龙胆泻肝汤 熏洗法 腾熨法
妇人 两拗痛，玉门肿胀坠而疼，湿热龙胆泻肝治，导赤车前泽泻芩，当归栀
子龙胆草，气虚下陷补中升，艾防大戟熬汤洗，枳实陈皮炒热腾。
【注】妇人子户肿胀坠痛，及两拗疼痛者，谓之 。乃肝、心二经火盛，湿热下
流所致。宜服龙胆泻肝汤，其方即导赤散（生地、木通、甘草）再加车前子、泽泻、黄
芩、当归、黑栀子、龙胆草也。若因中气素虚，下陷重坠者，用补中益气汤以升举之；外
用蕲艾、防风、大戟熬汤熏洗，更以枳实、陈皮二叶为末，炒热腾之，其肿自消而痛自定
也。
加味逍遥散 乳香四物敷法
阴中痛名小户嫁，痛极手足不能舒，内服加味逍遥散，四物乳香捣饼敷。
【注】妇人阴中作痛，名小户嫁痛，痛极往往手足不能伸舒。由郁热伤损肝脾，湿热
下注所致。宜内服逍遥散加丹皮、栀子；外以四物汤料合乳香捣饼，纳阴中，其痛即定。
逍遥散 四物汤（俱见首卷）
桃仁雄黄膏
湿热生虫阴户痒，内服逍遥龙胆方；桃仁膏合雄黄末，鸡肝切片纳中央。
【注】妇人阴痒，多因湿热生虫。甚则肢体倦怠，小便淋漓。宜服逍遥散、龙胆泻肝
汤。外以桃仁研膏，合雄黄末，鸡肝切片，醮药纳户中。其虫一闻肝腥，皆钻肝内吮食，将
肝提出，其病即愈。
逍遥散（方见首卷） 龙胆泻肝汤（方见前阴肿条）
Longdan Xiegan Tang (Gentiana Decoction to Drain the Liver) for Fumigation and Washing, Tengyi Method (Hot Compress)
In women, pain in the labia majora (two "ao"), swelling, prolapse, and pain at the Yumen (vaginal opening) are treated with Longdan Xiegan Tang (Gentiana Decoction to Drain the Liver) if caused by damp-heat. The formula consists of Daochi San (Cattail Seed Decoction: Shengdi Huang, Tong Cao, Gancao) plus Cheqianzi, Zexie, Huangqin, Danggui, Zhizi, and Longdancao. If caused by Qi deficiency with sinking, Buzhong Yiqi Tang (Decoction to Supplement the Middle and Augment the Qi) is used to raise the Yang. Externally, Aiye, Fangfeng, and Daji are boiled for fumigation and washing; then Zhishi and Chenpi are stir-fried hot for compress application.
[Note] Swelling, prolapse, and pain of the uterus (Zihu), along with pain in the labia majora, is termed "Yinzhong" (Genital Swelling). This is caused by excessive fire in the Liver and Heart meridians, with damp-heat flowing downward. It is suitable to take Longdan Xiegan Tang (Gentiana Decoction to Drain the Liver); this formula is Daochi San (Shengdi Huang, Tong Cao, Gancao) plus Cheqianzi, Zexie, Huangqin, Danggui, Hei Zhizi, and Longdancao. If due to inherent deficiency of Middle Qi causing heavy sinking, Buzhong Yiqi Tang (Decoction to Supplement the Middle and Augment the Qi) is used to lift it. Externally, Qiai, Fangfeng, and Daji are boiled for fumigation and washing; Zhishi and Chenpi are powdered, stir-fried hot, and applied as a compress, after which the swelling will naturally subside and pain will cease.
Jiawei Xiaoyao San (Modified Xiaoyao Powder) and Ruxiang Siwu Fu (Ruxiang-infused Siwu Paste Application)
Pain inside the vagina is named "Xiaohu Jiatong" (Little House Marriage Pain); when pain is extreme, the limbs cannot extend. Internally, Jiawei Xiaoyao San (Modified Xiaoyao Powder) is taken; externally, Siwu Tang (Four Substances Decoction) combined with Ruxiang is pounded into a cake for application.
[Note] Pain inside the vagina in women is named "Xiaohu Jiatong" (Little House Marriage Pain); extreme pain often causes the limbs to be unable to stretch. This is caused by stagnant heat damaging the Liver and Spleen, with damp-heat pouring downward. It is suitable to internally take Xiaoyao San (Xiaoyao Powder) added with Danpi and Zhizi; externally, Siwu Tang (Four Substances Decoction) ingredients combined with Ruxiang are pounded into a cake and inserted into the vagina, after which the pain will immediately settle. Xiaoyao San (Xiaoyao Powder) and Siwu Tang (Four Substances Decoction) (both seen in Volume 1).
Taoren Xionghuang Gao (Peach Kernel and Realgar Ointment)
Damp-heat generating parasites causes itching of the vaginal orifice; internally take Xiaoyao San (Xiaoyao Powder) or Longdan Xiegan Tang (Gentiana Decoction to Drain the Liver); externally apply Taoren Gao (Peach Kernel Paste) mixed with Xionghuang powder, placing chicken liver slices in the center for insertion.
[Note] Vaginal itching in women is mostly caused by damp-heat generating parasites. In severe cases, the limbs feel fatigued, and urination is dribbling. It is suitable to take Xiaoyao San (Xiaoyao Powder) and Longdan Xiegan Tang (Gentiana Decoction to Drain the Liver). Externally, Taoren (Peach Kernels) are ground into paste, mixed with Xionghuang (Realgar) powder, and chicken liver slices are dipped in the medicine and inserted into the vagina. When the parasites smell the fishy scent of the liver, they all burrow into the liver to suck and eat; when the liver is then removed, the disease is cured. Xiaoyao San (Xiaoyao Powder) (formula seen in Volume 1), Longdan Xiegan Tang (Gentiana Decoction to Drain the Liver) (formula seen under the section on Genital Swelling).