《病源论》云∶大便失禁者,由大肠与肛门虚冷滑故也。肛门,大肠之侯也,俱主行糟
粕(
《千金方》治老人小儿大便失禁∶
灸大指奇间三壮,两脚。
又方∶灸两脚大指去甲一寸三壮。
《病源论》云∶此由五脏伤损所为。脏气既伤,则风邪易入,热气在内,亦大便下血。
其前
《短剧方》云∶诸下血者,先见血后见便,此为远血,宜服黄土汤。若先见便后见血,
此是
赤小豆散方∶
赤小豆(三升,熬) 当归(三两)
凡二物,冶筛,服方寸匕,日三。(今按∶《令李方》∶黄连二两酒服。)
黄土汤方∶
灶中黄土(半升,绵裹) 甘草(三两,炙) 干姜(二两) 黄芩(三两) 阿胶(三
两) 干地黄
凡六物,以水一斗,煮取三升,分三服。(今按∶《集验方》有芎 、熟艾,无黄芩、干
地
《葛氏方》治卒下血方∶
豉一升,以水三升,渍,煮三沸,去滓,顿服汁一升,日三。冬天每服辄温。
又方∶豉二升,以酒六升,合煮得三升,服一升,日三。
又方∶煮香 极令浓,去滓,服一升,日三。
又方∶乱发如鸡子大,烧末,水服之,不过三。
又方∶三指撮盐,烧,向东服之。
又方∶灸两足大指回毛中,追年壮即愈。
《僧深方》治卒下血蒲黄散方∶
甘草(一分) 干姜(一分) 蒲黄(一分)
凡三物,下筛,酒服方寸匕,日三。
又方∶治卒注下并下血,一日一夜数十行方∶
灸脐中及脐下一寸各五十壮。(今按∶《葛氏方》∶以钱掩脐上,灸钱下际五十壮。)
《医门方》治卒下血或因吃热物而发方∶
生葛根汁 生地黄汁 生藕根汁
各饮一升,日二,瘥。
又方∶小豆末和水服方寸匕,日二服,立瘥。
《范汪方》治下血方∶
干地黄(五两) 胶(三两,炙)
凡二物,治筛,分三服。(《葛氏方》同之。)
又方∶干地黄下筛,以酒服方寸匕,日三。
又云∶治大便血诸血衄血方∶
乌贼鱼骨(五分) 桑耳(一分)
凡二物,冶筛,酒服方寸匕,日三。
《千金方》下血日夜七八十行方∶
黄连(四两) 黄柏(四两)
二味,淳酢五升,或煮取一升半,分再服。
《枕中方》治人下血方∶
取鸡苏绞取汁,多少任意服之,愈,(今按∶《集验方》∶治吐血,下血并妇人漏下。)
《新录方》治卒下血兼血痔方∶
栀子及皮一升,以水三升,煮取一升三合,分二服。
又方∶桃奴,树上死桃子也。取一升,以水三升,煮取一升三合,分二服。
又方∶取败船茹(音如)二升,以水三升,煮取一升二合,分二服。
又方∶荆叶切三升,以酒五升,煮取一升六合,分二服。
又方∶赤小豆三升,以水五升,煮取一升六合汁,渴饮汁,饥啖豆。
又方∶以水三升煮葱白一升半,取一升二合汁,分三服。
又云∶食热物下血方∶
捣生葛根,取七八合汁,饮之。
又方∶捣生地黄取汁,饮七八合。
又方∶捣生藕取汁,饮七八合。
又方∶生 荷根汁,饮六七合。
又方∶酒三升,煮大枣二十一枚,取汁分二三服。
又方∶一(以)水服石榴皮末方寸匕,日二。
又方∶捣蓟,无问大小猫虎羊等,取汁饮之,煎取,若冬月无生者,掘取根或干者切二
升,
According to the *Bing Yuan Lun* (Treatise on the Origins and Manifestations of Diseases), fecal incontinence is caused by deficiency-cold and slipping of the Large Intestine and anus. The anus is the external manifestation of the Large Intestine; both are responsible for the passage of waste products.
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) provides prescriptions for fecal incontinence in the elderly and children:
Moxibustion on Qijian acupoint on the big toe, three moxa cones, on both feet.
Another prescription: Moxibustion at one cun distal to the nail on the big toe of both feet, three moxa cones each.
The *Bing Yuan Lun* states that hematochezia (blood in stool) results from damage to the five Zang organs. Once the organ qi is damaged, wind-pathogens easily invade, and internal heat can also lead to blood in the stool.
The *Duanju Fang* (Short-Form Prescriptions) states: For all cases of lower bleeding, if blood appears before stool, this is termed "distant blood" (hematochezia originating from upper GI tract or distant sources), and Huangtu Tang (Yellow Earth Decoction) is appropriate. If stool appears before blood, it indicates... [Text fragment].
Chixiaodou San (Red Bean Powder):
Chixiaodou (Adzuki Beans, 3 sheng, roasted) Danggui (Angelicae Sinensis Radix, 3 liang)
These two substances are crushed and sifted. Take one fangcun bi (square-inch measure) per dose, three times daily. (Note: According to *Lingli Fang*: Huanglian (Coptidis Rhizoma, 2 liang) taken with wine.)
Huangtu Tang (Yellow Earth Decoction):
Zaohuangtu (Furnace Soil, half sheng, wrapped in silk) Gancao (Licorice Root, 3 liang, honey-fried) Ganjiang (Dried Ginger, 2 liang) Huangqin (Scutellaria Root, 3 liang) Ejiao (Donkey-Hide Gelatin, 3 liang) Sheng Dihuang (Rehmannia Root, raw, dosage implied as part of six items)
These six substances are boiled in ten dou of water until three sheng remain. Divide into three doses. (Note: According to *Jiyan Fang*, Xiong (Ligusticum Rhizome) and Shuai Ai (Artemisia Folium, cooked) are included, while Huangqin and Sheng Dihuang are excluded.)
Ge Shi Fang (Prescriptions by Master Ge) for sudden hematochezia:
Shi Dou (Fermented Soybeans, 1 sheng). Soak in three sheng of water, boil for three boils, remove dregs, and drink one sheng of the liquid at once, three times daily. In winter, warm each dose before administration.
Another prescription: Shi Dou (2 sheng) boiled with six sheng of wine until three sheng remain. Drink one sheng, three times daily.
Another prescription: Boil fermented soybeans until very concentrated, remove dregs, drink one sheng, three times daily.
Another prescription: Burn tangled hair the size of an egg to ash, take with water, no more than three doses.
Another prescription: Take a pinch of salt (three fingers' width), burn it, and consume facing east.
Another prescription: Moxibustion at the hairy junction of the big toe on both feet; the number of moxa cones should correspond to the patient's age for cure.
Seng Shen Fang (Prescriptions by Monk Shen) for sudden hematochezia using Puhuang San (Pollen Typhae Powder):
Gancao (Licorice Root, 1 fen) Ganjiang (Dried Ginger, 1 fen) Puhuang (Pollen Typhae, 1 fen)
These three substances are finely sifted. Take one fangcun bi with wine, three times daily.
Another prescription: For sudden severe diarrhea accompanied by hematochezia, occurring dozens of times a day and night:
Moxibustion on the umbilicus and one cun below the umbilicus, fifty moxa cones each. (Note: According to *Ge Shi Fang*: Cover the umbilicus with a coin and apply fifty moxa cones to the edge of the coin.)
Yimen Fang (Prescriptions from the Medical Gate) for sudden hematochezia triggered by consuming hot-natured foods:
Sheng Gegen Juice (Raw Puerariae Radix Juice) Sheng Dihuang Juice (Raw Rehmanniae Radix Juice) Sheng Ougen Juice (Raw Nelumbinis Rhizoma Juice)
Drink one sheng of each, twice daily, until recovered.
Another prescription: Take Chidou powder mixed with water, one fangcun bi per dose, twice daily, for immediate recovery.
Fan Wang Fang (Prescriptions by Fan Wang) for hematochezia:
Sheng Dihuang (Raw Rehmanniae Radix, 5 liang) Jiao (Gelatin, 3 liang, fried)
These two substances are crushed and sifted, divided into three doses. (*Ge Shi Fang* is identical.)
Another prescription: Sift Sheng Dihuang powder, take one fangcun bi with wine, three times daily.
Also stated: For treating blood in stool, various bleedings, and epistaxis:
Wuzhouyu Gu (Cuttlefish Bone, 5 fen) Sang'er (Fungus Fici Retusae, 1 fen)
These two substances are crushed and sifted. Take one fangcun bi with wine, three times daily.
Qianjin Fang for hematochezia occurring seven to eighty times day and night:
Huanglian (Coptidis Rhizoma, 4 liang) Huangbai (Phellodendri Cortex, 4 liang)
These two substances are boiled in five sheng of pure vinegar until one and a half sheng remain. Divide into two doses.
Zhenzhong Fang (Prescriptions from the Pillow Center) for human hematochezia:
Extract juice from Jisu (Perilla Leaf), administer freely according to need until cured. (Note: According to *Jiyan Fang*: Treats vomiting blood, hematochezia, and uterine bleeding in women.)
Xinlu Fang (Newly Recorded Prescriptions) for sudden hematochezia combined with bloody hemorrhoids:
Zhizi and its peel (Gardeniae Fructus, 1 sheng). Boil in three sheng of water until one and three-tenths sheng remain. Divide into two doses.
Another prescription: Taonuo (Dead Peach on Tree, 1 sheng). Boil in three sheng of water until one and three-tenths sheng remain. Divide into two doses.
Another prescription: Baichuanru (Decayed Boat Wood/Fungus, sound 'ru', 2 sheng). Boil in three sheng of water until one and two-tenths sheng remain. Divide into two doses.
Another prescription: Jingye (Ephedra Leaves or荆叶, cut 3 sheng). Boil in five sheng of wine until one and six-tenths sheng remain. Divide into two doses.
Another prescription: Chixiaodou (Adzuki Beans, 3 sheng). Boil in five sheng of water until one and six-tenths sheng of juice remain. Drink the juice when thirsty, eat the beans when hungry.
Another prescription: Boil one and a half sheng of Congbai (Scallion White) in three sheng of water, obtain one and two-tenths sheng of juice, divide into three doses.
Also stated: For hematochezia caused by eating hot foods:
Crush raw Gegen (Puerariae Radix), obtain seven to eight he (unit of volume) of juice, and drink it.
Another prescription: Crush raw Dihuang (Rehmanniae Radix) to obtain juice, drink seven to eight he.
Another prescription: Crush raw Ou (Nelumbinis Rhizoma) to obtain juice, drink seven to eight he.
Another prescription: Fresh He Gen (Lotus Root) juice, drink six to seven he.
Another prescription: Boil twenty-one Dazao (Jujubes) in three sheng of wine, obtain juice, divide into two or three doses.
Another prescription: Take one fangcun bi of Shiliupi (Pomegranate Peel) powder with water, twice daily.
Another prescription: Crush Ji (Leonurus Herba or similar herb), regardless of animal type mentioned (text seems corrupted or specific context needed), extract juice and drink. If fresh herbs are unavailable in winter, dig up roots or use dried ones, cut two sheng,