《素问》曰∶目得血而能视，耳得血而能听，指得血而能摄，掌得血而能握，足得血
而能步，脏得血而能液，腑得血而能气。然血所通流，则气亦然也，血气宣行其中，神自清利，
而应机能用矣。故《素问》∶气血，人之神也，不可不谨调护。
然妇人以血藏为基本也。妇人之病，手太阳、足少阴。小肠，心之经络为表里，起自任
冲之脉，于中极之下，以上毛际，循腹里关元，上至咽喉颐，循面目，过带脉，贯脐而止。
以妇人月水，一月一来如期，谓之月信。其不来，则风热伤于经血，故血在内不通。或内
受邪热，脾胃虚损，不能饮食。食既不克，营卫凝涩，肌肤黄燥，面不光泽。或大肠虚，
变为下利，流入关元，致绝子嗣。为子藏虚冷劳损，而病带下，起于胞内。
夫带下之造化，但分经络，标本殊异，为病之本气也。其病所发，正在过带脉之分，
而淋漓以下，故曰带下也。赤
白之说者，无实已。法曰∶头目昏眩，口苦舌干，咽喉不利，小便赤色，大便滞涩，皆
热证也。凡白带下者，亦多有之，为病寒岂能。《素问》∶亢则害，承乃制，谓亢过极而反
兼胜己之化，制其甚也。则如火炼金，热极则反化为水，及六月热极，则物反出液而湿润，
材木流津。故肝热则泣，心热则汗，脾热则涎，肺热则涕，肾热则唾。
大凡俗论，以煎热汤，煮极则沸溢，及热气里蒸于物，而生津液也。故下部任脉湿热
甚者，津溢涌，而溢以为带下。见俗医白带下者，但根据方论，而用辛热之药。虽有误中，致令
郁结热聚，不能宣通，旧病转加。世传误之久矣。
人参白术散 治遍身燥湿相抟，玄府致密，遂令忪悸发渴，饮食减少，不为肌肤。
人参（三钱） 白术（七钱） 薄荷（半两） 缩砂仁（三钱） 生地黄 茯苓（去皮） 甘草（各半两）
黄芩（一钱） 滑石（三两） 藿香（三钱半） 石膏（一两）
上为末，每服三钱，水一盏，煎至六分，去滓，温服，食前，日进二三服。
白术汤 治妊娠血液虚衰，痿弱难以运动，气滞痹麻，营卫不能通宣，常服养液润燥，
开通结滞，令血昌盛。
白术（三两） 寒水石 当归 黄芩 芍药 人参 石膏 干葛 防风 缩砂仁 川芎
甘草 茯苓（各一两） 木香（一分）
崔宣武方用白术一两。
上为末，每服三钱，水一盏，生姜三片，同煎至六分，去滓，温服，食前，日三服。
二气汤 治月水不调，断绝不产，面黄肌瘦， ，不美食。燥热，以柴胡饮子相参服之。
大黄（四两，别为末，醋一升，慢火熬成膏子） 当归（二两） 白芍药（二两）
上为末，以膏子和丸，如桐子大，每服二十丸，淡醋汤下，食前，日进三服。如月水
不通，加入干漆三钱（炒出大烟）、没药半两、KT 砂三钱（研）、官桂二钱、斑蝥三钱（去
翅足，炒熟用。《本草》云∶此用熬，不可生用，则吐泻）。
当归龙骨丸 治月事失常，经水过多，及带下淋漓，无问久新赤白诸证，并产后恶物
不止，或孕妇恶露，胎痛动不安，及大人子儿痢泻，并宜用之。
当归 芍药 黄连 染槐子 艾叶（炒。各半两） 龙骨 黄柏（各一两） 茯苓（半两）
木香（一分）
上为末，滴水为丸，如小豆大，温米饮下三四十丸，食前，日三四服。
当归人参散 治产后虚损痿弱，难以运动，疼痛胸满，不思饮食。
当归 白术 黄芩 芍药 大黄 茯苓（去皮） 陈皮（各半两） 人参 黄 （锉）
川芎 浓朴（去皮，姜制） 官桂（各三钱） 甘草（一两） 枳壳（四钱，去穣，炒）
上为末，每服三钱，水一盏，生姜三片，煎至六分，去滓，不计时候，温服。
如大便秘，以此散下和中丸。
增损四物汤 治月水不调，心腹疼痛。补血藏，温经注颜。
川芎 当归 芍药 熟地黄 白术 牡丹皮（各半两） 地骨皮（一两）
上为末，每服五钱，水一盏，煎至六分，去滓，温服，食前。
当归川芎散 治风壅头目，昏眩痛闷，筋脉拘卷，肢体麻痹，保护胎气，调和营卫。
当归 川芎（各半两） 甘草（二两） 黄芩（四两） 薄荷（一两） 缩砂仁（一分）
上为末，温水调下一钱，渐加至二钱，食后，日进三服。
辰砂大红丸 治产后寒热运闷，血气块硬，疼痛不止。
朱砂（一两，一半入药，一半为衣） 附子（炮） 没药（半两） 海马（半钱） 乳香
苁蓉 肉桂 玄胡 姜黄 砂（各半两） 斑蝥（一分） 生地黄（一两）
上为末，酒煮，面糊为九，酸枣大，每服一丸，煎当归、酒下，放温。经水不行，
煎红花、酒下。
三圣散 治产后血利不止。
乌鱼骨（炒） 烧绵灰 血余炭（汗脂者。各等分）
上为细末，每服一钱，煎石榴皮汤调下，热服。
没药丹 治产后恶血不下，月候不行，血刺腰腹急痛，或一切肠垢沉积，坚满痞痛，作发
往来，或燥热烦渴，喘急闷乱，肢体痛倦，大小人心腹暴痛。孕妇自利恶物过多。不宜服燥
热极甚，血液衰竭，不可强行。宜调气养血。细详证用。
没药（一钱） 当归 大黄（各一两） 牵牛（二两） 轻粉（一钱半） 官桂（六分。
以上同研末） 砂（一钱，同研）
上研匀，醋、面糊为丸，如小豆大，每服五丸至十丸，温水下。以快利取积病下为
度。虽利后，病未痊者，后再加，取利止。心腹急痛，煎乳香下。未止，取大便利。
黄药子散 治月事不止，烦渴闷乱，心腹急痛，肢体困倦，不美饮食。
黄药子 当归 芍药 生地黄 黄芩 人参 白术 知母 石膏（各一两） 川芎
桔梗（各一分） 甘草（一两） 紫菀 槐花子 柴胡（各一分）
上为粗末，炒三钱，水一盏，煎至七分，滤汁，温服，食前，但一服。
大延胡索散 治妇人经病，并产后腹痛，或腹满喘闷，或 瘕癖块，及一切心腹暴痛。
延胡索 当归 赤芍药 荆三棱 川楝子 蓬莪术 官桂 浓朴 木香 川芎（各一分）
桔梗 黄芩 大黄（各半两） 甘草（一两） 槟榔（一钱）
上为末，每服三钱，水一盏，煎至六分，去滓，热服，食前，日三服。恶物过多，
去大黄、官桂，加入黄药子、染
槐子、龙骨各半两，如前法。或平人心胃急痛。加本方，煎服，得利尤好。
枳实槟榔丸 安养胎气，调和经候，治 瘕痞块，有似妊孕，可以久服，血气通和。兼宽
膈美食。
枳实 槟榔 黄连 黄柏 黄芩 当归 阿胶（灰炒，细研） 木香（各半两）
上为末，水和丸，如小豆大，温米饮下三十丸，不计时候，日进三服。
软金花丸 治心胸腰腹急痛或淋 ，并产前后经痛刺痛，干呕气劳，往来寒热，四肢
困倦，夜多盗汗者，兼治血积食积。
当归（半两，焙） 干漆（二钱半） 轻粉 斑蝥（生，全用，为末） 砂 粉霜（各一钱）
巴豆（二钱，去油）
右为末，同研细，枣肉为膏，旋丸如绿豆大，每服一丸，新汲水下。病甚者加服。看
虚实加减。
大红花丸 治妇人血块，积聚 瘕，经络阻滞。
川大黄 红花（各二两） 虻虫（十个，去翅足）
上取大黄七钱，醋熬成膏，和药，丸如桐子大，每服五七丸，温酒下，食后，日三服。
黄芩汤 治妇人孕胎不安。
白术 黄芩（各等分）
上为末，每服三钱，水二盏，当归一根，同煎至一盏，稍温服。
海蛤丸 治妇人小便浊败，赤白带下，五淋，脐腹疼痛，寒热，口干舌涩，不思饮食。
海蛤 半夏 芫花（醋炒） 红娘子（去翅足） 诃子（炒） 玄胡索 川楝子（面裹煨，去皮）
茴香（炒。各一两） 乳香（三钱） 砂（半两） 朱砂（半入药，半为衣） 没药（研。各一两）
当归（一两半）
上为末，醋煮、面糊为丸，如小豆大，每服五丸至十丸，醋汤下。量病患虚实加减。
乌金散 治妇人诸疾，寒热头痛，一切等疾。
乌金子 肉桂 蒲黄 当归 虻虫 血余炭 水蛭 鲤鱼炭 木香 青皮 皂角（大者，
炙。各半两） 芍药（半两） 芫花（三两，醋制） 巴豆（一钱，出油） 朱砂（少许）
棕皮炭 红花（各一两） 川乌头（半两）
上为末，每服半钱，加至一钱，煎生姜汤调下，空心食前。忌油腻物。
伏龙肝散 治妇人血崩不止，或结作片者。
芎 （一两） 生地黄（一分） 阿胶（八钱，炙） 当归（一两） 续断（一分）
地榆（一两） 刺蓟根（一两） 伏龙肝（七钱） 青竹茹（八钱）
上为末，每服三钱，水一盏半，煎至一盏，温服，日五服，不计时候。后服补药。
阿胶丸 治妇人诸病。
阿胶 鳖甲（各六分） 续断（五分） 龙骨（一两半） 芎 （六分） 地胆（四分） 鹿茸（五分）
乌鱼骨（八钱） 丹参（六钱） 龟甲（一钱）
上为末，醋、面糊为丸，如桐子大，每服三十丸，艾汤下，日进三四服。
麝香杏仁散 治妇人阴疮。
麝香（少许） 杏仁（不以多少，烧存性）
上为细末，如疮口深，用小绢袋子二个，盛药满，系口，临上药炙热，安在阴内。立愈。
朱砂斑蝥丸 治妇人产后吃硬食，变作血气食块，无问久新。
皂角末（二钱） 巴豆（四个，去油） 朱砂（一钱） 砂（一皂子大块） 干蝎（一个，
全） 斑蝥（十个） 红娘子（五个） 水蛭（五个）
右为细末，蜜和丸，分作十五丸，每服一丸至二丸、三丸，温酒下。初更吃，平明取下
血化水，十年之病，皆治之。或大便或小便不多出也。
《素问》说：眼睛得到血的滋养就能看见，耳朵得到血的滋养就能听见，手指得到血的滋养就能抓握，手掌得到血的滋养就能握住东西，脚得到血的滋养就能行走，五脏得到血的滋养就能化生津液，六腑得到血的滋养就能产生气。然而血液流通的地方，气也随之通行，气血在体内宣通运行，神志自然清明顺畅，从而发挥正常的生理功能。所以《素问》说：气血是人的精神活动的物质基础，不可不谨慎地调养护理。
妇女以血为根本基础。妇女的疾病，主要涉及手太阳小肠经和足少阴肾经。小肠与心互为表里经络，起自任脉和冲脉之下，经过中极穴下方，向上到达阴毛边缘，沿着腹部内侧经过关元穴，上行至咽喉和面颊，经过带脉，贯穿肚脐而止。因为妇女的月经每月按时来潮，称为月信（月经）。如果月经不来，则是风热邪气损伤了经脉和血液，导致血液在体内不通畅。或者内部受到邪热侵袭，脾胃虚弱受损，不能正常进食。食物既不能消化，营气和卫气就会凝滞涩涩，肌肤变得枯黄干燥，面色没有光泽。或者大肠虚弱，变成腹泻，病邪流入关元部位，导致无法生育。这是因为子宫虚冷劳损，从而引发带下病，病源起于胞宫内部。
带下病的形成，虽然分为不同的经络，但标本各异，其本质是气的病变。发病的部位，正好在带脉经过的区域，分泌物淋漓向下流出，所以称为带下病。关于赤白带下的说法，其实并没有实质性的区别。医法说：头目昏眩，口苦舌干，咽喉不利，小便颜色红赤，大便滞涩，这些都是热证的表现。凡是白带下的人，也多有这种情况，难道这是寒证能造成的吗？《素问》说：亢盛到极点就会造成危害，必须有制约因素才能平衡，意思是当某种气过极时，反而会表现出克制它的那一行的特性，以此来抑制过度的势头。就像火炼金一样，热到了极点反而化为水；以及六月天气极热时，物体反而渗出液体变得湿润，木材也会流出汁液。所以肝热则流泪，心热则出汗，脾热则流涎，肺热则流涕，肾热则流唾。
大凡世俗的议论认为，用煎热的汤水，煮到沸腾溢出，以及热气在内部蒸腾物体，就会产生津液。所以下部任脉湿热严重时，津液溢涌，溢出就成为带下病。看到世俗医生治疗白带下，只是根据方论，使用辛热性质的药物。这虽然有误解，导致郁结的热邪聚集，不能宣通，旧病反而加重。这种世间的错误流传已经很久了。
人参白术散：治疗遍身燥湿相搏结，玄府（汗孔）致密，从而导致心悸发渴，饮食减少，身体消瘦不长肌肉。
组成：人参（三钱），白术（七钱），薄荷（半两），缩砂仁（三钱），生地黄，茯苓（去皮），甘草（各半两），黄芩（一钱），滑石（三两），藿香（三钱半），石膏（一两）。
制法用法：以上药材研为细末，每次服用三钱，用水一盏，煎至六分，去渣，温服，饭前服用，每天进二三服。
白术汤：治疗妊娠期间血液虚衰，肢体痿弱难以运动，气滞痹麻，营卫不能通畅宣散，常服可以养液润燥，开通结滞，使血液昌盛。
组成：白术（三两），寒水石，当归，黄芩，芍药，人参，石膏，干葛，防风，缩砂仁，川芎，甘草，茯苓（各一两），木香（一分）。
注：崔宣武方中使用白术一两。
制法用法：以上药材研为细末，每次服用三钱，用水一盏，生姜三片，同煎至六分，去渣，温服，饭前服用，每天三次。
二气汤：治疗月经不调，断绝不孕，面色黄肌肉瘦，食欲不振，不思饮食。伴有燥热症状，可与柴胡饮子配合服用。
组成：大黄（四两，另研为末，用醋一升，慢火熬成膏状），当归（二两），白芍药（二两）。
制法用法：以上药材研为末，用膏子和药制成丸剂，如梧桐子大小，每次服用二十丸，淡醋汤送下，饭前服用，每天进三服。如果月经不通，加入干漆三钱（炒出大烟）、没药半两、硇砂三钱（研细）、官桂二钱、斑蝥三钱（去掉翅足，炒熟使用。《本草》说：此药需熬制，不可生用，否则会引起吐泻）。
当归龙骨丸：治疗月经失常，经量过多，以及带下淋漓，无论新旧赤白各种证候，以及产后恶露不止，或孕妇恶露不尽，胎动不安，以及成人小儿痢疾腹泻，都适宜使用。
组成：当归，芍药，黄连，染槐子（槐角），艾叶（炒。各半两），龙骨，黄柏（各一两），茯苓（半两），木香（一分）。
制法用法：以上药材研为末，滴水为丸，如小豆大小，温米饮送下三四十丸，饭前服用，每天三四服。
当归人参散：治疗产后虚损痿弱，难以运动，疼痛胸满，不思饮食。
组成：当归，白术，黄芩，芍药，大黄，茯苓（去皮），陈皮（各半两），人参，黄芪（锉碎），川芎，浓朴（去皮，姜制），官桂（各三钱），甘草（一两），枳壳（四钱，去瓤，炒）。
制法用法：以上药材研为末，每次服用三钱，用水一盏，生姜三片，煎至六分，去渣，不限时候，温服。
如果大便秘结，以此散送服和中丸。
增损四物汤：治疗月经不调，心腹疼痛。补血藏，温经养颜。
组成：川芎，当归，芍药，熟地黄，白术，牡丹皮（各半两），地骨皮（一两）。
制法用法：以上药材研为末，每次服用五钱，用水一盏，煎至六分，去渣，温服，饭前服用。
当归川芎散：治疗风邪壅滞头目，昏眩痛闷，筋脉拘挛卷曲，肢体麻痹，保护胎气，调和营卫。
组成：当归，川芎（各半两），甘草（二两），黄芩（四两），薄荷（一两），缩砂仁（一分）。
制法用法：以上药材研为末，温水调下一钱，逐渐加至二钱，饭后服用，每天进三服。
辰砂大红丸：治疗产后寒热交替，运闷不适，血气块硬，疼痛不止。
组成：朱砂（一两，一半入药，一半作为衣料），附子（炮制），没药（半两），海马（半钱），乳香，肉苁蓉，肉桂，玄胡索，姜黄，砂（各半两），斑蝥（一分），生地黄（一两）。
制法用法：以上药材研为末，用酒煮，面粉糊为丸，如酸枣大小，每次服用一丸，煎当归酒送下，放温后服用。如果经水不行，煎红花酒送下。
三圣散：治疗产后血利不止。
组成：乌鱼骨（炒），烧绵灰，血余炭（含有油脂者。各等分）。
制法用法：以上药材研为细末，每次服用一钱，煎石榴皮汤调下，热服。
没药丹：治疗产后恶血不下，月经不行，血刺腰腹急痛，或一切肠垢沉积，坚满痞痛，发作往来，或燥热烦渴，喘急闷乱，肢体痛倦，大人小孩心腹暴痛。孕妇自利恶物过多者不宜服用。燥热极甚，血液衰竭者，不可强行攻下，宜调气养血。详细辨证使用。
组成：没药（一钱），当归，大黄（各一两），牵牛（二两），轻粉（一钱半），官桂（六分。以上同研为末），硇砂（一钱，同研）。
制法用法：以上药材研匀，用醋、面糊为丸，如小豆大小，每次服用五丸至十丸，温水送下。以快利排出积病为度。即使泻后，病未痊愈者，再次增加剂量，直到泻止。心腹急痛者，煎乳香送下。如果不止，取大便利。
黄药子散：治疗月经不止，烦渴闷乱，心腹急痛，肢体困倦，不思饮食。
组成：黄药子，当归，芍药，生地黄，黄芩，人参，白术，知母，石膏（各一两），川芎，桔梗（各一分），甘草（一两），紫菀，槐花子，柴胡（各一分）。
制法用法：以上药材为粗末，炒三钱，用水一盏，煎至七分，滤汁，温服，饭前服用，仅服一次。
大延胡索散：治疗妇人经病，以及产后腹痛，或腹满喘闷，或癥瘕癖块，及一切心腹暴痛。
组成：延胡索，当归，赤芍药，荆三棱，川楝子，蓬莪术，官桂，浓朴，木香，川芎（各一分），桔梗，黄芩，大黄（各半两），甘草（一两），槟榔（一钱）。
制法用法：以上药材研为末，每次服用三钱，用水一盏，煎至六分，去渣，热服，饭前服用，每天三次。如果恶物过多，去掉大黄、官桂，加入黄药子、染槐子、龙骨各半两，按前面的方法。或者平人心胃急痛。加本方，煎服，得利更好。
枳实槟榔丸：安养胎气，调和经候，治疗癥瘕痞块，有似怀孕，可以久服，使血气通和。兼宽膈美食。
组成：枳实，槟榔，黄连，黄柏，黄芩，当归，阿胶（灰炒，细研），木香（各半两）。
制法用法：以上药材研为末，水泛为丸，如小豆大小，温米饮送下三十丸，不限时候，每天进三服。
软金花丸：治疗心胸腰腹急痛或淋浊，以及产前后经痛刺痛，干呕气劳，往来寒热，四肢困倦，夜间多盗汗者，兼治血积食积。
组成：当归（半两，焙干），干漆（二钱半），轻粉，斑蝥（生，全用，为末），硇砂，粉霜（各一钱），巴豆（二钱，去油）。
制法用法：以上药材为末，同研细，枣肉为膏，随时丸如绿豆大小，每次服用一丸，新汲水送下。病重者加服。看虚实加减。
大红花丸：治疗妇人血块，积聚癥瘕，经络阻滞。
组成：川大黄，红花（各二两），虻虫（十个，去翅足）。
制法用法：以上取大黄七钱，醋熬成膏，和药，丸如梧桐子大小，每次服用五七丸，温酒送下，饭后服用，每天三次。
黄芩汤：治疗妇人孕胎不安。
组成：白术，黄芩（各等分）。
制法用法：以上药材研为末，每次服用三钱，用水二盏，当归一根，同煎至一盏，稍温服。
海蛤丸：治疗妇人小便浊败，赤白带下，五淋，脐腹疼痛，寒热，口干舌涩，不思饮食。
组成：海蛤，半夏，芫花（醋炒），红娘子（去翅足），诃子（炒），玄胡索，川楝子（面裹煨，去皮），茴香（炒。各一两），乳香（三钱），硇砂（半两），朱砂（半入药，半为衣），没药（研。各一两），当归（一两半）。
制法用法：以上药材研为末，醋煮、面糊为丸，如小豆大小，每次服用五丸至十丸，醋汤送下。根据病患虚实加减。
乌金散：治疗妇人诸疾，寒热头痛，一切等疾。
组成：乌金子，肉桂，蒲黄，当归，虻虫，血余炭，水蛭，鲤鱼炭，木香，青皮，皂角（大者，炙。各半两），芍药（半两），芫花（三两，醋制），巴豆（一钱，出油），朱砂（少许），棕皮炭，红花（各一两），川乌头（半两）。
制法用法：以上药材研为末，每次服用半钱，加至一钱，煎生姜汤调下，空心食前。忌油腻物。
伏龙肝散：治疗妇人血崩不止，或结成片状者。
组成：川芎（一两），生地黄（一分），阿胶（八钱，炙），当归（一两），续断（一分），地榆（一两），刺蓟根（一两），伏龙肝（七钱），青竹茹（八钱）。
制法用法：以上药材研为末，每次服用三钱，用水一盏半，煎至一盏，温服，每天五次，不限时候。之后服用补药。
阿胶丸：治疗妇人诸病。
组成：阿胶，鳖甲（各六分），续断（五分），龙骨（一两半），川芎（六分），地胆（四分），鹿茸（五分），乌鱼骨（八钱），丹参（六钱），龟甲（一钱）。
制法用法：以上药材研为末，醋、面糊为丸，如梧桐子大小，每次服用三十丸，艾汤送下，每天进三四服。
麝香杏仁散：治疗妇人阴疮。
组成：麝香（少许），杏仁（不限多少，烧存性）。
制法用法：以上药材研为细末，如果疮口深，用小绢袋子二个，盛药满，系口，临用时药炙热，放入阴内。立即痊愈。
朱砂斑蝥丸：治疗妇人产后吃硬食，变作血气食块，无论新旧。
组成：皂角末（二钱），巴豆（四个，去油），朱砂（一钱），硇砂（一皂子大块），干蝎（一个，全），斑蝥（十个），红娘子（五个），水蛭（五个）。
制法用法：以上药材为细末，蜜和丸，分作十五丸，每次服用一丸至二丸、三丸，温酒送下。初更吃，平明取下血化水，十年之病，皆治之。或大便或小便不多出也。
According to the *Suwen* (Basic Questions): The eyes can see when nourished by blood; the ears can hear when nourished by blood; the fingers can grasp when nourished by blood; the palms can hold when nourished by blood; the feet can walk when nourished by blood; the Zang organs (Solid Organs) can produce fluids when nourished by blood; the Fu organs (Hollow Organs) can generate Qi when nourished by blood. Wherever blood flows, Qi also flows accordingly. When Qi and Blood circulate freely within, the Shen (Spirit/Mind) becomes clear and smooth, thereby enabling normal physiological functions. Therefore, the *Suwen* states: "Qi and Blood are the substance of human Shen; they must not be neglected in careful regulation and nursing."
Women are fundamentally based on Blood. Women's diseases primarily involve the Hand-Taiyang Small Intestine Meridian and the Foot-Shaoyin Kidney Meridian. The Small Intestine and Heart are exterior-interior paired meridians. This meridian originates below the Ren Mai (Conception Vessel) and Chong Mai (Penetrating Vessel), passes below the Zhongji point (CV3), ascends to the pubic hairline, follows the interior of the abdomen through Guanyuan (CV4), ascends to the throat and cheeks, crosses the Dai Mai (Girdle Vessel), penetrates the umbilicus, and ends there. Because a woman's menstruation arrives monthly on schedule, it is called Yue Xin (Menstrual Trust/Menstruation). If menstruation does not occur, it is due to Wind-Heat pathogenic factors damaging the meridians and blood, causing blood stagnation internally. Alternatively, internal invasion by Evil Heat damages the Spleen and Stomach, impairing digestion. Since food cannot be transformed, Ying (Nutritive) and Wei (Defensive) Qi become stagnant and sluggish, leading to dry, yellowish skin and a lusterless complexion. Or, if the Large Intestine is deficient, it transforms into diarrhea, with pathogens flowing into the Guanyuan area, resulting in infertility. This is because the Zi Zang (Uterus) is deficient, cold, and damaged, leading to Dai Xia (Leukorrhea), which originates from within the Bao Gong (Womb).
The formation of Dai Xia varies according to different meridians, with distinct root and branch aspects, but its essence lies in Qi pathology. The disease manifests precisely at the region traversed by the Dai Mai, where discharge drips down continuously, hence the name Dai Xia. Regarding the distinction between red and white discharge, there is no substantial difference. Medical methods state: Dizziness, bitter taste in the mouth, dry tongue, throat discomfort, red urine, and constipation are all signs of Heat syndromes. Cases of white leukorrhea often present similarly; how could this be caused by Cold? The *Suwen* states: "When things reach an extreme of excess, they cause harm; only through control can balance be maintained." This means that when a pathological factor reaches an extreme, it may manifest characteristics of the element that controls it, as a mechanism to suppress the excess. Just as fire smelting gold turns to water when heat reaches its peak; or in the sixth month when heat is extreme, objects exude moisture and become wet, and wood flows with sap. Thus, Liver Heat causes tears, Heart Heat causes sweat, Spleen Heat causes saliva, Lung Heat causes nasal mucus, and Kidney Heat causes spit.
Common secular theories suggest that boiling hot soup until it overflows, or the steaming of heat within objects, generates fluids. Therefore, when Damp-Heat in the lower Ren Mai is severe, fluids overflow and leak out as leukorrhea. Seeing this, ordinary doctors treat white leukorrhea merely according to formulas, using acrid-hot medicines. Although this may seem correct, it leads to the accumulation of stagnant Heat, preventing free circulation, and exacerbates the old disease. Such errors have been passed down for a long time.
**Renshen Baizhu San (Ginseng and Atractylodes Macrocephala Powder):** Treats the entanglement of dryness and dampness throughout the body, dense Xuan Fu (pores), leading to palpitations, thirst, reduced appetite, and emaciation.
Ingredients: Renshen (Three Qian), Baizhu (Seven Qian), Bohe (Half Liang), Suosharen (Three Qian), Shengdihuang, Fuling (peeled), Gancao (each Half Liang), Huangqin (One Qian), Huashi (Three Liang), Huoxiang (Three and a half Qian), Shigao (One Liang).
Preparation and Administration: Grind the above ingredients into powder. Take three Qian per dose, boil in one Jian of water until reduced to six parts, strain, and take warm before meals. Administer two or three times daily.
**Baizhu Tang (Atractylodes Macrocephala Decoction):** Treats deficiency and decline of blood during pregnancy, leading to flaccidity and difficulty in movement, Qi stagnation with numbness, and inability of Ying and Wei Qi to circulate freely. Regular use nourishes fluids, moistens dryness, opens blockages, and promotes blood abundance.
Ingredients: Baizhu (Three Liang), Hanshuishi, Danggui, Huangqin, Shaoyao, Renshen, Shigao, Gange, Fangfeng, Suosharen, Chuanxiong, Gancao, Fuling (each One Liang), Muxiang (One Fen).
Note: Cui Xuanwu's formula uses Baizhu One Liang.
Preparation and Administration: Grind the above ingredients into powder. Take three Qian per dose, boil with three slices of fresh ginger in one Jian of water until reduced to six parts, strain, and take warm before meals. Administer three times daily.
**Erqi Tang (Two Qi Decoction):** Treats irregular menstruation, amenorrhea with infertility, sallow complexion, emaciation, poor appetite, and dryness-heat. It can be taken in conjunction with Chaihu Yinzi.
Ingredients: Dahuang (Four Liang, separately ground into powder, simmered slowly with one Sheng of vinegar into a paste), Danggui (Two Liang), Baishaoyao (Two Liang).
Preparation and Administration: Grind the ingredients into powder, mix with the paste to form pills the size of paulownia seeds. Take twenty pills per dose, washed down with light vinegar water before meals. Administer three times daily. If menstruation is blocked, add Ganqi (Three Qian, stir-fried until heavy smoke appears), Moyao (Half Liang), Naosha (Three Qian, ground), Guanzi Gui (Two Qian), and Banmao (Three Qian, wings and feet removed, stir-fried until cooked. *Bencao* states: This herb must be processed; raw use causes vomiting and diarrhea).
**Danggui Longgu Wan (Angelica Sinensis and Dragon Bone Pill):** Treats irregular menstruation, menorrhagia, and continuous leukorrhea, regardless of whether the condition is new or old, red or white. Also suitable for postpartum lochia prolongation, persistent lochia in pregnant women, fetal restlessness, and adult or pediatric dysentery/diarrhea.
Ingredients: Danggui, Shaoyao, Huanglian, Ran Huaizi (Sophora fruit), Aiye (stir-fried. Each Half Liang), Longgu, Huangbai (each One Liang), Fuling (Half Liang), Muxiang (One Fen).
Preparation and Administration: Grind into powder, add drops of water to form pills the size of adzuki beans. Take thirty to forty pills per dose with warm rice drink before meals. Administer three to four times daily.
**Danggui Renshen San (Angelica Sinensis and Ginseng Powder):** Treats postpartum deficiency and flaccidity, difficulty in movement, chest fullness with pain, and loss of appetite.
Ingredients: Danggui, Baizhu, Huangqin, Shaoyao, Dahuang, Fuling (peeled), Chenpi (each Half Liang), Renshen, Huangqi (chopped), Chuanxiong, Nongpo (peeled, ginger-processed), Guanzi Gui (each Three Qian), Gancao (One Liang), Zhike (Four Qian, pith removed, stir-fried).
Preparation and Administration: Grind into powder. Take three Qian per dose, boil with three slices of fresh ginger in one Jian of water until reduced to six parts, strain, and take warm at any time.
If constipation occurs, administer this powder with Hezhong Wan.
**Zengsun Siwu Tang (Modified Four Substances Decoction):** Treats irregular menstruation and epigastric/abdominal pain. Nourishes the Blood Zang, warms the meridians, and enhances facial luster.
Ingredients: Chuanxiong, Danggui, Shaoyao, Shudihuang, Baizhu, Mudanpi (each Half Liang), Digupi (One Liang).
Preparation and Administration: Grind into powder. Take five Qian per dose, boil in one Jian of water until reduced to six parts, strain, and take warm before meals.
**Danggui Chuanxiong San (Angelica Sinensis and Ligusticum Wallichii Powder):** Treats wind obstruction in the head and eyes, dizziness, pain, and oppression, tendon contraction, limb numbness, protects fetal Qi, and harmonizes Ying and Wei Qi.
Ingredients: Danggui, Chuanxiong (each Half Liang), Gancao (Two Liang), Huangqin (Four Liang), Bohe (One Liang), Suosharen (One Fen).
Preparation and Administration: Grind into powder. Mix with warm water and take one Qian per dose, gradually increasing to two Qian. Take after meals, three times daily.
**Chensha Dahong Wan (Cinnabar Great Red Pill):** Treats postpartime alternating chills and fever, oppressive stuffiness, hard masses of Qi and Blood, and unceasing pain.
Ingredients: Zhusha (One Liang, half incorporated into the pill, half used as coating), Fuzi (prepared), Moyao (Half Liang), Haima (Half Qian), Ruxiang, Rongrong, Rougui, Yanzhusu, Jianghuang, Sha (each Half Liang), Banmao (One Fen), Shengdihuang (One Liang).
Preparation and Administration: Grind into powder, boil in wine, and bind with wheat starch paste into pills the size of sour jujubes. Take one pill per dose, washed down with decocted Danggui in wine, warmed. If menstruation is absent, wash down with decocted Honghua in wine.
**Sansheng San (Three Sages Powder):** Treats unceasing bloody discharge after childbirth.
Ingredients: Wuyu Gu (stir-fried), Shao Mianhui, Xueyutan (containing grease. Equal parts).
Preparation and Administration: Grind into fine powder. Take one Qian per dose, mixed with decocted Pomegranate Peel water, take hot.
**Moyao Dan (Myrrh Pellet):** Treats postpartum failure of evil blood to descend, amenorrhea, stabbing pain in the waist and abdomen, or general deposition of intestinal filth causing hardness, fullness, distension, and pain, coming and going. Also treats dryness-heat, irritability, thirst, panting, confusion, limb pain and fatigue, and sudden abdominal pain in adults and children. Not suitable for pregnant women with excessive self-discharge of evil matter. Not suitable for those with extreme dryness-heat and blood exhaustion; do not force purgation. Instead, regulate Qi and nourish Blood. Use after detailed syndrome differentiation.
Ingredients: Moyao (One Qian), Danggui, Dahuang (each One Liang), Qianniu (Two Liang), Qingfen (One and a half Qian), Guanzi Gui (Six Fen. Grind together into powder above), Naosha (One Qian, grind together).
Preparation and Administration: Grind uniformly, bind with vinegar and wheat starch paste into pills the size of adzuki beans. Take five to ten pills per dose with warm water. Continue until the accumulated disease is purged via brisk bowel movement. If the illness persists after purging, increase the dose again until purging stops. For sudden abdominal pain, wash down with Ruxiang decoction. If uncontrolled, ensure large bowel movement.
**Huangyaozi San (Radix Dioscoreae Hypoglaucae Powder):** Treats prolonged menstruation, irritability, thirst, oppression, sudden abdominal pain, limb fatigue, and loss of appetite.
Ingredients: Huangyaozi, Danggui, Shaoyao, Shengdihuang, Huangqin, Renshen, Baizhu, Zhimu, Shigao (each One Liang), Chuanxiong, Jiegeng (each One Fen), Gancao (One Liang), Ziwan, Huaizuizi, Chaihu (each One Fen).
Preparation and Administration: Make into coarse powder. Stir-fry three Qian, boil in one Jian of water until reduced to seven parts, filter the juice, and take warm before meals. Take only once.
**Da Yanhusuo San (Major Corydalis Powder):** Treats gynecological menstrual diseases, postpartum abdominal pain, abdominal fullness with panting, zheng jia pi ku (masses), and all sudden heart and abdominal pain.
Ingredients: Yanhusuo, Danggui, Chi Shaoyao, Jing Sanleng, Chuanlianzi, Peng Ezhu, Guanzi Gui, Nongpo, Muxiang, Chuanxiong (each One Fen), Jiegeng, Huangqin, Dahuang (each Half Liang), Gancao (One Liang), Binglang (One Qian).
Preparation and Administration: Grind into powder. Take three Qian per dose, boil in one Jian of water until reduced to six parts, strain, and take hot before meals. Administer three times daily. If there is excessive evil discharge, remove Dahuang and Guanzi Gui, and add Huangyaozi, Ran Huaizi, and Longgu (each Half Liang), following the previous method. Or for sudden heart and stomach pain in healthy individuals, add this formula, decoct and take; obtaining bowel movement is preferable.
**Zhishi Binglang Wan (Immature Bitter Orange and Areca Seed Pill):** Calms and nourishes fetal Qi, regulates menstruation, treats zheng jia pi ku resembling pregnancy. Can be taken for a long time to harmonize Qi and Blood. Also expands the diaphragm and improves appetite.
Ingredients: Zhishi, Binglang, Huanglian, Huangbai, Huangqin, Danggui, Ejiao (ash-fried, finely ground), Muxiang (each Half Liang).
Preparation and Administration: Grind into powder, bind with water into pills the size of adzuki beans. Take thirty pills per dose with warm rice drink at any time. Administer three times daily.
**Ruan Jinhua Wan (Soft Golden Flower Pill):** Treats sudden pain in the chest, heart, waist, and abdomen, or strangury, as well as stabbing menstrual pain before and after childbirth, dry heaving, Qi labor, alternating chills and fever, limb fatigue, night sweats. Also treats blood stasis and food retention.
Ingredients: Danggui (Half Liang, baked), Ganqi (Two and a half Qian), Qingfen, Banmao (raw, whole, ground), Naosha, Fenshuang (each One Qian), Badou (Two Qian, oil removed).
Preparation and Administration: Grind all ingredients into fine powder, mix with date paste to form pills the size of mung beans. Take one pill per dose with fresh well water. Increase dosage for severe cases. Adjust according to deficiency or excess.
**Da Honghua Wan (Major Safflower Pill):** Treats women's blood masses, accumulations, zheng jia, and meridian obstruction.
Ingredients: Chuan Dahuang, Honghua (each Two Liang), Mengchong (Ten, wings and feet removed).
Preparation and Administration: Take Seven Qian of Dahuang, simmer in vinegar into a paste, mix with other drugs, and form pills the size of paulownia seeds. Take five to seven pills per dose with warm wine after meals. Administer three times daily.
**Huangqin Tang (Scutellaria Decoction):** Treats fetal restlessness in pregnant women.
Ingredients: Baizhu, Huangqin (Equal parts).
Preparation and Administration: Grind into powder. Take three Qian per dose, boil with two Jian of water and one root of Danggui until reduced to one Jian, take slightly warm.
**Haige Wan (Clam Shell Pill):** Treates turbid urine, red and white leukorrhea, five types of strangury, umbilical and abdominal pain, chills and fever, dry mouth, rough tongue, and loss of appetite in women.
Ingredients: Haige, Banxia, Yuanhua (vinegar-fried), Hongniangzi (wings and feet removed), Hezi (stir-fried), Yanzhusu, Chuanlianzi (wrapped in flour, roasted, peeled), Huixiang (stir-fried. Each One Liang), Ruxiang (Three Qian), Naosha (Half Liang), Zhusha (half for pill, half for coating), Moyao (ground. Each One Liang), Danggui (One and a half Liang).
Preparation and Administration: Grind into powder, bind with vinegar-boiled wheat starch paste into pills the size of adzuki beans. Take five to ten pills per dose with vinegar water. Adjust according to patient's deficiency or excess.
**Wujin San (Black Gold Powder):** Treats various women's diseases, including chills, fever, headache, and all such ailments.
Ingredients: Wu Jinzi, Rougui, Puhuang, Danggui, Mengchong, Xueyutan, Shuizhi, Liyu Tan, Muxiang, Qingpi, Zaojiao (large ones, roasted. Each Half Liang), Shaoyao (Half Liang), Yuanhua (Three Liang, vinegar-processed), Badou (One Qian, oil removed), Zhusha (a little), Zongpi Tan, Honghua (each One Liang), Chuan Wutou (Half Liang).
Preparation and Administration: Grind into powder. Take half a Qian per dose, increasing to one Qian, mixed with ginger decoction. Take on an empty stomach before meals. Avoid greasy foods.
**Fulonggan San (Dragon Sitting Earth Powder):** Treats unceasing metrorrhagia in women, or bleeding that clots into sheets.
Ingredients: Xiong (One Liang), Shengdihuang (One Fen), Ejiao (Eight Qian, roasted), Danggui (One Liang), Xuduan (One Fen), Diyü (One Liang), Ci Ji Gen (One Liang), Fulonggan (Seven Qian), Qing Zhuru (Eight Qian).
Preparation and Administration: Grind into powder. Take three Qian per dose, boil in one and a half Jian of water until reduced to one Jian, take warm. Administer five times daily at any time. Follow with tonifying medicines.
**Ejiao Wan (Donkey-Hide Gelatin Pill):** Treats various women's diseases.
Ingredients: Ejiao, Biejia (each Six Fen), Xuduan (Five Fen), Longgu (One and a half Liang), Xiong (Six Fen), Dichan (Four Fen), Lurong (Five Fen), Wuyu Gu (Eight Qian), Danshen (Six Qian), Guijia (One Qian).
Preparation and Administration: Grind into powder, bind with vinegar and wheat starch paste into pills the size of paulownia seeds. Take thirty pills per dose with mugwort water. Administer three to four times daily.
**Shexiang Xingren San (Musk and Apricot Kernel Powder):** Treats women's yin sores.
Ingredients: Shexiang (a little), Xingren (as needed, roasted until carbonized but retaining nature).
Preparation and Administration: Grind into fine powder. If the sore is deep, place the medicine fully into two small silk bags, tie them, heat the medicine before application, and insert into the vagina. Immediate cure.
**Zhusha Banmao Wan (Cinnabar and Mustard Beetle Pill):** Treats postpartum consumption of hard food transforming into Qi-Blood-food masses, regardless of duration.
Ingredients: Zaojiao Mo (Two Qian), Badou (Four, oil removed), Zhusha (One Qian), Naosha (size of one soap bean), Ganxie (one, whole), Banmao (ten), Hongniangzi (five), Shuizhi (five).
Preparation and Administration: Grind into fine powder, bind with honey into fifteen pills. Take one to three pills per dose with warm wine. Take at the first watch of the night; by dawn, blood will be discharged as water. Diseases lasting ten years can be cured. Discharge may occur via stool or urine.