加味四苓汤
治前阴漫肿，脉弦者。
茯苓（三钱） 白术（一钱半，炒黑） 猪苓（一钱半） 柴胡稍（五分） 泽泻（一钱半） 青皮（一钱半，炒）
陈皮（一钱半） 橘核（三钱，炒）
水煎去渣温服。
脾土虚衰，不能制湿而肝气滞于厥阴，故前阴两拗漫肿焉。白术 培脾土以制湿，茯苓渗利湿邪以安中，猪
苓利三焦之湿，泽泻利膀胱之湿，青皮破滞气以平肝，陈皮利中气以和胃，柴胡稍达下以升阳散滞，广橘核入肝
以散结消肿也。水煎温服，使土强制湿，则湿化气调而肝脾无滞结之患，何阴肿之不退哉。
加味逍遥散
治阴痒脉弦虚数者。
柴胡（六钱，盐水炒） 白芍（二两，炒） 白术（一两半，制） 当归（三两） 茯苓（一两） 炙草
（四钱） 山栀（二两炒） 丹皮（一两半） 蛤壳（三两，生研）
为散，白雷丸三钱，煎汤调下三钱。
肝脾血虚，湿热下注，故阴内生虫而作痒难忍，得溺则暂解片时焉。蛤壳生研利少阴之湿热，柴胡盐制解肝
胆之虚阳，当归养血荣经，白芍敛阴和血，白术培土制湿，茯苓渗湿和脾，丹皮凉血以清相火，山栀降热以清湿火，
炙甘草以缓中和胃也。白雷丸汤调下取其清热杀虫使热化虫消，则湿亦得泄而津血四布，肝脾无不皆受其荫，岂有
湿热下注以成阴痒之苛哉。
加味二妙散
治阴内生疮，脉细数者。
苍术（一两，炒） 黄柏（二两，盐水炒） 龟板（二两，盐水炒） 萆 （二两） 知母（二两，盐水炒）
为散，人中白煎汤，调下三钱。
湿热内甚，浸淫不化而下注阴中，故阴内生疮焉。苍术燥湿强脾以治疮，黄柏清热燥湿以存阴，知母清热壮水，
萆利湿厘清，龟板滋阴壮水以清湿热下注之源也。人中白汤调下使小便清利则湿热自化而经府清和，何阴内生
疮之足患哉。
济阴掺药方
治阴疮湿烂脉缓者。
黄丹（一两） 枯矾（三两） 蓄（一两，炒灰） 本（一两） 蛇床子（二两） 荆芥（一两）
白蛇皮（六钱，烧灰） 硫黄（一两）
为末干掺药溶，葱矾汤洗拭再掺之。
湿气内淫，挟风毒而阴疮湿烂，故脓汁淋漓不能自己焉。黄丹生肌燥湿，硫黄燥湿杀虫， 本升阳胜湿，
枯矾却湿排脓，荆芥疏血分风邪，蛇床泻阴中湿热，蛇皮善脱皮肤，炒黑亦能胜湿， 蓄专泻水湿炒灰，亦可排
脓，药末以掺之，葱矾汤以洗之，务使湿化风消，则经府清和而阴疮湿烂无不平复，何脓汁淋漓之不已哉。
Jiawei Siling Decoction (Modified Four-Ling Decoction)
Treats diffuse swelling of the anterior yin with a wiry pulse.
Poria (Sanqian, 3 qian) Atractylodis Rhizoma (Yiqianban, stir-fried until charred) Polyporus (Yiqianban) Bupleuri Radix Caulis (Wufen, tip of the root) Alismatis Rhizoma (Yiqianban) Tangerine Peel (Qingpi, Yiqianban, stir-fried) Citrus Reticulatae Pericarpium (Chenpi, Yiqianban) Citri Grandis Fructus (Juhe, Sanqian, stir-fried)
Decoct in water, remove dregs, and take warm.
Spleen Earth is deficient and weak, unable to control dampness, causing Liver Qi to stagnate in the Jueyin channel; thus, diffuse swelling occurs on both sides of the anterior yin. Atractylodis Rhizoma nourishes Spleen Earth to control dampness; Poria leaches out damp-evil to stabilize the Middle Jiao; Polyporus promotes urination to drain dampness from the Triple Burner; Alismatis Rhizoma promotes urination to drain dampness from the Bladder; Tangerine Peel breaks up stagnant Qi to calm the Liver; Citrus Reticulatae Pericarpium regulates Middle Qi to harmonize the Stomach; Bupleuri Radix Caulis reaches the lower part to raise Yang and dissipate stagnation; Citri Grandis Fructus enters the Liver channel to dissipate nodules and reduce swelling. Decocted in water and taken warm, it strengthens Earth to control dampness, transforming dampness and regulating Qi, preventing stagnation in the Liver and Spleen. How could anterior yin swelling fail to recede?
Jiawei Xiaoyao Powder (Modified Free and Easy Wanderer Powder)
Treats vulvar pruritus with a wiry, thready, deficient, and rapid pulse.
Bupleuri Radix (Liuqian, stir-fried with salt water) Paeoniae Radix Alba (Erliang, stir-fried) Atractylodis Macrocephalae Rhizoma (Yiliangban, processed) Angelicae Sinensis Radix (Sanliang) Poria (Yiliang) Glycyrrhizae Radix et Rhizoma Praeparata (Siqian) Gardeniae Fructus (Erliang, stir-fried) Moutan Cortex (Yiliangban) Tridacnidae Concha (Sanliang, raw and ground)
Grind into powder. Take three qian of the powder mixed with decoction of three qian of White Lei Wan (Bai Leiwu).
Liver and Spleen blood deficiency with damp-heat pouring downward causes worms to generate inside the yin, resulting in unbearable itching, which is temporarily relieved by urination. Tridacnidae Concha, raw and ground, drains damp-heat from the Shaoyin channel; Bupleuri Radix, prepared with salt, resolves deficient Yang of the Liver and Gallbladder; Angelicae Sinensis Radix nourishes blood to enrich the channels; Paeoniae Radix Alba astringes Yin and harmonizes blood; Atractylodis Macrocephalae Rhizoma nourishes Earth to control dampness; Poria leaches dampness to harmonize the Spleen; Moutan Cortex cools blood to clear Minister Fire; Gardeniae Fructus descends heat to clear damp-fire; Glycyrrhizae Radix et Rhizoma Praeparata moderates the Middle and harmonizes the Stomach. Administered with Bai Leiwu decoction, it clears heat and kills parasites. As heat transforms and worms disappear, dampness is also excreted, and fluids and blood circulate freely, benefiting both Liver and Spleen. How could damp-heat pouring downward cause severe vulvar pruritus?
Jiawei Ermiao Powder (Modified Two-Wonderful Powder)
Treats sores inside the yin with a thready and rapid pulse.
Atractylodis Rhizoma (Yiliang, stir-fried) Phellodendri Cortex (Erliang, stir-fried with salt water) Testudinis Carapax et Plastrum (Erliang, stir-fried with salt water) Dioscoreae Hypoglaucae Rhizoma (Erliang) Anemarrhenae Rhizoma (Erliang, stir-fried with salt water)
Grind into powder. Take three qian of the powder mixed with decoction of Renzhongbai (Human Tooth Ash).
Internal damp-heat is severe, infiltrating and failing to transform, pouring downward into the yin, causing sores inside the yin. Atractylodis Rhizoma dries dampness and strengthens Spleen Qi to treat sores; Phellodendri Cortex clears heat and dries dampness to preserve Yin; Anemarrhenae Rhizoma clears heat and strengthens Water; Dioscoreae Hypoglaucae Rhizoma promotes urination to separate clear from turbid; Testudinis Carapax et Plastrum nourishes Yin and strengthens Water to clear the source of downward-pouring damp-heat. Administered with Renzhongbai decoction, it makes urine clear and smooth, naturally resolving damp-heat and harmonizing meridians and organs. What worry is there for sores inside the yin?
Jiyin Chan Yao Fang (Jiyin Dusting Powder Prescription)
Treats wet and ulcerated yin sores with a slow pulse.
Minii Oxidum Rubrum (Yiliang) Alumina Ustas (Sanliang) Polygoni Avicularis Herba (Yiliang, stir-fried to ash) Ligustici Rhizoma et Radix (Yiliang) Cnidii Fructus (Erliang) Schizonepetae Spica (Yiliang) Serpentis Corium Arsenum (Liuchian, burnt to ash) Sulphur (Yiliang)
Grind into fine powder for dry dusting. Wash and wipe with Scallion and Alum decoction before applying powder.
Internal invasion of dampness, carrying wind-toxin, causes wet and ulcerated yin sores, leading to continuous dripping of pus. Minii Oxidum Rubrum generates flesh and dries dampness; Sulphur dries dampness and kills parasites; Ligustici Rhizoma et Radix raises Yang and overcomes dampness; Alumina Ustas expels dampness and discharges pus; Schizonepetae Spica disperses wind-pathogen in the Blood level; Cnidii Fructus drains damp-heat in the yin; Serpentis Corium Arsenum facilitates skin shedding; when stir-fried black, it also overcomes dampness; Polygoni Avicularis Herba specifically drains water-dampness, and when burnt to ash, can discharge pus. Apply powder to the lesion; wash with Scallion and Alum decoction. Ensure dampness transforms and wind disappears, harmonizing meridians and organs, so that wet and ulcerated yin sores heal completely, and continuous pus discharge stops.