千金疗阴蚀疮方。
当归(二两) 地榆(三两) 甘草(炙) 芎 芍药(各二两)
上五味切,以水五升,煮取二升洗之,日三夜一。
又方
蒲黄(一升) 水银(一两)
上二味研之以粉上。
又方
肥猪肉三十斤,以水三石煮取熟,去肉,入盆中浸之,令即易,不过三二度。(并出第
三卷中)
崔氏疗阴蚀,洗拓汤方。
甘草(炙) 干漆(各一两熬) 黄芩 干地黄 芍药 当归(各二两) 龟甲(五两
炙)
上七味切,以水七升煮取半,去滓,以绵帛纳汤中,以拓疮处,良久即易,日二度,每
拓汤,可行十里许,即 干,捻取甘湿散薄敷疮上使遍。可经半日,又以汤拓,拓讫,如前
敷药,其内甘湿散,是蚺蛇胆等六味者,是在前疗甘湿卷中,余家婢遇此疾,百方疗不瘥,
蚀处作两疮,深半寸,余于涓子方中,检得此甘草汤方,仍以自处蚺蛇胆散用,不经七日,
疮乃平复甚效,凡救十八人。手下即活,遇斯疾者,请广流布传之。(出第十卷中)
又疗疳频用大效方。
蚺蛇胆(真者研) 青木香 石硫黄(研) 铁精 麝香(各四分) 旧用五月五日虾
蟆(麝
香临时分之多少入用缘麝香辟蛇毒若先以相和蛇胆即无力也)
上六味等分,捣筛为散,更细研,有患取如三棋子和并花水。日再服,服讫,先令便利
了,即以后方桃枝熏下部讫,然后取散如二棋子纳竹管里,深吹入下部中,亦日再,老小量
减,其熏法每日一度,不用再为之,甚良。
又疗疳虫食下部及五脏方。
取桃东南枝三七枚,轻打头使散,以绵缓缠之,又捣石硫黄为末,将此绵缠桃枝捻转之
,令末少浓又截一短竹筒先纳下部中,仍以所捻药桃枝熟然熏之。(并出第三卷中)
文仲疗阴蚀欲尽者方。
虾蟆兔屎等分,末敷之良。
古今录验疗妇人阴蚀,苦中烂伤,野狼牙汤方。
野狼牙三两 咀,以水四升,煮取半升,去滓纳苦酒如鸡子中黄一杯,煎沸,适寒温,以
绵濡汤以沥疮中,日四五度即愈。
《千金方》治疗阴部蚀疮的方剂。
当归(二两) 地榆(三两) 甘草(炙烤) 川芎 芍药(各二两)
以上五味药材切碎,用水五升,煎煮至取汁二升,用来清洗患处,每天三次,夜间一次。
另一个方子:
蒲黄(一升) 水银(一两)
以上两味药材研磨成粉,撒在患处上。
又一个方子:
肥猪肉三十斤,用水三石煮至熟透,去掉肉渣,将肉汤倒入盆中浸泡患处,随时更换,不超过两三回。(均出自第三卷)
崔氏治疗阴部蚀疮,洗涤外敷汤方。
甘草(炙烤) 干漆(各一两熬制) 黄芩 干地黄 芍药 当归(各二两) 龟甲(五两炙烤)
以上七味药材切碎,用水七升煎煮至剩半升,滤去药渣,用棉帛浸入药汤中,外敷于疮处,停留较长时间后更换,每天两次,每次敷药时,可行走约十里路,待药液变干,捻取甘湿散薄薄地敷在疮面上使其遍布。可维持半天,再用汤药外敷,敷完后,像前面一样敷药,其中的甘湿散,是由蚺蛇胆等六味药组成,这在前面治疗甘湿病的卷中已有记载,我家婢女遇到此病,用各种方法治疗都不见效,蚀处形成两个疮口,深达半寸,我在涓子的方书中,查得这个甘草汤方,于是自己配制蚺蛇胆散使用,不到七天,疮口便平复,效果很好,共救治了十八人。手下即愈,遇到这种疾病的,请广泛流传传播它。(出自第十卷)
又治疗疳疮频繁使用非常有效的方子。
蚺蛇胆(真品研磨) 青木香 石硫黄(研磨) 铁精 麝香(各四分) 旧方五月五日采集的蟾蜍(麝香临时根据多少加入使用,因为麝香能辟蛇毒,如果预先混合,蛇胆就会失去效力)
以上六味药等分,捣碎过筛成为散剂,再细研磨,患病者取如三枚棋子大小的量,配合花水服用。每天服用两次,服完后,先令患者排便通畅,然后用后方桃枝熏蒸下部,之后取散剂如两枚棋子大小放入竹管里,深入吹入下部中,也是每天两次,老人小孩酌情减量,熏法每天一次,不需要重复做,效果很好。
又治疗疳虫侵蚀下部及五脏的方子。
取东南方向的桃枝三七根,轻轻敲打头部使其散开,用棉布缓慢缠绕,再捣碎石硫黄为粉末,用这缠有棉布的桃枝蘸取粉末旋转涂抹,让粉末稍微浓稠,再截一段短竹筒先纳入下部中,仍用所蘸药的桃枝点燃熏蒸。(均出自第三卷)
文仲治疗阴部蚀疮严重的方子。
蟾蜍粪便和兔屎等分,研末外敷效果好。
《古今录验》治疗妇人阴部蚀疮,痛苦中间腐烂损伤,野狼牙汤方。
野狼牙三两,切碎,用水四升,煎煮至取汁半升,滤去药渣,加入醋如鸡蛋黄大小一杯,煎沸,温度适宜,用棉布浸透药汤滴沥在疮口中,每天四五次即可痊愈。
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) provides formulas for treating genital ulceration.
**Formula for Genital Ulceration**
Danggui (Radix Angelicae Sinensis, 2 liang), Diyu (Cortex Sanguisorbae, 3 liang), Gancao (Radix Glycyrrhizae Preparated with Honey, processed by roasting), Xiong (Rhizoma Chuanxiong, 2 liang), Shaoyao (Radix Paeoniae Alba or Rubra, 2 liang).
Chop the above five herbs. Decoct in 5 sheng of water to obtain 2 sheng of liquid. Wash the affected area with this decoction, three times daily and once at night.
**Another Formula**
Puhuang (Pollen Typhae, 1 sheng), Shuiyin (Hydrargyrum, 1 liang).
Grind the above two ingredients into powder and apply it topically to the lesion.
**Yet Another Formula**
Take 30 jin of fatty pork. Boil in 3 shi of water until cooked. Remove the meat residue. Pour the broth into a basin and soak the affected area. Replace the liquid as needed, not exceeding two or three changes. (Both cited from Volume 3)
**Cui Shi’s Washing and Compressing Decoction for Genital Ulceration**
Gancao (Radix Glycyrrhizae Preparated with Honey, processed by roasting), Ganqi (Resina Taxodi), Huangqin (Radix Scutellariae), Dihuang (Radix Rehmanniae Preparata), Shaoyao (Radix Paeoniae Alba or Rubra), Danggui (Radix Angelicae Sinensis), each 2 liang; Guijia (Carapax et Plastrum Testudinis, processed by roasting), 5 liang.
Chop the above seven herbs. Decoct in 7 sheng of water until reduced to half volume. Strain the dregs. Soak cotton cloth in the decoction and apply as a compress to the ulcerated area. Leave on for a considerable time before replacing. Apply twice daily. During each application, walk approximately ten li. When the compress dries, take Ganshi San (Sweet Moisture Powder) and apply a thin layer evenly over the ulcer. Maintain this for half a day, then reapply the decoction compress. After removing the compress, apply the powder again as before. The Ganshi San mentioned consists of six ingredients including Ranshedan (Bile of Python). This formula is recorded in the previous volume dealing with damp-heat conditions. My family's maid suffered from this disease; numerous treatments failed. The erosion developed into two ulcers, half an cun deep. I consulted Juanzi's prescriptions and found this Gancao Tang (Licorice Decoction). I prepared the Ranshedan San (Python Bile Powder) myself. Within seven days, the ulcers healed completely. It was highly effective. I saved eighteen people in total. Those encountering this disease are urged to widely disseminate this prescription. (Cited from Volume 10)
**Highly Effective Formula for Frequent Use in Treating Gan Disease**
Ranshedan (Bile of Python, authentic, ground), Qingmuxiang (Aucklandiae Radix), Shiliuhuang (Sulfur, ground), Tiejing (Ferrum), Shexiang (Moschus), each 4 fen. Old prescriptions also included Toad (collected on the fifth day of the fifth lunar month). Add Shexiang (Moschus) temporarily according to necessity, because Moschus repels snake venom; if mixed beforehand, the potency of the Python bile will be diminished.
Mix the above six ingredients in equal proportions. Pound and sieve into a powder, then grind finely. For patients, take an amount equivalent to three chess pieces, mixed with Hua Shui (Flower Water). Take twice daily. After ingestion, ensure the patient has defecated first. Then fumigate the lower part using the following Peach Twig method. Subsequently, place an amount of powder equivalent to two chess pieces into a bamboo tube and insufflate it deeply into the lower orifice. Also do this twice daily. Reduce dosage for elderly and children. Fumigation is performed once daily and does not need repetition. This method is very good.
**Formula for Treating Gan Parasites Eroding the Lower Part and Five Zang Organs**
Take thirty-seven branches of peach wood growing towards the southeast. Lightly beat the tips to loosen them. Wrap loosely with cotton. Grind Shiliuhuang (Sulfur) into powder. Dip the cotton-wrapped peach twig into the powder, twisting it to coat the tip thickly. Cut a short bamboo tube and insert it into the lower orifice. Ignite the drug-coated peach twig and use it to fumigate the area. (Both cited from Volume 3)
**Wenzhong’s Formula for Severe Genital Erosion**
Chanfu (Excrement of Bufo bufo gargarizans) and Tusishi (Excrement of Lepus capensis) in equal proportions. Grind into powder and apply topically. This is effective.
**Yelangya Tang (Wild Wolf Tooth Decoction) from *Gujin Luyan* for Women’s Genital Ulceration with Painful Rotting**
Yelangya (Radix Aconiti Kusnezoffii or similar, 3 liang). Crush. Decoct in 4 sheng of water until reduced to half a sheng. Strain the dregs. Add Kujiu (Vinegar) equivalent to the size of one chicken egg yolk. Boil until bubbling. Adjust to a suitable temperature. Soak cotton in the decoction and drip/dab onto the ulcer. Apply four to five times daily until healed.