带下有赤白之分。人有带脉，横于腰间，如束带之状，病生于此，故名为带。赤带〔即赤淋。〕
多缘忧思郁怒，损伤心脾，肝火时发，因之血不归经，遂下赤矣。治宜补养心脾，益肝凉血清火。若下
久则阴血渐虚，中气渐损是当大补气血为主。白带是湿热夹痰，有虚有实。按仲淳云∶白带多属脾
虚。盖肝气郁则脾受伤，脾伤则湿士之气下陷，而下白滑之物不止矣。皆由风水郁于地中使然耳。当
开提肝气，补助脾元为主，佐以清热除湿之药。又云∶若带下如浓泔而臭秽者，湿热甚也，宜清热除湿
为主，而佐以升提之剂，若带下如鸡子清者，脾肾虚极也。面色必不华，足胫必浮肿，腰腿必酸。宜益
气健脾，兼滋阴补肾二方，分进以治之。陈自明论带下有五色之异，分属五脏。东垣治带下有主寒之
说，临症者并宜精察焉。
加味归脾汤 加味逍遥散 天王补心丹〔俱见虚劳。〕
此三方通治赤带，临症合宜加减用之。归脾、逍遥，亦并治白带。
补中益气汤〔见泄泻。〕白带主此加减。
原方〔补助脾元，开提肝气。〕宜合二妙散，加麦冬、茯苓、车前，〔清热除湿。〕枣
仁。〔敛收。〕〔浓煎不时饮之。〕
兼用六味地黄；加牛膝、杜仲、牡蛎、海螵蛸，〔蜜丸空心服。〕
仲淳云∶白带属气虚，补气健脾，乃治法之大纲。又叔和云∶崩中日久为白带漏下，当脾肾兼补。
加味二妙散
苍术 白术〔燥湿。〕黄柏 黄芩〔清热。〕茯苓〔消痰。〕车前〔利水。〕
或加白芷〔升提。〕此治湿热夹痰，带下如脓泔臭秽者宜之。
带下病有赤带和白带之分。人体有一经脉名为带脉，横向环绕于腰间，形状如同束带一样，疾病发生在此处，所以称为“带”。赤带（即赤淋）多由于忧思郁怒，损伤心脾，肝火时常发作，导致血液不能循经运行，从而向下流出红色分泌物。治疗应当以补养心脾、益肝凉血清火为主。如果病程日久，则阴血逐渐亏虚，中气逐渐受损，此时应当以大补气血为主要治法。白带是由湿热夹杂痰浊所致，病情有虚证和实证之分。按照仲淳的说法：白带多属于脾虚。因为肝气郁结则脾脏受伤，脾脏受伤则湿土之气下陷，导致白色滑腻之物不断流出。这都是由于风水郁结于体内所致。治疗应当以疏提肝气、补助脾元为主，辅以清热除湿的药物。又说：如果带下物像浓米泔水且气味臭秽的，是湿热严重的表现，适宜以清热除湿为主，辅以升提的方剂；如果带下物像鸡蛋清一样的，是脾肾极度虚弱的表现。面色必然不红润，小腿必然浮肿，腰腿必然酸痛。适宜采用益气健脾、兼滋阴补肾两个方剂，分别进服来治疗。陈自明论述带下病有五种颜色的差异，分别归属于五脏。李东垣治疗带下病有主寒的说法，临症时都应当仔细审察。
加味归脾汤 加味逍遥散 天王补心丹（均见于虚劳章节）
这三个方子通用治疗赤带，临症时根据适宜情况加减使用。归脾汤、逍遥散，也同时治疗白带。
补中益气汤（见于泄泻章节）白带主要用此方加减。
原方（补助脾元，开提肝气）适宜合用二妙散，加入麦冬、茯苓、车前子（清热除湿），酸枣仁（收敛固涩）。（浓煎后不时饮用。）
兼用六味地黄丸；加入牛膝、杜仲、牡蛎、海螵蛸（制成蜜丸，空腹服用）。
仲淳说：白带属于气虚，补气健脾，是治疗的总纲。又王叔和说：崩中日久转化为白带漏下，应当脾肾双补。
加味二妙散
苍术 白术（燥湿）黄柏 黄芩（清热）茯苓（消痰）车前子（利水）
或者加入白芷（升提）。这是治疗湿热夹杂痰浊，带下物如脓米泔水且臭秽者适宜使用的方剂。
Leukorrhea is divided into red and white types. The human body possesses a meridian named the Dai Mai (Belt Vessel), which encircles the waist horizontally, resembling a belt. Diseases occurring at this location are thus named "Dai" (Belt). Red leukorrhea (i.e., Chi Lin, bloody strangury) often arises from worry, thought, depression, and anger, which damage the Heart and Spleen. When Liver Fire flares up intermittently, blood fails to return to its vessels, resulting in the downward discharge of red fluid. Treatment should focus on nourishing the Heart and Spleen, benefiting the Liver, cooling the blood, and clearing fire. If the condition persists for a long time, Yin-blood gradually becomes deficient, and Middle Qi gradually declines; in such cases, major tonification of Qi and Blood is required. White leukorrhea is caused by Damp-Heat combined with Phlegm, presenting as either deficiency or excess patterns. According to Zhong Chun: White leukorrhea mostly belongs to Spleen Deficiency. When Liver Qi stagnates, the Spleen is injured; when the Spleen is injured, the Qi of Earth-Dampness sinks downward, causing continuous discharge of white, slippery substances. This is all due to Wind-Water stagnating within the interior. Treatment should primarily involve raising and lifting Liver Qi and supplementing Spleen Yuan, assisted by herbs that clear heat and remove dampness. Furthermore, if the discharge resembles thick rice water and has a foul odor, it indicates severe Damp-Heat; treatment should prioritize clearing heat and removing dampness, assisted by agents that raise and lift. If the discharge resembles egg white, it indicates extreme deficiency of the Spleen and Kidney. The complexion will necessarily lack luster, the calves will necessarily be edematous, and the lower back and legs will necessarily ache. Treatment should involve boosting Qi and strengthening the Spleen, combined with nourishing Yin and tonifying the Kidney using two formulas administered separately. Chen Ziming discussed the five different colors of leukorrhea, assigning them to the Five Zang Organs. Li Dongyuan proposed a theory regarding cold as the primary factor in treating leukorrhea; clinicians should carefully examine these aspects during practice.
Jiawei Guipi Tang (Modified Guipi Decoction) Jiawei Xiaoyao San (Modified Xiaoyao Powder) Tianwang Buxin Dan (Emperor of Heaven's Heart-Nourishing Pill) [All seen in Xu Lao (Deficiency Consumption)].
These three formulas generally treat red leukorrhea; they should be modified according to clinical suitability. Guipi Tang and Xiaoyao San also treat white leukorrhea.
Buzhong Yiqi Tang (Tonify the Middle and Boost Qi Decoction) [Seen in Xie Xie (Diarrhea)]. This formula, modified, is the main treatment for white leukorrhea.
The original formula [Supplements Spleen Yuan, raises and lifts Liver Qi] should be combined with Er Miao San (Two Marvels Powder), adding Maidong (Ophiopogonis Radix), Fuling (Poria), Cheqian (Plantaginis Semen) [Clears heat and removes dampness], and Zaoren (Ziziphi Spinosae Semen) [Astringes]. [Decoct strongly and drink frequently.]
Additionally use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill); add Niuxi (Achyranthis Bidentatae Radix), Duzhong (Eucommiae Cortex), Muli (Concha Ostreae), Haipiaoxiao (Endoconcha Sepiae) [Make honey pills, take on an empty stomach].
Zhong Chun stated: White leukorrhea belongs to Qi Deficiency; boosting Qi and strengthening the Spleen is the general principle of treatment. Wang Shuhe stated: Prolonged bleeding from metrorrhagia transforms into leukorrhea and leakage; one should tonify both the Spleen and Kidney.
Jiawei Ermiao San (Modified Two Marvels Powder)
Cangzhu (Atractylodis Rhizoma) Baizhu (Atractylodis Macrocephalae Rhizoma) [Dries dampness] Huangbai (Phellodendri Cortex) Huangqin (Scutellariae Radix) [Clears heat] Fuling (Poria) [Resolves phlegm] Cheqian (Plantaginis Semen) [Promotes urination].
Or add Baizhi (Angelicae Dahuricae Radix) [Raises and lifts]. This treats cases where Damp-Heat combines with Phlegm, and the leukorrhea resembles pus-like rice water with a foul odor.