论风邪入血室 论治羞隐 阴内生虫 阴门生疮
天师曰∶女症各经，俱与男人同治，惟是经症宜知，至于羞隐之处，更宜留心是也。经期前后，
寒热温凉，有邪无邪，俱当细辨，世有专门，不须枚举，我今止据一症而言之。如妇人经期适来，为
寒风所中，则经水必然骤止。经不外泄，必变为寒热，时而身战，时而身凉，目见鬼神，心中惊悸。
论治法，本当刺其期门之穴，一刺出血立已。无奈世人不肯刺于乳下，羞恚不肯为医人所见，于是必
变而益发狂 语，所由来也。今立一方治之。方用柴胡三钱，当归二钱，白芍五钱，枳壳二钱，炒栀子
三钱，甘草一钱，陈皮五分，生地二钱，水煎服。此方妙在用柴胡于白芍之中。盖前症经血不能外出，则
血藏于血室之中，藏而不出，则血化为热，气郁结不伸，必在半表半里之间，以兴妖作怪。柴胡真半表半
里之药，用白芍直入血室，和平而分解之。如人羞恚隐藏于血宅之内，必得一相信之人，走入其中，为之
开导，而后众人排闼而入，庶几一笑回春，仍然欢好，身出而祸亦消。此方之妙，理实相同，故取而显
譬之，非好为论说也。至于羞隐之症，亦不可枚举，查其专门，而细询病情，随症加减，治之可也。
张公曰∶论奇辟。予更有说，热入血室，非热也，乃风邪壅之而热也，所以用柴胡一散而愈。
妇人羞隐之处，不便明言，然大约非寒则热耳。今有一试方。先用当归三钱，白芍三钱，川芎一钱，
熟地五钱，甘
草一钱，柴胡一钱，白芥子一钱，黄芩三分，炮姜三分，水煎服。倘有羞隐之处，不肯明言者，以此方
投之，必奏奇功。问其服药后，较前平善，则是虚症也，竟用四物汤治之可也。未好，则是热病作
祟，方中大加栀子三钱治之，必奏功也。此亦妙法，行医者宜亟知之。
华君曰∶女子治法，尚有二条未传，待予补之。妇人阴内生虫，乃湿热也，用鸡肝入药末引之亦
妙。终不若夫子之方更神也。方用蚯蚓三四条，炙干为末，用葱数条，火上炙干为末，用蜜一碗。煮成
膏，将药捣于其中。纳入阴户，虫尽死矣，自然随溺而下，神方也。世人未知，幸为留意。
又妇人阴门边生疮，作痒作痛不止者，以此方煎水洗之，立效。方用蛇床子一两，花椒三钱，白矾三
钱，水十碗，煎五碗，乘热熏之，温则洗之。一次即止痒，二次即止痛，三次即全愈。分作五日洗之，每
日止消洗一次。神效之极，幸珍之。
【背景信息】
书名：石室秘录 作者：陈士铎 朝代：清 章节：女治法 类别：综合
天师说：女性的各经病症，大多与男性相同治疗，只有经期相关的病症需要特别知晓，至于羞于启齿的部位，更应当留心诊治。在月经来潮前后，无论寒热温凉，无论是否有外邪侵袭，都应当仔细辨别。世间有专门研究此道的医生，不必一一列举，我今天仅针对一种病症进行论述。例如，妇女正值经期，突然遭受寒风侵袭，那么经血必然骤然停止。经血无法外泄，必定转化为寒热交替的症状，时而身体颤抖，时而身体发凉，甚至出现幻视鬼神、心中惊恐悸动等现象。
关于治疗方法，本应当针刺期门穴（肝经募穴），一旦刺出血，病立即可愈。无奈世人不愿让人刺乳下的穴位，因害羞羞愧而不肯让医生看到该部位，于是病情必然变得更加严重，发展为狂乱言语，这就是其由来。现在我制定一方来治疗它。方剂组成：柴胡三钱，当归二钱，白芍五钱，枳壳二钱，炒栀子三钱，甘草一钱，陈皮五分，生地二钱，加水煎服。这个方剂的妙处在于在大量白芍中使用柴胡。因为前述病症中经血不能外出，就会积聚在血室（子宫及冲任脉相关区域）之中，藏匿不出，则血液化为热邪，气机郁结不得舒展，必定停留在半表半里之间，从而引发各种怪异症状。柴胡是专门作用于半表半里的药物，用白芍直接深入血室，以平和的方式分解郁结。这就像有人因害羞而隐藏于血宅之内，必须得到一位信任的人进入其中，为之开导疏通，然后众人破门而入，才能一笑化解，恢复和谐，身体痊愈而灾祸消除。这个方剂的妙理与此相同，所以选取并以此比喻说明，并非喜好空谈理论。至于其他羞隐部位的病症，也不可不枚举，查阅专门书籍，详细询问病情，随症加减，即可治疗。
张公说：论述奇特独特。我还有补充之说，热入血室，并非单纯的热邪，而是风邪壅滞导致发热，所以使用柴胡疏散即可痊愈。
女性羞隐部位，不便明言，但大致无非是寒证或热证罢了。现在有一个试用方剂。先用当归三钱，白芍三钱，川芎一钱，熟地黄五钱，甘草一钱，柴胡一钱，白芥子一钱，黄芩三分，炮姜三分，加水煎服。如果有羞隐部位的病症，患者不肯明说的，投以此方，必能奏奇效。问其服药后，比之前平稳好转，则是虚证，直接用四物汤治疗即可。若未好转，则是热病在作祟，方中加大剂量加入栀子三钱进行治疗，必能奏效。这也是妙法，行医者应当尽快知晓。
华君说：女子治法，还有两条未曾传授，待我补充。妇人阴内生虫，是由于湿热所致，用鸡肝掺入药末作为引药也很奇妙。但终究不如老师的方剂神奇。方剂组成：蚯蚓三四条，炙干后研为粉末；用葱数条，在火上炙干后研为粉末；用蜂蜜一碗。煮成膏状，将药粉捣入其中。纳入阴道内，虫子全部死亡，自然会随着小便排出，这是神方。世人不知晓，希望留意。
另外，妇人阴门边生疮，瘙痒疼痛不止的，用此方煎水清洗，立见成效。方剂组成：蛇床子一两，花椒三钱，白矾三钱，水十碗，煎至五碗，趁热气熏蒸，温度适宜时清洗。一次即止痒，二次即止痛，三次即全愈。分五天清洗，每天只清洗一次。效果极其神妙，务必珍惜。
[Background Information]
Book: *Shishi Milu* (Secret Records of the Stone Chamber)
Author: Chen Shiduo (Chen Shi-duo)
Dynasty: Qing Dynasty
Chapter: Female Treatment Methods (Nü Zhifa)
Category: Comprehensive
On Wind-Evil Entering the Blood Chamber, on Treating Diseases of Shameful/Hidden Parts, Worms Inside the Yin, and Sores on the Yin Gate.
The Heavenly Master said: The diseases of the meridians in women are largely treated the same as in men; however, one must be particularly aware of conditions related to the menstrual cycle, and even more attentive to diseases occurring in shameful or hidden parts. Before and after menstruation, whether presenting with cold, heat, warmth, or coolness, and regardless of the presence or absence of external pathogens, careful differentiation is required. There are specialists in this field in the world, so there is no need to list them all. Today, I will discuss only one specific condition. For instance, if a woman is menstruating and suddenly suffers from an attack by cold wind, her menstrual flow will inevitably stop abruptly. Since the menstrual blood cannot exit externally, it will necessarily transform into alternating chills and fever, with episodes of body tremors followed by cooling of the body, hallucinations of seeing ghosts and spirits, and mental palpitations with fright.
Regarding treatment methods, one should originally puncture the Qimen acupoint (Qimén, the Front-Mu point of the Liver meridian); once bleeding occurs, the illness will cease immediately. However, worldly people are unwilling to have needles inserted below the breast due to shame and reluctance to expose themselves to the physician, causing the condition to worsen and develop into manic speech and delirium. This is the origin of such progression. I now prescribe a formula to treat this. The formula consists of Chaihu (Bupleuri Radix) 3 qian, Danggui (Angelicae Sinensis Radix) 2 qian, Baishao (Paeoniae Radix Alba) 5 qian, Zhike (Aurantii Fructus Immaturus) 2 qian, Chao Zhizi (Gardeniae Fructus, stir-fried) 3 qian, Gancao (Glycyrrhizae Radix et Rhizoma) 1 qian, Chenpi (Citri Reticulatae Pericarpium) 0.5 qian, and Shengdi (Rehmanniae Radix) 2 qian. Decoct in water and take orally. The brilliance of this formula lies in using Chaihu within the context of Baishao. In the aforementioned condition, since menstrual blood cannot exit, it accumulates within the Blood Chamber (Xueshi, referring to the uterus and associated Chong and Ren vessels). When stored and not released, the blood transforms into heat, and Qi becomes stagnant and constrained, lodging between the exterior and interior (Ban Biao Ban Li), thereby generating various bizarre symptoms. Chaihu is a herb that specifically targets the half-exterior, half-interior level. Using Baishao allows direct entry into the Blood Chamber to peacefully resolve the stagnation. This is akin to someone hiding within the 'blood residence' out of shame; one must send a trusted person to enter, provide guidance and unblocking, after which others can break through the door. Only then can harmony be restored with a smile, the body heals, and disaster vanishes. The principle behind this formula is identical to this analogy, hence I use this metaphor for clarification, not merely for rhetorical flourish. As for other diseases of shameful parts, they cannot be exhaustively listed here; one should consult specialized texts, inquire carefully about the patient's condition, and modify the prescription according to symptoms for effective treatment.
Master Zhang said: The discussion is unique and unconventional. I have further to say: "Heat entering the Blood Chamber" is not purely heat; rather, it is heat caused by the congestion of wind-evil. Therefore, dispersing with Chaihu leads to recovery.
The shameful parts of women are difficult to mention explicitly, but generally, they involve either cold or heat. Here is a trial formula. Use Danggui (Angelicae Sinensis Radix) 3 qian, Baishao (Paeoniae Radix Alba) 3 qian, Chuanxiong (Ligustici Chuanxiong Rhizoma) 1 qian, Shudi (Rehmanniae Radix Preparata) 5 qian, Gancao (Glycyrrhizae Radix et Rhizoma) 1 qian, Chaihu (Bupleuri Radix) 1 qian, Baijiezi (Brassicae Semen) 1 qian, Huangqin (Scutellariae Radix) 0.3 qian, and Paojiang (Zingiberis Rhizoma Preparatum) 0.3 qian. Decoct in water and take orally. If there are issues in the shameful parts that the patient refuses to state explicitly, administering this formula will surely yield miraculous results. Ask the patient if they feel calmer and better than before after taking the medicine; if so, it is a deficiency syndrome, and Siwu Tang (Four Substances Decoction) should be used directly for treatment. If there is no improvement, it indicates that a heat pathogen is causing the disturbance; adding Zhizi (Gardeniae Fructus) 3 qian to the formula will ensure efficacy. This is also a brilliant method, and practitioners should learn of it promptly.
Master Hua said: There are two additional treatment methods for women that have not yet been transmitted; let me supplement them. Worms inside the female yin result from damp-heat. Using chicken liver mixed with herbal powder as a guide is also effective. However, it is not as miraculous as the Master's formula. The formula consists of earthworms (Qiu Yin, Quyi) 3–4 pieces, dried by roasting and ground into powder; scallions (Cong Bai) several stalks, dried by roasting over fire and ground into powder; and one bowl of honey. Boil until it forms a paste, mix the herbal powders into it, and insert it into the vagina. The worms will die completely and naturally pass out with urine. This is a divine prescription. People are unaware of it; please pay attention.
Furthermore, for sores appearing at the edge of the female yin gate, accompanied by incessant itching and pain, wash the area with the decoction of this formula for immediate effect. The formula consists of Shechuangzi (Cnidii Fructus) 1 liang, Huajiao (Zanthoxyli Pericarpium) 3 qian, and Baifan (Alumen) 3 qian. Use ten bowls of water, decoct until five bowls remain. Steam the affected area while hot, and wash when the temperature is suitable. Itching stops after the first wash, pain ceases after the second, and full recovery occurs after the third. Divide this course over five days, washing once per day. The effect is extremely miraculous; cherish it.