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[Zhang Zhongjing] When the Shaoyin pulse is slippery and rapid, sores will arise in the vagina, causing erosion and ulceration of the genitalia. Wash with Yelangya Decoction (Wolf's Tooth Herb Decoction).
Take Erliang (two taels) of Yelangya (Acanthopanacis Senticosi Cortex), decoct in four Sheng (liters) of water until half a Sheng remains. Wrap cotton around a chopstick like a silkworm cocoon, dip it into the decoction, and irrigate the vagina three times daily.

[From *Mai Jing* / *Da Lun*] Xi San (Washing Powder) treats genital erosion sores.
Gancao (Licorice Root, one tael), Ganqi (Dried Lacquer, one tael), Huangqin (Scutellaria Root), Danggui (Angelica Sinensis), Dihuang (Rehmannia Root), Shaoyao (Peony Root, two taels each), Guijia (Tortoise Shell, five taels).
Finely cut the above herbs, decoct in seven Sheng of water until reduced by half, then strain. Soak a piece of cotton silk in the decoction and apply it to the sore area, leaving it for a considerable time before replacing. Do this twice daily. After each application, wait approximately the time it takes to walk ten Li (miles), dry the area, and take Gan Shi San (Sweet Moisture Powder), applying a thin layer evenly over the sores. Maintain this for half a day, then re-apply the decoction as before, followed by the powder again.
A maid suffered from this disease; the eroded area formed two ulcers, half an inch deep. Using this washing/applying decoction along with the subsequent Gan Shi San, she recovered completely in less than seven days. It is very effective.

Gan Shi San (Sweet Moisture Powder)
Ranshe Dan (Bungarus Multicinctus Gallbladder, authentic) Qingmuxiang (Costus Root), Shiliuhuang (Sulfur), Tiejing (Iron Essence), Shexiang (Musk, four fen each, added just before use. Green musk repels snake venom; if mixed beforehand, the potency of the snake gallbladder will be diminished.)
Grind all ingredients equally into powder, then further refine by grinding. For patients, take an amount equivalent to three chess pieces, mix with well water (Jinghua Shui), and administer orally twice daily. First, ensure the patient has evacuated bowels. Then, fumigate the lower part using the following Peach Branch method. Afterwards, take a pill-sized amount of medicine, place it in a bamboo tube, and insert it into the lower orifice (vagina/rectum) twice daily. Reduce the dose slightly for elderly patients. The fumigation method is performed once daily and must not be repeated.

Peach Branch Fumigation Method
Take five to seven branches of peach wood from the southeast direction. Gently beat the head to loosen the fibers and wrap them with cotton. Grind Shiliuhuang (Sulfur) into powder. Roll the cotton-wrapped peach branch in the sulfur powder so that the end becomes thickly coated. Cut a bamboo tube, insert it into the lower orifice first, then heat the medicated peach branch and use it to fumigate the area.

[Zhu Danxi] For female genital sores, apply Sulfur powder externally. (*Zhou Hou Bei Ji Fang*)

[Zhang Zhongjing] Shechuangzi San (Cnidus Seed Powder) used as a sitz medicine to warm the vagina.
Use only Shechuangzi Ren (Cnidii Fructus) as a single ingredient, grind it into powder. Mix with a small amount of Baifen (White Powder, likely starch or lead carbonate historically) to bind. Form into pills the size of a jujube pit, wrap in cotton, and insert into the vagina. It will naturally produce warmth and dissipate the condition.

According to the theory of Six Qi transformations, genital sores generally belong to Cold patterns. The classics state: "When Taiyang qi prevails, ulcers occur in the genital region, and hidden functions are obstructed; treat with bitter-hot methods." This is precisely what is meant.