水调吞下方寸匕。又方，治肠风，赤小豆炒黑为末，每服二钱，米饮调下。
食饮不节，起居不时者，阴受之，阴受之则入五脏，入五脏则腹满闭塞，下为飧泄，久为肠 。
（全文见五脏。）
〔《素》〕因而饱食，筋脉横解，肠 为痔。（生气通天论）
上饮食不节，肠 ，如罗谦甫治真定总管史侯男，饮酸酒下血法，及海藏治杨师饮冰茶下
血法，治唐生饮酪水下血法是也。并见寒湿条。
〔世〕 治酒积下血不止，粪后见，诸药不效。
神曲（一两半） 白酒药（二丸）
上同为末，用清水调，捏作饼子，慢火上炙黄为细末，每服二钱。白汤调下。亦治泄泻神效。
〔《灵》〕春伤于风，夏生飧泄肠 。（论疾诊尺篇）
〔易〕胃风汤 治风冷乘虚，入客肠胃下血。（方论寒湿条。）
〔丹〕治肠风下血及血崩。用五灵脂炒，去火毒，每服二钱。
〔世〕肠风下血。马鞭草叶，研碎扭汁服。
〔丹〕脏毒下血。车前草连根一握，生姜一小块，新水研碎去渣，候血欲下时，腰间必觉重，
便服此药一盏。少坐渐觉冷下腹中，即登厕，已不见血矣，甚者不过再服。
〔《本》〕治肠风脏毒，酒痢下血。
黄连 生姜
上二味煎汤，下二气丸，次服五槐丸，方列于后。
又方
金星草（三两，草味苦寒，大解丹石毒） 陈干姜
上为末，每服一钱，新汲水调，空心服。
孙真人治粪后有血，浓煎艾叶汤，和生姜汁三合服之。
〔《本》〕治脏毒，蒜连丸。鹰爪黄连末，用独头蒜一颗，煨香熟，研和丸如桐子大。每服
三四十丸，陈米饮下。
〔《衍》〕患暴下血。以葫五七枚，去梗皮，量多少入豆豉捣为膏，可即丸如桐子大。以米饮下
五六十丸，无不愈者。（葫即蒜也，本草称其能清血。）
〔垣〕乌梅丸治肠风下血，服之立效。
真僵蚕（一两） 乌梅肉（焙干，一两）
上为末，薄糊丸如鸡头肉大。每服百丸，食前白汤送下，日三服。
〔《本》〕五槐丸治脏毒。
五倍子 槐花（陈者） 百药煎（好者。各等分）
上焙干为末，酒糊丸如桐子大。每服二十丸，空心米汤下，一日三服。
〔丹〕治下血。用白芷、五倍子为末，丸服。
〔《本》〕治肠风。
五倍子 白矾（各五钱。）
上为末，顺流水丸如桐子大。每服七丸，米饮下，忌酒。
上酸寒之剂
〔《千》〕粪前有血，令人面黄。石榴皮取末，茄子枝汤下。
〔丹〕治肠风下血，百药不效。有一良医，独用山里枣，俗名鼻涕团，又名酸枣，最治下血之
疾。试取干者为末，服之应手而安。药苟对症，其效若此，乌可以贱而忽之哉。（《衍义》云∶
酸枣微热。）
上酸热之剂。
〔《本》〕丈夫伤血，妇人血崩渍，入大肠出血。
草豆蔻 槟榔（各炒紫色） 罂粟壳（烧灰）
上等分为末，每服二钱，空心米饮调下。
〔世〕冬荣散 治肠风下血。（方见溲血。）
〔《博》〕治远年日久肠风下血不止。枳壳烧灰存性，羊胫炭为末，和匀，用浓米饮一中
盏调下，空心五更初一服，如人行五里，再服立效。（每服枳壳灰五钱，炭末七钱）
〔《本》〕治肠风，炒赤小豆散。（方见上下血条赤豆当归散下注。）
又方 栝蒌三个，烧灰存性，每服三钱，空心米饮调下。
〔《灵苑》〕治肠风下血久不止。茄蒂烧存性为末，每服三钱匕，食前米饮调下。（丹溪云∶
茄蒂烧灰存性，山栀炒。等分为末，丸之，米饮下百丸。）
〔《本》〕治肠风。丝瓜烧灰存性，空心温酒调服二钱。
〔《食疗》〕治下鲜血。栀子烧灰，水和一钱匕，服之，量其大小多少服之。
〔《广》〕治泻血不止。桑耳一两，熬令黑，水一大升三合，煎取六大合，去渣，空心分温
三服。
〔《本》〕治肠风下血。
核桃壳 茧蜕 皮鞋底 赤鸡冠花（等分）
上烧灰为末，每服一钱，空心温酒下。
又方 治脏毒。
当归 枳壳 侧柏叶 陈槐花子 百草霜 芍药（各一两）
上锉碎，一处炒令烟微起为末，每服二钱，空心温酒调下，日午米汤下，各食前服甚妙。
〔丹〕一方 治肠 。用陈年棕榈烧灰，百药煎为丸服。
〔《本》〕又方 皂角树上蕈，新瓦上焙干为末，每服一钱，温酒下。
〔《山》〕脏毒便血。生藕节切片，清早蘸平胃散嚼下。
〔丹〕治肠痔大便常血，取葱白三五斤煮作汤，盆中坐立瘥。
灸刺肠 下血有二法∶
其一取肝。经云，病注下血，取曲泉是也。
其二取肾。经云∶肾足少阴之脉所生病者，黄胆肠 ，视盛虚热寒陷下，而施补泻疾留灸也。
〔《脉》〕关脉芤，大便出血数斗者，以鬲俞伤故也，宜灸鬲俞。若下重去血者，宜针关元。
〔垣〕治肠风下血，灸二十椎下，随年壮三报穴立愈。
〔《甲》〕肠中有寒热注下，肠 便血，会阳主之。肠鸣 泄，下 主之。肠 泄切痛，四满主
之。肠 ，中 主之。（一名中都。）
〔《怪穴》〕治肠风下血，肘内曲泽下一寸。
〔《集》〕又法∶三间、商阳、大陵、内关、命门、扶承。
〔海〕血症与黄证，俱头汗出，恶风，口饮酒，便褐色或黑色者，亦同血症治之。
〔《素》〕肾脉小搏沉为肠 下血，血温身热者死。（大奇论）
淫而夺精，身热色夭然，及酒后下血，血笃重是逆也。（全文见诊生死。）
〔《素》〕心肝 亦下血，二脏同病者可治。其脉小沉涩，为肠 ，其身热者死，热见七日死。
（大奇论）帝曰∶肠 便血何如？岐伯曰∶身热则死，身寒则生。帝曰∶肠 下脓血何如？
岐伯曰∶脉悬绝则死，滑大则生。帝曰∶肠 之属，身不热，脉不悬绝何如？岐伯曰∶滑大者曰生，
悬涩者曰死，以脏期之。（俱通评虚实论）脾脉外鼓沉为肠 ，久自已。肝脉小缓为肠 ，易
治。（俱大奇论）
腹胀便血，脉大时绝，是逆也。如此者，不及一时而死矣。（全文见诊生死。绝谓断绝而
不相续也。）
〔《脉》〕肠 下脓血，脉沉小留连者生，数疾且大，有热者死。肠 筋挛，其脉小细安静
者生，浮大紧者死。
〔《素》〕阴阳虚，肠 死。（阴阳别论）胃移热于脾，传为虚，肠 ，死不可治。（全文见
诊病传变。）
Swallow the powder of Fangcunbi (One-Cun-Bi, a small measuring spoon for powder) mixed with water. Another prescription for treating Changfeng (Intestinal Wind) bleeding: stir-fry Red Bean (Vigna angularis) until blackened, grind into powder, take 2 qian each time, mixed with rice drink.
Those whose diet and drinking are irregular, and whose daily routine is untimely, suffer from Yin pathogen invasion; when Yin is invaded, the pathogen enters the Five Zang organs; entering the Five Zang organs causes abdominal fullness and obstruction, manifesting downward as Sundxie (undigested food diarrhea); prolonged illness leads to Changzhi (intestinal hemorrhoids/polyps).
(Full text see "Five Zang" chapter.)
[Suwen] If one eats to satiety, causing tendons and vessels to relax and loosen, the intestines develop into hemorrhoids. (From *Shengqi Tongtian Lun*)
The aforementioned Changzhi bleeding due to irregular diet, such as Luo Qianfu's treatment of the son of Prefect Shi of Zhending who drank sour wine and bled, Haizang's treatment of Teacher Yang who drank iced tea and bled, and the treatment of Tang Sheng who drank milk whey and bled, are all examples of this. See also the "Cold-Dampness" section.
[Worldly Physicians] Treating persistent bleeding due to alcohol accumulation, where blood appears after defecation, unresponsive to various medicines.
Shenqu (Medicated Leaven, 1.5 liang) Baijiuyao (White Wine Medicament, 2 pills)
Grind the above together into fine powder, mix with clear water, shape into cakes, roast slowly over low heat until yellow, then grind into fine powder. Take 2 qian each time, mixed with white boiled water. Also effective for diarrhea.
[Lingshu] Injury by wind in spring generates Sundxie (undigested food diarrhea) and Changzhi in summer. (From *Lun Ji Zhen Chi Pian*)
[Yi Jian Fang] Weifeng Tang (Stomach Wind Decoction) treats bleeding caused by wind-cold invading the stomach and intestines due to deficiency. (Formula theory see "Cold-Dampness" section.)
[Danxi] Treats Changfeng (Intestinal Wind) bleeding and Benglou (uterine bleeding). Use Wulingzhi (Trogopterus Dung) stir-fried to remove fire toxicity, take 2 qian each time.
[Worldly Physicians] For Changfeng (Intestinal Wind) bleeding: Crush Ma Bian Cao (Verbena officinalis) leaves, twist out the juice, and take orally.
[Danxi] For Zangdu (Visceral Toxin) bleeding: Take a handful of Cheqian Cao (Plantago asiatica) including roots, and a small piece of fresh ginger, crush with new well-water, strain off dregs. When feeling that blood is about to descend, the waist will feel heavy; at this moment, take one cup of this medicine. Sit for a short while, gradually feeling a cold sensation descending in the abdomen, then go to the toilet; the bleeding will stop immediately. Severe cases may require only one more dose.
[Bencao] Treats Changfeng (Intestinal Wind), Zangdu (Visceral Toxin), and Jiu Li (Alcohol Dysentery) with bleeding.
Huanglian (Coptis Rhizome) Shengjiang (Fresh Ginger)
Decoct the above two ingredients in water, take Erqi Wan (Two-Qi Pill) with the decoction, followed by Wu Huai Wan (Five-Locust Tree Pill). The formula is listed below.
Another Formula
Jinxing Cao (Chrysanthemum indicum or similar bitter-cold herb, resolves Dan-Shi toxicity strongly, 3 liang) Chen Jiang (Aged Dried Ginger)
Grind into powder, take 1 qian each time, mixed with fresh well-water, taken on an empty stomach.
Sun Simiao treats blood after stool: Decoct Ai Ye (Mugwort Leaf) thickly, mix with 3 he of Shengjiang Juice (Fresh Ginger Juice) and take.
[Bencao] Treats Zangdu (Visceral Toxin), Suan Lian Wan (Garlic-Coptis Pill). Use Yingzhua Huanglian (Eagle-Claw Coptis) powder, one single-head garlic clove, roasted until fragrant and cooked, crushed and mixed to form pills the size of paulownia seeds. Take 30-40 pills each time, with aged rice drink.
[Yanyi] For sudden severe bleeding: Take 5-7 cloves of garlic (Hu), remove stems and skins, add fermented soybeans (Douchi) according to severity, crush into paste, and immediately form pills the size of paulownia seeds. Take 50-60 pills with rice drink; all recover. (Hu refers to garlic; Bencao states it clears blood.)
[Yuan] Wumei Wan (Dark Plum Pill) treats Changfeng (Intestinal Wind) bleeding, taking effect immediately.
Zhen Jiangcan (Silkworm, 1 liang) Wumei Rou (Dark Plum Flesh, dried, 1 liang)
Grind into powder, use thin starch paste to form pills the size of corn kernels. Take 100 pills each time before meals, with white boiled water, three times a day.
[Bencao] Wu Huai Wan (Five-Locust Tree Pill) treats Zangdu (Visceral Toxin).
Wubeizi (Galla Chinensis) Huaihua (Sophora Flower, aged) Bai Yao Jian (Fermented Tea Pill, high quality). Equal parts.
Roast dry, grind into powder, use wine paste to form pills the size of paulownia seeds. Take 20 pills each time on an empty stomach with rice soup, three times a day.
[Danxi] Treats lower body bleeding. Use Baizhi (Angelica Dahurica) and Wubeizi (Galla Chinensis) ground into powder, formed into pills.
[Bencao] Treats Changfeng (Intestinal Wind).
Wubeizi (Galla Chinensis) Baifan (Alum). Each 5 qian.
Grind into powder, roll into pills the size of paulownia seeds using flowing water. Take 7 pills each time with rice drink, avoid alcohol.
Above are sour and cold agents.
[Qianjin] Blood before stool causes sallow complexion. Pomegranate peel powder, taken with eggplant branch decoction.
[Danxi] Treats Changfeng (Intestinal Wind) bleeding unresponsive to hundred medicines. A good physician used Shanli Zao (Mountain Date), commonly known as Biti Tuan (Snot Ball), also called Suan Zao (Sour Date), which best treats lower body bleeding diseases. Try taking dried ones ground into powder; relief follows administration. If the medicine matches the syndrome, its efficacy is thus; how can it be ignored because it is cheap? (Yanyi says: Sour date is slightly warm.)
Above are sour and warm agents.
[Bencao] Men suffering from blood injury, women with Bengzhou (flooding menstruation) infiltrating into the large intestine causing bleeding.
Caodoukou (Black Cardamom) Binglang (Areca Seed). Each stir-fried until purple. Yingsu Qiao (Poppy Shell) burned to ash.
Equal parts ground into powder, take 2 qian each time on an empty stomach with rice drink.
[Worldly Physicians] Dongrong San (Winter Glory Powder) treats Changfeng (Intestinal Wind) bleeding. (Formula see "Urinary Blood" section.)
[Boji] Treats long-standing, persistent Changfeng (Intestinal Wind) bleeding. Zhiqiao (Bitter Orange) burned to ash but retaining nature, Yangjing Tan (Sheep Tibia Charcoal) ground into powder, mixed evenly. Take one medium cup mixed with thick rice drink on an empty stomach at the first watch of the night (5-7 AM). After walking five li, take again; immediate effect. (Each dose: 5 qian Zhiqiao ash, 7 qian charcoal powder.)
[Bencao] Treats Changfeng (Intestinal Wind), Chao Chixiaodou San (Stir-fried Red Bean Powder). (Formula see note under Chidou Danggui San in "Upper and Lower Bleeding" section.)
Another Formula: Three Gualou (Trichosanthes Fruit), burned to ash retaining nature. Take 3 qian each time on an empty stomach with rice drink.
[Lingyuan] Treats persistent Changfeng (Intestinal Wind) bleeding. Qadi (Eggplant Stem) burned to ash retaining nature, ground into powder. Take 3 qian bi each time before meals with rice drink. (Danxi says: Eggplant stem burned to ash retaining nature, Zhizi (Gardenia) stir-fried. Equal parts ground into powder, formed into pills, take 100 pills with rice drink.)
[Bencao] Treats Changfeng (Intestinal Wind). Si Gua (Luffa Fruit) burned to ash retaining nature, taken with warm wine on an empty stomach, 2 qian.
[Shiliao] Treats fresh lower bleeding. Zhizi (Gardenia) burned to ash, mixed with water to make one qian bi, take appropriate amount based on age and condition.
[Guangji] Treats persistent bloody diarrhea. Sang'er (Fungus on Mulberry) 1 liang, roasted until black, decocted in 1 sheng 3 he of water to yield 6 he, strain, take divided into three warm doses on an empty stomach.
[Bencao] Treats Changfeng (Intestinal Wind) bleeding.
Hetao Qiao (Walnut Shell) Jian Tui (Cicada Slough) Pixiedi (Leather Shoe Sole) Ji Guan Hua (Red Chicken Comb Flower). Equal parts.
Burn to ash, grind into powder, take 1 qian each time on an empty stomach with warm wine.
Another Formula: Treats Zangdu (Visceral Toxin).
Danggui (Angelica Sinensis) Zhiqiao (Bitter Orange) Ce Bai Ye (Biota Tops) Chen Huai Hua Zi (Old Sophora Seeds) Baicao Shuang (Herbaceous Ash) Shaoyao (Peony Root). Each 1 liang.
Cut into pieces, stir-fry together until slight smoke rises, grind into powder. Take 2 qian each time on an empty stomach with warm wine, noon with rice soup, taken before meals for best results.
[Danxi] One formula: Treats Changzhi (Intestinal Hemorrhoids). Use aged Zonglv (Palm Frond) burned to ash, Bai Yao Jian (Fermented Tea Pill) formed into pills.
[Bencao] Another formula: Xun growing on Soap Locust tree, dried on new tile, ground into powder. Take 1 qian each time with warm wine.
[Shanju] Zangdu (Visceral Toxin) rectal bleeding. Fresh Oujie (Lotus Node) sliced, dipped in Pingwei San (Peaceful Stomach Powder) and chewed early in the morning.
[Danxi] Treats Changzhi (Intestinal Hemorrhoids) with constant rectal bleeding: Boil 3-5 jin of Congbai (Scallion White) into a decoction, sit or stand over the basin for fumigation/washing until cured.
Moxibustion and acupuncture for Changzhi (Intestinal Hemorrhoids) bleeding have two methods:
First, select Liver meridian points. The classic says: For acute lower body bleeding, select Ququan (LR8).
Second, select Kidney meridian points. The classic says: Diseases generated by the Foot-Shaoyin Kidney Meridian include Jaundice, Changzhi (Intestinal Hemorrhoids), and rectal bleeding. Apply tonification or sedation based on excess/deficiency, heat/cold, and sinking conditions, with rapid needle retention or moxibustion.
[Maijue] Guan pulse Kou (hollow) indicates massive rectal bleeding; this is due to injury to Ge Shu (BL17), suitable for moxibustion on Ge Shu (BL17). If there is tenesmus and excessive blood loss, puncture Guanyuan (CV4).
[Yuan] Treats Changfeng (Intestinal Wind) bleeding: Moxibustion on the point below the 20th thoracic vertebra, number of moxa cones determined by patient's age, applied to Sanbao acupoints for immediate cure.
[Jiayi] Cold and heat pouring into intestines, Changzhi (Intestinal Hemorrhoids) with rectal bleeding: Huiyang (GV35) governs. Intestinal rumbling and diarrhea: Xiawan (ST29) governs. Changzhi (Intestinal Hemorrhoids) diarrhea with cutting pain: Siman (KI25) governs. Changzhi (Intestinal Hemorrhoids): Zhongdu (LR6) governs. (Also named Zhongdu.)
[Guaixue] Treats Changfeng (Intestinal Wind) bleeding: One cun below Quze (PC3) inside the elbow crease.
[Jiyi] Another method: Sanjian (LI3), Shangyang (LI1), Daling (PC7), Neiguan (PC6), Mingmen (GV4), Fucheng (BL38).
[Hai] Blood syndromes and Yellow syndromes both present with head sweating, aversion to wind, desire for alcohol, and brown or black stools; treat them similarly as blood syndromes.
[Suwen] Kidney pulse small, bounding, and deep indicates Changzhi (Intestinal Hemorrhoids) with bleeding. If blood is warm and body feverish, death ensues. (From *Da Qi Lun*)
Excessive lust depletes essence, body feverish with sallow complexion, and post-alcohol bleeding with thick, heavy blood are adverse signs. (Full text see "Diagnosing Life and Death" chapter.)
[Suwen] Heart and Liver Qi stagnation also cause bleeding; simultaneous disease of these two Zang organs is treatable. If pulse is small, deep, and choppy, it is Changzhi (Intestinal Hemorrhoids); if body is feverish, death ensues; fever lasting seven days leads to death. (From *Da Qi Lun*) Emperor asked: How is Changzhi (Intestinal Hemorrhoids) with rectal bleeding? Qibo answered: Body feverish means death, body cold means survival. Emperor asked: How is Changzhi (Intestinal Hemorrhoids) with pus and blood? Qibo answered: Pulse hanging and severed means death, slippery and large means survival. Emperor asked: Regarding Changzhi (Intestinal Hemorrhoids) type diseases, body not feverish, pulse not hanging/severed, how is it? Qibo answered: Slippery and large indicates survival, hanging and choppy indicates death, predict death by Zang organ timing. (All from *Tong Ping Xu Shi Lun*) Spleen pulse external bulging and deep indicates Changzhi (Intestinal Hemorrhoids), self-heals after long time. Liver pulse small and slow indicates Changzhi (Intestinal Hemorrhoids), easy to treat. (All from *Da Qi Lun*)
Abdominal distension with rectal bleeding, pulse large but intermittently absent, is an adverse sign. Such persons die within less than one shichen. (Full text see "Diagnosing Life and Death". Absence means interruption without continuation.)
[Maijue] Changzhi (Intestinal Hemorrhoids) with pus and blood, pulse deep, small, and lingering indicates survival; pulse rapid, large, with heat indicates death. Changzhi (Intestinal Hemorrhoids) with tendon spasm, pulse small, fine, and quiet indicates survival; pulse floating, large, and tight indicates death.
[Suwen] Yin and Yang deficiency, Changzhi (Intestinal Hemorrhoids) leads to death. (From *Yin Yang Bie Lun*) Stomach transferring heat to Spleen transmits as deficiency, Changzhi (Intestinal Hemorrhoids), death is incurable. (Full text see "Diagnosing Disease Transmission".)