尝诊一少妇，脐中出水，白腻臭秽，余直断之曰∶是带证也。必素患白带证，问之信夫。脐之为窍不过少泄中焦之
浊气，故其垢臭秽湿可知也。夜睡露脐，能受外寒而腹作痛泻，然未闻有浴于池而水入乎脐为病者，则是脐之为窍，无
形之气可以出入，有形之物不能出入也。今白带乃自脐溢出何哉？盖尝深思之，其故有二，初生之时，断脐带未善，感
寒热之邪，因而不固，一也。然其窍虽不固，亦非他窍可以大开之比，况湿浊之水，又非山溪江河急湍之比，尽可舒徐
曲折，顺下而流，今乃急不及待，横溢而出者，是冲任胞宫之火炽气逆所逼迫而使之者也，二也。治之先降冲任逆气，
壮水而制火，佐以利导之品，所谓先期所急而后期所缓也，名曰导横汤。（〔批〕倘无带证仅患脐中出水，治法亦同。愈
后急宜服后方以补带脉之虚。）
嫩白薇 大生地 炒白芍 白茯苓 贯众炭 生草 鲜石斛 大丹参 粉丹皮 盐泽泻 木耳炭 木通
外敷去湿填窍之药，名曰封脐散。
醋 牡蛎（研） 白及末 侧柏叶（烧灰） 共为末和匀敷之。
待其带愈，经水亦调，无他病，乃服后方以补脐，名曰固脐饮。（〔批〕亦可作丸，但龙骨、牡蛎、龟版须煎浓汁代
水为丸，而龙骨当加余两倍。）
土炒白术 炙当参 白归身 醋 龟版 生草 醋 牡蛎 龙骨 醋白芍 阿胶珠 木耳炭
此方虽名固脐，其实则大补带脉，以带脉周遭束腰而通于脐，脐窍不固，带脉必虚，病且百出，何以受胎，故宜多
服，若常常饮茶汤然，以是而名之曰固脐饮也。
我曾诊治一位年轻妇女，脐部流出液体，质地白腻且气味臭秽。我直接判断说：这是带下病（指阴道或尿道、肛门等部位流出异常分泌物的疾病）。询问后得知她确实长期患有白带过多的病症。肚脐这个孔窍，不过是稍微泄漏中焦脾胃的浊气罢了，所以其污垢臭秽潮湿是可以理解的。夜间睡觉时肚脐外露，能受到外寒侵袭而导致腹部疼痛腹泻，但从未听说过洗澡时水进入肚脐从而致病的，这说明肚脐作为孔窍，无形之气可以出入，而有形的物体不能出入。如今白带却从脐部溢出，这是什么原因呢？经过深思，我认为原因有两个：一是出生时断脐处理不当，感受了寒热邪气，导致此处不坚固，这是一方面。二是虽然这个孔窍不坚固，但也不同于其他孔窍可以大开相比，况且湿浊之水，也非山溪江河急流可比，本应缓慢曲折、顺向下流，如今却急切等待不住，横向溢出，这是因为冲任二脉及胞宫的火气炽盛、气机逆乱所逼迫而导致的，这是另一方面。治疗时先要降低冲任二脉的逆气，滋补肾阴以制约虚火，辅以利湿导浊的药物，这就是所谓“先解决紧急问题，后处理缓和问题”的方法，方名叫做导横汤。（批注：如果没有带下病，仅患脐中出水，治疗方法也相同。痊愈后应立即服用下方的药物来补益带脉的虚弱。）
嫩白薇、大生地、炒白芍、白茯苓、贯众炭、生甘草、鲜石斛、大丹参、粉丹皮、盐泽泻、木耳炭、木通。
外用去湿填塞孔窍的药物，名叫封脐散。
醋煅牡蛎（研末）、白及末、侧柏叶（烧成灰），共研为细末混合均匀敷于患处。
待其带下病痊愈，月经调和，没有其他疾病后，再服用下方的药物来固护脐部，名叫固脐饮。（批注：也可以做成丸药，但龙骨、牡蛎、龟板必须煎煮浓汁代替水来泛丸，且龙骨用量应增加两倍。）
土炒白术、炙党参、当归身、醋炙龟板、生甘草、醋煅牡蛎、龙骨、醋白芍、阿胶珠、木耳炭。
此方虽然名为固脐，其实则是大补带脉。因为带脉环绕腰部并通达脐部，脐部孔窍不坚固，带脉必然虚弱，疾病就会百出，又怎能受孕呢？所以应当多服，像日常饮茶喝水一样经常服用，因此命名为固脐饮。
I once treated a young woman who had fluid exuding from her umbilicus; the discharge was white, greasy, and foul-smelling. I directly diagnosed it as: this is Dai syndrome (a gynecological condition characterized by abnormal vaginal discharge). Upon inquiry, she confirmed that she indeed suffered from chronic leukorrhea (excessive vaginal discharge). The umbilicus is merely an orifice that slightly leaks turbid qi from the Middle Jiao (spleen and stomach), so its filthiness, foul odor, and dampness are understandable. Sleeping with the umbilicus exposed allows external cold to invade, causing abdominal pain and diarrhea; however, it has never been heard of bathing in a pool where water enters the umbilicus to cause disease. This indicates that as an orifice, the umbilicus allows formless Qi to enter and exit, but tangible substances cannot. So why does leukorrhea now overflow from the umbilicus? After deep reflection, I believe there are two reasons: First, at birth, the umbilical cord was not severed properly, allowing cold and heat pathogens to invade, leading to instability—this is the first reason. Second, although this orifice is unstable, it is not comparable to other orifices that can open widely. Moreover, damp-turbid fluids are not like the rapid currents of mountain streams or rivers; they should flow slowly, tortuously, and downward. The fact that it overflows urgently and horizontally suggests it is forced out by the blazing fire and rebellious Qi of the Chong and Ren vessels and the Uterus—this is the second reason. Treatment should first lower the rebellious Qi of the Chong and Ren vessels, nourish Yin to control Fire, and assist with diuretic and draining agents. This is what is meant by "addressing the urgent first and the缓 (slow/chronic) later." The formula is named Dao Heng Tang. (Commentary: If there is no Dai syndrome but only umbilical discharge, the treatment method is the same. After recovery, one should immediately take the following formula to tonify the Dai Mai.)
* *Nen Baiwei* (Radix Clematidis Armandii)
* *Da Shengdi* (Radix Rehmanniae Preparata)
* *Chao Baishao* (Fried Radix Paeoniae Alba)
* *Baifuling* (Poria)
* *Guanzhong Tan* (Carbonized Rhizoma Cibotii)
* *Sheng Cao* (Raw Radix Glycyrrhizae)
* *Xian Shihu* (Fresh Herba Dendrobii)
* *Da Danshen* (Radix Salviae Miltiorrhizae)
* *Fen Danpi* (Cortex Moutan)
* *Yan Zexie* (Salt-processed Rhizoma Alismatis)
* *Mu'er Tan* (Carbonized Tremella)
* *Mutong* (Herba Akebiae Trifoliate)
External application for removing dampness and filling the orifice, named Feng Qi San.
* Vinegar-processed *Muli* (Concha Ostreae, ground)
* *Baiji* powder (Rhizoma Bletillae)
* *Ce Baiye* ash (Cacumen Platycladi, burnt to ash)
Grind all into fine powder, mix evenly, and apply externally.
Once the leukorrhea heals and menstruation becomes regular, with no other illnesses, then take the following formula to consolidate the umbilicus, named Gu Qi Yin. (Commentary: It can also be made into pills, but Longgu, Muli, and Gui Ban must be decocted into a thick liquid to replace water for pill formation, and the dosage of Longgu should be doubled.)
* Earth-fried *Baizhu* (Rhizoma Atractylodis Macrocephalae)
* Roasted *Dangshen* (Radix Codonopsis)
* *Guishen* (Radix Angelicae Sinensis, root part)
* Vinegar-processed *Gui Ban* (Carapax et Plastrum Testudinis)
* *Sheng Cao* (Raw Radix Glycyrrhizae)
* Vinegar-processed *Muli* (Concha Ostreae)
* *Longgu* (Os Draconis)
* Vinegar-processed *Baishao* (Radix Paeoniae Alba)
* *Ejiao Zhu* (Pellets of Colla Corii Asini)
* *Mu'er Tan* (Carbonized Tremella)
Although this formula is named Gu Qi Yin (Consolidate Umbilicus Decoction), its actual function is greatly tonifying the Dai Mai (Girdle Vessel). Since the Dai Mai surrounds the waist and connects to the umbilicus, if the umbilical orifice is unstable, the Dai Mai must be deficient, leading to various diseases and inability to conceive. Therefore, it should be taken frequently, like drinking tea or water daily, hence the name Gu Qi Yin.