中醫醫理,如隋代《諸病源候論•婦人雜病諸候•帶下候》,即明確提出「帶下病」之名,並承《脈經》之「五崩」而分「帶下五色俱下候」為「廣帶下青候」、「帶下黃候」、「帶下赤候」、「帶下白候」、「帶下黑候」,自此區別「崩」與「帶」的名稱;並指出「五臟俱虛損者,故其色隨穢液而下,為帶五色俱下」,分別以帶色配合五臟論其病機、病位,認為帶下病乃風溼寒邪入於胞絡,兼之勞傷體虛、房勞過度,內外相感而成;此中認識皆對後世醫家論治帶下病頗具影響。 清代《傅青主女科•帶下》則將帶下病如為該書首卷、分別以白、黃、赤、青、黑五色帶下,論述病機、證象、治法,謂帶下病乃帶脈之傷,多由脾氣之虛、肝氣之鬱、濕氣之侵、熱氣之逼所致,認為「帶下俱是濕證」: 如綠豆之汁,稠黏不斷,其氣腥臭,……乃肝經之濕熱…… 帶下而色黃者……其氣腥穢……乃任脈之濕熱也;婦人有帶下而色黑者, 甚則如黑豆汁,其氣亦腥……乃火熱之極也,……其症必腹中疼痛、小便、時如刀剌,陰門心發腫…… 婦人有帶下而色紅者,似血非血,淋漓不斷……夫赤帶亦濕病。 治法上以健脾升陽除濕治白帶,清肝利濕治青帶,健脾利濕、瀉腎火治黃帶,瀉火利濕治黑帶,清肝扶脾、養血活血治赤帶。
In the medical theory of Chinese Medicine, the gynecological disease was specified clearly in ”Treatise on the Causes and Manifestations of Diseases, Manifestations of miscellaneous diseases of women, Manifestations of gynecological disease” in Sui Dynasty. It was divided into five kinds of gynecological disease in ”Mai Jing”, such as cyan gynecological disease, yellow gynecological disease, brown gynecological disease, white gynecological disease, and black gynecological disease. Five internal organs are used to determine the mechanism and position of disease. The main cause of gynecological disease was wet and cold meridian, overexertion of body, the internal and external interaction. It had big influence on the treatment of gynecological disease by the following physicians. In Qing Dynasty, the book of ”Fu Qingzhu's Gynecology and Obstetrics” used white, yellow, brown, cyan, and black discharge to distinguish the gynecological disease, in order to discuss its mechanism, symptom, and therapy etc. It was considered that the gynecological disease was caused by the deficiency of spleen qi, the stagnation of liver qi, the intrusion of humid qi, and the press of heat qi. As for the treatment, adjusting spleen and removing humid can cure white gynecological disease, clearing liver can cure cyan gynecological disease, strengthening kidney can cure yellow gynecological disease, removing fire and heat can cure black gynecological disease, and activating blood can cure brown gynecological disease