治妇人阴寒。温阴中坐药。此散主之。
蛇床子
上一味末之。以白粉少许和合相得。如枣大。绵裹内之。自然温。
治少阴脉滑而数者。阴中即生疮。阴中蚀疮烂者。此汤洗之。
野狼牙（三两。）
上一味。以水四升。煮取半升。以绵缠箸如茧。浸汤沥阴中。日四遍。
歌曰 胞寒外候见阴寒。纳入蛇床佐粉安。（此温胞益阳外治之善法。为肾气丸之佐也。）
更有
野狼牙三两洗何难。（除湿热杀虫。如无野狼牙草。以野狼毒代之。）
（见黄瘅） 治胃气下泄。阴吹而正喧。此谷气之实也。此主之。（阴吹。阴中出声。
如大便矢气之状。）
雄黄 葶苈
上二味末之。取腊月猪脂。熔以槐枝绵裹头四五枝。点药烙之。
歌曰 忽然出此小儿方。本治疳虫蚀齿良。葶苈雄黄猪（脂）点烙。阙疑留与后推详。
犀按。虫有大小之别。随生处而异其形。总不离于风火湿。挟厥阴之气化所生也。小儿
疳虫病者。多由母氏乳少。多饲以火燥干粮助火之品。致小儿烦啼不已。动其心包之火。火
动必熏灼于肝。蒸郁从风木化而为虫。夫虫乃有情之物。食有情之血。乱有情之心脏。起伏
无定
形不
者。
兼以
缝
火
时
目
浊
意
药
之
方
金匮歌括者。吾师灵石先生续师祖修园老夫子大人金匮浅注之后而作。所以便后学传诵
之章
因从
卷。
忝附
睹者
受业门人叶享会谨跋。
治疗妇人阴部寒冷。用温煦阴部的坐药。此散剂主治。
蛇床子
以上一味药研成细末。加入少许白粉调和均匀。做成如枣核大小的丸剂，用绵絮包裹后纳入阴道内。自然感到温热。
治疗少阴脉象滑而数的。阴部即生疮疡。阴部腐蚀溃烂的，用此汤剂清洗。
野狼牙（三两）
以上一味药。用水四升，煮取半升。用绵絮缠绕筷子如蚕茧大小，蘸取药汤淋洗阴部。每日四次。
歌诀说：胞宫寒冷外候表现为阴寒。纳入蛇床子配合白粉安放。（这是温补胞宫、益阳的外治良法，作为肾气丸的辅助。）
更有
野狼牙三两清洗有何难。（清除湿热、杀虫。如果没有野狼牙草，可以用野狼毒代替。）
（见于黄疸篇）治疗胃气下泄。阴吹且声音喧闹。这是谷气实盛所致。以此方主治。（阴吹，指阴道出声，如同大便排气之状。）
雄黄 葶苈
以上两味药研成细末。取腊月猪脂，熔化后用槐树枝条捆绑棉絮头四五枝，蘸取药粉熏烙患处。
歌诀说：忽然出现这种小儿方。原本治疗疳虫蚀齿疗效好。葶苈、雄黄、猪脂点涂熏烙。存疑之处留待后人推究详察。
犀按：虫有大小之分，随生长部位不同而形态各异。总离不开风、火、湿邪，夹杂厥阴之气化所生成。小儿患疳虫病者，多因母亲乳汁稀少，多用火燥干粮等助火之物喂养，导致小儿烦躁啼哭不止，触动心包之火。火动必然熏灼肝脏，蒸郁从风木之气化为虫。夫虫乃有情之物，食有情之血，扰乱有情之心神。起伏不定，形不兼缝，时浊目意，药方之阙疑留与后推详。
《金匮歌括》一书，是我师灵石先生续我师祖修园老夫子大人《金匮浅注》之后所作。以便于后学传诵之章卷。
忝附目睹者，受业门人叶享会谨跋。
Treats coldness in the female yin. For warming suppositories for the yin, this powder is the main treatment.
Shechuangzi (Cnidii Fructus)
Take the above single herb, grind into fine powder. Mix with a small amount of Bai Fen (Lead Carbonate) until well combined. Form into pills the size of a jujube. Wrap in cotton and insert into the vagina. It will naturally feel warm.
Treats cases where the Shaoyin pulse is slippery and rapid. Sores arise in the yin. If there are corrosive sores and ulceration in the yin, wash with this decoction.
Yelangya (Saussureae Radix) [Note: WHO term often refers to Artemisia or similar, here specifically Wild Wolf's Tooth] (3 liang)
Take the above single herb. Boil in 4 sheng of water until reduced to half a sheng. Wrap cotton around a chopstick like a silkworm cocoon, dip into the decoction, and irrigate/wash the yin. Do this four times a day.
The song says: The external manifestation of uterine cold presents as coldness in the yin. Insert Shechuangzi mixed with Bai Fen for safety. (This is an excellent external therapy method for warming the uterus and benefiting Yang, serving as an assistant to Shenqi Wan.)
Furthermore,
Is it difficult to wash 3 liang of Yelangya? (Eliminates damp-heat and kills parasites. If Wild Wolf's Tooth grass is unavailable, substitute with Yelangdu.)
(See Jaundice chapter) Treats downward leakage of Stomach Qi. Yin blowing (noises from the vagina) occurs and is loud. This is due to excess Gu Qi (Grain Qi). This formula is the main treatment. (Yin blowing refers to sounds emanating from the vagina, resembling flatulence during defecation.)
Xionghuang (Realgar) Tingli (Descurainiae Semen/Lepidii Semen)
Grind the above two herbs into powder. Take lard rendered in the twelfth lunar month. Melt it. Bind 4-5 tips of cotton-wrapped Huai Zhi (Sophora branch) together. Dip the tip in the medicine and cauterize/irrigate the area.
The song says: Suddenly appearing this pediatric formula. Originally effective for treating Gan Chong (parasites causing tooth decay). Tingli, Xionghuang, and Zhu Zhi (lard) for point-cauterization. Leave doubts for later detailed investigation.
Xi notes: Parasites vary in size and form depending on their location. They generally do not depart from Wind, Fire, and Dampness, generated by the Qi transformation of Jueyin. Pediatric Gan Chong disease often arises because the mother has insufficient breast milk, leading to feeding with dry, fire-inducing foods. This causes incessant irritability and crying in the child, stirring up Fire in the Pericardium. Stirred Fire inevitably scorches the Liver. Steaming and oppression transform according to Wind-Wood Qi into parasites. Parasites are sentient beings; they feed on sentient blood and disrupt the sentient heart/mind. Their movement is unpredictable... [Text fragment ends abruptly regarding form, stitching, time, eyes, turbidity, intent, medicine, formula].
"Jingui Ge Kuo" was written by my teacher, Mr. Lishi, continuing after my grand-teacher, Old Master Xiuyuan, completed "Jingui Qianzhu". Its purpose is to facilitate recitation and transmission for future students.
Respectfully appended by witnessing disciple, Ye Xianghui.