一论室女寡妇师尼。恶风体倦。乍寒乍热。面赤心烦。或时自汗。症类时疫。但肝脉弦
长。欲男子而不可得者。
断欲丸 一名抑阴丸。
生地黄（二两酒浸捣烂） 黄芩（五钱） 硬柴胡（五钱） 赤芍（六钱） 秦艽（五钱）
上为末。加炼蜜少许。丸如梧子大。每服二三十丸。乌梅煎汤下。
一论寡居。独阴无阳。欲心萌而不遂。是以恶寒发热。全类疟者。
柴胡益肝散
苍术（炒一钱） 柴胡（二钱五分） 香附（一钱） 神曲（炒八分） 山栀（炒一钱） 牡丹皮
（一
钱五分） 连翘（五分） 青皮（炒二钱） 川芎（七分） 赤芍（一钱五分） 生地黄（五分） 地
骨皮（一钱）
上锉。水煎服。
一论妇人梦交。脏腑虚。神不守。故邪厉得为病也。其状不欲见人。如有对晤。时独言
笑。
或时悲泣是也。脉息迟伏。或如鸟啄。又脉来绵绵。不知度数。而颜色不变。亦是此候也。
宜
安神散
白茯神（去皮木一两半） 白茯苓（去皮） 人参 石菖蒲（各一两） 赤小豆（五钱）
上锉。水煎温服。
一论妇人心气不足。精神恍惚。夜梦颠倒与人交。语言错乱。或惊悸恐怖。悲忧惨戚。
虚烦少寐。喜怒不常。夜多盗汗。饮食无味。头目昏眩。常服补养气血。安神镇心。宜
妙香散
黄 （一两） 人参（一两） 白茯苓（去皮一两） 白茯神（去皮心一两） 山药（姜汁炒一
两）
木香（二钱五分） 桔梗（五钱） 甘草（炙五分） 麝香（四分另研） 辰砂（三钱另研） 远志（
甘草汤泡去心一两）
上为细末。每服二钱。不拘时。温酒调服。
一论妇人阴肿者。是虚损受风所为。胞络虚而风邪客之。风气乘于阴。血气相搏。令气
痞塞。腠理壅闭。不得泄越。故令肿也。宜
菖蒲散
石菖蒲 当归 秦艽 吴茱萸
上锉。葱白五寸。水煎。空心服。
一治妇人阴中肿痛不可忍。洗法。
艾叶（五两） 防风（五两） 大戟（二钱）
上锉。水煎热洗。切宜避风寒。
一洗法
小麦 朴硝 白矾 五倍子
上锉。同葱白煮。热水洗之。
一论妇人阴痒者。是虫蚀。所谓三虫在于肠胃之间。因脏虚。三虫动作。蚀于阴内。其
虫作热。微则为痒。重则痛也。宜
将军散
大黄（微炒） 黄芩 黄 （炙各一两） 赤芍 玄参 丹参 山茱萸（去核） 蛇床子（各
五钱）
上为末。每服二钱。食前。温酒调下。
一治阴痒。以小蓟不拘多少。水煮汤热洗。日三次用之。蒜煮汤亦可。
一方。用杏仁烧作灰。乘热绵裹纳阴户中。日三易之。
一治女人阴冷痒方。
远志（二分） 干姜（生） 莲花（各三分） 蛇床子 五味子（各四分）
上为细末。先以兔屎涂阴门中。然后绵裹药一钱。纳阴中。热即为效。
一方。以硫黄末煎汤洗。
一治阴门下脱。先以淡竹根煎水洗。次用五倍子、白矾。为末掺之。
又方。用温盐汤洗软。以五灵脂烧烟熏之。次用蓖麻子研烂。涂顶上。吸入。即洗去
一治妇人阴中生疮。
杏仁（研末） 雄黄 矾石 麝香（少许）
上四味研细末。和敷阴中。
一治妇人阴户作痒。用猪肝炙燥。纳入阴户。则虫俱引出。而痒自止。
一治妇人生门硬如石。衣撞着痛不可忍。用青鱼胆七个。或鲫鱼胆七个亦好。用丝绵二
三钱。烧灰存性。同鱼胆调。取鸭毛搽上。立效。其硬不过半时。即软。
一治女人生门翻出。流黄臭水作痛。取绵茧二三钱。烧灰存性。酒调。鸭毛搽上。其毒
即收。一时即愈。
一妇人交肠病者。粪从小便出。尿从大便出。混浊不分。必是夏月伏暑而致。须用五苓
散加
牛膝、海金沙、木通、通草。但令大小便各归本脏即安。西园公治临颖徐少川母。服此药即
愈。加车前子。
一治女人阴中生疮。如虫咬痛。用桃叶捣烂。绵裹纳阴中。三四次即瘥。
Discourse on young unmarried women, widows, and nuns. They present with aversion to wind, physical fatigue, alternating chills and fever, facial flushing, mental restlessness, or spontaneous sweating. The symptoms resemble seasonal epidemics (seasonal infectious diseases). However, the liver pulse is wiry and long. This condition arises from the desire for men that cannot be fulfilled.
Duan Yu Wan (Desire-Abating Pill), also known as Yi Yin Wan (Yin-Suppressing Pill).
Ingredients: Sheng Di Huang (Rehmanniae Radix Praeparata, 2 liang, soaked in wine and mashed), Huang Qin (Scutellariae Radix, 5 qian), Ying Chai Hu (Bupleuri Radix, 5 qian), Chi Shao (Paeoniae Radix Rubra, 6 qian), Qin Jiao (Gentianae Macrophyllae Radix, 5 qian).
Preparation and Administration: Grind the above ingredients into fine powder. Add a small amount of refined honey and form pills the size of mulberry seeds. Take 20–30 pills per dose, washed down with decoction of Wu Mei (Mume Fructus).
Discourse on widowed women living in seclusion. With yin alone and no yang, desires arise but remain unfulfilled, leading to aversion to cold and fever, with symptoms entirely resembling malaria.
Chai Hu Yi Gan San (Bupleurum Liver-Nourishing Powder)
Ingredients: Cang Zhu (Atractylodis Rhizoma, stir-fried, 1 qian), Chai Hu (Bupleuri Radix, 2.5 qian), Xiang Fu (Cyperi Rhizoma, 1 qian), Shen Qu (Massa Medicata Fermentata, stir-fried, 8 fen), Shan Zhi (Gardeniae Fructus, stir-fried, 1 qian), Mu Dan Pi (Moutan Cortex, 1.5 qian), Lian Qiao (Forsythiae Fructus, 5 fen), Qing Pi (Citri Reticulatae Pericarpium Viride, stir-fried, 2 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 7 fen), Chi Shao (Paeoniae Radix Rubra, 1.5 qian), Sheng Di Huang (Rehmanniae Radix Praeparata, 5 fen), Di Gu Pi (Lycii Cortex, 1 qian).
Preparation and Administration: Cut the herbs into pieces, decoct in water, and take orally.
Discourse on nocturnal emission dreams (sexual intercourse in dreams) in women. Due to deficiency of the zang-fu organs and failure of the spirit to reside within, pathogenic factors cause disease. Manifestations include reluctance to see people, yet feeling as if conversing face-to-face, often speaking and laughing alone, or weeping at times. The pulse may be slow and deep, or intermittent like bird pecking; alternatively, it may be continuous and faint, difficult to count, while the complexion remains unchanged. These are also signs of this condition. An Shen San (Spirit-Calming Powder) is indicated.
An Shen San (Spirit-Calming Powder)
Ingredients: Bai Fu Shen (Poria with Hostwood, skin and wood removed, 1.5 liang), Bai Fu Ling (Poria, skin removed), Ren Shen (Ginseng Radix et Rhizoma), Shi Chang Pu (Acori Tatarinowii Rhizoma, each 1 liang), Chi Xiao Dou (Adzuki Bean, 5 qian).
Preparation and Administration: Cut the herbs into pieces, decoct in water, and take warm.
Discourse on insufficient heart qi in women, resulting in mental vagueness, inverted dreams of sexual intercourse at night, disordered speech, palpitations, fear, sadness, worry, and desolation, empty irritability, insomnia, irregular emotions, night sweats, loss of taste, dizziness, and vertigo. Regularly taking formulas to tonify qi and blood, calm the spirit, and anchor the heart is appropriate. Miao Xiang San (Miraculous Incense Powder) is indicated.
Miao Xiang San (Miraculous Incense Powder)
Ingredients: Huang Qi (Astragali Radix, 1 liang), Ren Shen (Ginseng Radix et Rhizoma, 1 liang), Bai Fu Ling (Poria, skin removed, 1 liang), Bai Fu Shen (Poria with Hostwood, skin and core removed, 1 liang), Shan Yao (Dioscoreae Rhizoma, stir-fried with ginger juice, 1 liang), Mu Xiang (Aucklandiae Radix, 2.5 qian), Jie Geng (Platycodonis Radix, 5 qian), Gan Cao (Licorice Radix et Rhizoma, roasted, 5 fen), She Xiang (Moschus, 4 fen, separately ground), Chen Sha (Cinnabar, 3 qian, separately ground), Yuan Zhi (Polygalae Radix, soaked in licorice decoction, core removed, 1 liang).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose at any time, mixed with warm wine.
Discourse on vulvar swelling in women. This is caused by deficiency damage combined with wind invasion. The uterine collaterals are deficient, allowing wind pathogens to lodge. Wind qi attacks the yin region, where blood and qi contend, causing qi stagnation and obstruction. The pores become blocked, preventing dispersion, thus leading to swelling. Chang Pu San (Acorus Powder) is indicated.
Chang Pu San (Acorus Powder)
Ingredients: Shi Chang Pu (Acori Tatarinowii Rhizoma), Dang Gui (Angelicae Sinensis Radix), Qin Jiao (Gentianae Macrophyllae Radix), Wu Zhu Yu (Evodiae Fructus).
Preparation and Administration: Cut the herbs into pieces, add 5 cun of Cong Bai (Allii Fistulosi Bulbus), decoct in water, and take on an empty stomach.
Treatment for unbearable pain and swelling in the vagina using a wash method.
Ingredients: Ai Ye (Artemisiae Argyi Folium, 5 liang), Fang Feng (Saposhnikoviae Radix, 5 liang), Da Ji (Euphorbiae Pekinensis Radix, 2 qian).
Preparation and Administration: Cut the herbs, decoct in water, and wash with the hot liquid. Strictly avoid wind and cold.
Another wash method.
Ingredients: Xiao Mai (Tritici Fructus), Po Xiao (Natrii Sulfas), Bai Fan (Alumen), Wu Bei Zi (Galla Chinensis).
Preparation and Administration: Cut the herbs, boil together with Cong Bai (Allii Fistulosi Bulbus), and wash with hot water.
Discourse on vulvar pruritus in women. This is caused by worm erosion. The so-called "three worms" reside between the intestines and stomach. Due to organ 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. Jiang Jun San (General Powder) is indicated.
Jiang Jun San (General Powder)
Ingredients: Da Huang (Rhei Radix et Rhizoma, slightly stir-fried), Huang Qin (Scutellariae Radix), Huang Qi (Astragali Radix, roasted, each 1 liang), Chi Shao (Paeoniae Radix Rubra), Xuan Shen (Scrophulariae Radix), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Shan Zhu Yu (Corni Fructus, pitted), She Chuang Zi (Cnidii Fructus, each 5 qian).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose before meals, mixed with warm wine.
Formula for treating vulvar pruritus: Use Xiao Ji (Cirsii Herba) in any quantity, boil in water to make a decoction, and wash with hot liquid three times daily. Garlic decoction may also be used.
Another formula: Burn Xing Ren (Armeniacae Semen Amarum) to ash. While hot, wrap in cotton and insert into the vagina. Change three times daily.
Formula for treating coldness and pruritus of the yin in women.
Ingredients: Yuan Zhi (Polygalae Radix, 2 fen), Gan Jiang (Zingiberis Rhizoma, raw), Lian Hua (Nelumbinis Flos, each 3 fen), She Chuang Zi (Cnidii Fructus), Wu Wei Zi (Schisandrae Fructus, each 4 fen).
Preparation and Administration: Grind into fine powder. First, apply rabbit feces to the vulva. Then, wrap 1 qian of the medicinal powder in cotton and insert it into the vagina. A sensation of heat indicates efficacy.
Another formula: Decoct Liu Huang (Sulfur) powder in water and wash.
Treatment for prolapse of the vulva: First, wash with decoction of Dan Zhu Gen (Phragmitis Rhizoma). Then, apply powder made from Wu Bei Zi (Galla Chinensis) and Bai Fan (Alumen).
Another formula: Wash with warm salt water until soft. Smoke with burning Wu Ling Zhi (Trogopterori Faeces). Then, apply paste made from crushed Bi Ma Zi (Ricini Semen) to the top of the head (Baihui point). After absorption, wash immediately.
Treatment for ulcers in the female genitalia.
Ingredients: Xing Ren (Armeniacae Semen Amarum, ground), Xiong Huang (Realgar), Fan Shi (Alumen), She Xiang (Moschus, a small amount).
Preparation and Administration: Grind the four ingredients into fine powder, mix, and apply to the genital area.
Treatment for vulvar pruritus: Roast pork liver until dry, insert into the vagina. This will draw out the worms, and the itching will cease.
Treatment for hardness of the vulva like stone, intolerable pain upon clothing friction: Use seven green carp gallbladders, or seven crucian carp gallbladders. Mix 2–3 qian of silk floss burned to ash (preserving its nature) with the fish gallbladder. Apply with duck feathers. Effect is immediate. Hardness softens within half an hour.
Treatment for eversion of the vulva with discharge of yellow foul-smelling fluid and pain: Take 2–3 qian of silkworm cocoons, burn to ash (preserving its nature), mix with wine, and apply with duck feathers. The toxicity is absorbed, and healing occurs within an hour.
A woman suffering from Jiao Chang Bing (Crossed Intestines Disease), where feces exit via the urethra and urine via the rectum, with turbid mixture not separated. This is certainly caused by latent summerheat contracted in summer. Wuling San (Five-Ingredient Powder with Poria) should be used with added Niu Xi (Achyranthis Bidentatae Radix), Hai Jin Sha (Lygodii Spora), Mu Tong (Akebiae Caulis), and Tong Cao (Tetrapanacis Medulla). Once urination and defecation return to their proper organs, peace is restored. Master Xi Yuan treated the mother of Xu Shaochuan from Linying County with this prescription, and she was cured. Che Qian Zi (Plantaginis Semen) may be added.
Treatment for ulcers in the female genitalia, painful like insect bites: Mash Tao Ye (Persicae Folium), wrap in cotton, and insert into the vagina. Healing occurs after three to four applications.