当归(炒) 黄芩(各二两) 牡蛎(二两半) 皮(一两,炙焦) 赤芍药(一两
半)
上为细末,每服二钱,食前,暖酒调下,米饮亦可。
又方∶当归(三两) 败酱(二两) 独活 白芷 地榆 白矾(各半两)
上细锉,水一斗,煮取二升,去滓,稍热洗。
《广济方》 治状同前。
皂角(去皮弦子,炙焦黄) 半夏(炒令黄) 大黄 北细辛(各一两) 蛇床子(一
两半)
上为细末,薄绢袋盛如指长,内阴中,日二易之。
又方∶蛇床子(五两) 乌梅(十四枚)
上锉,以水五升,煮取三升,去滓,热洗,日五次。
又方∶川乌 白芨(等分)
上为细末,绵裹一钱,内阴中,令入三寸,腹内热即止,来辰再用。一方有生椒一两。
《千金翼》治妇人阴脱,兼疗脱肛。
羊脂煎讫,适冷暖涂上。以铁精粉敷脂上,多少令调;以火炙布令温以熨上,渐渐推内
之。更细末磁石,酒调服方寸匕,日三服。
《集验方》疗妇人阴中痛,生疮。
羊脂(一斤) 当归 杏仁 白芷 芎 (各一两)
上五味细切,羊脂和,置甑中蒸之。药成取如大豆一枚,棉裹药,内阴中,日一度。
《肘后方》疗妇人阴中生疮方。
杏仁(烧末) 雄黄 矾石(各二分) 麝香(半分)
上四味研细,和敷阴中。
又方∶硫黄,研细敷之。
《古今录验》疗妇人阴中生疮。黄芩汤洗方。
第一方:
当归(炒制)二两,黄芩二两,牡蛎二两半,龙骨一两(炙至焦黑),赤芍药一两半。
以上药物研成细末,每次服用二钱,饭前用温酒调服,也可用米汤送服。
第二方:
当归三两,败酱草二两,独活、白芷、地榆、白矾各半两。
以上药物切碎,用水一斗,煎煮至剩余二升,滤去药渣,待药液稍热时清洗患处。
《广济方》记载的方剂,主治症状与上述相同。
皂角(去皮及子筋,炙至焦黄色)一两,半夏(炒至黄色)一两,大黄一两,北细辛一两,蛇床子一两半。
以上药物研成细末,装入薄绢袋中,大小如手指长短,纳入阴道内,每日更换两次。
第三方:
蛇床子五两,乌梅十四枚。
以上药物切碎,用水五升,煎煮至剩余三升,滤去药渣,趁热清洗,每日五次。
第四方:
川乌、白芨等分。
以上药物研成细末,用棉包裹一钱药粉,纳入阴道内,令其深入三寸,若感到腹内发热即停止使用,次日清晨再用。另一版本方中加入生花椒一两。
《千金翼方》治疗妇人子宫脱垂,兼治直肠脱出(脱肛)。
将羊脂熬炼后,调节温度适宜涂抹于患处。在羊脂上撒上铁精粉,用量适中;用火烘烤布料使其温热,以此熨烫患处,并逐渐将脱出物推回体内。再另取磁石研成细末,用酒调服一方寸匕,每日三次。
《集验方》治疗妇人阴道疼痛,生疮疡。
羊脂一斤,当归、杏仁、白芷、川芎各一两。
以上五味药切碎,与羊脂混合,置于甑中蒸制。药成后取如大豆大小的一枚药丸,用棉包裹,纳入阴道内,每日一次。
[Formula Name] Danggui San / Formula 19 for Ulcers in the Female Genitals
First Formula:
Dang Gui (Fried) 2 liang, Huang Qin 2 liang, Mu Li 2.5 liang, Long Gu 1 liang (charred), Chi Shao Yao 1.5 liang.
Grind the above ingredients into a fine powder. Take 2 qian per dose before meals, mixed with warm wine; rice water may also be used.
Second Formula:
Dang Gui 3 liang, Bai Jiang Cao 2 liang, Du Huo, Bai Zhi, Di Yu, Fan Shi each 0.5 liang.
Coarsely chop the above ingredients. Boil in 1 dou of water until reduced to 2 sheng. Strain the dregs and wash the affected area while the liquid is slightly warm.
The formula from *Guangji Fang* treats the same symptoms as described above.
Zao Jiao (skin and string removed, charred yellow) 1 liang, Ban Xia (fried until yellow) 1 liang, Da Huang 1 liang, Bei Xi Xin 1 liang, She Chuang Zi 1.5 liang.
Grind the above ingredients into a fine powder. Place in a thin silk bag, sized like a finger, and insert into the vagina. Change twice daily.
Third Formula:
She Chuang Zi 5 liang, Wu Mei 14 pieces.
Chop the ingredients and boil in 5 sheng of water until reduced to 3 sheng. Strain and wash with the hot liquid, five times daily.
Fourth Formula:
Chuan Wu and Bai Ji in equal proportions.
Grind into a fine powder. Wrap 1 qian in cotton and insert into the vagina, pushing it in three cun deep. Stop if heat is felt in the abdomen; reapply the next morning. Another version includes 1 liang of raw Sichuan pepper.
*Qianjin Yi Fang* treats uterine prolapse in women and also hemorrhoids.
Apply rendered sheep fat at a suitable temperature. Sprinkle Tie Jing (Iron Essence) powder over the fat in appropriate amounts. Heat a cloth with fire until warm and apply as a compress to push the prolapsed tissue back in gradually. Additionally, grind Ci Shi (Magnetite) into a fine powder, mix with wine, and take one fang cun bi per dose, three times daily.
*Jiyan Fang* treats vaginal pain and ulceration in women.
Yang Zhi (Sheep Fat) 1 jin, Dang Gui, Xing Ren, Bai Zhi, Xiong Qiong each 1 liang.
Finely chop the five ingredients and mix with sheep fat. Steam in a steamer. Once prepared, take a pill-sized amount (like a soybean), wrap in cotton, and insert into the vagina once daily.
*Zhouhou Beiji Fang* treats vaginal ulcers in women.
Xing Ren (burned to ash/powder), Xiong Huang, Fan Shi each 2 fen, She Xiang 0.5 fen.
Grind the four ingredients finely, mix, and apply inside the vagina.
Another formula:
Liu Huang, ground finely and applied topically.
*Gujin Luyan* treats vaginal ulcers in women. Use Huang Qin Tang for washing.