治妇人阴下脱散方。
当归 黄芩 牡蛎（熬各二两） 芍药（一两半） 皮（一两切熬）
上五味，捣散，酒服方寸匕，日三服，禁举重，良。（《外台》卷三十四）
治妇人产后阴下脱方。
取蛇床子一升，布裹炙熨之。亦治阴中痛。（《外台》卷三十四）
治妇人阴下挺出方。
蜀椒 乌头 白芨（各二分）
上三味，捣筛，以方寸匕绵裹内阴中，入三寸，腹中热，明旦更着，瘥止。（《外台》卷
三
治妇人阴中痒，脱下方。
取车 膏敷之，即瘥。（《医心方》卷二十一）
治妇人阴中痛生疮方。
羊脂（一斤） 当归 杏仁（去皮尖） 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，绵裹药内阴中，日一度。
（《外台》卷三十四）
治女子阴疮方。
末硫黄敷上。（《肘后方》卷五）
又方
末雄黄、矾石各二分，麝香半分，捣敷。（《肘后方》卷五）
治男女阴蚀略尽方。
虾蟆 兔矢
上二味，分等，捣筛，以敷疮上。（《医心方》卷二十一）
治妇人阴中痒，如虫行状方。
矾石（三分熬） 芎 （四分） 真丹砂（少许）
上三物，下筛，以绵裹，内阴中，虫自死。（《医心方》卷二十一）
治妇人妒乳、乳痈。诸产生后，宜勤挤乳，不宜令汁蓄积，不去便不复出，恶汁于内引
热，温壮结坚掣痛，大渴引饮，乳急痛，手不得近，成妒乳，非痈也方。
始妒乳，急灸两手鱼际各二七壮，断痈脉也。便可令小儿手助捋之，则乳汁大出，皆如
脓
治产后不自饮儿，及失儿无儿饮乳，乳蓄喜结痈。不饮儿令乳上肿者方。
以鸡子白和小豆散敷乳房令消结也，若饮儿不泄者，数捻去之，亦可令大者子含水，使
漱口中冷，为嗍取乳汁吐去之，不含水漱，令乳头作疮，乳孔寒也。（《外台》卷三十四）
治妒乳、乳痈，连翘汤方。
连翘 升麻 杏仁 射干 防己 黄芩 大黄 芒硝 柴胡（各三两） 芍药 甘草（炙
各四两）
上十一味，切，以水九升，煮取三升，分服。忌海藻、菘菜。（《外台》卷三十四）
又方
取葵茎烧灰捣散，服方寸匕，日三即愈。（《外台》卷三十四）
治妒乳生疮方。
蜂房 猪甲中土 车辙中土等分
上三味，末，苦酒和涂之，良。（《外台》卷三十四）
治妇人女子乳头生小热疮，搔之黄汁出，侵淫为长，百治不瘥者，动经年月，名为妒乳
病。妇人饮儿者，乳皆欲断，世论苟抄乳是也。宜以赤龙皮汤及天麻汤洗之，敷二物飞鸟膏
及飞鸟散佳，始作者可敷以黄芩漏芦散及黄连胡粉散并佳，方如下∶
赤龙皮汤方
槲皮切三升，以水一斗，煮取五升，夏冷用之，秋冬温之，分以洗乳，亦洗诸深败烂久
疮，
天麻草汤方
天麻草切五升，以水一斗半，煎取一斗，随寒温分洗乳，以杀痒也。此草叶如麻叶，冬
生夏着花，赤如鼠尾花，亦以洗侵淫黄烂热疮、痒疽湿阴蚀疮，小儿头疮，洗毕敷膏散。（《外
台》卷三十四）
飞鸟膏散方
用烧朱砂作水银上黑烟（一名细粉者三两） 矾石（三两烧粉）
上二味，以绢筛了，以甲煎和之令如脂，以敷乳疮，日三。作散者不须和，有汁自着可
用散，亦敷诸热疮、黄烂侵淫疮、蜜疮、丈夫阴蚀痒湿、诸小儿头疮疳蚀、口边肥疮、蜗疮
等，并以此敷之。（《外台》卷三十四）
黄连胡粉膏散方
黄连（二两） 胡粉（十分） 水银（一两同研令消散）
上三味，捣黄连为末，三物相和，合皮裹熟 之自和合也。纵不成一家，且得水银细散
入粉中也。以敷乳疮，诸湿痒黄烂肥疮，若着甲煎为膏。（《外台》卷三十四）
治妒乳方。
黄芩 白蔹 夕药
上三物，分等，下筛，以浆服一钱五匕日五服。（《医心方》卷二十一）
又方
左乳结者去右乳汁，右乳结者可去左乳汁。（《医心方》卷二十一）
又方
捣生地黄薄之，热则易。（《医心方》卷二十一）
治疗妇人阴部下垂脱出散开的方子。
当归、黄芩、牡蛎（煅制，各二两）、芍药（一两半）、[桂]皮（一两，切碎后煅制）。
以上五味药，捣碎成散剂，用酒送服一方寸匕，每日三次服用。禁忌提举重物，疗效良好。（引自《外台秘要》卷三十四）
治疗妇人产后阴部下脱的方子。
取蛇床子一升，用布包裹后加热熨烫患处。此法也能治疗阴道内疼痛。（引自《外台秘要》卷三十四）
治疗妇人阴部挺出的方子。
蜀椒、乌头、白及（各二分）。
以上三味药，捣碎过筛，用一方寸匕的量装入棉包中放入阴道内，深入三寸，感到腹部发热，次日早晨再换一次，病愈即止。（引自《外台秘要》卷三十四）
治疗妇人阴部瘙痒、下脱的方子。
取车前草膏敷涂患处，即可痊愈。（引自《医心方》卷二十一）
治疗妇人阴部疼痛生疮的方子。
羊脂（一斤）、当归、杏仁（去皮尖）、白芷、川芎（各一两）。
以上五味药，细细切碎，与羊脂混合，置于甑中蒸制。药成后，取如大豆大小的一枚，用棉包裹放入阴道内，每日一次。（引自《外台秘要》卷三十四）
治疗女子阴疮的方子。
将硫黄研末敷于患处。（引自《肘后备急方》卷五）
又一方
将雄黄、矾石各二分，麝香半分，捣碎混合后敷用。（引自《肘后备急方》卷五）
治疗男女阴部蚀烂严重的方子。
虾蟆（青蛙或蟾蜍）、兔矢（兔子粪便）。
以上两味药，按等量分配，捣碎过筛，敷在疮面上。（引自《医心方》卷二十一）
治疗妇人阴部瘙痒，感觉像虫子爬行的方子。
矾石（三分，煅制）、川芎（四分）、真丹砂（少许）。
以上三味药，研磨过筛，用棉包裹，放入阴道内，寄生虫自然死亡。（引自《医心方》卷二十一）
治疗妇人妒乳、乳痈。所有产妇在生产后，应当勤挤乳汁，不宜让乳汁蓄积。如果不排出，乳汁将无法再次流出，恶浊的乳汁在体内引发热邪，导致温热壮盛、结聚坚硬、牵拉疼痛，极度口渴想喝水，乳房紧急疼痛，手不能触碰，形成妒乳，这并非乳痈。方子如下：
刚开始出现妒乳时，立即灸双手鱼际穴各十四壮，以断绝乳痈的病脉。随后可以让婴儿用手帮助揉捋乳房，这样乳汁就会大量流出，状如脓液。
治疗产后不亲自哺乳婴儿，以及失去婴儿或无婴儿可哺乳，导致乳汁蓄积容易结成乳痈。如果不让婴儿吸吮导致乳房肿胀的方子。
用鸡蛋清调和赤小豆散敷在乳房上，使结块消散。如果让婴儿吸吮但乳汁仍不通畅，应多次揉捏排出；也可以让较大的孩子含水漱口使其变冷，然后用嘴吸出乳汁吐出丢弃。如果不含水直接吸吮，会导致乳头生疮，因为乳孔受寒所致。（引自《外台秘要》卷三十四）
治疗妒乳、乳痈的连翘汤方。
连翘、升麻、杏仁、射干、防己、黄芩、大黄、芒硝、柴胡（各三两）、芍药、甘草（炙，各四两）。
以上十一味药，切碎，用水九升，煮取三升，分次服用。忌食海藻、菘菜（白菜类）。（引自《外台秘要》卷三十四）
又一方
取冬葵茎烧成灰，捣碎成散剂，服用一方寸匕，每日三次即可痊愈。（引自《外台秘要》卷三十四）
治疗妒乳生疮的方子。
蜂房、猪腹中的泥土、车辙中的泥土，各等分。
以上三味药，研成细末，用醋调和涂抹，疗效良好。（引自《外台秘要》卷三十四）
治疗妇女女子乳头生小热疮，搔抓后有黄色汁液流出，蔓延生长，各种治疗都不见效，病程长达经年累月，称为妒乳病。哺乳妇人的乳汁往往因此中断，世俗所谓的“偷抄乳”就是指这种情况。适宜用赤龙皮汤和天麻汤清洗，敷用二物飞鸟膏及飞鸟散效果佳。初起时可敷用黄芩漏芦散及黄连胡粉散也效果很好，方子如下：
赤龙皮汤方
槲树皮切碎三升，用水一斗，煮取五升，夏季冷用，秋冬温用，分次清洗乳房，也可用于清洗各种深部溃烂久治不愈的疮疡。
天麻草汤方
天麻草切碎五升，用水一斗半，煎取一斗，根据冷热情况分次清洗乳房，以消除瘙痒。这种草叶子像麻叶，冬天生长夏天开花，红色像鼠尾草的花，也可用于清洗蔓延的黄水烂疮、痒疽、湿性阴蚀疮、小儿头疮，清洗完毕后敷上膏散。（引自《外台秘要》卷三十四）
飞鸟膏散方
使用烧朱砂产生的水银黑烟（一种叫细粉的，三两）、矾石（三两，烧制成粉）。
以上两味药，用绢筛过滤，用甲煎（昆虫胶）调和至如脂状，敷于乳疮，每日三次。制作成散剂则不需要调和，有渗出液时可直接使用散剂，也可用于敷治各种热疮、黄水蔓延疮、蜜疮、男子阴部蚀烂瘙痒湿症、各种小儿头疮疳蚀、口边肥疮、蜗牛疮等，都用此药敷治。（引自《外台秘要》卷三十四）
黄连胡粉膏散方
黄连（二两）、胡粉（十分）、水银（一两，同研至消散）。
以上三味药，捣黄连为末，三物混合，用皮包裹煮熟使其自行融合。即使不成一家配方，至少也要使水银细散融入粉中。用于敷治乳疮，各种湿痒黄烂肥疮，若加入甲煎则成为膏剂。（引自《外台秘要》卷三十四）
治疗妒乳的方子。
黄芩、白蔹、芍药。
以上三味药，按等量分配，研磨过筛，用米浆送服一方寸匕，每日五次。（引自《医心方》卷二十一）
又一方
左侧乳房结块者，去除右侧乳汁；右侧乳房结块者，去除左侧乳汁。（引自《医心方》卷二十一）
Formula for treating prolapse and dispersion of the female genitalia.
Danggui (Radix Angelicae Sinensis), Huangqin (Radix Scutellariae), Moli (Concha Ostreae, calcined, each 2 liang), Shaoyao (Radix Paeoniae Alba, 1.5 liang), [Guizhi] (Ramulus Cinnamomi, 1 liang, cut and calcined).
The above five herbs are crushed into a powder. Take one fangcun bi (a square-inch measure) with wine, three times daily. Avoid lifting heavy objects. The effect is excellent. (Cited from *Waitai Miyao*, Vol. 34)
Formula for treating vaginal prolapse after childbirth.
Take one sheng (approx. 600ml) of Chuangzi (Fructus Cnidii), wrap it in cloth, heat it, and apply as a hot compress. This also treats pain within the vagina. (Cited from *Waitai Miyao*, Vol. 34)
Formula for treating protrusion of the female genitalia.
Shujiao (Fructus Zanthoxyli), Wutou (Radix Aconiti Lateralis Preparata), Baiji (Rhizoma Bletillae, each 2 fen).
The above three herbs are crushed and sifted. Wrap one fangcun bi of the powder in cotton and insert it into the vagina to a depth of three cun. When warmth is felt in the abdomen, replace it the next morning. Discontinue when cured. (Cited from *Waitai Miyao*, Vol. 34)
Formula for treating vaginal itching and prolapse.
Apply Cheqian Gao (Paste of Plantaginis Semen) to the affected area; it will heal immediately. (Cited from *Yixin Fang*, Vol. 21)
Formula for treating pain and sores in the vagina.
Yangzhi (Adeps Ovilis, 1 jin), Danggui (Radix Angelicae Sinensis), Xingren (Semen Armeniacae Amarum, peeled and de-pitted), Baizhi (Radix Angelicae Dahuricae), Xiong (Radix Chuanxiong, each 1 liang).
The above five herbs are finely chopped and mixed with Yangzhi. Steam them in a steamer. Once prepared, take a piece the size of a soybean, wrap it in cotton, and insert it into the vagina once daily. (Cited from *Waitai Miyao*, Vol. 34)
Formula for treating yin chuang (genital sores) in women.
Apply sulfur powder to the affected area. (Cited from *Zhouhou Beiji Fang*, Vol. 5)
Another formula
Crush Xionghuang (Realgar), Fanshi (Alumen, each 2 fen), and Shexiang (Moschus, 0.5 fen) and apply as powder. (Cited from *Zhouhou Beiji Fang*, Vol. 5)
Formula for treating severe erosion of the genitals in men and women.
Xama (Bufo bufo gargarizans or Rana temporaria), Tushi (Leporis Faeces).
The above two ingredients are taken in equal parts, crushed, sifted, and applied to the sores. (Cited from *Yixin Fang*, Vol. 21)
Formula for treating vaginal itching with a sensation like insects crawling.
Fanshi (Alumen, 3 fen, calcined), Xiong (Radix Chuanxiong, 4 fen), Zhendansha (Cinnabaris, a small amount).
The above three herbs are finely sifted, wrapped in cotton, and inserted into the vagina; the parasites will die naturally. (Cited from *Yixin Fang*, Vol. 21)
Treatment for Dulu (nursing engorgement) and Ru Yong (breast abscess). After childbirth, mothers should frequently express milk and avoid accumulation. If not expelled, milk cannot flow again; stagnant milk generates internal heat, leading to warmth, hardness, swelling, pulling pain, extreme thirst, urgent breast pain, and tenderness to touch. This condition is called Dulu, distinct from Ru Yong.
At the onset of Dulu, moxa the Yuji points (LU10) on both hands, 14 moxa cones per point, to cut off the pulse of the abscess. Then allow the infant to help massage the breast with their hand, causing milk to flow out abundantly, resembling pus.
Formula for treating breast swelling due to lactation stasis when the mother does not nurse, has lost her child, or has no child to nurse.
Apply a mixture of Jizi Bai (Albumen Ovi Galli) and Xiaodou San (Powder of Phaseoli Semen) to the breast to dissipate the lump. If nursing does not relieve the blockage, repeatedly knead to expel the milk. Alternatively, have an older child rinse their mouth with cold water and suck out the milk, then spit it out. Do not suck directly without rinsing, as this may cause sores on the nipple due to cold entering the milk ducts. (Cited from *Waitai Miyao*, Vol. 34)
Lianqiao Tang (Forsythia Decoction) for treating Dulu and Ru Yong.
Lianqiao (Fructus Forsythiae), Shengma (Rhizoma Cimicifugae), Xingren (Semen Armeniacae Amarum), Shegan (Rhizoma Belamcandae), Fangji (Radix Stephaniae Tetrandrae), Huangqin (Radix Scutellariae), Dahuang (Radix et Rhizoma Rhei), Mangxiao (Natrii Sulfas), Chaihu (Radix Bupleuri, each 3 liang); Shaoyao (Radix Paeoniae Alba), Gancao (Radix Glycyrrhizae Preparata, each 4 liang).
The above eleven herbs are cut and decocted in 9 sheng (approx. 1800ml) of water to obtain 3 sheng. Divide and take orally. Avoid consuming Haizao (Thallus Sargassii) and Songcai (Brassica rapa var. pekinensis). (Cited from *Waitai Miyao*, Vol. 34)
Another formula
Burn the stems of Kuishu (Malva verticillata) to ash, crush into powder, take one fangcun bi, three times daily until cured. (Cited from *Waitai Miyao*, Vol. 34)
Formula for treating sores caused by Dulu.
Fengfang (Cella Vespae), Zhu Zhong Tu (Soil from the pig's belly), Che Zhe Zhong Tu (Soil from cart ruts), in equal parts.
The above three herbs are powdered and mixed with Ku Jiu (Vinegar) for topical application. It is effective. (Cited from *Waitai Miyao*, Vol. 34)
For small hot sores on the nipples of women that ooze yellow fluid when scratched, spread progressively, resist various treatments, last for years, and are termed "Dulu Bing" (Dulu disease). This often causes weaning in nursing mothers, known colloquially as "stolen milk." It is advisable to wash with Chilongpi Tang (Quercus Betula Bark Decoction) and Tianma Cao Tang (Gastrodia Decoction), and apply Erwu Feiniaogao (Two-Ingredient Flying Bird Ointment) and Feiniaosan (Flying Bird Powder). For early stages, Huangqin Loulu San (Scutellaria and Euphorbia Powder) and Huanglian Hufen San (Coptis and Lead White Powder) are also suitable. Formulas follow:
Chilongpi Tang Formula
Cut Hulpi (Bark of Quercus variabilis) 3 sheng, decoct in 1 dou (approx. 10 liters) of water to obtain 5 sheng. Use cold in summer and warm in autumn. Divide and use to wash the breasts. It can also be used to wash deep, chronic, ulcerated sores.
Tianma Cao Tang Formula
Cut Tianma Cao (Herba Gastrodiae) 5 sheng, decoct in 1.5 dou of water to obtain 1 dou. Divide and use to wash the breasts according to temperature preference to relieve itching. This herb has leaves similar to hemp, grows in winter, flowers in summer, and has red flowers resembling Salvia. It can also be used to wash spreading yellow ulcers, pruritic gangrene, wet erosive vulvar sores, and pediatric capitis. Apply ointment or powder after washing. (Cited from *Waitai Miyao*, Vol. 34)
Feiniaogao San Formula
Use Heiyanshen (Mercurius Nigricans obtained by burning Zhusha/Cinnabar, also known as Xifen, 3 liang) and Fanshi (Alumen, calcined to powder, 3 liang).
Sift the above two ingredients through silk. Mix with Jiajian (Insect glue/jelly) to form a paste-like consistency. Apply to breast sores three times daily. For powder form, mixing is unnecessary; apply directly if there is exudate. It can also be used for various hot sores, spreading yellow ulcers, honey-colored crusts, male genital erosion with itching and dampness, pediatric tinea capitis, impetigo around the mouth, and scabies. (Cited from *Waitai Miyao*, Vol. 34)
Huanglian Hufen Gao San Formula
Huanglian (Rhizoma Coptidis, 2 liang), Hufen (Plumbum Subcarbonas, 10 fen), Shuiyin (Hydrargyrum, 1 liang, ground together until dissolved).
Crush Huanglian into powder. Mix the three ingredients. Wrap in skin and cook熟 (heat/steam) to allow self-blending. Even if not perfectly blended, ensure Mercury is finely dispersed into the powder. Apply to breast sores, damp itchy yellow ulcers, and impetigo. If mixed with Jiajian, it becomes an ointment. (Cited from *Waitai Miyao*, Vol. 34)
Formula for treating Dulu.
Huangqin (Radix Scutellariae), Bailian (Rhizoma Belamcandae), Shaoyao (Radix Paeoniae Alba).
The above three herbs are taken in equal parts, sifted, and taken with Jiang (Mash/Grain liquid), one fangcun bi per dose, five times daily. (Cited from *Yixin Fang*, Vol. 21)
Another formula
If the left breast is congested, express milk from the right breast; if the right breast is congested, express milk from the left breast. (Cited from *Yixin Fang*, Vol. 21)
Another formula
Crush fresh Dihuang (Radix Rehmanniae Preparata) and apply thinly as a compress. Replace when it becomes hot. (Cited from *Yixin Fang*, Vol. 21)