病源肾气虚损,为风邪所侵,邪气流入于肾经,与阴气相击,真邪交争,故令阴痛,但
冷者唯痛,挟热者则肿,其汤熨针石,别有正方,补养宣导,今附于后,养生方导引法云,
两足趾向下拄席,两涌泉相拓,坐两足跟头,两膝头外叉手,互前向下尽势,七通,去劳损
阴膝
集验疗猝阴痛如刺,汗如雨出方。
小蒜(一斤) 韭根(一斤一方无) 杨柳根(一斤)
上三味合烧,以酒灌之,及热气熏之,即愈。(千金同出第九卷中)
千金疗阴肿痛方。
灸大敦三壮。
又方
车前子末酒服之佳。(出第二十五卷中)
病源肾荣于阴,肾气虚,不能制津液则汗湿,虚则为风邪所乘,邪客腠理而正气不泄,
邪正相干在于皮肤,故痒,搔之则生疮。(出第四卷中)
千金疗阴下生疮,洗汤方。
地榆 黄柏(各八两)
上二味切,以水一斗,煮取六升去滓,适寒温洗疮,日再,只以黄柏汤洗亦效。
又凡妒精疮者,男子在阴头节下,妇人在玉门内,并似疳疮作臼方。
用银钗以绵裹,用腊月猪脂熏黄火上,暖以钗烙疮上令热,取干槐枝 涂之,以麝香黄
矾青矾末敷之,小便后即敷之,不过三两度瘥,但用疳疮方中药敷之即瘥。(出第二十五卷
中)
葛氏疗男子阴疮方。
烂煮黄柏洗之,又用白蜜涂之。
又方
黄连黄柏各等分,末之,先煮肥猪肉汤洗之,然后以药粉之。
又方
以蜜煎甘草末,涂之大良,比见有人患,涂头肿坎下,疮欲断者以猪肉汤渍洗之,并用
前粉粉之,及依陶方即瘥,神验。(出第七卷中)
必效疗阴生疮脓出作臼方。
高昌白矾(一两)
上一味捣,细研之,炼猪脂一合,于滋器中和搅作膏,取槐白皮切,作汤洗疮上,拭令
干,即取膏敷上,及以楸叶粘贴,不过三两度,永瘥。
古今录验疗阴疮方。
黄柏 黄连(各三分) 胡粉(一合)
上三味捣为末,粉上,日三,妇人绵裹枣核大纳之。(出第四十一卷中)
病因在于肾气虚损,受到风邪侵袭,邪气流入肾经,与阴气相互搏击,真气与邪气交争,因此导致阴部疼痛。其中,寒证仅表现为疼痛;热证则伴有肿胀。关于汤药外敷、艾灸及针刺等治疗方法,另有专门的方剂,此处不再赘述。补益调养和导引锻炼的方法,现附在后面。养生方中的导引法记载:双足脚趾向下抵住席面,两脚涌泉穴相对接触,坐时双足脚跟着地,双膝向外分开,双手互握向前下方尽力伸展,重复七次,可消除劳损引起的阴部和膝盖不适。
《集验方》治疗突然发作的阴部刺痛如针扎、汗出如雨的症状方。
小蒜(一斤) 韭根(一斤,另一版本无此味) 杨柳根(一斤)
以上三味药一起烧煮,用酒浇灌,利用热气熏蒸患处,即可痊愈。(出自《千金要方》第九卷)
《千金要方》治疗阴部肿痛的方法。
灸大敦穴三壮。
又一方:
用车前子研末,用酒送服效果佳。(出自第二十五卷)
病因在于肾之荣气滋养阴部,若肾气虚弱,不能制约津液,则会导致汗出湿冷;正气虚弱则易被风邪乘虚而入,邪气客居腠理而正气不得宣泄,邪正相争于皮肤之间,因此产生瘙痒,抓挠后便生疮疡。(出自第四卷)
《千金要方》治疗阴部生疮的洗方。
地榆 黄柏(各八两)
以上两味药切碎,用水一斗,煎煮至六升,去渣滓,待温度适宜后清洗疮口,每日两次。单用黄柏汤清洗也有效。
另外,凡患妒精疮者,男子位于阴茎头节下,女子位于玉门内,症状类似疳疮且形成溃疡。
用银钗包裹棉絮,在腊月猪脂熏黄的火上加热,趁热用银钗烙烫疮口使其发热,再用干槐树枝涂抹,最后撒上麝香、黄矾、青矾的细末。每次小便后涂抹,不超过两三次即可痊愈。也可使用治疗疳疮方中的药物外敷,同样能治愈。(出自第二十五卷)
葛氏治疗男子阴疮的方法。
将黄柏烂煮后清洗患处,再用白蜜涂抹。
又一方:
黄连和黄柏各等分,研成粉末。先用肥肉猪肉汤清洗患处,然后用药粉撒敷。
又一方:
用蜂蜜煎煮甘草末,涂抹患处效果很好。近来见有人患病,涂抹后头部肿胀,疮口欲断,用猪肉汤浸泡清洗后,再用前面的药粉撒敷,并按照陶弘景的方子治疗,也能痊愈,神效。(出自第七卷)
《必效方》治疗阴部生疮流脓并形成溃疡的方法。
高昌白矾(一两)
将这一味药捣碎,细细研磨。取炼过的猪脂一合,在瓷器中调和搅拌成膏状。取槐白皮切碎,煮汤清洗疮口,擦干后立即涂上药膏,并用楸叶粘贴固定。不超过两三次,即可彻底痊愈。
《古今录验方》治疗阴疮的方法。
黄柏 黄连(各三分) 胡粉(一合)
以上三味药捣成粉末,撒敷患处,每日三次。妇女可将药粉裹在绵布中,大小如枣核,纳入阴道内。(出自第四十一卷)
The etiology lies in the deficiency and damage of Kidney Qi, invaded by Wind pathogen. The pathogenic qi flows into the Kidney meridian, clashing with Yin qi. The true Qi and pathogenic Qi contend with each other, thus causing pain in the genitalia. In cold patterns, only pain is present; in heat patterns, swelling occurs. Regarding treatments such as herbal decoctions, moxibustion, and acupuncture, there are separate specific formulas, which are not detailed here. Methods for tonification, nourishment, and Daoyin (guiding and pulling exercises) are attached below. The Daoyin method in the Yangsheng Fang records: Point both big toes downward against the mat, bring the Yongquan (KI-1, Bubbling Spring) acupoints of both feet to touch each other, sit with both heels on the ground, spread both knees outward, interlock hands and stretch forward and downward to the utmost extent, repeat seven times, to eliminate labor-induced discomfort in the genitals and knees.
The Jiyan Fang formula for treating sudden stabbing pain in the genitalia like needle pricks, accompanied by profuse sweating like rain.
Allii Macrostemonis Bulbus (Xiao Suan, 小蒜) (one jin)
Radix Allii Tuberosi Root (Jiu Gen, 韭根) (one jin; absent in another version)
Radix Salicis Tomentosae Root (Yang Liu Gen, 杨柳根) (one jin)
Burn the above three ingredients together, pour wine over them, and fumigate the affected area with the generated heat. It will heal immediately. (Also found in Qianjin Yaofang, Volume 9)
Qianjin Yaofang formula for treating swelling and pain in the genitalia.
Moxa-burn the Dadun (LR-1, Great Dun) acupoint three moxa cones.
Another prescription:
Take Plantaginis Semen powder (Cheqian Zi, 车前子), administer with wine for best results. (From Volume 25)
The etiology involves the Kidney's Ying (Nutrient) qi nourishing the genitalia. If Kidney Qi is deficient, it fails to control body fluids, leading to dampness from sweat. Deficiency allows Wind pathogen to invade; the pathogen lodges in the Couli (interstices) while the righteous Qi cannot be released. The struggle between pathogen and righteous Qi occurs at the skin level, causing itching. Scratching leads to sores. (From Volume 4)
Qianjin Yaofang washing decoction for sores in the genital region.
Sanguisorbae Radix (Di Yu, 地榆)
Phellodendri Cortex (Huang Bo, 黄柏)
(each eight liang)
Cut the above two herbs, boil in ten dou of water until six sheng remain, strain off the dregs. Wash the sore with the liquid when the temperature is suitable, twice daily. Washing with Huang Bo decoction alone is also effective.
Furthermore, for those suffering from Du Jing Chuang (jealousy essence sore), in men located under the glans penis, and in women inside the Yumen (vaginal opening), presenting similarly to Gan Chuang (chancre-like ulcers):
Wrap a silver hairpin in cotton. Heat it over a fire where腊月 (twelfth lunar month) lard is being smoked/yellowed. While warm, cauterize the sore with the pin to generate heat. Apply dried Huai Zhi (Sophora branch). Finally, apply powders of She Xiang (musk), Huang Fan (yellow alum), and Qing Fan (green alum). Apply after urination. Healing occurs within two or three applications. Using medicines from Gan Chuang formulas for topical application also yields healing. (From Volume 25)
Ge Shi's formula for treating male genital sores.
Boil Huang Bo thoroughly and wash the affected area. Then apply Bai Mi (white honey).
Another prescription:
Coptidis Rhizoma (Huang Lian, 黄连) and Phellodendri Cortex (Huang Bo, 黄柏) in equal parts, powdered. First wash the area with broth from fatty pork, then dust with the medicine powder.
Another prescription:
Fry Gan Cao (licorice) powder in honey and apply. This is highly effective. Recently, someone suffered from this condition; after application, the head swelled, and the sore was about to break. Washing with pork broth and applying the aforementioned powder, followed by Tao Hongjing's method, resulted in complete healing. It is miraculous. (From Volume 7)
Bixiao Fang formula for genital sores with pus discharge and ulceration.
Gaochang Bai Fan (high-chang white alum) (one liang)
Pound this single ingredient and grind finely. Mix with one he of refined lard in a porcelain vessel to make a paste. Cut Huai Bai Pi (inner bark of Sophora tree), boil to make a decoction for washing the sore. Wipe dry, then apply the paste. Patch with Qiu Ye (aulanthus leaf). Healing is permanent within two or three applications.
Gujin Lu Yan formula for treating genital sores.
Phellodendri Cortex (Huang Bo, 黄柏)
Coptidis Rhizoma (Huang Lian, 黄连)
(each three fen)
Hu Fen (lead carbonate/basic lead carbonate) (one he)
Pound the above three ingredients into powder. Dust onto the sore, three times daily. Women should wrap the powder in cotton, size of a jujube pit, and insert vaginally. (From Volume 41)