(附∶阴冷、阴肿、阴痒)
妇人隐处之疾,虽夫妇未必尽吐,肯告医索药乎?故医书多不论。宁知阴中之患,有致伤生者,医
书可独遗哉!盖阴挺之证,因于郁怒伤肝,积久不舒,肝气亢极。致阴中突出长数寸,痛痒水湿,
牵引腰股,小便涩短。先服龙胆泻肝汤或当归龙荟丸(方见胁痛),次兼主方及补中益气汤、归
脾汤加柴胡、青皮、川芎、茯苓、山栀、黄柏之类。又有阴中如茄坠出,直身则收入(俗名“子
袋”)前方加升麻、柴胡、 本。
有多怒 思淫者,出赤筋大痛。盖阴户属肝经,肝主筋故也。
主方 当归 芍药 熟地黄 川芎 桂心 白薇 凌霄花 泽兰叶 牡丹皮 苍术 甘草(
等分)上咀,每七钱,水煎服。更用金毛狗脊、五倍子、黄连、鱼腥草,枯矾(各一两) 分四
帖,每加水杨柳根一握煎汤用,有嘴瓶盛,再以竹管去节,引热气入阴内熏,待温频洗。
突出作痒者,用臭椿根皮、荆芥穗、藿香(各等分,)煎汤熏洗至收。前方未效,加柴胡、
青皮、龙胆草。
证因冲任虚损,风冷客之,故阴中冷袭,不受胎孕。久不治,则面黄肌瘦,腹痛吐清水等冷
证作矣。
主方 五加皮 干姜 肉桂 杜仲(姜汁炒) 蛇床子 丹参 天门冬 熟地黄 钟乳粉(
研) 地骨皮(各二两) 上锉,生绢袋药悬坛心,贮黄酒满浸三日,蒸熟早晚温饮。
洗方 用硫黄、枯矾(等分),煎汤频洗。未安,制桂附八味丸服。
(附注:阴冷、阴肿、阴痒)
妇女私密处的疾病,即使是夫妻之间也未必能完全说出口,谁会愿意告诉医生并索要药物呢?因此医书中大多不讨论这些内容。怎知阴部的疾患,有的甚至会导致生命危险,医书怎能单独遗漏它们呢!大概阴挺(子宫或阴道壁脱垂)这一病症,是由于郁怒伤肝,积久不得舒展,导致肝气亢盛至极。致使阴中突出长达数寸,伴有疼痛、瘙痒、水湿渗出,牵引腰部和股部,小便涩滞短少。先服用龙胆泻肝汤(清泻肝胆实火、清利肝经湿热之方)或当归龙荟丸(方剂见胁痛章节),随后兼用主方以及补中益气汤(补益中气、升阳举陷之方)、归脾汤(益气补血、健脾养心之方),并加入柴胡、青皮、川芎、茯苓、山栀、黄柏等药物。又有阴中如茄子般坠出,身体直立时则缩回(俗称“子袋”),前方中加入升麻、柴胡、藁本。
有多怒且思淫欲者,会排出赤色筋脉并剧烈疼痛。这是因为阴户属于肝经,而肝主司筋脉的缘故。
主方:当归、芍药、熟地黄、川芎、桂心、白薇、凌霄花、泽兰叶、牡丹皮、苍术、甘草(各等分)。以上药材切碎,每次取七钱,加水煎服。另外使用金毛狗脊、五倍子、黄连、鱼腥草、枯矾(各一两),分为四帖,每帖加水杨柳根一把煎汤,用有嘴的瓶子盛装,再用去节的竹管,引导热气进入阴内熏蒸,待温度适宜时频繁清洗。
突出部位作痒的,使用臭椿根皮、荆芥穗、藿香(各等分),煎汤熏洗直至痊愈。若前方无效,加入柴胡、青皮、龙胆草。
证候原因是冲任二脉虚损,风冷邪气侵袭,所以阴中寒冷袭扰,无法受孕。久治不愈,就会出现面色萎黄、肌肉消瘦、腹痛、吐出清水等寒证表现。
主方:五加皮、干姜、肉桂、杜仲(用姜汁炒制)、蛇床子、丹参、天门冬、熟地黄、钟乳粉(研细)、地骨皮(各二两)。以上药材锉碎,装入生绢袋中,悬挂在坛子中心,注入满坛黄酒浸泡三日,蒸熟后早晚温饮。
洗方:使用硫黄、枯矾(各等分),煎汤频繁清洗。若未痊愈,服用制过的桂附八味丸(温补肾阳之方)。
(Attached: Yin Cold, Yin Swelling, Yin Itching)
Diseases of the female private parts are such that even between husband and wife they may not be fully disclosed; who would dare to tell a doctor and ask for medicine? Therefore, medical texts often do not discuss them. How could one know that ailments in the yin region can lead to life-threatening conditions, yet medical books alone omit them! Generally, the syndrome of *Yin Ting* (prolapse of the uterus or vaginal wall) arises from depression and anger injuring the Liver (*Liver*), with stagnation accumulating over time without relief, causing Liver Qi (*Liver Qi*) to become hyperactive to an extreme. This results in protrusion from the vagina extending several inches, accompanied by pain, itching, and damp discharge, pulling on the lower back and thighs, with scanty and difficult urination. Initially administer Longdan Xiegan Tang (Gentian Decoction to Drain the Liver) or Danggui Longhui Wan (Angelica Dragon Ash Pill) (see formula for hypochondriac pain), followed by the main formula along with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) and Guipi Tang (Restore the Spleen Decoction), added with Chaihu, Qingpi, Chuanxiong, Fuling, Zhizi, Huangbai, etc. In cases where the vagina protrudes like an eggplant and retracts when standing upright (colloquially called "child bag"), add Shengma, Chaihu, and Gaoben to the previous formula.
For those with excessive anger and libidinous thoughts, red sinews are discharged with severe pain. This is because the vulva belongs to the Liver Meridian, and the Liver governs the sinews.
Main Formula: Danggui, Shaoyao, Shudihuang, Chuanxiong, Guixin, Baiwei, Lingxiaohua, Zelan Ye, Mudanpi, Cangzhu, Gancao (equal parts). The above herbs are coarsely crushed. Take 7 qian per dose, decoct in water, and take orally. Additionally, use Jinmao Gouji, Wubeizi, Huanglian, Yuxingcao, and Kufan (1 liang each), divided into four doses. For each dose, add a handful of Yangliu Gen (willow root), decoct in water, and store in a spouted bottle. Use a bamboo tube (without nodes) to guide the steam into the vagina for fumigation. When warm, wash frequently.
If the protruding part itches, use Qichun Genpi, Jingjie Sui, and Huoxiang (equal parts), decoct in water for fumigation and washing until resolved. If the previous formula is ineffective, add Chaihu, Qingpi, and Longdancao.
The etiology involves deficiency and damage to the Chong and Ren vessels, allowing Wind-Cold pathogens to invade, resulting in cold sensations in the vagina and infertility. If untreated for a long time, symptoms such as sallow complexion, emaciation, abdominal pain, and vomiting of clear fluid will manifest as cold syndromes.
Main Formula: Wujia Pi, Ganjiang, Rougui, Duzhong (stir-fried with ginger juice), Chuangszi, Danshen, Tianmendong, Shudihuang, Zhongru Fen (finely ground), Digupi (2 liang each). The herbs are cut into small pieces, placed in a raw silk bag, suspended in the center of a jar, filled with yellow wine, soaked for three days, steamed until cooked, and taken warm morning and evening.
Washing Formula: Use Liuhuang and Kufan (equal parts), decoct in water for frequent washing. If not relieved, take Guifu Bawei Wan (Cinnamon and Aconite Eight-Ingredient Pill prepared).