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This type of hemorrhoid is hard internally, with a small head and large base, accompanied by intermittent itching and pain. The treatment method involves internal administration of Zhongjiu Wan (Nine-Pill Medicated Pellet) and external application of Hairou Gao (Flesh-Dissolving Ointment). After the tissue turns black, scrape off one layer, then reapply and scrape again, without limiting the number of times. A shallow crater must be formed to ensure the root of the hemorrhoid is completely removed, preventing recurrence. Immediately thereafter, wash with Xunxi Tang (Fumigation and Washing Decoction), apply Jiedu Gao (Detoxifying Ointment) externally to promote tissue regeneration and flatten the wound.

This type of hemorrhoid has a large head and small base. The treatment method involves tying it with medicinal thread for three to four days, after which the core will naturally detach. After detachment, clean with Xunxi Tang (Fumigation and Washing Decoction), sprinkle Jiawei Tianran San (Modified Natural Powder) to promote tissue regeneration and flatten the wound, and internally administer Zhongjiu Wan (Nine-Pill Medicated Pellet) to clear heat and toxicity, avoiding complications.

This type of hemorrhoid resembles a rooster's comb, being hard, red, swollen, and painful. If scratched open, it bleeds and oozes fluid, likely caused by wind-heat pathogen. The prescription is as follows:
Tonglv (Malachite Green, *CuCO3·Cu(OH)2*) (5 qian) Ruxiang (Frankincense, *Boswelliae Resina*) Moyao (Myrrh, *Commiphora Resina*) Weilingxian (Spirit Flower Root, *Symplocos racemosa*) Hanshuishi (Calcitum, *Gypsum Fibrosum*) (each 5 qian) Ganshi (Calamina, *Calaminas Lapis*) (1 qian) Danfan (Alumen, *Aluminium Potassium Sulfate*) (3 qian)
Haipiaoxiao (Cuttlebone, *Sepiae Endoconcha*) (5 qian) (One variant includes Bingpian [Borneol] and excludes Haipiaoxiao.)
Grind all ingredients into fine powder, mix evenly with Zhu Danzhi (Pig Bile), and apply topically. Internally administer Zhongjiu Wan (Nine-Pill Medicated Pellet). For external washing, use Xunxi Tang (Fumigation and Washing Decoction) with a large handful of Machixian (Purslane, *Portulaca oleracea*) decocted together; fumigation and washing will cause it to resolve.

This type of hemorrhoid resembles a lotus flower, layered and stacked, similar to a rooster's comb, with fine pores, causing itching, pain, and purulent discharge. The treatment method follows that of the rooster's comb hemorrhoid: prolonged fumigation and washing, application of Jiedu Gao (Detoxifying Ointment), and sprinkling Tianran San (Natural Powder) to conclude treatment. If the hemorrhoid does not soften, Hairou Gao (Flesh-Dissolving Ointment) must be used to erode layers sequentially, followed by application of Jiedu Gao (Detoxifying Ointment) and sprinkling Tianran San (Natural Powder) to achieve flattening.

This type of hemorrhoid also resembles Tongchang Lou (Intestinal Fistula). Before gas expulsion occurs, there is initial swelling, pain, and pus discharge, with a hard tube inside, occasionally oozing pus. Clean with warm water, gently push back in with hand. This is considered an incurable condition, with only one or two recoveries out of a hundred. The treatment method involves internal administration of Zhongjiu Wan (Nine-Pill Medicated Pellet) combined with Huaijiao Wan (Sophora Fruit Pill) plus Shengma (Cimicifugae Rhizoma, *Cimicifugae Rhizoma*) 5 qian. Externally, add Machixian (Purslane, *Portulaca oleracea*) to Xunxi Tang (Fumigation and Washing Decoction) for prolonged fumigation and washing; occasional cures may occur.

This type of hemorrhoid is caused by wind-cold-damp-heat pathogens leading to Qi deficiency and sinking, preventing upward movement; thus, the treatment principle focuses on lifting and raising. The prescription is as follows:
Danggui (Angelicae Sinensis Radix, *Angelicae Sinensis Radix*) (1 qian) Baizhi Shao (Angelicae Dahuricae Radix tip, *Angelicae Dahuricae Radix*) (8 fen) Chishao (Red Peony Root, *Paeoniae Radix Rubra*) (7 fen) Fangfeng (Saposhnikoviae Radix, *Saposhnikoviae Radix*) (5 fen) Chuanxiong (Ligustici Chuanxiong Rhizoma, *Ligustici Chuanxiong Rhizoma*) (5 qian) Guanglian (Unclear/Local term, possibly referring to a specific part or herb) (1 qian) Huangqin (Scutellariae Radix, *Scutellariae Radix*) (7 fen)
Muxiang (Aucklandiae Radix, *Aucklandiae Radix*) (1 qian, separately ground) Chenpi (Citri Reticulatae Pericarpium, *Citri Reticulatae Pericarpium*) Zhike (Aurantii Fructus Immaturus, *Aurantii Fructus Immaturus*) Qingpi (Citri Reticulatae Pericarpium Viride, *Citri Reticulatae Pericarpium Viride*) Fuling (Poria, *Poria*) (each 7 fen) Shengdi (Rehmanniae Radix Preparata, *Rehmanniae Radix Preparata*) (8 fen) Shengma (Cimicifugae Rhizoma, *Cimicifugae Rhizoma*) (1 qian) Zaozi (Gleditsiae Sinensis Spina, *Gleditsiae Sinensis Spina*) (7 grains) Gancao (Glycyrrhizae Radix et Rhizoma, *Glycyrrhizae Radix et Rhizoma*) (1 qian)
Decoct in water and take orally, combined with internal administration of Zhongjiu Wan (Nine-Pill Medicated Pellet). Externally, add Beizi (Betel Nut, *Arecae Semen*) 1 liang and Mingfan (Alumen, *Aluminium Potassium Sulfate*) 1 liang to Xunxi Tang (Fumigation and Washing Decoction), decoct together for fumigation and washing. When the hemorrhoid softens, nourish with blood-tonifying and body-nourishing agents, lubricate the anus frequently with oil, and apply Bibanzi Bing (Castor Seed Cake) from above.
Another simple prescription: Take one cup of vinegar, boil in a pot, then quench a red-hot brick into it. Use the steam for hot fumigation and washing while hot.