，或产后去血过多，以致
阴亏阳竭，荣气不升，经脉凝涩，卫气下陷，精气累滞于下焦，蕴积而成。白滑如涕，下流
腥臭者，黄 建中汤去桂加当归水煎，吞苦楝丸；久不止，脐腹引阴冷痛者，东垣固真丸；
虚中有火者，补经固真汤、大乌鸡丸常用；气虚四君子汤，血虚四物汤，有火加黄柏，有寒
加桂附。寒始因亡血复亡其阳，阳气虚极，带下腥臭，多悲不乐（阳虚故悲不乐），桂附汤；腹痛阴冷者，四
物汤加桂附，常用酒煮当归丸、小乌鸡丸、琥珀调经丸。
韩氏曰（飞霞医案）∶山妻年三十余，十八胎，九 八夭，会先君松潘难作，贱兄弟皆西奔，妻
惊忧过甚，遂昏昏不省人事，口唇舌皆疮，或至封喉，下部虚脱，白带如注，如此四十余日
，或时少醒，至欲自缢，自悲不能堪。医或投凉剂解其上，则下部疾愈甚，或投热剂，及以
汤药熏蒸其下，则热晕欲绝。四弟还，脉之，始知为亡阳证也，大哭曰，宗嗣未立，几误杀
吾嫂。急以盐煮大附子九钱为君（用热远热，此从治也，非具确见者，不能用。惜不言脉），
制以薄荷防风，佐以姜桂芎归之属，水煎，入井水冷与之
，未尽剂，鼾鼻熟睡通宵，觉即能识人。时止一嗣，子二女，相抱痛哭 ，疏戚皆悲。执友赵
宪长惊曰，君何术也？弟曰∶方书有之，假对假，真对真尔，上乃假热，故以假冷之药从之
，下乃真冷，故以真热之药反之，斯上下和而病解矣（有产后下泻，上则口舌喉疮，医以理中丸，用紫雪为衣服之，
两病皆愈，亦真对真，假对假之意）。继后，主以女金丹，错综以二三方，
不但去其疾，且调治元气。庚午生一子，今应袭也，壬申生一子，去年又患疟疾十三月，亦
主以养元气，调生气（元气是先天真气，生气是后天谷气），待饮食大进，然后劫以毒药，
吐下块物甚多，投以附子汤三钱而愈。
不责效旦暮间，其用女金丹，即胜金丸也（女金丹能令老妇妊娠，方古盖载而赋之），
得之异人，倍加香附，而视气血之偏者，又加姜
黄条芩，倍川芎之属，取效甚多。予念无子者，往往有之。翻思予得子之难，其苦何如，乃
次第录其方并女金丹以济人云。（女金丹，即胜金丸，方见求子）
李氏说：带下病中有虚寒且伴有腥臭气味的，是因为小便淋漓不尽（淋漓不尽多属虚寒，但也有属于虚热的情况），或者发生崩中暴下（突然大量的阴道出血），或者产后失血过多，导致阴液亏损、阳气衰竭，营气不能上升，经脉凝滞涩阻，卫气下陷，精气积聚滞留于下焦，蕴结而成。白带滑腻如鼻涕，流出时带有腥臭味，用黄耆建中汤去掉桂枝，加入当归，用水煎服，同时吞服苦楝丸；如果久治不愈，出现脐腹部牵引阴部冷痛的症状，用东垣固真丸；如果是虚证中兼有火邪的，常用补经固真汤、大乌鸡丸；如果是气虚的，用四君子汤，血虚的用四物汤，如果有火加黄柏，有寒加肉桂、附子。寒证起初是因为亡血又亡其阳，阳气极度虚弱，带下腥臭，患者多悲伤不乐（因为阳虚所以悲伤不乐），用桂附汤；腹痛且阴部寒冷的，用四物汤加肉桂、附子，常用酒煮当归丸、小乌鸡丸、琥珀调经丸。
韩氏说（飞霞医案）：我的妻子三十多岁，生育十八胎，九个孩子夭折，八个存活。恰逢先父在松潘遭遇战乱，我和兄弟们向西奔逃，妻子惊恐忧虑过度，于是昏迷不省人事，口唇舌头都生疮，甚至堵塞咽喉，下部虚脱，白带如注般流出，这种情况持续了四十多天。她偶尔稍微清醒，甚至想自缢，自己悲痛得难以忍受。有的医生给她投用凉剂来解除上部的热症，结果下部的疾病更加严重；有的医生投用热剂，并用汤药熏蒸她的下部，结果导致热晕几乎断气。我的四弟回来诊脉后，才知道这是亡阳证，大哭道：“宗族后代尚未确立，差点误杀了我的嫂子。”急忙用盐炒的大附子九钱作为君药（使用热药避开热象，这是从治法，没有确切见识的人不能用。可惜没有记录脉象），用薄荷、防风制约，佐以干姜、肉桂、川芎、当归之类的药物，水煎煮，冷却到井水的温度后喂服。药还没喝完，她就打鼾熟睡了一整夜，醒来就能认识人了。当时只有一个儿子，两个女儿，大家抱着痛哭，远近亲戚都很悲伤。挚友赵宪长惊讶地问：“您用什么法术呢？”我说：“医书上有记载，假对假，真对真罢了。上部是假热，所以用假冷的药顺从其势；下部是真寒，所以用真热的药逆治其本，这样上下调和而病就解除了。（曾有产后腹泻，上部则口舌喉部生疮，医生用理中丸，外面裹紫雪服用，两种病都好了，也是真对真、假对假的意思。）”随后，以女金丹为主方，错综结合二三个方剂，不仅去除了疾病，而且调理元气。庚午年生了一个儿子，现在应该承袭爵位；壬申年又生了一个儿子，去年患疟疾长达十三个月，也以养元气、调生气为主（元气是先天的真气，生气是后天的谷气），等到饮食大量增加后，然后用猛烈的毒药攻伐，吐出和泻下的块状物很多，最后投用附子汤三钱而痊愈。
不指望在早晚之间见效，使用女金丹，就是胜金丸（女金丹能让绝经后的妇女怀孕，古老的方书中有所记载并赋诗赞美），是从异人那里得到的，加倍使用香附，并根据气血偏颇的情况，再加姜黄、黄芩条，加倍川芎之类的药物，取得疗效的非常多。我考虑到无子的情况，往往存在这种现象。回想我得到儿子的艰难，其中的痛苦如何，于是依次记录下这些方子和女金丹来救济世人。（女金丹，即胜金丸，方剂见求子篇）
Li stated: In leukorrhea (leukorrhea) cases involving deficiency-cold with a fishy odor, the etiology is often continuous dribbling of urine (continuous dribbling usually indicates deficiency-cold, though deficiency-heat is also possible), or sudden severe metrorrhagia (sudden heavy vaginal bleeding), or excessive blood loss postpartum. This leads to Yin depletion and Yang exhaustion, failure of Ying Qi (nutritive qi) to ascend, stagnation and obstruction of the meridians, sinking of Wei Qi (defensive qi), and accumulation of essence and turbidity in the Lower Jiao (Lower Burner), resulting from entrapment and accumulation. If the discharge is white, slippery like mucus, and flows out with a fishy odor, treat with Huangqi Jianzhong Tang (Astragalus Decoction for Building the Middle) minus Cinnamon Twig, plus Angelica Sinensis, decocted in water, taken while swallowing Kulian Wan (Toosendan Fruit Pill). If it persists for a long time accompanied by cold pain radiating from the umbilicus and abdomen to the yin region, use Dongyuan Guzhen Wan (Dongyuan's Pill to Secure True Qi). For deficiency with internal heat, commonly use Bu Jing Gu Zhen Tang (Decoction to Tonify Channels and Secure True Qi) or Da Wuji Wan (Large Black Chicken Pill). For Qi deficiency, use Sijunzi Tang (Four Gentlemen Decoction); for Blood deficiency, use Siwu Tang (Four Substance Decoction). Add Phellodendron Bark if there is heat; add Cinnamon Twig and Aconite Root if there is cold. The cold pattern initially arises from losing blood and then losing Yang, leading to extreme Yang deficiency. Leukorrhea with a fishy odor is often accompanied by sadness and unhappiness (due to Yang deficiency); treat with Guifu Tang (Cinnamon and Aconite Decoction). For abdominal pain with coldness in the yin region, use Siwu Tang plus Cinnamon Twig and Aconite Root; commonly employ Jiuzhu Danggui Wan (Wine-Boiled Angelica Pill), Xiao Wuji Wan (Small Black Chicken Pill), or Hupo Tiaojing Wan (Amber Menstruation-Regularizing Pill).
Han stated (Feixia Medical Case): My wife was over thirty years old, having given birth eighteen times, with nine children dying young and eight surviving. Coinciding with the turmoil at Songpan involving my late father, my brothers and I fled westward. Overwhelmed by fear and anxiety, she fell into a coma, developed sores on her lips, tongue, and throat, sometimes blocking the airway, suffered from lower body collapse, and had profuse leukorrhea flowing like a stream. This state lasted for more than forty days. She occasionally regained consciousness but felt such despair she considered suicide, unable to bear her suffering. Some physicians administered cooling agents to clear upper heat, which worsened the lower pathology; others administered heating agents and fumigated the lower body with herbal decoctions, causing her to faint from heat. When my fourth brother returned and took her pulse, he identified this as a syndrome of Yang collapse, crying out, "The family line is not yet established; we almost killed my sister-in-law." He urgently prescribed Da Fuzi (Prepared Aconite Root) nine qian, salt-fried, as the sovereign herb (using hot herbs to counteract heat symptoms is a 'following treatment' method, requiring precise diagnosis; unfortunately, the pulse description is missing). It was moderated with Mint and Saposhnikovia Root, assisted by Dried Ginger, Cinnamon Twig, Ligusticum Chuanxiong, and Angelica Sinensis. The decoction was cooled to well-water temperature before administration. Before finishing the dose, she fell into a deep snoring sleep all night and woke up recognizing people. At that time, she had one son and two daughters; everyone hugged and wept bitterly, and relatives were sorrowful. Her close friend, Commissioner Zhao, exclaimed, "What magic do you possess?" I replied, "Medical texts state: 'Fake matches fake, true matches true.' The upper part presented false heat, so I used false-cooling herbs to follow its nature; the lower part presented true cold, so I used true-heating herbs to oppose it. Thus, the upper and lower harmonized, and the disease resolved. (For instance, a case of postpartum diarrhea with mouth and throat sores was cured using Lizhong Wan coated with Zixue [Purple Snow], illustrating the principle of true-treating-true and fake-treating-fake.)" Subsequently, Nv Jindan (Women's Golden Pill) was used as the main formula, combined intricately with two or three other formulas. This not only eliminated the disease but also regulated Yuan Qi (Primordial Qi). In the Gengwu year, she bore a son who now inherits the title; in the Renshen year, another son was born. Last year, he suffered from malaria for thirteen months; treatment focused on nourishing Yuan Qi and regulating Sheng Qi (Vital Qi derived from food/grain) (Yuan Qi is congenital true Qi; Sheng Qi is acquired grain Qi). Only after dietary intake significantly improved were strong purgative drugs used to expel large amounts of clots. Finally, Fuzi Tang (Aconite Decoction) three qian cured him.
One should not expect immediate results within morning or evening. Using Nv Jindan, which is identical to Shengjin Wan (Victory Gold Pill) (Nv Jindan can induce pregnancy in postmenopausal women, an ancient formula recorded and praised in poetry), obtained from an unusual source. It contains doubled Cyperus Rotundus, and according to Qi and Blood imbalances, adds Turmeric, Scutellaria Baicalensis strips, and doubled Ligusticum Chuanxiong, achieving many successes. I reflect that childlessness is a common issue. Recalling the difficulty and bitterness of my own path to fatherhood, I have sequentially recorded these formulas and Nv Jindan to help others. (Nv Jindan is Shengjin Wan; see the chapter on Seeking Offspring for the formula.)