（第二十四）
小儿蜕肛者，皆因久患泻痢得之。大肠头自粪门出，宜用葱汤熏洗，令软送上。先服止
泻药，然后服槐角等药，又用五倍子煎汤，入明矾末熏洗而缩上。有兼痔证肿痛，此为乳母所
伤，浓味爆 感之而得者。
宜用丹石散、胜雪膏等涂之肿处甚佳，服黄连解毒汤，苦参汤洗，又用防风、荆芥等煎
汤洗。或用密陀僧、白矾、冰片末敷上亦妙。又用蓖麻子研成膏，贴顶上，肠即入，急洗蓖麻子
去之。及用苦参汤洗亦效。凡肠头作痒即有虫，可用生艾、川楝根煎汤熏洗。
龙骨散 治婴儿大肠虚肛门脱出。
龙骨（二钱半） 诃子肉（煨） 没石子（二枚） 赤石脂 罂粟壳（去筋醋炒。各二钱）
为末，米饮调化，食前服。
涩肠散 治小儿久痢，大肠头脱出不收。
诃子肉（煨） 赤石脂 龙骨（各等分）
为末，茶少许和药掺肠头上，以帛揉入。治痢，木通汤调下。
丹石散 治外痔如神。
黄丹 滑石（各等分）
为末，新汲水调涂，日上五次。
胜雪膏 治坠肠，翻花等痔，热痛不可忍，或已成疮者并治。
脑子 铅霜（各少许）
以好醋研成膏，涂之愈。
苦参汤 治脱肛并痔。
枳壳 黄连 大黄 甘草 荆芥 苦参 芍药 黄芩（各等分）
上咀，每剂半两，车前子、茅草同煎，熏洗。
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Infantile rectal prolapse (Tuogang) is caused by prolonged diarrhea or dysentery. The head of the large intestine protrudes from the anus. It is advisable to fumigate and wash with scallion water until soft, then manually push it back into place. First, administer antidiarrheal medicines, followed by medicines such as Huaijiao Wan (Sophora Fruit Pill). Additionally, fumigate and wash with a decoction of Chinese Gallnut (Wubeizi) mixed with alum powder to retract the bowel. If accompanied by hemorrhoidal swelling and pain, this condition arises from the wet nurse's diet; specifically, the consumption of rich, pungent, and fried foods transmitted through breast milk.
It is advisable to apply Danshi San (Cinnabar Powder) or Shengxue Gao (Snow-White Ointment) to the swollen area for excellent results. Internally, take Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity); externally, wash with Kushen Tang (Sophora Root Decoction), or wash with a decoction of Fangfeng (Saposhnikovia Root) and Jingjie (Schizonepeta Spike). Alternatively, applying powders of Ledoucseng (Litharge), Alum, and Bingpian (Borneol) to the lesion is also effective. One may also apply a paste made from Castor Seed (Bimazi) to the top of the head (Baihui point, GV20); the intestine will retract immediately, and the castor seed must be washed off urgently to avoid adverse effects. Furthermore, washing with Kushen Tang (Sophora Root Decoction) is also effective. Whenever the protruding intestinal tissue itches, it indicates the presence of parasites; one may fumigate and wash with a decoction of Raw Mugwort Leaf (Sheng Ai Ye) and Toosendan Root (Chuanliangen).
Longgu San (Dragon Bone Powder): Treats infantile rectal prolapse due to large intestine deficiency.
Longgu (Fossilized Bones, 2.5 qian), Hezi Rou (Chebula Fruit Flesh, roasted), Meishizi (Chinese Gallnut, 2 pieces), Chishizhi (Red Halloysite), Yingusu Ke (Poppy Shell, de-veined and vinegar-fried, 2 qian each).
Grind into powder, mix with rice water, and take before meals.
Secchang San (Intestine-Astringing Powder): Treats pediatric chronic dysentery with irreducible rectal prolapse.
Hezi Rou (Chebula Fruit Flesh, roasted), Chishizhi (Red Halloysite), Longgu (Fossilized Bones, equal parts).
Grind into powder, mix with a small amount of tea, sprinkle on the prolapsed intestinal head, and gently rub it back in with a cloth. For treating dysentery, take with Mutong Tang (Akebia Decoction).
Danshi San (Cinnabar Powder): Treats external hemorrhoids with miraculous effect.
Huangdan (Lead Monoxide), Huashi (Talcum, equal parts).
Grind into powder, mix with fresh cold water, apply topically five times daily.
Shengxue Gao (Snow-White Ointment): Treats rectal prolapse, flower-turning hemorrhoids, etc., applicable to cases with unbearable heat-pain or those that have already formed ulcers.
Naozi (Borneol), Qianshuang (Lead Frost, small amounts each).
Grind with good vinegar into an ointment, apply to heal.
Kushen Tang (Sophora Root Decoction): Treats rectal prolapse and hemorrhoids.
Zhiqiao (Immature Bitter Orange), Huanglian (Coptis Rhizome), Dahuang (Rhubarb Root), Gancao (Licorice Root), Jingjie (Schizonepeta Spike), Kushen (Sophora Root), Shaoyao (Peony Root), Huangqin (Scutellaria Root, equal parts).
Cut into pieces, take half a liang per dose, decoct with Cheqianzi (Plantago Seed) and Mao Cao (Imperata Rhizome) for fumigation and washing.