论曰血痔者，肺热流毒也，肺与大肠为表里，今肺脏蕴热，毒瓦斯流渗，入于大肠，血性
得热则流散，故因便而肛肠重痛，清血随出也。
治血痔。 皮散方
皮（烧灰存性） 黄 （锉） 熟干地黄（焙） 续断 柏叶 地榆（ ） 白芷 黄
连（去
上八味，捣罗为散，每服二钱匕，食前温汤调下。
治血痔，清血随大便出。雷丸丸方
雷丸（三两） 紫参 秦艽（去苗土） 本（去苗土） 石南叶 白芷 虫（炒） 浓
朴（
炙令焦十
上一十三味，捣罗为末，炼羊髓为丸，如梧桐子大，空心米饮下十五丸，至二十丸。日
晚再服，以瘥为度。
治血痔，因便清血随出者。槐荚子丸方
槐荚子（麸炒二两） 枳壳（去瓤麸炒） 威灵仙（去土各一两） 干姜（炮） 白矾
（烧令汁
附子（炮裂去
上一十一味，捣罗为末，炼蜜丸如梧桐子大。陈米饮下十丸，至二十丸，食前服。
治痔下血。地榆汤方
地榆 艾叶 枳壳（去瓤麸炒） 黄 （锉） 防风（去叉） 龙骨 桑耳（各一两半）
上七味，粗捣筛，每服五钱匕。水二盏，入生地黄一分拍碎，同煎至八分，去滓空心温
服，日晚再服。
治诸痔下血，虚损甚者。黄 汤方
黄 （锉一两） 当归（切焙） 芎 （各一两半） 龙骨（半两） 芍药 桂（去粗
皮各二两）
上八味，锉如麻豆，每服五钱匕。水一盏半，入沙糖半分，煎至七分，去滓空心温服，
日晚再服。
治诸痔下血。蒲黄汤方
蒲黄 当归（切焙） 白芷 白石脂 黄连（去须） 芎 生干地黄（焙） 甘草（炙
各一
上八味，粗捣筛，每服五钱匕。水一盏半，煎至八分，去滓空心温服，日晚再服。
治血痔出脓血，及肠风痔 。比金丸方
密陀僧 白矾 槐实（炒为末） 皂荚（烧灰研各一两）
上四味，将密陀僧白矾捣碎，入瓷罐内，烧通赤，放冷取出，捣细为末，次入槐实末皂
荚灰和匀，用糯米饭，丸如梧桐子大，每服十五丸，空心食前米饮下。
治血痔下血至多。赤石脂丸方
赤石脂 白矾（烧令汁尽） 龙骨（各一两半） 杏仁（汤浸去皮尖双仁炒研一百枚）
上四味，捣罗为末，炼蜜丸如梧桐子大。空心枣汤下二十丸，日再，以差为度。
治血痔下血。黄 散方
黄 （锉） 枳壳（去瓤麸炒各三两） 防风（去叉一两半）
上三味，捣罗为散，每服二钱匕，空心米饮调下，日晚再服。
治痔疾下血。枳实散方
枳实（麸炒） 槐实（炒） 木贼（各半两）
上三味，捣罗为散，每服二钱匕，煎皂荚子汤调下，不计时候。
治血痔。何首乌丸方
何首乌（去黑皮） 威灵仙（去苗土） 枳壳（去瓤麸炒等分）
上三味，捣罗为末，浸蒸饼丸如梧桐子大，每服二十丸，温水下，早晚食前服。
治痔疾下血。鹿角丸方
鹿角（一两烧红候冷研） 芸薹子（炒研半两）
上二味，捣研为末，醋煮面糊，丸如梧桐子大，每服十五丸，饭饮下，温酒亦得。食前
服。
治痔疾下血。荆芥散方
荆芥穗（陈者） 狗脊（去毛锉各一两）
上二味，捣罗为末，每服二钱匕，浓煎木贼汤调下，若泻血甚者，加酸石榴皮等分为散
，以淡醋汤调下，不拘时服。
治痔下血。黄连散方
黄连（去须） 陈曲（炙各二两）
上二味，捣罗为散，每服二钱匕，用蜜汤空心调下，晚再服。
治血痔。地榆散方
地榆（锉）
上一味，捣罗为散，每服二钱匕，饭饮调下，日三服。
治血痔便清血。熏痔方
皮（细锉） 雄黄 熟艾（各半两）
上三味，略捣碎，先掘地作一坑纳药，以炭火烧烟出，当上坐熏患处，以衣被围身，勿
令烟出，烟尽即止。将息三日再熏，不过三五度瘥。
治血痔，坐痔。橘皮散方
陈橘皮（二斤三五年者细捣炒令热）
上一味，乘热用绢袋二枚盛，橘皮缚定，更互坐上，冷即易，取瘥为度。
治血痔，淋洗。桃根汤方
桃根（半斤）
上一味细锉，用水一斗，煎至五升，去滓温洗，日三五度。
治血痔风冷积年难瘥，洗痔。稻 洗方
稻
上一味烧灰，以汤淋汁，洗下部，日三五遍，取瘥为度。
治五痔大肠下血。乌蛇散方
乌蛇（酒浸去皮骨炙令黄） 枳壳（去瓤麸炒） 天麻 槐实（微炒） 黄 （炙锉） 桑
黄（
三分） 白
上一十三味，捣罗十二味为散，入麝香研令匀，每服三钱匕，空心用陈米饮调下，日再
，温酒亦得。
Discussion states: Blood hemorrhoids (Xue Zhi) are caused by lung heat leading to the flow of toxic pathogens. The Lung and Large Intestine are exterior-interiorly related. Currently, the Lung organ harbors accumulated heat, and toxic qi flows and infiltrates into the Large Intestine. Blood nature becomes fluid and scattered when exposed to heat; therefore, during defecation, there is a sensation of heaviness and pain in the anal region, with clear blood flowing out along with it.
Treatment for blood hemorrhoids: Pisan Formula (Pi San Fang)
- Cortex Broussonetiae Papyriferae (Diguopi, burned to ash but retaining its medicinal properties)
- Radix Scutellariae (Huangqin, sliced)
- Prepared Radix Rehmanniae (Shugan Dihuang, baked)
- Radix Dipsaci (Xuduan)
- Folium Platycladi (Baiye)
- Radix Sanguisorbae (Diyu)
- Radix Angelicae Dahuricae (Baizhi)
- Rhizoma Coptidis (Huanglian, removing rootlets)
The above eight herbs are crushed, sifted, and made into a powder. Each dose consists of two qianbi (approx. 6-9 grams), taken orally with warm water before meals.
Treatment for blood hemorrhoids where clear blood exits with stool: Leiwan Pill (Leiwan Wan Fang)
- Polyporus Umbellatus (Leiwan, 3 liang)
- Radix Codonopsis Pilosulae (Zishen)
- Radix Gentianae Macrophyllae (Qinjiao, removing seedlings and soil)
- Radium Ligustici Chuanxiong (Gaoben, removing seedlings and soil)
- Folium Nandinae (Shinan Ye)
- Radix Angelicae Dahuricae (Baizhi)
- Larva Bombrydis Discolor (Qiluo, stir-fried)
- Cortex Magnoliae Officinalis (Houpo, processed until scorched)
The above thirteen herbs are crushed, sifted, and made into powder. They are formed into pills using refined mutton marrow, sized like sophora seeds. Take fifteen to twenty pills orally with rice water on an empty stomach. Administer again in the evening. Continue until cured.
Treatment for blood hemorrhoids where clear blood exits with defecation: Huajiazi Pill (Huajiazi Wan Fang)
- Fructus Sophorae (Huajiazi, stir-fried with bran, 2 liang)
- Fructus Aurantii (Zhike, removing pulp and stir-fried with bran)
- Radix Cimicifugae (Weilingxian, cleaned, 1 liang each)
- Rhizoma Zingiberis (Ganjiang, processed)
- Alum (Baifan, burned until melted)
- Radix Aconiti Lateralis Preparata (Fuzi, processed until cracked, outer skin removed)
The above eleven herbs are crushed, sifted, and made into powder. They are formed into pills using refined honey, sized like sophora seeds. Take ten to twenty pills orally with aged rice water before meals.
Treatment for hemorrhoidal bleeding: Diyutang Decoction (Diyu Tang Fang)
- Radix Sanguisorbae (Diyu)
- Folium Artemisiae Argyi (Aiye)
- Fructus Aurantii (Zhike, removing pulp and stir-fried with bran)
- Radix Scutellariae (Huangqin, sliced)
- Radix Saposhnikoviae (Fangfeng, removing forked branches)
- Os Draconis (Longgu)
- Auricularia Judae (Sanger, 1.5 liang each)
The above seven herbs are coarsely crushed and sifted. Each dose consists of five qianbi. Add one part of crushed fresh Radix Rehmanniae to two cups of water. Simmer until reduced to eight parts. Strain and take warm on an empty stomach. Administer again in the evening.
Treatment for various hemorrhoidal bleeding with severe deficiency: Huangqi Tang Decoction (Huangqi Tang Fang)
- Radix Astragali (Huangqi, sliced, 1 liang)
- Radix Angelicae Sinensis (Danggui, sliced and baked)
- Radix Chuanxiong (Chuanxiong, 1.5 liang each)
- Os Draconis (Longgu, 0.5 liang)
- Radix Paeoniae Alba (Shaoyao)
- Ramulus Cinnamomi (Guizhi, removing rough bark, 2 liang each)
The above eight herbs are chopped like hemp seeds. Each dose consists of five qianbi. Add half a part of brown sugar to one and a half cups of water. Simmer until reduced to seven parts. Strain and take warm on an empty stomach. Administer again in the evening.
Treatment for various hemorrhoidal bleeding: Huyang Tang Decoction (Huyang Tang Fang)
- Spora Lygodii (Puhuang)
- Radix Angelicae Sinensis (Danggui, sliced and baked)
- Radix Angelicae Dahuricae (Baizhi)
- Kaolinite (Baishizhi)
- Rhizoma Coptidis (Huanglian, removing rootlets)
- Radix Chuanxiong (Chuanxiong)
- Radix Rehmanniae Preparata (Shenggan Dihuang, baked)
- Radix Glycyrrhizae (Gancao, processed, 1 liang each)
The above eight herbs are coarsely crushed and sifted. Each dose consists of five qianbi. Add one and a half cups of water. Simmer until reduced to eight parts. Strain and take warm on an empty stomach. Administer again in the evening.
Treatment for blood hemorrhoids discharging pus and blood, as well as intestinal wind hemorrhoids: Bijin Pill (Bijin Wan Fang)
- Litharge (Miduoseng)
- Alum (Baifan)
- Fructus Sophorae (Huaishi, stir-fried and powdered)
- Fructus Gleditsiae Sinensis (Zaojia, burned to ash and ground, 1 liang each)
The above four ingredients: Crush litharge and alum, place in a porcelain jar, and burn until red hot. Cool, remove, and grind into fine powder. Mix in the sophora fruit powder and gleditsia ash evenly. Form pills using glutinous rice paste, sized like sophora seeds. Take fifteen pills orally with rice water before meals on an empty stomach.
Treatment for blood hemorrhoids with excessive bleeding: Chishizhi Pill (Chishizhi Wan Fang)
- Kaolinite (Chishizhi)
- Alum (Baifan, burned until liquid is exhausted)
- Os Draconis (Longgu, 1.5 liang each)
- Semen Pruni Armeniacae (Xingren, soaked in hot water, peeled, de-husked, double-kernel, stir-fried and ground, 100 kernels)
The above four herbs are crushed, sifted, and made into powder. Form pills using refined honey, sized like sophora seeds. Take twenty pills orally with jujube soup on an empty stomach. Twice daily. Continue until cured.
Treatment for blood hemorrhoids bleeding: Huangqi San Powder (Huangqi San Fang)
- Radix Astragali (Huangqi, sliced)
- Fructus Aurantii (Zhike, removing pulp and stir-fried with bran, 3 liang each)
- Radix Saposhnikoviae (Fangfeng, removing forked branches, 1.5 liang)
The above three herbs are crushed, sifted, and made into powder. Take two qianbi orally with rice water on an empty stomach. Administer again in the evening.
Treatment for hemorrhoidal bleeding: Zhishi San Powder (Zhishi San Fang)
- Fructus Aurantii Immaturus (Zhishi, stir-fried with bran)
- Fructus Sophorae (Huaishi, stir-fried)
- Herba Equiseti (Muzei, 0.5 liang each)
The above three herbs are crushed, sifted, and made into powder. Take two qianbi orally with decoction of gleditsia seeds. Time of administration is not restricted.
Treatment for blood hemorrhoids: Heshouwu Pill (Heshouwu Wan Fang)
- Radix Polygoni Multiflori (Heshouwu, removing black skin)
- Radix Cimicifugae (Weilingxian, removing seedlings and soil)
- Fructus Aurantii (Zhike, removing pulp and stir-fried with bran, equal parts)
The above three herbs are crushed, sifted, and made into powder. Soak steamed biscuit dough to form pills, sized like sophora seeds. Take twenty pills orally with warm water before morning and evening meals.
Treatment for hemorrhoidal bleeding: Lu Jiao Pill (Lu Jiao Wan Fang)
- Cornu Cervi (Lujiao, 1 liang, burned red, cooled, and ground)
- Semen Brassicae Napus (Yuntaizi, stir-fried and ground, 0.5 liang)
The above two herbs are crushed and ground into powder. Use vinegar-boiled wheat flour paste to form pills, sized like sophora seeds. Take fifteen pills orally with meal water. Warm wine is also acceptable. Take before meals.
Treatment for hemorrhoidal bleeding: Jingjie San Powder (Jingjie San Fang)
- Flos Schizonepetae (Jingjiesui, aged)
- Radix Cibotii (Gouji, removing hair and sliced, 1 liang each)
The above two herbs are crushed, sifted, and made into powder. Take two qianbi orally with strong decoction of Herba Equiseti. If bleeding is severe, add pericarpium granati (Suanshiliupi) in equal parts, make into powder, and take with light vinegar water. Administration time is not restricted.
Treatment for hemorrhoidal bleeding: Huanglian San Powder (Huanglian San Fang)
- Rhizoma Coptidis (Huanglian, removing rootlets)
- Massa Medicata Fermentata (Chenqu, processed, 2 liang each)
The above two herbs are crushed, sifted, and made into powder. Take two qianbi orally with honey water on an empty stomach. Administer again in the evening.
Treatment for blood hemorrhoids: Diyu San Powder (Diyu San Fang)
- Radix Sanguisorbae (Diyu, sliced)
The above single herb is crushed, sifted, and made into powder. Take two qianbi orally with meal water. Three times daily.
Treatment for blood hemorrhoids with bloody stool: Xunzhi Method (Xunzhi Fang)
- Cortex Broussonetiae Papyriferae (Diguopi, finely sliced)
- Realgar (Xionghuang)
- Folium Artemisiae Vulgaris (Shuai, 0.5 liang each)
The above three herbs are slightly crushed. Dig a pit in the ground, place the herbs inside, and burn charcoal to produce smoke. Sit over the pit to fumigate the affected area. Cover the body with clothes or blankets to prevent smoke escape. Stop when smoke is exhausted. Rest for three days, then fumigate again. Cure typically occurs within three to five sessions.
Treatment for blood hemorrhoids, sitting hemorrhoids: Jupi San Powder (Jupi San Fang)
- Pericarpium Citri Reticulatae (Chenju pi, 2 jin, aged 3-5 years, finely crushed and stir-fried until hot)
The above single herb: While hot, place in two silk bags, secure tightly, and sit alternately on them. Replace when cool. Continue until cured.
Treatment for blood hemorrhoids, washing: Taogen Tang Decoction (Taogen Tang Fang)
- Radix Persicae (Taogen, 0.5 jin)
The above single herb is finely sliced. Boil in one dou of water until reduced to five sheng. Strain and wash with warm liquid. Three to five times daily.
Treatment for chronic wind-cold hemorrhoids difficult to cure, washing: Daoxi Xi Method (Daoxi Xi Fang)
- Ash of Rice Straw (Daoxi)
The above single herb is burned to ash. Pour boiling water over the ash to extract the juice. Wash the lower part. Three to five times daily. Continue until cured.
Treatment for five types of hemorrhoids with large intestine bleeding: Wushe San Powder (Wushe San Fang)
- Serpentis Elapoidis (Wushe, soaked in wine, skin and bones removed, roasted until yellow)
- Fructus Aurantii (Zhike, removing pulp and stir-fried with bran)
- Rhizoma Gastrodiae (Tianma)
- Fructus Sophorae (Huaishi, lightly stir-fried)
- Radix Astragali (Huangqi, processed and sliced)
- Phellinus Linteus (Sanghuang, 3 fen)
- Rhizoma Atractylodis Macrocephalae (Baizhu)
- Radix Angelicae Dahuricae (Baizhi)
- Radix Bupleuri (Bailian)
- Cortex Dictamni (Baixianpi)
- Rhizoma Bletillae (Baiji)
- Radix Anemarrhenae (Baiwei)
- Moschus (Shexiang, small amount)
The above thirteen herbs: Crush twelve herbs and make into powder. Add musk and grind evenly. Take three qianbi orally with aged rice water on an empty stomach. Twice daily. Warm wine is also acceptable.