蛇床洗法 藜芦敷法
12. 阴挺下脱即?? 疝, 突物如蛇或如菌, 湿热肿痛溺赤数, 气虚重
坠便长清. 气虚补中青栀入, 湿热龙胆泻肝寻, 外熬蛇床乌梅洗, 猪
油藜芦敷自升.
【注】妇人阴挺, 或因胞络伤损, 或因分娩用力太过, 或因气虚下陷
,湿热下注, 阴中突出一物如蛇, 或如菌如鸡冠者, 即古之?? 疝类
也.属热者, 必肿痛小便赤数, 宜龙胆泻肝汤; 属虚者, 必重坠小便
清长, 宜补中益气汤加青皮, 栀子. 外用蛇床子, 乌梅, 熬水熏洗之
.更以猪油调藜芦末敷之, 无不愈者.
逍遥散 方见首卷 龙胆泻肝汤 方见前阴肿条
加味四物汤
13.?? 蚀成疮浓水淋, 时疼时痒若虫行, 少腹胀闷溺赤涩, 食少体倦
晡热蒸, 四物柴栀龙胆草, 溃腐逍遥坠补中.
【注】妇人阴疮, 名曰??. 由七情郁火伤损肝脾, 气血凝滞, 湿热下
注,久而虫生, 虫蚀成疮, 浓水淋漓, 时疼时痒, 有若虫行, 少腹胀
闷,溺赤频数, 食少体倦, 内热晡热, 经候不调, 赤白带下, 种种证
见,宜分治之. 肿痛者, 用四物汤加柴胡, 栀子, 龙胆草; 若溃烂出
水而痛者, 用加味逍遥散; 若重坠者, 用补中益气汤.
加味逍遥散 方见前阴痛条 四物汤 补中益气汤 方俱见首卷
12. 阴挺下脱（子宫或阴道壁脱垂）即古称的“??疝”，突出的物状如蛇或如菌菇，若属湿热证则见肿痛、小便短赤频数；若属气虚证则见重坠感明显、小便清长。气虚者宜用补中益气汤加青皮、栀子；湿热者宜选用龙胆泻肝汤。外用蛇床子、乌梅煎水熏洗，再用猪油调和藜芦末外敷，即可使脱出之物自行回升。
【注】妇人阴挺（子宫或阴道壁脱垂），或因胞络（连接子宫的脉络）损伤，或因分娩时用力过度，或因气虚下陷、湿热下注，导致阴中突出一物，状如蛇形，或如菌菇、鸡冠者，即属于古代所称的“??疝”类疾病。属热证的，必然伴有肿痛、小便赤涩频数，适宜使用龙胆泻肝汤；属虚证的，必然伴有沉重下坠感、小便清长，适宜使用补中益气汤加青皮、栀子。外用蛇床子、乌梅熬水熏洗患处。再用猪油调和藜芦粉末敷于患处，没有不能治愈的。
逍遥散（方剂见本书首卷）、龙胆泻肝汤（方剂见前文“阴肿”条）
13. “??”蚀烂形成疮疡，脓水淋漓，时而疼痛时而瘙痒，感觉如虫爬行，少腹胀闷，小便赤涩，食欲减退，身体疲倦，午后潮热蒸腾。治疗可用四物汤加柴胡、栀子、龙胆草；若已溃烂腐坏，用逍遥散；若伴重坠感，用补中益气汤。
【注】妇人阴疮，名为“??”。由七情（喜、怒、忧、思、悲、恐、惊）郁结化火，损伤肝脾，导致气血凝滞，湿热下注，日久生虫，虫蚀而成疮，脓水淋漓，时而疼痛时而瘙痒，感觉如同虫行，少腹胀闷，小便赤涩频数，食欲不振，身体疲倦，内热及午后潮热，月经不调，赤白带下，各种症状出现，应当分别施治。肿痛者，使用四物汤加柴胡、栀子、龙胆草；若溃烂出水且疼痛者，使用加味逍遥散；若伴有重坠感者，使用补中益气汤。
加味逍遥散（方剂见前文“阴痛”条）、四物汤、补中益气汤（方剂均见本书首卷）
Shechuangzi Wash Method and Lülü Application Method
12. Yin ting xia tuo (uterine or vaginal wall prolapse), also known in ancient texts as "?? shan", presents with a protruding mass resembling a snake or a mushroom. If due to damp-heat, symptoms include swelling, pain, and scanty, red, frequent urination; if due to qi deficiency, symptoms include a sensation of heavy bearing down and clear, long urine. For qi deficiency, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) with Qingpi (Green Tangerina Peel) and Zhizi (Gardeniae Fructus) should be used; for damp-heat, Long Dan Xie Gan Tang (Gentian Liver-Draining Decoction) is indicated. Externally, wash with a decoction of Shechuangzi (Cnidii Fructus) and Wumei (Mume Fructus), and apply Lülü (Veratri Rhizoma) powder mixed with lard, which will cause the prolapsed tissue to retract spontaneously.
[Note] Yin ting (uterine or vaginal wall prolapse) in women may result from damage to the Bao Luo (uterine collaterals), excessive exertion during childbirth, sinking of qi due to deficiency, or downward pouring of damp-heat. This causes a protrusion from the vagina resembling a snake, mushroom, or cockscomb, which belongs to the category of ancient "?? shan" diseases. Cases attributed to heat are characterized by swelling, pain, and red, frequent urination, and are treated with Long Dan Xie Gan Tang (Gentian Liver-Draining Decoction); cases attributed to deficiency are characterized by a sensation of heavy bearing down and clear, long urine, and are treated with Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) plus Qingpi (Green Tangerina Peel) and Zhizi (Gardeniae Fructus). Externally, fumigate and wash with water boiled from Shechuangzi (Cnidii Fructus) and Wumei (Mume Fructus). Then apply Lülü (Veratri Rhizoma) powder mixed with lard to the affected area; such treatments are invariably curative.
Xiao Yao San (Free and Easy Wanderer Powder; see Formula at the beginning of Volume 1), Long Dan Xie Gan Tang (Gentian Liver-Draining Decoction; see formula under the section on Yin Swelling previously).
Jiawei Siwu Tang (Modified Four Substances Decoction)
13. ?? erosion leading to sores with dripping pus and serous fluid, intermittent pain and itching with a sensation like insects crawling, distension and fullness in the lower abdomen, scanty and painful urination, poor appetite, physical fatigue, and steaming bone fever in the late afternoon. Treatment involves Siwu Tang (Four Substances Decoction) added with Chaihu (Bupleuri Radix), Zhizi (Gardeniae Fructus), and Longdancao (Gentianae Radix); for ulcerated and putrid lesions, use Xiao Yao San (Free and Easy Wanderer Powder); for cases with a sensation of bearing down, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction).
[Note] Female yin chuang (vulvar sores), named "??", arises from emotional stagnation transforming into fire, damaging the Liver and Spleen, causing qi and blood stagnation, and downward pouring of damp-heat. Over time, parasites generate and erode the tissue, forming sores with dripping pus and serous fluid, intermittent pain and itching with a sensation like insects crawling, distension and fullness in the lower abdomen, red and frequent urination, poor appetite, physical fatigue, internal heat and afternoon tidal fever, irregular menstruation, and red and white leukorrhea. Given this variety of symptoms, treatment should be differentiated. For swelling and pain, use Siwu Tang (Four Substances Decoction) added with Chaihu (Bupleuri Radix), Zhizi (Gardeniae Fructus), and Longdancao (Gentianae Radix); for ulcerated sores with oozing and pain, use Jiawei Xiao Yao San (Modified Free and Easy Wanderer Powder); for cases with a sensation of bearing down, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction).
Jiawei Xiao Yao San (Modified Free and Easy Wanderer Powder; see formula under the section on Yin Pain previously), Siwu Tang (Four Substances Decoction), Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction; all formulas see Volume 1).