《病源论》云∶妇人阴痛之病,脏虚风邪乘之,冲击而疼痛而已。
《葛氏方》妇人阴燥痛者方∶
煮甘草,地榆,及热,以洗之。
又方∶以盐汤洗之。
《延龄图》云∶若阴中重痛,炙枳实熨之,良。
《病源论》云∶阴肿者,是虚损受风邪所为也。
《葛氏方》妇人阴肿痛者∶
熬矾石二分,大黄一分,甘草半分炙,末,以绵裹如枣核,以导之。(《延龄图》同之。)
又方∶炙枳实熨之。
《僧深方》阴肿痛方∶
黄芩(一分) 矾石(一分) 甘草(二分)
下筛,如枣核绵裹,纳阴中。
《病源论》云∶妇人阴疮者,由三虫九虫动作侵食所为也。诸虫在人腹内,肠胃虚损。
则动作侵食于阴,轻者或痒或痛,重者生疮也。
《葛氏方》治妇人阴中疮方∶
末硫黄,敷疮上。
又方∶烧杏仁,捣以涂之。
又方∶末雄黄熬二分,矾石二分,麝香半分,和末敷之。(《延龄图》同之。)
《极要方》治妇人阴疮方∶
取桃叶,捣绞取汁,洗之,日三。
《录验方》治妇人阴疮方∶
蛇床子(一升,熬) 大黄(二分) 胡粉(半两)
下筛作散,先以温汤洗,以粉之。
《僧深方》女子阴中疮方∶
裹矾石末,如枣核,纳阴中。
《范汪方》妇人阴疮方∶
地榆(二分) 甘草(一分)
水煮,适寒温,洗之良
《千金方》妇人阴疮方∶
野狼牙两把切,以水五升,煮取一升,湿洗之,日五。(今按∶《广济方》取汁和苦酒煎,
涂,洗。)
又云∶治男女阴蚀略尽方∶
虾蟆 兔屎
二味,分等,捣筛,以敷疮上。(《集验方》同之。)
《刘涓子方》治妇人阴蚀当归汤方∶
当归(二两) 甘草(一两) 芎 (一两) 夕药(一两) 地榆(三两)
上五物,以水五升,煮取三升,洗之,日三夜一。
《录验方》治妇人男子阴蚀及脓血不禁,男子茎尽入腹中,众医所不能治。大黄汤方∶
大黄(二两半) 黄芩(二两) 黄柏(二两) 半夏(二两) 细辛(二两) 生地
黄(二两) 虎掌(一两半) 草(一两半)
凡八物,以新汲井水一斗,煮取三升,洗疮,若阴里病,取练沽汤中着阴道中,时复易,
半日,久佳。恶汁尽当止,止浓剧当如针孔,勿怪也。
《诸病源候论》说:妇人阴部疼痛的病症,是由于脏腑虚弱,风邪乘虚侵入,冲击经络而导致疼痛。
《葛氏方》治疗妇人阴部干燥疼痛的方剂:
将甘草、地榆煮热,用此药液清洗患处。
另一个方剂:用盐水汤清洗患处。
《延龄图》说:如果阴部有沉重感且疼痛,用灸过的枳实进行熨烫,效果很好。
《葛氏方》治疗妇人阴部肿胀疼痛的方法:
取二分矾石、一分大黄、半分炙甘草,研成细末,用棉布包裹如枣核大小,塞入阴道内。(《延龄图》中的方法与此相同。)
另一个方剂:用灸过的枳实进行熨烫。
《僧深方》治疗阴部肿胀疼痛的方剂:
黄芩(一分)、矾石(一分)、甘草(二分)。
筛成细粉,用棉布包裹如枣核大小,纳入阴道内。
《诸病源候论》说:妇人阴部疮疡,是由三虫、九虫活动侵蚀造成的。各种虫子在人的腹内,因肠胃虚损而活动,侵蚀阴部。轻者可能发痒或疼痛,重者则形成疮疡。
《葛氏方》治疗妇人阴部疮疡的方剂:
将硫黄研成粉末,敷在疮口上。
另一个方剂:将雄黄二分、矾石二分、麝香半分混合研末,敷在患处。(《延龄图》中的方法与此相同。)
《极要方》治疗妇人阴部疮疡的方剂:
取桃叶,捣碎绞取汁液,清洗患处,每天三次。
《录验方》治疗妇人阴部疮疡的方剂:
蛇床子(一升,炒制)、大黄(二分)、胡粉(半两)。
筛成散剂,先用温水清洗,然后撒上药粉。
《僧深方》治疗女子阴部疮疡的方剂:
将矾石末包裹,如枣核大小,纳入阴道内。
《范汪方》治疗妇人阴部疮疡的方剂:
地榆(二分)、甘草(一分)。
用水煎煮,待温度适宜时清洗患处,效果良好。
《千金方》治疗妇人阴部疮疡的方剂:
取野狼牙草两把切碎,用水五升,煎煮至一升,用药液湿润清洗患处,每天五次。(现在考证:《广济方》是取汁液与醋同煎,涂抹清洗。)
又说:治疗男女阴部蚀烂大致痊愈的方剂:
蛤蟆、兔屎。
这两味药等分,捣碎筛粉,敷在疮口上。(《集验方》中的方法与此相同。)
《刘涓子方》治疗妇人阴部蚀烂的当归汤方剂:
当归(二两)、甘草(一两)、川芎(一两)、芍药(一两)、地榆(三两)。
以上五味药,用水五升,煎煮至三升,用于清洗患处,每天三次,夜间一次。
《录验方》治疗妇人男子阴部蚀烂及脓血不止,男子阴茎缩入腹中,众医无法治愈的大黄汤方剂:
大黄(二两半)、黄芩(二两)、黄柏(二两)、半夏(二两)、细辛(二两)、生地黄(二两)、虎掌(一两半)、草乌(一两半)。
共八味药,用新汲取的一斗井水,煎煮至三升,用来清洗疮口。如果是阴内部病变,取练沽汤放入阴道中,经常更换,半天为宜,时间久一些更好。恶臭分泌物排尽后应当停止,若停止后出现类似针孔的症状,不要奇怪。
The *Treatise on the Pathogenesis and Symptoms of All Diseases* states: The disease of painful vulva in women is caused by deficiency of the zang organs, allowing wind-pathogens to invade. The pathogens strike and cause pain.
The *Ge's Formulas* for treating dry and painful vulva in women:
Boil Licorice Root (Gancao) and Chinese Tormentilla Root (Diyu), heat them, and use the liquid to wash the affected area.
Another formula: Wash with salt water.
The *Yanling Tu* states: If there is a heavy sensation and pain in the vagina, moxibustion-processed Stems of Immature Bitter Orange (Zhishi) should be used for hot compress; this is effective.
The *Treatise on the Pathogenesis and Symptoms of All Diseases* states: Vulvar swelling is caused by bodily deficiency and contraction of wind-pathogens.
*Ge's Formulas* for treating swollen and painful vulva in women:
Take two parts Alum (Fanshi), one part Rhubarb (Dahuang), and half-part roasted Licorice Root (Gancao). Grind into powder, wrap in cotton cloth like a date pit, and insert into the vagina. (The method in *Yanling Tu* is the same.)
Another formula: Use moxibustion-processed Stems of Immature Bitter Orange (Zhishi) for hot compress.
*Seng Shen's Formulas* for treating swollen and painful vulva:
Scutellaria Root (Huangqin) (one part), Alum (Fanshi) (one part), Licorice Root (Gancao) (two parts).
Sieve into fine powder, wrap in cotton cloth like a date pit, and insert into the vagina.
The *Treatise on the Pathogenesis and Symptoms of All Diseases* states: Vulvar sores in women are caused by the activity of "Three Worms" and "Nine Worms" eroding the tissue. Various worms reside within the abdomen; due to deficiency and damage of the intestines and stomach, they become active and erode the yin region. Mild cases may present with itching or pain, while severe cases develop sores.
*Ge's Formulas* for treating vulvar sores in women:
Grind Sulfur (Liuhuang) into powder and apply it to the sore.
Another formula: Burn Apricot Kernels (Xingren), crush them, and apply the paste.
Another formula: Mix two parts Realgar (Xionghuang), two parts Alum (Fanshi), and half-part Musk (Shexiang). Grind into powder and apply. (The method in *Yanling Tu* is the same.)
*Jiyao Fang* for treating vulvar sores in women:
Take Peach Leaves (Taoye), crush and squeeze to extract juice. Wash the area three times daily.
*Luyuan Fang* for treating vulvar sores in women:
Cnidium Fruit (Shechuangzi) (one sheng, roasted), Rhubarb (Dahuang) (two parts), Lead White (Hufen) (half liang).
Sieve into a powder. First wash with warm water, then dust with the powder.
*Seng Shen's Formulas* for treating vulvar sores in women:
Wrap Alum powder in cotton, shaped like a date pit, and insert into the vagina.
*Fan Wang's Formulas* for treating vulvar sores in women:
Chinese Tormentilla Root (Diyu) (two parts), Licorice Root (Gancao) (one part).
Boil in water. When the temperature is suitable, wash the affected area; this is beneficial.
*Qianjin Fang* for treating vulvar sores in women:
Take two handfuls of *Leonurus japonicus* (Yelangya), chop them, boil in five sheng of water until reduced to one sheng. Use the decoction to moisten and wash the area five times daily. (Current verification: *Guangji Fang* extracts the juice and boils it with vinegar, then applies and washes.)
It also states: A general formula for treating erosive lesions of the genitalia in men and women:
Toad (Hamu), Rabbit Feces (Toushi).
These two ingredients in equal proportions are crushed and sieved into powder, which is applied to the sores. (The method in *Jiyan Fang* is the same.)
*Liu Juanzi's Formulas*, Danggui Decoction for treating vulvar erosion in women:
Angelica Sinensis (Danggui) (two liang), Licorice Root (Gancao) (one liang), Szechuan Lovage Root (Chuanxiong) (one liang), Peony Root (Shaoyao) (one liang), Chinese Tormentilla Root (Diyu) (three liang).
The above five herbs are boiled in five sheng of water until reduced to three sheng. Use to wash the area three times daily and once at night.
*Luyuan Fang*, Dahuang Decoction for treating erosive lesions of the genitalia in men and women accompanied by uncontrollable pus and blood, or retraction of the penis into the abdomen, conditions unmanageable by other physicians:
Rhubarb (Dahuang) (two and a half liang), Scutellaria Root (Huangqin) (two liang), Phellodendron Bark (Huangbai) (two liang), Pinellia Tuber (Banxia) (two liang), Asarum (Xixin), Rehmannia Root (Shengdihuang) (two liang), Typhonium Rhizome (Huzhang) (one and a half liang), Aconite Root (Caowu) (one and a half liang).
These eight herbs are boiled in ten dou of fresh well water until reduced to three sheng. Use to wash the sores. If the pathology is internal to the yin, take Lianju Tang and insert it into the vagina, changing it frequently. Half a day is appropriate; longer is better. Stop when foul discharge is exhausted. If cessation results in symptoms resembling needle holes, do not be alarmed.