滋小便之源，附、桂益命门火，以化膀胱之气，则熏蒸津液，水道以通，而小便自利。此
所以不用五苓散，而用肾气丸也。
妇人阴寒，温中坐药，蛇床子散主之。
【注】阴寒，前阴寒也，治以温中坐药。蛇床子，性温热能壮阳，故纳之以助阳驱阴
也。
【集注】沈明宗曰∶此治阴掣痛，少腹恶寒之方也。胞门阳虚受寒，现证不一，非惟
少腹恶寒之一证也。但寒从阴户所受，不从表出，当温其受邪之处，则病得愈，故以蛇
床子一味，大热温助其阳，纳入阴中，俾子宫得暖，邪去而病自愈矣。
蛇床子散方
蛇床子仁
上一味末，以白粉少许，和合相得，如枣大，绵裹内之，自然温。
少阴脉滑而数者，阴中即生疮，阴中蚀疮烂者，野狼牙汤洗之。
【注】阴中，即前阴也。生疮蚀烂，乃湿热不洁而生 也。用野狼牙汤洗之，以除湿热
杀也。野狼牙非野狼之牙，乃野狼牙草也，如不得，以野狼毒代之亦可。其疮深，洗不可及，则
用后法也。
【集注】李 曰∶少阴属肾。阴中，肾之窍也。《内经》曰∶滑者阴气有余。又云∶数
则为热。故阴中生疮蚀烂，皆湿热所致。野狼牙味苦性寒，寒能胜热，苦能杀虫，故主洗
之。
野狼牙汤方
野狼牙（四两）
上一味，以水四升，煮取半升，以绵缠筋如茧，浸汤沥阴中，日四遍。
胃气下泄，阴吹而正喧，此谷气之实也，膏发煎导之。
【按】“膏发煎导之”之五字，当是衍文。“此谷气之实也”之下，当有“长服诃梨勒
丸”之六字，后阴下气，谓之气利，用诃梨勒散；前阴下气，谓之阴吹，用诃梨勒丸。文
义始属，药病亦对。盖诃梨勒丸，以诃梨勒固下气之虚，以浓朴、陈皮平谷气之实，亦
相允合。方错简在《杂疗篇》内。下小儿疳虫蚀齿一方，杀虫解毒，或另有小儿门，或
列在杂方内，今于妇人杂病之末，亦错简也。
【注】肾虚不固，则气下泄。阴吹而正喧，
谓前阴出气有声也。此谷气之实，谓胃气实而肾气虚也。以诃黎勒丸，固下气而泻谷气
也。
膏发煎方（见黄胆中）
小儿疳虫蚀齿方
雄黄 葶苈
上二味，未之，取腊月猪脂熔，以槐枝绵裹头，四五枚，点药烙之。
滋补肾阴以补充小便的源头，附子、桂枝补助命门之火，从而气化膀胱之气，这样熏蒸津液，水道得以通畅，小便自然通利。这就是为什么不用五苓散，而用肾气丸的原因。
【注】阴寒，指前阴寒冷，治疗采用温中坐药。蛇床子，性温热能壮阳，所以纳入阴道中以助阳驱阴。
【集注】沈明宗说：这是治疗阴部牵引疼痛、少腹恶寒的方剂。胞门（子宫）阳虚受寒，出现的证候不一，不仅仅是少腹恶寒这一种证候。但寒气从阴户侵入，不从体表排出，应当温暖受邪的部位，病就能痊愈，所以用蛇床子一味药，大热温助阳气，纳入阴中，使子宫得到温暖，邪气去除而病自愈。
蛇床子散方
蛇床子仁
将上面一味药研成末，取少许白粉，调和均匀，做成如枣核大小的药团，用绵布包裹，纳入阴道内，自然会感到温热。
【注】阴中，即前阴。生疮蚀烂，是由于湿热不洁而生虫所致。用野狼牙汤清洗，以除湿热杀虫。野狼牙不是野狼的牙齿，而是野狼牙草，如果得不到，用野狼毒代替也可以。如果疮口较深，清洗无法触及，则使用下面的方法。
【集注】李 说：少阴属肾。阴中，是肾之窍。《内经》说：滑表示阴气有余。又说：数则为热。所以阴中生疮蚀烂，都是湿热所致。野狼牙味苦性寒，寒能胜热，苦能杀虫，所以主治清洗。
野狼牙汤方
野狼牙（四两）
将上面一味药，用水四升，煮取半升，用棉线缠绕成蚕茧状，浸在药汤中，沥洗阴部，每天四次。
胃气下泄，前阴排气且声音喧闹，这是谷气实盛的表现，用膏发煎导引治疗。
【按】“膏发煎导之”这五个字，应该是衍文。“此谷气之实也”之下，应该有“长服诃梨勒丸”这六个字，后阴下气，称为气利，用诃梨勒散；前阴下气，称为阴吹，用诃梨勒丸。文义才连贯，药病也对应。因为诃梨勒丸，用诃梨勒固摄下气之虚，用浓朴、陈皮平抑谷气之实，也是相吻合的。方剂错简在《杂疗篇》内。下面小儿疳虫蚀齿一方，杀虫解毒，或者另有小儿门，或者列在杂方内，现在放在妇人杂病的末尾，也是错简。
Nourishing the source of urine, Fuzi (Aconite Lateralis Radix Preparata) and Guizhi (Cinnamomi Ramulus) benefit the Fire of Mingmen (Gate of Life), thereby transforming the Qi of the Bladder. This steams and transforms body fluids, unblocks the water passages, and allows urination to flow freely. This is why Wu Ling San (Five-Ingredient Powder with Poria) is not used, but Shen Qi Wan (Kidney Qi Pill) is employed instead.
For women suffering from cold in the yin region, a warming vaginal suppository should be used; Shechuangzi San (Cnidium Seed Powder) is the primary formula.
[Annotation] "Cold in the yin" refers to coldness in the external genitalia, treated with a warming vaginal suppository. Shechuangzi (Cnidii Fructus) has a warm nature and strong heat, capable of strengthening yang; thus, it is inserted into the vagina to assist yang and dispel yin-cold.
[Collected Comment] Shen Mingzong stated: This is a formula for treating pulling pain in the yin region and aversion to cold in the lower abdomen. When the Bao Men (uterine gate) suffers from yang deficiency and cold invasion, various manifestations may appear, not merely aversion to cold in the lower abdomen. However, since the cold enters through the vaginal orifice and does not exit via the exterior, one must warm the site of pathogenic invasion for recovery. Therefore, using only Shechuangzi (Cnidii Fructus), which is greatly hot and warms/assists yang, inserted into the yin, warms the uterus, expels the pathogen, and cures the disease.
Shechuangzi San Formula
Shechuangzi Ren (Cnidii Fructus)
Grind the above single herb into powder. Mix with a small amount of Baifen (likely starch or talc-based powder) until well combined. Shape into pills the size of a jujube. Wrap in silk gauze and insert into the vagina. It will naturally produce warmth.
When the Shaoyin pulse is slippery and rapid, sores will arise in the yin region. If there are erosive ulcers in the yin, wash with Yelangya Tang (Wolf's Tooth Decoction).
[Annotation] "Yin zhong" refers to the external genitalia. Sores and erosion result from damp-heat and lack of cleanliness causing infestation. Washing with Yelangya Tang removes damp-heat and kills parasites. "Yelangya" is not the tooth of a wild wolf, but the herb Yelangya Cao (Sanguisorbae Radix or similar). If unavailable, Yelangdu (Metanephropsis Aconiti Radix) can be substituted. If the sores are deep and washing cannot reach them, use the following method.
[Collected Comment] Li [Kean] said: Shaoyin belongs to the Kidney. The yin region is the orifice of the Kidney. The *Neijing* states: "Slippery indicates excess of yin qi." It also says: "Rapid indicates heat." Therefore, sores and erosion in the yin are caused by damp-heat. Yelangya is bitter and cold; cold overcomes heat, and bitterness kills parasites, hence it is used for washing.
Yelangya Tang Formula
Yelangya (4 liang)
Take the above single herb, add 4 sheng of water, boil to obtain 0.5 sheng. Wrap the liquid-soaked material in cotton thread shaped like a silkworm cocoon, dip in the decoction, and drip/wash into the yin region four times daily.
If Stomach Qi leaks downward, causing flatulence from the anterior orifice with audible noise, this is due to excess of Grain Qi. It should be guided/treated with Gao Fa Jian (Fat and Hair Decoction).
[Note] The five characters "Gao Fa Jian dao zhi" (guided by Fat and Hair Decoction) are likely interpolations. After "This is due to excess of Grain Qi," the six characters "Chang fu He Li Le Wan" (long-term服用 of Chebula Pill) should exist. Downward gas from the posterior orifice is called Qi Li (gas diarrhea), treated with He Li Le San (Chebula Powder); downward gas from the anterior orifice is called Yin Chui (yin blowing), treated with He Li Le Wan (Chebula Pill). Only then does the text make sense, and do the medicine and disease correspond. He Li Le Wan uses He Li Le (Terminalia chebula) to secure deficient descending Qi, and Houpo (Magnoliae Officinalis Cortex) and Chenpi (Citri Reticulatae Pericarpium) to calm excess Grain Qi, which is consistent. The formula was misplaced in the *Miscellaneous Treatments Chapter*. The following formula for pediatric malnutrition insect-induced dental caries, which kills insects and detoxifies, might belong in a separate Pediatric Section or Miscellaneous Formulas section; its placement at the end of Women's Miscellaneous Diseases is also a misplacement.
[Annotation] Kidney deficiency and failure to secure leads to downward leakage of Qi. "Yin Chui er zheng xuan" refers to audible gas emission from the anterior orifice. "Excess of Grain Qi" refers to Excess Stomach Qi and Deficient Kidney Qi. He Li Le Wan secures descending Qi and drains Grain Qi.
Gao Fa Jian Formula (See Jaundice Section)
Pediatric Malnutrition Insect-Induced Dental Caries Formula
Xionghuang (Realgar) Tingli (Descurainiae Semen Lepidii seu Lepidis)
Grind the above two herbs into powder. Melt pig lard collected in the twelfth lunar month. Dip 4-5 mulberry twig ends wrapped in cotton into the powder mixture and cauterize the affected teeth.