（东垣）
治痔疮痔漏有脓血，大便燥结，痛不可忍（手阳明大肠，庚金也，清燥主收，司行津液，
以从
阴之
胃湿也
秦艽 白术 归尾（酒洗） 桃仁（研。一两） 枳实（麸炒） 皂角子（烧存性） 泽
泻（五
此手足阳明药也。李东垣曰∶秦艽、归尾、桃仁润燥和血（秦艽为风药中润剂），皂角
仁以除风燥，地榆以破血止血，枳实苦寒，以补肾而泄胃实，泽泻淡渗，使气归于前阴，以
补清燥受胃之湿邪也（清燥，谓大肠也），白术之苦以补燥气之不足，其味甘以泻火而益元
气，故曰甘寒泻火，乃假枳实之寒也，大便秘涩，以大黄推之，其津液益不足，用当归和血，
加油润之剂，
本方除白术、枳实、地榆，加苍术、黄柏、大黄、槟榔、防风，名秦艽苍术汤∶治同（李
东垣
合邪，当去四者，以破气药兼之，治法全矣）。本方除皂角、枳实、地榆，加防风、升麻、
柴胡、陈皮、大黄、黄柏、红花、炙草，名秦艽防风汤∶治痔漏大便时疼痛（东垣曰∶如无
痛者，非痔漏也）。本方用秦艽一味，加羌活、防风、麻黄、升麻、柴胡、 本、细辛、黄
、炙草、红花，名秦艽羌活汤∶治痔漏成块下垂，不任其痒。本方除地榆，加大黄、红花，
名秦艽当
（洁古）
治下痢脓血稠粘，腹痛后重（下痢皆属湿热，赤为伤血，白为伤气，脓血稠粘，气血两
伤
芍药（一两） 归尾 黄芩 黄连（五钱） 大黄（三钱） 木香 槟榔 甘草（炙。
二钱）
此足太阴、手足阳明药也。芍药酸寒，泻肝火，敛阴气，和营卫，故以为君；大黄、归
尾破积
不得
者，
本方除桂、甘草，加枳壳，名导滞汤（一作导气汤）∶治前证兼渴者此方今人多用。大
法治痢以甘芍和中止腹痛，热痛加芩连，寒痛加姜桂，以木香、槟榔行气除后重，气分加枳
壳、滑石宽肠，血分加当归、桃仁和血，以秦艽、皂子祛肠风，黄芩、黄连清热毒，以白术、
陈皮调胃，茯苓、泽泻渗湿，枳实、大黄破积，呕吐加石膏、姜汁，气虚加黄 、参、术，
血虚加
(Li Dongyuan)
Treats hemorrhoids and fistulae with pus and blood, dry and hard stools, and unbearable pain. The Hand-Yangming Large Intestine channel belongs to Geng Metal; its nature is clear and dry, governing contraction, and responsible for transporting body fluids to comply with the dampness of the Stomach.
Qinjiao (Gentianae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Guiwei (Radix Angelicae Sinensis Cauda, washed with wine), Taoren (Semen Persicae, ground. 1 liang), Zhishi (Fructus Aurantii Immaturus, stir-fried with bran), Zaojiazi (Fructus Gleditsiae Sinensis, burnt to retain character), Zexie (Alismatis Rhizoma. 5 qian).
These are herbs for the Hand and Foot Yangming channels. Li Dongyuan stated: Qinjiao, Guiwei, and Taoren moisten dryness and harmonize blood (Qinjiao is a moistening agent among wind-dispelling herbs); Zaojia ren removes wind-dryness; Diyu stops bleeding by breaking blood stasis; Zhishi is bitter and cold, tonifying the Kidney and draining excess in the Stomach; Zexie is bland and permeating, directing Qi to the anterior yin, thereby supplementing the part affected by damp-evil due to the clear-dry nature of the Large Intestine (clear-dry refers to the Large Intestine); the bitterness of Baizhu tonifies the insufficiency of dry-Qi, and its sweetness drains fire and benefits primordial Qi, hence it is called "sweet-cold draining fire," which actually borrows the cold nature of Zhishi. For constipation and涩滞 (roughness/stagnation), Dahuang pushes them out; when body fluids are further insufficient, Danggui harmonizes blood, and oily lubricating agents are added.
This formula, excluding Baizhu, Zhishi, and Diyu, plus Cangzhu, Huangbai, Dahuang, Binglang, and Fangfeng, is named Qinjiao Cangzhu Tang: treating the same condition (Li Dongyuan said: if there is combined pathogenic factors, these four should be removed and replaced with Qi-breaking herbs, making the treatment method complete). This formula, excluding Zaojiao, Zhishi, and Diyu, plus Fangfeng, Shengma, Chaihu, Chenpi, Dahuang, Huangbai, Honghua, and Zhigancao, is named Qinjiao Fangfeng Tang: treating hemorrhoidal fistulae with pain during defecation (Dongyuan said: if there is no pain, it is not a hemorrhoidal fistula). Using only Qinjiao from this formula, plus Qianghuo, Fangfeng, Mahuang, Shengma, Chaihu, Gaoben, Xixin, Huangqin, Zhigancao, and Honghua, is named Qinjiao Qianghuo Tang: treating hemorrhoidal fistulae forming masses that prolapse and cause intolerable itching. This formula, excluding Diyu, plus Dahuang and Honghua, is named Qinjiao Dang... (text truncated here)
(Zhang Jiegu)
Treats dysentery with thick and sticky pus and blood, abdominal pain, and tenesmus (dysentery all belongs to damp-heat; red indicates blood injury, white indicates Qi injury; thick and sticky pus and blood indicate both Qi and Blood are injured).
Shaoyao (1 liang), Guiwei, Huangqin, Huanglian (5 qian), Dahuang (3 qian), Muxiang, Binglang, Gancao (stir-fried with honey. 2 qian).
These are herbs for the Foot-Taiyin channel and the Hand and Foot Yangming channels. Shaoyao is sour and cold, draining Liver Fire, astringing Yin Qi, and harmonizing Ying and Wei, thus serving as the Sovereign herb; Dahuang and Guiwei break up accumulations... (text truncated here)
This formula, excluding Guizhi and Gancao, plus Zhike, is named Daozhi Tang (also known as Daoqi Tang): treating the aforementioned symptoms accompanied by thirst; this formula is widely used today. The general principle for treating dysentery is using sweet Shaoyao to harmonize the middle and stop abdominal pain; for heat-pain, add Huangqin and Huanglian; for cold-pain, add Ganjiang and Guizhi; use Muxiang and Binglang to move Qi and relieve tenesmus; for Qi-level involvement, add Zhike and Huashi to widen the intestines; for Blood-level involvement, add Danggui and Taoren to harmonize blood; use Qinjiao and Zaojizi to dispel intestinal wind; Huangqin and Huanglian clear heat-toxins; Baizhu and Chenpi regulate the Stomach; Fuling and Zexie promote dampness drainage; Zhishi and Dahuang break up accumulations; for vomiting, add Shigao and Jiangzhi; for Qi-deficiency, add Huangqi, Renshen, and Baizhu; for Blood-deficiency, add... (text truncated here)