(有肝火盛强,有金石性发。其证茎盛不衰,精出不止,多发消渴痈疽)
【伏火解毒】知母 地黄 麦门冬 黄芩 玄参 荠 黄连 栝蒌根 大豆 黄柏
地骨皮 冷石 石膏 猪肾 白鸭通
【补虚】补骨脂(玉茎长硬不痿,精出捏之则脆,痒如刺针,名肾漏。韭子各一两,为
末,每服三钱,水煎服,日三。) 山药 肉苁蓉 人参 茯神 磁石 鹿茸囊 痒
(阴汗、阴臊、阴疼皆属湿热,亦有肝肾风虚。厥阴实则挺长;虚则暴痒)
【内服】白芷 羌活 防风 柴胡 白术 麻黄根 车前子 白蒺藜 白附子 黄芩
木通 远志 本香 黑牵牛 石菖蒲 生地黄 当归 细辛 山药 荆芥穗 补骨脂(男
子阴囊湿痒。) 黄 (阴汗,酒炒为末,猪心蘸食。) 毕勃没(止阴汗。) 苍术 龙胆
草川
大黄 天雄 大蒜(阴汗作痒,同淡豉丸服。) 栀子仁 茯苓 黄柏 五加皮(男女阴痒。)
杜仲 滑石 白僵蚕(男子阴痒痛。) 猪脬(肾风囊痒,火炙,盐酒下。)
【熏洗】蛇床子 甘草 水苏 车前子 野狼牙草 莨菪子 墙头烂草(妇人阴痒,同荆
芥、牙皂煎洗。) 荷叶(阴肿痛及阴痿囊痒。同浮萍、蛇床煎洗。) 阿月浑子 木皮 茱
萸槐花 松毛 牡荆叶 木兰皮 白矾 紫稍花
【敷扑】五味子(阴冷。) 蒲黄 蛇床子 生大黄(嚼敷。) 麻黄根(同牡蛎、干姜
扑
。又同硫黄末扑之。) 没石子 菖蒲(同蛇床子敷。) 干姜(阴冷。) 胡麻(嚼涂。) 大
豆黄(嚼涂。) 吴茱萸 蜀椒(同杏仁敷,又主女人阴冷。) 杏仁(炒,塞妇人阴痒。) 银
杏(阴上生虱作痒,嚼涂。) 桃仁(粉涂。) 茶末 松香(同花椒浸香油,烧灰滴搽。)
皂角(糯禾烧烟日熏。) 肥皂(烧搽。) 麸炭(同紫苏叶,香油调涂。) 铸铧、锄孔中
黄
土炉甘石(同蚌粉扑。) 密陀僧 滑石(同石膏入少矾敷。) 阳起石(涂湿痒臭汗。)
雄黄(阴痒有虫,同枯矾、羊蹄汁搽。) 五倍子(同茶末涂。) 龙骨 牡蛎 乌贼骨 鸡
肝羊肝 猪肝
(病因多因肝火亢盛,或金石类药物药性发作。症状表现为阴茎持续勃起不衰,精液滑泄不止,常并发消渴病、痈疽等病症。)
【伏火解毒法】
药材:知母、地黄、麦门冬、黄芩、玄参、荠菜、黄连、栝蒌根、大豆、黄柏、地骨皮、冷石、石膏、猪肾、白鸭通。
【补虚法】
针对症状:补骨脂(主治玉茎长硬不痿,精液流出后捏之感觉脆软,瘙痒如针刺,名为“肾漏”。用法:韭子各一两,研为末,每次服用三钱,水煎服,每日三次。)
药材:山药、肉苁蓉、人参、茯神、磁石、鹿茸囊。
针对症状:痒(阴汗、阴臊、阴疼均属于湿热证,也有肝肾风虚所致。厥阴经实证则阴茎挺长;虚证则突发瘙痒。)
【内服法】
药材:白芷、羌活、防风、柴胡、白术、麻黄根、车前子、白蒺藜、白附子、黄芩、木通、远志、本香、黑牵牛、石菖蒲、生地黄、当归、细辛、山药、荆芥穗、补骨脂(主治男子阴囊湿痒)、黄耆(主治阴汗,酒炒后研末,用猪心蘸食)、毕勃没(止阴汗)、苍术、龙胆草、大黄、天雄、大蒜(阴汗作痒,同淡豉丸服用)、栀子仁、茯苓、黄柏、五加皮(男女阴痒)、杜仲、滑石、白僵蚕(男子阴痒痛)、猪脬(肾风致阴囊痒,火炙后,盐酒送服)。
【熏洗法】
药材:蛇床子、甘草、水苏、车前子、野狼牙草、莨菪子、墙头烂草(妇人阴痒,同荆芥、牙皂煎汤清洗)、荷叶(阴部肿痛及阴痿囊痒,同浮萍、蛇床子煎汤清洗)、阿月浑子、木皮、茱萸、槐花、松毛、牡荆叶、木兰皮、白矾、紫稍花。
【敷扑法】
药材:五味子(阴冷)、蒲黄、蛇床子、生大黄(嚼碎敷贴)、麻黄根(同牡蛎、干姜扑擦;又同硫黄末扑擦)、没石子、菖蒲(同蛇床子敷贴)、干姜(阴冷)、胡麻(嚼碎涂抹)、大豆黄卷(嚼碎涂抹)、吴茱萸、蜀椒(同杏仁敷贴,又主治女人阴冷)、杏仁(炒熟,塞入妇女阴道治痒)、银杏(阴部生虱作痒,嚼碎涂抹)、桃仁(研粉涂擦)、茶末、松香(同花椒浸香油,烧灰滴涂)、皂角(糯禾烧烟每日熏蒸)、肥皂(烧后涂擦)、麸炭(同紫苏叶,香油调匀涂擦)、铸铧锄孔中黄土、炉甘石(同蚌粉扑擦)、密陀僧、滑石(同石膏入少矾敷贴)、阳起石(涂湿痒臭汗)、雄黄(阴痒有虫,同枯矾、羊蹄汁搽涂)、五倍子(同茶末涂擦)、龙骨、牡蛎、乌贼骨、鸡肝、羊肝、猪肝。
(Causes include excessive liver fire or the eruption of medicinal properties from metallic and mineral substances. Symptoms manifest as persistent priapism, continuous seminal emission, and are often accompanied by complications such as Xiao Ke (wasting-thirst syndrome) and Yong Ju (carbuncles and sores).)
[Methods to Subdue Fire and Detoxify]
Herbs: Anemarrhenae Rhizoma (Zhimu), Rehmanniae Radix (Dihuang), Ophiopogonis Radix (Maimendong), Scutellariae Radix (Huangqin), Scrophulariae Radix (Xuanshen), Shepherd's Purse Herb (Ji), Coptidis Rhizoma (Huanglian), Trichosanthis Radix (Gualougen), Sojae Semen (Dadou), Phellodendri Cortex (Huangbai), Lycii Cortex (Digupi), Cold Stone (Lengshi), Gypsum Fibrosum (Shigao), Porcine Kidney (Zhushen), White Duck Tongue (Baiyatong).
[Methods to Tonify Deficiency]
Indications: Psoraleae Fructus (Buguzhi) [Indication: Priapism that does not subside, seminal emission with a brittle sensation upon palpation, itching like needle pricks, termed "Kidney Leakage". Dosage: Descurainiae Semen seu Lepidii Semen (Jiu Zi) one liang each, powdered. Take three qian per dose, decocted in water, three times daily.]
Herbs: Dioscoreae Rhizoma (Shanyao), Cistanches Herba (Roucongrong), Ginseng Radix et Rhizoma (Renshen), Poria (Fushen), Magnetitum (Cishi), Deer Antler Sac (Lurongnang).
Indications: Itching [Yin sweat, foul odor of the genitals, and genital pain all belong to Damp-Heat patterns; some are due to Wind-Deficiency of the Liver and Kidney. Excess of the Jueyin channel leads to priapism; deficiency leads to sudden itching.]
[Internal Administration Methods]
Herbs: Angelicae Dahuricae Radix (Baizhi), Notopterygii Rhizoma et Radix (Qianghuo), Saposhnikoviae Radix (Fangfeng), Bupleuri Radix (Chaihu), Atractylodis Macrocephalae Rhizoma (Baizhu), Ephedrae Herbae Radix (Mahuanggen), Plantaginis Semen (Cheqianzi), Tribuli Fructus (Bajili), Typhonii Rhizoma (Baifuzi), Scutellariae Radix (Huangqin), Akebiae Caulis (Mutong), Polygalae Radix (Yuanzhi), Ligustici Chuanxiong Rhizoma (Benxiang), Black Morning Glory Seed (Heiqianniu), Acori Tatarinowii Rhizoma (Shichangpu), Rehmanniae Radix Recens (Shengdihuang), Angelicae Sinensis Radix (Danggui), Asari Radix et Rhizoma (Xixin), Dioscoreae Rhizoma (Shanyao), Schizonepetae Spica (Jingjisui), Psoraleae Fructus (Buguzhi) [Indication: Damp-itching of the male scrotum], Astragali Radix (Huangqi) [Indication: Yin sweat, wine-fried and powdered, dipped in porcine heart for consumption], Bibomoe (Bibomoe) [Stops Yin sweat], Atractylodis Rhizoma (Cangzhu), Gentianae Radix (Longdancao), Rheomi Radix et Rhizoma (Dahuang), Aconiti Lateralis Radix Praeparata (Tianxiong), Allium Sativum Bulb (Dasuan) [Indication: Yin sweat with itching, taken with Dan Chi Wan], Gardeniae Fructus (Zhizi Ren), Poria (Fuling), Phellodendri Cortex (Huangbai), Acanthopanacis Cortex (Wujiaopi) [Indication: Genital itching in both sexes], Eucommiae Cortex (Duzhong), Talcum (Huashi), Bombyx Batryticatus (Baijiangcan) [Indication: Male genital itching and pain], Sus Vesica Urinaria (Zhupao) [Indication: Wind-dampness causing scrotal itching, roasted over fire, taken with salt and wine].
[Fumigation and Washing Methods]
Herbs: Cnidii Fructus (Shechuangzi), Glycyrrhizae Radix et Rhizoma (Gancao), Perillae Frutescens Herb (Shuisu), Plantaginis Semen (Cheqianzi), Potentillae chinensis Herb (Yelangyacao), Hyoscyami Semen (Langdangzi), Wall-weed Herb (Qiangtoulancao) [Indication: Female genital itching, decocted with Schizonepetae Spica and Gleditsiae Sinensis Spina for washing], Nelumbinis Folium (Heye) [Indication: Genital swelling, pain, impotence, and scrotal itching, decocted with Lemna Minor Herb and Cnidii Fructus for washing], Pistacia vera Nut (Ayehunzi), Tree Bark (Mupi), Corni Fructus (Zhuyu), Sophorae Flos (Huaihua), Pine Needles (Songmao), Viticis Trifoliate Leaf (Mojingye), Magnoliae Officinalis Cortex (Mulanpi), Alum (Baifan), Lilium Bulb (Zishaohua).
[Application and Dusting Methods]
Herbs: Schisandrae Fructus (Wuweizi) [Indication: Coldness of the genitals], Pollen Typhae (Puhuang), Cnidii Fructus (Shechuangzi), Rheomi Radix et Rhizoma Recens (Shengdahuang) [Crushed and applied], Ephedrae Herbae Radix (Mahuanggen) [Mixed with Ostreae Concha and Zingiberis Rhizoma Secatum for dusting; also mixed with Sulphur powder for dusting], Myrobalan (Meishizi), Acori Tatarinowii Rhizoma (Changpu) [Applied with Cnidii Fructus], Zingiberis Rhizoma Siccum (Ganjiang) [Indication: Coldness of the genitals], Sesamum Indicum Seed (Huma), Sojae Semen Album Preparatum (Dadouhuang) [Crushed and applied], Evodiae Fructus (Wuzhuyu), Zanthoxyli Fructus (Shujiao) [Applied with Amygdalus Communis Seed, also treats female genital coldness], Amygdalus Communis Seed (Xingren) [Roasted, inserted into female vagina for itching], Ginkgo Seed (Yinxing) [Indication: Lice on genitals causing itching, crushed and applied], Persicae Semen (Taoren) [Powdered and applied], Tea Powder (Chamo), Boswellia Resin (Songxiang) [Steeped in sesame oil with Zanthoxyli Fructus, burned to ash, dripped and applied], Gleditsiae Sinensis Spina (Zaojiao) [Smoke from burning glutinous rice straw used for daily fumigation), Soap Fruit (Feizao) [Burned and applied], Bran Charcoal (Fu Tan) [Mixed with Perillae Leaf, diluted with sesame oil and applied], Yellow Earth from Ploughshare/Hoe Hole (Zhu Hua Zhu Kong Zhong Huang Tu), Calcined Calamine (Luganshi) [Mixed with Concha Margaritifera Costata powder for dusting), Argenti Alumen (Miduoseng), Talcum (Huashi) [Mixed with Gypsum Fibrosum and a small amount of Alum for application), Actinolite (Yangqishi) [Applied for damp-itching and smelly sweat], Realgar (Xionghuang) [Indication: Genital itching with parasites, mixed with Alum and Rumex japonicus juice for application), Terminalia Chebula Retz. (Wubeizi) [Mixed with tea powder for application), Fossil Bones (Longgu), Ostreae Concha (Muli), Sepiae Endoconcha (Wuzeigu), Gallus gallus Domesticus Liver (Jigan), Ovis Aries Liver (Yanggan), Sus Domesticus Liver (Zhugan).