【方歌】肾囊风发属肝经，证由风湿外袭成，麻痒搔破流脂水，
甚起疙瘩火燎疼。
【注】此证一名绣球风，系肾囊作痒。由肝经湿热，风邪外袭
皮里而成。初起干燥痒极，喜浴热汤，甚起疙瘩，形如
赤粟，麻痒，搔破浸淫脂水，皮热痛如火燎者，此属里
热，俱宜龙胆泻肝汤服之，外用蛇床子汤薰洗之，洗后
擦狼毒膏甚效。
方剂：蛇床子汤
组成：威灵仙 蛇床子
当归尾（各五钱） 缩砂壳（三钱）
土大黄 苦参（各五钱）
老葱头（七个）
水五碗，煎数滚，倾入盆内，先薰，候温浸洗。
【方歌】蛇床子汤洗囊风，止痒消风除湿灵，威灵归尾缩砂壳，
土大黄与苦参葱。
又方：狼毒膏
组成：狼毒 川椒
硫黄 槟榔
文蛤 蛇床子
大风子 枯白矾（各三钱）
共研细末，用香油一茶钟煎滚，下公猪胆汁一枚，
和匀调前药擦患处。
【方歌】狼毒膏擦绣球风，湿痒浸淫火燎疼，椒硫槟蛤床风子，
枯矾猪胆油调成。
又方：龙胆泻肝汤（见腰部缠腰火丹）
【方歌】妇人阴疮系总名，各有形证各属经。阴挺如蛇脾虚弱，
阴肿劳伤血分成，阴蚀胃虚积郁致，阴脱忧思太过生，
阴〔颓〕气血双虚损，随证施治诸证平。
【注】此证俱生于阴器，如阴中挺出一条如蛇形者，名为阴挺
。由脾经虚弱，或产后遇怒受风所致。初宜服逍遥散加
荆芥、防风，次宜朝服补中益气汤倍用升麻，晚服龙胆
泻肝汤；外以蛇床子煎汤薰洗之。如阴户忽然肿而作痛
者，名为阴肿，又名蚌疽，由劳伤血分所致。宜四物汤
加丹皮、泽泻、花粉、柴胡服之，或服秦艽汤；外用艾
叶一两，防风六钱，大戟五钱，煎汤薰洗。如阴器外生
疙瘩，内生小虫作痒者，名为阴蚀，又名〔匿〕疮，由
胃虚积郁所致。值四物汤加石菖蒲、龙胆草、黄连、木
通服之；若寒热与虚劳相似者，虫入脏腑也，宜逍遥散
吞送芦荟丸，早晚各一服，外以湿痒汤薰洗，次以银杏
散塞入阴中，杀虫止痒。如阴户开而不闭，痒痛出水者
，名为阴脱，由忧思太过所致。宜逍遥散或归脾汤俱加
柴胡、栀子、白芍、丹皮服之；由产后得者，补中益气
汤加五味子，醋炒白芍服之，外俱用荆芥、枳壳、诃子
、文蛤，大剂煎汤薰洗。如子宫脱出，名为阴〔颓〕，
俗名〔颓〕葫芦，由气血俱虚所致。宜补中益气汤去柴
胡，倍用升麻加益母草服之，外以蓖麻子肉，捣烂贴顶
心，再用枳壳半斤煎汤薰洗。由思欲不遂，肝气郁结而
成者，必先于小便似有堵塞之意，因而努力，久之随努
而下。令稳婆扶正葫芦，令患妇仰卧，以枕垫腰，吹嚏
药收之。收入即紧闭阴器，随以布帛将腿缚定，内仍服
补中益气汤自愈。
方剂：秦艽汤
组成：秦艽（六钱） 石菖蒲
当归（各三钱）
葱白五个，水二钟，煎一钟，食前服。
【方歌】秦艽汤治蚌疽生，肿痛能除效可征，石菖蒲与当归片，
食前葱白水煎成。
又方：〔塌〕痒汤
组成：苦参 狼毒
蛇床子 当归尾
威灵仙（各五钱） 鹤虱草（一两）
用河水十碗，煎数滚，滤去渣，贮盆内，乘热先薰
，待温投公猪胆汁二、三枚，和匀洗之甚效。
【方歌】湿痒杀虫疗阴蚀，熬汤薰洗不宜迟，苦参狼毒床归尾，
猪胆威灵鹤虱施。
又方：银杏散
组成：轻粉 雄黄
水银（铅制） 杏仁（生用，各一钱）
上各研，共和一处再匀，每用五分，枣肉一枚和丸
，用丝绵包裹，绵扎紧，将药入阴内，留线头在外，如
小解时，将药取出，解完复入内。一日一换，四、五个
自愈。
【方歌】银杏散医热下侵，轻粉雄黄制水银，杏仁枣肉绵包裹，
阴痒生疮用有神。
又方：逍遥散（见背部上搭手）
归脾汤（见乳部乳中结核）
补中益气汤（见溃疡门）
龙胆泻肝汤（见腰部缠腰火丹）
四物汤（见耳部耳疳）
芦荟丸（见齿部牙衄）
【方歌】肾囊风的发生归属于肝经，病症由风湿之邪外袭所致。症状表现为麻木瘙痒，抓破后流出脂水，严重时出现疙瘩，疼痛如火烧燎。
【注】此病又名绣球风，特征是阴囊瘙痒。病因是肝经湿热，加上风邪外袭，蕴结于皮肤之内。初起时干燥且极度瘙痒，喜欢用热水洗澡；严重时出现疙瘩，形状像红色的粟粒，伴有麻木瘙痒，抓破后渗出脂水，皮肤发热疼痛如火烧燎者，这属于里热证，都应当内服龙胆泻肝汤（清泻肝胆实火的方剂），外用蛇床子汤熏洗，洗后再涂抹狼毒膏，效果极佳。
方剂：蛇床子汤
组成：威灵仙、蛇床子、当归尾（各五钱）、缩砂壳（三钱）、土大黄、苦参（各五钱）、老葱头（七个）。
用法：用水五碗，煎煮数次沸腾，倒入盆中，先熏蒸患处，待水温适宜后浸泡清洗。
【方歌】蛇床子汤清洗阴囊风，止痒祛风除湿功效灵，威灵仙、当归尾、缩砂壳，还有土大黄与苦参及葱。
又一方：狼毒膏
组成：狼毒、川椒、硫黄、槟榔、文蛤、蛇床子、大风子、枯白矾（各三钱）。
制法与用法：共同研磨成细末，用香油一茶钟煎沸，加入一枚公猪胆汁，调和均匀，调制上述药物涂抹患处。
【方歌】狼毒膏擦拭绣球风，湿痒渗液火烧般疼痛，花椒、硫黄、槟榔、文蛤、蛇床子、大风子，枯白矾与猪胆油调制成膏。
【方歌】妇人阴疮是一个总称，各种形态和症状分别归属于不同的经络。阴挺（子宫脱垂等）如蛇形，是由于脾脏虚弱引起；阴肿是由于劳损伤及血分；阴蚀（外阴溃烂生虫）是由胃虚积郁导致；阴脱（阴户开而不闭）是因忧思过度产生；阴颓（气血双虚）则是气血双重亏损所致，应根据具体症状施治，诸证即可平息。
【注】这些病症都发生在阴器部位。如阴道中挺出一条如蛇形的东西，名为阴挺。这是由于脾经虚弱，或产后发怒受风所致。初期宜服用逍遥散加荆芥、防风，随后宜早晨服用补中益气汤并倍用升麻，晚上服用龙胆泻肝汤；外用蛇床子煎汤熏洗。如果阴户突然肿胀且疼痛，名为阴肿，又名蚌疽，这是由劳损伤及血分所致。宜服用四物汤加丹皮、泽泻、花粉、柴胡，或者服用秦艽汤；外用艾叶一两、防风六钱、大戟五钱，煎汤熏洗。如果阴器外部生疙瘩，内部有小虫作痒，名为阴蚀，又名匿疮，这是由胃虚积郁所致。宜服用四物汤加石菖蒲、龙胆草、黄连、木通；如果出现寒热与虚劳相似的症状，说明虫已入脏腑，宜服用逍遥散吞送芦荟丸，早晚各一次，外用湿痒汤熏洗，随后将银杏散塞入阴中，以杀虫止痒。如果阴户张开不能闭合，瘙痒疼痛且有液体流出，名为阴脱，这是由忧思过度所致。宜服用逍遥散或归脾汤，均加柴胡、栀子、白芍、丹皮；如果是产后得的，服用补中益气汤加五味子、醋炒白芍，外用均用荆芥、枳壳、诃子、文蛤，大剂量煎汤熏洗。如果子宫脱出，名为阴颓，俗称颓葫芦，这是由气血俱虚所致。宜服用补中益气汤去掉柴胡，倍用升麻并加益母草；外用蓖麻子肉，捣烂贴敷头顶心（百会穴），再用半斤枳壳煎汤熏洗。如果是因思欲不遂，肝气郁结而成者，起初小便似有堵塞感，因而用力努挣，久而久之随努挣而下。让稳婆扶正葫芦状的脱出物，让患病妇女仰卧，用枕头垫高腰部，吹入嚏药使其打喷嚏以收缩复位。收入后即紧闭阴器，随即用布帛将双腿缚定，内仍服用补中益气汤即可自愈。
方剂：秦艽汤
组成：秦艽（六钱）、石菖蒲、当归（各三钱）、葱白五个。
用法：用水二钟，煎至一钟，饭前服用。
【方歌】秦艽汤治疗蚌疽生成，肿痛能消除疗效可验证，石菖蒲与当归片，饭前用葱白水煎成。
又一方：湿痒汤
组成：苦参、狼毒、蛇床子、当归尾、威灵仙（各五钱）、鹤虱草（一两）。
用法：用河水十碗，煎煮数次沸腾，滤去药渣，贮存在盆内，趁热先熏蒸，待温度适宜投入公猪胆汁二、三枚，调和均匀清洗，效果很好。
【方歌】湿痒汤杀虫治疗阴蚀，熬汤熏洗不宜迟，苦参、狼毒、蛇床子、当归尾，猪胆汁、威灵仙、鹤虱草施用。
又一方：银杏散
组成：轻粉、雄黄、水银（铅制）、杏仁（生用，各一钱）。
制法与用法：以上各药分别研磨，混合均匀，每次取五分，用一枚枣肉和成药丸，用丝绵包裹，棉线扎紧，将药放入阴内，留线头在外，如小便时，将药取出，解完再放入。一日换一次，四、五天即可自愈。
【方歌】银杏散医治热邪下侵，轻粉、雄黄、制水银，杏仁与枣肉用绵包裹，阴痒生疮使用有神效。
又一方：逍遥散（参见背部上搭手章节）
归脾汤（参见乳部乳中结核章节）
补中益气汤（参见溃疡门章节）
龙胆泻肝汤（参见腰部缠腰火丹章节）
四物汤（参见耳部耳疳章节）
芦荟丸（参见齿部牙衄章节）
[Formula Song] Scrotal eczema (Scrotal Wind) originates from the Liver Meridian, caused by external invasion of wind-dampness. Symptoms include numbness and itching; scratching breaks the skin leading to exudation of fatty fluid. In severe cases, nodules arise with burning pain.
[Annotation] This condition is also known as "Embroidered Ball Wind," characterized by scrotal pruritus. The etiology involves damp-heat in the Liver Meridian combined with external wind invading and accumulating within the skin. Initially, the skin is dry with extreme itching, often preferring hot water baths. In severe stages, nodules appear resembling red millet grains, accompanied by numbness and itching. Scratching leads to oozing of fatty fluid, with skin heat and burning pain, indicating interior heat syndrome. All such cases should be treated internally with Longdan Xiegan Tang (Gentian Liver-Draining Decoction), externally washed with Shechuangzi Decoction (Cnidium Monier Decoction), and after washing, applied with Langdu Ointment for excellent efficacy.
Formula: Shechuangzi Decoction (Cnidium Monier Decoction)
Composition: Salvia Miltiorrhiza Radix et Rhizoma (Weilingxian), Cnidii Fructus (Shechuangzi), Angelicae Sinensis Radix Rubra (Dangguiwei) (each 5 qian), Amomi Fructus Rotundus Pericarpium (Suoshaqiao) (3 qian), Polygoni Multiflori Caulis (Tudahuang), Sophorae Flavescentis Radix (Kushen) (each 5 qian), Old Scallion Bulb (Laocong tou) (7 pieces).
Usage: Use five bowls of water, boil several times until rolling, pour into a basin. First fumigate the affected area, then soak when the temperature is suitable.
[Formula Song] Shechuangzi Decoction washes scrotal wind, stopping itching and dispelling wind/dampness with spiritual efficacy; Weilingxian, Dangguiwei, Suoshaqiao, along with Tudahuang, Kushen, and scallion.
Another Formula: Langdu Ointment
Composition: Stellerae Chamaejasme Radix (Langdu), Zanthoxyli Pericarpium (Chuanjiao), Sulfur (Liuhuang), Arecae Semen (Binglang), Arcaea Concha (Wenge), Cnidii Fructus (Shechuangzi), Jatrophae Semen (Dafengzi), Alum Calcined (Ku Bai Fan) (each 3 qian).
Preparation and Usage: Grind all ingredients into fine powder. Boil one teacup of sesame oil, add one bile from a male pig, mix evenly with the powder, and apply to the affected area.
[Formula Song] Langdu Ointment rubs embroidered ball wind, treating wet itching and oozing with burning pain; Jiao, Liu, Bing, Ge, Chuang, Fengzi, Ku Fan mixed with pig bile and oil.
Another Formula: Longdan Xiegan Tang (Gentian Liver-Draining Decoction) (See section on Waist Herpes Zoster).
[Formula Song] Female Yin Sores is a general term; each has specific manifestations belonging to different meridians. Yin Ting (uterine prolapse/prolapse-like structure) like a snake results from Spleen deficiency; Yin Zhong (vulvar swelling) results from labor injuring the Blood level; Yin Shi (vulvar erosion/ulceration) results from Stomach deficiency and accumulated stagnation; Yin Tuo (vaginal opening unable to close) arises from excessive worry and thought; Yin Tui (Qi and Blood double deficiency) results from dual deficiency of Qi and Blood. Treatment should follow the symptoms to bring all conditions to peace.
[Annotation] These conditions all occur in the genital organs. If a snake-like structure protrudes from the vagina, it is named Yin Ting. It is caused by Spleen Meridian deficiency or wind invasion after postpartum anger. Initially, treat with Xiaoyao San (Free and Easy Wanderer Powder) plus Jingjie (Schizonepetae Spica) and Fangfeng (Saposhnikoviae Radix). Subsequently, take Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) in the morning with doubled Shengma (Cimicifugae Rhizoma), and Longdan Xiegan Tang (Gentian Liver-Draining Decoction) in the evening; externally wash with Shechuangzi decoction. If the vulva suddenly swells and hurts, it is named Yin Zhong, also called蚌疽 (Clam Abscess), caused by labor injuring the Blood level. Treat with Siwu Tang (Four Substances Decoction) plus Mudanpi (Moutan Cortex), Zexie (Alismatis Rhizoma), Huafen (Trichosanthis Radix), and Chaihu (Bupleuri Radix), or Qinjiao Tang (Gentianae Macrophyllae Decoction); externally use 1 liang of Aiye (Artemisiae Argyi Folium), 6 qian of Fangfeng (Saposhnikoviae Radix), and 5 qian of Daji (Euphorbiae Pekinensis Radix), decocted for fumigation and washing. If nodules grow outside the genitalia and small insects cause itching inside, it is named Yin Shi, also called Ni Chuang (Hidden Sore), caused by Stomach deficiency and accumulated stagnation. Treat with Siwu Tang (Four Substances Decoction) plus Shichangpu (Acori Tatarinowii Rhizoma), Longdancao (Gentianae Radix), Huanglian (Coptidis Rhizoma), and Mutong (Akebiae Caulis). If chills, fever, and consumptive disease symptoms appear, indicating insects have entered the Zang-Fu organs, treat with Xiaoyao San (Free and Easy Wanderer Powder) taken with Luhu Wan (Aloe Pill), morning and evening. Externally wash with Shiyang Tang (Damp-Itch Decoction), then insert Yinxing San (Ginkgo Powder) into the vagina to kill insects and stop itching. If the vaginal opening remains open without closing, with itching, pain, and discharge, it is named Yin Tuo, caused by excessive worry and thought. Treat with Xiaoyao San (Free and Easy Wanderer Powder) or Guipi Tang (Restore the Spleen Decoction), both added with Chaihu (Bupleuri Radix), Zhizi (Gardeniae Fructus), Baishao (Paeoniae Radix Alba), and Mudanpi (Moutan Cortex). If acquired postpartum, treat with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Wuweizi (Schisandrae Fructus) and Cu Chao Baishao (Vinegar-processed Paeoniae Radix Alba). Externally, all cases use Jingjie (Schizonepetae Spica), Zhike (Citri Reticulatae Pericarpium), Hezi (Terminalia Chebulae Fructus), and Wenge (Arcaea Concha) in large doses for decoction and fumigation. If the uterus prolapses, it is named Yin Tui, commonly called "Tui Hulu" (Hanging Gourd), caused by dual deficiency of Qi and Blood. Treat with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) removing Chaihu (Bupleuri Radix), doubling Shengma (Cimicifugae Rhizoma), and adding Yimucao (Leonuri Herba). Externally, apply mashed Castor Bean Flesh (Bimazi Rou) to the top of the head (Baihui point), and fumigate with half a jin of Zhike (Citri Reticulatae Pericarpium) decoction. If caused by unfulfilled desires and Liver Qi stagnation, initially there is a sensation of blockage in urination, leading to straining. Over time, the prolapse occurs with straining. Have a midwife reduce the gourd-shaped prolapse, have the patient lie supine with a pillow under the waist, and blow sneezing medicine to induce sneezing for reduction. Once reduced, tightly close the genitalia, bind the legs firmly with cloth, and continue internal administration of Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) for self-healing.
Formula: Qinjiao Tang (Gentianae Macrophyllae Decoction)
Composition: Gentianae Macrophyllae Radix (Qinjiao) (6 qian), Acori Tatarinowii Rhizoma (Shichangpu), Angelicae Sinensis Radix (Danggui) (each 3 qian), Scallion White (Congbai) (5 pieces).
Usage: Use two cups of water, decoct to one cup, take before meals.
[Formula Song] Qinjiao Tang treats Clam Abscess generation, eliminating swelling and pain with verifiable efficacy; Shichangpu and Danggui slices, decocted with scallion water before meals.
Another Formula: Shiyang Tang (Damp-Itch Decoction)
Composition: Sophorae Flavescentis Radix (Kushen), Stellerae Chamaejasme Radix (Langdu), Cnidii Fructus (Shechuangzi), Angelicae Sinensis Radix Rubra (Dangguiwei), Salvia Miltiorrhiza Radix et Rhizoma (Weilingxian) (each 5 qian), Pyrethri Farfarii Flos (Heshi Cao) (1 liang).
Usage: Use ten bowls of river water, boil several times until rolling, filter out dregs, store in a basin. Fumigate while hot, then add two or three biles from male pigs when warm, mix evenly and wash for great effect.
[Formula Song] Shiyang Tang kills insects and treats Yin Shi, decocting and fumigating without delay; Kushen, Langdu, Shechuangzi, Dangguiwei, pig bile, Weilingxian, and Heshi are used.
Another Formula: Yinxing San (Ginkgo Powder)
Composition: Calomelas (Qingfen), Realgar (Xionghuang), Mercury (Lead-processed) (Shuiyin), Apricot Seed (Xingren, raw, each 1 qian).
Preparation and Usage: Grind each ingredient separately, mix uniformly. Take 5 fen per dose, form pills with one jujube flesh, wrap in silk cotton, tie tightly with thread. Insert the pill into the vagina, leaving the thread end outside. Remove the pill during urination and reinsert after finishing. Change once daily; self-heals in four to five days.
[Formula Song] Yinxing San treats heat invading downward; Qingfen, Xionghuang, processed Shuiyin, Xingren wrapped in jujube flesh and silk; effective for vaginal itching and sores.
Another Formula: Xiaoyao San (Free and Easy Wanderer Powder) (See section on Back Upper Hand Attachment).
Guipi Tang (Restore the Spleen Decoction) (See section on Breast Nodule).
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) (See section on Ulcers).
Longdan Xiegan Tang (Gentian Liver-Draining Decoction) (See section on Waist Herpes Zoster).
Siwu Tang (Four Substances Decoction) (See section on Ear Fungus).
Luhu Wan (Aloe Pill) (See section on Gum Bleeding).