【脉因】 湿热结于肺，津液涌溢，入小肠为赤，入大肠为白。然任脉自胞上过
，带脉贯于脐
上，冲、任、督三脉同起而异行，一源而三歧，皆络带脉，统于篡户。因余经往来，遗热
于带脉之间。热者，血也。血积多日不流，从金之化，即为白淫。治法同湿证，以十枣、禹
功降火流湿之剂良矣。
因痰积下流，渗入膀胱，肥人多有之。二陈汤，加升提为主。
【证治】 三阳其气俱欲竭，血海将枯，滑物下流。其有一切虚寒之证，脉洪大
而涩，按之全无，宜以温养之。
李先生之酒煮当归丸，治此证。血虚多加四物；气虚多加参、术；滑甚者，以龙骨、赤
石脂涩之。
外有虫唇疮，亦淋露白汁。
小胸丸 治湿热带下，下之；苦楝丸调之。
苦楝（酒浸） 茴香（炒） 当归（等分）
酒糊丸，梧子大，酒下。腰腿痛，加四物四两、羌活、防风各一两。虚加参、 、甘草
，或加白芍。
酒煮当归丸 治一切虚证。上中下元气俱竭，哕呕不止，胃虚之极，脉洪大无力
，按之空虚或不鼓，皆中寒之证。
当归（一两） 茴香（半两） 黑附（炮） 良姜（各七钱）
上四味锉细，以酒一升半，煮至酒尽，焙干炒黄。
盐 丁香 苦楝（生） 甘草（炙，各半两） 全蝎（三钱） 柴胡（二钱） 升麻（一钱） 木
香（一钱） 玄胡（四钱）
上九味，同前酒煮四味，俱末，酒煮面糊丸，空心淡醋汤送下。
固真丸 治脐腹冷痛，目中溜火，此皆寒湿乘其胞内，汁轻伏火。
白石脂（一钱，以火烧赤，水飞，研细末） 白龙骨（一钱，二味以枯以湿） 干姜（炮，
四钱，泻寒水） 黄柏（半钱，因用引导） 柴胡（《本经》使一钱） 当归（一钱，和血脉）
白芍（半钱，导之） 人参 黄 （虚甚加之）
上白石、龙骨水飞研细外，余同极细，水煮面丸鸡头大，日干，空心汤下，以膳压之。
忌生冷
、油腻、湿面。血海将枯，加白葵花（七朵）、郁李仁（润燥而滋津液）；不思饮食，加五味子
。
《衍义》方 治白脓带下，此肠胃有脓也。去尽脓自安。
红葵根 白芷 赤芍药 白矾
蜡丸，米饮下。
又方 治白带、白浊，以黄荆子炒焦为末，酒下。
张用瓜蒂散吐寒痰升气；导水丸下湿热；甘露散调之，利湿热。
燥湿痰方 治肥人。
海石 半夏 南星（治痰） 黄柏（治湿痰） 苍术（燥湿痰） 川芎（升之） 椿皮 香附（
调气） 牛膝（风痛加之）
刮热方 治瘦人。
黄柏（相火） 滑石 椿皮 川芎 黄连（性躁）
滑者，加龙骨，加石脂；滞者，加葵花；血虚，加四物。甚用吐下。吐用二陈加苍术；
下用白术；调治，神 丸。
【脉因】湿热之邪结聚于肺，导致津液涌溢外泄。若热邪随津液进入小肠，则带下色赤；若进入大肠，则带下色白。然而，任脉从胞宫上行，带脉横贯于脐上，冲脉、任脉、督脉这三条经脉同起于胞中而走向不同，同源而异流，均联络带脉，统摄于前阴部位。由于其他经络的气血往来，将余热遗留在带脉之间。所谓“热”，即指血分有热。血液积聚多日不流动，受金气（燥）的转化影响，就变成了白色的淫浊之物（白淫）。治疗原则与湿证相同，使用十枣汤、禹功散等降火利湿的方剂效果良好。
若是因痰积下行，渗入膀胱所致，多见于肥胖之人。治疗以二陈汤为主，并加入升提药。
【证治】三阳经之气都欲衰竭，血海即将枯竭，导致滑腻之物下流。如果伴有所有虚寒的症状，脉象洪大但涩滞，重按完全无力，适宜用温补滋养的方法治疗。
李先生的酒煮当归丸，用于治疗此证。若血虚严重，多加四物汤；若气虚严重，多加人参、白术；若滑脱严重者，用龙骨、赤石脂来收敛固涩。
此外，若有虫蚀引起的唇疮，也会淋露出白色汁液。
苦楝丸组成：苦楝（酒浸）、茴香（炒）、当归（以上三味等分）。
制法与用法：用酒糊制成梧桐子大小的丸剂，酒送服。若伴有腰腿痛，加四物汤四两、羌活一两、防风一两。若属虚证，加人参、[此处原文缺字，推测为黄芪或类似补气药]、甘草，或加白芍。
酒煮当归丸：治疗一切虚证。上中下三焦元气俱竭，呃逆呕吐不止，胃气极度虚弱，脉象洪大但无力，重按空虚或不跳动，这些都是中寒的证候。
组成：当归（一两）、茴香（半两）、黑附子（炮制）、良姜（各七钱）。
制法：以上四味药切碎，用一升半酒，煮至酒尽，焙干后炒黄。
另组：盐、丁香、苦楝（生用）、甘草（炙，各半两）、全蝎（三钱）、柴胡（二钱）、升麻（一钱）、木香（一钱）、玄胡索（四钱）。
制法与用法：以上九味药，与前四味酒煮过的药一起研成细末，用酒煮面糊制成丸剂，空腹时用淡醋汤送服。
固真丸：治疗脐腹部冷痛，眼中感觉如火焰流淌，这都是寒湿侵袭胞宫内部，汁液轻浮潜伏在火中的表现。
组成：白石脂（一钱，火烧红后水飞研细末）、白龙骨（一钱，这两味药需分别处理，枯者去湿，湿者去枯？注：原文“以枯以湿”语意不明，通常指炮制方法，此处直译）、干姜（炮制，四钱，用于泻除寒水）、黄柏（半钱，作为引经药）、柴胡（《本经》记载用量为一钱）、当归（一钱，调和血脉）、白芍（半钱，引导药力）、人参、黄芪（虚损严重时加入）。
制法与用法：除白石脂和龙骨用水飞法研细外，其余药物极细研磨混合，用水煮面糊制成鸡头米大小的丸剂，日晒干燥，空腹时汤药送服，服药后进食食物以压住药力。
禁忌：忌食生冷、油腻、湿面。若血海将枯，加白葵花（七朵）、郁李仁（润燥并滋润津液）；若食欲不振，加五味子。
《衍义》方：治疗白带如脓，这是因为肠胃中有脓液。排尽脓液自然安宁。
组成：红葵根、白芷、赤芍药、白矾。
制法与用法：制成蜡丸，米饮送服。
又一方：治疗白带、白浊，将黄荆子炒焦研末，酒送服。
张氏用瓜蒂散催吐以排出寒痰并提升气机；用导水丸攻下湿热；用甘露散调理，通利湿热。
燥湿痰方：治疗肥胖之人。
组成：海浮石、半夏、南星（治痰）、黄柏（治湿痰）、苍术（燥湿痰）、川芎（升提药力）、椿皮、香附（调气）、牛膝（若兼风痛可加）。
刮热方：治疗瘦人。
组成：黄柏（清相火）、滑石、椿皮、川芎、黄连（性躁烈）。
若滑脱严重，加龙骨、赤石脂；若气滞，加葵花；若血虚，加四物汤。病情严重者需用吐法或下法。吐法用二陈汤加苍术；下法用白术；调理治疗用神效丸（原文“神 丸”缺字，依语境推测）。
[Pulse and Etiology] Damp-heat pathogenic factors accumulate in the Lung, causing body fluids to surge and overflow. If the heat enters the Small Intestine along with the fluids, leukorrhea will be red; if it enters the Large Intestine, leukorrhea will be white. However, the Ren Mai (Conception Vessel) ascends from the uterus, and the Dai Mai (Girdle Vessel) passes horizontally above the umbilicus. The Chong Mai (Penetrating Vessel), Ren Mai, and Du Mai (Governor Vessel) originate from the same source but follow different paths, forming one source with three branches. They all connect with the Dai Mai and are governed by the genital region. Due to the circulation of other meridians, residual heat is left in the Dai Mai. "Heat" here refers to blood heat. Blood that accumulates for many days without flowing transforms under the influence of Metal (dryness), becoming white turbid discharge (Bai Yin). The treatment principle is the same as for dampness syndromes; using formulas such as Shizao Tang (Ten Date Decoction) or Yugong San (Yu Gong Powder) to descend fire and drain dampness is effective.
If caused by phlegm accumulation flowing downward and infiltrating the Bladder, this condition is common in obese individuals. Treat primarily with Erchen Tang (Two Aged Herbs Decoction) combined with herbs that lift Qi.
[Syndrome and Treatment] When the Qi of the Three Yang meridians is about to exhaust and the Sea of Blood is nearly depleted, slippery substances flow downward. If accompanied by all deficiency-cold symptoms, with a pulse that is large and choppy but empty upon deep pressure, warm nourishment should be applied.
Mr. Li's Jiuzhu Danggui Wan (Wine-Boiled Angelica Pill) treats this syndrome. If blood deficiency is severe, add Siwu Tang (Four Substances Decoction); if Qi deficiency is severe, add Renshen (Ginseng) and Baizhu (Atractylodes Macrocephala Rhizome); if sliding/loss of control is severe, use Longgu (Dragon Bone) and Chishizhi (Red Halloysite) to astringe.
Additionally, if there are ulcerative sores caused by parasites, white fluid may also leak out.
Xiaoxiong Wan (Small Chest Pill): Treats damp-heat leukorrhea; administer first to purge, then regulate with Kulian Wan (Toosendan Pill).
Kulian Wan Composition: Tulianpi (Evodia Fruit, soaked in wine), Huixiang (Fennel Seed, stir-fried), Danggui (Angelica Sinensis Root) in equal parts.
Preparation and Administration: Make pills the size of mulberry seeds using wine paste, take with wine. For lower back and leg pain, add Siwu Tang (4 liang), Qianghuo (Notopterygium Root), Fangfeng (Saposhnikovia Root) each (1 liang). For deficiency, add Renshen (Ginseng), [missing character, likely Huangqi], Gancao (Licorice Root), or add Baishao (White Peony Root).
Jiuzhu Danggui Wan (Wine-Boiled Angelica Pill): Treats all deficiency syndromes. Exhaustion of Yuan Qi in the Upper, Middle, and Lower Jiao, incessant hiccups and vomiting, extreme Stomach Qi deficiency, pulse large but forceless, empty or non-pulsating upon pressure, all indicate Cold in the Middle Jiao.
Composition: Danggui (Angelica Sinensis Root, 1 liang), Huixiang (Fennel Seed, 0.5 liang), Heifu Zi (Black Aconite Root, processed), Liangjiang (Galangal Rhizome, each 7 qian).
Preparation: Finely chop the four ingredients, boil in 1.5 sheng of wine until the wine is exhausted, dry by baking, and stir-fry until yellow.
Additional Ingredients: Yan (Salt), Dingxiang (Clove), Kulian (Toosendan Fruit, raw), Gancao (Licorice Root, honey-fried, each 0.5 liang), Quanxie (Scorpion, 3 qian), Chaihu (Bupleurum Root, 2 qian), Shengma (Cimicifuga Rhizome, 1 qian), Muxiang (Aucklandia Root, 1 qian), Yanzhusu (Corydalis Rhizome, 4 qian).
Preparation and Administration: Grind the nine additional ingredients together with the previously wine-boiled four ingredients into powder. Make pills using wine and wheat paste, take on an empty stomach with light vinegar soup.
Guzhen Wan (Solidify True Pill): Treats cold pain in the umbilical and abdominal regions and sensation of fire streaming in the eyes. These are caused by Cold-Damp invading the interior of the uterus, where fluids float lightly and latent fire resides.
Composition: Baishi Zhi (White Halloysite, 1 qian, fired red and wet-ground to fine powder), Bailonggu (Dragon Bone, 1 qian, processed appropriately), Ganjiang (Dried Ginger, processed, 4 qian, to drain cold water), Huangbai (Phellodendron Bark, 0.5 qian, as a guiding herb), Chaihu (Bupleurum Root, 1 qian according to Ben Jing), Danggui (Angelica Sinensis Root, 1 qian, to harmonize blood vessels), Baishao (White Peony Root, 0.5 qian, to guide), Renshen (Ginseng), Huangqi (Astragalus Root, add if deficiency is severe).
Preparation and Administration: Except for Baishi Zhi and Bailonggu which are wet-ground finely, grind the rest extremely fine. Mix with water and wheat paste to make pills the size of corn kernels. Sun-dry and take on an empty stomach with decoction, followed by food to suppress the pill.
Contraindications: Avoid raw/cold foods, greasy foods, and damp noodles. If the Sea of Blood is nearly depleted, add Bai Kuihua (White Hibiscus Flower, 7 flowers) and Yuliren (Prunus Armeniaca Kernel, to moisten dryness and nourish fluids). If appetite is poor, add Wuweizi (Schisandra Berry).
Yanyi Formula (from *Yanyi*): Treats leukorrhea resembling pus, indicating pus in the intestines and stomach. Once the pus is cleared, peace returns.
Composition: Hongkuigen (Hibiscus Root), Baizhi (Angelica Dahurica Root), Chishaoyao (Red Peony Root), Baifan (Alum).
Preparation and Administration: Make wax pills, take with rice drink.
Another Formula: Treats leukorrhea and white turbidity. Stir-fry Huangjingzi (Vitex Fruit) until charred, grind to powder, and take with wine.
Zhang used Gouti San (Melon Seed Powder) to induce vomiting to expel cold phlegm and raise Qi; used Daoshui Wan (Water-Guiding Pill) to purge damp-heat; used Ganlu San (Sweet Dew Powder) to regulate and promote urination to clear damp-heat.
Zaoshi Tan Fang (Dry Damp-Phlegm Formula): Treats obese individuals.
Composition: Haishi (Flint), Banxia (Pinellia Tuber), Nanxing (Arisaema Rhizome, treats phlegm), Huangbai (Phellodendron Bark, treats damp-phlegm), Cangzhu (Atractylodes Lancea Rhizome, dries damp-phlegm), Chuanxiong (Ligusticum Rhizome, raises Qi), Chunpi (Toona Leaf Bark), Xiangfu (Cyperus Rhizome, regulates Qi), Niuxi (Achyranthes Root, add if wind-pain is present).
Kuare Fang (Scrape Heat Formula): Treats thin individuals.
Composition: Huangbai (Phellodendron Bark, clears ministerial fire), Huashi (Talcum), Chunpi (Toona Leaf Bark), Chuanxiong (Ligusticum Rhizome), Huanglian (Coptis Rhizome, pungent/hot nature).
If sliding/severe leakage, add Longgu (Dragon Bone) and Shizhi (Halloysite); if stagnation, add Kuihua (Hibiscus Flower); if blood deficiency, add Siwu Tang (Four Substances Decoction). For severe cases, use emesis or purgation. Emesis uses Erchen Tang (Two Aged Herbs Decoction) plus Cangzhu (Atractylodes Lancea Rhizome); purgation uses Baizhu (Atractylodes Macrocephala Rhizome); regulation uses Shen [missing character] Wan (Divine Pill).