阴肿由虚损而受风邪客之者,风气乘于阴,与血气相搏,气血痞涩,腠理壅闭不泄越,故
令肿也。有因房劳过度,伤损阴户而致肿者,宜节欲而调治之。有欲胜而热甚生虫,以致肿
而痒甚者,皆宜戒房室,速图治之。有邪气渐盛,以至阴户溃烂不救者,失于早治也。
大菖蒲散 治妇人月水涩滞,阴户间肿大而痛。
菖蒲 当归(各一两) 秦艽(二钱) 吴茱萸(炒半两)
上咀,每服三钱,水盏半,葱白五寸,煎六分,空心温服。
(《录验》)艾叶汤 治妇人阴肿,痛不可忍。
艾叶(一两) 防风(六钱) 大戟(半两)
上锉,水五豌煮三碗,去渣热洗,日三次,避风冷。
(《录验》)麻黄汤 治妇人阴肿,或烂疮者洗之。
麻黄 黄连 防风 北艾叶 乌梅(十个) 蛇床子(各一两)
上锉,煎水五升,如前洗。
白矾散 治妇人阴肿坚痛。
白矾(半两) 甘草(五分) 大黄(一钱)
上为细末,每用枣大,绵裹内阴中,日二换。
肘后方 治阴中肿痛。
枳壳(半斤,锉,炒)
乘热以故帛裹熨之,外消少裹,乘热内之,冷即易热者,不三次愈。
甘菊汤 治阴户肿。
甘菊苗叶(不以多少)
捣烂,百沸汤淋洗、薰肿浸之。
一方∶用小麦、朴硝、矾、五倍子、葱白,煮水浸洗。
阴部肿胀是由于身体虚损,风邪乘虚侵入所致。风气侵袭阴部,与气血相互搏结,导致气血运行阻滞不畅,腠理(皮肤纹理及毛孔)壅塞闭塞,汗液无法排泄透发,因此引起肿胀。
有的因为房事过度,损伤阴户而导致肿胀的,应当节制性欲并进行调理治疗。
有的因欲望过盛、体内热毒炽盛而生虫,导致肿胀且瘙痒剧烈的,都应当戒除房事,迅速寻求治疗。
有的病邪逐渐亢盛,以至于阴户溃烂无法救治的,是因为未能早期及时治疗造成的。
大菖蒲散:治疗妇女月经涩滞不通,阴户间肿大且疼痛。
药材组成:菖蒲、当归(各一两),秦艽(二钱),吴茱萸(炒制半两)。
用法:将药物切碎,每次服用三钱,加水一盏半,葱白五寸,煎至六分满,空腹时温服。
(出自《录验》)
艾叶汤:治疗妇女阴部肿胀,疼痛难以忍受。
药材组成:艾叶(一两),防风(六钱),大戟(半两)。
用法:将药物切碎,用水五碗煮取三碗,去渣后趁热清洗患处,每日三次,注意避风寒。
(出自《录验》)
麻黄汤:治疗妇女阴部肿胀,或伴有溃烂疮疡者,用于外洗。
药材组成:麻黄、黄连、防风、北艾叶、乌梅(十个)、蛇床子(各一两)。
用法:将药物切碎,煎水五升,像前面所述的方法一样清洗。
白矾散:治疗妇女阴部肿胀坚硬且疼痛。
药材组成:白矾(半两),甘草(五分),大黄(一钱)。
用法:将药物研成细末,每次取枣核大小的药量,用棉布包裹纳入阴道内,每日更换两次。
《肘后方》方:治疗阴中肿痛。
药材组成:枳壳(半斤,切碎,炒制)。
用法:趁热用旧布包裹药块熨烫患处,待药凉后取下,再换热的敷上,冷了就换成热的,不超过三次即可痊愈。
Genital swelling occurs when deficiency and damage allow wind pathogens to invade. The wind pathogen attacks the yin (genitals), clashing with qi and blood, causing stagnation and obstruction of qi and blood flow. The couli (skin pores and interstices) become congested and closed, preventing the release of sweat, thus leading to swelling.
In cases caused by excessive sexual activity damaging the genitalia, resulting in swelling, one should regulate sexual desire and undergo treatment.
In cases where excessive desire leads to intense heat generating parasites, causing severe swelling and itching, sexual intercourse must be abstained from, and prompt treatment sought.
If pathogens gradually intensify, leading to ulceration and necrosis of the genitalia that cannot be saved, it is due to a failure in early treatment.
Dachangpu San (Greater Acorus Powder): Treats women with stagnant menstruation and swollen, painful genitals.
Ingredients: Changpu (Acori Tatarinowii Rhizoma), Danggui (Angelicae Sinensis Radix) (each 1 liang); Qinjiao (Gentianae Macrophyllae Radix) (2 qian); Wuzhuyu (Evodiae Fructus) (half 1 liang, stir-fried).
Preparation: Coarsely crush the herbs. Take 3 qian per dose, add 1.5 cups of water and 5 cun of scallion white (Congbai), decoct until reduced to 60%. Take warm on an empty stomach.
(From *Lu Yan*)
Aiye Tang (Mugwort Leaf Decoction): Treats female genital swelling with unbearable pain.
Ingredients: Aiye (Artemisiae Argyi Folium) (1 liang); Fangfeng (Saposhnikoviae Radix) (6 qian); Daji (Euphorbiae Pekinensis Radix) (half 1 liang).
Preparation: Coarsely chop the herbs. Boil in 5 bowls of water until reduced to 3 bowls. Strain and wash the affected area while hot, three times daily. Avoid wind and cold.
(From *Lu Yan*)
Mahuang Tang (Ephedra Decoction): For external washing of female genital swelling or ulcerated sores.
Ingredients: Mahuang (Ephedrae Herba), Huanglian (Coptidis Rhizoma), Fangfeng (Saposhnikoviae Radix), Bei Aiye (Artemisiae Argyi Folium), Wumei (Mume Fructus) (10 pieces), Chuangzi (Cnidii Fructus) (each 1 liang).
Preparation: Coarsely chop the herbs. Decoct in 5 sheng of water. Wash as described above.
Baifan San (Alum Powder): Treats firm, painful swelling of the female genitals.
Ingredients: Baifan (Alumen) (half 1 liang); Gancao (Glycyrrhizae Radix et Rhizoma) (5 fen); Dahuang (Rhei Radix et Rhizoma) (1 qian).
Preparation: Grind into a fine powder. Use an amount the size of a jujube, wrap in cotton, and insert into the vagina. Change twice daily.
*Zhou Hou Fang* (Handbook of Prescriptions for Emergencies): Treats swelling and pain in the yin.
Ingredients: Zhike (Aurantii Fructus Immaturus) (8 jin, chopped, stir-fried).
Preparation: Wrap the hot herb in an old cloth and apply as a hot compress to the affected area. When cool, remove; replace with a hot one. Repeat until hot. It will heal in no more than three applications.
Ganju Tang (Chrysanthemum Decoction): Treats swelling of the genitalia.
Ingredients: Ganju miao ye (Folium et Caulis Chrysanthemi Indici) (quantity as needed).
Preparation: Pound into a paste. Pour boiling water over it to steam and wash/soak the swollen area.
Another prescription: Use Xiaomai (Tritici Fructus), Puxiao (Natrii Sulfas), Fan (Alumen), Wubeizi (Galla Chinensis), and Congbai (Scallion White). Boil in water and use for soaking/washing.