燕南河北道提刑按察司书吏高士谦。年逾四十。至元戊寅七月间。暑气未退。因官事出外劳
役。又因过饮。午后大发热而渴。冰水不能解。其病早辰稍轻减。服药不效。召予治之。诊其脉
弦数。金匮要略云。疟脉自弦。弦数者多热。疟论曰。瘅疟脉数。素有热气盛于身。厥逆上冲。
中气实而不外泄。因有所用力。腠理开。
风寒舍于皮肤之内、分肉之间而发。发则阳气盛而不衰。则病矣。其气不及于寒。故但热而
不寒者。邪气内藏于里。而外舍于分肉之间。令人消烁脱肉。故名曰瘅疟。月令云。孟秋行夏令
。民多瘅疟。洁古云。动而得之。名曰中暑。以白虎加栀子汤治之。士谦远行劳役。又暑气有伤
。酒热相搏。午后时助。故大热而渴。如在甑中。先以柴胡饮子一两下之。后以白虎加栀子汤。
每服一两。数服而愈。
征南副帅大忒木儿。巳未奉敕立息州。其地卑湿。军多病疟痢。予合辰砂丹、白术安胃散。
多痊效。
【辰砂丹】治疟疾。大有神效。
朱砂（一半入。药一半为衣） 信砒 雄黄（各五钱）
上三味为末。入白面六钱。同研匀。滴水丸如桐子大。朱砂为衣。每服一丸。星宿全时用。无根
水送下。忌湿面热物。
肠风痔漏。总辞也。分之则异。若破者谓之痔漏。大便秘涩。必作大痛。此由风热乘食饱不通
。气逼大肠而作也。故经曰。因而饱食。筋脉横解肠 为痔也。受病者。燥气也。为病者。胃热也
。胃刑大肠。则化燥火。以乘燥热之实胜。风附热而来。是湿、热、风、燥。四气相合。故大肠头
成块者。湿也。作大痛者。风也。大便燥结者。主病兼受火邪热乘也。当去此四者。其西方肺。主
诸气其体收下。亦助病为邪。须当以破气药兼之。治法全矣。不可作丸。以锉汤与之。效如神速。
【秦艽苍术汤】
秦艽（一钱。去苗） 泽泻（二分） 当归尾（三分。酒浸） 苍术（七分）
防风（半钱） 大黄（少许。虽大便燥。不可多加） 槟榔（一分。为末）
桃仁（汤浸去皮。一钱。研） 皂角仁（烧存性。去皮。一钱为末） 黄柏（去皮。四分。酒
洗。若大肠头沉重。湿胜也。以意加之。天气或大热。亦以意加之。或病躁热喜寒亦加之）
上十味 咀。和匀。都作一服。水五盏。煎至一盏二分。去渣。入桃仁、槟榔、皂角仁。再上
火。煎至一盏。去渣。
空心温服。待少时。以美膳压之。不犯胃也。服日忌生冷硬物、酒、面、菜、大料物之类。犯之其
药无效。如有白脓。加白葵花五朵去心萼。细剪。青皮半钱。不去白。入正药中同煎。又入木香末
半钱。同皂角等末。同入。根据上法服。若病大者。再服而愈。
【乳香丸】治诸痔下血。肛边生肉。或结核肿疼。或生疮痒痛。或大便艰难。肚肠脱出。
又治肠风下血。无问新久及诸 根在脏腑。悉能治之。
枳壳（去穣。麸炒） 牡蛎（火煨） 荜澄茄 大黄（蒸焙）
鹤虱（炒） 芫青（去头翅足。糯米炒。米黄色。各半两） 乳香（研）
白丁香（研。各一分）
上为末。粟米糊丸如梧桐子大。每服十丸至十五丸。如治肠风。腊茶清下。诸痔煎薤白汤下。
诸煎铁屑汤下。并食前服。
【神应黑玉膏】治丈夫妇人久新肠风痔漏。大肠头疼不可忍。服此药不过三四次。便效。
初得此疾。发痒或疼。谷道周回。多生硬核。此是痔。破即成漏。只下血肠风。皆因酒色风气。食
五辛过度。即成此疾。人多以外科涂治。不知病在肠自有药。若不去根本。此病不除。此药的有神
效。
猪悬蹄（二十个） 刺 皮（一两一钱） 牛角腮（锉炒。一两二钱） 败棕（八钱。
）
乱发（洗净。焙） 槐角（各六钱） 苦楝根（五钱） 雷丸
脂麻（各四钱）
上九味锉碎。用瓷罐内烧存性。细末。入乳香二两、麝香八钱。研令匀。酒面糊丸如桐子大。
每服八丸。先嚼胡桃一个。以温酒吞下。早晚腹空时。日二服。甚者三服。切忌别药。不过三日除
根。
【钓肠丸】治久新诸痔。肛边肿痛。或生疮痒。时有脓血。又治肠风下血。及肛门脱出。
并宜服之。
乱发（洗净。烧存性） 皮（两个。锉碎。罐内烧存性） 鸡冠花（锉。微炒存性）
白矾（微枯） 绿矾（枯） 胡桃（取仁。一十五两。入罐内。烧存性）
枳壳（去穣。麸炒） 附子（去皮脐。生用） 白附子（生用） 诃子（煨。去核。
）
半夏 天南星（各二两）
上为细末。以醋煮面糊为丸。如梧桐子大。每服二十丸。空心临卧。温酒下。远年不瘥者。服
十日见效。久服永除根本。小可肠风等疾一二年内者。只十服瘥。永不发动。
【淋渫药】治肠风痔漏。经久不瘥。疮口脓汁不绝。及疮内有虫。痒痛不止。宜此淋洗之。
枳壳（麸炒） 威灵仙（去土） 荆芥穗（去土） 乳香（各一两）
凤眼草（二两） 细辛（去苗。二钱半）
上六味为粗末。每用三两。水一大碗。煎至一升。去渣。稍热。洗患处。冷再温热。更洗一遍
不用。洗罢。用软帛揩干。上药。如疮破后不须上药。只淋洗之。
【淋渫地榆散】治肛门痒痛或肿。
地榆 蒴 荆芥 苦参
蛇床子（各等分）
上为粗末。每用一匙。水一碗。煎二三沸。去渣。避风处通手热洗患处。
【淋渫鸡冠散】治五痔肛边肿痛。或窜乳。或穿穴。或作疮。久而不愈。变成漏疮。
鸡冠花 凤眼草（各一两）
上为粗末。每用粗末半两。水碗半。煎三五沸。热法患处。
【结阴丹】治肠风脏毒下血。诸大便血疾。（以下三方。传之于诸路医学提举忽吉角。用
之甚效）
枳壳（麸炒） 黄 威灵仙 陈皮（去白）
何首乌 荆芥穗 椿根白皮（各等分）
上七味为末。酒糊丸如桐子大。每服五十丸至七十丸。陈米饮入醋少许。煎一二沸。放温送下
。平明服之。空腹服之。亦妙。
【淋渫威灵仙散】治痔漏。大肠头痒痛。或肿满。
枳壳（麸炒） 威灵仙（等分）
上粗末。每用一两。水一碗半。煎至一碗。去渣。熏洗。冷再暖。避风。洗三次。软帛拭干。
敷蒲黄散。
【蒲黄散】治下部痔漏。
蒲黄（一两） 血竭（半钱）
上为细末。每用少许贴患处。
【椿皮散】专治血痢及肠风下血。神验。（此方李舜卿教授传。累用有效）
椿白皮（三两） 槐角子（四两） 明白矾（二两） 甘草（一两半）
上为末。每服三钱。热米饮调下。
Gao Shiqian, a clerk in the Yannan Hebei Circuit Judicial Intendant's Office, was over forty years old. In July of the Wuyin year of the Zhiyuan era, the summer heat had not yet receded. Due to official duties requiring outdoor labor and excessive drinking, he suffered from severe fever and thirst in the afternoon, which could not be relieved by drinking ice water. His condition was slightly lighter in the morning, and previous medications were ineffective, so he summoned me for treatment. Upon examining his pulse, it was wiry and rapid (Xian Shu). The *Jingui Yaolue* states: "The pulse of malaria naturally presents as wiry." A wiry and rapid pulse indicates abundant heat. The *Suwen: Malun* chapter states: "The pulse of Dan Malaria (a type of malaria characterized by fever without chills) is rapid. The patient has long harbored internal heat that is vigorous throughout the body. Qi rebels and rushes upward; the middle jiao is full and cannot vent outward. Due to physical exertion, the cou li (pores and interstitial spaces) open, allowing wind-cold pathogens to lodge within the skin and between the muscle layers, causing disease. Upon onset, yang qi becomes excessive and does not decline, thus illness occurs. Since the pathogen does not involve cold, there is only fever without chills. This is because the pathogenic factor hides internally while lodging externally between the muscle layers, causing emaciation and wasting of flesh, hence named Dan Malaria." The *Yueling* chapter of the *Liji* states: "If the practices of summer are followed in early autumn, the people will often suffer from Dan Malaria." Zhang Jiegu stated: "Acquired through movement, it is named Summerheat Stroke." It should be treated with Baihu Jia Zhizi Tang (White Tiger plus Gardenia Decoction). Gao Shiqian had traveled far and labored, suffering injury from summerheat. The heat from alcohol and summerheat fought each other, aided by the yang energy of the afternoon hours, resulting in severe fever and thirst, feeling as if inside a steamer. I first administered Chaihu Yinzi (Bupleurum Drink) in an amount of one liang to purge the excess, followed by Baihu Jia Zhizi Tang, taken one liang per dose. After several doses, he recovered.
Da Te'emuer, Vice Commander of the Southern Expedition Army, was ordered by imperial decree in the Jiyi year to garrison Xizhou. The area was low-lying and damp, and many soldiers suffered from malaria and dysentery. I compounded Chen Sha Dan (Cinnabar Pill) and Baizhu Anwei San (Atractylodes Macrocephala Stomach-Calming Powder), which cured most cases effectively.
[Chen Sha Dan] Treats malaria with great efficacy.
Zhusha (Cinnabaris [Zhu Sha], half incorporated into the pill, half used as coating) Xin Pi (Realgar mixed with Arsenic Trioxide [Red Orpiment]) Xionghuang (Realgar) (each 5 qian).
Grind the above three herbs into powder, mix with 6 qian of white flour, grind evenly, and make pills using water drop method, sized like paulownia seeds. Coat with Zhusha. Take one pill at auspicious astrological times, delivered with Wugen Shui (rainwater or dew). Avoid wet noodles and hot-natured foods.
"Changfeng Zhilou" (Intestinal Wind and Hemorrhoids/Fistula) is a general term. Differentiated specifically, they differ. If ulcerated, it is called Zhilou. Constipation and dryness cause severe pain. This arises from wind-heat attacking due to overeating leading to qi stagnation, forcing the large intestine to malfunction. Thus, the classics state: "Due to overeating, sinews and vessels relax horizontally, and the intestines become hemorrhoidal." The pathogen received is Dryness (Zao Qi); the disease-causing factor is Stomach Heat (Wei Re). Stomach fire penalizes the large intestine, transforming into dry-fire, attacking the excess of dry-heat. Wind attaches to heat; this is the combination of Dampness, Heat, Wind, and Dryness. Therefore, lumps at the anal verge indicate Dampness; severe pain indicates Wind; dry and hard stool indicates the main disease combined with Fire-Heat attack. One must eliminate these four pathogens. The Lung belongs to the West, governs all qi, and its nature is descending, but it may also assist the pathogen. It is necessary to combine with qi-breaking herbs. The treatment method is then complete. Do not make pills; instead, decoct and administer as soup. Efficacy is swift and miraculous.
[Qinjiao Cangzhu Tang]
Qin Jiao (1 qian, remove sprouts) Ze Xie (2 fen) Dang Gui Wei (3 fen, soaked in wine) Cang Zhu (7 fen)
Fang Feng (0.5 qian) Da Huang (a small amount; although stool is dry, do not add too much) Bing Lang (1 fen, powdered)
Tao Ren (soaked in hot water, peeled, 1 qian, ground) Zao Jiao Ren (charred to retain property, peeled, 1 qian, powdered) Huang Bo (peeled, 4 fen, washed in wine; if the anal verge feels heavy, indicating dampness excess, increase according to judgment; if weather is very hot, increase according to judgment; if the patient is irritable and prefers cold, increase according to judgment).
Grind the above ten herbs, mix evenly, and prepare as one dose. Add five cups of water, decoct to one cup and two fen, strain, add Tao Ren, Bing Lang, and Zao Jiao Ren. Return to fire, decoct to one cup, strain.
Take warm on an empty stomach. Wait a moment, then eat a good meal to settle the stomach and prevent damage to gastric qi. During medication, avoid raw, cold, hard foods, alcohol, wheat products, vegetables, and strong spices. Violating these renders the medicine ineffective. If white pus is present, add five white Hibiscus flowers (removing calyx), finely cut, and 0.5 qian Qing Pi (not removing the white pith), decoct together with the main herbs. Add 0.5 qian Mu Xiang powder, mix with Zao Jiao powder, and add. Follow the above method. For severe cases, another dose will cure.
[Ruxiang Wan] Treats various hemorrhoids with bleeding, flesh growth at the anal verge, nodules with swelling and pain, ulcers with itching and pain, difficult defecation, and rectal prolapse.
Also treats Changfeng bleeding, regardless of new or chronic cases, and roots in the zang-fu organs; all can be treated.
Zhi Qiao (remove albedo, stir-bran fried) Mu Li (fire-roasted) Bi Cheng Qie Da Huang (steamed and dried)
He Shi (fried) Yuan Qing (remove head, wings, feet, stir-fried with glutinous rice until rice turns yellow, each 0.5 liang) Ruxiang (ground)
Bai Ding Xiang (ground, each 1 fen).
Grind into powder, bind with millet paste into pills sized like paulownia seeds. Take 10-15 pills per dose. For Changfeng, deliver with aged tea clear liquid; for various hemorrhoids, deliver with Scallion White Decoction; for other conditions, deliver with Iron Filings Decoction. Take before meals.
[Shenyng Heiyu Gao] Treats men and women with chronic or acute Changfeng and Zhilou, unbearable anal pain. Effective after 3-4 doses.
Initially, the disease causes itching or pain, with hard nodules around the anus. This is hemorrhoid; upon rupture, it becomes fistula. Bleeding alone is Changfeng. All result from alcohol, sexual indulgence, wind-dampness, and excessive consumption of five pungent spices. People often use external surgical applications, unaware that internal medicine exists for intestinal diseases. Without removing the root, the disease persists. This medicine has miraculous effects.
Zhu Xuan Ti (20 pieces) Ci Pi (1 liang 1 qian) Niu Jiao Sai (chopped and stir-fried, 1 liang 2 qian) Bai Zong (8 qian)
Luan Fa (washed, dried) Huai Jiao (each 6 qian) Ku Lian Gen (5 qian) Lei Wan
Zhi Ma (Sesame) (each 4 qian).
Chop the above nine herbs, char in a porcelain jar until carbonized, grind to fine powder. Add 2 liang Ruxiang and 8 qian Shexiang, grind evenly. Bind with wine-flour paste into pills sized like paulownia seeds. Take 8 pills per dose. Chew one walnut first, swallow with warm wine. Take twice daily on an empty stomach (morning and evening). Severe cases take three times daily. Strictly avoid other medicines. Root can be removed within three days.
[Diao Chang Wan] Treats chronic and acute hemorrhoids, anal swelling and pain, ulcers with itching, occasional pus and blood, Changfeng bleeding, and anal prolapse.
Suitable for all such conditions.
Luan Fa (washed, charred) Ci Pi (two pieces, chopped, charred in jar) Ji Guan Hua (chopped, lightly stir-fried to retain property)
Bai Fan (slightly burnt) Lv Fan (burnt) Hu Tao (kernel, 15 liang, charred in jar)
Zhi Qiao (remove albedo, stir-bran fried) Fu Zi (remove skin and umbilicus, raw) Bai Fu Zi (raw) He Zi (roasted, remove seed)
Ban Xia Tian Nan Xing (each 2 liang).
Grind to fine powder, bind with vinegar-boiled flour paste into pills sized like paulownia seeds. Take 20 pills per dose, on an empty stomach and before bed, with warm wine. For chronic cases unhealed for years, see results in ten days. Long-term use removes the root completely. For mild Changfeng within 1-2 years, ten doses cure permanently without recurrence.
[Linxie Yao] Treats Changfeng and Zhilou that have persisted without healing, continuous suppuration from wounds, parasites in wounds, and unceasing itching/pain. Suitable for washing.
Zhi Qiao (stir-bran fried) Weiling Xian (clean soil) Jingjie Sui (clean soil) Ruxiang (each 1 liang)
Fengyan Cao (2 liang) Xi Xin (remove sprouts, 2.5 qian).
Grind the above six herbs into coarse powder. Use 3 liang per dose, decoct in one large bowl of water to one sheng. Strain. Wash the affected area while slightly warm. Rewarm when cool, wash again once. Do not reuse. After washing, dry with soft cloth and apply topical medicine. If the wound is ruptured, no topical application is needed, only washing.
[Linxie Diyu San] Treats anal itching, pain, or swelling.
Di Yu Shuo Luo Jingjie Ku Shen
She Chuang Zi (equal parts).
Grind into coarse powder. Use one spoon per dose, decoct in one bowl of water for 2-3 boils. Strain. Wash the affected area at a comfortable temperature in a draft-free place.
[Linxie Jiguan San] Treats five types of hemorrhoids with anal swelling and pain, fistula tracts, perforations, ulcers, chronic non-healing lesions turning into fistulas.
Ji Guan Hua Fengyan Cao (each 1 liang).
Grind into coarse powder. Use half liang of coarse powder per dose, decoct in half a bowl of water for 3-5 boils. Apply hot compress/wash to the affected area.
[Jieyin Dan] Treats Changfeng, Zangdu (visceral toxin) bleeding, and various lower gastrointestinal bleeding disorders. (The following three formulas were transmitted from Huji Jiao, Medical Supervisor of various circuits, and are highly effective.)
Zhi Qiao (stir-bran fried) Huang Qi Weiling Xian Chen Pi (remove albedo)
He Shou Wu Jingjie Sui Chun Gen Bai Pi (equal parts).
Grind the above seven herbs into powder, bind with wine-paste into pills sized like paulownia seeds. Take 50-70 pills per dose. Deliver with aged rice water mixed with a little vinegar, boiled briefly, cooled to warm temperature. Take at dawn. Taking on an empty stomach is also excellent.
[Linxie Weiling Xian San] Treats Zhilou, anal itching/pain, or swelling/fullness.
Zhi Qiao (stir-bran fried) Weiling Xian (equal parts).
Grind into coarse powder. Use 1 liang per dose, decoct in 1.5 bowls of water to one bowl. Strain. Fumigate and wash. Rewarm when cool, avoid wind. Wash three times, dry with soft cloth. Apply Puhuang San.
[Puhuang San] Treats lower body Zhilou.
Puhuang (1 liang) Xue Jie (0.5 qian).
Grind to fine powder. Apply a small amount directly to the affected area.
[Chunpi San] Specifically treats bloody dysentery and Changfeng bleeding. Miraculously effective. (This formula was transmitted by Professor Li Shunqing and has proven effective repeatedly.)
Chun Bai Pi (3 liang) Huai Jiao Zi (4 liang) Ming Bai Fan (2 liang) Gan Cao (1.5 liang).
Grind into powder. Take 3 qian per dose, mix with hot rice water and ingest.