麻黄 黄连 蛇床子（各二两） 北艾叶（一两半） 乌梅（十个）
上细锉。以水一斗，煮取五升，去滓热洗，避风冷。
《古今录验》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，绵裹内阴中，日两换。
《肘后方》疗阴中肿痛方。
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。
（与第二十三卷第十论通用）
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。
治妇人阴痒，大黄散。
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。
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，内阴
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。
崔氏方疗阴痒不可忍∶
杏仁烧作灰，承热绵裹内阴中，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）
上以水三升，煮十沸，热洗。
又方∶取鸡肝，承热内阴中。如有虫，虫当尽下。
《古今录验》疗妇人阴痒，如有虫状。
上取牛肝，切取三寸，内阴中。其虫尽入肝内，出之效。猪肝亦得。
《千金翼》治妇人阴痒脱。矾石散。
Ephedrae Herba (Mahuang, 麻黄), Scutellariae Radix (Huanglian, 黄连), Cnidii Fructus (Shechuangzi, 蛇床子) (each two liang), Artemisiae Argyi Folium (Beiaiye, 北艾叶) (one and a half liang), Mume Fructus (Wumei, 乌梅) (ten pieces).
The above ingredients are finely chopped. Boil in ten dou of water until reduced to five sheng, remove the dregs, and wash with the hot liquid while avoiding wind and cold.
*Gujin Luyan* records Bai Fan San (White Alum Powder) for treating female genital swelling, hardness, and pain.
Alumen (Banfan, 白矾) (half a liang), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (half a fen, raw), Rheum Palmatum Radix et Rhizoma (Dahuang, 大黄) (one fen, raw).
Grind the above into a fine powder. Each time, take an amount the size of a jujube, wrap it in cotton, and insert it into the vagina. Change twice daily.
*Zhouhou Fang* records a method for treating swelling and pain in the yin region.
Zhiqiao (Bitter Orange Fruit) half a jin, stir-fry until hot, wrap in an old cloth, and apply as a warm compress; replace when cool.
*Zimu Milu* records using Tie Jing Fen (Iron Essence Powder) applied topically for treating genital swelling.
(This formula is also applicable to the discussion in Volume 23, Chapter 10.)
Regarding female genital itching, this is caused by parasitic worms. The three types of worms reside between the intestines and stomach; due to deficiency of the zang-organs, the worms become active and erode the interior of the yin. These worms generate heat; mild cases present as itching, while severe cases present as pain.
Dahuang San (Rhubarb Powder) for treating female genital itching.
Rheum Palmatum Radix et Rhizoma (Dahuang, 大黄) (lightly stir-fried), Scutellariae Radix (Huangqin, 黄芩), Phellodendri Cortex (Huangbai, 黄柏) (stir-fried with honey, each one liang), Paeoniae Radix Rubra (Chishaoyao, 赤芍药), Scrophulariae Radix (Xuanshen, 玄参), Salviae Miltiorrhizae Radix (Danshen, 丹参), Corni Fructus (Shanzhuyu, 山茱萸), Cnidii Fructus (Shechuangzi, 蛇床子) (each half a liang).
Grind the above into a fine powder. Before meals, mix two qian with warm wine and take orally.
For treating persistent female genital itching.
Boa chinensis Gallbladder (Ranshedan, 蚺蛇胆), Realgar (Xionghuang, 雄黄), Sulfur (Liuhuang, 硫黄), Cinnabar (Zhusha, 朱砂), Natrii Sulfas (Xiaoshi, 硝石), Chrysanthemi Indici Flos (Wuyi, 芜荑) (each half a liang), Veratrum nigrum Rhizome (Lilu, 藜芦) (two and a half qian).
Grind the above into a fine powder and mix thoroughly. Blend with pig fat rendered in the twelfth lunar month to form a paste. Make a bandage from old cloth, about one and a half cun long, coat it with the medicine, and insert it into the vagina. Replace once daily. When replacing, it is advisable to boil three to five liang of Zhaojiaogen (Piperis Longi Radix or similar local herb, here likely referring to a specific root used for washing) in water until slightly hot, wash the area, dry it, and then re-insert the medication for efficacy.
Another prescription: Xijiao (Cirsii Japonici Herba, 小蓟) in any quantity, boil in water to make a decoction, wash with the hot liquid, use three times daily.
Cui Shi's Formula for unbearable genital itching:
Burn Apricot Kernels (Xingren, 杏仁) to ash, wrap in cotton while hot, and insert into the vagina. Replace twice daily.
Another prescription: Wash with decoction made from Garlic (Suan, 蒜). Another method uses Goji Root (Gouqigen, 枸杞根).
Another prescription: Yelangya (Wild Wolf's Tooth Herb, 野狼牙) (two liang, finely chopped), Cnidii Fructus (Shechuangzi, 蛇床子) (three liang).
Boil the above in three sheng of water for ten boils, and wash with the hot liquid.
Another prescription: Take chicken liver, keep it warm, and insert it into the vagina. If there are parasites, they will all be expelled.
*Gujin Luyan* treats female genital itching where worm-like discharges occur.
Take beef liver, cut a piece three cun long, and insert it into the vagina. The parasites will enter the liver tissue; upon removal, the condition improves. Pork liver can also be used.
*Qianjin Yi* treats female genital itching with prolapse. Fanshi San (Alum Powder).