一煎散 脏毒初起肿痛。服之立消。
当归尾 皂角刺 桃仁泥 穿山甲(炒) 甘草(各二钱) 黄连(一钱五分) 枳壳 槟榔 乌药 白芷
天花粉 赤芍 生地(各一钱) 红花(五分) 玄明粉 大黄(各三钱)
用水二钟。浸一宿。次早煎一滚。空心服之。俟行三四次。以薄粥补之。
五灰散 脏毒肿痛。生于肛门内者。
蜈蚣 穿山甲 生鹿角 血管鹅毛 血余(各 存性各研末各等分和匀)
每服五钱。空心。用黄酒调服。
灸脏毒及肠风下血不止秘法 令患者平立。量脊骨前与脐平处。是穴于脊椎上灸七壮。如年深者
更于椎上两旁各开一寸。各灸七壮。除根。
贵金丸 卫生散 金黄散 神灯照 蟾酥饼 珍珠散 六味地黄丸(俱见首卷)
谷道生疮久不愈者。内用甘草节为末。每服三钱。空心。生蜜酒调服。外以鸡内金 存性。为末掺之。
痔漏之症。虽疡医之事。而鄙谈之。然择疾而疗。岂仁者之用心乎。予阅内经。惟云。因而饱食。经脉横解。
肠癖为痔。盖为饱食则伤脾土。脾土伤则不能荣养肺金。肺金失养。则肝木无制。而生心火。侮肺金克
脾土。于是克所胜而侮所不胜也。然饱食而成此症者。必有其因。其因惟何。盖因饱食之后。或暴怒。或
努力。或枯坐。或酒色。妇人或产难。小儿或夜啼等因。致使气血纵横。经络交错。流注肛门而成此痔矣。
如其肿者湿也。痛者火也。痒者风也。闭结者燥也。惟宜随其胜者以抑之。乃其治也。第恐学人未得其
详。附以专科赵真子家传的本。再附己意于后。稍补缺略云尔。
Yijian San (One-Boiling Powder): Indicated for the initial stage of Zangdu (toxic sores/abscesses around the anus) presenting with swelling and pain. Administration leads to immediate resolution.
Ingredients: Dangguiwei (Radix Angelicae Sinensis Cauda), Zaogengci (Gleditsiae Sinensis Spina), Taoren Ni (Paste of Persicamae Semen), Chanshanjia (Scalae Manis, stir-fried), Gancao (Radix Glycyrrhizae Preparata) (each 2 qian); Huanglian (Rhizoma Coptidis) (1.5 qian); Zhike (Fructus Aurantii), Binglang (Arecae Semen), Wuyao (Linderae Radix), Baizhi (Radix Angelicae Dahuricae), Tianhuafen (Trichosanthis Radix), Chishao (Radix Paeoniae Rubra), Shengdi (Radix Rehmanniae Preparata) (each 1 qian); Honghua (Flos Carthami) (0.5 qian); Xuanmingfen (Natrii Sulfas Exsiccatus), Dahuang (Radix et Rhizoma Rhei) (each 3 qian).
Preparation and Administration: Soak in two zhong (approx. 400-500 ml) of water overnight. Boil once early the next morning. Take on an empty stomach. After three to four bowel movements, replenish with thin porridge.
Wuhui San (Five-Ashe Powder): Indicated for swelling and pain caused by Zangdu located inside the anus.
Ingredients: Wugong (Centipedae Corpus), Chanshanjia (Scalae Manis), Sheng Lujiao (Cervi Cornu Pantotrichum), Xuangu Emao (Penna Anatis Domesticae Vascularis), Xueyu (Capilli Humanus Carbonisati) (each processed to retain efficacy "cunxing", ground into powder separately, mixed equally).
Administration: Take 5 qian per dose. On an empty stomach, mix with yellow wine for oral administration.
Secret Method for Moxibustion Treatment of Zangdu and Persistent Rectal Bleeding due to Changfeng (Wind in Intestines): Have the patient stand upright. Measure the point on the spine anteriorly level with the umbilicus. Apply seven moxa cones (zhuang) on this spinal point. For chronic cases, additionally apply seven moxa cones each at points one cun lateral to this vertebra. This eliminates the root cause.
Guijin Wan (Guijin Pill), Weisheng San (Weisheng Powder), Jinhuang San (Jinhuang Powder), Shendengzhao (Shendeng Illumination), Chansu Bing (Chansu Cake), Zhenzhu San (Zhenzhu Powder), Liuwei Dihuang Wan (Liuwei Rehmannia Pill) (All described in the first volume).
For ulcers in Gudao (anus) that fail to heal for a long time: Internally, take Gancaojie (Node of Radix Glycyrrhizae) powder, 3 qian per dose, on an empty stomach, mixed with raw honey and wine. Externally, apply Jineijin (Endothelium Corneum Gigeriae Galli, retained efficacy) powder to the lesion.
Hemorrhoids and fistulas, although within the scope of surgical physicians, I discuss them here. However, treating diseases based on their location—refusing to treat those in hidden areas—is not the mindset of a benevolent healer. In my study of the *Neijing* (Inner Canon), it states: "Due to overeating, meridians become distended and loose, leading to intestinal dysentery which forms hemorrhoids." Generally, overeating damages Pi Tu (Spleen Earth). When Pi Tu is damaged, it fails to nourish Fei Jin (Lung Metal). When Fei Jin lacks nourishment, Gan Mu (Liver Wood) loses control, generating Xin Huo (Heart Fire). Xin Huo insults Fei Jin and controls Pi Tu. Thus, there is control over what should be controlled and insult against what should not be insulted. However, hemorrhoids resulting from overeating must have specific triggers. What are these triggers? They include, after overeating, sudden anger, strenuous effort, prolonged sitting, or indulgence in alcohol and sex; women may suffer from difficult labor; children may cry excessively at night. These factors cause Qi and Blood to flow chaotically and meridians to intersect and block, flowing into the anus to form hemorrhoids. Swelling indicates Dampness; pain indicates Fire; itching indicates Wind; constipation indicates Dryness. Treatment should suppress the dominant pathogenic factor. I fear students may not grasp the details, so I append the family secret recipe of specialist Zhao Zhenzi, followed by my own insights, to supplement any omissions.