八珍汤 六味地黄丸 补中益气汤(见溃疡门) 杨梅一剂散(见杨梅门) 加味五宝丹(见倒发门)
加味逍遥散(见瘰 门)
阴湿疮生阴毛之际。如疥如癣。瘙痒难忍。由肾虚风热所致。搽银杏散。初次痛甚。忍之。三日三上。则不
痛而全愈矣。如阴毛之际。如豆如饼。发痒结蜡皮者。梅毒也。于梅毒门治之。
银杏散 治阴湿疮。瘙痒彻骨不可忍者。
雄黄 干白果(粉) 潮脑 生矿子灰(等分)
上为末。用干烧酒调敷。
阴疮。运气皆属于寒。经曰。太阳之胜。阴中乃疡。隐曲不利。治以苦热。仲景云。少阴脉滑而数者。阴中生
疮。少阴脉长。阴中必挺出。
夫阴器属足厥阴肝经任脉之会。素问云。督脉者其络循阴器合纂间。是属督脉也。至于足太阳。外合
清水。内属膀胱。而通水道。手太阳。外合淮水。内属小肠。而水道出焉。则又属手足太阳也。肾主水。则又
属足少阴也。欲入于胃。游溢精气。上输于脾。脾气散精。上归于肺。通调水道。下输膀胱。则又属手太阴
也。素问又为前阴者宗筋之所聚。太阴阳明之所合。又属脾与胃也。痈疡生于其间。须细心求而责之。
不可专主一厥阴经。而惟清肝导湿之为事。斯无误矣。
阴挺阴中挺出一条如蛇头。由足太阴脾虚。或产后遇怒。或经风所致。初宜清热疏风。次朝服补中益
气汤倍升麻。晚服龙胆泻肝汤。外兼敷洗。
八珍汤、六味地黄丸、补中益气汤(参见溃疡门)、杨梅一剂散(参见杨梅门)、加味五宝丹(参见倒发门)、加味逍遥散(参见瘰疬门)。
阴部湿疮生长在阴毛部位,症状像疥疮或癣,瘙痒难忍。这是由肾虚兼感风热所致。使用银杏散外搽。初次使用时疼痛剧烈,需忍耐。连续三日每日上药三次,则不再疼痛且完全痊愈。如果在阴毛部位出现如豆粒或饼状物,发痒并结成蜡样痂皮,这是梅毒。应在梅毒门中按梅毒治疗。
银杏散:治疗阴部湿疮,瘙痒剧烈至深入骨髓不可忍受者。
药材:雄黄、干白果(研粉)、潮脑、生矿子灰(各等分)。
制法与用法:将上述药物研为细末,用干燥的烧酒调匀后敷于患处。
阴疮的发生,从运气学说来看皆归属于寒邪。《内经》说:“太阳之气偏胜,阴部就会发生溃疡,导致隐秘处功能不利,治疗应用苦热之药。”张仲景说:“少阴脉象滑而数的,阴部会生疮;少阴脉象长的,阴部必然挺出(指脱垂)。”
生殖器属于足厥阴肝经和任脉交会之处。《素问》说:“督脉的络脉循行经过生殖器,汇合于肛门之间”,所以又属于督脉。至于足太阳膀胱经,外合清水,内属膀胱,主管水道;手太阳小肠经,外合淮水,内属小肠,水道由此而出,所以又属于手足太阳经。肾主水液代谢,所以又属于足少阴肾经。水饮进入胃中,游溢精气,向上输送给脾,脾气散布精微物质,向上归于肺,肺通调水道,向下输送到膀胱,所以又属于手太阴肺经。《素问》又说前阴是宗筋汇聚之处,也是足太阴脾经和足阳明胃经交会之处,所以又属于脾与胃。痈疡发生在这些部位,必须细心推求病因并追究责任,不能专门只着眼于厥阴经,而仅仅把清肝利湿作为唯一的治疗手段,这样才不会出错。
阴挺是指阴道中挺出一条如蛇头状的物体。这是由于足太阴脾虚,或者产后遭遇愤怒情绪,或者经期感受风邪所致。初期宜采用清热疏风的方法,次日早晨服用补中益气汤并增加升麻用量,晚上服用龙胆泻肝汤。同时配合外用药物敷洗。
Bazhen Tang (Eight-Treasure Decoction), Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill), Buzhong Yiqi Tang (Decoction to Supplement the Middle and Augment the Qi) (see Ulcer Section), Yangmei Yiji San (One-Dose Powder for Syphilis) (see Yangmei Section), Jiawei Wubao Dan (Modified Five-Treasure Powder) (see Daofa Section), Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) (see Luoli Section).
Yin wet sores arise at the pubic region. They resemble scabies or tinea, with unbearable itching. This is caused by Kidney deficiency combined with Wind-Heat. Apply Yin Xing San (Ginkgo Powder). The initial application causes severe pain; endure it. After applying three times daily for three days, the pain will cease and complete healing will occur. If, in the pubic region, lesions appear like beans or cakes, accompanied by itching and the formation of waxy crusts, this is syphilis. Treat it according to the protocols in the Syphilis Section.
Yin Xing San: Treats Yin wet sores with itching so intense it feels as if penetrating to the bone.
Ingredients: Xionghuang (Realgar), Gan Baiguo (Dried Ginkgo Seed, powdered), Chao Nao (Camphor), Sheng Kuangzi Hui (Ash of raw mineral ore) (equal parts).
Preparation and Administration: Grind the above ingredients into a fine powder. Mix with dry distilled liquor (Shaojiu) to form a paste for topical application.
Sores of the Yin organs: In terms of climatic influences (Yunqi), all are attributed to Cold. The Classic states: "When Taiyang dominates, ulcers occur in the Yin region, leading to dysfunction in private matters. Treat with bitter-hot herbs." Zhang Zhongjing stated: "If the Shaoyin pulse is slippery and rapid, sores will appear in the Yin region. If the Shaoyin pulse is long, prolapse of the Yin organ will occur."
The genitalia are the convergence point of the Foot-Jueyin Liver Meridian and the Ren Mai (Conception Vessel). The Suwen states: "The Luo vessel of the Du Mai (Governor Vessel) circulates through the genitalia and converges between the anus and genitals," thus also relating to the Du Mai. As for the Foot-Taiyang Bladder Meridian, it externally corresponds to clear water and internally belongs to the Bladder, governing water passages. The Hand-Taiyang Small Intestine Meridian externally corresponds to Huai water and internally belongs to the Small Intestine, from which water passages emerge; thus, they also relate to the Hand and Foot Taiyang meridians. The Kidney governs water metabolism, thus relating to the Foot-Shaoyin Kidney Meridian. Fluids enter the Stomach, their essence overflows and is transported upward to the Spleen. The Spleen disperses essences, sending them upward to the Lung. The Lung regulates water passages, transporting them downward to the Bladder; thus, they also relate to the Hand-Taiyin Lung Meridian. The Suwen further states that the anterior Yin is where Zongjin (General Tendons) gather, and is the convergence of the Taiyin and Yangming meridians; thus, it also relates to the Spleen and Stomach. When abscesses and sores arise in these areas, one must carefully investigate the etiology and assign responsibility correctly. One should not focus exclusively on the Jueyin Meridian, treating only with Liver-clearing and dampness-draining methods, to avoid error.
Yin Tingt (Prolapse of the Yin): A structure resembling a snake's head protrudes from the vagina. This is caused by deficiency of the Foot-Taiyin Spleen, or by anger experienced postpartum, or by Wind invasion during menstruation. Initially, employ clearing heat and dispersing wind. On the following morning, administer Buzhong Yiqi Tang (Decoction to Supplement the Middle and Augment the Qi) with increased dosage of Shengma (Cimicifugae Rhizoma). In the evening, administer Longdan Xiegan Tang (Gentian Liver-Draining Decoction). Concurrently, apply external washes and poultices.