妇人阴冷，有寒证有热证，寒由阳虚，真寒证也；热由湿热，假寒证也。假寒者，必有热证，如小便涩数
黄赤，大便燥结，烦渴之类是也。真寒者，小便清利，
阳虚畏寒者是也。真寒者，宜补其阳，如理阴煎、十补丸、加减续嗣降生丹。假寒者，当清其火，宜龙胆泻肝
汤、加味逍遥散。肝肾虚寒者，宜暖肝煎、镇阴煎、大营煎。脾胃虚寒者，宜理中汤、理阴煎、寿脾煎之类主之。
理阴煎（见血寒经迟）
十补丸（见经不调）
续嗣降生丹（见宜麟策）
龙胆泻肝汤（见产门不闭）
加味逍遥散（见经不调）
暖肝煎（见血 ）
镇阴煎（见《新方八阵·热阵》）治阴虚于下，格阳于上，则真阳失守，血随而溢，以致大吐大衄，
六脉细脱，手足厥冷，危在顷刻，而血不能止者，速宜用
此，使孤阳有归，则血自安也。如治格阳喉痹上热者，当以此方冷服。
熟地（一、二两） 牛膝（二钱） 炙甘草（一钱） 泽泻（一钱半） 肉桂（一、二钱） 制附子
（五七分或一、二、三钱）
水二钟，速煎服。如兼呕恶者，加干姜炒黄一、二钱。如气脱倦言而脉弱极者，宜速速多加人参，随宜用之。
大营煎（见血热经早）
理中汤（见血虚经乱）
寿脾煎（见血虚经乱）
凡妇人交接即出血者，多由阴气薄弱，肾元不固，或阴分有火而然。若脾虚气陷，不能摄血者，宜补中益
气汤，或补阴益气煎；若脾肾虚弱，阴气不固者，宜寿脾煎、归脾汤；若肝肾阴虚不守者，宜固阴煎；若阴火
动血者，宜保阴煎。
补中益气汤（见经不调）
补阴益气煎（见热入血室）
寿脾煎（见血虚经乱）
归脾汤（见经不调）
固阴煎（见肾虚经乱）
保阴煎（见血热经早）
妇女阴部寒冷，有寒证和热证两种情况。寒证是由阳气虚弱引起的，属于真正的寒证；热证是由湿热引起的，表现为假寒证。所谓假寒证，必然伴有热证的表现，例如小便涩滞频数、颜色黄赤，大便干燥结块，心烦口渴等就是这类情况。所谓真寒证，则是小便清长通畅，且患者因阳虚而畏寒怕冷。对于真寒证，应当温补阳气，可以使用理阴煎、十补丸、加减续嗣降生丹。对于假寒证（湿热所致），应当清热泻火，适宜使用龙胆泻肝汤、加味逍遥散。如果是肝肾虚寒，适宜使用暖肝煎、镇阴煎、大营煎。如果是脾胃虚寒，适宜使用理中汤、理阴煎、寿脾煎等方剂主治。
理阴煎（参见“血寒经迟”章节）
十补丸（参见“经不调”章节）
续嗣降生丹（参见《宜麟策》）
龙胆泻肝汤（参见“产门不闭”章节）
加味逍遥散（参见“经不调”章节）
暖肝煎（参见“血...”章节）
镇阴煎（参见《新方八阵·热阵》）：治疗下焦阴虚，导致阳气被格拒于上，致使真阳失守，血液随之溢出，从而引起严重吐血或鼻衄，六脉细微欲绝，手足冰冷，病情危急在顷刻之间，且出血无法止住的情况。此时应迅速使用此方，使孤阳有所归依，则血液自然安宁。如果是治疗因格阳导致的喉痹（咽喉肿痛闭塞）且上部有热者，应当将此方药液冷却后服用。
药物组成：熟地黄（一两至二两）、牛膝（二钱）、炙甘草（一钱）、泽泻（一钱半）、肉桂（一至二钱）、制附子（五分至七分，或一至三钱）。
用水二钟，快速煎煮后服用。如果兼有呕吐恶心症状，加入炒黄的干姜一至二钱。如果出现气脱、倦怠懒言且脉搏极弱的情况，应当迅速大量加入人参，根据具体情况灵活使用。
大营煎（参见“血热经早”章节）
理中汤（参见“血虚经乱”章节）
寿脾煎（参见“血虚经乱”章节）
凡是妇女在性交时立即出血的，大多是由于阴气薄弱，肾元不固，或者是阴分有虚火所致。如果是脾气虚弱、气机下陷，不能统摄血液的，适宜使用补中益气汤，或者补阴益气煎；如果是脾肾两虚，阴气不固的，适宜使用寿脾煎、归脾汤；如果是肝肾阴虚、阴血不守的，适宜使用固阴煎；如果是阴火扰动导致出血的，适宜使用保阴煎。
补中益气汤（参见“经不调”章节）
补阴益气煎（参见“热入血室”章节）
寿脾煎（参见“血虚经乱”章节）
归脾汤（参见“经不调”章节）
固阴煎（参见“肾虚经乱”章节）
保阴煎（参见“血热经早”章节）
Coldness of the female genitals can present as either a cold syndrome or a heat syndrome. The cold syndrome arises from deficiency of Yang, constituting a true cold syndrome; the heat syndrome arises from damp-heat, presenting as a false cold syndrome. False cold is invariably accompanied by signs of heat, such as dysuria with frequency, yellow and dark urine, dry and constipated stools, irritability, and thirst. True cold is characterized by clear and profuse urination, along with aversion to cold due to Yang deficiency. For true cold, it is appropriate to tonify Yang using formulas such as Liyin Decoction (Reinforce Yin Decoction), Shibu Wan (Ten-Tonifying Pill), or Jiajian Xusi Jiangsheng Dan (Modified Fertility and Birth Promoting Pill). For false cold caused by damp-heat, it is appropriate to clear fire and heat using Longdan Xiegan Tang (Gentian Liver-Draining Decoction) or Jiawei Xiaoyao San (Modified Free Wanderer Powder). In cases of deficiency-cold of the Liver and Kidney, Nuangan Decoction (Warm the Liver Decoction), Zhenyin Decoction (Anchor Yin Decoction), or Daying Decoction (Great Camp Decoction) are suitable. In cases of deficiency-cold of the Spleen and Stomach, Lizhong Tang (Regulate the Middle Decoction), Liyin Decoction (Reinforce Yin Decoction), or Shoupi Decoction (Sustain Spleen Decoction) should be used.
Liyin Decoction (See "Blood Cold and Delayed Menses")
Shibu Wan (See "Irregular Menstruation")
Xusi Jiangsheng Dan (See *Yilin Ce*)
Longdan Xiegan Tang (See "Prolapse of the Vagina")
Jiawei Xiaoyao San (See "Irregular Menstruation")
Nuangan Decoction (See "Blood...")
Zhenyin Decoction (See *Xinfang Bazhen·Rezhen*): Treats conditions where Yin deficiency in the lower jiao causes Yang to be repelled upwards, leading to the loss of control over True Yang and subsequent hemorrhage, resulting in severe hematemesis or epistaxis. The six pulses become fine and faint, the hands and feet are cold, and the condition is critical with blood flow uncontrolled. In such emergencies, this formula should be administered rapidly to allow the solitary Yang to return, thereby stabilizing the blood. If treating throat bi (obstruction/pain) caused by repelled Yang with upper heat, the decoction should be taken cold.
Ingredients: Shudi (Prepared Rehmanniae Radix, 1–2 liang), Niuxi (Achyranthis Bidentatae Radix, 2 qian), Zhigancao (Honey-fried Glycyrrhizae Radix et Rhizoma, 1 qian), Zexie (Alismatis Rhizoma, 1.5 qian), Rougui (Cinnamomi Cortex, 1–2 qian), Zhi Fuzi (Prepared Aconiti Lateralis Radix, 0.5–0.7 qian or 1–3 qian).
Decoct in two zhong of water and take quickly. If accompanied by vomiting and nausea, add Ganjiang (Dried Zingiberis Rhizoma, fried until yellow, 1–2 qian). If there is Qi collapse, fatigue, reluctance to speak, and extremely weak pulses, add Renshen (Ginseng Radix et Rhizoma) in large quantities according to circumstances.
Daying Decoction (See "Blood Heat and Early Menses")
Lizhong Tang (See "Blood Deficiency and Chaotic Menses")
Shoupi Decoction (See "Blood Deficiency and Chaotic Menses")
Vaginal bleeding occurring immediately upon sexual intercourse is mostly due to weakness of Yin Qi and insecurity of the Kidney Yuan, or the presence of fire in the Yin aspect. If Spleen Qi deficiency leads to sinking Qi that fails to contain blood, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) or Buyin Yiqi Jian (Nourish Yin and Augment Qi Decoction) is appropriate. If Spleen and Kidney deficiency leads to insecure Yin Qi, Shoupi Decoction (Sustain Spleen Decoction) or Guipi Tang (Restore the Spleen Decoction) is appropriate. If Liver and Kidney Yin deficiency leads to failure of Yin to hold, Guyin Decoction (Secure Yin Decoction) is appropriate. If Yin fire disturbs the blood causing hemorrhage, Baoyin Decoction (Protect Yin Decoction) is appropriate.
Buzhong Yiqi Tang (See "Irregular Menstruation")
Buyin Yiqi Jian (See "Heat Entering the Blood Chamber")
Shoupi Decoction (See "Blood Deficiency and Chaotic Menses")
Guipi Tang (See "Irregular Menstruation")
Guyin Decoction (See "Kidney Deficiency and Chaotic Menses")
Baoyin Decoction (See "Blood Heat and Early Menses")