脉浮者祛风为主,益气佐之。脉涩者祛风为主,佐以养血。脉浮而涩者,祛风养气血。
一妇人患此作痒,五心烦热,以逍遥散数剂而止,更以人参荆芥散,二十余剂而愈。
一妇人遍身作痒,秋冬尤甚,脉浮数,饮消风散、敷蛇床子散,数日顿愈。
一妇人遍身赤色,搔破成疮,脓出不止,以当归饮子及蛇床子散而愈。
一老妇遍身作痒,午前益甚,以四君子汤加荆、防、芎、归而愈。
一妇人因洗头致头皮患肿兼痒,以人参荆芥散数剂而愈。
一妇人作痒成疮,虽敛久,而患处仍痒,搔起白屑,以四生散数服,痒止;以人参荆芥
散,二十余剂而愈。
附方
消风散
当归饮子(二方见疮疥门)
蛇床子散 治风癣疥癞搔痒,脓水淋漓。
蛇床子 独活 苦参 防风 荆芥穗(各一两) 枯矾 铜绿(各五钱) 各另为末,麻油
调搽。
四君子汤(方见痔漏门)
人参荆芥散(方见疮疥门)
逍遥散(方见瘰 门)
四生散(方见疮疥门)
治妇人阴户生疮,作痒,或痛。
杏仁(炒) 雄黄 白矾(各五钱) 麝香(二分) 上为末,敷入患处。
当归散 治妇人阴中突出一物,长五六寸,名阴挺。
当归 黄芩(各二两) 牡蛎(一两五钱) 皮(一两,炙) 赤芍药(五钱) 上为末,每
服二
∶当归、穿山甲炙、蒲黄炒,各半两,辰砂一钱、麝香少许为末,每服三钱,酒调下,尤效
。
菖蒲散 治妇人阴户肿痛,月水涩滞。
菖蒲 当归(各一钱) 秦艽(七钱五分) 吴茱萸(五钱,制) 上为末,每服三钱,空心
葱汤调下;更以枳实炒热,频熨患处。
治阴内脓水淋漓,或痒痛,以升麻、白芷、黄连、木通、当归、川芎、白术、茯苓煎服
。更用塌肿汤浴流。
塌肿汤 治妇人阴户生疮,或痒痛,或脓水淋漓。
甘草 干漆(各三钱) 生地黄 黄芩 当归 川芎(各二钱) 鳖甲(五钱,炙) 作一剂
,用水数碗,煎数沸,去渣,常洗患处。
脉象浮的,以祛风为主要治法,辅以益气。脉象涩的,以祛风为主要治法,辅以养血。脉象既浮又涩的,则同时祛风并调养气血。
有一位妇人患此病,皮肤瘙痒,五心烦热(手心、脚心及心胸烦热),服用逍遥散数剂后症状停止,随后改用人参荆芥散,服用二十余剂后痊愈。
有一位妇人全身瘙痒,秋冬季节尤为严重,脉象浮数,内服消风散,外敷蛇床子散,数日后迅速痊愈。
有一位妇人全身皮肤发红,抓破后形成疮疡,脓液流出不止,使用当归饮子内服配合蛇床子散外敷而痊愈。
有一位老年妇人全身瘙痒,上午时段加重,使用四君子汤加入荆芥、防风、川芎、当归等药而痊愈。
有一位妇人因洗头导致头皮肿胀兼有瘙痒,服用人参荆芥散数剂后痊愈。
有一位妇人瘙痒发展成疮疡,虽然伤口愈合已久,但患处仍然瘙痒,搔抓后出现白色皮屑,服用四生散数次后瘙痒停止;随后服用人参荆芥散,二十余剂后痊愈。
附方:
蛇床子散 治疗风癣、疥癞引起的瘙痒,以及脓水淋漓的症状。
药材组成:蛇床子、独活、苦参、防风、荆芥穗(各一两),枯矾、铜绿(各五钱)。将各药分别研为细末,用麻油调和后涂抹患处。
四君子汤(该方剂见“痔漏门”章节)
逍遥散(该方剂见“瘰疬门”章节)
治疗妇人阴户生疮,瘙痒或疼痛。
药材组成:杏仁(炒制)、雄黄、白矾(各五钱),麝香(二分)。将上述药物研为细末,敷于患处。
当归散 治疗妇人阴道中突出一物,长五六寸,称为阴挺(子宫脱垂)。
药材组成:当归、黄芩(各二两),牡蛎(一两五钱),[原文此处似缺药名,据上下文推测可能指某种皮类药或笔误,暂按原文记录](一两,炙制),赤芍药(五钱)。将上述药物研为细末,每次服用二钱。(注:原文此处格式混乱,后续内容似乎属于另一首方剂或剂量说明,根据常见古籍排版,以下部分可能属于另一首方剂“穿山甲散”或类似方剂的描述,但因原文缺失标题且格式断裂,仅忠实翻译可见文字):当归、穿山甲(炙制)、蒲黄(炒制),各半两,辰砂一钱、麝香少许,研为细末,每次服用三钱,用酒调服,效果更佳。
菖蒲散 治疗妇人阴户肿痛,月经涩滞不畅。
药材组成:石菖蒲、当归(各一钱),秦艽(七钱五分),吴茱萸(五钱,炮制)。将上述药物研为细末,每次服用三钱,空腹时用葱汤调服;另外用枳实炒热,频繁熨烫患处。
治疗阴部内部脓水淋漓,或瘙痒疼痛,使用升麻、白芷、黄连、木通、当归、川芎、白术、茯苓煎服。另外使用塌肿汤熏洗患处。
塌肿汤 治疗妇人阴户生疮,或瘙痒疼痛,或脓水淋漓。
药材组成:甘草、干漆(各三钱),生地黄、黄芩、当归、川芎(各二钱),鳖甲(五钱,炙制)。作为一剂药,用水数碗,煎煮数沸,去渣滓,经常清洗患处。
If the pulse is floating, dispelling wind should be the primary treatment, assisted by replenishing qi. If the pulse is choppy (se), dispelling wind should be the primary treatment, assisted by nourishing blood. If the pulse is both floating and choppy, dispel wind while simultaneously nourishing qi and blood.
A woman suffered from this condition with itching and five-palm heat (heat sensation in the palms, soles, and chest). After taking Xiaoyao San (Free Wanderer Powder) for several doses, the symptoms ceased. Subsequently, she took Renshen Jingjie San (Ginseng and Schizonepeta Decoction) for over twenty doses and recovered.
Another woman experienced generalized itching, which was particularly severe in autumn and winter. Her pulse was floating and rapid. She drank Xiaofeng San (Wind-Dispersing Powder) and applied Shechuangzi San (Cnidium Powder) externally, recovering rapidly after a few days.
Another woman had reddened skin all over her body. Scratching caused sores to form, with continuous discharge of pus. She recovered using Danggui Yinzi (Angelica Decoction) internally and Shechuangzi San externally.
An elderly woman experienced generalized itching that worsened before noon. She recovered using Sijunzi Tang (Four Gentlemen Decoction) added with Jingjie (Schizonepeta), Fangfeng (Saposhnikovia), Chuanxiong (Ligusticum), and Danggui (Angelica).
A woman developed swelling and itching on her scalp due to washing her hair. She recovered after taking Renshen Jingjie San (Ginseng and Schizonepeta Decoction) for several doses.
A woman developed sores from itching. Although the lesions had healed for a long time, the affected area remained itchy, producing white scales upon scratching. After taking Sisheng San (Four Freshnesses Powder) several times, the itching stopped; subsequently, she took Renshen Jingjie San (Ginseng and Schizonepeta Decoction) for over twenty doses and recovered.
Attached Formulas:
Xiaofeng San (Wind-Dispersing Powder)
Danggui Yinzi (Angelica Decoction) (See these two formulas in the "Sores and Scabies Section")
Shechuangzi San (Cnidium Powder) Treats wind-xian (lichenification), scabies, and leprosy-related itching, as well as dripping pus and fluid.
Ingredients: Cnidii Fructus (Shechuangzi), Angelicae Pubescentis Radix (Duhuo), Sophorae Flavescentis Radix (Kushen), Saposhnikoviae Radix (Fangfeng), Schizonepetae Spica (Jingjie Sui) (each 1 liang); Alum (Kufan), Verdigris (Tonglv) (each 5 qian). Grind each herb separately into fine powder, mix with sesame oil, and apply to the affected area.
Sijunzi Tang (Four Gentlemen Decoction) (See formula in the "Hemorrhoids and Fistula Section")
Renshen Jingjie San (Ginseng and Schizonepeta Decoction) (See formula in the "Sores and Scabies Section")
Xiaoyao San (Free Wanderer Powder) (See formula in the "Scrofula Section")
Sisheng San (Four Freshnesses Powder) (See formula in the "Sores and Scabies Section")
For treating sores in the female genitalia causing itching or pain.
Ingredients: Almond seed (Chengzhi), Realgar (Xionghuang), Alum (Baifan) (each 5 qian), Moschus (Shexiang) (2 fen). Grind the above into powder and apply to the affected area.
Danggui San (Angelica Powder) Treats a mass protruding from the vagina, measuring five to six cun in length, known as Yanting (uterine prolapse).
Ingredients: Danggui (Angelicae Sinensis Radix), Huangqin (Scutellariae Radix) (each 2 liang), Ostracum Conchi (Muli) (1 liang 5 qian), [Text missing/erroneous here, likely referring to a bark or root], (1 liang, roasted), Chi Shaoyao (Red Peony Root) (5 qian). Grind into powder. Take 2 qian per dose. [Note: The following text appears to belong to another formula or dosage instruction due to formatting errors in the source]: Danggui (Angelicae Sinensis Radix), Pangolin Scale (Chuanshanjia, roasted), Polygoni Multiflori Caulis? No, likely Puhuang (Typhae Pollen, stir-fried), each half liang; Cinnabar (Chensha) 1 qian, Moschus (Shexiang) a small amount. Grind into powder. Take 3 qian per dose, mixed with wine. This is especially effective.
Changpu San (Acorus Powder) Treats swelling and pain of the female genitalia, and scanty or obstructed menstruation.
Ingredients: Acori Tatarinowii Rhizoma (Changpu), Danggui (Angelicae Sinensis Radix) (each 1 qian), Gentianae Macrophyllae Radix (Qinjiao) (7 qian 5 fen), Evodiae Fructus (Wuzhuyu) (5 qian, processed). Grind into powder. Take 3 qian per dose, mixed with green onion decoction on an empty stomach. Additionally, stir-fry Zhisu (Immature Bitter Orange) until hot and frequently apply it as a compress to the affected area.
To treat dripping pus inside the genitalia, or itching and pain, decoct Shengma (Cimicifugae Rhizoma), Baizhi (Angelicae Dahuricae Radix), Huanglian (Coptidis Rhizoma), Mutong (Akebiae Caulis), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), and Fuling (Poria) for oral administration. Additionally, bathe the area with Taswong Tang.
Taswong Tang (Swelling-Sinking Decoction) Treats sores in the female genitalia, or itching and pain, or dripping pus.
Ingredients: Glycyrrhizae Radix et Rhizoma (Gancao), Drynariae Rhizoma? No, Ganxi (Drynariae Rhizoma? Text says Ganxi, likely Drynaria or similar resinous substance, but literally "Dry Lacquer"), (each 3 qian), Shengdihuang (Rehmanniae Radix), Huangqin (Scutellariae Radix), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 2 qian), Testudinis Carapax et Plastrum (Biejia) (5 qian, roasted). Use as one dose. Add several bowls of water, boil for a few minutes, strain, and wash the affected area frequently.