乌头熏法
14.阴中突肉名阴痔, 或名茄子疾俗称. 黄水易治白难治, 乌头存性
醋熬熏. 内服逍遥与龙胆, 补中归脾酌量行.
【注】妇人阴中有肉突出者, 名曰阴痔, 俗称茄子疾也. 流黄水者易
治,流白水者难治. 用乌头烧存性, 酽醋熬熏. 内服逍遥散, 补中益
气汤, 归脾汤, 量其虚实, 酌而行之.
逍遥散 归脾汤 补中益气汤 方俱见首卷
温中坐药
15.阴冷风寒客子脏, 桂附地黄丸最宜, 远志干姜蛇床子, 吴萸为末
裹纳之.
【注】妇人阴冷, 皆由风寒乘虚客于子脏, 久之血凝气滞, 多变他证
,且艰于受孕. 宜多服桂附地黄丸, 外以远志, 干姜, 蛇床子, 吴茱
萸研细, 绵裹纳阴中, 日二易.
桂附地黄丸 方见首卷
膏发煎
16.胃气下泄阴吹喧, 「金匮」方用膏发煎, 猪膏乱发同煎服, 导从
溺去法通元, 气虚下陷大补治, 升提下陷升柴添.
【注】妇人阴吹者, 阴中时时气出有声, 如谷道转矢气状, 『金匮』
谓由谷气实, 胃气下泄. 用膏发煎, 即猪膏煎乱发服也. 导病从小便
而出, 其法甚奥. 若气血大虚, 中气下陷者, 宜十全大补汤加升麻,
柴胡, 以升提之.
十全大补汤 方见首卷
乌头熏法
14. 阴道内长出的肉赘称为阴痔，也有人称之为“茄子疾”（俗称）。流出黄色分泌物者容易治疗，流出白色分泌物者难以治疗。使用乌头保留药性（烧至外部焦黑内部仍存药力），用醋熬煮后熏蒸。内服逍遥散或龙胆泻肝汤，根据情况酌情服用补中益气汤和归脾汤。
【注】妇女阴道中有肉赘突出者，称为阴痔，俗称茄子疾。流出黄水者易治，流出白水者难治。将乌头烧至存性，用浓醋熬煮后熏蒸。内服逍遥散、补中益气汤、归脾汤，根据其虚实情况，斟酌施行。
逍遥散、归脾汤、补中益气汤的方剂均见本书首卷。
温中坐药
15. 阴部寒冷是由于风寒之邪乘虚侵入子宫（子脏），适宜使用桂附地黄丸。远志、干姜、蛇床子、吴茱萸研成粉末，包裹后纳入阴道内。
【注】妇女阴冷，皆因风寒乘虚侵入子宫，日久导致血凝气滞，容易转变为其他病证，且难以受孕。宜多服用桂附地黄丸，外用远志、干姜、蛇床子、吴茱萸研细，用绵布包裹后纳入阴道内，每日更换两次。
桂附地黄丸的方剂见本书首卷。
膏发煎
16. 胃气下泄导致阴道排气有声（阴吹喧），《金匮要略》方剂使用膏发煎，猪脂与乱发同煎服用，引导病邪从小便排出，此法非常奥妙。若属气虚下陷，应用大补之法治疗，加入升麻、柴胡以升提下陷之气。
【注】妇女阴吹，即阴道不时有气体排出并伴有声音，状如肛门排气（矢气）。《金匮要略》认为这是由于谷气实盛，胃气下泄所致。使用膏发煎，即用猪脂煎煮乱发服用。引导病邪从小便而出，其法甚为奥妙。若气血大虚，中气下陷者，宜用十全大补汤加升麻、柴胡，以升提阳气。
十全大补汤的方剂见本书首卷。
Method of Aconite Fumigation
14. Flesh protuberances within the vagina are named Yin Hemorrhoids (Yin Zhi, perianal/vaginal hemorrhoids), also commonly known as "Eggplant Disease." Discharge of yellow fluid is easy to treat; discharge of white fluid is difficult to treat. Use Aconiti Lateralis Radix Praeparata (Wutou, 乌头) preserved by burning (burned until the exterior is charred but the interior retains medicinal properties), boiled in vinegar for fumigation. Internally administer Xiaoyao San (Free and Easy Wanderer Powder) or Longdan Xiegan Tang (Gentian Liver-Draining Decoction);酌情 (discretionarily) administer Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) and Guipi Tang (Restore the Spleen Decoction).
[Note] When a woman has flesh protuberances protruding from the vagina, it is called Yin Hemorrhoids, commonly known as Eggplant Disease. Those with yellow discharge are easy to treat; those with white discharge are difficult to treat. Burn Aconiti Lateralis Radix Praeparata (Wutou, 乌头) until it preserves its nature, boil in strong vinegar, and fumigate. Internally administer Xiaoyao San (Free and Easy Wanderer Powder), Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), and Guipi Tang (Restore the Spleen Decoction), judging their deficiency or excess, and act accordingly.
The formulas for Xiaoyao San (Free and Easy Wanderer Powder), Guipi Tang (Restore the Spleen Decoction), and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) are all found in the first volume.
Warm-Middle Vaginal Suppository
15. Coldness in the vagina occurs when Wind-Cold pathogens invade the Uterus (Zizang, 子脏) due to deficiency; Gui Fu Di Huang Wan (Cinnamon Twig and Rehmannia Pill) is most suitable. Polygalae Radix (Yuanzhi, 远志), Zingiberis Rhizoma Recens (Ganjiang, 干姜), Cnidii Fructus (Shechuangzi, 蛇床子), and Evodiae Fructus (Wuyu, 吴茱萸) are ground into powder, wrapped, and inserted into the vagina.
[Note] Vaginal coldness in women is caused by Wind-Cold invading the Uterus (Zizang, 子脏) through vacuity. Over time, blood coagulation and Qi stagnation occur, easily transforming into other syndromes, and making conception difficult. It is advisable to frequently take Gui Fu Di Huang Wan (Cinnamon Twig and Rehmannia Pill). Externally, grind Polygalae Radix (Yuanzhi, 远志), Zingiberis Rhizoma Recens (Ganjiang, 干姜), Cnidii Fructus (Shechuangzi, 蛇床子), and Evodiae Fructus (Wuyu, 吴茱萸) into fine powder, wrap in cotton cloth, and insert into the vagina, changing twice daily.
The formula for Gui Fu Di Huang Wan (Cinnamon Twig and Rehmannia Pill) is found in the first volume.
Pig Fat and Hair Decoction
16. Stomach Qi leaking downward causes vaginal flatulence (Yinchui Xuan, 阴吹喧); the *Jin Gui Yao Lue* (Essential Prescriptions from the Golden Cabinet) uses Gaofa Jian (Fat and Hair Decoction). Pig fat (Zhigao, 猪膏) and disordered hair (Luanfa, 乱发) are decocted together and taken orally. This method guides the pathogen out via urination, which is very profound. If there is Qi deficiency with sinking, major tonification treatment is needed; add Shengma (Cimicifugae Rhizoma, 升麻) and Chaihu (Bupleuri Radix, 柴胡) to lift the sinking Qi.
[Note] Vaginal flatulence in women refers to gas occasionally emitting from the vagina with sound, resembling anal flatus. The *Jin Gui Yao Lue* (Essential Prescriptions from the Golden Cabinet) states this is due to fullness of Grain Qi and downward leakage of Stomach Qi. Use Gaofa Jian (Fat and Hair Decoction), which is pig fat decocted with disordered hair. Guiding the disease out through urination is a profound method. If there is severe deficiency of Qi and Blood with sinking of Middle Qi, use Shiquan Dabu Tang (Complete Great Tonifying Decoction) plus Shengma (Cimicifugae Rhizoma, 升麻) and Chaihu (Bupleuri Radix, 柴胡) to lift and raise.
The formula for Shiquan Dabu Tang (Complete Great Tonifying Decoction) is found in the first volume.