Commonly used vulvar lotion in gynecology and Sophora Sophorae-妇科常用外阴洗剂苦参汤

Kushen Soup

【Prescription】

One liter of Sophora flavescens (30g)

【usage】

Take a bucket of water, decoct 7 liters, decontaminate, smoke and wash, three times a day (modern usage: decoction for juice, smoke and wash the lower part, 3 times a day).

【original】

If the throat is eroded in the lower part, the throat will be dry, and the Sophora flavescens decoction will wash it. (The third and the eleventh syndrome of lily fox confused yin and yang disease veins)

【Commentary】

This prescription is mainly used to treat the syndrome of eclipse before fox disease. Zhong Jing’s so-called “corrosion in the lower part” refers only to the corrosion and ulceration of the anterior yin. This syndrome is caused by the betting of heat toxin in the liver meridian. Because the liver meridian of the foot Jueyin, the yin organs, reach the lower abdomen, and pass through the throat, the heat toxin rushes through the meridian from bottom to top, and the throat is dry. Sophora flavescens decoction is used to fumigate and wash the yin before it is bitter in nature. It is good at clearing heat and dampness, detoxifying and killing insects. This prescription can also be used for women’s damp heat and toxic betting, vaginal itching and men’s scrotal eczema.

【use】

1. Itching of the vulva (trichomoniasis vaginitis)

Zhao Mingrui’s medical record: Liang, female, 35 years old. Suffering from leucorrhea betting for 3 years, it has worsened in the past 1 year, and complicated by genital itching is unbearable. After gynecological examination, he was diagnosed as “trichomoniasis vaginitis”. After 2 courses of treatment with metronidazole, the effect is not obvious. After smoking with Sophora flavescens decoction, smoked for 1 hour every night, and took Chinese medicine for clearing away heat and dampness. After 2 weeks, the itch was relieved. After several gynecological examinations, there was no trichomoniasis in the vagina, and the inflammation was healed.

note:

It can be seen that Sophora flavescens is very good at clearing away heat and dampness, detoxifying and killing insects.

Second, scrotal eczema

Medical case of Wang Zhanxi: Ni XX, male, 38 years old. Suffered from scrotal eczema for more than one month and came to see a doctor before November 23, 1971. A month ago, the patient felt itching in the scrotum. Yellow water would flow when scratched. Afterwards, eczema was seen around the glans and anus, especially the scrotum. He had used fluocinolone and traditional Chinese medicine lotion for external use. The back glans was ulcerated, the patient’s itching was unbearable, the tongue was pale and the fur was dark and the pulse was slow and slippery. The betting was for damp and heat. Then 30 grams of Sophora flavescens was injected, decocted and washed outside, and taken orally with Longdan Xiegan Decoction. Healed by washing six times.

note:

The liver meridian heat toxin bet the card, so it was fumigated and washed with Sophora flavescens decoction. Add Longdan Xiegan Pills to increase the clearing and damp heat and turbidity of the liver.

This article is excerpted from “Selected Cases of Famous Doctors of the Golden Chamber”

苦参汤

【方药】

 

苦参一升(30克)

 

【用法】

 

以水一斗,煎取七升,去滓,熏洗,日三服(现代用法:水煎取汁,熏洗下部,每日3次)。

 

【原文】

 

蚀于下部则咽干,苦参汤洗之。(百合狐惑阴阳毒病脉证治第三・十一)

 

【解说】

 

本方主治狐惑病前阴蚀烂之证。仲景所谓“蚀于下部”,乃单指前阴腐蚀溃烂而言。本证为肝经热毒下注所致,因足厥阴肝经,绕阴器,抵少腹,上通于咽喉,故热毒循经自下而上冲,则见咽喉干燥。以苦参汤熏洗前阴,乃取其味苦性寒,功擅清热燥湿,解毒杀虫,就近熏之,以治其本,则咽干之标自愈。本方亦可用于妇女湿热浊毒下注之带下、阴痒及男子阴囊湿疹。

 

【运用】

 

一、外阴瘙痒(滴虫性阴道炎)

 

赵明锐医案:梁某,女,35岁。患白带下注3年之久,近1年来加重,并发外阴瘙痒难忍。经妇科检查,诊断为“滴虫性阴道炎”。经用灭滴灵等治疗2个疗程,效果不明显。后用苦参汤熏,每晚熏1小时,兼服清热利湿之中药,2周后,带净痒止,又经妇科数次检查,阴道未见滴虫,而且炎症也愈。

按语:

 

于此可见,苦参清热燥湿、解毒杀虫之功甚佳。

 

二、阴囊湿疹

 

王占玺医案:倪某某,男,38岁。患阴囊湿疹一月余,于1971年11月23日前来就诊。患者一月前自觉阴囊发痒,抓破则流黄水,继则龟头及肛门周围均见湿疹,尤以阴囊为甚,曾外用氟轻松和中药洗剂,虽见好转,但时好时犯,后龟头发生溃烂,病人瘙痒难忍,舌淡苔白,脉沉缓稍滑,乃湿热下注,遂投苦参30克,水煎外洗,并以龙胆泻肝汤加减内服,外洗六次而愈。

 

按语:

 

肝经热毒下注之证,故以苦参汤熏洗之。加服龙胆泻肝丸以增清利肝经湿热浊毒之功。

本文摘自《金匮名医验案精选》

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