〔阴肿〕
〔大〕夫妇人阴肿者，是虚损受风邪所为。胞络虚而有风邪客之，风气乘于阴，与
血气相搏，令气痞涩，腠理壅闭不泄越，故令肿也。
〔薛〕前证若气血虚弱，用补中益气汤举而补之。肝经湿热，用龙胆泻肝汤渗而清
之。若阴肿、阴痒、阴冷、阴挺，当与后论互相参看。一妇人阴中肿闷，小便涩滞，两
胁作肿，内热晡热，月经不调，时或寒热。此因肝脾郁怒，元气下陷，湿热壅滞。朝用归
脾汤加柴胡、升麻，解郁结，补脾气，升元气。夕用加味逍遥散清肝火，生肝血，除湿
热。各数剂，诸证悉愈。又用四君、芎、归、丹皮，调补肝脾而经水如期。
菖蒲散 治妇人月水涩滞，阴间肿痛。
菖蒲 当归（各一两，炒） 秦艽（半两） 吴茱萸（半两）
上为粗末，每服三钱，水一盏，葱白五寸，煎至六分，空心温服。
《经心录》方 治妇人阴中肿痛不可忍。
艾叶（五两） 防风（三两） 大戟（二两）
上锉细，以水一斗，煮取五升，热洗，日三次，切宜避风冷。
《古今录验》治妇人阴肿或疮烂者，麻黄汤洗方。
麻黄 黄连 蛇床子（各二两） 北艾叶（一两半） 乌梅（十个）
上锉细，以水一斗，煮取五升，去滓热洗，避风冷。
又方 治妇人阴肿坚痛，白矾散。
白矾（半两） 甘草（半分，生） 大黄（一分，生）
上为细末，每用枣大，绵裹纳阴中，日两换。
《肘后方》疗阴中肿痛。
枳壳（半斤） 炒令热，以故帛裹熨，冷即换之。
《子母秘录》疗阴肿。铁精粉敷上。
《补遗》方 治阴门肿。以甘菊苗研烂，百沸汤淋洗熏浸。
又方 小麦、朴硝、白矾、五倍子、葱白，煮水洗。
又方 阴肿大，马鞭草捣烂涂之。
〔阴痒〕
〔大〕夫妇人阴痒者，是虫蚀所为。三虫在于肠胃之间，因脏虚三虫动作，蚀于阴
内，其虫作热，微则为痒，重者乃痛也。
〔薛〕前证属肝经所化，当用龙胆泻肝汤、逍遥散以主其内外，以桃仁研膏，和雄
黄末或鸡肝，纳阴中以制其虫。一妇人胸膈不利，内热作渴，饮食不甘，肢体倦怠，阴
中闷痒，小便赤涩，此郁怒伤肝脾所致，用归脾汤加山栀而愈。复因怒，患处并小腹胀
痛，用小柴胡加山栀、芎、归、芍药。痛止。用逍遥散加山栀而愈。又因劳役，患处肿胀，
小便仍涩，用补中益气加山栀、茯苓、丹皮而痊。一妇人阴内痛痒，不时出水，食少
体倦，此肝脾气虚，湿热下注，用归脾加丹皮、山栀、芍药、生草主之而安。 一妇人
阴内痒痛，内热倦怠，饮食少思，此肝脾郁怒，元气亏损，湿热所致，用参、 、归、术、
陈皮、柴胡、炒栀、车前、升麻、芍药、丹皮、茯苓而瘥。若阴中有虫痒痛，亦属肝木，
以桃仁、雄黄研纳阴中以杀之，仍用清肝解郁之药。有以鸡肝纳之者，乃取虫之法也。一
方捣新桃叶绵裹纳阴中，日三两易。
大黄散 治妇人阴痒。
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，食前温酒调二钱服。
《广济方》疗妇人阴痒不止。
蚺蛇胆 雄黄 硫黄 朱砂 硝石 芜荑（各半两） 藜芦（二钱半）
上为细末，研停，以腊月猪脂和如膏，用故布作缠子如指，长一寸半，以药涂上，纳
阴中，日一易之。易时宜用猪椒根三五两，水煮稍热洗，干拭内之效。
又方 小蓟不拘多少，水煮作汤热洗，日三用之。
崔氏疗阴痒不可忍方。
杏仁烧作灰，承热绵裹纳阴中，日二易之。
又方 蒜煮汤洗之。一方用枸杞根。
又方 野狼牙（二两，细锉） 蛇床子（三两） 以水三升，煮十沸，热服。
又方 取鸡肝承热纳阴中。如有虫，虫当尽下。
又方 取牛肝截五寸，绳头纳阴中，半日虫入肝，出之。猪肝亦得。
《圣惠方》疗阴中有虫痒且痛，目肿身黄，欲得男子，漏血下白，少气，思美食。用鲤
鱼长一尺，去头肉，取骨捣末，熬黄黑，以猪脂和，以绢袋盛，如常法内阴中，至痛处
即止，虫当自出。
〔阴痛〕
《千金》疗小户嫁痛连日方。
甘草 生姜（各三分） 白芍药 桂心（各二分）
上细锉，以酒二升，煮取三沸，去滓温服神良。
又疗小户嫁痛单行方。
牛膝（五两）
上一味切，酒三升，煮至二升，分三服。又疗妇人嫁痛，单行太和汤。
大黄（三两）
上一味切，以酒一升，煮一沸顿服。
又疗妇人小户嫁痛，海螵蛸散。
乌贼鱼骨（二枚）
上一味，烧研细末，酒服方寸匕，日三。
《补遗》治阴肿不下，小户嫁痛。
冬青叶 小麦 甘草
上等分，水煎洗。
危氏方 治妇人阴痛。用青盐炒热，以布裹熨之。
〔阴疮〕
〔大〕妇人阴疮者，由三虫或九虫动作侵蚀所为也。诸虫在人肠胃之间，若脏腑调和，
血气充实，不能为害。若劳伤经络，肠胃虚损，则动作侵蚀于阴，轻者或痒或痛，重者
生疮。诊其少阴之脉滑而数者，阴中生疮也。
〔薛〕前证乃七情郁火，伤损肝脾，湿热下注。其外证阴中出如蛇、如菌，或如鸡
冠状，或生疮湿痒，或溃烂出水，或肿闷坠痛。其内证体倦内热，经候不调，或饮食无
味，晡热发热，胸胁不利，小便痞胀，或赤白带下，小水淋涩。其治法；肿痛者，四物
汤加柴、栀、丹皮、胆草。湿痒者，归脾汤加柴、栀、丹皮。淋涩者，龙胆泻肝汤、白
术、丹皮。溃腐者，逍遥散、山栀、川芎。肿闷坠痛者，补中益气汤、山栀、丹皮，佐以
外治之法。一妇人腐溃，脓水淋漓，肿痛寒热，小便赤涩，内热作渴，肢体倦怠，胸
胁不利，饮食少思。余以为肝脾亏损，用补
中益气，纳柴胡、升麻各用一钱，加茯苓一钱，山栀二钱，数剂少愈；又与归脾汤加山
栀，川芎、茯苓，三十余剂，诸证悉退，惟内热尚在，再与逍遥散倍用山栀而愈。 一
妇人素性急，阴内痛，小便赤涩，怒而益甚，或发热，或寒热。此肝经湿热所致，用芎、归、
炒栀、柴胡、苓、术、丹皮、泽泻、炒芍、车前、炒连、生草数剂渐愈，乃去黄连、泽泻，
又数剂全愈。
补心汤 （危氏）治阴中生疮，名曰 疮，或痛或痒，如虫行状，淋沥浓水。
白茯苓 人参 前胡 半夏（汤洗七次，去滑） 川芎（各三分） 枳壳（去幅，麸炒）
紫苏 桔梗 甘草（炙） 橘皮 干姜（各半两） 当归（一两三分） 白芍药（二两）
熟地黄（一两半）
上锉散，每服四钱，水盏半，姜五片，枣一枚，同煎食前服。
藿香养胃汤 （危氏）治阳明经虚，不荣肌肉，阴中生疮不愈。
藿香 白术 白茯苓 神曲（炒） 乌药（去木） 缩砂仁 薏苡仁 半夏曲
人参（各半两） 荜澄茄 甘草（炙，各三钱半）
上锉散，每服四钱，水盏半，姜五片，枣三枚，同煎，不以时候。
治阴疮方（《千金》）
芜荑 芎 黄芩 甘草 矾石 雄黄 附子 白芷 黄连（各六铢）
上 咀，取猪膏四两，合煎敷之。
治妇人阴疮，与男子妒精疮大同小异方。
黄丹 枯白矾 蓄 本（各一两） 硫黄（半两） 白蛇皮（一条，烧灰） 荆芥
蛇床子（各半两，研极细）
上细末，另以荆芥、蛇床子煎汤温洗，软帛渗干，清油调涂。如疮湿，干末掺之。
治疳疮因月后便行房，致成湛浊，伏流阴道，疳疮遂生，搔痒无时。先用胡椒、葱
白作汤，一日两三度淋洗，却服后药。
赤石脂 龙骨 黑牵牛（炒） 菟丝子（酒浸，蒸） 黄 （盐水炙） 沙苑蒺藜（炒）
上为末，蜜丸梧桐子大。每服二十丸，燕窝蒸酒，澄上清者吞下。
《肘后方》疗女人阴中生疮。
杏仁 雄黄 矾石（各二分） 麝香（二分半）
上四味，研细敷之。
又方 用硫黄研细敷之。
《古今录验》疗妇人阴中生疮，黄芩汤洗方。
雄黄 当归 黄芩 川芎 大黄 矾石（各二分） 黄连（一分）
上七味切，以水五升，煮取四升，洗疮，日三度。
雄黄散
雄黄 川芎 辰砂 藜芦 北细辛 当归 川椒
上为末，绵裹纳阴中，又敷外疮上，忌如常法。
当归汤 治妇人阴蚀疮。凡妇人少阴脉数而滑，阴中必生疮，名曰 疮。或痛或痒
如虫行状，淋露脓汁，阴蚀几尽者，此皆由心神烦郁，胃气虚弱，致气血流滞。故经云∶
诸痛痒疮，皆属于心。又云∶阳明主肌肉。痒痛皆属于心，治之当补心养胃，外以熏洗、坐
导药治之乃可。
当归 芍药 甘草 川芎（各二两） 地榆（三两）
上细切，以水五升，煮取三升，去滓熏洗，日三夜二。一方用蛇床子，不用川芎。
又方
五倍子 甘草 滑石 黄丹（等分为末） 先以甘草汤洗，然后敷之。
又方
真平胃散加贯众末，每二钱，煮熟猪肝拌药，纳阴户，数日可安。
〔阴痔〕
治妇人阴中生痔。凡九窍有肉突出者，皆名为痔。
用乌头七个，烧存性，用小瓦罐盛酽醋淬之，乘热熏，候通手沃之良。
洗方 治茄子疾。
用茄皮、白矾、马椿头根、朴硝、泽兰，煮水熏洗，加入炒锻石少许妙。
敷药 治茄子疾。
用朴硝为末，黄荆柴烧沥调敷，或浓铁浆水调敷。
又方 治茄子疾。
用硫黄一两，大鲤鱼一尾，去头皮，入硫黄鱼肚中。故纸裹黄泥固济，火烟 尽为
末，米糊丸梧桐子大。每服二十丸，温酒下。如下疽生虫，所下如柿汁臭秽，心中 痛、闷
绝、虚烦甚者，不可治。
治茄子疾，心躁连绵，黄水易治，白水难愈。
用生枳壳为散，煎汤熏洗，却用绢帛包枳壳滓纳入阴中，即日渐消。
〔阴挺下脱〕
〔大〕妇人阴挺下脱，或因胞络伤损，或因子脏虚冷，或因分娩用力所致。
〔薛〕前证当升补元气为主。若肝脾郁结，气虚下陷，用补中益气汤。若肝火湿热，
小便涩滞，用龙胆泻肝汤。一妇人阴中突出如菌，四围肿痛，小便频数，内热晡热，似
痒似痛，小便重坠，此肝脾郁结，盖肝火湿热而肿痛，脾虚下陷而重坠也。先以补中益
气加山栀、茯苓、车前子、青皮，以清肝火，升脾气；更以加味归脾汤调理脾郁；外以生
猪脂和藜芦末涂之而收。 一妇人阴中挺出五寸许，闷痛重坠，水出淋漓，小便涩滞，夕
与龙胆泻肝汤分利湿热，朝与补中益气汤升补脾气，诸证渐愈。再与归脾汤加山栀、茯
苓、川芎、黄柏，间服调理而愈。后因劳役或怒气，下部湿痒，小水不利，仍用前药即
愈。
三茱丸 治阴中生一物所大，牵引腰腹，膨痛至甚，不思饮食，皆因多服热药及煎爆，
或犯非理房事，兼意淫不遂，名阴挺。
食茱萸 吴茱萸（汤浸，微炒） 桔梗（水浸漉出，慢火炒） 白蒺藜 青皮（去白）
山茱萸肉（微炒） 舶上 香（淘去砂土，焙干，各一两） 五味子（净拣） 海藻（洗，焙）
大腹皮（酒洗，晒干） 川楝子（去核） 玄胡索（各一两二钱半）
上为末，酒糊为丸如梧子大。每服三十五丸，木通汤下。下虚加川乌炮去皮，肉桂
去粗皮，各一两。腰腹痛甚加桃仁去皮尖、麸炒，别研，青皮去白，枳实去幅，各一两，真
南木香七钱半服之。一方每服二钱，生地黄汤调。仍有金毛狗脊、五倍子、白矾、水杨
根、鱼腥草、山黄连各一两为散，分作四服，以有嘴瓦罐煎熟，预以银锡作一长小筒，下
透罐嘴，嘴上贯挺上，先熏后洗立效。更服白薇散、凌霄花少许煎。
一捻金丸 服前药未效却用。
玄胡索 舶上 香 吴茱萸（炒） 川楝子（去核） 青木香（各二两）
上为末，粳米饮糊丸如梧桐子大。每服三十五丸，空心木通汤服。又用梅花脑子半
钱，铁孕粉一钱，水调刷上。如阴畔生 ，以
凉血饮每服三钱，加凌霄花少许煎，空心服见效。
黄芩散 治妇人阴挺脱出。
黄芩 皮（炒微焦） 当归（各半两） 赤芍药（一两） 牡蛎 竹皮（各二两） 狐茎（一具，一用
狐皮）
上治下筛，饮服方寸匕，日三。禁举重、房劳、冷食。一方以酒服二钱妙。
治妇人阴挺出下脱方。
桂心（一方作川椒） 吴茱萸（一两，生用） 戎盐（二两）
上药并熬令色变，捣罗为末，以绵裹如指大，纳阴中，日再易之，甚妙。
又方
川椒 川乌头（并生用） 白芨（各半两）
上捣罗为末，绵裹一钱，纳阴中深三寸，腹中热即止，来日再用之。（一方无川椒）
又方 蛇床子（五两） 乌梅（二七枚） 以水五升，煮取三升，去滓稍热洗之，每日夜三
五度用。
又方 硫黄 乌贼骨（各半两） 捣罗为末敷之。
又方 铁精细研，以羊脂调，布裹，炙令热熨之，以瘥为度。
又方 弊帚头烧为灰，酒服方寸匕，食前服。
治妇人阴下脱若肚方。
用羊脂煎讫，适冷暖，取涂上，以铁精敷之，多少令调，以火炙布令暖，熨肛上，渐
涂内之，然后末磁石酒服方寸匕，日三。
熏洗法
用荆芥穗、臭椿树皮、藿香叶，煎汤熏洗即入。
托药
[Yin Swelling]
[Dà] When women experience vulvar swelling, it is caused by deficiency and exposure to wind pathogenic factors. The Bao Luo (uterine collaterals) are deficient, allowing wind pathogens to invade. Wind qi attacks the yin area, clashing with blood and qi, causing qi stagnation and obstruction. The cou li (skin pores and interstices) become blocked, preventing the venting and discharge of fluids, thus resulting in swelling.
[Xue] If the aforementioned symptoms are due to deficiency of qi and blood, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) to lift and tonify. If it belongs to damp-heat in the Liver channel, use Longdan Xiegan Tang (Gentian Liver-Draining Decoction) to drain and clear. If accompanied by yin swelling, yin itching, yin coldness, or prolapse of the uterus (Yin Ting), refer to the subsequent discussion. A woman presented with swelling and stifling sensation in the vagina, astringent and difficult urination, swelling in both hypochondria, afternoon tidal fever, irregular menstruation, and occasional chills and fever. This was due to depression and anger affecting the Liver and Spleen, sinking of yuan qi, and stagnation of damp-heat. In the morning, she took Guipi Tang (Restore the Spleen Decoction) added with Chai Hu (Bupleuri Radix) and Sheng Ma (Cimicifugae Rhizoma) to resolve stagnation, tonify Spleen qi, and raise yuan qi. In the evening, she took Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) to clear Liver fire, generate Liver blood, and eliminate damp-heat. After several doses of each, all symptoms resolved. Subsequently, she took Sijunzi Tang (Four Gentlemen Decoction) added with Xiong Gui (Ligusticum Chuanxiong Rhizoma) and Dang Gui (Angelicae Sinensis Radix), along with Dan Pi (Moutan Cortex), to regulate and tonify the Liver and Spleen, allowing menstruation to resume on schedule.
Changpu San (Acorus Powder) treats menstrual stasis and vulvar swelling/pain in women.
Shichangpu (Rhizoma Acori Tatarinowii), Dang Gui (Angelicae Sinensis Radix) (each 1 liang, stir-fried); Qin Jiao (Gentianae Macrophyllae Radix) (0.5 liang); Wu Zhu Yu (Evodiae Fructus) (0.5 liang).
Grind into coarse powder. Take 3 qian per dose, add 1 cup of water and 5 cun of scallion white, decoct until 0.6 cup remains. Take warm on an empty stomach.
Jingxin Lu Formula treats unbearable pain and swelling in the vagina.
Ai Ye (Artemisiae Argyi Folium) (5 liang); Fang Feng (Saposhnikoviae Radix) (3 liang); Da Ji (Euphorbiae Pekinensis Radix) (2 liang).
Cut finely. Boil in 1 dou of water until 5 sheng remain. Wash with hot liquid three times daily. Avoid wind and cold strictly.
Gujin Luyan Formula (Ma Huang Tang Wash) for vulvar swelling or ulceration.
Ma Huang (Ephedrae Herba); Huang Lian (Coptidis Rhizoma); Chuang Zi (Cnidii Fructus) (each 2 liang); Bei Ai Ye (Artemisiae Argyi Folium) (1.5 liang); Wu Mei (Mume Fructus) (10 pieces).
Cut finely. Boil in 1 dou of water until 5 sheng remain. Strain and wash with hot liquid. Avoid wind and cold.
Another formula: Baifan San (Alum Powder) for hard and painful vulvar swelling.
Baifan (Alumen) (0.5 liang); Gan Cao (Glycyrrhizae Radix et Rhizoma) (0.05 liang, raw); Da Huang (Rhei Radix et Rhizoma) (0.01 liang, raw).
Grind into fine powder. Use a date-sized amount, wrap in cotton, and insert into the vagina. Change twice daily.
Zhouhou Fang (Elbow Handbook Formulas) treats pain and swelling in the vagina.
Zhi Qiao (Aurantii Fructus) (0.5 jin).
Stir-fry until hot, wrap in old cloth, and apply as a hot compress. Replace when cool.
Zimu Milu treats vulvar swelling. Apply Tie Jing Fen (Iron Oxide Powder) topically.
Buyi Formula treats vulvar swelling. Grind Gan Ju Miao (Chrysanthemi Indici Herba) until pasty, then wash, fumigate, and soak with boiling water.
Another formula: Boil Xiao Mai (Tritici Semen), Po Xiao (Natrii Sulfas), Baifan (Alumen), Wubeizi (Galla Chinensis), and scallion white in water for washing.
Another formula: For severe vulvar swelling, crush Bian Cao (Patriniae Herba) and apply externally.
[Yin Itching]
[Dà] Vulvar itching in women is caused by parasitic erosion. The "Three Worms" reside between the intestines and stomach. Due to visceral deficiency, these worms become active and erode the interior of the yin. The worms generate heat; mild cases cause itching, while severe cases cause pain.
[Xue] The aforementioned symptoms stem from the Liver channel. Treat internally and externally with Longdan Xiegan Tang (Gentian Liver-Draining Decoction) and Xiaoyao San (Free and Easy Wanderer Powder). Crush Tao Ren (Persicae Semen) into a paste, mix with Xiong Huang (Realgar) powder or chicken liver, and insert into the vagina to control the parasites. A woman presented with chest and diaphragm discomfort, internal heat and thirst, poor appetite, limb fatigue, stifling and itching in the vagina, and red, astringent urine. This was caused by depression and anger injuring the Liver and Spleen. She recovered after taking Guipi Tang (Restore the Spleen Decoction) added with Shan Zhi (Gardeniae Fructus). Later, due to anger, she experienced pain and distension in the affected area and lower abdomen. She took Xiao Chai Hu Tang (Minor Blue Dragon Decoction) added with Shan Zhi, Xiong Gui (Ligusticum Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), and Bai Shao (Paeoniae Radix Alba). Pain ceased. She recovered after taking Xiaoyao San (Free and Easy Wanderer Powder) added with Shan Zhi (Gardeniae Fructus). Later, due to overwork, the affected area swelled, and urination remained astringent. She recovered after taking Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Shan Zhi (Gardeniae Fructus), Fu Ling (Poria), and Dan Pi (Moutan Cortex). A woman presented with pain and itching inside the vagina, intermittent discharge, poor appetite, and fatigue. This was due to deficiency of Liver and Spleen qi with downward pouring of damp-heat. She stabilized after taking Guipi Tang (Restore the Spleen Decoction) added with Dan Pi (Moutan Cortex), Shan Zhi (Gardeniae Fructus), Bai Shao (Paeoniae Radix Alba), and Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma). A woman presented with internal vaginal itching and pain, internal heat, fatigue, and poor appetite. This was due to depression and anger affecting the Liver and Spleen, damage to yuan qi, and damp-heat. She recovered after taking Ren Shen (Ginseng Radix), [missing character], Dang Gui (Angelicae Sinensis Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Chai Hu (Bupleuri Radix), Chao Shan Zhi (Stir-fried Gardeniae Fructus), Che Qian Zi (Plantaginis Semen), Sheng Ma (Cimicifugae Rhizoma), Bai Shao (Paeoniae Radix Alba), Dan Pi (Moutan Cortex), and Fu Ling (Poria). If there are parasites in the vagina causing itching and pain, it also belongs to Liver Wood pathology. Crush Tao Ren (Persicae Semen) and Xiong Huang (Realgar) and insert into the vagina to kill them, while continuing to use herbs that clear the Liver and resolve stagnation. Some use chicken liver insertion, which is a method to attract worms. One formula involves crushing fresh peach leaves, wrapping in cotton, and inserting into the vagina, changing two to three times daily.
Da Huang San (Rhubarb Powder) treats vulvar itching in women.
Da Huang (Rhei Radix et Rhizoma) (lightly stir-fried); Huang Qin (Scutellariae Radix); Huang Qi (Astragali Radix) (honey-fried, each 1 liang); Chi Shao Yao (Paeoniae Radix Rubra); Xuan Shen (Scrophulariae Radix); Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma); Shan Zhu Yu (Corni Fructus); Chuang Zi (Cnidii Fructus) (each 0.5 liang).
Grind into fine powder. Take 2 qian before meals, mixed with warm wine.
Guangji Formula treats persistent vulvar itching in women.
Ran She Dan (Boa Gallbladder); Xiong Huang (Realgar); Liu Huang (Sulfur); Zhu Sha (Cinnabaris); Xiao Shi (Natrii Nitratis Crystal); Wu Yi (Pruni Semen) (each 0.5 liang); Li Lu (Veratri Radix) (2.5 qian).
Grind into fine powder and mix evenly. Combine with pig fat from the twelfth lunar month to form a paste. Make a bandage like a finger, 1.5 cun long. Apply medicine to it and insert into the vagina. Change once daily. When changing, wash with boiled water of Zhu Jiao Gen (Zanthoxyli Radix) (3-5 liang), slightly warm. Dry and insert. Effective.
Another formula: Use Xiao Ji (Cirsii Herba) in any amount. Boil in water for hot washing, three times daily.
Cui Shi's Formula for unbearable vulvar itching.
Burn Xing Ren (Armeniacae Semen Amarum) to ash. Wrap in cotton while hot and insert into the vagina. Change twice daily.
Another formula: Wash with garlic decoction. Another method uses Gou Qi Gen (Lycii Radix).
Another formula: Ye Lang Ya (Pyrethri Tenuifolii Radix) (2 liang, finely cut); Chuang Zi (Cnidii Fructus) (3 liang). Boil in 3 sheng of water for ten boils. Take hot.
Another formula: Insert hot chicken liver into the vagina. If parasites are present, they will be expelled.
Another formula: Cut Niu Gan (Bovis Cor) into 5-cun pieces. Tie with string and insert into the vagina. After half a day, worms enter the liver tissue; remove it. Pig liver also works.
Shenghui Fang (Holy Helper Formulas) treats vaginal itching and pain due to parasites, swollen eyes, yellow skin, abnormal sexual desire, leukorrhea with bleeding, shortness of breath, and craving for rich food. Use a 1-chi carp. Remove head meat. Grind bones into powder, roast until yellow-black. Mix with pig fat. Place in a silk bag. Insert into the vagina as usual. Stop when pain is felt at the site; worms will exit naturally.
[Yin Pain]
Qianjin Formula for persistent "Little Wife Marriage Pain" (dyspareunia/deep dyspareunia).
Gan Cao (Glycyrrhizae Radix et Rhizoma); Sheng Jiang (Zingiberis Rhizoma Recens) (each 3 fen); Bai Shao Yao (Paeoniae Radix Alba); Gui Xin (Cinnamomi Ramulus) (each 2 fen).
Finely cut. Boil in 2 sheng of wine for three boils. Strain and take warm. Excellent efficacy.
Another single-herb formula for "Little Wife Marriage Pain".
Niu Xi (Achyranthis Bidentatae Radix) (5 liang).
Cut one ingredient. Boil in 3 sheng of wine until 2 sheng remain. Divide into three doses. Another single-herb Taihe Tang for marriage pain:
Da Huang (Rhei Radix et Rhizoma) (3 liang).
Cut one ingredient. Boil in 1 sheng of wine for one boil. Take in one dose.
Hai Piao Xiao San (Cuttlebone Powder) for "Little Wife Marriage Pain".
Wouyu Gu (Sepiae Endoconcha) (2 pieces).
Roast one ingredient, grind into fine powder. Take with wine using a square-inch measure, three times daily.
Buyi Formula treats non-reducing vulvar swelling and "Little Wife Marriage Pain".
Dong Qing Ye (Ilicis Cornuti Folium); Xiao Mai (Tritici Semen); Gan Cao (Glycyrrhizae Radix et Rhizoma).
Equal parts. Decoct in water for washing.
Wei Shi Formula treats vulvar pain. Stir-fry Qing Yan (Halitum) until hot, wrap in cloth, and apply as a hot compress.
[Yin Sores]
[Dà] Vulvar sores in women are caused by the activity and erosion of the "Three Worms" or "Nine Worms". These worms reside in the intestines and stomach. If viscera are harmonious and qi and blood are abundant, they cannot cause harm. If meridians and collaterals are injured by labor, and intestines/stomach are deficient, worms become active and erode the yin. Mild cases cause itching or pain; severe cases cause sores. Diagnosis: if the Shao Yin pulse is slippery and rapid, it indicates sores in the vagina.
[Xue] The aforementioned symptoms result from emotional stagnation transforming into fire, injuring the Liver and Spleen, with damp-heat pouring downward. External signs include growths in the vagina resembling snakes, mushrooms, or cockscombs; wet, itchy sores; ulceration with discharge; or swelling, stifling, and dragging pain. Internal signs include fatigue, internal heat, irregular menstruation, loss of taste, afternoon tidal fever, chest/hypochondriac discomfort, urinary distension, red/white leukorrhea, and dribbling/difficult urination. Treatment methods: For swelling/pain, use Siwu Tang (Four Substances Decoction) added with Chai Hu (Bupleuri Radix), Shan Zhi (Gardeniae Fructus), Dan Pi (Moutan Cortex), and Dan Cao (Gentianae Radix). For wet itching, use Guipi Tang (Restore the Spleen Decoction) added with Chai Hu (Bupleuri Radix), Shan Zhi (Gardeniae Fructus), and Dan Pi (Moutan Cortex). For dribbling/difficulty, use Longdan Xiegan Tang (Gentian Liver-Draining Decoction), Bai Zhu (Atractylodis Macrocephalae Rhizoma), and Dan Pi (Moutan Cortex). For ulceration/necrosis, use Xiaoyao San (Free and Easy Wanderer Powder), Shan Zhi (Gardeniae Fructus), and Chuan Xiong (Ligusticum Chuanxiong Rhizoma). For swelling/stifling/dragging pain, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), Shan Zhi (Gardeniae Fructus), and Dan Pi (Moutan Cortex), supplemented with external treatments. A woman had necrotic ulcers with dripping pus, swelling/pain/chills/fever, red/astringent urine, internal heat/thirst, limb fatigue, chest/hypochondriac discomfort, and poor appetite. I diagnosed Liver/Spleen deficiency. I used Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with Chai Hu (Bupleuri Radix) and Sheng Ma (Cimicifugae Rhizoma) 1 qian each, plus Fu Ling (Poria) 1 qian and Shan Zhi (Gardeniae Fructus) 2 qian. After several doses, slight improvement occurred. Then I gave Guipi Tang (Restore the Spleen Decoction) added with Shan Zhi (Gardeniae Fructus), Chuan Xiong (Ligusticum Chuanxiong Rhizoma), and Fu Ling (Poria) for over 30 doses. All symptoms receded except internal heat. Finally, I gave Xiaoyao San (Free and Easy Wanderer Powder) with doubled Shan Zhi (Gardeniae Fructus), leading to recovery. A woman with a quick temper had internal vaginal pain and red/astringent urine, worsening with anger, sometimes with fever or chills/fever. This was Liver channel damp-heat. She improved gradually after taking Xiong Gui (Ligusticum Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Chao Shan Zhi (Stir-fried Gardeniae Fructus), Chai Hu (Bupleuri Radix), Fu Ling (Poria), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Dan Pi (Moutan Cortex), Ze Xie (Alismatis Rhizoma), Chao Bai Shao (Stir-fried Paeoniae Radix Alba), Che Qian Zi (Plantaginis Semen), Chao Huang Lian (Stir-fried Coptidis Rhizoma), and Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma) for several doses. Then Huang Lian (Coptidis Rhizoma) and Ze Xie (Alismatis Rhizoma) were removed, and she fully recovered after several more doses.
Buxin Tang (Heart-Nourishing Decoction) (Wei Shi) treats sores in the vagina, named [missing character] sore, with pain or itching like worm movement, and dripping thick fluid.
Fu Ling (Poria); Ren Shen (Ginseng Radix); Qian Hu (Peucedani Radix); Ban Xia (Pinelliae Rhizoma) (washed seven times in decoction to remove slipperiness); Chuan Xiong (Ligusticum Chuanxiong Rhizoma) (each 3 fen); Zhi Qiao (Aurantii Fructus) (pith removed, bran-fried); Zi Su (Perillae Folium); Jie Geng (Platycodonis Radix); Gan Cao (Glycyrrhizae Radix et Rhizoma) (honey-fried); Ju Pi (Citri Reticulatae Pericarpium); Gan Jiang (Zingiberis Rhizoma) (each 0.5 liang); Dang Gui (Angelicae Sinensis Radix) (1.3 liang); Bai Shao Yao (Paeoniae Radix Alba) (2 liang); Shu Di Huang (Rehmanniae Radix Praeparata) (1.5 liang).
Cut into pieces. Take 4 qian per dose, add 1.5 cups of water, 5 slices of ginger, and 1 jujube. Decoct together. Take before meals.
Huoxiang Yangwei Tang (Agastache Stomach-Nourishing Decoction) (Wei Shi) treats deficiency of the Yangming channel, failure to nourish muscles, and chronic vaginal sores.
Huo Xiang (Agastaches Herba); Bai Zhu (Atractylodis Macrocephalae Rhizoma); Fu Ling (Poria); Shen Qu (Massa Medicata Fermentata) (stir-fried); Wu Yao (Linderae Radix) (wood removed); Su Sha Ren (Amomi Fructus Rotundus); Yi Yi Ren (Coicis Semen); Ban Xia Qu (Pinelliae Fermentatum); Ren Shen (Ginseng Radix) (each 0.5 liang); Bi Cheng Qie (Long Pepper Fruit); Gan Cao (Glycyrrhizae Radix et Rhizoma) (honey-fried, each 3.5 qian).
Cut into pieces. Take 4 qian per dose, add 1.5 cups of water, 5 slices of ginger, and 3 jujubes. Decoct together. Take at any time.
Formula for Treating Yin Sores (Qianjin)
Wu Yi (Pruni Semen); Chuan Xiong (Ligusticum Chuanxiong Rhizoma); Huang Qin (Scutellariae Radix); Gan Cao (Glycyrrhizae Radix et Rhizoma); Fan Shi (Alumen); Xiong Huang (Realgar); Fu Zi (Aconiti Lateralis Radix Praeparata); Bai Zhi (Angelicae Dahuricae Radix); Huang Lian (Coptidis Rhizoma) (each 6 zhu).
Chop finely. Take 4 liang of pig fat, combine and decoct, then apply externally.
Formula for treating female vaginal sores, largely similar but slightly different from male jealousy sores.
Dan Sha (Minii Oxidum); Ku Bai Fan (Calcined Alum); Xu Shu (Polygoni Avicularis Herba); Ben Cao (Ligustici Wallichii Rhizoma) (each 1 liang); Liu Huang (Sulfur) (0.5 liang); Bai She Pi (White Snake Skin) (one strip, burned to ash); Jing Jie (Schizonepetae Herba); Chuang Zi (Cnidii Fructus) (each 0.5 liang, ground extremely fine).
Grind into fine powder. Separately decoct Jing Jie (Schizonepetae Herba) and Chuang Zi (Cnidii Fructus) in water for warm washing. Pat dry with soft cloth. Mix with pure sesame oil for application. If the sore is wet, sprinkle dry powder.
Treatment for Chan Sore (Venereal Ulcer) caused by intercourse immediately after menstruation, leading to turbid accumulation flowing into the vagina. First, wash with decoction of Hu Jiao (Piperis Fructus) and scallion white, two to three times daily. Then take the following medicine.
Chi Shi Zhi (Halloysit Rubrum); Long Gu (Fossilia Ossis Mastodi et Scapulae); Hei Qian Niu (Black Pharbitis Seed) (stir-fried); Tu Si Zi (Cuscutae Semen) (soaked in wine, steamed); Huang Qi (Astragali Radix) (salt-water fried); Sha Yuan Ji Li (Astragali Complanati Semen) (stir-fried).
Grind into powder. Make pills with honey, size of Sophora seeds. Take 20 pills per dose, swallowed with clarified wine steamed with swallow's nest.
Zhouhou Fang (Elbow Handbook Formulas) treats vaginal sores in women.
Xing Ren (Armeniacae Semen Amarum); Xiong Huang (Realgar); Fan Shi (Alumen) (each 2 fen); She Xiang (Moschus) (2.5 fen).
Grind four ingredients finely and apply.
Another formula: Grind Liu Huang (Sulfur) finely and apply.
Gujin Luyan Formula (Huang Qin Wash) for vaginal sores.
Xiong Huang (Realgar); Dang Gui (Angelicae Sinensis Radix); Huang Qin (Scutellariae Radix); Chuan Xiong (Ligusticum Chuanxiong Rhizoma); Da Huang (Rhei Radix et Rhizoma); Fan Shi (Alumen) (each 2 fen); Huang Lian (Coptidis Rhizoma) (1 fen).
Cut seven ingredients. Boil in 5 sheng of water until 4 sheng remain. Wash sores three times daily.
Xiong Huang San (Realgar Powder)
Xiong Huang (Realgar); Chuan Xiong (Ligusticum Chuanxiong Rhizoma); Chen Sha (Cinnabaris); Li Lu (Veratri Radix); Xi Xin (Asari Radix et Rhizoma); Dang Gui (Angelicae Sinensis Radix); Chuan Jiao (Zanthoxyli Pericarpium).
Grind into powder. Wrap in cotton and insert into vagina. Also apply to external sores. Observe usual contraindications.
Dang Gui Tang (Angelica Decoction) treats vaginal erosion sores. Whenever a woman's Shao Yin pulse is rapid and slippery, sores will inevitably appear in the vagina, named [missing character] sore. Symptoms include pain or itching like worm movement, dripping pus, and near-total erosion. This is caused by mental agitation and weak Stomach qi, leading to stagnant qi and blood flow. Thus, the Classics state: "All pain, itching, and sores belong to the Heart." And: "The Yangming governs the muscles." Since itching and pain belong to the Heart, treatment must tonify the Heart and nourish the Stomach, combined with external fumigation, washing, and suppository treatments.
Dang Gui (Angelicae Sinensis Radix); Shao Yao (Paeoniae Radix); Gan Cao (Glycyrrhizae Radix et Rhizoma); Chuan Xiong (Ligusticum Chuanxiong Rhizoma) (each 2 liang); Di Yu (Sanguisorbae Radix) (3 liang).
Finely cut. Boil in 5 sheng of water until 3 sheng remain. Strain. Fumigate and wash three times daily and twice at night. Another formula uses Chuang Zi (Cnidii Fructus) instead of Chuan Xiong (Ligusticum Chuanxiong Rhizoma).
Another formula
Wu Bei Zi (Galla Chinensis); Gan Cao (Glycyrrhizae Radix et Rhizoma); Hua Shi (Talcum); Dan Sha (Minii Oxidum) (equal parts, ground to powder). First wash with Gan Cao (Glycyrrhizae Radix et Rhizoma) decoction, then apply powder.
Another formula
True Pingwei San (Calm the Stomach Powder) added with Guan Zhong (Cyatheae Spina) powder. Take 2 qian per dose. Mix with cooked pig liver. Insert into the vagina. Relief within several days.
[Yin Hemorrhoids]
Treatment for vaginal hemorrhoids. Any fleshy protrusion from the nine orifices is called a hemorrhoid.
Use 7 Wu Tou (Aconiti Radix). Roast until carbonized but retaining properties. Place in a small clay pot, quench with strong vinegar. Fumigate while hot. Wash when temperature is tolerable. Good effect.
Wash Formula for "Eggplant Disease" (vaginal prolapse/mass).
Boil Qie Pi (Solanis Melongena Exocarpium), Baifan (Alumen), Ma Chun Tou Gen (Toosendan Radix), Po Xiao (Natrii Sulfas), and Ze Lan (Lycopersi Herba) in water for fumigation and washing. Adding a little Chao Duan Shi (Calcined Magnesium Silicate) is excellent.
Application Medicine for "Eggplant Disease".
Grind Po Xiao (Natrii Sulfas) into powder. Mix with juice from burning Huang Jing Chai (Vitex Negundo Branches) or thick iron rust water for application.
Another formula for "Eggplant Disease".
Take 1 liang of Liu Huang (Sulfur). Take one large carp. Remove scales. Stuff Liu Huang (Sulfur) into the fish belly. Wrap in old paper and seal with yellow mud. Burn until smoke ceases. Grind to powder. Make pills with rice paste, size of Sophora seeds. Take 20 pills per dose with warm wine. If abscesses develop with worms, discharging foul fluid like persimmon juice, with severe heart pain, suffocation, and restlessness, it is incurable.
For "Eggplant Disease" with continuous irritability: Yellow discharge is easy to treat; white discharge is difficult.
Grind Sheng Zhi Qiao (Fresh Aurantii Fructus) into powder. Decoct for fumigation/washing. Then wrap the dregs in silk and insert into the vagina. Gradual reduction occurs.
[Yin Prolapse]
[Dà] Vaginal prolapse in women is caused by injury to the Bao Luo (uterine collaterals), deficiency-cold of the Zi Zang (uterus), or strain during childbirth.
[Xue] The aforementioned symptoms should primarily be treated by lifting and tonifying yuan qi. If Liver/Spleen stagnation causes qi deficiency and sinking, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). If Liver fire and damp-heat cause astringent urination, use Longdan Xiegan Tang (Gentian Liver-Draining Decoction). A woman presented with a mushroom-like protrusion from the vagina, swelling/pain around it, frequent urination, internal heat/afternoon tidal fever, itching/pain sensation, and heavy dragging sensation in urination. This was Liver/Spleen stagnation: Liver fire/damp-heat caused swelling/pain; Spleen deficiency/sinking caused heaviness. First, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Shan Zhi (Gardeniae Fructus), Fu Ling (Poria), Che Qian Zi (Plantaginis Semen), and Qing Pi (Citri Reticulatae Pericarpium Viride) to clear Liver fire and raise Spleen qi. Then use Jiawei Guipi Tang (Modified Restore the Spleen Decoction) to regulate Spleen stagnation. Externally, apply raw pig fat mixed with Li Lu (Veratri Radix) powder to achieve retraction. A woman had a 5-cun protrusion from the vagina, stifling pain/heaviness, dripping fluid, and astringent urination. At night, she took Longdan Xiegan Tang (Gentian Liver-Draining Decoction) to drain damp-heat; in the morning, she took Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) to raise Spleen qi. Symptoms gradually improved. Then she took Guipi Tang (Restore the Spleen Decoction) added with Shan Zhi (Gardeniae Fructus), Fu Ling (Poria), Chuan Xiong (Ligusticum Chuanxiong Rhizoma), and Huang Bo (Phellodendri Cortex), taken intermittently for regulation, leading to recovery. Later, due to overwork or anger, she had damp itching in the lower body and difficult urination. Using the previous formulas cured her again.
San Zhu Wan (Three Evodia Pills) treats a large mass in the vagina pulling on the waist/abdomen, severe distending pain, and anorexia. Caused by excessive intake of hot foods/herbs, fried foods, improper sexual activity, or unfulfilled lust. Named Yin Ting (Vaginal Prolapse).
Shi Zhu Yu (Torreya Fructus); Wu Zhu Yu (Evodiae Fructus) (soaked in decoction, lightly stir-fried); Jie Geng (Platycodonis Radix) (soaked in water, drained, slow-fire stir-fried); Bai Ji Li (Tribuli Fructus); Qing Pi (Citri Reticulatae Pericarpium Viride) (pith removed); Shan Zhu Yu Rou (Corni Fructus) (lightly stir-fried); Bo Shang Chen Xiang (Aquilaria Resina) (washed free of sand, dried, each 1 liang); Wu Wei Zi (Schisandrae Chinensis Fructus) (cleaned); Hai Zao (Sargassum); Da Fu Pi (Arecae Pericarpium) (wine-washed, sun-dried); Chuan Lian Zi (Meliae Fructus) (pits removed); Yan Hu Suo (Corydalis Rhizoma) (each 1.25 liang).
Grind into powder. Make pills with wine paste, size of Sophora seeds. Take 35 pills per dose with Tong Cao (Tetrapanici Medulla) decoction. For lower deficiency, add Chuan Wu (Aconiti Radix) (roasted, peeled) and Rou Gui (Cinnamomi Cortex) (bark removed), 1 liang each. For severe waist/abdominal pain, add Tao Ren (Persicae Semen) (peeled, pits removed, bran-fried, separately ground), Qing Pi (Citri Reticulatae Pericarpium Viride) (pith removed), Zhi Shi (Aurantii Fructus Immaturus) (pith removed), 1 liang each, and Nan Mu Xiang (Aucklandiae Radix) 0.75 liang. Another formula: Take 2 qian with Sheng Di Huang (Rehmanniae Radix) decoction. There is also a powder containing Jin Mao Gou Ji (Cibotii Rhizoma), Wu Bei Zi (Galla Chinensis), Baifan (Alumen), Shui Yang Gen (Populus Simonii Root), Yu Xing Cao (Houttuyniae Herba), and Shan Huang Lian (Coptidis Teetae Rhizoma), 1 liang each. Divide into four doses. Decoct in a spouted clay pot. Prepare a long silver/tin tube inserted into the spout. Place the prolapse in the tube. Fumigate first, then wash. Immediate effect. Also take Bai Wei San (Cynanchi Atrati Radix Powder) and a little Ling Xiao Hua (Campsis Grandiflorae Flos) decoction.
Yinian Jin Wan (One Pinch of Gold Pills) used if previous medicines fail.
Yan Hu Suo (Corydalis Rhizoma); Bo Shang Chen Xiang (Aquilaria Resina); Wu Zhu Yu (Evodiae Fructus) (stir-fried); Chuan Lian Zi (Meliae Fructus) (pits removed); Qing Mu Xiang ( Aucklandiae Radix) (each 2 liang).
Grind into powder. Make pills with glutinous rice paste, size of Sophora seeds. Take 35 pills per dose on an empty stomach with Tong Cao (Tetrapanici Medulla) decoction. Also apply 0.5 qian of Mei Hua Nao (Camphora) and 1 qian of Tie Yun Fen (Iron Precipitate Powder) mixed with water. If lesions appear at the vaginal opening, take Liang Xue Yin (Cool Blood Decoction) 3 qian per dose, added with a little Ling Xiao Hua (Campsis Grandiflorae Flos), taken on an empty stomach for visible results.
Huang Qin San (Scutellaria Powder) treats vaginal prolapse.
Huang Qin (Scutellariae Radix); Pi (Bark - likely Huang Qin Pi or similar) (lightly stir-fried until scorched); Dang Gui (Angelicae Sinensis Radix) (each 0.5 liang); Chi Shao Yao (Paeoniae Radix Rubra) (1 liang); Mu Li (Ostreae Concha); Zhu Pi (Bambusae Caulis in Taenia) (each 2 liang); Hu Jing (Fox Penis) (one piece, or Fox Skin alternatively).
Process and sieve. Take one square-inch measure with water, three times daily. Avoid heavy lifting, sexual exertion, and cold foods. Another formula: Take 2 qian with wine.
Formula for treating vaginal prolapse.
Gui Xin (Cinnamomi Ramulus) (another version uses Chuan Jiao/Zanthoxyli Pericarpium); Wu Zhu Yu (Evodiae Fructus) (1 liang, raw); Rong Yan (Halitum) (2 liang).
Roast all ingredients until color changes. Grind into powder. Wrap in cotton like a finger. Insert into vagina. Change twice daily. Very effective.
Another formula
Chuan Jiao (Zanthoxyli Pericarpium); Chuan Wu Tou (Aconiti Radix) (both raw); Bai Ji (Bletillae Rhizoma) (each 0.5 liang).
Grind into powder. Wrap 1 qian in cotton. Insert deeply (3 cun) into vagina. Stop when warmth is felt in abdomen. Repeat next day. (Another version excludes Chuan Jiao).
Another formula
Chuang Zi (Cnidii Fructus) (5 liang); Wu Mei (Mume Fructus) (14 pieces). Boil in 5 sheng of water until 3 sheng remain. Strain. Wash with slightly hot liquid, 3-5 times daily.
Another formula
Liu Huang (Sulfur); Ou Ze Gu (Sepiae Endoconcha) (each 0.5 liang). Grind into powder and apply.
Another formula
Fine iron powder. Mix with sheep fat. Wrap in cloth. Heat and apply as hot compress. Continue until healed.
Another formula
Burn old broom heads to ash. Take one square-inch measure with wine before meals.
Formula for vaginal prolapse resembling a belly.
Render sheep fat. Apply at appropriate temperature. Cover with iron powder. Adjust quantity. Heat cloth with fire. Apply hot compress to anus. Gradually insert coated material. Then take Ci Shi (Magnetite) powder with wine, one square-inch measure, three times daily.
Fumigation and Washing Method
Decoct Jing Jie Sui (Schizonepetae Spica), Chou Chun Shu Pi (Toosendan Cortex), and Huo Xiang Ye (Agastaches Folium) in water. Fumigate and wash to reduce prolapse.
Supportive Medicine