〔阴肿〕
〔大〕夫妇人阴肿者，是虚损受风邪所为。胞络虚而有风邪客之，风气乘于阴，与
血气相搏，令气痞涩，腠理壅闭不泄越，故令肿也。
〔薛〕前证若气血虚弱，用补中益气汤举而补之。肝经湿热，用龙胆泻肝汤渗而清
之。若阴肿、阴痒、阴冷、阴挺，当与后论互相参看。一妇人阴中肿闷，小便涩滞，两
胁作肿，内热晡热，月经不调，时或寒热。此因肝脾郁怒，元气下陷，湿热壅滞。朝用归
脾汤加柴胡、升麻，解郁结，补脾气，升元气。夕用加味逍遥散清肝火，生肝血，除湿
热。各数剂，诸证悉愈。又用四君、芎、归、丹皮，调补肝脾而经水如期。
菖蒲散 治妇人月水涩滞，阴间肿痛。
菖蒲 当归（各一两，炒） 秦艽（半两） 吴茱萸（半两）
上为粗末，每服三钱，水一盏，葱白五寸，煎至六分，空心温服。
《经心录》方 治妇人阴中肿痛不可忍。
艾叶（五两） 防风（三两） 大戟（二两）
上锉细，以水一斗，煮取五升，热洗，日三次，切宜避风冷。
《古今录验》治妇人阴肿或疮烂者，麻黄汤洗方。
麻黄 黄连 蛇床子（各二两） 北艾叶（一两半） 乌梅（十个）
上锉细，以水一斗，煮取五升，去滓热洗，避风冷。
又方 治妇人阴肿坚痛，白矾散。
白矾（半两） 甘草（半分，生） 大黄（一分，生）
上为细末，每用枣大，绵裹纳阴中，日两换。
《肘后方》疗阴中肿痛。
枳壳（半斤） 炒令热，以故帛裹熨，冷即换之。
《子母秘录》疗阴肿。铁精粉敷上。
《补遗》方 治阴门肿。以甘菊苗研烂，百沸汤淋洗熏浸。
又方 小麦、朴硝、白矾、五倍子、葱白，煮水洗。
又方 阴肿大，马鞭草捣烂涂之。
〔阴痒〕
〔大〕夫妇人阴痒者，是虫蚀所为。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，重者乃痛也。
〔薛〕前证属肝经所化，当用龙胆泻肝汤、逍遥散以主其内外，以桃仁研膏，和雄
黄末或鸡肝，纳阴中以制其虫。一妇人胸膈不利，内热作渴，饮食不甘，肢体倦怠，阴
中闷痒，小便赤涩，此郁怒伤肝脾所致，用归脾汤加山栀而愈。复因怒，患处并小腹胀
痛，用小柴胡加山栀、芎、归、芍药。痛止。用逍遥散加山栀而愈。又因劳役，患处肿胀，
小便仍涩，用补中益气加山栀、茯苓、丹皮而痊。一妇人阴内痛痒，不时出水，食少
体倦，此肝脾气虚，湿热下注，用归脾加丹皮、山栀、芍药、生草主之而安。 一妇人
阴内痒痛，内热倦怠，饮食少思，此肝脾郁怒，元气亏损，湿热所致，用参、 、归、术、
陈皮、柴胡、炒栀、车前、升麻、芍药、丹皮、茯苓而瘥。若阴中有虫痒痛，亦属肝木，
以桃仁、雄黄研纳阴中以杀之，仍用清肝解郁之药。有以鸡肝纳之者，乃取虫之法也。一
方捣新桃叶绵裹纳阴中，日三两易。
大黄散 治妇人阴痒。
大黄（微炒） 黄芩 黄 （炙，各一两） 赤芍药 玄参 丹参 山茱萸 蛇床子（各半两）
上为细末，食前温酒调二钱服。
《广济方》疗妇人阴痒不止。
蚺蛇胆 雄黄 硫黄 朱砂 硝石 芜荑（各半两） 藜芦（二钱半）
上为细末，研停，以腊月猪脂和如膏，用故布作缠子如指，长一寸半，以药涂上，纳
阴中，日一易之。易时宜用猪椒根三五两，水煮稍热洗，干拭内之效。
又方 小蓟不拘多少，水煮作汤热洗，日三用之。
崔氏疗阴痒不可忍方。
杏仁烧作灰，承热绵裹纳阴中，日二易之。
又方 蒜煮汤洗之。一方用枸杞根。
又方 野狼牙（二两，细锉） 蛇床子（三两） 以水三升，煮十沸，热服。
又方 取鸡肝承热纳阴中。如有虫，虫当尽下。
又方 取牛肝截五寸，绳头纳阴中，半日虫入肝，出之。猪肝亦得。
《圣惠方》疗阴中有虫痒且痛，目肿身黄，欲得男子，漏血下白，少气，思美食。用鲤
鱼长一尺，去头肉，取骨捣末，熬黄黑，以猪脂和，以绢袋盛，如常法内阴中，至痛处
即止，虫当自出。
〔阴痛〕
《千金》疗小户嫁痛连日方。
甘草 生姜（各三分） 白芍药 桂心（各二分）
上细锉，以酒二升，煮取三沸，去滓温服神良。
又疗小户嫁痛单行方。
牛膝（五两）
上一味切，酒三升，煮至二升，分三服。又疗妇人嫁痛，单行太和汤。
大黄（三两）
上一味切，以酒一升，煮一沸顿服。
又疗妇人小户嫁痛，海螵蛸散。
乌贼鱼骨（二枚）
上一味，烧研细末，酒服方寸匕，日三。
《补遗》治阴肿不下，小户嫁痛。
冬青叶 小麦 甘草
上等分，水煎洗。
危氏方 治妇人阴痛。用青盐炒热，以布裹熨之。
〔阴疮〕
〔大〕妇人阴疮者，由三虫或九虫动作侵蚀所为也。诸虫在人肠胃之间，若脏腑调和，
血气充实，不能为害。若劳伤经络，肠胃虚损，则动作侵蚀于阴，轻者或痒或痛，重者
生疮。诊其少阴之脉滑而数者，阴中生疮也。
〔薛〕前证乃七情郁火，伤损肝脾，湿热下注。其外证阴中出如蛇、如菌，或如鸡
冠状，或生疮湿痒，或溃烂出水，或肿闷坠痛。其内证体倦内热，经候不调，或饮食无
味，晡热发热，胸胁不利，小便痞胀，或赤白带下，小水淋涩。其治法；肿痛者，四物
汤加柴、栀、丹皮、胆草。湿痒者，归脾汤加柴、栀、丹皮。淋涩者，龙胆泻肝汤、白
术、丹皮。溃腐者，逍遥散、山栀、川芎。肿闷坠痛者，补中益气汤、山栀、丹皮，佐以
外治之法。一妇人腐溃，脓水淋漓，肿痛寒热，小便赤涩，内热作渴，肢体倦怠，胸
胁不利，饮食少思。余以为肝脾亏损，用补
中益气，纳柴胡、升麻各用一钱，加茯苓一钱，山栀二钱，数剂少愈；又与归脾汤加山
栀，川芎、茯苓，三十余剂，诸证悉退，惟内热尚在，再与逍遥散倍用山栀而愈。 一
妇人素性急，阴内痛，小便赤涩，怒而益甚，或发热，或寒热。此肝经湿热所致，用芎、归、
炒栀、柴胡、苓、术、丹皮、泽泻、炒芍、车前、炒连、生草数剂渐愈，乃去黄连、泽泻，
又数剂全愈。
补心汤 （危氏）治阴中生疮，名曰 疮，或痛或痒，如虫行状，淋沥浓水。
白茯苓 人参 前胡 半夏（汤洗七次，去滑） 川芎（各三分） 枳壳（去幅，麸炒）
紫苏 桔梗 甘草（炙） 橘皮 干姜（各半两） 当归（一两三分） 白芍药（二两）
熟地黄（一两半）
上锉散，每服四钱，水盏半，姜五片，枣一枚，同煎食前服。
藿香养胃汤 （危氏）治阳明经虚，不荣肌肉，阴中生疮不愈。
藿香 白术 白茯苓 神曲（炒） 乌药（去木） 缩砂仁 薏苡仁 半夏曲
人参（各半两） 荜澄茄 甘草（炙，各三钱半）
上锉散，每服四钱，水盏半，姜五片，枣三枚，同煎，不以时候。
治阴疮方（《千金》）
芜荑 芎 黄芩 甘草 矾石 雄黄 附子 白芷 黄连（各六铢）
上 咀，取猪膏四两，合煎敷之。
治妇人阴疮，与男子妒精疮大同小异方。
黄丹 枯白矾 蓄 本（各一两） 硫黄（半两） 白蛇皮（一条，烧灰） 荆芥
蛇床子（各半两，研极细）
上细末，另以荆芥、蛇床子煎汤温洗，软帛渗干，清油调涂。如疮湿，干末掺之。
治疳疮因月后便行房，致成湛浊，伏流阴道，疳疮遂生，搔痒无时。先用胡椒、葱
白作汤，一日两三度淋洗，却服后药。
赤石脂 龙骨 黑牵牛（炒） 菟丝子（酒浸，蒸） 黄 （盐水炙） 沙苑蒺藜（炒）
上为末，蜜丸梧桐子大。每服二十丸，燕窝蒸酒，澄上清者吞下。
《肘后方》疗女人阴中生疮。
杏仁 雄黄 矾石（各二分） 麝香（二分半）
上四味，研细敷之。
又方 用硫黄研细敷之。
《古今录验》疗妇人阴中生疮，黄芩汤洗方。
雄黄 当归 黄芩 川芎 大黄 矾石（各二分） 黄连（一分）
上七味切，以水五升，煮取四升，洗疮，日三度。
雄黄散
雄黄 川芎 辰砂 藜芦 北细辛 当归 川椒
上为末，绵裹纳阴中，又敷外疮上，忌如常法。
当归汤 治妇人阴蚀疮。凡妇人少阴脉数而滑，阴中必生疮，名曰 疮。或痛或痒
如虫行状，淋露脓汁，阴蚀几尽者，此皆由心神烦郁，胃气虚弱，致气血流滞。故经云∶
诸痛痒疮，皆属于心。又云∶阳明主肌肉。痒痛皆属于心，治之当补心养胃，外以熏洗、坐
导药治之乃可。
当归 芍药 甘草 川芎（各二两） 地榆（三两）
上细切，以水五升，煮取三升，去滓熏洗，日三夜二。一方用蛇床子，不用川芎。
又方
五倍子 甘草 滑石 黄丹（等分为末） 先以甘草汤洗，然后敷之。
又方
真平胃散加贯众末，每二钱，煮熟猪肝拌药，纳阴户，数日可安。
〔阴痔〕
治妇人阴中生痔。凡九窍有肉突出者，皆名为痔。
用乌头七个，烧存性，用小瓦罐盛酽醋淬之，乘热熏，候通手沃之良。
洗方 治茄子疾。
用茄皮、白矾、马椿头根、朴硝、泽兰，煮水熏洗，加入炒锻石少许妙。
敷药 治茄子疾。
用朴硝为末，黄荆柴烧沥调敷，或浓铁浆水调敷。
又方 治茄子疾。
用硫黄一两，大鲤鱼一尾，去头皮，入硫黄鱼肚中。故纸裹黄泥固济，火烟 尽为
末，米糊丸梧桐子大。每服二十丸，温酒下。如下疽生虫，所下如柿汁臭秽，心中 痛、闷
绝、虚烦甚者，不可治。
治茄子疾，心躁连绵，黄水易治，白水难愈。
用生枳壳为散，煎汤熏洗，却用绢帛包枳壳滓纳入阴中，即日渐消。
〔阴挺下脱〕
〔大〕妇人阴挺下脱，或因胞络伤损，或因子脏虚冷，或因分娩用力所致。
〔薛〕前证当升补元气为主。若肝脾郁结，气虚下陷，用补中益气汤。若肝火湿热，
小便涩滞，用龙胆泻肝汤。一妇人阴中突出如菌，四围肿痛，小便频数，内热晡热，似
痒似痛，小便重坠，此肝脾郁结，盖肝火湿热而肿痛，脾虚下陷而重坠也。先以补中益
气加山栀、茯苓、车前子、青皮，以清肝火，升脾气；更以加味归脾汤调理脾郁；外以生
猪脂和藜芦末涂之而收。 一妇人阴中挺出五寸许，闷痛重坠，水出淋漓，小便涩滞，夕
与龙胆泻肝汤分利湿热，朝与补中益气汤升补脾气，诸证渐愈。再与归脾汤加山栀、茯
苓、川芎、黄柏，间服调理而愈。后因劳役或怒气，下部湿痒，小水不利，仍用前药即
愈。
三茱丸 治阴中生一物所大，牵引腰腹，膨痛至甚，不思饮食，皆因多服热药及煎爆，
或犯非理房事，兼意淫不遂，名阴挺。
食茱萸 吴茱萸（汤浸，微炒） 桔梗（水浸漉出，慢火炒） 白蒺藜 青皮（去白）
山茱萸肉（微炒） 舶上 香（淘去砂土，焙干，各一两） 五味子（净拣） 海藻（洗，焙）
大腹皮（酒洗，晒干） 川楝子（去核） 玄胡索（各一两二钱半）
上为末，酒糊为丸如梧子大。每服三十五丸，木通汤下。下虚加川乌炮去皮，肉桂
去粗皮，各一两。腰腹痛甚加桃仁去皮尖、麸炒，别研，青皮去白，枳实去幅，各一两，真
南木香七钱半服之。一方每服二钱，生地黄汤调。仍有金毛狗脊、五倍子、白矾、水杨
根、鱼腥草、山黄连各一两为散，分作四服，以有嘴瓦罐煎熟，预以银锡作一长小筒，下
透罐嘴，嘴上贯挺上，先熏后洗立效。更服白薇散、凌霄花少许煎。
一捻金丸 服前药未效却用。
玄胡索 舶上 香 吴茱萸（炒） 川楝子（去核） 青木香（各二两）
上为末，粳米饮糊丸如梧桐子大。每服三十五丸，空心木通汤服。又用梅花脑子半
钱，铁孕粉一钱，水调刷上。如阴畔生 ，以
凉血饮每服三钱，加凌霄花少许煎，空心服见效。
黄芩散 治妇人阴挺脱出。
黄芩 皮（炒微焦） 当归（各半两） 赤芍药（一两） 牡蛎 竹皮（各二两） 狐茎（一具，一用
狐皮）
上治下筛，饮服方寸匕，日三。禁举重、房劳、冷食。一方以酒服二钱妙。
治妇人阴挺出下脱方。
桂心（一方作川椒） 吴茱萸（一两，生用） 戎盐（二两）
上药并熬令色变，捣罗为末，以绵裹如指大，纳阴中，日再易之，甚妙。
又方
川椒 川乌头（并生用） 白芨（各半两）
上捣罗为末，绵裹一钱，纳阴中深三寸，腹中热即止，来日再用之。（一方无川椒）
又方 蛇床子（五两） 乌梅（二七枚） 以水五升，煮取三升，去滓稍热洗之，每日夜三
五度用。
又方 硫黄 乌贼骨（各半两） 捣罗为末敷之。
又方 铁精细研，以羊脂调，布裹，炙令热熨之，以瘥为度。
又方 弊帚头烧为灰，酒服方寸匕，食前服。
治妇人阴下脱若肚方。
用羊脂煎讫，适冷暖，取涂上，以铁精敷之，多少令调，以火炙布令暖，熨肛上，渐
涂内之，然后末磁石酒服方寸匕，日三。
熏洗法
用荆芥穗、臭椿树皮、藿香叶，煎汤熏洗即入。
托药
[Yin Swelling]
[Dai] When women experience vulvar swelling, it is caused by deficiency and damage combined with the invasion of wind pathogen. The collaterals of the uterus are deficient, allowing wind pathogen to invade; the wind qi attacks the yin region, clashing with blood and qi, causing qi stagnation and obstruction. The couli (skin pores) become congested and closed, preventing dispersion, thus resulting in swelling.
[Xue] If the aforementioned symptoms belong to Qi and Blood deficiency, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) to lift and tonify. If it is Damp-Heat in the Liver channel, use Longdan Xiegan Tang (Gentian Liver-Draining Decoction) to drain and clear. If there is Yin swelling, itching, coldness, or prolapse (Yin Ting), refer to the subsequent discussion for cross-reference. A woman presented with swelling and stifling sensation in the yin, astringent and stagnant urination, swelling in both hypochondria, internal heat with afternoon tidal fever, irregular menstruation, and alternating chills and fever. This was due to Liver-Spleen depression and anger, sinking of Yuan Qi, and congestion of Damp-Heat. In the morning, she took Guipi Tang (Restore the Spleen Decoction) added with Chai Hu (Bupleuri Radix) and Sheng Ma (Cimicifugae Rhizoma) to resolve depression, tonify Spleen Qi, and raise Yuan Qi. In the evening, she took Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) to clear Liver Fire, generate Liver Blood, and eliminate Damp-Heat. After several doses of each, all symptoms resolved. Subsequently, she took Sijunzi Tang (Four Gentlemen Decoction) added with Xiong Gui (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), and Dan Pi (Moutan Cortex) to regulate and tonify the Liver and Spleen, restoring regular menstruation.
Changpu San (Acorus Powder) treats menstrual stasis and vulvar swelling/pain in women.
Shichangpu (Rhizoma Acori Tatarinowii), Dang Gui (Angelicae Sinensis Radix) (each 1 liang, stir-fried), Qin Jiao (Gentianae Macrophyllae Radix) (0.5 liang), Wu Zhu Yu (Evodiae Fructus) (0.5 liang).
Grind into coarse powder. Take 3 qian per dose, add 1 cup of water and 5 cun of scallion white, decoct until 0.6 cup remains, and take warm on an empty stomach.
Jingxin Lu Formula treats unbearable pain and swelling in the vulva of women.
Ai Ye (Artemisiae Argyi Folium) (5 liang), Fang Feng (Saposhnikoviae Radix) (3 liang), Da Ji (Euphorbiae Pekinensis Radix) (2 liang).
Cut finely. Boil in 1 dou of water until 5 sheng remain. Wash hotly three times a day. Avoid wind and cold strictly.
Gujin Luyan Formula (Ma Huang Tang Wash) treats vulvar swelling or ulceration in women.
Ma Huang (Ephedrae Herba), Huang Lian (Coptidis Rhizoma), She Chuang Zi (Cnidii Fructus) (each 2 liang), Bei Ai Ye (Artemisiae Argyi Folium) (1.5 liang), Wu Mei (Mume Fructus) (10 pieces).
Cut finely. Boil in 1 dou of water until 5 sheng remain. Strain and wash hotly. Avoid wind and cold.
Another Formula: Bai Fan San (Alum Powder) for hard and painful vulvar swelling.
Bai Fan (Alumen) (0.5 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma) (0.05 liang, raw), Da Huang (Rhei Radix et Rhizoma) (0.01 liang, raw).
Grind into fine powder. Use a date-sized amount, wrap in cotton, insert into the vagina, change twice daily.
Zhouhou Fang treats vulvar pain and swelling.
Zhi Ke (Aurantii Fructus) (0.5 jin), stir-fry until hot, wrap in old cloth and apply as a hot compress. Replace when cool.
Zimu Milu treats vulvar swelling. Apply Tie Jing Fen (Iron Oxide Powder) topically.
Buyi Formula treats vulvar swelling. Grind Gan Ju Miao (Chrysanthemi Indici Herba) until paste-like, then wash, fumigate, and soak with boiling water.
Another Formula: Wash with Xiao Mai (Tritici Semen), Po Xiao (Natrii Sulfas), Bai Fan (Alumen), Wu Bei Zi (Galla Chinensis), and scallion white boiled in water.
Another Formula: For severe vulvar swelling, crush Ma Bian Cao (Patriniae Herba) and apply topically.
[Yin Itching]
[Dai] Vulvar itching in women is caused by parasitic worms. The "Three Worms" reside between the intestines and stomach. Due to Zang-Fu deficiency, the worms become active and erode the interior of the yin. The worms generate heat; mild cases cause itching, while severe cases cause pain.
[Xue] The aforementioned symptoms originate from the Liver channel. Treat internally and externally with Longdan Xiegan Tang (Gentian Liver-Draining Decoction) and Xiaoyao San (Free and Easy Wanderer Powder). Crush Tao Ren (Persicae Semen) into a paste, mix with Xiong Huang (Realgar) powder or chicken liver, and insert into the vagina to control the worms. A woman presented with chest and diaphragm discomfort, internal heat with thirst, poor appetite, limb fatigue, stifling and itching in the vagina, and red, astringent urination. This was caused by depression and anger injuring the Liver and Spleen. She recovered after taking Guipi Tang (Restore the Spleen Decoction) added with Shan Zhi (Gardeniae Fructus). Later, due to anger, pain extended to the lower abdomen. She took Xiao Chai Hu Tang (Minor Bupleurum Decoction) added with Shan Zhi, Xiong Gui (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), and Bai Shao (Paeoniae Radix Alba); pain ceased. She recovered after taking Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) added with Shan Zhi. Later, due to overwork, swelling occurred at the lesion site with persistent astringent urination. She recovered after taking Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Shan Zhi (Gardeniae Fructus), Fu Ling (Poria), and Dan Pi (Moutan Cortex). A woman presented with internal vulvar pain and itching, intermittent discharge, poor appetite, and fatigue. This was due to Liver-Spleen Qi deficiency and downward pouring of Damp-Heat. She stabilized after taking Guipi Tang (Restore the Spleen Decoction) added with Dan Pi (Moutan Cortex), Shan Zhi (Gardeniae Fructus), Bai Shao (Paeoniae Radix Alba), and raw Gan Cao (Glycyrrhizae Radix et Rhizoma). A woman presented with internal vulvar itching and pain, internal heat, fatigue, and poor appetite. This was due to Liver-Spleen depression and anger, depletion of Yuan Qi, and Damp-Heat. She recovered after taking Ren Shen (Ginseng Radix), [missing character, likely Huang Qi], Dang Gui (Angelicae Sinensis Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Chai Hu (Bupleuri Radix), fried Shan Zhi (Gardeniae Fructus), Che Qian Zi (Plantaginis Semen), Sheng Ma (Cimicifugae Rhizoma), Bai Shao (Paeoniae Radix Alba), Dan Pi (Moutan Cortex), and Fu Ling (Poria). If itching and pain in the yin are caused by worms, it also belongs to Liver Wood pathology. Crush Tao Ren (Persicae Semen) and Xiong Huang (Realgar) and insert into the vagina to kill worms, while still using herbs to clear the Liver and resolve depression. Some use chicken liver insertion as a method to expel worms. One formula involves crushing fresh peach leaves, wrapping in cotton, inserting into the vagina, and changing two to three times daily.
Da Huang San (Rhubarb Powder) treats vulvar itching in women.
Da Huang (Rhei Radix et Rhizoma) (slightly stir-fried), Huang Qin (Scutellariae Radix), Huang [missing character, likely Huang Qi], (stir-fried with honey, each 1 liang), Chi Shao Yao (Paeoniae Radix Rubra), Xuan Shen (Scrophulariae Radix), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Shan Zhu Yu (Corni Fructus), She Chuang Zi (Cnidii Fructus) (each 0.5 liang).
Grind into fine powder. Take 2 qian before meals, mixed with warm wine.
Guangji Formula treats persistent vulvar itching in women.
Ran She Dan (Boa Gallbladder), Xiong Huang (Realgar), Liu Huang (Sulfur), Zhu Sha (Cinnabaris), Xiao Shi (Nitrumsulfatum), Wu Yi (Pruni Semen) (each 0.5 liang), Li Lu (Veratri Radix) (0.25 liang).
Grind into fine powder and mix evenly. Combine with pig fat from the twelfth lunar month to form a paste. Make a bandage like a finger, 1.5 cun long, apply medicine, and insert into the vagina. Change once daily. When changing, wash with pig pepper root (3-5 liang) boiled in slightly hot water, dry, and insert for better effect.
Another Formula: Use Xiao Ji (Cirsii Herba) in any amount, boil in water to make a decoction, and wash hotly three times daily.
Cui Shi's Formula for unbearable vulvar itching.
Burn Xing Ren (Armeniacae Semen Amarum) to ash. Wrap in cotton while hot and insert into the vagina. Change twice daily.
Another Formula: Wash with garlic boiled in water. Another method uses Gou Qi Gen (Lycii Radix Cortex).
Another Formula: Ye Lang Ya (Pyrethri Tenuifolii Radix) (2 liang, finely cut), She Chuang Zi (Cnidii Fructus) (3 liang). Boil in 3 sheng of water for ten boils. Take hot.
Another Formula: Insert hot chicken liver into the vagina. If worms are present, they will be expelled.
Another Formula: Cut cow liver into 5-cun pieces, tie with a string, and insert into the vagina. After half a day, worms enter the liver; remove it. Pig liver also works.
Shenghui Fang treats vulvar itching and pain caused by worms, swollen eyes, yellow skin, desire for men, leukorrhea with bleeding, shortness of breath, and craving for delicious food. Use a 1-chi carp, remove head meat, grind bones into powder, fry until yellow-black, mix with pig fat, place in a silk bag, and insert into the vagina as usual. Stop when reaching the painful area; worms will exit naturally.
[Yin Pain]
Qianjin Formula for persistent "small household marriage pain" (dyspareunia/vulvar pain).
Gan Cao (Glycyrrhizae Radix et Rhizoma), Sheng Jiang (Zingiberis Rhizoma Recens) (each 0.3 fen), Bai Shao Yao (Paeoniae Radix Alba), Gui Xin (Cinnamomi Ramulus) (each 0.2 fen).
Finely cut. Boil in 2 sheng of wine for three boils. Strain and take warm. Effectively miraculous.
Another Single Herb Formula for "small household marriage pain".
Niu Xi (Achyranthis Bidentatae Radix) (5 liang).
Cut one ingredient. Boil in 3 sheng of wine until 2 sheng remain. Divide into three doses. Another single herb Taihe Tang for female marriage pain.
Da Huang (Rhei Radix et Rhizoma) (3 liang).
Cut one ingredient. Boil in 1 sheng of wine for one boil. Take in one dose.
Hai Piao Xiao San (Cuttlefish Bone Powder) for female "small household marriage pain".
Wouyu Gu (Sepiae Endoconcha) (2 pieces).
One ingredient, burn and grind into fine powder. Take with wine using a square-inch spoon measure, three times daily.
Buyi treats vulvar swelling not descending and "small household marriage pain".
Dong Qing Ye (Ilicis Cornuti Folium), Xiao Mai (Tritici Semen), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Equal parts, decoct in water for washing.
Wei Shi's Formula treats female vulvar pain. Stir-fry Qing Yan (Halitum) until hot, wrap in cloth, and apply as a hot compress.
[Yin Ulcer]
[Dai] Vulvar ulcers in women are caused by the activity and erosion of the Three Worms or Nine Worms. Various worms reside between the intestines and stomach. If Zang-Fu are harmonious and Qi-Blood abundant, they cannot cause harm. If meridians are injured by labor and intestines/stomach are deficient, worms become active and erode the yin. Mild cases cause itching or pain; severe cases cause ulcers. Palpating a slippery and rapid pulse in the Shaoyin channel indicates vulvar ulceration.
[Xue] These symptoms result from emotional depression transforming into fire, damaging the Liver and Spleen, with downward pouring of Damp-Heat. External signs include growths in the vagina resembling snakes, mushrooms, or cockscombs, or sores with damp itching, ulceration with discharge, or swelling with stifling pain. Internal signs include fatigue, internal heat, irregular menstruation, loss of taste, afternoon tidal fever, chest/hypochondriac discomfort, urinary distension, red/white leukorrhea, and dysuria. Treatment: For swelling/pain, use Siwu Tang (Four Substances Decoction) added with Chai Hu (Bupleuri Radix), Shan Zhi (Gardeniae Fructus), Dan Pi (Moutan Cortex), and Dan Cao (Gentianae Radix). For damp itching, use Guipi Tang (Restore the Spleen Decoction) added with Chai Hu (Bupleuri Radix), Shan Zhi (Gardeniae Fructus), and Dan Pi (Moutan Cortex). For dysuria, use Longdan Xiegan Tang (Gentian Liver-Draining Decoction) with Bai Zhu (Atractylodis Macrocephalae Rhizoma) and Dan Pi (Moutan Cortex). For ulceration/necrosis, use Xiaoyao San (Free and Easy Wanderer Powder) with Shan Zhi (Gardeniae Fructus) and Chuan Xiong (Ligustici Chuanxiong Rhizoma). For swelling/stifling/heavy pain, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with Shan Zhi (Gardeniae Fructus) and Dan Pi (Moutan Cortex), supplemented by external treatment. A woman with necrosis and dripping pus, swelling/pain, chills/fever, red/astringent urination, internal heat/thirst, limb fatigue, chest discomfort, and poor appetite. I diagnosed Liver-Spleen deficiency. She took Buzhong Yiqi Tang with Chai Hu (Bupleuri Radix) and Sheng Ma (Cimicifugae Rhizoma) 1 qian each, plus Fu Ling (Poria) 1 qian and Shan Zhi (Gardeniae Fructus) 2 qian. After several doses, slight improvement. Then she took Guipi Tang (Restore the Spleen Decoction) with Shan Zhi (Gardeniae Fructus), Chuan Xiong (Ligustici Chuanxiong Rhizoma), and Fu Ling (Poria) for over 30 doses, resolving all symptoms except internal heat. Finally, she took Xiaoyao San (Free and Easy Wanderer Powder) with doubled Shan Zhi (Gardeniae Fructus) and recovered. A woman with a quick temper, internal vulvar pain, red/astringent urination, worsening with anger, occasional fever or chills/fever. This was Liver channel Damp-Heat. She took Xiong Gui (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), fried Shan Zhi (Gardeniae Fructus), Chai Hu (Bupleuri Radix), Fu Ling (Poria), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Dan Pi (Moutan Cortex), Ze Xie (Alismatis Rhizoma), fried Bai Shao (Paeoniae Radix Alba), Che Qian Zi (Plantaginis Semen), fried Huang Lian (Coptidis Rhizoma), and raw Gan Cao (Glycyrrhizae Radix et Rhizoma). Gradual recovery after several doses. Huang Lian and Ze Xie were removed, and she fully recovered after more doses.
Buxin Tang (Wei Shi) treats vulvar ulcers named [missing character, likely Du] sore, with pain or itching like worm crawling, and purulent discharge.
Bai Fu Ling (Poria), Ren Shen (Ginseng Radix), Qian Hu (Peucedani Radix), Ban Xia (Pinelliae Rhizoma Praeparatum cum Ginger et Limone) (washed seven times in decoction to remove slipperiness), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each 0.3 fen), Zhi Ke (Aurantii Fructus) (deprived of pith, stir-fried with bran), Zi Su (Perillae Folium), Jie Geng (Platycodonis Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma) (stir-fried with honey), Ju Pi (Citri Reticulatae Pericarpium), Gan Jiang (Zingiberis Rhizoma Recens) (each 0.5 liang), Dang Gui (Angelicae Sinensis Radix) (1.3 liang), Bai Shao Yao (Paeoniae Radix Alba) (2 liang), Shu Di Huang (Rehmanniae Radix Praeparata) (1.5 liang).
Cut into pieces. Take 4 qian per dose, add 1.5 cups of water, 5 slices of ginger, and 1 jujube. Decoct and take before meals.
Huoxiang Yangwei Tang (Wei Shi) treats Yangming channel deficiency, muscle malnourishment, and chronic vulvar ulcers.
Huo Xiang (Agastaches Herba), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Bai Fu Ling (Poria), Shen Qu (Massa Medicata Fermentata) (stir-fried), Wu Yao (Linderae Radix) (deprived of wood), Suo Sha Ren (Amomi Fructus), Yi Yi Ren (Coicis Semen), Ban Xia Qu (Pinelliae Rhizoma Praeparatum cum Alumine et Zingibere), Ren Shen (Ginseng Radix) (each 0.5 liang), Bi Cheng Qie (Schizonepetae Spica? Note: Text says Bi Cheng Qie, usually Piperis Longi Fructus or similar spice, context implies warming herb), Gan Cao (Glycyrrhizae Radix et Rhizoma) (stir-fried with honey, each 0.35 liang).
Cut into pieces. Take 4 qian per dose, add 1.5 cups of water, 5 slices of ginger, and 3 jujubes. Decoct and take at any time.
Zhi Yin Chuang Formula (Qianjin)
Wu Yi (Pruni Semen), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Huang Qin (Scutellariae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Fan Shi (Alumen), Xiong Huang (Realgar), Fu Zi (Aconiti Lateralis Radix Praeparata), Bai Zhi (Angelicae Dahuricae Radix), Huang Lian (Coptidis Rhizoma) (each 6 zhu).
Cut into pieces. Take 4 liang of pig fat, decoct together, and apply topically.
Formula for female vulvar ulcers, largely similar to male jealousy sperm ulcers.
Huang Dan (Lithargyrum), Ku Bai Fan (Calcined Alum), Xu Chang Cao (Siegesbeckiae Herba), Ben Cao (Ligustici Radix) (each 1 liang), Liu Huang (Sulfur) (0.5 liang), Bai She Pi (Bungarus Parvus Skin) (1 piece, burned to ash), Jing Jie (Schizonepetae Spica), She Chuang Zi (Cnidii Fructus) (each 0.5 liang, ground extremely fine).
Grind into fine powder. Separately decoct Jing Jie (Schizonepetae Spica) and She Chuang Zi (Cnidii Fructus) for warm washing. Dry with soft cloth, mix with clear oil for application. If the sore is wet, sprinkle dry powder.
Treatment for Chan sore (chancre) caused by intercourse after menstruation, leading to turbid toxin flowing into the vagina. First wash with Hu Jiao (Piperis Nigris Fructus) and scallion white decoction 2-3 times daily. Then take the following medicine.
Chi Shi Zhi (Halloysit Rubra), Long Gu (Fossilia Ossis Mastodi et Sacri), Hei Qian Niu (Pharbitidis Semen) (stir-fried), Tu Si Zi (Cuscutae Semen) (soaked in wine, steamed), Huang [missing character, likely Huang Qi] (stir-fried with salt water), Sha Yuan Ji Li (Astrotocarpus Spinosa Fruit).
Grind into powder, make pills with honey size of wu tong seeds. Take 20 pills per dose, swallow with clarified steamed bird's nest wine.
Zhouhou Fang treats female vulvar ulcers.
Xing Ren (Armeniacae Semen Amarum), Xiong Huang (Realgar), Fan Shi (Alumen) (each 0.2 fen), She Xiang (Moschus) (0.25 fen).
Grind these four ingredients finely and apply topically.
Another Formula: Grind Liu Huang (Sulfur) finely and apply topically.
Gujin Luyan Formula (Huang Qin Tang Wash) treats female vulvar ulcers.
Xiong Huang (Realgar), Dang Gui (Angelicae Sinensis Radix), Huang Qin (Scutellariae Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Da Huang (Rhei Radix et Rhizoma), Fan Shi (Alumen) (each 0.2 fen), Huang Lian (Coptidis Rhizoma) (0.1 fen).
Cut seven ingredients. Boil in 5 sheng of water until 4 sheng remain. Wash the sore three times daily.
Xiong Huang San (Realgar Powder)
Xiong Huang (Realgar), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Chen Sha (Cinnabaris), Li Lu (Veratri Radix), Bei Xi Xin (Asari Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix), Chuan Jiao (Zanthoxyli Pericarpium).
Grind into powder. Wrap in cotton and insert into the vagina. Also apply to external sores. Observe standard contraindications.
Dang Gui Tang treats female Yin erosion sores. Whenever the Shaoyin pulse is rapid and slippery, sores must arise in the yin, named [missing character, likely Du] sore. Pain or itching like worm crawling, purulent discharge, near-total erosion of the yin. All these are due to mental distress/depression and weak Stomach Qi, causing Qi-Blood stagnation. Thus, the Classic states: All pain, itching, and sores belong to the Heart. Also: The Yangming governs muscles. Itching and pain belong to the Heart. Treatment should tonify the Heart and nourish the Stomach, supplemented by external fumigation/washing and suppository treatments.
Dang Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each 2 liang), Di Yu (Sanguisorbae Radix) (3 liang).
Finely cut. Boil in 5 sheng of water until 3 sheng remain. Strain and fumigate/wash. Three times daily, two times nightly. Another formula uses She Chuang Zi (Cnidii Fructus) instead of Chuan Xiong (Ligustici Chuanxiong Rhizoma).
Another Formula
Wu Bei Zi (Galla Chinensis), Gan Cao (Glycyrrhizae Radix et Rhizoma), Hua Shi (Talcum), Huang Dan (Lithargyrum) (equal parts, ground to powder). First wash with Gan Cao (Glycyrrhizae Radix et Rhizoma) decoction, then apply.
Another Formula
Zhen Ping Wei San (True Level the Stomach Powder) added with Guan Zhong (Cyrtomii Rhizoma) powder. Take 2 qian per dose, mix with cooked pig liver, and insert into the vaginal opening. Relief within several days.
[Yin Hemorrhoids]
Treats hemorrhoids growing in the female yin. Any fleshy protrusion from the nine orifices is named hemorrhoid.
Use 7 Wu Tou (Aconiti Radix), burn until carbonized but retaining nature. Place in a small clay pot, quench with strong vinegar. Fumigate while hot. Wash when temperature is suitable. Good effect.
Wash Formula treats "eggplant disease" (vaginal prolapse/fleshy growths).
Use Qie Pi (Solanis Melongena Peel), Bai Fan (Alumen), Ma Chun Tou Gen (Toosendan Radix), Po Xiao (Natrii Sulfas), Ze Lan (Lycopersi Herba). Boil in water for fumigation and washing. Adding a little fried Duan Shi (Ferrum Oxidatum) is excellent.
Application Medicine treats "eggplant disease".
Use Po Xiao (Natrii Sulfas) powder, mix with Huang Jing Chai (Vitex Negundo Branch) ash leachate for application, or mix with concentrated iron rust water.
Another Formula treats "eggplant disease".
Use 1 liang Liu Huang (Sulfur), 1 large carp. Remove scales, insert sulfur into fish belly. Wrap in paper, seal with yellow mud. Burn until smoke ceases, grind to powder. Make pills with rice paste size of wu tong seeds. Take 20 pills per dose with warm wine. If lower abscess generates worms, discharge like persimmon juice with foul odor, heart cramping pain, suffocation, severe emptiness/restlessness, is incurable.
Treating "eggplant disease": Continuous restlessness, yellow discharge is easy to treat, white discharge is difficult to cure.
Use raw Zhi Ke (Aurantii Fructus) powder, decoct for fumigation/washing. Wrap residue in silk and insert into vagina. Gradually reduces daily.
[Yin Prolapse]
[Dai] Female vulvar prolapse may be caused by injury to uterine collaterals, cold deficiency of the child organ (uterus), or exertion during childbirth.
[Xue] The aforementioned symptoms should primarily be treated by lifting and tonifying Yuan Qi. If Liver-Spleen depression causes Qi deficiency and sinking, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). If Liver Fire and Damp-Heat cause astringent urination, use Longdan Xiegan Tang (Gentian Liver-Draining Decoction). A woman presented with vaginal protrusion like a mushroom, surrounding swelling/pain, frequent urination, internal heat with afternoon tidal fever, itching/pain sensation, heavy dragging sensation in urination. This was Liver-Spleen depression: Liver Fire/Damp-Heat caused swelling/pain, Spleen deficiency/sinking caused heaviness. First, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Shan Zhi (Gardeniae Fructus), Fu Ling (Poria), Che Qian Zi (Plantaginis Semen), and Qing Pi (Citri Reticulatae Pericarpium Viride) to clear Liver Fire and raise Spleen Qi. Then, Jiawei Guipi Tang (Modified Restore the Spleen Decoction) to regulate Spleen depression. Externally, apply raw pig fat mixed with Li Lu (Veratri Radix) powder to retract. A woman presented with 5-cun vaginal protrusion, stifling pain, heavy dragging, dripping discharge, astringent urination. Evening: Longdan Xiegan Tang (Gentian Liver-Draining Decoction) to separate Drain Damp-Heat. Morning: Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) to lift and tonify Spleen Qi. Symptoms gradually improved. Then, Guipi Tang (Restore the Spleen Decoction) added with Shan Zhi (Gardeniae Fructus), Fu Ling (Poria), Chuan Xiong (Ligustici Chuanxiong Rhizoma), and Huang Bo (Phellodendri Cortex) taken intermittently for regulation and recovery. Later, due to overwork or anger, lower body damp itching and difficult urination occurred. Using previous medicines cured her again.
San Zhu Wan (Three Evodia Pills) treats a mass growing in the yin, pulling waist/abdomen, severe bloating/pain, loss of appetite. Caused by excessive intake of hot foods/drugs, fried/spicy foods, improper sexual activity, or unfulfilled lust, named Yin Ting (prolapse).
Shi Zhu Yu (Evodiae Fructus), Wu Zhu Yu (Evodiae Fructus) (soaked in decoction, slightly stir-fried), Jie Geng (Platycodonis Radix) (soaked in water, drained, slow-fire stir-fried), Bai Ji Li (Tribuli Fructus), Qing Pi (Citri Reticulatae Pericarpium Viride) (deprived of white pith), Shan Zhu Yu Rou (Corni Fructus) (slightly stir-fried), Bo Shang Chen Xiang (Aquilaria Resina) (washed to remove sand/dirt, dried, each 1 liang), Wu Wei Zi (Schisandrae Chinensis Fructus) (cleaned), Hai Zao (Sargassum), Da Fu Pi (Arecae Pericarpium) (wine-washed, sun-dried), Chuan Lian Zi (Meliae Fructus) (deprived of core), Yan Hu Suo (Corydalis Rhizoma) (each 1.25 liang).
Grind into powder. Make pills with wine paste size of wu tong seeds. Take 35 pills per dose with Mu Tong (Akebiae Caulis) decoction. For lower deficiency, add Chuan Wu (Aconiti Radix) (processed, peeled), Rou Gui (Cinnamomi Cortex) (deprived of rough bark), each 1 liang. For severe waist/abdominal pain, add Tao Ren (Persicae Semen) (peeled, tip removed, stir-fried with bran, separately ground), Qing Pi (Citri Reticulatae Pericarpium Viride) (deprived of white pith), Zhi Shi (Aurantii Fructus Immaturus) (deprived of pith), each 1 liang, and Zhen Nan Mu Xiang (Aucklandiae Radix) 0.75 liang. Another formula: Take 2 qian, mixed with Sheng Di Huang (Rehmanniae Radix) decoction. There is also a powder containing Jin Mao Gou Ji (Cibotii Rhizoma), Wu Bei Zi (Galla Chinensis), Bai Fan (Alumen), Shui Yang Gen (Populi Radix), Yu Xing Cao (Houttuyniae Herba), Shan Huang Lian (Coptidis Teetae Rhizoma) each 1 liang. Divide into four doses. Decoct in a spouted clay pot. Prepare a long silver-tin tube, insert through pot spout, place over prolapse. Fumigate first, then wash for immediate effect. Also take Bai Wei San (Cynanchi Atrati Radix Powder) and a little Ling Xiao Hua (Campsis Grandiflorae Flos) decoction.
Yi Nian Jin Wan (One Pinch of Gold Pills) used if previous medicines fail.
Yan Hu Suo (Corydalis Rhizoma), Bo Shang Chen Xiang (Aquilaria Resina), Wu Zhu Yu (Evodiae Fructus) (stir-fried), Chuan Lian Zi (Meliae Fructus) (deprived of core), Qing Mu Xiang (Vladimiriae Radix) (each 2 liang).
Grind into powder. Make pills with glutinous rice drink paste size of wu tong seeds. Take 35 pills per dose on empty stomach with Mu Tong (Akebiae Caulis) decoction. Also apply 0.5 qian Mei Hua Nao (Borneolum Syntheticum) and 1 qian Tie Yun Fen (Lead Carbonate?) mixed with water. If lesions appear at yin margins, take Liang Xue Yin (Cool Blood Decoction) 3 qian per dose, added with a little Ling Xiao Hua (Campsis Grandiflorae Flos), taken on empty stomach for effect.
Huang Qin San (Scutellaria Powder) treats female vulvar prolapse.
Huang Qin (Scutellariae Radix), [Hou] Pi (Cortex Magnoliae Officinalis) (stir-fried until slightly scorched), Dang Gui (Angelicae Sinensis Radix) (each 0.5 liang), Chi Shao Yao (Paeoniae Radix Rubra) (1 liang), Mu Li (Ostreae Concha), Zhu Pi (Bambusae Caulis in Taedia) (each 2 liang), Hu Jing (Vulpis Penis) (1 piece, or use Hu Pi/Vulpis Skin in another version).
Process and sieve. Take with water using a square-inch spoon measure, three times daily. Avoid heavy lifting, sexual fatigue, and cold foods. Another formula: Take 2 qian with wine for best effect.
Formula for female vulvar prolapse.
Gui Xin (Cinnamomi Ramulus) (another version uses Chuan Jiao/Zanthoxyli Pericarpium), Wu Zhu Yu (Evodiae Fructus) (1 liang, raw), Rong Yan (Halitum) (2 liang).
Cook all medicines until color changes. Grind into powder. Wrap in cotton like a finger, insert into vagina. Change twice daily. Very effective.
Another Formula
Chuan Jiao (Zanthoxyli Pericarpium), Chuan Wu Tou (Aconiti Radix) (both raw), Bai Ji (Bletillae Rhizoma) (each 0.5 liang).
Grind into powder. Wrap 1 qian in cotton, insert deeply into vagina (3 cun). Stop when warmth is felt in abdomen. Use again next day. (Another version excludes Chuan Jiao).
Another Formula: She Chuang Zi (Cnidii Fructus) (5 liang), Wu Mei (Mume Fructus) (14 pieces). Boil in 5 sheng of water until 3 sheng remain. Strain and wash slightly hot. Use 3-5 times daily and nightly.
Another Formula: Liu Huang (Sulfur), Wu Ze Gu (Sepiae Endoconcha) (each 0.5 liang). Grind into powder and apply.
Another Formula: Finely grind Iron, mix with sheep fat, wrap in cloth, heat and apply as hot compress. Continue until healed.
Another Formula: Burn broom heads to ash. Take with wine using a square-inch spoon measure before meals.
Formula for female lower prolapse resembling abdomen.
Render sheep fat. Apply at suitable temperature. Cover with Iron Oxide. Adjust quantity appropriately. Heat cloth with fire, apply hot compress to anus. Gradually apply internally. Then take Ci Shi (Magnetitum) powder with wine using a square-inch spoon measure, three times daily.
Fumigation and Washing Method
Use Jing Jie Sui (Schizonepetae Spica), Chou Chun Shu Pi (Toosendan Cortex), Huo Xiang Ye (Agastaches Folium). Decoct for fumigation and washing; prolapse will reduce.
Supportive Medicine