徐春甫曰∶妇人阴痒，多属虫蚀所为，始因湿热不已，故生三虫在肠胃间，其虫蚀阴
广中作痒，甚则痒痛下已，溃烂肿深。在室女寡妇尼姑，多因欲事不遂，思想所淫，以
致气血凝于阴间，积成湿热，久而下散，遂成三虫，故有此疾。亦有房室过伤，以致热
壅，故作肿痒内痛，外为便毒，莫不由欲事伤损所致。
薛立斋按∶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，和鸡肝研饼，纳阴中，以制其虫，仍用清肝解郁之药。此证有郁怒伤肝脾所致，
肢体倦怠，阴中闷痒，小便赤涩者，归脾汤加山栀、柴胡、丹皮。有肝脾气虚，湿热下
注，阴内痛痒，不时出水，食少体倦者，归脾汤加山栀、白芍、甘草、丹皮。
李氏按∶阴中生虫 如小蛆者，乃湿热甚而心气又郁，气血凝滞而生，宜藿香养胃
汤、补心汤、硫鲤丸，外用艾煎汁，调雄黄末烧薰之。又以蛇床子煎汤频洗，同梓树皮
焙末，入枯矾、麝香少许，敷之立效。
慎斋按∶以上二条，序妇人有阴痒生虫之证也。厥阴属风木之脏，木朽则蠹生，肝
经血少，津液枯竭，致气血不能荣运，则壅郁生湿，湿生热，热生虫，理所必然。故治法不外渗湿清热，外以
杀虫为治。然其本元，又当滋养肝血，补助脾土，益阴燥湿也。至春甫论欲事不遂所致，亦病情之不可不察者也。
徐春甫说：妇女阴部瘙痒，多属于虫类侵蚀所致。起初是因为湿热久积不散，所以在肠胃之间生出三种虫。这些虫侵蚀外阴部位导致瘙痒，严重时会出现痒痛并伴有分泌物下流，甚至溃烂、肿胀深入。对于未婚女子、寡妇和尼姑来说，多因性欲不得满足，思虑过度且情志淫佚，导致气血凝结于阴部，积聚形成湿热，日久向下扩散，从而生出三种虫，因此患上此病。也有因房事过度损伤，导致热邪壅滞，所以出现肿胀、瘙痒和内痛，外部表现为便毒（腹股沟淋巴结炎等），没有不是由房事损伤所导致的。
薛立斋按语：上述证候属于肝经病变所化生，应当使用龙胆泻肝汤（清泻肝胆实火、清利肝经湿热之剂）和逍遥散（疏肝解脾、养血调经之剂），以主治其内部和外部症状；用桃仁研磨成膏，混合雄黄粉末，与鸡肝一起研磨成饼状，纳入阴道内，以抑制虫类，同时仍需用清肝解郁的药物。此证有因郁怒伤及肝脾所致，表现为肢体倦怠、阴中闷胀瘙痒、小便赤红涩痛的，用归脾汤（益气补血、健脾养心之剂）加山栀、柴胡、丹皮。有因肝脾气虚，湿热下注，阴内疼痛瘙痒，不时流出液体，饮食减少、身体疲倦的，用归脾汤加山栀、白芍、甘草、丹皮。
李氏按语：阴中生出的虫像小蛆一样，是由于湿热严重且心气郁结，气血凝滞而生成的，适宜用藿香养胃汤（芳香化湿、理气和中之剂）、补心汤（滋阴养血、补心安神之剂）、硫鲤丸（杀虫止痒之剂），外用艾叶煎汁，调和雄黄粉末烧熏患处。又用蛇床子煎汤频繁清洗，配合梓树皮焙干研末，加入枯矾、麝香少许，敷贴患处，立即见效。
慎斋按语：以上两条，叙述了妇女患有阴部瘙痒生虫的证候。厥阴（足厥阴肝经）属于风木之脏，木头腐朽则蛀虫滋生，肝经血少，津液枯竭，导致气血不能濡养运行，则壅滞郁结而生湿，湿产生热，热产生虫，这是理所当然的。所以治疗方法不外乎渗湿清热，外部以杀虫为治法。然而其根本元气，又应当滋养肝血，补助脾土，益阴燥湿。至于徐春甫论述因性欲不得满足所致，也是病情中不可不仔细考察的因素。
Xu Chunfu stated: Vulvar pruritus in women is mostly caused by erosion from parasites. Initially, it arises from persistent damp-heat, leading to the generation of three types of worms within the intestines and stomach. These worms erode the external genitalia, causing itching; in severe cases, there may be pain accompanied by discharge, ulceration, and deep swelling. For unmarried women, widows, and nuns, this condition often results from unfulfilled sexual desires and excessive rumination or licentious thoughts, causing Qi and Blood to stagnate in the genital region. This accumulation forms damp-heat, which eventually diffuses downward, generating the three types of worms and thus causing this disease. It may also result from excessive sexual activity leading to heat obstruction, causing swelling, itching, and internal pain, manifesting externally as bubo (lymphadenitis). None of these are not caused by damage from sexual excess.
Xue Lizai commented: The aforementioned symptoms belong to transformations of the Liver Meridian. One should use Longdan Xiegan Tang (Gentian Decoction to Drain the Liver) and Xiaoyao San (Free and Easy Wanderer Powder) to treat both internal and external aspects. Crush peach kernels into a paste, mix with realgar powder, combine with chicken liver, grind into cakes, and insert into the vagina to control the parasites. Simultaneously, employ herbs that clear the Liver and resolve depression. If this syndrome is caused by anger injuring the Liver and Spleen, presenting with limb fatigue, heavy itching in the vagina, and red, scanty, painful urination, use Guipi Tang (Restore the Spleen Decoction) added with Gardenia, Bupleurum, and Moutan Bark. If it is due to deficiency of Liver and Spleen Qi with damp-heat pouring downward, presenting with internal vaginal pain and itching, frequent discharge, poor appetite, and body fatigue, use Guipi Tang added with Gardenia, White Peony Root, Licorice Root, and Moutan Bark.
Li commented: Parasites resembling small maggots appearing in the vagina arise from severe damp-heat combined with Heart Qi depression and Qi-Blood stagnation. Suitable treatments include Huoxiang Yangwei Tang (Agastache Decoction to Nourish the Stomach), Buxin Tang (Tonify the Heart Decoction), and Liuqi Wan (Sulfur and Carp Pill). Externally, decoct mugwort, mix the juice with realgar powder, and fumigate the area. Additionally, frequently wash with a decoction of Cnidium Fruit. Mix roasted Catalpa Bark powder with Alum and a small amount of Musk, apply topically for immediate effect.
Shenzhai commented: The above two paragraphs describe the syndrome of vulvar pruritus with parasitic infection in women. Jueyin (Foot-Jueyin Liver Meridian) belongs to the Wind-Wood organ. When wood rots, termites breed; similarly, when Liver Blood is deficient and Body Fluids are exhausted, Qi and Blood cannot nourish and circulate properly. This leads to stagnation and depression generating Dampness; Dampness generates Heat; Heat generates Parasites. This is logically inevitable. Therefore, treatment methods primarily involve leaching out Dampness and clearing Heat, while externally using methods to kill parasites. However, addressing the root cause requires nourishing Liver Blood, supporting Earth (Spleen), and benefiting Yin while drying Dampness. Regarding Xu Chunfu’s discussion on causes related to unfulfilled sexual desire, this is also an aspect of pathology that must not be overlooked.