雄黄藜芦散 妇人阴中突出如蛇，或似鸡冠菌样者，并治。
鳖头（ 黄色） 轻粉 雄黄（各一钱） 冰片（二分） 葱管藜芦（二钱，研如细面）
以上各研细末，和匀再研，瓷瓶收贮。先用芎归汤熏洗，随后搽药，早晚二次，其患渐收。
芎归汤
当归 龙胆草 白芷 川芎 甘草（各一钱）
煎汤浴洗患上，随后搽药。
妇人阴中忽生鸡冠肉并生瘰方
龙胆草（酒拌炒） 大黄 泽泻（各一钱） 生地 黑山栀 车前子 木通 当归 甘草
黄芩（炒，各五分） 水煎服。
阴茄。
硫黄（五分） 海螵蛸（二钱）
研细，用鸭蛋清调搽。
陈实功曰∶阴挺一条如蛇，坠重流水溺涩，为脾气下陷，肝火从之。（《正宗》）
冯鲁瞻曰∶阴挺逼迫肿痛，举重房劳皆能发作，清水续续，小便淋沥，宜内服
升补，外以硫黄、乌贼骨、五味子为末敷之。（《锦囊》）
又曰∶阴中 肉凸出如蛇头数寸者，名翻花疮，用硫黄末敷之，即缩。
汪省之曰∶阴挺宜朝进补中益气汤，晚服龙胆泻肝汤，外涂雄黄藜芦散，其患渐收。（《理例》）
窦汉卿曰∶补心养胃为主。
朱丹溪曰∶子宫脱出名阴 ，俗名 葫芦。由气血俱虚所致。宜补中益气汤去
柴胡，倍升麻，加益母草服之，外以萆麻子肉捣贴顶心，以枳壳半斤煎汤熏洗。
又曰∶如思欲不遂，肝气郁结而成者，必先于小便时，似有堵塞之意，因而努挣，
久之子宫随努而下，速令稳婆扶正 葫芦，患妇仰卧，以枕垫腰，用嚏药取嚏即收，收
入即紧闭阴户，随以布帛将腿缚定，服补中益气汤。
薛氏曰∶阴挺下脱，牵引腰腹膨痛者，或因胞络伤损，或因子脏虚冷，或犯非理
房事，或因分娩用力所致，当以升补元气为主，若肝脾郁结，气虚下陷，补中汤。若肝火湿热，小便赤涩，龙胆汤。
Xionghuang Lilu San (Realgar and Veratrum Powder): Treats conditions where the woman's vulva protrudes like a snake or resembles a cockscomb fungus.
Ingredients: Bie Jia Tou (Head of Turtle Shell, yellow variety), Qing Fen (Calomel), Xiong Huang (Realgar) (each 1 qian), Bing Pian (Borneol) (2 fen), Cong Guan Li Lu (Veratrum from Scallion Tube) (2 qian, ground into fine powder).
Preparation and Administration: Grind each ingredient into a fine powder separately, mix uniformly, and grind again. Store in a porcelain bottle. First, fumigate and wash the affected area with Xiong Gui Tang (Sichuan Lovage and Angelica Decoction), then apply the powder. Apply twice daily, morning and evening; the lesion will gradually retract.
Xiong Gui Tang (Sichuan Lovage and Angelica Decoction):
Ingredients: Dang Gui (Angelicae Sinensis Radix), Long Dan Cao (Gentianae Radix), Bai Zhi (Angelicae Dahuricae Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 1 qian).
Administration: Decoct in water to wash the affected area, then apply medication.
Formula for sudden growth of cockscomb-like flesh and scrofula in the female genitalia:
Ingredients: Long Dan Cao (Gentianae Radix, stir-fried with wine), Da Huang (Rhei Radix et Rhizoma), Ze Xie (Alismatis Rhizoma) (each 1 qian), Sheng Di (Rehmanniae Radix), Hei Shan Zhi (Gardeniae Fructus, charred), Che Qian Zi (Plantaginis Semen), Mu Tong (Akebiae Caulis), Dang Gui (Angelicae Sinensis Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Huang Qin (Scutellariae Radix, stir-fried) (each 5 fen).
Administration: Decoct in water and take orally.
Yin Qie (A condition resembling a small eggplant/prolapse):
Ingredients: Liu Huang (Sulfur) (5 fen), Hai Piao Xiao (Sepiae Endoconcha) (2 qian).
Administration: Grind into fine powder, mix with egg white, and apply topically.
Chen Shigong stated: "Prolapse of the uterus resembling a snake, accompanied by heaviness, discharge of fluid, and dysuria, is caused by Spleen Qi sinking, with Liver Fire following it." (*Waike Zhengzong*)
Feng Luzhan stated: "Prolapse causing pressure, pain, and swelling, triggered by heavy lifting or sexual fatigue, with continuous clear discharge and dribbling urine, should be treated internally with lifting and tonifying herbs, and externally with powders of Sulfur, Cuttlefish Bone, and Schisandra applied to the area." (*Jinnang*)
He further stated: "Fleshy protuberances protruding from the vagina like snake heads, several inches long, are named Fan Hua Chuang (Flower-Turning Sore). Applying powder of Sulfur causes them to retract."
Wang Shengzhi stated: "For uterine prolapse, it is suitable to take Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) in the morning, Longdan Xiegan Tang (Gentian Liver-Draining Decoction) in the evening, and apply Xionghuang Lilu San externally; the condition will gradually improve." (*Lili*)
Dou Hanqing stated: "Treatment should focus on tonifying the Heart and nourishing the Stomach."
Zhu Danxi stated: "Uterine prolapse, known as Yin Tu, commonly called 'gourd,' is caused by deficiency of both Qi and Blood. It is suitable to take Buzhong Yiqi Tang without Chai Hu, double the dosage of Sheng Ma, and add Yi Mu Cao (Motherwort Herb); externally, paste mashed Castor Bean flesh onto the Bai Hui acupoint on the vertex, and fumigate/wash with a decoction of half a jin of Zhi Ke (Aurantii Fructus)."
He further stated: "If caused by unfulfilled desires leading to Liver Qi stagnation, there is initially a sensation of blockage during urination, followed by straining. Over time, the uterus descends with the straining. Immediately have a midwife manually reduce the 'gourd.' The patient should lie supine with a pillow under her waist. Use a sneezing powder to induce sneezing to reduce the prolapse. Once reduced, tightly close the vaginal opening, bind the legs firmly with cloth, and administer Buzhong Yiqi Tang."
Xue Ji stated: "Uterine prolapse with牵引 (pulling) pain in the lower back and abdomen may be due to damage to the Bao Luo (uterine ligaments), cold deficiency of the Zi Zang (uterus), improper sexual activity, or excessive effort during childbirth. Treatment should primarily focus on lifting and tonifying Yuan Qi. If due to Liver-Spleen Qi stagnation and Qi deficiency with sinking, use Buzhong Tang. If due to Liver Fire and Damp-Heat with red, scanty, and painful urination, use Longdan Tang."