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Hemorrhoidal symptoms are divided into three categories and eight types. Please examine them carefully; do not wait until many years have passed to seek treatment, as the situation described is not ordinary. Some present with strange shapes like water caltrops, while others resemble lotus flowers that are difficult to observe. There are also "Changchang" (Intestinal Penetration) hemorrhoids and "Shunai" (Mouse Milk) hemorrhoids, both of which are related to excessive alcohol consumption and sexual activity. Do not speak only of Lotus hemorrhoids forming knots; Honeycomb hemorrhoids also have narrow orifices. The Qi and Blood of Male and Female hemorrhoids are identical, and the morphology of Mother and Child hemorrhoids is similar. The most painful is the Xuanzhu (Hanging Pearl) hemorrhoid, where pain feels like being tightened by a Gouchang (Hooked Intestine) hemorrhoid. Hetao (Walnut) hemorrhoids and Liuxi (Flowing Qi) hemorrhoids cause heartache for those who see them. Lizi (Chestnut) hemorrhoids are large within the anus, while Jixin (Chicken Heart) hemorrhoids are situated externally. Shanhu (Coral) hemorrhoids have an abominable shape, and removing them is the most difficult. Internal hemorrhoids do not protrude at all, coiling inside and outside the rectum. Chuizhu (Dropping Pearl) hemorrhoids should be treated promptly; if left for a long time, they become Guiguan (Chicken Comb) hemorrhoids. Do not use knives or fire, as this will endanger your life. Healing is easy if one preserves life; observing taboos is not difficult. I now eliminate these strange toxins; this medicine is a miraculous elixir. Within half a month of application, hemorrhoids and fistulas will be pacified.

There are eight types of Fistula (Lou Zheng), each with different morphologies, but their common characteristic is the presence of an orifice with continuous discharge of fluid. The first is called Qi Fistula (Qi Lou), characterized by intermittent swelling and reduction, with unbearable pain and distension. The second is Wind Fistula (Feng Lou), characterized by severe itching within the orifice. The third is Yin Fistula (Yin Lou), characterized by pain in the genitalia of both men and women accompanied by fluid discharge. The fourth is Cold Fistula (Leng Lou), characterized by continuous discharge of white pus and yellow water from the orifice. The fifth is Hemorrhoidal Fistula (Zhi Lou), resulting from hemorrhoids persisting for a long time without abstaining from sexual intercourse, leading to rupture, pus discharge, and failure of the wound to heal. The sixth is Blood Fistula (Xue Lou), characterized by continuous bleeding of fresh blood, also known as Heat Fistula (Re Lou). The seventh is HT Fistula (HT Lou), characterized by the formation of an orifice on flat flesh discharging pus and blood. The eighth is Weisai Fistula (Weisai Lou), characterized by sudden blackening and rotting of the sore with discharge of yellow-black fluid. Each of the above has its own treatment methods, including fumigation, washing, topical application, and internal decoctions, all secretly transmitted by extraordinary people from overseas. Do not neglect or ignore them. Later verification will reveal my earnest intention. The prescriptions are listed below.

Scrotal Rupture Fistula Sore
The external scrotum ruptures, leaking fluid with a fishy and foul odor, failing to heal after prolonged treatment. This is caused by the accumulation of Chan Du (Chan sore toxin, referring to syphilitic toxin) in this area. It is appropriate to internally administer Tufuling Tang (Smilax Glabra Decoction) supplemented with tonifying herbs such as Renshen (Ginseng). Externally apply Huangfenshuang (Yellow Powder Frost) medication, and peace will naturally return. Abstain from sexual intercourse and avoid stimulating foods (Fa Wu).