一妇人阴器肿痛，小水涩滞，遇晚寒热交作，此肝经湿热为患。以龙胆泻肝汤二服，小水通利；又以四物
汤兼小柴胡加天花粉、木通、炒山栀服之而愈。
一妇人无辜发热月余，忽阴中突出一物，如鸡冠一片，此肝郁脾虚所致。以补中益气汤加青皮、山栀、柴
胡、黄芩，外以甘草、白芷、苍术、紫苏煎汤，每日熏洗，十余日其患渐小，仍用前汤倍参、术，月余而安。
一妇人阴中作痒，遇夜五心烦热，作渴不睡，此思虑太过，致心肾不交。以四物汤加龙胆草、山栀、黄连、
知母，外以银杏散纳入阴中，二日其痒渐止。又朝以八味丸、午用归脾汤加银柴胡、茵陈，月余而愈。
一妇人阴器半边肿痛，身发寒热，口干便秘，脉实有力。以内疏黄连汤一剂，大便通利，口干乃止，惟肿
痛尤甚，此湿毒结聚欲为脓也。以四物汤加角针、泽泻二剂，脓熟胀痛，又以透脓散一服，出臭脓钟许，疼痛
顿止；以八珍汤加丹皮、泽泻十余剂而安。
一妇人肝经风湿下流阴器，浮肿痒甚，致抓出血不痛。以消风散加苦参、胆草、泽泻、木通、山栀，外以
蛇床子汤熏洗，搽擦银杏散，十余日痒止肿消而愈。
一妇人孀居十余载，阴器作痒生虫，含忍不说，后阴器食烂，已食五内，人形消瘦，发热作渴，脉洪浮数，
方请医治。询问间痒痛日久，阴器黑腐，小水不禁，五内已坏，不可用药，彼苦求治，予曰∶痒者虫也，痛者
损也。先用鲫鱼数枚，以香料掺炙鱼熟，以丝绵薄裹纳入阴中，夹之良久，取出红虫长者一寸，
短者五、六分，细如丝线，约有二十余条，置温水中摇摆片时方死。彼家欢悦，以为可治。予曰非也，再取再
有，生化无穷，强投养血清肝药，终至不痊而死。
一位妇女外阴部肿痛，小便涩滞不畅，傍晚时寒热交替发作，这是肝经湿热引起的病证。服用两剂龙胆泻肝汤后，小便变得通利；接着又服用四物汤兼小柴胡汤，并加入天花粉、木通、炒山栀，服药后痊愈。
另一位妇女无故发热持续一个多月，突然阴道内突出一块组织，形状像鸡冠的一片，这是肝气郁结、脾气虚弱所致。服用补中益气汤，加入青皮、山栀、柴胡、黄芩，外用甘草、白芷、苍术、紫苏煎煮成汤，每天熏洗患处，十多天后病灶逐渐缩小，随后仍用前面的方剂加倍人参、白术的用量，一个月后病情安定。
还有一位妇女阴道内瘙痒，夜间感到五心烦热，口渴且无法入睡，这是因为思虑过度，导致心肾不交。服用四物汤，加入龙胆草、山栀、黄连、知母，外用银杏散纳入阴道内，两天后瘙痒逐渐停止。早晨服用八味丸，中午服用归脾汤，加入银柴胡、茵陈，一个月后痊愈。
又一位妇女外阴半边肿痛，身体出现寒热，口干便秘，脉象实而有力。服用一剂内疏黄连汤，大便通畅，口干停止，但肿痛依然严重，这是湿毒聚集即将化脓的表现。服用两剂四物汤，加入角针（皂角刺）、泽泻，脓液成熟后胀痛，再服用一剂透脓散，排出约一钟量的臭脓，疼痛顿时停止；随后服用十余剂八珍汤，加入丹皮、泽泻，病情得以安定。
还有一位妇女因肝经风湿下注于外阴，导致浮肿且瘙痒剧烈，以致抓破出血但不痛。服用消风散，加入苦参、龙胆草、泽泻、木通、山栀，外用蛇床子汤熏洗，并搽擦银杏散，十多天后瘙痒停止、肿胀消退而痊愈。
还有一位妇女寡居十多年，外阴瘙痒生虫，含忍不说，后来外阴被虫蚀烂，甚至侵蚀到内脏，人形消瘦，发热口渴，脉象洪大浮数，才请医生医治。在询问过程中得知瘙痒疼痛已久，外阴黑腐，小便失禁，内脏已坏，不可用药治疗。但她苦苦请求治疗，我说：“痒是因为有虫，痛是因为受损。”先用几条鲫鱼，用香料拌烤熟，用薄丝绵包裹后纳入阴道内，夹住很久后取出，看到红虫长约一寸，短的有五、六分，细如丝线，大约有二十多条，放入温水中摇摆片刻后才死。她家人很高兴，认为可以治愈。我说并非如此，虫子会再生无穷，强行投用养血清肝的药物，最终未能痊愈而死。
A woman presented with swelling and pain in the external genitalia, difficult and obstructed urination (Xiao Shui), and alternating chills and fever in the evening. This was caused by Damp-Heat in the Liver Meridian (Gan Jing Shi Re). After taking two doses of Longdan Xiegan Tang (Gentiana Decoction to Drain the Liver), urination became smooth; subsequently, she took Siwu Tang (Four Substances Decoction) combined with Xiaochaihu Tang (Minor Bupleurum Decoction), adding Tianhuafen (Trichosanthes Root), Mutong (Akebia Stem), and Chao Shanzhi (Stir-fried Gardenia Fruit), after which she recovered.
Another woman suffered from unexplained fever for over a month, suddenly presenting with a protrusion from the vagina resembling a piece of chicken comb. This was due to Liver Qi Stagnation and Spleen Deficiency (Gan Yu Pi Xu). She was treated with Buchong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Qingpi (Green Tangerine Peel), Shanzhi (Gardenia Fruit), Chaihu (Bupleurum Root), and Huangqin (Scutellaria Root). Externally, Gancao (Licorice Root), Baizhi (Angelica Dahurica), Cangzhu (Atractylodes Rhizome), and Zisu (Perilla Leaf) were decocted for daily fumigation and washing. After more than ten days, the lesion gradually shrank. The previous formula was then used again with doubled amounts of Renshen (Ginseng) and Baizhu (Atractylodes Macrocephala Rhizome), leading to stability after one month.
Yet another woman experienced vaginal itching, five-palm heat (Wu Xin Fan Re) at night, thirst, and insomnia. This resulted from excessive worry causing Heart-Kidney Non-interaction (Xin Shen Bu Jiao). She took Siwu Tang (Four Substances Decoction) added with Longdancao (Gentiana Root), Shanzhi (Gardenia Fruit), Huanglian (Coptis Rhizome), and Zhimu (Anemarrhena Rhizome). Externally, Yinxing San (Ginkgo Powder) was inserted into the vagina, stopping the itching within two days. In the morning, she took Bawei Wan (Eight-Ingredient Pill with Rehmannia), and at noon, Guipi Tang (Restore the Spleen Decoction) added with Yin Chaihu (Stellaria Root) and Yinchen (Artemisia Capillaris). She recovered after one month.
A fourth woman had unilateral swelling and pain of the external genitalia, accompanied by chills and fever, dry mouth, constipation, and a full, forceful pulse. One dose of Neishu Huanglian Tang (Internal Purging Coptis Decoction) relieved constipation and dry mouth, but swelling and pain remained severe, indicating that Damp-Toxin accumulation was about to suppurate. Two doses of Siwu Tang (Four Substances Decoction) added with Jiaozhen (Gleditsia Sinensis Spine) and Zexie (Alisma Rhizome) were given. When pus matured and caused distending pain, one dose of Tou Nong San (Pus-Releasing Powder) was administered, expelling approximately one zhong (a traditional volume unit) of foul-smelling pus, immediately relieving the pain. She then took more than ten doses of Bazhen Tang (Eight Treasures Decoction) added with Danpi (Moutan Cortex) and Zexie (Alisma Rhizome), achieving stability.
Another woman suffered from severe edema and itching of the external genitalia due to Wind-Dampness flowing downward from the Liver Meridian, scratching until bleeding occurred without pain. She took Xiaofeng San (Wind-Expelling Powder) added with Kushen (Sophora Root), Danshen (Salvia Miltiorrhiza - *Note: Text says Dancao, likely Longdancao or Kushen contextually, but strictly translating as Dancao/Gentian*), Zexie (Alisma Rhizome), Mutong (Akebia Stem), and Shanzhi (Gardenia Fruit). Externally, she underwent fumigation and washing with Shechuangzi Tang (Cnidium Decoction) and applied Yinxing San (Ginkgo Powder). Itching ceased and swelling subsided after more than ten days, leading to recovery.
A widow who had lived alone for over ten years suffered from vaginal itching with parasitic infestation. She endured it silently until the external genitalia were eaten away, extending to the internal organs, resulting in emaciation, fever, thirst, and a surging, floating, and rapid pulse. Only then did she seek medical help. Upon inquiry, it was found that the itching and pain had persisted for a long time, the genitalia were black and necrotic, urinary incontinence was present, and the internal organs were already destroyed, making medication impossible. However, she pleaded for treatment. I stated, "Itching is caused by parasites; pain is caused by tissue damage." First, several crucian carp were roasted with spices, wrapped thinly in silk cotton, and inserted into the vagina for a prolonged period. Upon removal, red worms were extracted, some one cun long, others 5-6 fen, fine as silk threads, numbering more than twenty. They were placed in warm water and swayed until they died. Her family rejoiced, believing she could be cured. I said, "No, they will regenerate endlessly." Despite forced administration of Blood-Nourishing and Liver-Calming medicines, she ultimately failed to recover and died.