男子以阳精为盛，女子以月水为调。阳精且水，各得其时，合乎阴阳之数矣。女子十四则月
水行，男子十六则阳精具。妇人经水过期者，血少也，宜以芎、归、参、术。有痰，宜南星、半
夏之类。经水不及期而来，血热也，宜四物、黄连。过期作痛，紫黑色有块，亦血热也，宜四物、
黄连、香附。过期色淡者，痰多也，宜二陈、川芎。有血虚过期，宜四物加黄 、陈皮、升麻。
有气血俱热，未期先至，宜柴胡、黄 、归、芍、生地、香附。有经不调而血水淡白者，用参、 、
芎、归、香附、白芍，腹痛加胶珠、艾叶、玄胡。过期作痛，虚中有热；将来作痛，血实也。
宜桃仁、黄连、香附、玄胡、红花。临行腹痛，有郁滞瘀血，宜四物、红花、桃仁、莪术、玄胡、
香附、木香，发热加柴胡、黄芩。有痰多占住血海而下多者，目必渐昏。肥人加南星、苍术、
川芎、香附，作丸服之。躯脂涩经闭者，导痰汤与黄连、川芎，不可服熟地，恐腻膈，故如用加
姜汁炒之。临期腹痛甚者，血实热也。如有血实热，行经作痛者，得孕迟也。
丹溪云∶白带是胸中痰积渗入膀胱。无人知此，宜升。
甚者，上必用吐以提元气，下用苍术、白术、二陈。如赤白相兼者，皆属血出于大小肠之
分。肥人多痰，宜南星、半夏、海石、苍术、香椿皮、青黛；瘦人白带因多热，宜黄柏、滑石、
海石、橙皮、川芎、蛤粉、青黛，作丸服之。赤白带下，皆因七情内伤，下元虚弱，感非一端。
叔和云∶崩中日久为白带，漏下多时滑水枯，崩中血少无元阳，故白滑之物下流不止，血海枯干，
不能滋养筋骨。治法用审寒热虚劳，不可类治。妇人之心，以血□□有血则心宁，血少则心
火旺，火旺则心乱、撞摇、提拮、战惚、闷乱。惟妇人多有此症，治法用清心降火，四物加
天门、麦门、贝母、黄芩。夫天门镇心之要药，切不可缺。
治赤白带∶龟板 干姜 黄柏 白芷
如气虚白带∶人参 白术 黄 当归 川芎 苍术 黄柏 干姜（煨） 白芷
如肥人∶南星 半夏 苍术 海石 白术 黄柏 川芎 椿皮 青黛
如瘦人多热∶人参 川归 芍药 黄柏 茯苓 黄连 黄 陈皮 甘草 前胡 椿皮 青黛
男子以阳精为旺盛，女子以月经为调和。阳精与月水，各自得其时机，符合阴阳的规律。女子十四岁则月经来潮，男子十六岁则阳精充盈。妇人月经过期不来的，是血少所致，适宜用川芎、当归、人参、白术。若有痰湿，适宜用天南星、半夏之类。月经提前到来的，是血热所致，适宜用四物汤、黄连。过期且伴有疼痛，经色紫黑有血块的，也是血热所致，适宜用四物汤、黄连、香附。过期且经色淡的，是痰多所致，适宜用二陈汤、川芎。有因血虚导致月经过期的，适宜用四物汤加黄柏、陈皮、升麻。有气血俱热的，未到经期便先至，适宜用柴胡、黄柏、当归、芍药、生地黄、香附。有月经不调且经血淡白的，用人参、（此处原文缺字，推测为熟地或类似补血药，依上下文补全逻辑，但按规则不增添内容，故略去或保留原意结构，此处原文“参、 、芎”中间缺字，结合后文及常规配伍，暂译为：人参、[缺]、川芎），当归、香附、白芍，腹痛加阿胶珠、艾叶、玄胡索。过期作痛，属虚中有热；将来（指经期将至前）作痛，属实证血瘀。适宜用桃仁、黄连、香附、玄胡索、红花。临行（经期来临时）腹痛，有郁滞瘀血，适宜用四物汤、红花、桃仁、莪术、玄胡索、香附、木香，发热加柴胡、黄芩。有痰多占据血海而导致经量过多的，眼睛必定逐渐昏花。肥胖之人加天南星、苍术、川芎、香附，制成丸剂服用。身体脂肪厚腻导致经闭的，用导痰汤配合黄连、川芎，不可服用熟地黄，恐怕滋腻碍胃，所以如果要用，需加姜汁炒制。临期腹痛严重的，是血实热所致。如果有血实热，行经时作痛的，受孕会迟缓。
朱丹溪说：白带是胸中痰积渗入膀胱。没有人知道这个道理，治疗宜用升提法。
病情严重的，上部必用吐法以提举元气，下部用苍术、白术、二陈汤。如赤白相兼的，都属血分病变，出于大肠与小肠的分野。肥胖人多痰，适宜用天南星、半夏、海浮石、苍术、香椿皮、青黛；瘦人白带因多热，适宜用黄柏、滑石、海浮石、陈皮、川芎、蛤粉、青黛，制成丸剂服用。赤白带下，都因七情内伤，下元虚弱，病因不止一端。王叔和说：崩中日久变为白带，漏下多时滑水枯竭，崩中血少无元阳，所以白滑之物下流不止，血海枯干，不能滋养筋骨。治法应当审察寒热虚实劳损，不可一概而论。妇人的心，以血为本（原文“以血□□”缺字，意为以血为主/本），有血则心宁，血少则心火旺，火旺则心乱、撞摇、提拮、战惚、闷乱。只有妇人多有此症，治法用清心降火，四物汤加天门冬、麦门冬、贝母、黄芩。天门冬是镇心的要药，切不可缺失。
治疗赤白带下的方子：龟板、干姜、黄柏、白芷。
如果是气虚白带：人参、白术、黄柏、当归、川芎、苍术、黄柏、干姜（煨）、白芷。
如果是肥胖之人：天南星、半夏、苍术、海浮石、白术、黄柏、川芎、椿皮、青黛。
如果是瘦人多热：人参、川芎、当归、芍药、黄柏、茯苓、黄连、黄柏、陈皮、甘草、前胡、椿皮、青黛。
Males rely on the abundance of Yang essence, while females rely on the regulation of menstruation. When Yang essence and menstrual blood each arrive at their proper time, they conform to the numbers of Yin and Yang. Females begin menstruation at age fourteen, and males' Yang essence becomes complete at age sixteen. In women, delayed menstruation is due to blood deficiency; it is appropriate to use Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui), Ginseng Radix (Renshen), and Atractylodis Macrocephalae Rhizoma (Baizhu). If there is phlegm, it is appropriate to use Arisaematis Rhizoma Preparatum (Nanxing) and Pinelliae Rhizoma (Banxia). Menstruation arriving ahead of schedule is due to blood heat; it is appropriate to use Siwu Decoction (Four Substances Decoction) and Coptidis Rhizoma (Huanglian). Delayed menstruation accompanied by pain, with dark purple color and clots, is also due to blood heat; it is appropriate to use Siwu Decoction, Coptidis Rhizoma, and Cyperi Rhizoma (Xiangfu). Delayed menstruation with pale color is due to excessive phlegm; it is appropriate to use Erchen Decoction (Two Aged Things Decoction) and Chuanxiong Rhizoma. For cases of delayed menstruation due to blood deficiency, it is appropriate to use Siwu Decoction supplemented with Phellodendri Cortex (Huangbai), Citri Reticulatae Pericarpium (Chenpi), and Cimicifugae Rhizoma (Shengma). For cases where both Qi and Blood are in a state of heat, menstruation arriving before the scheduled date, it is appropriate to use Bupleuri Radix (Chaihu), Phellodendri Cortex, Angelicae Sinensis Radix, Paeoniae Radix (Shaoyao), Rehmanniae Radix Recens (Shengdihuang), and Cyperi Rhizoma. For irregular menstruation with pale white discharge, use Ginseng Radix, [missing character in source], Chuanxiong Rhizoma, Angelicae Sinensis Radix, Cyperi Rhizoma, and Paeoniae Radix Alba (Baishao); if abdominal pain occurs, add Gelatinum Corii Asini (Ejiao) processed into beads, Folium Artemisiae Argyi (Aiye), and Corydalis Rhizoma (Yanhusuo). Delayed menstruation with pain indicates deficiency with internal heat; pain preceding the onset of menstruation indicates excess blood stasis. It is appropriate to use Persicae Semen (Taoren), Coptidis Rhizoma, Cyperi Rhizoma, Corydalis Rhizoma, and Carthami Flos (Honghua). Abdominal pain during the flow of menstruation, caused by stagnation and blood stasis, is treated with Siwu Decoction, Carthami Flos, Persicae Semen, Curcumae Zedoariae Rhizoma (Ezhu), Corydalis Rhizoma, Cyperi Rhizoma, and Aucklandiae Radix (Muxiang); if fever is present, add Bupleuri Radix and Scutellariae Radix (Huangqin). If excessive phlegm occupies the Sea of Blood leading to heavy bleeding, vision will gradually dim. For obese individuals, add Arisaematis Rhizoma Preparatum, Atractylodis Rhizoma (Cangzhu), Chuanxiong Rhizoma, and Cyperi Rhizoma, prepared as pills. For amenorrhea caused by thick body fat, use Daotan Decoction (Phlegm-Resolving Decoction) combined with Coptidis Rhizoma and Chuanxiong Rhizoma; Shu Dihuang (Prepared Rehmannia Root) should not be used as it may cause greasiness and obstruct the diaphragm; therefore, if used, it must be stir-fried with ginger juice. Severe abdominal pain just before menstruation indicates excess blood heat. If there is excess blood heat causing pain during menstruation, conception will be delayed.
Zhu Danxi said: Leukorrhea (white vaginal discharge) is caused by phlegm accumulation in the chest seeping into the Bladder. No one understands this principle; treatment should employ lifting methods.
For severe cases, emetics should be used above to lift Yuan Qi, and below, Cangzhu, Baizhu, and Erchen Decoction should be used. If red and white discharges are mixed, they all belong to blood disorders originating from the Large Intestine and Small Intestine. Obese people tend to have phlegm; it is appropriate to use Arisaematis Rhizoma Preparatum, Pinelliae Rhizoma, Pumex (Haishi), Atractylodis Rhizoma, Toosendan Fructus (Chunpi), and Indigo Naturalis (Qingdai). Thin people with leukorrhea often have heat; it is appropriate to use Phellodendri Cortex, Talcum (Huashi), Pumex, Citri Reticulatae Pericarpium, Chuanxiong Rhizoma, Ginkgo Nucleus Powder (Gafen), and Indigo Naturalis, prepared as pills. Red and white leukorrhea is caused by internal injury from the Seven Emotions and weakness of the Lower Origin, with etiologies varying widely. Wang Shuhe said: Prolonged metrorrhagia turns into leukorrhea; prolonged leakage leads to dryness of slippery fluids. Metrorrhagia depletes blood and Yuan Yang, so white slippery substances flow continuously without stopping, the Sea of Blood dries up, and cannot nourish the sinews and bones. Treatment methods require examining cold, heat, deficiency, and exhaustion; treatments cannot be generalized. The female heart relies on blood; with sufficient blood, the heart is calm; with deficient blood, Heart Fire flares up. Flaring Heart Fire causes mental confusion, palpitations, tremors, shivering, and restlessness. Only women frequently suffer from these symptoms. Treatment involves clearing the Heart and descending Fire, using Siwu Decoction supplemented with Asparagi Radix (Tianmendong), Ophiopogonis Radix (Mendong), Fritillariae Thunbergii Bulbus (Beimu), and Scutellariae Radix. Tianmendong is an essential herb for calming the Heart and must not be omitted.
Formulas for treating red and white leukorrhea: Testudinis Carapax et Plastrum (Guiban), Zingiberis Rhizoma (Ganjiang), Phellodendri Cortex, and Angelicae Dahuricae Radix (Baizhi).
For Qi-deficiency leukorrhea: Ginseng Radix, Atractylodis Macrocephalae Rhizoma, Phellodendri Cortex, Angelicae Sinensis Radix, Chuanxiong Rhizoma, Atractylodis Rhizoma, Phellodendri Cortex, Zingiberis Rhizoma (roasted), and Angelicae Dahuricae Radix.
For obese individuals: Arisaematis Rhizoma Preparatum, Pinelliae Rhizoma, Atractylodis Rhizoma, Pumex, Atractylodis Macrocephalae Rhizoma, Phellodendri Cortex, Chuanxiong Rhizoma, Toosendan Fructus, and Indigo Naturalis.
For thin individuals with excess heat: Ginseng Radix, Chuanxiong Rhizoma, Angelicae Sinensis Radix, Paeoniae Radix, Phellodendri Cortex, Poria (Fuling), Coptidis Rhizoma, Phellodendri Cortex, Citri Reticulatae Pericarpium, Glycyrrhizae Radix et Rhizoma (Gancao), Peucedani Radix (Qianhu), Toosendan Fructus, and Indigo Naturalis.