阴痒多是虫蚀所为，始因湿热不已，故生三虫，在于肠胃之间，其虫蚀于阴户中而作
痒也。甚则痒痛不已，溃烂肿突。在室女及寡妇，多因欲事不遂，思想所淫，以致气血凝于
阴间，积成湿热，久而不散，遂成三虫，则有此疾。有妇房室过伤，以致热壅，故作肿痒内
痛，外为便毒，莫不皆由欲事伤损而致者也。
椒茱汤 治妇人阴户痒不可忍，惟以热汤泡洗，不能住手者。
花椒 吴茱萸（各一两） 蛇床子 藜芦 陈茶叶（一撮） 煨盐（二两）
以水五、七升煎，乘热熏洗。
大黄散 治阴痒。
大黄（微炒） 黄芩 黄 （炙。各一两） 赤芍药 玄参 丹参 山茱萸 蛇床子（各半两）
上为细末，每服二钱，食前温酒调下。
杏仁膏 治妇人阴痒不可忍。
杏仁（烧，存性） 麝香（少许）
上为末，用旧帛裹之缚定，火上炙热，内阴中。
三茱丸 治阴挺、阴痒。
食茱萸 吴茱萸（汤泡） 山茱萸（肉微炒） 桔梗（微炒） 白蒺藜（炒，去刺） 青皮
舶上茴香（炒。各一两） 五味子 海藻（焙） 大腹皮（酒洗晒干） 川楝子肉 玄胡索（各两半）
上为末，酒糊丸，梧桐子大。每服三十五丸，空心木通汤下。腹痛、腰痛者加桃仁一两，
木香七钱。
椿根皮汤 治妇人阴痒突出。
臭椿皮 荆芥穗 藿香（各等分）
上锉，煎汤熏洗，即入即止。
一方∶用枯矾、蓖麻子捣烂，摊纸上托入。
一方∶治阴肿痒不收，用麻黄、荆芥、茄种皮、蛇床子、真杉木、刺 皮烧过，研为末，
敷上或煎汤熏洗。
蛇蜕散 治妇人阴疮，先以荆芥、蛇床子汤熏洗，挹干敷药。
蛇蜕（一条，烧存性） 枯矾 黄丹 蓄 本（各一两） 硫黄 荆芥穗 蛇床子（各半两）
上为细末，香油调搽，温则干搽。
水杨汤 治妇人阴中生物，痒痛牵引腰腹。多由房事太过，或因淫欲不遂，或因非理所
为，以致阴户所伤，名曰阴挺。
金毛狗脊，五倍子 枯矾 鱼腥草 水杨根 川黄连（各一两。）
上为末，分四剂，用有嘴瓦罐煎熟，预以竹筒两头去节，接罐嘴，引热气熏入阴中或
透挺上。汤温不热，
仍用洗沃，次服白薇散。
白薇散 治妇人阴挺。
白薇 川芎 熟地黄（酒洗） 桂心 甘草 当归 泽兰叶 苍术（炒） 菱霄花
牡丹 芍药（各等分）
上咀，每服七钱，水二盏，煎八分，食前服。
一方 治阴痒，用蛇床子、白矾煎水淋洗。
一方 用蒜汤洗之。一用枸杞根煎汤洗之。
（《录验》）炙肝法 治妇人阴痒、虫蚀。
牛肝或猪肝，切三寸长，如钱大，炙熟内阴中，虫附上出尽即愈。
大贯众平胃散 治妇人阴中生虫，痛痒不定。
贯众 苍术 浓朴 陈皮 甘草（各等分）
上为细末，每服二钱，熟煮猪肝拌药末入阴户内，数日愈。
一方∶治阴中虫痒，捣桃叶绵裹内阴中，日易三四次。
草乌煎 治妇人阴中生虫。（凡入九窍有肉突出，久而不愈，皆成痔疾。）
草乌（七个，烧，存性。）
用小瓦罐盛米醋，淬，乘热熏，候通，手洗之。
桂心散 治妇人交接辄痛出血。
桂心 伏龙肝（各等分）
为末，空心，酒调服三钱。
妇人交接、阳道违理，及他物伤犯，血出淋沥。
百草霜（不以多少）
用葫芦取汁调涂。
一方∶用发灰并青布灰敷之。或刺鸡冠血涂之皆效。
Yin itching is mostly caused by erosion from parasites. Initially, it arises from prolonged damp-heat accumulation, which generates "three types of worms" residing between the intestines and stomach. These worms erode the vaginal opening, causing itching. In severe cases, there is unceasing itching and pain, leading to ulceration, swelling, and protrusion. For unmarried women and widows, this condition often results from unsatisfied sexual desires and excessive lustful thoughts, causing Qi and Blood to stagnate in the genital region. This stagnation accumulates into damp-heat, which persists for a long time, eventually generating the three types of worms and resulting in this disease. Some women suffer from excessive sexual activity, leading to heat obstruction, which causes swelling, itching, internal pain, and external presentation as *biandu* (perianal or perineal abscess). All these are invariably caused by damage from sexual excesses.
Jiaozhu Decoction: Treats unbearable vaginal itching in women, where the patient feels compelled to wash with hot water and cannot control scratching.
*Sichuan Pepper* (*Zanthoxyli Fructus*), *Evodia Fruit* (*Evodiae Fructus*) (each 1 liang), *Cnidium Fruit* (*Cnidii Fructus*), *Veratrum Rhizome* (*Veratri Rhizoma*), aged tea leaves (a pinch), calcined salt (2 liang).
Decoct in 5 to 7 sheng of water. Fumigate and wash the area while hot.
Dahuang Powder: Treats yin itching.
*Rhubarb Root and Rhizome* (*Rhei Radix et Rhizoma*) (lightly stir-fried), *Scutellaria Root* (*Scutellariae Radix*), *Phellodendron Bark* (*Phellodendri Cortex*) (honey-fried, each 1 liang), *Red Peony Root* (*Paeoniae Radix Rubra*), *Scrophularia Root* (*Scrophulariae Radix*), *Salvia Root* (*Salviae Miltiorrhizae Radix*), *Cornus Fruit* (*Corni Fructus*), *Cnidium Fruit* (*Cnidii Fructus*) (each 0.5 liang).
Grind into fine powder. Take 2 qian per dose, mixed with warm wine before meals.
Xingren Paste: Treats unbearable vaginal itching in women.
*Apricot Seed* (*Armeniacae Semen Amarum*) (burned, preserving its nature), *Musk* (*Moschus*) (a small amount).
Grind into powder, wrap in old cloth, secure tightly, heat over fire, and insert into the vagina.
Sanju Pill: Treats *yinting* (uterine prolapse) and yin itching.
*Edible Evodia Fruit* (*Tetradii Fructus*), *Evodia Fruit* (*Evodiae Fructus*) (soaked in decoction), *Cornus Fruit* (*Corni Fructus*) (flesh lightly stir-fried), *Platycodon Root* (*Platycodi Radix*) (lightly stir-fried), *Tribulus Fruit* (*Tribuli Fructus*) (stir-fried, thorns removed), *Green Tangerina Peel* (*Aurantii Fructus Viridis*), *Fennel Fruit* (*Foeniculi Fructus*) (stir-fried, each 1 liang), *Schisandra Fruit* (*Schisandrae Chinensis Fructus*), *Sargassum Thallus* (*Sargassi Thallus*) (baked), *Areca Seed* (*Arecae Semen*) (washed in wine and dried), *Toosendan Fruit* (*Meliae Fructus*), *Cyathula Root* (*Cyathulae Radix*) (each 1.5 liang).
Grind into powder, make pills with wine paste, size of sophora seeds. Take 35 pills per dose, swallowed with *Wutong* (Akebia) decoction on an empty stomach. If accompanied by abdominal or lower back pain, add *Peach Kernel* (*Persicae Semen*) 1 liang and *Costus Root* (*Saussureae Radix*) 7 qian.
Chungenpi Decoction: Treats female yin itching with a sensation of protrusion.
*Celtis Bark* (*Celtis Sinensis Cortex*), *Schizonepeta Spike* (*Schizonepetae Spica*), *Patchouli Herb* (*Agastaches Herba*) (equal parts).
Cut into pieces, decoct in water for fumigation and washing; relief occurs immediately upon application.
Another prescription: Grind *Alum* (*Alumen*) and *Castor Seed* (*Ricini Semen*) into a paste, spread on paper, and insert into the vagina.
Another prescription: Treats swollen, itchy, and lax yin. Use *Ephedra Stem* (*Ephedrae Herba*), *Schizonepeta Spike* (*Schizonepetae Spica*), eggplant seed skin, *Cnidium Fruit* (*Cnidii Fructus*), authentic cedar wood, and burned bark (text incomplete, likely referring to a specific bark), grind into powder. Apply topically or decoct for fumigation and washing.
Shetui Powder: Treats female yin sores. First fumigate and wash with *Schizonepeta* and *Cnidium* decoction, dry thoroughly, then apply medicine.
*Snake Slough* (*Bombyx Batryticatus* - Note: Text says Shetui which is snake slough, but context implies insect/animal product; strictly translating Shetui as Snake Slough) (one strip, burned preserving nature), *Alum* (*Alumen*), *Lead Monoxide* (*Lithargyrum*), *Polygonum Aviculare* (*Polygoni Avicularis Herba*), *Ligusticum Root* (*Ligustici Chuanxiong Rhizoma* - Note: Text says Ben Cao, likely *Ligustici Wallichii Rhizoma* or similar root named Ben), *Sulfur* (*Sulfur*), *Schizonepeta Spike* (*Schizonepetae Spica*), *Cnidium Fruit* (*Cnidii Fructus*) (each 0.5 liang).
Grind into fine powder, mix with sesame oil for topical application. If warm, apply dry powder.
Shuiyang Decoction: Treats growths in the female vagina causing itching and pain radiating to the waist and abdomen. Often due to excessive sexual intercourse, unsatisfied lust, or improper sexual conduct, injuring the vaginal opening, termed *yinting*.
*Gold-haired Dogwood Fern Rhizome* (*Cibotii Rhizoma*), *Chinese Gallnut* (*Galla Chinensis*), *Alum* (*Alumen*), *Houttuynia Herb* (*Houttuyniae Herba*), *Poplar Root* (*Populi Radix*), *Coptis Rhizome* (*Coptidis Rhizoma*) (each 1 liang).
Grind into powder, divide into four doses. Decoct in a spouted earthenware pot. Pre-cut bamboo tubes (remove nodes at both ends), connect to the pot spout, and guide the steam into the vagina or onto the protruding mass. When the liquid is warm but not hot, use it to wash. Subsequently, administer Baiwei Powder.
Baiwei Powder: Treats female *yinting* (uterine prolapse).
*Bitter Vetch Root* (*Crotalariae Radix* - Note: Baiwei is typically *Cynanchi Atrati Radix*, WHO term Cynanchi Atrati Radix), *Ligusticum Rhizome* (*Ligustici Chuanxiong Rhizoma*), *Prepared Rehmannia Root* (*Rehmanniae Radix Preparata*) (washed in wine), *Cinnamon Twig* (*Cinnamomi Ramulus*), *Licorice Root* (*Glycyrrhizae Radix et Rhizoma*), *Angelica Root* (*Angelicae Sinensis Radix*), *Lycopus Herb* (*Lycopi Herba*), *Atractylodes Rhizome* (*Atractylodis Macrocephalae Rhizoma*) (stir-fried), *Lonicera Flower* (*Lonicerae Japonicae Flos* - Note: Text says Lingxiaohua, likely Lingxiaohua/Lonicera), *Peony Flower* (*Paeoniae Lactiflorae Radix* - Note: Mudan is usually root, Mudan Pi is bark, text says Mudan, likely Peony Bark/Root), *Peony Root* (*Paeoniae Radix*) (equal parts).
Cut into pieces. Take 7 qian per dose, add two zhan of water, decoct to 8 fen, take before meals.
Another prescription: For yin itching, decoct *Cnidium Fruit* (*Cnidii Fructus*) and *Alum* (*Alumen*) in water for douching/washing.
Another prescription: Wash with garlic decoction. Or wash with decoction of *Goji Root* (*Lycii Radix*).
(Based on *Lu Yan*) Roasted Liver Method: Treats female yin itching and parasitic erosion.
Slice beef liver or pork liver into 3-cun long pieces, about the size of a coin. Roast until cooked and insert into the vagina. The parasites will attach to the liver and be expelled when removed, leading to cure.
Da Guanzhong Pingwei San: Treats worms in the female vagina causing intermittent pain and itching.
*Japanese Honeysuckle Tuber* (*Scrofulariae Radix* - Note: Guanzhong is Osmundae Rhizoma), *Atractylodes Rhizome* (*Atractylodis Macrocephalae Rhizoma*), *Magnolia Bark* (*Magnoliae Officinalis Cortex*), *Tangerina Peel* (*Citri Reticulatae Pericarpium*), *Licorice Root* (*Glycyrrhizae Radix et Rhizoma*) (equal parts).
Grind into fine powder. Take 2 qian per dose. Mix with cooked pork liver paste and insert into the vaginal opening. Cure within a few days.
Another prescription: For vaginal worm itching, crush peach leaves, wrap in cotton, and insert into the vagina. Change 3-4 times daily.
Caowu Decoction: Treats worms in the female vagina. (Any flesh protruding from the nine orifices that persists becomes hemorrhoids.)
*Aconite Root* (*Aconiti Lateralis Radix Preparata*) (seven pieces, burned preserving nature).
Place in a small earthenware pot with rice vinegar, quench the hot Caowu, and fumigate while hot. After passage is clear, wash manually.
Guixin Powder: Treats pain and bleeding during sexual intercourse in women.
*Cinnamon Twig* (*Cinnamomi Ramulus*), *Longtan Earth* (*Dragon's Blood* - Note: Fulonggan is Haematitum) (equal parts).
Grind into powder. Take 3 qian mixed with wine on an empty stomach.
For women experiencing bleeding and dripping after intercourse, improper sexual conduct, or injury from foreign objects.
*Burnt Grass Ash* (*Carbonis Herbae*) (as needed).
Mix with juice from a gourd and apply topically.
Another prescription: Apply ash from human hair and blue cloth. Or prick a rooster comb for blood and apply. Both are effective.