妇人因产，努力太过，致阴下脱，若脱肛状。阴下挺出，逼迫肿痛，举重房劳，皆能发作，小便淋漓作苦，
此由气血虚弱，宜用十全大补汤；肿胀 痛，肝经虚热也，加味逍遥散；若因忧怒伤脾，加味归脾汤；若因暴
怒，肝火出血，用龙胆泻肝汤。丹溪治一妇人，产子后阴户中下一物如合包状，有两歧，其夫求治。丹溪以为
子宫因气血弱而下坠，遂用升麻、当归、黄 、人参、川芎大料二帖与之。半日后其夫复来曰∶服一次后觉响
一声，视之已收入讫，但因经宿，于着席上，一片如掌大在席，妻在家哭泣，恐伤破不可复生。丹溪曰∶此非
肠胃，必脂膜也，肌肉破伤可复完，若气血充盛，必可生满，遂用四物汤加人参，服一百帖，三年后生子。
当归散
治阴下脱。
当归 黄 （各二两） 芍药（一两） 皮（烧存性，半两） 牡蛎（ ，二两半）
上为末，每服三钱，温酒米汤任调下，忌登高举重。
硫黄散
治产后阴脱。
硫黄 乌贼鱼骨（各半两） 五味子（二钱半）
上为末，掺患处。
硫黄汤
治产劳玉门不闭。
硫黄（四两） 吴茱萸 菟丝子（各半两） 蛇床子（一两）
上每服五六钱，水一碗，煎数沸去滓，洗玉门，日再洗，效。
五倍子汤
治产后阴挺出肿痛。
五倍子 蛇床子 荆芥 枳壳
上各五钱煎汤，温洗之。
熨法
治阴挺及产后阴疼。
蛇床子炒，乘热布裹熨患处。
浸法
锻石二升炒极热，汤二升投灰中，澄清去灰，温坐水中，以浸玉门，斯须乎复如故。
妇女因分娩时用力过度，导致阴道脱出，状如脱肛。阴道挺出体外，伴有肿胀疼痛，从事重体力劳动或房事劳累，均能诱发此病，小便淋漓不尽令人痛苦。
这是由于气血虚弱所致，适宜使用十全大补汤；若出现肿胀疼痛，属于肝经虚热，宜用加味逍遥散；若是因忧思恼怒损伤脾脏，宜用加味归脾汤；若是因暴怒导致肝火旺盛而出血，宜用龙胆泻肝汤。
朱丹溪曾治疗一位妇人，产后子宫从阴户中脱出一物，形状如同合拢的包裹，分为两瓣，其丈夫前来求医。丹溪认为这是子宫因气血虚弱而下坠，于是开具了大剂量的升麻、当归、黄芪、人参、川芎，共两帖药给她服用。半天后，其丈夫再次前来，说：“服药一次后，听到体内响了一声，查看发现子宫已经收回，但因为隔了一夜，在接触席子时，有一片手掌大小的组织脱落留在席子上，妻子在家哭泣，担心这层膜破损后无法再生。”丹溪说：“这不是肠胃组织，必定是脂膜（脂肪膜），肌肉破损尚可修复，如果气血充盛，必定可以重新生长充满。”于是使用四物汤加入人参，让患者服用一百帖，三年后该妇人成功生育。
当归散：治疗阴道脱垂。
药材：当归、黄芪（各二两）、芍药（一两）、五倍子皮（烧至存性，半两）、牡蛎（煅，二两半）。
制法与用法：以上药物研为细末，每次服用三钱，用温酒或米汤调服，禁忌登高和举重物。
硫黄散：治疗产后阴道脱垂。
药材：硫黄、乌贼鱼骨（各半两）、五味子（二钱半）。
制法与用法：以上药物研为细末，撒敷于患处。
硫黄汤：治疗产后劳损导致阴门不闭合。
药材：硫黄（四两）、吴茱萸、菟丝子（各半两）、蛇床子（一两）。
制法与用法：每次取五六钱药，加水一碗，煎煮数沸后去渣，清洗阴门，每日清洗两次，有效。
五倍子汤：治疗产后阴道挺出肿痛。
药材：五倍子、蛇床子、荆芥、枳壳。
制法与用法：以上药物各五钱，煎汤，温热后清洗患处。
熨法：治疗阴道脱垂及产后阴道疼痛。
方法：将蛇床子炒热，趁热用布包裹熨烫患处。
浸法：
方法：取锻石二升炒至极热，倒入二升水中，待灰沉淀澄清后去掉灰渣，坐浴于温水中，浸泡阴门，片刻后即可恢复如初。
Women, due to excessive effort during childbirth, may suffer from vaginal prolapse, resembling rectal prolapse. The vagina protrudes externally, accompanied by swelling and pain. Heavy lifting or sexual fatigue can all trigger this condition, causing distressing dribbling of urine.
This is caused by deficiency of Qi and Blood; Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction) is suitable. If swelling and pain occur, it indicates deficient heat in the Liver channel; Jiawei Xiaoyao San (Modified Free Wanderer Powder) should be used. If the Spleen is injured by worry and anger, Jiawei Guipi Tang (Modified Restore the Spleen Decoction) is indicated. If violent anger causes Liver Fire bleeding, Longdan Xiegan Tang (Gentian Decoction to Drain the Liver) is used.
Zhu Danxi once treated a woman who, after giving birth, had an object protruding from the vaginal opening like a closed pouch with two lobes. Her husband sought treatment. Danxi diagnosed that the uterus had descended due to weak Qi and Blood. He prescribed a large dose of Shengma (Cimicifugae Rhizoma), Danggui (Angelicae Sinensis Radix), Huangqi (Astragali Radix), Renshen (Ginseng Radix et Rhizoma), and Chuanxiong (Ligustici Chuanxiong Rhizoma), totaling two doses. Half a day later, the husband returned, saying, "After taking one dose, I heard a sound inside, and upon inspection, the uterus had retracted. However, because it had been overnight, a palm-sized piece of tissue remained on the mat where she lay. My wife is crying at home, fearing that if this membrane is broken, it cannot regenerate." Danxi said, "This is not intestinal tissue, but likely adipose membrane. Muscle damage can heal; if Qi and Blood become abundant, it will surely regenerate and fill out." He then prescribed Siwu Tang (Four-Substance Decoction) with added Renshen (Ginseng Radix et Rhizoma), taken for 100 doses. Three years later, the woman gave birth successfully.
Danggui San (Angelica Powder): Treats vaginal prolapse.
Ingredients: Danggui (Angelicae Sinensis Radix), Huangqi (Astragali Radix) (each 2 liang), Shaoyao (Paeoniae Radix Alba) (1 liang), Wubeizi Pi (Pericarpium Citri Reticulatae Carbonized/Note: Text says 'Pi', likely referring to a specific bark or fruit shell, interpreted here as part of the formula context, often associated with astringents like Wubeizi or similar, but strictly following text 'Pi' usually implies bark or skin, however in context of prolapse, Wubeizi is common. The text lists 'Pi' separately. Let's stick to literal 'Pi' or infer standard TCM context. Given 'Wubeizi' is not listed but 'Pi' is, and later formulas use Wubeizi, this might be a typo for Wubeizi or refers to a specific bark. However, standard texts often list Wubeizi. Let's assume 'Pi' refers to the skin/shell of an astringent fruit or bark. For accuracy, we translate as 'Bark/Skin'. *Correction*: In many editions, this line is 'Wubeizi' or similar. But strictly translating 'Pi' as 'Bark/Skin'. Wait, looking at standard texts for Chan Jian, it might be 'Wubeizi' or 'Kushen'. Let's stick to the provided text: 'Pi'. It likely refers to a specific astringent bark or skin. For WHO terms, if ambiguous, describe. However, 'Pi' alone is rare. Let's look at the next item 'Muli'. Actually, in some versions, it is 'Wubeizi'. If the text says 'Pi', I will translate as 'Bark/Skin'. *Self-Correction*: In TCM formulas for prolapse, 'Wubeizi' (Cuttlefish bone) or 'Shi Gao' etc are used. 'Pi' might be a typo for 'Wubeizi' or 'Ku Shen'. Given the ambiguity, I will translate literally as 'Bark/Skin' but note it's a specific ingredient. *Re-evaluation*: Many sources cite this formula with 'Wubeizi'. If the user text says 'Pi', I must follow 'Pi'. Let's assume it means 'Bark'.
*Actually*, looking at the structure `芍药（一两） 皮（烧存性，半两）`, it is highly likely a typo for `五倍子` or similar in transmission, or refers to `石榴皮` (Pomegranate Peel). Without external correction, I translate as `Bark/Skin`.
*Wait*, let's look at `Muli`. `Muli` is Oyster Shell.
Let's just translate `Pi` as `Bark/Skin`.
*Refined Translation for Ingredients*:
Danggui (Angelicae Sinensis Radix), Huangqi (Astragali Radix) (each 2 liang), Shaoyao (Paeoniae Radix Alba) (1 liang), Bark/Skin (carbonized until essence remains, 0.5 liang), Muli (Ostreae Concha, calcined, 2.5 liang).
Preparation and Administration: Grind the above ingredients into powder. Take 3 qian each time, mixed with warm wine or rice soup. Avoid climbing heights and heavy lifting.
Liuhuang San (Sulfur Powder): Treats postpartum vaginal prolapse.
Ingredients: Liuhuang (Sulfur), Wuzhe Yu Gu (Sepiae Endoconcha) (each 0.5 liang), Wuweizi (Schisandrae Chinensis Fructus) (0.25 liang).
Preparation and Administration: Grind into powder and apply to the affected area.
Liuhuang Tang (Sulfur Decoction): Treats postpartum labor-induced failure of the vulva to close.
Ingredients: Liuhuang (Sulfur) (4 liang), Wuzhuyu (Evodiae Fructus), Tusizi (Cuscutae Semen) (each 0.5 liang), Chuangzi (Cnidii Fructus) (1 liang).
Preparation and Administration: Take 5-6 qian per dose, add one bowl of water, boil briefly, remove dregs, and wash the vulva. Wash twice daily. Effective.
Wubeizi Tang (Chinese Gall Decoction): Treats postpartum vaginal prolapse with swelling and pain.
Ingredients: Wubeizi (Chinese Gall), Chuangzi (Cnidii Fructus), Jingjie (Schizonepetae Spica), Zhike (Aurantii Fructus Immaturus).
Preparation and Administration: Each ingredient 5 qian. Decoct in water, wash the affected area while warm.
Hot Compress Method: Treats vaginal prolapse and postpartum vaginal pain.
Method: Stir-fry Chuangzi (Cnidii Fructus) until hot, wrap in cloth, and apply hot compress to the affected area.
Soaking Method:
Method: Take 2 sheng of Duanshi (Calcined Iron Ore/Pyrite) stir-fried until extremely hot, pour into 2 sheng of water. Allow ash to settle, clarify, remove ash. Sit in the warm water to soak the vulva. After a short while, it will return to normal.