We present a quantum mechanical nonlinear treatment of the phase and amplitude flucutations of gas lasers, i.e. lasers with moving atoms, and of solid state lasers with an inhomogeneously broadened line. The atoms may possess an arbitrary number of levels. As in our preceding papers the noise due to the pump, incoherent decay, lattice vibrations or atomic collisions, as well as due to the thermal and zero point fluctuations of the cavity is completely taken into account. The linewidth (due to phase diffusion), and the intensity fluctuations (due to amplitude noise) are essentially expressed by the threshold inversion, the unsaturated inversion and the saturated population numbers of the two atomic levels, which support the laser modes. Our results apply to the whole threshold region and above up to essentially the same photon number, to which the previous semiclassical theories of inhomogeneously broadened lasers were applicable. For the example of a two-level system we also demonstrate the application of a new technique which allows us to eliminate rigorously the atomic variables (operators), yielding a set of nonlinear coupled equations for the lightfield operators alone. If the elimination procedure is carried out only partially and additional approximations are made, we find essentially the rate equations of McCtJMB~R, in a form derived by LAx. When we neglect noise, the nonlinear equation may be solved exactly in the case of single mode operation. By a suitable expansion of the exact multimode equations we find a convenient set of equations, which reduce in the noiseless case to those derived and used previously by HAKEN and SAU~RMANN as well as LAMB.