〔大〕凡妇人少阴脉数而滑者，阴中必生疮，名曰 疮。或痛或痒，如虫行状，淋
露脓汁，阴蚀几尽者。此皆由心神烦郁，胃气虚弱，致气血留滞。故经云∶诸痛痒疮，皆
属于心。又云∶阳明主肌肉，痛痒皆属于心。治之当补心养胃，外以熏洗坐导药治之乃可。
〔薛〕前证乃肝脾郁结之证，木旺生虫耳。宜解郁清肝。备见前杂证阴中生疮类。
一产妇素有肝火，患此内溃痒痛，食少热渴，小水淋沥，用加味逍遥散、加味归脾汤兼服，
间以芦荟丸，外以鹤虱草煎洗而愈。
《千金方》 蒲黄（三升） 水银（一两） 二味研匀以粉上。
又方 肥猪肉十斤，水一硕，煮水浸，冷即易，不过三两度。
洗拓汤方
甘草 干漆（各一两） 黄芩 干地黄 当归 芍药（各二两） 龟甲（五两）
上细切，以水七升，煮耗一半，以绵帛纳汤中，以拓疮处，良久即易，日二度。每
拓汤，可人行十里许，即KT 干，捻取甘湿散薄敷疮上使遍，可经半日，又以汤拓，拓讫
如前敷药。
余家婢遇此疾，医疗不瘥，蚀处作两疮，深半寸，余因检得此方，仍以自处蚺蛇胆散，
不经七日，疮乃平复，甚效。凡治数十人应手而瘥，请广布之。
甘湿散 （又名蚺蛇胆散。）疗疳虫阴蚀。
蚺蛇胆（真者） 青木香 石硫黄 铁精 麝香（各四分。临时分之多少入。缘麝香
辟蛇毒，若先以相和，蛇胆即无力也。旧用五月五日蛤蟆。）
上六味，各等分为末，更细研。有患取如三棋子，和井花水日再服讫，先令便利了，
即以后方桃枝熏下部讫，然后取药如棋子，安竹管里吹入下部中。亦用再度老少量减。其
熏法，每日一度，不用再为之良。
疗疳虫蚀下部及五脏方。取桃东南枝三七枚，轻捶头使散；以绵缠之。又捣石硫
黄为末，将此绵缠桃枝捻转之，令末少浓，又截一短竹筒先纳下部中，以所捻药桃枝熟燃熏之。
文仲疗阴蚀欲尽者方。以蛤蟆、兔尿等分为末，敷之良。
野狼牙汤 （《古今录验》）疗妇人阴蚀，其中烂伤，脓水淋漓臭秽。
野狼牙（三两）
上 咀，以水四升，煮取半升，去滓，纳苦酒如鸡子中黄大，沸汤一杯消尽，夜适寒
温，以绵缠箸头大如茧，濡汤以沥疮中，日四五度即瘥。
《补遗》治产后阴户生疮。
青黛 黄丹 水粉 五倍子（等分为末）
用卖肉铺上拭肉巾，烧为末，和前药。先以荆芥、薄荷、柏叶煎汤，洗净后掺药。如
疮干，可用油调末涂之。
又方 平胃散加贯众末，每二钱，熟煮猪肝拌药，纳阴户中。
【大】凡是妇女少阴脉象数而滑的，阴中必定生疮，名叫蚀疮。或者疼痛或者瘙痒，像虫子爬行一样，淋露脓汁，阴部被侵蚀几乎尽毁的。这全是因为心神烦闷郁结，胃气虚弱，导致气血留滞。所以经书说：各种疼痛、瘙痒、疮疡，都归属于心。又说：阳明经主管肌肉，疼痛和瘙痒都归属于心。治疗时应当补益心气、调养胃气，外用熏洗、坐药或导药来治疗才可以。
【薛】上述病症是肝脾郁结的病证，木气过旺而生虫罢了。适宜疏解郁结、清泻肝火。详细情况参见前文杂病中“阴中生疮”一类。
有一位产妇素来有肝火，患此病导致内部溃烂、瘙痒疼痛，饮食减少、发热口渴，小便淋漓不尽，使用加味逍遥散、加味归脾汤同时服用，间或使用芦荟丸，外用以鹤虱草煎水清洗而痊愈。
《千金方》蒲黄（三升） 水银（一两） 将这两味药研匀，用来撒在疮面上。
又一方 肥猪肉十斤，水一硕，煮水浸泡，冷了就更换，不超过两三次即可。
洗拓汤方
甘草 干漆（各一两） 黄芩 干地黄 当归 芍药（各二两） 龟甲（五两）
以上药物细切，用水七升，煮至剩下一半，用绵帛浸入药汤中，敷拓疮处，很久之后更换，每天两次。每次敷拓汤后，人可行走约十里路，药液即干，捻取甘湿散薄薄地敷在疮上使其遍布，可持续半天，然后再用药汤敷拓，敷完后像前面那样敷药。
我家婢女遇到这种病，医疗不愈，侵蚀处形成两个疮，深半寸，我因此查得此方，仍用自制的蚺蛇胆散，不到七天，疮便平复，非常有效。凡治疗几十人，应手而愈，请广泛传播此方。
甘湿散 （又名蚺蛇胆散。）治疗疳虫引起的阴蚀。
蚺蛇胆（真品） 青木香 石硫黄 铁精 麝香（各四分。临时根据分量多少加入。因为麝香能辟除蛇毒，如果先混合在一起，蛇胆就无力了。旧法用五月五日捕取的蛤蟆。）
以上六味药，各等分为末，再细细研磨。患病者取如三枚棋子大小的量，和井花水每天服两次，服完后，先令大便通畅，然后用后方中的桃枝熏蒸下部，之后取药如棋子大小，装入竹管里吹入下部中。也需使用两次，年老体弱者少量减量。其熏法，每天一次，不用再重复，这样很好。
治疗疳虫侵蚀下部及五脏的方子。取桃树东南方向的枝条三七根，轻敲头部使其散开；用绵缠绕。又捣石硫黄为末，将此绵缠绕桃枝捻转，使药末稍浓，再截一段短竹筒先纳入下部中，用所捻药的桃枝燃烧熏之。
文仲治疗阴蚀几乎尽毁的方子。以蛤蟆、兔尿等分为末，敷之良好。
野狼牙汤 （《古今录验》）治疗妇人阴蚀，其中腐烂受伤，脓水淋漓臭秽。
野狼牙（三两）
以上切碎，用水四升，煮取半升，去渣，加入苦酒如鸡蛋黄大小，沸汤一杯溶化尽，夜间温度适宜时，用绵缠绕筷子头大如茧，蘸药汤滴沥入疮中，每天四五次即愈。
《补遗》治疗产后阴户生疮。
青黛 黄丹 水粉 五倍子（等分为末）
用卖肉铺上擦拭肉的毛巾，烧成末，和前药混合。先用荆芥、薄荷、柏叶煎汤，洗净后掺药。如果疮面干燥，可用油调末涂之。
[Da] Whenever a woman's Shaoyin pulse is rapid and slippery, sores will inevitably develop in the vagina, known as "Shi Chuang" (Erosive Sores). These may present with pain or itching, feeling like insects crawling, discharging pus, and eroding the genitalia almost completely. This is entirely due to mental restlessness and depression, combined with weak Stomach Qi, leading to stagnation of Qi and Blood. Therefore, the classics state: "All pain, itching, and sores belong to the Heart." It also states: "The Yangming channel governs the muscles; pain and itching belong to the Heart." Treatment should involve tonifying the Heart and nourishing the Stomach, while externally employing fumigation, washing, sitz baths, or suppositories for therapy.
[Xue] The aforementioned condition is a syndrome of Liver and Spleen Qi stagnation, where excessive Wood energy generates parasites. It is appropriate to resolve stagnation and clear Liver heat. For details, refer to the section on "Sores in the Vagina" under miscellaneous diseases.
A postpartum woman who had a history of Liver Fire suffered from this condition, resulting in internal ulceration, itching, and pain, decreased appetite, fever, thirst, and dribbling urination. She was treated with Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) and Jia Wei Gui Pi Tang (Modified Tonify the Spleen Decoction) taken concurrently, interspersed with Lu Hui Wan (Aloe Pill), and externally washed with Herba Siegesbeckiae (Heshi Cao) decoction, resulting in recovery.
*Qian Jin Fang*: Pu Huang (Polygoni Orientalis Pollen, 3 sheng) and Shui Yin (Mercurius, 1 liang). Grind these two ingredients evenly and apply as powder to the sores.
Another prescription: Shi Fei Zhu Rou (Fat Pork, 10 jin) and Shui (Water, 1 shuo). Boil the water for soaking. Replace when cool, not exceeding two or three times.
Xi Tuo Tang Prescription (Wash and Compress Decoction):
Gan Cao (Radix Glycyrrhizae, 1 liang each), Gan Qi (Resina Drynariae, 1 liang each), Huang Qin (Scutellariae Radix, 2 liang), Gan Di Huang (Rehmanniae Radix Preparata, 2 liang), Dang Gui (Angelicae Sinensis Radix, 2 liang), Shao Yao (Paeoniae Radix Alba, 2 liang), Gui Jia (Carapax et Plastrum Testudinis, 5 liang).
Finely cut the above herbs, boil in 7 sheng of water until reduced by half. Soak cotton cloth in the decoction and compress the affected area. Change after a long period, twice daily. After each compression, walking about ten li allows the liquid to dry. Then, apply Gan Shi San (Sweet Moist Powder) thinly over the sores to cover them thoroughly. This can last for half a day. Afterwards, compress again with the decoction, and then apply medicine as before.
My family's maid suffered from this disease, which did not improve with medical treatment. The eroded area formed two sores, half an cun deep. I consulted this prescription and used my own prepared Ran She Dan San (Python Gallbladder Powder). Within seven days, the sores healed flatly, proving very effective. I have treated dozens of people with this method, all recovering promptly. Please disseminate this widely.
Gan Shi San (also known as Ran She Dan San) treats Yin erosion caused by Chan worms (parasitic infections).
Ran She Dan (Gallus Pythonis, authentic), Qing Mu Xiang (Aucklandiae Radix), Shi Liu Huang (Sulfur), Tie Jing (Ferrum), She Xiang (Moschus) (each 4 fen. Adjust quantity according to need. Moschus repels snake venom; if mixed beforehand, the gallbladder loses efficacy. Old methods used Toad collected on the fifth day of the fifth lunar month).
Grind the six ingredients into equal parts powder, then refine further. Take an amount equivalent to three chess pieces, mix with well water, and take twice daily. After administration, ensure bowel movement is clear. Then, fumigate the lower part with the following Peach Twig method. Insert the medicine (size of a chess piece) into a bamboo tube and blow it into the lower orifice. Use twice, reducing dosage for the elderly. Fumigation is done once daily; no repetition needed, which is excellent.
Prescription for Chan worms eroding the lower part and five Zang organs: Take seven or nine branches from the southeast side of a peach tree, lightly crush the heads to scatter fibers; wrap with cotton. Grind Shi Liu Huang (Sulfur) into powder. Wrap the cotton around the peach twig, twisting to coat with powder slightly thickened. Cut a short bamboo tube, insert it into the lower orifice first, then burn the coated peach twig to fumigate.
Wen Zhong's prescription for severe Yin erosion: Mix Toad and Rabbit Urine in equal parts into powder and apply. Effective.
Ye Lang Ya Tang (Wild Wolf Tooth Decoction) (*Gu Jin Lu Yan*) treats female Yin erosion with rotting injuries, dripping pus, and foul odor.
Ye Lang Ya (Sophorae Flavescentis Radix, 3 liang).
Chop finely, boil in 4 sheng of water until 0.5 sheng remains. Strain, add Ku Jiu (Bitter Vinegar) the size of a chicken egg yolk, dissolve in one cup of boiling water. At night, when temperature is comfortable, wrap cotton around a chopstick head (size of a cocoon), dip in the decoction, and drip into the sores four to five times daily until cured.
*Bu Yi* (Supplement) treats vaginal sores postpartum.
Qing Dai (Indici Folium), Huang Dan (Lithargyrum), Shui Fen (Lead Carbonate), Wu Bei Zi (Galla Chinensis) (equal parts ground to powder).
Burn towels used in meat shops to ash, mix with the above medicines. First wash with decoction of Jing Jie (Schizonepetae Herba), Bo He (Menthae Haplocalycis Herba), and Bai Ye (Platycladi Cacumen). Apply powder after cleaning. If sores are dry, mix powder with oil and apply.
Another prescription: Ping Wei San (Calm the Stomach Powder) plus Guan Zhong (Cyatheae Spora) powder. Two qian per dose. Mix with cooked pig liver and insert into the vagina.