妇人阴中生疮，多由湿热下注，或七情郁火，或纵情敷药（按∶古法有用辛温兴奋之药外敷以助情欲
者），中于热毒。其外证则或有阴中挺出如蛇头者，谓之阴挺；如菌者，谓之阴菌；或如鸡冠，或生虫湿痒，
或内溃肿烂疼痛，常流毒水。其内证则或为体倦内热，经候不调，或为饮食不甘，晡热发热，或为小腹痞胀，
腰胁不利，或为小水淋沥，赤白带下。凡治此之法，若肿痛内外俱溃者，宜芍药蒺藜煎为最佳，或四物汤
加栀子、丹皮、胆草、荆芥，或用加味逍遥散；若湿痒者，宜芍药蒺藜煎或归脾汤加柴、栀、丹皮；淋涩者，
宜龙胆泻肝汤加白术、丹皮；淋涩而火盛痛胀者，宜大厘清饮或抽薪饮；肿而坠重者，
补中益气汤加山栀、丹皮；可洗者用百草煎；可敷者宜螵蛸散、完疮散。
芍药蒺藜煎（见《新方八阵·因阵》）治通身湿热疮疹及下部红肿热痛诸疮，神效。外以螵蛸散敷之。
龙胆草 栀子 黄芩 木通 泽泻（各钱半） 芍药 生地（各二钱） 白蒺藜（连刺，槌碎，五钱至一两）
水二钟，煎八分，食远服。如火不甚者，宜去龙胆草、栀子，加当归、茯苓、薏仁之属。如湿毒甚者，加
土茯苓五钱或一、二两。
四物汤（见经不调）
加味逍遥散（见经不调）
归脾汤（见经不调）
龙胆泻肝汤（见产门不闭）
大厘清饮（见白浊遗淋）
抽薪饮（见血热经早）
补中益气汤（见经不调）
百草煎（见阴肿）
螵蛸散（见《新方八阵·因阵》）治湿热破烂，毒水淋漓等疮，或下部肾囊、足、股肿痛，下疳诸疮，
无不神效。
海螵蛸（不必浸淡） 人中白（或人中黄、 砂亦可，等分）
上为细末，先以百草多煎浓汤，乘热熏洗后，以此药掺之。如干者以麻油或熬猪油或蜜水调敷之。若肿而
痛甚者，加冰片少许更妙。若湿疮脓水甚者，加密陀僧等分或 过宫粉亦可，或 制炉甘石更佳。
完疮散（见《新方八阵·因阵》）治湿烂诸疮，肉平不敛，及诸疮毒，内肉既平而口不收者，皆宜用
此，最妙。
滑石（飞，一两） 赤石脂（飞，五钱） 粉甘草（三钱）
上为末，干渗或用麻油调敷，或加枯矾一钱，痒者极宜。
蛇蜕散 治妇人阴疮。先以荆芥、蛇床子熏洗，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（各五钱）
上为细末，香油调搽，湿则干掺。
Ulcers in the female genitalia are mostly caused by damp-heat pouring downward, or fire generated from emotional stagnation, or the abuse of medications (Note: Ancient methods sometimes used acrid-warm stimulating herbs applied externally to enhance sexual desire), leading to invasion by heat-toxin. External manifestations include: protrusion from the vagina resembling a snake's head, termed Yin Ting (Yin Prolapse); mushroom-shaped growths, termed Yin Jun (Yin Fungus); or formations resembling rooster combs; presence of parasites with dampness and itching; internal ulceration with swelling, rotting, and pain, often discharging toxic fluids. Internal manifestations include: body fatigue and internal heat, irregular menstruation; loss of appetite and afternoon tidal fever; epigastric fullness and distension, discomfort in the waist and hypochondrium; dribbling dysuria, and red-and-white leukorrhea.
General treatment principles for this condition: If there is swelling, pain, and both internal and external ulceration, Shaoyao Jili Decoction (Peony and Tribulus Decoction) is best, or Siwu Tang (Four Substances Decoction) added with Gardenia, Moutan Cortex, Gentian Root, and Schizonepeta; or Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder). If dampness and itching predominate, use Shaoyao Jili Decoction or Guipi Tang (Restore the Spleen Decoction) added with Bupleurum, Gardenia, and Moutan Cortex. For dribbling dysuria, use Longdan Xiegan Tang (Gentian Liver-Draining Decoction) added with Atractylodes Macrocephala and Moutan Cortex. For dribbling dysuria accompanied by excessive fire, pain, and distension, use Dali Qingyin (Great Purification Drink) or Chouxin Yin (Draw Down the Fuel Drink). For swelling with a sensation of heaviness and prolapse, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Gardenia and Moutan Cortex. For washing, use Baicao Jian (Hundred Herbs Decoction); for topical application, use Piaoxiao San (Cuttlebone Powder) or Wanchuang San (Complete Ulcer Healing Powder).
Shaoyao Jili Decoction (see *New Formulas Eight Arrays · Yin Array*) treats widespread damp-heat sores and rashes, as well as various sores with redness, swelling, heat, and pain in the lower body, with miraculous effects. Externally apply Piaoxiao San.
Ingredients: Gentian Root (Longdan Cao), Gardenia (Zhizi), Scutellaria Root (Huangqin), Akebia Stem (Mutong), Alisma Rhizome (Zexie) (each 1.5 qian); Peony Root (Shaoyao), Rehmannia Root (Shengdi) (each 2 qian); Tribulus Fruit (Bai Jili) (with spines, crushed, 5 qian to 1 liang).
Preparation: Add two bowls of water, decoct until reduced to eight-tenths. Take after meals. If fire is not severe, remove Gentian Root and Gardenia, and add Angelica Sinensis, Poria, and Coix Seed. If damp-toxin is severe, add Smilax Glabra Rhizome (Tufuling) 5 qian or 1–2 liang.
Siwu Tang (Four Substances Decoction) (see Irregular Menstruation)
Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) (see Irregular Menstruation)
Guipi Tang (Restore the Spleen Decoction) (see Irregular Menstruation)
Longdan Xiegan Tang (Gentian Liver-Draining Decoction) (see Vaginal Incompetence)
Dali Qingyin (Great Purification Drink) (see White Turbidity and Retention of Urine)
Chouxin Yin (Draw Down the Fuel Drink) (see Early Menstruation due to Blood Heat)
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) (see Irregular Menstruation)
Baicao Jian (Hundred Herbs Decoction) (see Vulvar Swelling)
Piaoxiao San (Cuttlebone Powder) (see *New Formulas Eight Arrays · Yin Array*) treats sores caused by damp-heat with skin breakdown and dripping toxic fluids, or swelling, pain, and tenderness in the scrotum, feet, and thighs, as well as chancres and other sores in the lower body, with miraculous efficacy.
Ingredients: Cuttlebone (Haipiaoxiao) (no need to soak to remove saltiness), Human Bone Ash (Renzhongbai) (or Human Waste Yellow, or Sand, equal parts).
Preparation: Grind into fine powder. First, decoct Baicao Jian into a strong broth. While hot, fumigate and wash the area, then sprinkle this powder on the lesion. If the wound is dry, mix with Sesame Oil, rendered Pork Lard, or Honey Water for topical application. If swelling and pain are severe, adding a small amount of Borneol is better. If there is excessive pus and fluid from damp sores, add Lead Monoxide (Miduoseng) in equal parts, or Over Palace Powder (Guogongfen) is also acceptable, or Calcined Calamine (Zhi Luganshi) is even better.
Wanchuang San (Complete Ulcer Healing Powder) (see *New Formulas Eight Arrays · Yin Array*) treats various damp-rotten sores where flesh has flattened but fails to heal, and various sore toxins where internal tissue has flattened but the opening does not close. This formula is most excellent for such cases.
Ingredients: Talcum (Huashi) (calcined, 1 liang), Red Kaolin (Chishizhi) (calcined, 5 qian), Licorice Root (Fen Gancao) (3 qian).
Preparation: Grind into powder. For dry exudate, sprinkle directly; or mix with Sesame Oil for topical application. Adding 1 qian of Alum (Kufan) is extremely suitable for itching.
Shetui San (Snake Slough Powder) Treats female genital ulcers. First, fumigate and wash with Schizonepeta and Cnidium Fruit, pat dry, then apply medicine.
Ingredients: Snake Slough (Shetui) (one strip, burned to retain properties), Alum (Kufan), Lead Tetroxide (Huandan), Polygonum Aviculare (Lümi), Ligusticum Wallichii (Chuanxiong) (each 1 liang), Realgar (Liuhuang), Schizonepeta Spike (Jingjie Sui), Cnidium Fruit (Shechuangzi) (each 5 qian).
Preparation: Grind into fine powder. Mix with Sesame Oil for rubbing. If wet, sprinkle dry powder.