痔疮之症，或因禀受胎毒，或膏粱食积，或母食炙 浓味所致。肿痛者湿热，作痒者风热，便闭者火盛，脓溃者血
热。湿热，加味槐花散。风热，秦艽苍术汤。便秘，清燥汤。脓溃，黄 汤。熏洗则用葱汤、槐角、五倍子等药，或真
蒲黄以猪脂调敷，如有兼变之症，参各门治之。
一小儿患痔，赤肿作痛，用黄连解毒汤而痛止，又用托里清肝散，及加味槐角丸而疮愈。
一小儿因饮食停滞，发热患痔，大便不利，肿痛寒热，不时发搐，此脾气伤而肝乘之也，先用保和丸末二钱，以柴
胡、山栀汤调服，食消搐止；又用四味肥儿丸，数服而愈。
一小儿十二岁，不戒浓味醇酒，不时作痛，或大便秘结，小便涩滞，用龙胆泻肝汤治之而安。后饮烧酒，前症复发，
遍身色赤烦躁，饮冷醋半钟，赤热悉退，肿痛顿减。
一小儿因乳母食炙 之物，肛门肿痛。用清胃散母子并服，子又服四味肥儿丸而愈。后因乳母恚怒，胸胁作痛，频
饮糖酒，儿病复作发搐，母先服加味小柴胡汤二剂，次服加味逍遥散，儿服四味肥儿丸而愈。
一小儿肛门肿痛，大便不通，服大黄之药，肿痛益甚，虚症并作，仍欲攻疮。余曰∶此因脾气复伤而然也，用异功
散加升麻、柴胡为主，佐以加味槐角丸，肿痛渐退；又用黄连解毒汤而出脓；用秦艽苍术汤而疮愈。
一小儿肛门肿痛，发热饮水，口鼻气热，此脾肺经实热，先用泻黄散二服而热退，又用枳壳散而痛止，用金银花散
而肿痛消。后母食膏粱，儿患复作，母用清胃散而肿痛消。
一小儿误吞信石，遍身发赤，呕吐烦渴，肛门肿痛，便秘饮冷，服冷米醋一钟，赤晕立消，肿痛顿止；又用黄连解
毒汤、金银花而愈。
一小儿痔疮，不时肿痛，服加味槐角丸而愈。至十四而复作，发热体倦，肛门坚肿，用地黄丸、八珍汤，坚肿渐消，
血气渐愈。或间止药饵，劳役不节，诸症仍作，用前药随愈。毕姻后，肛门肿溃而串臀，用补中汤、地黄丸，臀间渐愈。
或用追蚀等药，坚核虽消，痛伤元气，疮口不合，余用八珍汤、地黄丸，两月而敛。后不守禁忌，又且攻毒，以致屡发，
元气日虚而殁。古人云∶善服药不若善保养。信夫！
苦参散 治痔疮肿痛发热。
枳壳（麸炒） 黄连 大黄 甘草 荆芥 苦参 赤芍药 黄芩
上水煎熏洗。
加味槐花散 治肠风下血，痔疮肿痛，发热便秘。
槐花 熟地黄 白术 青皮 荆芥穗 川芎（各二钱） 当归身 升麻（各四分） 枳壳（麸炒，五分）
上水煎服。
秦艽苍术汤 治痔疮，大便坚硬，小便频数，内热作渴。
秦艽 苍术（各五分） 泽泻 防风 桃仁 皂角子仁（炒） 当归尾 黄柏 山栀（炒。各三分）
上作二剂，水煎服。
清燥汤 治大肠风热血燥，秘结不通，痔疮等症。
生地黄 山栀 麻子仁（研。各五分） 黄芩 川芎 羌活 黄柏 郁李仁 芍药 当归尾 甘草（各四分） 泽
泻（二分）
上水煎服。
黄 散 治痔疮，并一切溃疡，虚弱发热。
茯苓 黄 （炒） 当归 川芎 白芍药 白芷（各五分） 升麻 山栀（炒。各二分）
上水煎服。
枳壳散 治痔疮肿痛或下血。
枳壳（去穣，麸炒） 槐花 荆芥 皂角子仁（炒） 皮（炙。各等分）
上为末，每服一钱，滚汤下，作丸亦可。
加味槐角丸 治症同前。
槐角（炒） 枳壳（麸炒） 当归 黄芩 皂角仁（炒） 皮（炙） 秦艽 白芷（各等分）
上为末，每服一二钱，水煎服，或蜜丸，量儿大小服。
又方 治痔痛不可忍者。
羊胆（一个） 冰片（五分）
上以冰片为末，羊胆涂之。
丹石散 治痔疮热痛如神。
黄丹 滑石（各等分）
上为末，新汲水调涂，日三五次。
胜雪膏 治痔疮热痛不可忍。
片脑 铅白霜（各等分）
上为末，好酒研成膏涂之，随手愈。
又方 用生栝萎根研如泥，猪油调涂。
黄连解毒汤（方见作痛不止）
托里清肝散（方见囊痈）
四味肥儿丸（方见贴骨痈）
加味小柴胡汤（方见热毒瘰 ）
加味逍遥散（方见发热不止）
龙胆泻肝汤（方见下疳疮）
Symptoms of hemorrhoids may arise from congenital fetal toxins, accumulation of food due to excessive consumption of rich and greasy foods, or the mother's intake of roasted and strongly flavored foods. Swelling and pain indicate damp-heat; itching indicates wind-heat; constipation indicates excess fire; suppuration and ulceration indicate blood heat. For damp-heat, use Jiawei Huaihua San (Modified Sophora Flower Powder); for wind-heat, use Qinjiao Cangzhu Tang (Gentian and Atractylodes Decoction); for constipation, use Qingzao Tang (Moistening Dryness Decoction); for suppuration and ulceration, use Huang Tang (Astragalus Decoction - *Note: Original text says "Huang [missing character] Tang", inferred as Astragalus based on context*). For fumigation and washing, use scallion decoction, Sophora fruit, Chinese gall, and other herbs, or apply real Puhuang (Cortex Pollen) mixed with lard externally. If there are complicated symptoms, refer to the treatments in respective categories.
A child suffered from hemorrhoids with red swelling and pain. After taking Huanglian Jiedu Tang (Coptis Decoction to Relieve Toxicity), the pain ceased. Subsequently, Tuoli Qinggan San (Interior-Supporting Liver-Clearing Powder) and Jiawei Huaijiao Wan (Modified Sophora Seed Pills) were administered, leading to healing.
Another child developed hemorrhoids accompanied by fever due to food stagnation. Symptoms included difficult defecation, swelling, pain, chills, fever, and occasional convulsions. This was diagnosed as spleen qi injury with liver wood overacting upon it. Initially, Baohe Wan powder (2 qian) was taken, mixed with Chaihu (Bupleurum) and Shanzhi (Gardenia) decoction. Once food stagnation resolved and convulsions stopped, Siwei Fei'er Wan (Four-Ingredient Stomach-Nourishing Pills) was given for several doses, resulting in recovery.
A twelve-year-old boy, who did not abstain from rich foods and strong wine, experienced intermittent pain, sometimes with constipation and dysuria. He was treated with Longdan Xiegan Tang (Gentian Liver-Draining Decoction) and stabilized. Later, after drinking distilled liquor, his previous symptoms recurred with generalized erythema and irritability. Drinking half a cup of cold vinegar caused the redness and heat to subside completely, and swelling and pain decreased immediately.
A child presented with anal swelling and pain because the wet nurse had consumed roasted foods. Both mother and child took Qingwei San (Stomach-Clearing Powder), and the child additionally took Siwei Fei'er Wan, leading to recovery. Later, due to the wet nurse's anger causing chest and hypochondriac pain, and her frequent consumption of sugary wine, the child's illness recurred with convulsions. The mother first took Jiawei Xiaochaihu Tang (Modified Minor Bupleurum Decoction) for two doses, followed by Jiawei Xiaoyao San (Modified Free Wanderer Powder). The child took Siwei Fei'er Wan and recovered.
A child with anal swelling, pain, and constipation took Rhubarb-based medicines, which exacerbated the swelling and pain, leading to concurrent deficiency syndromes. Despite this, there was an urge to attack the abscess. I stated: This is due to further injury to spleen qi. The main treatment was Yigong San (Extraordinary Assistance Powder) augmented with Shengma (Cimicifuga) and Chaihu (Bupleurum), assisted by Jiawei Huaijiao Wan. Swelling and pain gradually subsided. Then, Huanglian Jiedu Tang was used to discharge pus, and Qinjiao Cangzhu Tang healed the wound.
A child with anal swelling, pain, fever, thirst, and hot breath from mouth and nose was diagnosed with excess heat in the spleen and lung meridians. Two doses of Xiehuang San (Draining Yellow Powder) reduced the fever. Zhike San (Citrus Aurantium Powder) stopped the pain, and Jinyinhua San (Honeysuckle Powder) eliminated swelling and pain. Later, after the mother ate rich foods, the child's condition relapsed. The mother took Qingwei San, resolving the swelling and pain.
A child accidentally ingested arsenolite (Xinshi), presenting with generalized redness, vomiting, irritability, thirst, anal swelling and pain, constipation, and a desire for cold drinks. One cup of cold rice vinegar was administered, causing the redness to vanish instantly and pain to cease. Huanglian Jiedu Tang and Jinyinhua (Honeysuckle) cured the condition.
A child with intermittent hemorrhoid swelling and pain recovered after taking Jiawei Huaijiao Wan. At age fourteen, the condition relapsed with fever, fatigue, and hard, swollen anus. Dihuang Wan (Rehmannia Pills) and Bazhen Tang (Eight-Treasure Decoction) were used, gradually reducing hardness and swelling and restoring qi and blood. Medication was occasionally paused, and due to irregular labor, symptoms recurred but improved with the previous prescriptions. After marriage, anal swelling ulcerated and spread to the buttocks. Buzhong Yiqi Tang (Middle-Boosting Qi-Enriching Decoction) and Dihuang Wan were used, healing the buttock area. Alternative corrosive treatments might reduce hard nodules but damage yuan qi and prevent wound closure. Using Bazhen Tang and Dihuang Wan led to healing within two months. However, failure to observe dietary restrictions and continued toxic attacks caused repeated relapses, gradual depletion of yuan qi, and eventual death. As the ancients said: Being good at taking medicine is inferior to being good at self-care. Truly so!
Kushen San (Sophora Root Powder) treats hemorrhoid swelling, pain, and fever.
Zhiqiao (Bran-fried Citrus Aurantium), Huanglian (Coptis), Dahuang (Rhubarb), Gancao (Licorice), Jingjie (Schizonepeta), Kushen (Sophora), Chishao (Red Peony Root), Huangqin (Scutellaria).
Decoct in water for fumigation and washing.
Jiawei Huaihua San (Modified Sophora Flower Powder) treats intestinal wind bleeding, hemorrhoid swelling and pain, fever, and constipation.
Huaihua (Sophora Flower), Shudihuang (Prepared Rehmannia), Baizhu (Atractylodes), Qingpi (Green Citrus Peel), Jingji Sui (Schizonepeta Spike), Chuanxiong (Ligusticum) (each 2 qian), Danggui Shen (Angelica Sinensis Root Head), Shengma (Cimicifuga) (each 4 fen), Zhiqiao (Bran-fried Citrus Aurantium) (5 fen).
Decoct in water and take orally.
Qinjiao Cangzhu Tang (Gentian and Atractylodes Decoction) treats hemorrhoids, hard stool, frequent urination, internal heat, and thirst.
Qinjiao (Gentiana), Cangzhu (Atractylodes) (each 5 fen), Zexie (Alisma), Fangfeng (Saposhnikovia), Taoren (Peach Kernel), Zhaojiao Zi Ren (Stinging Tree Pod Seed, fried), Danggui Wei (Angelica Sinensis Tail), Huangbai (Phellodendron), Shanzhi (Gardenia, fried) (each 3 fen).
Divide into two doses, decoct in water and take orally.
Qingzao Tang (Moistening Dryness Decoction) treats large intestine wind-heat and blood dryness, constipation, and hemorrhoids.
Shengdihuang (Raw Rehmannia), Shanzhi (Gardenia), Maziren (Hemp Seed, crushed) (each 5 fen), Huangqin (Scutellaria), Chuanxiong (Ligusticum), Qianghuo (Notopterygium), Huangbai (Phellodendron), Yuliren (Bush Cherry Seed), Shaoyao (Peony), Danggui Wei (Angelica Sinensis Tail), Gancao (Licorice) (each 4 fen), Zexie (Alisma) (2 fen).
Decoct in water and take orally.
Huangqi San (Astragalus Powder - *Inferred from context "Huang ... San" and ingredients*) treats hemorrhoids, all ulcers, weakness, and fever.
Fuling (Poria), Huangqi (Astragalus, fried), Danggui (Angelica), Chuanxiong (Ligusticum), Baishaoyao (White Peony), Baizhi (Angelica Dahurica) (each 5 fen), Shengma (Cimicifuga), Shanzhi (Gardenia, fried) (each 2 fen).
Decoct in water and take orally.
Zhike San (Citrus Aurantium Powder) treats hemorrhoid swelling, pain, or bleeding.
Zhike (Pulp removed, bran-fried Citrus Aurantium), Huaihua (Sophora Flower), Jingjie (Schizonepeta), Zhaojiao Zi Ren (Stinging Tree Pod Seed, fried), Chenpi (Roasted Citrus Peel) (equal parts).
Grind into powder. Take 1 qian each time with boiling water. Can also be made into pills.
Jiawei Huaijiao Wan (Modified Sophora Seed Pills) treats symptoms as above.
Huaijiao (Sophora Fruit, fried), Zhike (Bran-fried Citrus Aurantium), Danggui (Angelica), Huangqin (Scutellaria), Zhaojiao Ren (Stinging Tree Pod Seed, fried), Chenpi (Roasted Citrus Peel), Qinjiao (Gentiana), Baizhi (Angelica Dahurica) (equal parts).
Grind into powder. Take 1-2 qian each time, decoct in water, or make honey pills. Dosage depends on the child's age.
Another Prescription for unbearable hemorrhoid pain.
Yangdan (Sheep Gallbladder, one), Bingpian (Borneol) (5 fen).
Grind Borneol into powder, apply with sheep gallbladder juice.
Danshi San (Cinnabar and Talc Powder) treats hemorrhoid heat and pain effectively.
Huangdan (Lead Monoxide), Huashi (Talc) (equal parts).
Grind into powder, mix with fresh well water, and apply externally 3-5 times daily.
Shengxue Gao (Snow-Vanquishing Ointment) treats unbearable hemorrhoid heat and pain.
Pian Nao (Borneol), Qianbaishuang (Basic Lead Carbonate) (equal parts).
Grind into powder, grind with good wine into an ointment, and apply. Healing occurs promptly.
Another Prescription: Grind raw Gualuba Gen (Trichosanthes Root) into a paste, mix with lard, and apply.
Huanglian Jiedu Tang (See prescription for unceasing pain)
Tuoli Qinggan San (See prescription for scrotal abscess)
Siwei Fei'er Wan (See prescription for deep bone abscess)
Jiawei Xiaochaihu Tang (See prescription for heat-toxin scrofula)
Jiawei Xiaoyao San (See prescription for unceasing fever)
Longdan Xiegan Tang (See prescription for chancre)