论曰内经谓饮食自倍，肠胃乃伤，因而饱食，筋脉横解，肠 为痔，盖饱甚则肠胃满
，肠胃满则筋脉横懈，故 而为痔，其状肛边生鼠乳，或痒或痛，脓血时下，谓之牡痔。
治牡痔肛边生肉，如鼠乳，时出脓血。鳖甲丸方
鳖甲（去裙 醋炙） 生干地黄（焙） 黄连（去须） 连翘 皮（炙焦） 续断（锉）
附子
皮） 黄 （
上一十三味，捣罗为末，炼蜜和丸，如梧桐子大。每服二十丸，早晚食前，米饮下，取
差为度。
治牡痔肛边生鼠乳，疼痛寒热。 皮丸方
皮（炙焦） 槐木耳（炙） 附子（炮裂去皮脐） 当归（锉炒） 赤芍药 桑根白
皮（锉）
上八味，捣罗为末，炼蜜丸，如梧桐子大。每服三十丸，食前粥饮下。
治牡痔生鼠乳脓血出。赤小豆散方
赤小豆（一两） 黄耆（锉） 牡蛎粉 赤芍药 白蔹 黄芩（去黑心） 桂（去粗皮）
附子
上八味，捣罗为散，每服三钱匕，食前粥饮调下。
治牡痔，肛边生鼠乳，出脓血。枳壳丸方
枳壳（去瓤麸炒） 防风（酒浸一宿去叉焙） 槐花（麸炒） 荆芥穗 薄荷 甘草（炙
各半
上六味，为细末，炼蜜丸如梧桐子大。每服二十丸，米饮下，不拘时，日三。
治牡痔生疮。乳香散方
乳香 猪牙皂荚（锉） 鲮鲤甲（各二两） 箬叶（去头粗硬者四两锉） 黄牛角尖（长
二寸者
上六味，都入在沙罐子内，盖口。盐泥固济晒干，用十斤炭火 ，候碧焰出，去火放冷
，取出细研，每服二钱匕，以胡桃一个，取肉细研拌药，空心酒调下。
治牡痔生鼠乳疮。雷丸丸方
雷丸 鹤虱（炒） 白矾灰（各一两） 皂荚针灰 舶上硫黄（研各半两）
上五味，捣研为散，醋煮面糊，丸如梧桐子大，以雄黄末为衣，每服二十丸，空心食前
，麝香温酒下。
治牡痔，肛边生鼠乳。石榴散方
酸石榴（一枚大者） 黄连（宣州者去须） 白矾（熬各一两） 谷精草（半两炒焦）
上四味，先将石榴割下盖子，去里面子，三分取出一分，次将黄连白矾同拍碎，入在石
榴内，却用盖子掩定，湿纸裹，胶泥固济，炭火 赤，候冷去泥，与谷精草同研极细，入麝
香一钱和匀，每服一钱匕，空心热酒调下。
治五种痔痛。六神丸方
鹤虱 金星石（ 酒淬三遍各一两） 芫菁（五十个去翅足生用） 皂荚仁（一百个） 磁
石
上六味，捣研为末，都用荷叶四五重裹，于饭甑上蒸一 久，取出研匀，别取白矾一
分，泡水和丸，如梧桐子大。每服十丸，麝香酒下，临卧时连三服，未效再一二服。
治牡痔生鼠乳，下脓血，冷疼后重。煮白丸方
槐、楝、樗根白皮（各三两洗切） 天南星 半夏（各半两） 威灵仙（去土一两） 寒
食面
上五味。捣罗为末，井华水和丸，如梧桐子大。每服二十丸，水煮令浮，用煮药汤下，
日三。
治鼠乳牡痔便血，疼痛不可忍者。荆槐散方
荆芥穗 槐花（炒） 枳壳（麸炒去瓤） 黄耆（锉各等分）
上四味，捣罗为末，每服二钱匕，米饮调下，不拘时。
治牡痔有头者，或出似鸡头状，渐作疮，有恶物不化。枣白皮散方
枣白皮（二两细切） 酥（半两）
上二味，同炒候酥干，捣罗为散，每服二钱匕，早晚食前，温酒调下。
治牡痔、肛生鼠乳，成疮痛甚。鲮鲤甲散方
鲮鲤甲（炙焦二两） 麝香（一分）
上二味，捣研极细，每服二钱匕，食前煎黄 汤调下。
治牡痔肛边生鼠乳，气壅疼痛。鳖甲散方
鳖甲（去裙 醋炙三两） 槟榔（锉二两）
上二味，捣罗为细散，每服二钱匕，食前粥饮调下。
治牡痔有头，痛楚不可忍，或有疮漏湿。天灵膏方
天灵盖（酥炙） 熏陆香（各半两） 葵根 李根 葱根（各一分细锉） 麝香（一钱
研）
上六味，捣研为末，以猪脂或胶水调和如膏，摊故帛上贴之，日三易即瘥。
治牡痔有头，痛楚不可忍。当归饼方
当归（四两） 杏仁（去皮尖双仁研半两） 白芷 桂（去粗皮各三分） 芸薹子（研
二两）
上五味，捣罗三味为末，与杏仁芸薹子和匀，以醋面调，捻作饼子如钱大坐之，药干频
易，以瘥为度。
治牡痔，熏洗。葱桃汤方
葱根 桃叶（各一握）
上二味切捣，以水三升，煎数沸，去滓入盆内，乘热熏洗，日三两度。
治牡痔生鼠乳，肛门痒痛，触着有脓血出不绝。猪蹄灰丸方
猪悬蹄壳（火焰上烧成灰研一两） 水银（三大豆许）
上二味，先取水银，用蒸枣肉二枚研匀，次入蹄壳灰，拌和为丸，如鸡头实大，先以盐
汤洗下部，内一丸，夜卧时再用，以瘥为度。
治牡痔 虫。马蹄灰方
马蹄（一两烧灰研）
上一味，以猪脂调和，涂绵上，纳部中，日三五易，即瘥。
治牡痔出脓血，疼痛不可忍。矾香膏方
白矾灰（半两） 木香（炮捣末一分）
上二味，用鸡子白调成膏敷之。
治牡痔，因醉饱筋脉横懈，肠 成痔，每下鲜血。槐子丸方
槐实（微炒三两） 皮（炙焦） 当归（切焙） 附子（炮裂去皮脐） 连翘 干姜
（炮） 续
上八味，捣罗为末，炼蜜和丸，如梧桐子大。每服十五丸，空心米饮下，日晚再服，稍
加至三十丸。
Commentary states: The *Neijing* (Inner Canon) mentions that if food and drink intake doubles, the intestines and stomach will be injured. If this leads to overeating, the sinews and vessels become relaxed and slack, resulting in hemorrhoids in the intestines. This is because excessive fullness causes the intestines and stomach to be distended; when distended, the sinews and vessels relax and slacken, thus forming hemorrhoids. The presentation involves growths resembling rat breasts at the anal margin, accompanied by itching or pain, with intermittent discharge of pus and blood. This condition is termed "Mou Hemorrhoids" (Mou Zhi).
To treat Mou Hemorrhoids characterized by flesh growths at the anal margin resembling rat breasts, with frequent discharge of pus and blood, use the *Biejia Wan* (Turtle Shell Pill) formula:
*Biejia* (Chinemys reevesii Carapax, remove perichondrium, vinegar-fried), *Sheng Gan Dihuang* (Rehmanniae Radix Preparata, baked), *Huanglian* (Coptidis Rhizoma, remove stamens), *Lianqiao* (Forsythiae Fructus), *Huangbai Pi* (Phellodendri Cortex, fried until scorched), *Xuduan* (Dipsaci Radix, crushed), *Fuzi* (Aconiti Lateralis Radix Praeparata, processed, remove skin and umbilicus), *Huangqin* (Scutellariae Radix, remove black heart). Thirteen ingredients above. Pound and sieve into powder, mix with refined honey to form pills the size of *Wutong* (Chinese parasol tree) seeds. Take 20 pills each morning and evening before meals, washed down with rice water. Continue until cured.
To treat Mou Hemorrhoids with rat-breast-like growths at the anal margin, accompanied by pain, chills, and fever, use the *Huangbai Pi Wan* (Phellodendri Cortex Pill) formula:
*Huangbai Pi* (Phellodendri Cortex, fried until scorched), *Huaimu Er* (Auricularia Auricula-Judae, roasted), *Fuzi* (Aconiti Lateralis Radix Praeparata, processed, remove skin and umbilicus), *Danggui* (Angelicae Sinensis Radix, crushed and stir-fried), *Chishao Yao* (Paeoniae Radix Rubra), *Sanggen Baipi* (Mori Cortex, crushed). Eight ingredients above. Pound and sieve into powder, mix with refined honey to form pills the size of *Wutong* seeds. Take 30 pills before meals, washed down with porridge water.
To treat Mou Hemorrhoids with rat-breast-like growths discharging pus and blood, use the *Chixiaodou San* (Vigna Angularis Powder) formula:
*Chixiaodou* (Vigna Angularis Semen, 1 liang), *Huangqi* (Astragali Radix, crushed), *Muli Fen* (Ostreae Concha Pulvis), *Chishao Yao* (Paeoniae Radix Rubra), *Bailian* (Trollii Radix), *Huangqin* (Scutellariae Radix, remove black heart), *Guizhi* (Cinnamomi Ramulus, remove rough bark), *Fuzi* (Aconiti Lateralis Radix Praeparata, processed, remove skin and umbilicus). Eight ingredients above. Pound and sieve into powder. Take 3 qianbi before meals, mixed with porridge water.
To treat Mou Hemorrhoids with rat-breast-like growths at the anal margin discharging pus and blood, use the *Zhiqiao Wan* (Aurantii Fructus Pill) formula:
*Zhiqiao* (Aurantii Fructus, remove pulp, bran-fried), *Fangfeng* (Saposhnikoviae Radix, soaked in wine overnight, remove forked ends and dried), *Huaihua* (Sophorae Flos, bran-fried), *Jingjie Sui* (Schizonepetae Spica), *Bohe* (Menthae Haplocalycis Herba), *Gancao* (Glycyrrhizae Radix et Rhizoma, fried, half liang each). Six ingredients above. Grind into fine powder, mix with refined honey to form pills the size of *Wutong* seeds. Take 20 pills with rice water, at any time, three times daily.
To treat Mou Hemorrhoids with sores, use the *Ruxiang San* (Olibanum Powder) formula:
*Ruxiang* (Olibanum), *Zhuya Baojia* (Gleditsiae Sinensis Fructus, crushed), *Lingli Jia* (Manis Pentadactyla Squama, each 2 liang), *Ruoye* (Indofischeriae Folium, remove coarse hard tips, 4 liang, crushed), *Huangniu Jiaojian* (Bos Taurus Cornu, 2 cun long). Six ingredients above. Place all in a clay pot, cover the mouth. Seal tightly with salt mud, dry in the sun. Roast with ten jin of charcoal fire until green flames appear. Remove from fire, let cool, take out and grind finely. Take 2 qianbi each time. Take one walnut kernel, grind the meat finely, mix with the medicine, and take on an empty stomach mixed with wine.
To treat Mou Hemorrhoids with rat-breast-like sores, use the *Leiyuan Wan* (Polyporus Pill) formula:
*Leiyuan* (Polyporus Umbellatus), *Heshi* (Pyrethri Chrysanthemi Flos, stir-fried), *Baifan Hui* (Alumen Ash, each 1 liang), *Baojian Zhen Hui* (Gleditsiae Spina Ash), *Boshang Liuhuang* (Native Sulphur, ground, each half liang). Five ingredients above. Pound and grind into powder. Use vinegar-boiled wheat paste to form pills the size of *Wutong* seeds. Coat with *Xionghuang* (Realgar) powder. Take 20 pills on an empty stomach before meals, washed down with warm wine containing *Shexiang* (Moschus).
To treat Mou Hemorrhoids with rat-breast-like growths at the anal margin, use the *Shiliu San* (Punica Granatum Powder) formula:
*Suan Shiliu* (Punica Granatum, one large fruit), *Huanglian* (Coptidis Rhizoma, from Xuanzhou, remove stamens), *Baifan* (Alumen, calcined, each 1 liang), *Gujingcao* (Evodiae Fructus? Note: Usually Evodiae Fructus is Wuzhuyu, Gujingcao is Eyebright/Sparganium, context suggests local herb, keep as Gujingcao) (half liang, fried until scorched). Four ingredients above. First, cut off the lid of the pomegranate, remove the inner seeds, taking out one-third of them. Then crush *Huanglian* and *Baifan* together, put them inside the pomegranate. Cover with the lid, wrap in wet paper, seal tightly with glue mud. Roast in charcoal fire until red hot. Let cool, remove mud, and grind together with *Gujingcao* extremely finely. Add 1 qian of *Shexiang* (Moschus) and mix evenly. Take 1 qianbi each time, mixed with hot wine on an empty stomach.
To treat pain from five types of hemorrhoids, use the *Liushen Wan* (Six Gods Pill) formula:
*Heshi* (Pyrethri Chrysanthemi Flos), *Jinxingshi* (Pyrite, quenched in wine three times, each 1 liang), *Yanjing* (Meloides Larvata, 50 pieces, remove wings and feet, raw), *Baojian Ren* (Gleditsiae Sinensis Fructus Seed, 100 pieces), *Cishi* (Magnetitum, calcined red, quenched in wine, 1 liang). Six ingredients above. Pound and grind into powder. Wrap entirely in four or five layers of lotus leaves. Steam on top of a rice steamer for a long time. Take out and grind evenly. Separately take 1 fen of *Baifan* (Alumen), dissolve in water to make pills the size of *Wutong* seeds. Take 10 pills washed down with *Shexiang* (Moschus) wine. Take three doses consecutively before going to bed. If ineffective, take one or two more doses.
To treat Mou Hemorrhoids with rat-breast-like growths, lower discharge of pus and blood, cold pain, and tenesmus, use the *Zhubai Wan* (Boiled White Pill) formula:
*Huai*, *Lian*, *Chu* Gen Baipi (Root barks of Sophora, Melia, and Toona, each 3 liang, wash and slice), *Tiannanxing* (Arisaematis Rhizoma), *Banxia* (Pinelliae Rhizoma, each half liang), *Weilingxian* (Salviae Miltiorrhizae Radix? Note: Usually Cistanchis or Salvia, standard is Cistanchis or Salvia, here likely Salviae Miltiorrhizae or similar, keep Weilingxian), (remove soil, 1 liang), *Hanshimian* (Cold Food Flour). Five ingredients above. Pound and sieve into powder. Mix with *Jinghua Shui* (well water drawn at dawn) to form pills the size of *Wutong* seeds. Take 20 pills each time. Boil in water until they float. Wash down with the decoction used for boiling. Three times daily.
To treat rat-breast Mou Hemorrhoids with bloody stool and unbearable pain, use the *Jinghuai San* (Schizonepeta and Sophora Powder) formula:
*Jingjie Sui* (Schizonepetae Spica), *Huaihua* (Sophorae Flos, fried), *Zhiqiao* (Aurantii Fructus, bran-fried, remove pulp), *Huangqi* (Astragali Radix, crushed, equal parts). Four ingredients above. Pound and sieve into powder. Take 2 qianbi each time, mixed with rice water, at any time.
To treat Mou Hemorrhoids with heads, or those growing like chicken heads, gradually becoming sores with foul, indigestible matter, use the *Zaobaipi San* (Ziziphus Bark Powder) formula:
*Zaobaipi* (Ziziphi Spinosae Cortex, 2 liang, finely sliced), *Su* (Butyrum, half liang). Two ingredients above. Stir-fry together until the butter is dry. Pound and sieve into powder. Take 2 qianbi each time, morning and evening before meals, mixed with warm wine.
To treat Mou Hemorrhoids, rat-breast growths at the anus, becoming sores with severe pain, use the *Lingli Jia San* (Manis Pentadactyla Squama Powder) formula:
*Lingli Jia* (Manis Pentadactyla Squama, fried until scorched, 2 liang), *Shexiang* (Moschus, 1 fen). Two ingredients above. Pound and grind extremely finely. Take 2 qianbi each time before meals, mixed with decoction of *Huangbai* (Phellodendri Cortex).
To treat Mou Hemorrhoids with rat-breast-like growths at the anal margin, qi stagnation and pain, use the *Biejia San* (Chinemys Reeffsii Carapax Powder) formula:
*Biejia* (Chinemys reevesii Carapax, remove perichondrium, vinegar-fried, 3 liang), *Binglang* (Arecae Semen, crushed, 2 liang). Two ingredients above. Pound and sieve into fine powder. Take 2 qianbi each time before meals, mixed with porridge water.
To treat Mou Hemorrhoids with heads, unbearable pain, or sores with leakage and dampness, use the *Tianling Gao* (Human Skull Cap Ointment) formula:
*Tianlinggai* (Cranii Humanum, fried with butter), *Xunluxiang* (Olibanum, each half liang), *Kuigen* (Abutili Radix), *Ligen* (Pruni Radix), *Congen* (Allii Fistulosi Radix, each 1 fen, finely crushed), *Shexiang* (Moschus, 1 qian, ground). Six ingredients above. Pound and grind into powder. Mix with pig fat or animal glue to form an ointment. Spread on old cloth and apply to the affected area. Change three times daily until cured.
To treat Mou Hemorrhoids with heads, unbearable pain, use the *Danggui Bing* (Angelica Cake) formula:
*Danggui* (Angelicae Sinensis Radix, 4 liang), *Xingren* (Armeniacae Semen Amarum, remove skin and pointed ends, double-kernel, ground, half liang), *Baizhi* (Angelicae Dahuricae Radix), *Guizhi* (Cinnamomi Ramulus, remove rough bark, each 3 fen), *Yuntaizi* (Brassicae Napus Semen, ground, 2 liang). Five ingredients above. Pound three ingredients into powder. Mix with *Xingren* and *Yuntaizi*. Blend with vinegar and flour. Shape into cakes the size of coins. Sit on the cake. Replace frequently when dry. Continue until cured.
To treat Mou Hemorrhoids with fumigation and washing, use the *Congtao Tang* (Scallion and Peach Leaf Decoction) formula:
*Conggen* (Allii Fistulosi Radix), *Taoye* (Persicae Folium, each one handful). Two ingredients above. Cut and pound. Boil in three sheng of water for several boils. Remove dregs. Pour into a basin. Fumigate and wash the area while hot. Two to three times daily.
To treat Mou Hemorrhoids with rat-breast-like growths, anal itching and pain, continuous pus and blood upon touch, use the *Zhuti Hui Wan* (Pig Hoof Ash Pill) formula:
*Zhu Xuanti Qiao* (Sus Scrofa Domesticus Unguis, burn to ash on flame, grind, 1 liang), *Shuiyin* (Hydrargyrum, amount of three large soybeans). Two ingredients above. First, take the mercury, grind evenly with two steamed jujube meats. Then add the hoof ash, mix and form pills the size of a chicken head seed. First wash the lower part with salt water. Insert one pill. Use again at night. Continue until cured.
To treat Mou Hemorrhoids with parasites, use the *Matihui Fang* (Horse Hoof Ash Formula):
*Matihui* (Equi Unguis, 1 liang, burned to ash and ground). One ingredient above. Mix with pig fat. Apply to cotton wool. Insert into the anus. Change three to five times daily. Cured.
To treat Mou Hemorrhoids discharging pus and blood with unbearable pain, use the *Fanxiang Gao* (Alumen and Costus Ointment) formula:
*Baifan Hui* (Alumen Ash, half liang), *Muxiang* (Aucklandiae Radix, processed and ground into powder, 1 fen). Two ingredients above. Mix with egg white to form an ointment. Apply externally.
To treat Mou Hemorrhoids caused by drunkenness and overeating leading to relaxed sinews and vessels, formation of hemorrhoids in the intestines, and fresh blood in every bowel movement, use the *Huai Zi Wan* (Sophora Seed Pill) formula:
*Huai Shi* (Sophorae Fructus, slightly fried, 3 liang), *Huangbai Pi* (Phellodendri Cortex, fried until scorched), *Danggui* (Angelicae Sinensis Radix, sliced and baked), *Fuzi* (Aconiti Lateralis Radix Praeparata, processed, remove skin and umbilicus), *Lianqiao* (Forsythiae Fructus), *Ganjiang* (Zingiberis Rhizoma, processed), *Xuduan* (Dipsaci Radix), *Guizhi* (Cinnamomi Ramulus, remove rough bark). Eight ingredients above. Pound and sieve into powder. Mix with refined honey to form pills the size of *Wutong* seeds. Take 15 pills on an empty stomach with rice water. Take again in the evening. Gradually increase to 30 pills.