〔大〕凡妇人少阴脉数而滑者，阴中必生疮，名曰 疮。或痛或痒，如虫行状，淋
露脓汁，阴蚀几尽者。此皆由心神烦郁，胃气虚弱，致气血留滞。故经云∶诸痛痒疮，皆
属于心。又云∶阳明主肌肉，痛痒皆属于心。治之当补心养胃，外以熏洗坐导药治之乃可。
〔薛〕前证乃肝脾郁结之证，木旺生虫耳。宜解郁清肝。备见前杂证阴中生疮类。
一产妇素有肝火，患此内溃痒痛，食少热渴，小水淋沥，用加味逍遥散、加味归脾汤兼服，
间以芦荟丸，外以鹤虱草煎洗而愈。
《千金方》 蒲黄（三升） 水银（一两） 二味研匀以粉上。
又方 肥猪肉十斤，水一硕，煮水浸，冷即易，不过三两度。
洗拓汤方
甘草 干漆（各一两） 黄芩 干地黄 当归 芍药（各二两） 龟甲（五两）
上细切，以水七升，煮耗一半，以绵帛纳汤中，以拓疮处，良久即易，日二度。每
拓汤，可人行十里许，即KT 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。
余家婢遇此疾，医疗不瘥，蚀处作两疮，深半寸，余因检得此方，仍以自处蚺蛇胆散，
不经七日，疮乃平复，甚效。凡治数十人应手而瘥，请广布之。
甘湿散 （又名蚺蛇胆散。）疗疳虫阴蚀。
蚺蛇胆（真者） 青木香 石硫黄 铁精 麝香（各四分。临时分之多少入。缘麝香
辟蛇毒，若
先以相和，蛇胆即无力也。旧用五月五日蛤蟆。）
上六味，各等分为末，更细研。有患取如三棋子，和井花水日再服讫，先令便利了，
即以后方桃枝熏下部讫，然后取药如棋子，安竹管里吹入下部中。亦用再度老少量减。其
熏法，每日一度，不用再为之良。
疗疳虫蚀下部及五脏方。取桃东南枝三七枚，轻捶头使散；以绵缠之。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，以所捻药桃枝熟燃
熏之。
文仲疗阴蚀欲尽者方。以蛤蟆、兔尿等分为末，敷之良。
野狼牙汤 （《古今录验》）疗妇人阴蚀，其中烂伤，脓水淋漓臭秽。
野狼牙（三两）
上 咀，以水四升，煮取半升，去滓，纳苦酒如鸡子中黄大，沸汤一杯消尽，夜适寒
温，以绵缠箸头大如茧，濡汤以沥疮中，日四五度即瘥。
《补遗》治产后阴户生疮。
青黛 黄丹 水粉 五倍子（等分为末）
用卖肉铺上拭肉巾，烧为末，和前药。先以荆芥、薄荷、柏叶煎汤，洗净后掺药。如
疮干，可用油调末涂之。
又方 平胃散加贯众末，每二钱，熟煮猪肝拌药，纳阴户中。
〔大〕凡是妇女少阴脉象数而滑的，阴中必定生疮，名叫蚀疮。或者疼痛或者瘙痒，感觉像虫子爬行一样，流出脓汁，阴部被腐蚀几乎殆尽的。这全是因为心神烦闷抑郁，胃气虚弱，导致气血停留阻滞。所以经书说：所有的疼痛、瘙痒和疮疡，都归属于心。又说：阳明经主管肌肉，疼痛和瘙痒都归属于心。治疗时应当补益心气和养胃气，外用熏洗或坐药导引的方法治疗才可以。
〔薛〕前面的证候是肝脾郁结的病证，木气旺盛而生虫罢了。适宜疏解郁结、清泻肝火。详见前文杂病中“阴中生疮”一类。
一位产妇素来有肝火，患此病内部溃烂、瘙痒疼痛，饮食减少、发热口渴，小便淋沥不尽，使用加味逍遥散、加味归脾汤兼服，间或使用芦荟丸，外用药用鹤虱草煎汤清洗而痊愈。
《千金方》蒲黄（三升）、水银（一两），两味药研匀后用来撒在患处。
又一方：肥猪肉十斤，水一硕，煮水浸泡，冷了就更换，不超过两三度即可。
洗拓汤方
甘草、干漆（各一两）、黄芩、干地黄、当归、芍药（各二两）、龟甲（五两）。
以上药物细切，用水七升，煮至减半，用绵帛浸入药汤中，敷拓疮处，过很久就更换，每天两次。每次敷拓汤，大约可行走十里路，药巾变干后，取下捻取甘湿散薄薄地敷在疮上使其遍布，可维持半天，然后再用药汤敷拓，敷拓完后像前面那样敷药。
我家婢女遇到这个疾病，医疗不愈，腐蚀处形成两个疮，深半寸，我因此查得此方，仍自用蚺蛇胆散，不到七天，疮平复，非常有效。凡治疗几十人，手到病除，请广泛传播此方。
甘湿散（又名蚺蛇胆散。）治疗疳虫引起的阴蚀。
蚺蛇胆（真品）、青木香、石硫黄、铁精、麝香（各四分。临时根据情况决定用量多少加入。因为麝香能辟除蛇毒，如果先混合在一起，蛇胆就会失去效力。旧法用五月五日捉取的蛤蟆。）
以上六味药，各等分研为末，再细细研磨。患病者取如三枚棋子大小的量，和井花水每天服用两次，服完后，先令大便通畅，然后用后方桃枝熏蒸下部，之后取药如棋子大小，放入竹管里吹入下部中。也使用两次，年老体弱者少量减量。其熏法，每天一次，不用再重复做，效果良好。
治疗疳虫侵蚀下部和五脏的方子。取桃树东南方向的枝条三七根，轻敲头部使其散开；用绵缠绕。又捣石硫黄为末，将此绵缠绕桃枝捻转，使粉末稍浓，再截一段短竹筒先纳入下部中，用所捻药的桃枝点燃熏蒸。
文仲治疗阴蚀将要耗尽的方子。用蛤蟆、兔尿等分为末，敷之良好。
野狼牙汤（《古今录验》）治疗妇人阴蚀，其中腐烂受伤，脓水淋漓臭秽。
野狼牙（三两）。
以上切碎，用水四升，煮取半升，去渣，加入苦酒如鸡蛋黄大小，用沸汤一杯溶解尽，夜间温度适宜时，用绵缠绕筷子头大如茧，蘸药汤滴入疮中，每天四五次即痊愈。
《补遗》治疗产后阴户生疮。
青黛、黄丹、水粉、五倍子（等分为末）。
用卖肉铺上擦肉的毛巾，烧为末，和前药。先用荆芥、薄荷、柏叶煎汤，洗净后掺药。如果疮口干燥，可用油调末涂之。
[Da] In general, when a woman's Shaoyin pulse is rapid and slippery, sores will inevitably develop in the vagina, known as "Shi Chuang" (Erosive Sores). These may present with pain or itching, feeling as if insects are crawling, discharging pus, and causing severe erosion of the genitalia until almost destroyed. This is entirely due to mental restlessness and depression, combined with weak Stomach Qi, leading to stagnation of Qi and Blood. Therefore, the classics state: "All pain, itching, and sores belong to the Heart." It also states: "The Yangming channel governs the muscles; pain and itching belong to the Heart." Treatment should focus on tonifying the Heart and nourishing the Stomach, supplemented by external fumigation, washing, or suppository therapies.
[Xue] The aforementioned syndrome is caused by Liver and Spleen Qi stagnation, where excessive Wood energy generates parasites. It is appropriate to resolve stagnation and clear Liver heat. See the section on miscellaneous diseases regarding "Sores in the Vagina" for details.
A postpartum woman who had a history of Liver Fire developed this condition with internal ulceration, itching, and pain, reduced appetite, fever, thirst, and dribbling urination. She was treated with Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) and Jia Wei Gui Pi Tang (Modified Restore the Spleen Decoction) taken concurrently, interspersed with Lu Hui Wan (Aloe Pill), and externally washed with a decoction of He Shi Cao (Chrysanthemum Indicum Herb), resulting in recovery.
*Qian Jin Fang*: Pu Huang (Polygoni Cattleyani Pollen, 3 sheng) and Shui Yin (Mercurius, 1 liang). Grind these two ingredients evenly and apply as powder to the affected area.
Another prescription: 10 jin of fatty pork meat and 1 shuo of water. Boil the water for soaking. Replace with fresh warm solution when it cools down; no more than two or three changes are needed.
Xi Tuo Tang Formula (Wash and Apply Decoction):
Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 liang), Gan Xi (Caulis Cissampelidos, 1 liang), Huang Qin (Scutellariae Radix, 2 liang), Gan Di Huang (Rehmanniae Radix Praeparata, 2 liang), Dang Gui (Angelicae Sinensis Radix, 2 liang), Shao Yao (Paeoniae Radix Alba, 2 liang), Gui Jia (Testudinis et Chelonis Carapax et Plastrum, 5 liang).
Finely cut the above herbs. Add 7 sheng of water and boil until half remains. Soak cotton cloth in the decoction and apply to the sores. Change frequently. Apply twice daily. Each application allows for walking approximately ten li before the cloth dries. Remove the cloth, take Gan Shi San (Moistening Powder) and thinly sprinkle it over the sores to cover them completely. This can last for half a day. Then re-apply the decoction wash, followed by the powder again as before.
My family's maid suffered from this disease without improvement despite medical treatment. The eroded area formed two deep ulcers, half an cun deep. I consulted this formula and used Ran She Dan San (Rattlesnake Gallbladder Powder) myself. Within seven days, the ulcers healed flatly. It is highly effective. I have treated dozens of people successfully with this method. Please disseminate it widely.
Gan Shi San (Moistening Powder), also known as Ran She Dan San (Rattlesnake Gallbladder Powder). Treats Yin erosion caused by Chan worms (parasitic infections).
Ran She Dan (Bungarus multicinctus Gallbladder, authentic), Qing Mu Xiang (Aucklandiae Radix), Shi Liu Huang (Sulfur), Tie Jing (Ferrum), She Xiang (Moschus). (Each 4 fen. Adjust dosage according to circumstances. Moschus repels snake venom; if mixed beforehand, the Rattlesnake Gallbladder loses efficacy. Old methods used frogs caught on the fifth day of the fifth lunar month.)
Grind the six ingredients into equal parts into fine powder. For patients, take an amount equivalent to three chess pieces, mix with well water, and take twice daily. After administration, ensure bowel movement is clear. Then fumigate the lower part with the following Peach Branch method. Take the medicine (size of a chess piece), place it in a bamboo tube, and blow it into the vagina. Use twice; reduce dose for elderly or weak patients. Fumigation is done once daily; no need to repeat excessively for good results.
Formula for treating Chan worms eroding the lower part and five Zang organs. Take 37 branches from the southeast side of a peach tree. Lightly crush the heads to loosen them; wrap in cotton. Grind Shi Liu Huang (Sulfur) into powder. Wrap the cotton-wrapped branch in the powder, twisting to make the powder thick. Cut a short bamboo tube and insert it into the vagina. Ignite the powder-coated branch and fumigate the area.
Wen Zhong's formula for severe Yin erosion. Mix Toad and Rabbit Urine in equal parts into powder and apply. Effective.
Ye Lang Ya Tang (Wild Wolf Tooth Decoction) (*Gu Jin Lu Yan*). Treats female Yin erosion with rotting wounds, dripping purulent fluid, and foul odor.
Ye Lang Ya (Ilicis Cornu, 3 liang).
Cut into pieces. Boil in 4 sheng of water until reduced to 0.5 sheng. Strain. Add Ku Jiu (Vinegar) the size of a chicken egg yolk. Dissolve in one cup of boiling water. At night, when temperature is comfortable, wrap a chopstick head with cotton (size of a cocoon). Dip in the decoction and drip into the sore. Do this four to five times daily until cured.
*Bu Yi* (Supplement) treats sores in the vaginal opening after childbirth.
Qing Dai (Indici Folium), Huang Dan (Minii Rubrum), Shui Fen (Cerussa), Wu Bei Zi (Galla Chinensis). (Equal parts, ground into powder).
Burn the meat-wiping cloths from butcher shops into powder. Mix with the above medicines. First, wash with a decoction of Jing Jie (Schizonepetae Herba), Bo He (Menthae Haplocalycis Herba), and Bai Ye (Platycladi Cacumen). Then apply the powder. If the sore is dry, mix the powder with oil and apply.
Another formula: Ping Wei San (Calm the Stomach Powder) plus Guan Zhong (Cyrtomii Rhizoma) powder. Take 2 qian. Mix with cooked pig liver and insert into the vagina.