阴户溃烂。（窦氏。）
儿茶、鸡内金各一钱，轻粉五分，冰片三分，研细干掺。
妇人阴疮 杏仁不拘多少，烧存性，麝香少许，细细研匀，如疮口深用小绢袋盛药系口，炙热纳阴户内。
津调散（《锦囊》）。治妒精，妇人阴湿疮，脓汁淋漓臭烂。
黄连 款冬花（各等分） 麝香（少许）
研细末。先用沐浴长春散煎洗，软绢拭干，津调搽之，忌用生汤洗。
默治汤（岐天师）
当归（一两） 白茯苓 白芍（各五钱） 栀子（三钱） 柴胡（一钱） 楝树根（五分）
水煎服。有痰加白芥子，有火加黄芩，有寒加肉桂，余不必加。
化毒生肌散（雷公）。治产门处生疮久不愈，兼治一切疮毒神效。
黄柏（炒） 白薇（炒） 铅粉（炒） 儿茶 蚯蚓屎（炒） 潮脑（各三钱） 乳香（去油，二钱） 麝香
（三分） 轻粉 冰片（各五分）
研细，掺疮口，二日即愈。
陈实功曰∶妇人阴户生虫 如小蛆者，乃心气郁而邪火所化。（《正宗》）
又曰∶又有妇人久居寡室，淫火妄而又郁，郁而又妄，邪火久注，多致阴中作
痒，生虫食人五内，阴中腐烂，攻刺疼痛，臭水淋漓，口干发热，形削不食，咳嗽生
痰，有此证者，非药能愈，终归于死。此又名失合证，与痨瘵相似。（《正宗》）
又曰∶阴 疮宜四物汤加黄连、龙胆草、木通、石菖蒲以通散心窍郁滞，外以银杏散纳入阴中。
又曰∶阴器外生疙瘩，内生细虫作痒，不可忍者，此虫食人脏腑即死，令人多发
寒热，与痨瘵相似，畏羞不说，因循日久，面黄肌瘦，咳嗽生痰，往往不治者多矣。急
与逍遥散吞芦荟丸，外以银杏散绵裹塞入，杀虫止痒，半月渐愈。
又曰∶阴器内生红虫，长者一寸，短者五六分，治法宜归脾汤加山栀、白术、牡丹皮、甘草主之。
窦汉卿曰∶妇人之性多偏而多郁，若有不遂，则心肝肾三经之火，勃然而起，遂
致阴内生疮，或生疳疮，或生翻花疮，阴中极痒，名 疮，又名阴蚀疮。极痛极痒，
状如虫行，淋漓脓汁，皆由湿热与心火相系而生。
李东垣曰∶妇人阴蚀疮，乃肾脏虚邪，热结下焦，经络痞涩，气血不行，或房欲
洗浴不洁，以致生疮而隐忍不医， 肿尤甚，因疮在里，措手无方，疼痛注闷，或
小便如淋，或经十数日，溃烂脓血，肌肉侵蚀，或血出不止，以成下疳，男子则阴丸肿溃。（《十书》）
张景岳曰∶阴蚀患于阴户之中，一痒则酸麻彻骨，一痛则痛楚连心，良由产后
保护不慎，以致风寒内逼，临经调摄失宜，致延湿热中生，新产未曾盈月，交接房劳，
经血不曾干净，淫欲所伤，或惹疳疮，或因肝郁，是以子宫生虫作痒，溃流秽水，失
治则子宫散而阴户脱矣。宜用鸡肝散、丝瓜散插之，萆麻汤洗，艾叶散熏。
Ulceration of the Yin Orifice. (Dou Shi.)
Camptoteca powder (Erythrinae Semen) and Chicken Gizzard Lining (Jineijin), each one qian, Calomelas (Qingfen) half a qian, and Borneol (Bingpian) three fen, ground into fine powder for dry application.
Yin Sores in Women. Almonds (Xingren) as needed, burned until carbonized but retaining their nature, with a small amount of Musk (Shexiang), finely ground together. If the sore is deep, place the medicine in a small silk bag, tie it, heat it, and insert it into the yin orifice.
Jintiao San (from *Jinnang*). Treats Du Jing (a condition caused by jealousy regarding husband's infidelity), damp sores in women's yin area with dripping, foul-smelling pus.
Coptis Rhizome (Huanglian) and Flos Dendranthemi Morifolii / Kuan Dong Hua (equal parts), Musk (Shexiang) (small amount).
Grind into fine powder. First wash with Chun Chang San decoction, wipe dry with soft silk, then apply the powder mixed with saliva. Avoid washing with raw water.
Mo Zhi Tang (by Qi Tianshi)
Angelica Sinensis Radix (Danggui) (one liang), Poria Cocos (Baifuling) and White Peony Root (Baishao) (each five qian), Gardenia Fruit (Zhizi) (three qian), Bupleurum Root (Chaihu) (one qian), and Toosendan Root (Lianshugen) (five fen).
Decoct in water and take orally. Add White Mustard Seed (Baijiezi) if there is phlegm; add Scutellaria Root (Huangqin) if there is fire; add Cinnamon Bark (Rougui) if there is cold. No other additions are necessary.
Huadu Shengji San (by Leigong). Treats sores at the vaginal opening that do not heal for a long time, and is also extremely effective for all kinds of sore toxins.
Phellodendron Bark (Huangbai) (stir-fried), Anemarrhenae Rhizoma (Baiwei) (stir-fried), Lead Carbonate (Qianfen) (stir-fried), Camptoteca powder (Erythrinae Semen) (Ercha), Earthworm Excrement (Qiuyinshi) (stir-fried), Naphthalene/Changnao (Chaonao) (each three qian), Frankincense (Ruxiang) (de-oiled, two qian), Musk (Shexiang) (three fen), Calomelas (Qingfen), and Borneol (Bingpian) (each five fen).
Grind into fine powder and sprinkle on the sore. It will heal in two days.
Chen Shigong said: When worms like small maggots appear in the female yin orifice, it is due to the stagnation of Heart Qi transforming into pathogenic fire. (*Waike Zhengzong*)
He also said: There are also women who have lived in widowhood for a long time, where lustful fire moves recklessly yet becomes stagnant, and stagnant fire moves recklessly again. Pathogenic fire lingers for a long time, often causing itching in the yin, generation of worms that eat the internal organs, rotting of the yin, stabbing pain, dripping foul water, dry mouth, fever, emaciation, loss of appetite, cough with phlegm. Those with this syndrome cannot be cured by medicine and will eventually die. This is also called Shihe Syndrome, similar to Tuberculosis Consumption (Laozai). (*Waike Zhengzong*)
He also said: For Yin Sores, use Siwu Decoction (Four Substances Decoction) added with Coptis Rhizome (Huanglian), Gentian Root (Longdancao), Akebia Caulis (Mutong), and Acorus Tatarinowii Rhizome (Shichangpu) to unblock and dissipate Heart orifice stagnation. Externally, apply Yinxing San inserted into the yin.
He also said: When nodules grow outside the genitalia and fine worms cause unbearable itching inside, this leads to death as the worms eat the internal organs, causing frequent chills and fever, similar to Tuberculosis Consumption (Laozai). Due to shame, patients do not speak of it. After prolonged neglect, they become sallow-faced and emaciated, with cough and phlegm. Many cases go untreatable. Urgently administer Xiaoyao San swallowed with Lu Hui Wan (Aloe Pill), and externally insert Yinxing San wrapped in cotton to kill worms and stop itching. Gradual healing occurs within half a month.
He also said: When red worms grow inside the genitalia, one cun long or five to six fen short, the treatment method should prioritize Guipi Decoction (Restore the Spleen Decoction) added with Gardenia Fruit (Shanzhi), Atractylodes Macrocephala Rhizome (Baizhu), Moutan Cortex (Mudanpi), and Licorice Root (Gancao).
Dou Hanqing said: Women's temperament is often biased and prone to stagnation. If desires are unfulfilled, the fire of the Heart, Liver, and Kidney meridians rises abruptly, leading to sores inside the yin, or Chancre (Ganchuang), or Flower-like Ulcers (Fanhuachuang). The yin is extremely itchy, named Du Chuang (Jealousy Sore), also known as Yin Erosion Sore (Yinshi Chuang). Extremely painful and itchy, feeling like insects crawling, with dripping pus, all generated by the combination of Damp-Heat and Heart Fire.
Li Dongyuan said: Female Yin Erosion Sore is caused by deficiency pathogens in the Kidneys, heat accumulation in the Lower Jiao, obstruction of collaterals, and stagnation of Qi and Blood. Or, due to unclean bathing after sexual desire, sores arise. If endured without medical treatment, swelling becomes severe. Since the sore is internal, treatment is difficult, causing pain and oppression, or dysuria resembling strangury. After ten-plus days, ulceration with pus and blood occurs, muscle erosion, or continuous bleeding, forming Chancre (Xiagan). In men, the testicles swell and ulcerate. (*Yixue Shibu*)
Zhang Jingyue said: Yin Erosion affects the interior of the yin orifice. One itch causes bone-deep numbness and sourness; one pain connects to the heart. This is largely due to careless protection postpartum, allowing Wind-Cold to invade internally, or improper regulation during menstruation, leading to internal Damp-Heat. If sexual intercourse occurs before one month postpartum, while menstrual blood is not clean, injury from lust, or contracting Chancre (Ganchuang), or due to Liver stagnation, worms generate in the uterus causing itching, ulceration with foul discharge. Failure to treat properly leads to uterine prolapse and yin orifice eversion. Use Jigan San (Chicken Liver Powder) or Sigua San (Luffa Powder) for insertion, wash with Bima Tang (Ricinus Decoction), and fumigate with Aiye San (Mugwort Leaf Powder).