槐花（炒） 侧柏叶 荆芥穗 枳壳（麸炒，等分）
共为末，每服三钱，空心下。
肠风、脏毒下血，此方主之。
槐花、侧柏能凉大肠之血，荆芥、枳壳能疗大肠之风。风热相搏者治之良。
黄连（十二两） 好酒（五升）
煮干，为末作丸。每服三钱。
湿热酒毒令人便血者，此方主之。
黄连，苦寒枯燥之物也。苦寒故能胜热，枯燥故能胜湿。而必煮以酒者，非酒不能引之
入血也。
侧柏叶（一味，春东、夏南、秋西、冬北取来。）
烧灰调下三钱。
脏毒下血不止者，此方主之。
脏毒之初宜凉血，凉血皆苦寒之药，久久则气寒，而血益不固矣。法曰∶涩可以固脱，
故用柏灰之涩以止之。四时采之，必辨其方者，取其得气之浓也。他如干柿饼烧灰亦良。
人参（去芦） 樗根白皮（等分）
每末三钱。
脏毒挟热下血，日久不止者，此方主之。
脏毒，肠毒也。挟热者，谓挟客热与饮酒之类也。日久不止，则气亦虚，而不足以固血
矣，故用人参之甘以补气，樗根之涩以固血。补以举之，涩以劫之，杂霸之治也。
叙曰∶脱肛，一也，有寒热之判焉。又能进之而辨气血中之寒热，则精艺者也。今考古
方三首，表其要者尔。
人参 黄 川芎 当归 升麻
久泻脱肛者，此方主之。
泻久则伤气，下多则亡阴，是气血皆亏矣，故令广肠虚脱。气不足者，补之以甘温，故
用参、 。阴不足者，养之以浓味，故用芎、归。下者举之，故用升麻。
Huaisheng (Stir-fried with heat), Cebaiye (Biota Tops), Jingjiesui (Schizonepeta Spikes), Zhike (Aurantium Fructus, stir-baked with bran, equal parts)
Grind all into powder. Take 3 qian per dose, administered on an empty stomach.
This formula is indicated for hematochezia caused by Changfeng (Intestinal Wind) and Zangdu (Visceral Toxin).
Huaisheng and Cebaiye can cool the blood of the Large Intestine; Jingjie and Zhike can treat wind in the Large Intestine. It is effective for conditions where wind and heat struggle against each other.
Huanglian (Coptidis Rhizoma, 12 liang), Haojiu (Good wine, 5 sheng)
Boil until the wine is dry, grind into powder, and make into pills. Take 3 qian per dose.
This formula is indicated for hematochezia caused by damp-heat and alcohol toxin.
Huanglian is a bitter, cold, and drying substance. Its bitterness and coldness overcome heat; its dryness overcomes dampness. The reason it must be boiled with wine is that only wine can guide the medicine into the blood level.
Cebaiye (Single herb: harvested from the East in Spring, South in Summer, West in Autumn, North in Winter.)
Burn to ash, mix with water or appropriate liquid, and take 3 qian.
This formula is indicated for persistent hematochezia due to Zangdu (Visceral Toxin).
In the early stage of Zangdu, cooling blood is appropriate. Cooling blood agents are mostly bitter and cold; prolonged use leads to cold qi, making the blood even less secure. The method states: "Astringency can consolidate prolapse." Therefore, the astringent property of Biota ash is used to stop bleeding. When harvesting in four seasons, directions must be distinguished to obtain the concentrated qi. Dried persimmon cake burned to ash is also good.
Renshen (Ginseng Radix et Rhizoma, rhizome removed), Chugenbaipi (Toosendan Cortex albus, equal parts)
Grind into fine powder. Take 3 qian per dose.
This formula is indicated for hematochezia due to Zangdu with heat, persisting for a long time.
Zangdu refers to intestinal toxin. "With heat" implies carrying external heat or factors like drinking alcohol. If it persists for a long time, qi becomes deficient and insufficient to secure the blood. Therefore, the sweetness of Renshen is used to tonify qi, and the astringency of Chugen is used to secure blood. Tonification lifts, astringency seizes; this is a mixed/hegemonic treatment method.
Preface: Rectal proluo (Tuogang) is one disease, but there is a distinction between cold and heat. One who can further distinguish cold and heat within qi and blood is considered highly skilled. Here, three ancient formulas are examined, and their essentials are presented.
Renshen (Ginseng Radix et Rhizoma), Huang (likely Huangqi or Huangqin, literally "Yellow"), Chuanxiong (Ligusticum Rhizome), Danggui (Angelicae Sinensis Radix), Shengma (Cimicifugae Rhizome)
This formula is indicated for rectal prolapse due to chronic diarrhea.
Chronic diarrhea injures qi; excessive lower loss destroys yin, leading to deficiency of both qi and blood, causing the Guangchang (Large Intestine/Rectum) to vacate and prolapse. For qi deficiency, tonify with sweet-warm substances; thus, Renshen and Huang are used. For yin deficiency, nourish with rich/flavorful substances; thus, Chuanxiong and Danggui are used. For sinking conditions, lift them up; thus, Shengma is used.