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Longdan Xiegan Tang (Gentiana Decoction to Drain the Liver), Fumigation and Washing Method, Hot Compress Method

9. Women with genital warts experience pain in both groins, swelling, heaviness, and pain at the Yumen (vaginal opening). This is caused by damp-heat and should be treated with Longdan Xiegan Tang (Gentiana Decoction to Drain the Liver). The formula includes Cheqianzi (Plantago Seed), Zexie (Alisma Rhizome), Huangqin (Scutellaria Root) from Daochi San (Cedar Leaf Decoction), along with Danggui (Angelica Sinensis Root), Zhizi (Gardenia Fruit), and Longdanchao (Gentiana Root). If the condition arises from Qi deficiency with sinking of middle Qi, Buzhong Yiqi Tang (Decoction to Supplement the Middle and Augment the Qi) should be used to raise and lift. Externally, Aiye (Mugwort Leaf), Fangfeng (Saposhnikovia Root), and Daji (Euphorbia Root) are boiled for fumigation and washing; alternatively, Zhishi (Immature Bitter Orange) and Chenpi (Aged Tangerine Peel) are stir-fried until hot and applied as a compress.

[Note] Swelling, heaviness, and pain of the uterus (Zihu), along with pain in both groins in women, is referred to as "You Luan" (a term for genital warts/swelling). This is caused by excessive fire in the Liver and Heart meridians, leading to the downward flow of damp-heat. It is appropriate to take Longdan Xiegan Tang (Gentiana Decoction to Drain the Liver). This formula consists of Daochi San (Cedar Leaf Decoction: Shengdi Huang, Mutong, Gancao) plus Cheqianzi (Plantago Seed), Zexie (Alisma Rhizome), Huangqin (Scutellaria Root), Danggui (Angelica Sinensis Root), Hei Zhizi (Charred Gardenia Fruit), and Longdanchao (Gentiana Root). If the condition is due to inherent deficiency of middle Qi causing sinking and heaviness, Buzhong Yiqi Tang (Decoction to Supplement the Middle and Augment the Qi) should be used to elevate the Qi. Externally, Qiai (Qichou Mugwort), Fangfeng (Saposhnikovia Root), and Daji (Euphorbia Root) are decocted for fumigation and washing. Furthermore, Zhishi (Immature Bitter Orange) and Chenpi (Aged Tangerine Peel) are powdered, stir-fried until hot, and applied as a compress; the swelling will naturally subside and the pain will cease.

Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder), Frankincense Siwu Tang Poultice Method

10. Pain within the vagina is named "Xiaohu Jia Tong" (Little Door Marriage Pain). When the pain is extreme, the hands and feet cannot extend or relax. Internally, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) is taken; externally, Siwu Tang (Four Substances Decoction) combined with Ruxiang (Frankincense Resin) is pounded into a cake and applied.

[Note] Pain in the female genitals, known as "Xiaohu Jia Tong" (Little Door Marriage Pain), often results in an inability to extend or relax the limbs when the pain is severe. This is caused by stagnant heat damaging the Liver and Spleen, with damp-heat pouring downward. It is appropriate to internally take Xiaoyao San (Free and Easy Wanderer Powder) added with Danpi (Moutan Cortex) and Zhizi (Gardenia Fruit); externally, the ingredients of Siwu Tang (Four Substances Decoction) are combined with Ruxiang (Frankincense Resin), pounded into a cake, and inserted into the vagina, after which the pain will immediately settle.
The formulas for Xiaoyao San (Free and Easy Wanderer Powder) and Siwu Tang (Four Substances Decoction) are found in the first volume of this book.

Taoren Xionghuang Gao (Peach Kernel Realgar Ointment)

11. Damp-heat generating parasites causes itching of the vaginal orifice. Internally, take Xiaoyao San (Free and Easy Wanderer Powder) or Longdan Xiegan Tang (Gentiana Decoction to Drain the Liver). Externally, mix Taoren (Peach Kernel) paste with Xionghuang (Realgar powder), place chicken liver slices in the center, and insert into the vagina.

[Note] Female genital itching is mostly caused by damp-heat generating parasites. In severe cases, it is accompanied by limb fatigue and dribbling urination. It is appropriate to take Xiaoyao San (Free and Easy Wanderer Powder) and Longdan Xiegan Tang (Gentiana Decoction to Drain the Liver). Externally, Taoren (Peach Kernel) is ground into a paste, mixed with Xionghuang (Realgar powder), and chicken liver slices are dipped in the medication and inserted into the vaginal orifice. Upon smelling the fishy scent of the liver, the parasites will burrow into the liver tissue to feed. When the liver is then removed, the disease will be cured.
The formula for Xiaoyao San (Free and Easy Wanderer Powder) is found in the first volume of this book. The formula for Longdan Xiegan Tang (Gentiana Decoction to Drain the Liver) is found in the preceding section on Genital Swelling.