〔阴缩〕
附子理中汤(中寒。) 承气汤(大便不通。)
正阳散 治阴缩囊缩,大小便俱通,地道不塞,不渴不饮,邪不在里,宜温之、灸
之则里,外相接,以复阳气。
附子(炮,去皮脐) 皂角(酥炙,去皮弦。各一两) 干姜(炒) 甘草(炙。各二钱半) 麝香(一钱,研极细)
上为细末,每服二钱,水一盏,煎五分,不拘时,和滓温服。
〔阴纵〕
小柴胡汤(往来寒热。) 三一承气汤(中风。)
〔阴痿〕
八味丸 六味丸(并虚劳。)
固真汤(东垣) 正月内定此方。
升麻 柴胡 羌活(各一钱) 炙甘草 泽泻(各一钱半) 草龙胆(炒) 知母(炒) 黄柏(各二钱)
上锉如麻豆大,水三盏,煎至一盏,稍热空腹服,以美膳压之。
柴胡胜湿汤(东垣) 治两外肾冷,两髀枢阴汗,前阴痿弱,阴囊湿痒臊气。
泽泻 升麻(各一钱半) 生甘草 黄柏(酒制。各二钱) 草龙胆 当归梢 羌活 柴胡
麻黄根 汉防己 茯苓(各一钱) 红花(少许) 五味子(二十粒)
上水三大盏,煎至一盏,梢热服,食前。忌酒、湿面、房事。
滋肾丸(见小便闭。) 凤髓丹(遗精。)
〔阴汗臊臭冷痒〕
青娥丸(腰痛。)
龙胆泻肝汤 治阴部时复湿痒及臊臭。
柴胡梢 泽泻(各一钱) 车前子 木通(各五分) 当归梢 龙胆草 生地黄(各三分)
上 咀,水三大盏,煎至一盏,空心稍热服,更以美膳压之。
温肾汤(东垣) 二月定此方。
麻黄 柴胡梢(各六分) 泽泻(二钱) 防风根 苍术(各一钱半) 白术 猪苓 升麻 白
茯苓 黄柏(酒。各一钱)
上件分作二服,每服水二大盏,煎至一盏,稍热服,食前,天晴明服之,候一时辰许方食
补肝汤(东垣)
黄 (七分) 人参 白茯苓 葛根(各三分) 甘草(炙) 苍术(各五分) 猪苓 升麻(各四分)
知母 柴胡 羌活 陈皮 归身 黄柏(炒) 防风 泽泻 曲末 连翘(各二分)
水二大盏,煎一盏,稍热空心食前服。忌酒、湿面。
清震汤(东垣) 十二月定此方。
羌活 酒黄柏(各一钱) 升麻 柴胡 苍术 黄芩(各五分) 防风 猪苓 麻黄根(各三
分) 本 甘草(炙) 当归身(各二分) 红花(一分) 泽泻(四分)
水二盏,煎一盏,临卧服。忌同前。
椒粉散(东垣)
麻黄根(一钱) 黑狗脊 蛇床子(各五分) 斑蝥(两枚) 猪苓 当归身 川椒(各三分) 轻
粉红花(各少许) 肉桂(二分)
上为极细末,干掺上。避风寒湿冷处坐卧。
大蒜丸 治阴汗湿痒。
上用大蒜,不以多少,煨,剥去皮烂研,同淡豆豉末搜丸,如梧子大,朱砂为衣。每
服三十丸,枣子,灯芯煎汤送下。
青娥丸 治同上,酒服五十丸,大效。(见腰痛。)
治阴汗湿痒方
炉甘石(二钱半) 真蛤粉(一钱二分半)
上为粉扑敷。
治阴汗不止方 小安肾丸,用于旧酱煎汤,入盐少许吞下。(见喘。)
又洗方 蛇床子酒浸炒,白矾,陈酱煎水淋洗。
〔阴肿痛〕
蟠葱散(《和剂》) 治男子妇人脾胃虚冷、攻筑心腹,胁肋刺痛,胸膈痞闷,背膊连项
拘急疼痛,不思饮食,时或呕逆,霍乱转筋,腹冷泄泻,膀胱气刺,小肠及外肾肿痛。及
治妇人血气攻刺, 瘕块硬,带下赤白,或发寒热,胎前产后恶血不止,脐腹疼痛,一切虚冷。
延胡索(三两) 苍术(泔浸一宿,去皮) 甘草( 。各半斤) 茯苓(白者,去皮) 蓬术 三棱(煨)
青皮(去白。各六两) 丁皮 缩砂仁 槟榔(各四两) 肉桂(去粗皮) 干姜(炮。各二两)
上捣罗为末,每服二钱,水一盏,连根葱白一茎,煎七分,空心食前稍热服。
五苓散(消瘅。) 六君子汤 四物汤(并虚劳。)
治阴忽疼痛
桃仁(汤浸,去皮尖双仁,麸炒微黄) 苦楝子 香子 没药(各一两)
上为细末,每服二钱 食前热酒调服。
治蚯蚓吹肾囊肿方
用盐汤洗之,又以炒盐包熨痛处。
〔阴吹〕
猪膏发煎(仲景)
猪膏(半斤) 乱发(鸡子大,三枚)
上二味,和膏中煎之,发消药成。分再服,病从小便出。
蝉蜕散 治脬囊肿,小儿坐地为蚓或蚁吹着。
蝉蜕(半两。)
上用水一碗,煎汤洗,再温再洗。仍与五苓散加灯芯煎服。
【阴缩】
附子理中汤(适用于中寒证。) 承气汤(适用于大便不通证。)
正阳散:治疗阴器收缩、睾丸上缩,大小便通畅,尿道无阻,口不渴、不想喝水,病邪不在体内深处,适宜用温法或灸法,使内里与外部相接,以恢复阳气。
药物组成:附子(炮制,去皮和脐)、皂角(用酥油炙烤,去皮和筋络,各一两)、干姜(炒制)、甘草(炙制,各二钱半)、麝香(一钱,研磨成极细粉末)。
以上药物研成细末,每次服用二钱,加水一盏,煎煮至五分量,不拘时间,连同药渣一起温热服用。
【阴纵】
小柴胡汤(适用于往来寒热证。) 三一承气汤(适用于中风证。)
【阴痿】
八味丸 六味丸(均适用于虚劳证。)
固真汤(李东垣创制):正月制定此方。
药物组成:升麻、柴胡、羌活(各一钱)、炙甘草、泽泻(各一钱半)、草龙胆(炒制)、知母(炒制)、黄柏(各二钱)。
以上药物切碎如麻豆大小,加水三盏,煎煮至一盏,稍热时空腹服用,并用美味食物压住药力。
柴胡胜湿汤(李东垣创制):治疗两侧外肾寒冷,两侧大腿根部阴部出汗,前阴痿弱无力,阴囊潮湿瘙痒且有臊臭味。
药物组成:泽泻、升麻(各一钱半)、生甘草、黄柏(酒制,各二钱)、草龙胆、当归梢、羌活、柴胡、麻黄根、汉防己、茯苓(各一钱)、红花(少许)、五味子(二十粒)。
以上药物加三大盏水,煎煮至一盏,稍热时服用,饭前服。忌食酒、湿面及房事。
滋肾丸(见小便闭章节) 凤髓丹(见遗精章节)
【阴汗臊臭冷痒】
青娥丸(见腰痛章节)
龙胆泻肝汤:治疗阴部时常反复潮湿瘙痒及有臊臭味。
药物组成:柴胡梢、泽泻(各一钱)、车前子、木通(各五分)、当归梢、龙胆草、生地黄(各三分)。
以上药物切碎,加三大盏水,煎煮至一盏,空心时稍热服用,并用美味食物压住药力。
温肾汤(李东垣创制):二月制定此方。
药物组成:麻黄、柴胡梢(各六分)、泽泻(二钱)、防风根、苍术(各一钱半)、白术、猪苓、升麻、白茯苓、黄柏(酒制,各一钱)。
以上药份分为两次服用,每服用两大盏水,煎煮至一盏,稍热时服用,饭前服,天气晴朗时服用,服药后约一个时辰再进食。
补肝汤(李东垣创制)
药物组成:黄芪(七分)、人参、白茯苓、葛根(各三分)、炙甘草、苍术(各五分)、猪苓、升麻(各四分)、知母、柴胡、羌活、陈皮、归身、黄柏(炒制)、防风、泽泻、神曲末、连翘(各二分)。
加两大盏水,煎煮至一盏,稍热时空心饭前服用。忌食酒、湿面。
清震汤(李东垣创制):十二月制定此方。
药物组成:羌活、酒黄柏(各一钱)、升麻、柴胡、苍术、黄芩(各五分)、防风、猪苓、麻黄根(各三分)、藁本、炙甘草、当归身(各二分)、红花(一分)、泽泻(四分)。
加两盏水,煎煮至一盏,临睡前服用。禁忌同前。
椒粉散(李东垣创制)
药物组成:麻黄根(一钱)、黑狗脊、蛇床子(各五分)、斑蝥(两枚)、猪苓、当归身、川椒(各三分)、轻粉、红花(各少许)、肉桂(二分)。
以上药物研成极细粉末,直接干撒于患处。避免在风寒湿冷的地方坐卧。
大蒜丸:治疗阴汗潮湿瘙痒。
取适量大蒜,煨熟,剥去外皮捣烂,与淡豆豉末混合制成丸剂,如梧桐子大小,用朱砂为衣。每次服用三十丸,用枣子和灯芯草煎汤送服。
青娥丸:治疗同上,用酒送服五十丸,效果显著。(见腰痛章节)
治疗阴汗潮湿瘙痒的方子
炉甘石(二钱半)、真蛤粉(一钱二分半)。
以上药物研成粉末扑敷患处。
治疗阴汗不止的方子:小安肾丸,用旧酱煎成的汤,加入少许盐吞服。(见喘证章节)
又一种洗方:蛇床子用酒浸泡后炒制,配合白矾,用陈酱煎水淋洗。
【阴肿痛】
蟠葱散(出自《太平惠民和剂局方》):治疗男女脾胃虚冷,寒气攻冲心腹,胁肋刺痛,胸膈痞闷,背部和肩膀牵连颈部拘急疼痛,不想饮食,时而呕吐逆气,霍乱转筋,腹部寒冷泄泻,膀胱气刺痛,小肠及外肾肿痛。以及治疗妇女血气攻冲刺痛,癥瘕块硬,带下赤白,或发寒热,产前产后恶露不止,脐腹疼痛,一切虚寒证候。
药物组成:延胡索(三两)、苍术(淘米水浸泡一夜,去皮)、甘草(蜜炙,各半斤)、茯苓(白色者,去皮)、蓬术、三棱(煨制)、青皮(去白,各六两)、丁皮、缩砂仁、槟榔(各四两)、肉桂(去粗皮)、干姜(炮制,各二两)。
以上捣碎过筛成末,每次服用二钱,加水一盏,连同一根带根的葱白,煎煮至七分,空心饭前稍热服用。
五苓散(消渴证) 六君子汤 四物汤(均适用于虚劳证。)
治疗阴部突然疼痛
桃仁(热水浸泡,去皮尖及双仁,麸皮炒至微黄)、苦楝子、香子、没药(各一两)。
以上研成细末,每次服用二钱,饭前用热酒调服。
治疗蚯蚓吹肾囊肿的方子
用盐水汤清洗患处,再用炒热的盐包熨烫疼痛处。
【阴吹】
猪膏发煎(张仲景方)
药物组成:猪膏(半斤)、乱发(鸡蛋大小,三枚)。
以上两味药,放入膏中煎煮,直到头发溶解药成。分两次服用,病邪从小便排出。
蝉蜕散:治疗膀胱囊肿,小儿坐在地上被蚯蚓或蚂蚁咬伤所致。
药物组成:蝉蜕(半两)。
以上用水一碗,煎汤清洗,凉了再温,再温再洗。同时给予五苓散加灯芯草煎服。
[Yin Contraction]
Fuzi Lizhong Tang (Aconite and Poria Decoction for Warming the Middle) [indicated for Cold-Invading the Middle Jiao]. Chengqi Tang (Descending the Qi Decoction) [indicated for Impaction of Stool in the Intestines].
Zhengyang San (Upright Yang Powder): Treats Yin contraction and testicular retraction, with unobstructed urination and defecation, no obstruction in the genital orifice, absence of thirst, and lack of desire to drink. The pathogenic factor is not in the interior; it is appropriate to use warming methods or moxibustion to connect the interior with the exterior, thereby restoring Yang Qi.
Ingredients: Fuzi (Prepared Aconiti Lateralis Radix, processed by frying, skin and umbilicus removed), Zaojiao (Gleditsiae Sinensis Fructus Spina, fried with lard, skin and fibrous strands removed), each 1 liang; Ganjiang (Zingiberis Rhizoma, stir-fried); Gancao (Licorice Root, honey-fried), each 2 qian 5 fen; Shexiang (Musk, 1 qian, ground into an extremely fine powder).
Grind all ingredients into a fine powder. Take 2 qian per dose, add 1 zhan of water, decoct until reduced to 0.5 zhan. Take warm, including the dregs, at any time.
[Yin Flaccidity]
Xiaochaihu Tang (Minor Bupleurum Decoction) [indicated for Alternating Chills and Fever]. Sanyi Chengqi Tang (Three-One Descending the Qi Decoction) [indicated for Wind-Stroke].
[Yin Impotence]
Bawei Wan (Eight-Ingredient Pill) Liuwei Wan (Six-Ingredient Pill) [both indicated for Deficiency-Wasting disorders].
Guzhen Tang (Solidify True Decoction) (Created by Li Dongyuan): Formulated in the first lunar month.
Ingredients: Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix), Qianghuo (Notopterygii Rhizoma et Radix), each 1 qian; Zhigancao (Honey-fried Licorice Root), Zexie (Alismatis Rhizoma), each 1 qian 5 fen; Caolongdan (Gentianae Macrophyllae Radix, stir-fried); Zhi mu (Anemarrhenae Rhizoma, stir-fried); Huangbai (Phellodendri Cortex), each 2 qian.
Cut the herbs into pieces the size of hemp seeds. Add 3 zhan of water, decoct until reduced to 1 zhan. Take slightly warm on an empty stomach, followed by a nutritious meal to settle the medicine.
Chaihu Shengshi Tang (Bupleurum Decoction to Overcome Dampness) (Created by Li Dongyuan): Treats coldness in both external kidneys, sweating in the groin area of both thighs, flaccidity and weakness of the anterior yin, and damp itching with a foul odor in the scrotum.
Ingredients: Zexie (Alismatis Rhizoma), Shengma (Cimicifugae Rhizoma), each 1 qian 5 fen; Shenggancao (Raw Licorice Root), Huangbai (Phellodendri Cortex, wine-processed), each 2 qian; Caolongdan (Gentianae Macrophyllae Radix), Dangguishao (Angelicae Sinensis Radix tip), Qianghuo (Notopterygii Rhizoma et Radix), Chaihu (Bupleuri Radix), Mahuanggen (Ephedrae Radix), Hanfangji (Stephaniae Tetrandrae Radix), Fuling (Poria), each 1 qian; Honghua (Carthami Flos), a small amount; Wuweizi (Schisandrae Chinensis Fructus), 20 grains.
Add 3 large zhan of water, decoct until reduced to 1 zhan. Take slightly warm before meals. Avoid alcohol, damp flour products, and sexual intercourse.
Zishen Wan (Kidney-Nourishing Pill) (See section on Urinary Retention). Fengsui Dan (Phoenix Marrow Pill) (See section on Spermatorrhea).
[Yin Sweating, Foul Odor, Coldness, and Itching]
Qing'e Wan (Blue Emerald Pill) (See section for Lower Back Pain).
Longdan Xiegan Tang (Gentian Liver-Draining Decoction): Treats recurrent dampness and itching in the genital region accompanied by a foul odor.
Ingredients: Chaishao (Bupleuri Radix tip), Zexie (Alismatis Rhizoma), each 1 qian; Cheqianzi (Plantaginis Semen), Mutong (Akebiae Caulis), each 5 fen; Dangguishao (Angelicae Sinensis Radix tip), Longdancao (Gentianae Radix), Shengdihuang (Rehmanniae Radix Recens), each 3 fen.
Cut the herbs. Add 3 large zhan of water, decoct until reduced to 1 zhan. Take slightly warm on an empty stomach, followed by a nutritious meal to settle the medicine.
Wenshen Tang (Warm Kidney Decoction) (Created by Li Dongyuan): Formulated in the second lunar month.
Ingredients: Mahuang (Ephedrae Herba), Chaishao (Bupleuri Radix tip), each 6 fen; Zexie (Alismatis Rhizoma), 2 qian; Fangfenggen (Saposhnikoviae Radix), Cangzhu (Atractylodis Rhizoma), each 1 qian 5 fen; Baizhu (Atractylodis Macrocephalae Rhizoma), Zhuling (Polyporus), Shengma (Cimicifugae Rhizoma), Bai Fuling (White Poria), Huangbai (Phellodendri Cortex, wine-processed), each 1 qian.
Divide the above ingredients into two doses. For each dose, add 2 large zhan of water, decoct until reduced to 1 zhan. Take slightly warm before meals. Administer on clear days; wait approximately one shichen (two hours) after taking the medicine before eating.
Bugan Tang (Liver-Nourishing Decoction) (Created by Li Dongyuan).
Ingredients: Huangqi (Astragali Radix), 7 fen; Renshen (Ginseng Radix), Bai Fuling (White Poria), Gegen (Puerariae Lobatae Radix), each 3 fen; Zhigancao (Honey-fried Licorice Root), Cangzhu (Atractylodis Rhizoma), each 5 fen; Zhuling (Polyporus), Shengma (Cimicifugae Rhizoma), each 4 fen; Zhi mu (Anemarrhenae Rhizoma), Chaihu (Bupleuri Radix), Qianghuo (Notopterygii Rhizoma et Radix), Chenpi (Citri Reticulatae Pericarpium), Guishen (Angelicae Sinensis Radix body), Huangbai (Phellodendri Cortex, stir-fried), Fangfeng (Saposhnikoviae Radix), Zexie (Alismatis Rhizoma), Qumo (End of Fermented Grain), Lianqiao (Forsythiae Fructus), each 2 fen.
Add 2 large zhan of water, decoct until reduced to 1 zhan. Take slightly warm on an empty stomach before meals. Avoid alcohol and damp flour products.
Qingzhen Tang (Clearing and Shaking Decoction) (Created by Li Dongyuan): Formulated in the twelfth lunar month.
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix), Jiu Huangbai (Phellodendri Cortex processed with wine), each 1 qian; Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix), Cangzhu (Atractylodis Rhizoma), Huangqin (Scutellariae Radix), each 5 fen; Fangfeng (Saposhnikoviae Radix), Zhuling (Polyporus), Mahuanggen (Ephedrae Radix), Ben Cao (Ligustici Wallichii Rhizoma et Radix - *Note: Text says "Ben", likely Ligusticum*), Zhigancao (Honey-fried Licorice Root), Dangguishen (Angelicae Sinensis Radix body), each 2 fen; Honghua (Carthami Flos), 1 fen; Zexie (Alismatis Rhizoma), 4 fen.
Add 2 zhan of water, decoct until reduced to 1 zhan. Take before retiring. Restrictions are the same as above.
Jiaofen San (Pepper Powder) (Created by Li Dongyuan).
Ingredients: Mahuanggen (Ephedrae Radix), 1 qian; Hei Gouji (Drynariae Rhizoma), Chuangzi (Cnidii Fructus), each 5 fen; Banmao (Mylabris), 2 insects; Zhuling (Polyporus), Dangguishen (Angelicae Sinensis Radix body), Chuanjiao (Zanthoxyli Pericarpium), each 3 fen; Qingfen (Calomel), Honghua (Carthami Flos), each a small amount; Rougui (Cinnamomi Cortex), 2 fen.
Grind all ingredients into an extremely fine powder. Apply dry powder directly to the affected area. Avoid sitting or lying in places exposed to wind, cold, and dampness.
Dasuan Wan (Garlic Pill): Treats damp itching of the yin.
Take an appropriate amount of garlic, roast it, peel off the skin, and mash it thoroughly. Mix with powder of Tan Douchi (Fermented Soybean) to form pills the size of a wutong seed. Coat with Cinnabar. Take 30 pills per dose, washed down with a decoction of jujube and lampwick.
Qing'e Wan (Blue Emerald Pill): Same indications as above. Take 50 pills with wine for significant effect. (See section for Lower Back Pain.)
Formula for Treating Yin Damp Itching:
Luganshi (Calamina), 2 qian 5 fen; Zhen Haf Fen (True Clam Shell Powder), 1 qian 2 fen 5 fen.
Grind into powder and apply as a dusting powder.
Formula for Incessant Yin Sweating: Xiao An Shen Wan (Small Calming Kidney Pill). Swallow with a decoction made from old soy sauce, adding a little salt. (See section on Asthma.)
Another Washing Formula: Soak Chuangzi (Cnidii Fructus) in wine and stir-fry. Combine with Baifen (Alumen) and decoct with aged soy sauce. Use the liquid to wash the area.
[Yin Swelling and Pain]
Pancong San (Coiled Scallion Powder) (From *Heji Ju Fang* / *Taiping Huimin Heji Jufang*): Treats deficiency-cold of the spleen and stomach in men and women, with qi attacking the heart and abdomen, stabbing pain in the hypochondrium, stuffiness and oppression in the chest and diaphragm, stiffness and painful tension in the back, shoulders, and neck, loss of appetite, occasional vomiting and regurgitation, cholera with muscle cramps, cold abdominal diarrhea, stabbing pain in the bladder qi, swelling and pain in the small intestine and external kidneys. Also treats blood and qi attacks causing stabbing pain, hard masses of zheng and jia, red and white leukorrhea, alternating chills and fever, continuous lochia after childbirth, umbilical and abdominal pain, and all deficiency-cold conditions.
Ingredients: Yanhusuo (Corydalis Rhizoma), 3 liang; Cangzhu (Atractylodis Rhizoma, soaked in rice water overnight, skin removed), Gancao (Licorice Root, honey-processed), each half jin; Fuling (Poria, white variety, skin removed), Pengzhu (Curcumae Phaeocaulis Rhizoma), Sanleng (Sparganii Rhizoma, roasted), Qingpi (Citri Reticulatae Pericarpium Viride, white pith removed), each 6 liang; Dingpi (Syzygdii Fructus Cortex), Suasharen (Amomi Fructus Rotundus), Binglang (Arecae Semen), each 4 liang; Rougui (Cinnamomi Cortex, rough bark removed), Ganjiang (Zingiberis Rhizoma, processed), each 2 liang.
Pound and sieve into a powder. Take 2 qian per dose, add 1 zhan of water and one stalk of green onion white with roots. Decoct until reduced to 0.7 zhan. Take slightly warm on an empty stomach before meals.
Wuling San (Five-Ingredient Powder) (for Xiao Dao / Wasting-Thirst). Liujunzi Tang (Six-Gentlemen Decoction). Siwu Tang (Four-Substance Decoction) [all indicated for Deficiency-Wasting disorders].
Formula for Sudden Yin Pain:
Taoren (Persicae Semen, soaked in hot water, skin and pointed end removed, double-kernel removed, lightly stir-fried with bran), Kulianzi (Meliae Toosendan Fructus), Xiangzi (unknown, possibly Cyperi Rhizoma or similar aromatic seed), Moyao (Myrrha), each 1 liang.
Grind into a fine powder. Take 2 qian per dose, mixed with hot wine, before meals.
Formula for Treating "Earthworm Blowing" Testicular Cyst:
Wash with saline solution. Then apply a bag of fried salt to compress the painful area.
[Yin Blowing]
Zhigao Fa Jian (Pork Fat and Hair Decoction) (By Zhang Zhongjing).
Ingredients: Zhigao (Pork Fat), half jin; Luankuaifa (Tangle of Human Hair), three pieces the size of a chicken egg.
Combine the two ingredients and decoct in the fat until the hair dissolves and the medicine is ready. Divide into two doses. The pathogenic factor will exit via urination.
Chantui San (Cicada Slough Powder): Treats cysts of the bladder (paopang), caused when children sit on the ground and are bitten by earthworms or ants.
Ingredients: Chantui (Cicadae Periostracum), half liang.
Decoct in one bowl of water to make a decoction for washing. Wash again while warm, and repeat. Additionally, administer Wuling San (Five-Ingredient Powder) with lampwick added, decocted and taken orally.