痔疮形名亦多般，不外风湿燥热源，肛门内外俱可发，溃久成漏最难痊。
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【注】此证系肛门生疮，有生于肛门内者，有生于肛门外者。初起成 ，不破者为痔，易
治；破溃而出脓血，黄水浸淫，淋沥久不止者为漏，难痊。斯证名因形起，其名有二十
四种，总不外乎醉饱入房，筋脉横解，精气
脱泄，热毒乘虚下注；或忧思太过，蕴积热毒，愤郁之气，致生风、湿、燥、热，四气
相合而成。如结肿胀闷成块者，湿盛也；结肿痛如火燎，二便闭者，大肠、小肠热盛也；
结肿多痒者，风盛也；肛门围绕，折纹破裂，便结者，火燥也。初俱服止痛如神汤消解之，
外俱用菩提露或田螺水点之。若坚硬者，以五倍子散，唾津调涂之，兼用朴硝、葱头煎
汤洗之。顶大蒂小者，用药线勒于痔根，每日紧线，其痔枯落，随以月白珍珠散撒之收
口；亦有顶小蒂大者，用枯痔散枯之。内痔不出者，用唤痔散填入肛门，其痔即出；随
以朴硝、葱头煎汤洗之。又有因勤苦劳役，负重远行，以致气血交错而生痔者，俱用止痛
如神汤加减服之。又有血箭痔生肛门，或里或外，堵塞坠肿，每逢大便用力，则鲜血急
流如箭；不论粪前粪后，由肠胃风热，而兼暴怒成之。初服生熟三黄丸，若唇白，面色
痿黄，四肢无力，属气血两虚，宜十全大补汤倍川芎、参、 服之，外用自己小便洗之，
童便热洗亦可，其血自止。亦有肠风下血，点滴而出粪前者，宜防风秦艽汤；粪后出血者，
为酒毒，宜服苦参地黄丸。效后必多服脏连丸二、三料除根。又有产后用力太过而生痔
者，宜补中益气汤，加桃仁、红花、苏木服之。又有久泻、久痢而生痔者，宜补中益气
汤加槐花、皂荚子 末服之。如痔已通肠，污从漏孔出者，用胡连追毒丸酒服之；服后脓
水反多者，药力到也，勿以为惧。如漏有管者，用黄连闭管丸服之，可代针刀药线之力。
凡痔未破已破及成漏者，俱用却毒汤烫洗，或用喇叭花煎汤（喇叭茶即土地黄苗），日洗二
次。兼戒房劳、河豚、海腥、辛辣、椒酒等物。有久患痔而后咳嗽者，取效甚难；久病
咳嗽而后生痔者，多致不救。
止痛如神汤
秦艽（去苗） 桃仁（去皮，尖，研） 皂角子（烧存性，研，各一钱） 苍术（米泔水浸，炒）
防风（各七分） 黄柏（酒炒，五分） 当归尾（酒洗） 泽泻（各三分） 槟榔（一分）
熟大黄（一钱二分）
上除桃仁、皂角子、槟榔，用水二盅，将群药煎至一盅；再入桃仁、皂角子、槟榔，再
煎至八分。空心热服，待少时以美膳压之，不犯胃也。忌生冷、五辛、火酒、硬物、大料、湿面之类。
如肿有脓，加白葵花（去蕊心）五朵，青皮五分，木香三分，则脓从大便出也。如大
便秘甚，倍大黄加麻仁、枳实。如肿甚，倍黄柏、泽泻，加防己、猪苓、条芩。如痛甚，
加羌活、郁李仁。如痒甚，倍防风，加黄 、羌活、麻黄、 本、甘草。如血下，倍黄柏，
多加地榆、槐花、荆芥穗、白芷。如小便涩数不通者，加赤茯苓、车前子、灯心、 蓄。
【方歌】止痛如神诸痔疮，风湿燥热总能防，归柏桃榔皂角子，苍术艽风泽大黄。
田螺水
大田螺一枚，用尖刀挑起螺厣，入冰片末五厘，平放瓷盘内；待片时，螺窍内渗出
浆水。用鸡翎蘸点患处，勤勤点之，其肿自然消散。
【方歌】田螺水点痔疮效，冰片装入田螺窍，少时化水取点疮，止痛消肿有奇妙。
五倍子散
用川文蛤大者一枚，敲一小孔，用阴干荔枝草，揉碎塞入文蛤内令满，用纸塞孔，湿
纸包，煨片时许，取出去纸，研为细末。每一钱加轻粉三分，冰片五厘，共研极细末，唾
津调涂患处。
【方歌】五倍子散痔痛坠，坚硬肿疼立刻挥，轻粉冰片各研细，荔枝草入蛤中煨。
药线
芫花（五钱） 壁钱（二钱）
用白色细衣线三钱，同芫花、壁纸用水一碗盛贮小瓷罐内，慢火煮至汤干为度，取
线阴干。凡遇痔疮瘿瘤，顶大蒂小之证，用线一根，患大者二根，双扣系扎患处，两头
留线，日渐紧之，其患自然紫黑，冰冷不热为度。轻者七日，重者十五日后必枯落，以
月白珍珠散收口甚效。
【方歌】药线芫花共壁钱，再加白扣线同煎，诸痔瘿瘤系根处，生似蕈形用此捐。
枯痔散
天灵盖（用童子者佳。又用青线水将天灵盖浸片时，捞出以火 红，再入青线水内淬之
，如此七次，净用，四钱） 砒霜（一两） 白矾（生，二两） 轻粉（四钱） 蟾酥（二钱）
共为极细末，入小新铁锅内，上用粗瓷碗密盖，盐泥封固，炭火 至二炷香，待冷
揭开碗，将药研末，搽痔上。每日辰、午、申三时，用温水洗净患处，上药三次，上至七、
八日，其痔枯黑坚硬，住药裂缝，待其自落。
【方歌】枯痔天灵盖 淬，砒矾轻粉共蟾酥，入锅碗盖泥固 ，痔疮新久搽皆除。
唤痔散
枯白矾（五分） 食盐（炒，三分） 草乌（生） 刺 皮（ ，存性，各一
钱） 麝香（五分） 冰片（二分）
共研细末，先用温水洗净肛门，随用唾津调药三钱，填入肛门，片时即出。
【方歌】唤痔散把内痔呼，刺 皮盐麝草乌，冰片枯矾同研细，津调填入片时出。
生熟三黄汤
生地 熟地（各一钱五分） 黄连 黄柏 黄芩 人参 苍术（米泔水浸，炒） 白术（土炒） 浓朴
（姜炙） 当归身 陈皮（各一钱） 地榆 防风 泽泻 甘草（生，各六分） 乌梅（二个）
水二盅，煎八分，食前服。
【方歌】生熟三黄连柏参，苍芩浓术共归陈，榆风泽泻乌梅草，专医血箭痔如神。
防风秦艽汤
防风 秦艽 当归 生地 白芍（酒炒） 川芎 赤茯苓 连翘（去心，各一钱） 栀子（生，研）
苍术（米泔水浸，炒） 槐角 白芷 地榆 枳壳（麸炒） 槟榔 甘草（生，各六分）
水二盅，煎至八分，食前温服。如便秘者加大黄。
【方歌】防风秦艽治肠风，坠肿津血最止疼，四物栀苍槐角芷，地榆枳草翘槟苓。
苦参地黄丸
苦参（切片，酒浸湿，蒸晒九次为度，炒黄，为末，净一斤） 生地黄（酒浸一宿，蒸熟捣烂，和
入苦参末内，四两）
加炼过蜂蜜为丸，如梧桐子大。每服三钱，白滚水送下，或酒下亦可，日服二次。
【方歌】苦参地黄粪后红，皆因酒毒热来攻，二味酒蒸蜂蜜炼，为丸水送最有功。
脏连丸
黄连（研净末，八两） 公猪大肠（水洗净，肥者一段，长一尺二寸）
上二味，将黄连末装入大肠内，两头以线扎紧，放砂锅内，下煮酒二斤半，慢火熬
之，以酒干为度；将药肠取起，共捣如泥，如药浓再晒一时许，复捣为丸，如梧桐子大。每
服七十丸，空心温酒送下，久服除根。
【方歌】脏连丸用川黄连，研入猪肠煮酒煎，捣烂为丸温酒服，便血肛门坠肿痊。
胡连追毒丸
胡黄连（切片，姜汁拌炒，研末） 刺 皮（炙，切片，再炒黄，研末，各一两） 麝香（研细，二分）
共和一处研匀，软饭为丸，如麻子大。每服一钱，食前温酒送下。
【方歌】胡连追毒丸医痔，成漏通肠服最宜，连麝 皮饭丸服，排尽瘀脓换好肌。
黄连闭管丸
胡黄连（净末，一两） 穿山甲（香油内炸黄） 石决明（ ） 槐花（微炒，各五钱）
共研细末，炼蜜为丸，如麻子大。每服一钱，空心清米汤送下。早晚服二次，至重
者不过四十日而愈。
如漏四边有硬肉突起者，加僵蚕二十条，炒研末，入药内。及遍身诸般漏证，服此方
皆可有效。
【方歌】黄连闭管丸穿山，石决槐花共细研，能除漏管米汤送，蜜丸麻子大一般。
却毒汤
瓦松 马齿苋 甘草（生，各五钱） 川文蛤 川椒 苍术 防风 葱白 枳壳 侧柏叶
（各三钱） 焰硝（一两）
水五碗，煎三碗。先熏后洗，日用三次。
【方歌】却毒汤洗痔漏效，瓦松甘草蛤川椒，齿苋苍风葱枳壳，柏叶同熬加焰硝。
菩提露（见脏毒）
月白珍珠散 十全大补汤 补中益气汤（俱见溃疡门）
Hemorrhoids present in various forms and names, their etiology lies not beyond Wind, Dampness, Dryness, and Heat. They can occur both inside and outside the anus; if ulcerated for a long time and forming fistulas (chronic infected tracts around the anus), they are difficult to cure.
[Note] This condition refers to sores growing in the anal region, some inside and some outside. Those that form masses without breaking are called hemorrhoids and are easy to treat; those that break open, discharging pus and blood, with yellow fluid oozing continuously, are called fistulas and are difficult to cure. The names arise from their shapes, totaling twenty-four types, all stemming from overindulgence in alcohol and food or sexual activity leading to flaccidity of vessels and loss of essence, allowing Heat-Toxin to sink downward due to deficiency; or from excessive worry and thought causing accumulation of Heat-Toxin, combined with frustrated Qi, resulting in the combination of Wind, Dampness, Dryness, and Heat. If nodules are swollen, stifling, and painful, it indicates excess Dampness; if nodules are swollen, painful like burning, with constipation and urinary retention, it indicates excess Heat in the Large and Small Intestines; if nodules itch significantly, it indicates excess Wind; if the anal folds rupture with dry stools, it indicates Fire and Dryness. Initially, all cases should take Zhitong Rushen Tang (Pain-Relieving Divine Decoction) to resolve the condition, and externally apply Puti Lu (Bodhi Dew) or Snail Water. For hard nodules, use Wubeizi San (Five-Gallnut Powder), mixed with saliva and applied, along with washing using a decoction of Piao Xiao (Mirabilite) and green onion heads. For hemorrhoids with a large head and small stalk, tie a medicinal thread around the base, tightening it daily until the hemorrhoid withers and falls off, then sprinkle Yuebai Zhenzhu San (Moon-White Pearl Powder) to heal the wound; for those with a small head and large stalk, use Kuzhi San (Hemorrhoid-Withering Powder). For internal hemorrhoids that do not prolapse, insert Huanzhi San (Hemorrhoid-Calling Powder) into the anus to induce prolapse, then wash with Piao Xiao and green onion head decoction. For hemorrhoids caused by hard labor and carrying heavy loads, disrupting Qi and Blood, use modified Zhitong Rushen Tang. For "Blood-Arrow Hemorrhoids" occurring inside or outside the anus, causing blockage, swelling, and sudden gushing of bright red blood during defecation effort regardless of timing, caused by Wind-Heat in the intestines/stomach combined with sudden anger, initially administer Shengshu Sanhuang Wan (Raw and Cooked Three-Yellows Pill). If lips are pale, complexion sallow, and limbs weak, indicating Qi and Blood deficiency, use Shiquan Dabu Tang (Ten Complete Tonifying Decoction) with increased Chuanxiong (Rhizoma Chuanxiong) and Renshen (Radix Ginseng); externally wash with one's own urine, preferably warm child's urine, to stop bleeding. For Wind-Fire bleeding dripping before stool, use Fangfeng Qinjiao Tang (Saposhnikovia and Gentian Decoction); for bleeding after stool due to alcohol toxicity, use Kushen Dihuang Wan (Sophora and Rehmannia Pill). After efficacy, take Zanglian Wan (Intestine-Linked Pill) for two to three courses to eradicate the root. For postpartum hemorrhoids due to excessive exertion, use Buzhong Yiqi Tang (Middle-Joint Replenishing Qi Decoction) with Taoren (Semen Persicae), Honghua (Flos Carthami), and Sumu (Lignum Sappan). For hemorrhoids from chronic diarrhea or dysentery, use Buzhong Yiqi Tang with Huaihua (Flos Sophorae) and Zhaojiaozi (Semen Gleditsiae Sinensis) powder. For hemorrhoids penetrating the intestine with discharge from fistula openings, use Hulian Zhuidu Wan (Picrorhiza Pursuing Toxin Pill) taken with wine; increased pus/water after taking indicates drug action reaching the lesion, do not fear. For fistulas with tubes, use Huanglian Guan Guan Wan (Coptis Closing Tube Pill), replacing the need for needles/knives or threads. For all hemorrhoids, broken or unbroken, and fistulas, wash with Quedu Tang (Toxin-Expelling Decoction) or decoction of Labaohua (Mandragora officinalis, i.e., land yellow herb seedling), twice daily. Abstain from sexual activity, pufferfish, seafood, spicy foods, and pepper wine. Prognosis is poor for long-term hemorrhoid patients developing cough; conversely, chronic cough patients developing hemorrhoids often prove fatal.
Zhitong Rushen Tang (Pain-Relieving Divine Decoction)
Qin Jiao (Radix Gentianae Macrophyllae, remove sprouts) Tao Ren (Semen Persicae, peel and remove tips, crush) Zhao Jiao Zi (Fructus Gleditsiae Sinensis, burnt to retain character, crush, each 1 qian) Cang Zhu (Rhizoma Atractylodis Lanceae, soak in rice water, stir-fry) Fang Feng (Radix Saposhnikoviae, each 7 fen) Huang Bo (Cortex Phellodendri, wine-fried, 5 fen) Dang Gui Wei (Radix Angelicae Sinensis tail, wine-washed) Ze Xie (Rhizoma Alismatis, each 3 fen) Bing Lang (Semen Arecae, 1 fen) Shu Da Huang (Radix et Rhizoma Rhei Preparata, 1.2 qian)
Except for Tao Ren, Zhao Jiao Zi, and Bing Lang, add two cups of water to the remaining herbs and decoct to one cup; then add Tao Ren, Zhao Jiao Zi, and Bing Lang, and decoct further to eight-tenths of a cup. Take hot on an empty stomach, followed shortly by a good meal to protect the stomach. Avoid raw/cold foods, five pungents, strong liquor, hard foods, star anise, and wet dough.
If swelling contains pus, add five white sunflower petals (remove center), Qing Pi (Pericarpium Citri Reticulatae, 5 fen), and Mu Xiang (Radix Aucklandiae, 3 fen) to promote pus discharge via stool. For severe constipation, double Da Huang and add Ma Ren (Semen Cannabis) and Zhi Shi (Fructus Aurantii Immaturus). For severe swelling, double Huang Bo and Ze Xie, add Fang Ji (Radix Stephaniae Tetrandrae), Zhu Ling (Sclerotium Poriae Cocos), and Tiao Qin (Radix Scutellariae Baicalensis). For severe pain, add Qiang Huo (Rhizoma Notopterygii) and Yu Li Ren (Semen Pruni Armeniacae Amarum). For severe itching, double Fang Feng, add Huang Qi (Radix Astragali), Qiang Huo, Ma Huang (Herba Ephedrae), Ben Cao (Radix Ligustici Wallichii), and Gan Cao (Radix Glycyrrhizae). For bleeding, double Huang Bo, add more Di Yu (Radix Sanguisorbae), Huai Hua (Flos Sophorae), Jing Jie Sui (Herba Schizonepetae Spike), and Bai Zhi (Radix Angelicae Dahuricae). For scanty, frequent, obstructed urination, add Chi Fu Ling (Poria cum Rubro), Che Qian Zi (Semen Plantaginis), Deng Xin Cao (Medulla Junci), and Qu Mai (Herba Portulacae).
[Formula Song] Zhitong Rushen treats all hemorrhoids, preventing Wind, Dampness, Dryness, and Heat; Dang Gui, Huang Bo, Tao Ren, Bing Lang, Zhao Jiao Zi, Cang Zhu, Qin Jiao, Fang Feng, Ze Xie, Da Huang.
Snail Water
One large snail, lift the operculum with a sharp knife, add 5 li of Bing Pian (Borneolum Syntheticum), place flat in a porcelain dish; after a moment, clear fluid seeps from the aperture. Dip a chicken feather in the fluid and apply frequently to the affected area; swelling will naturally dissipate.
[Formula Song] Snail water points hemorrhoids effectively, Borneol inserted into snail aperture, wait briefly for water formation to point sore, pain relief and swelling reduction are miraculous.
Wubeizi San (Five-Gallnut Powder)
One large Chuan Wen Ge (Concha Meretricis Cyprinae), make a small hole, stuff with crushed Yin Gan Li Zhi Cao (Herba Plantaginis Depressae) until full, seal hole with paper, wrap in wet paper, bake for a while, remove paper, grind to fine powder. Add 3 fen Qing Fen (Calomelas) and 5 li Bing Pian (Borneolum Syntheticum) per 1 qian, grind extremely fine, mix with saliva and apply to affected area.
[Formula Song] Wubeizi San for hemorrhoid pain and heaviness, instantly disperses hard swelling and pain; Qing Fen and Bing Pian ground fine, Li Zhi Cao baked inside shell.
Medicinal Thread
Yuan Hua (Flos Genkwa, 5 qian) Bi Qian (Nidus Vespae, 2 qian)
Take 3 qian of white fine cotton thread, store in a small porcelain jar with Yuan Hua and Bi Qian in one bowl of water, simmer slowly until liquid evaporates, take out thread and air-dry. For hemorrhoids or goiters with large heads and small stalks, use one thread (two for larger lesions), tie double knots around the base, leaving ends loose, tightening gradually daily until the lesion turns purple-black and cold. Mild cases fall off in seven days, severe in fifteen days; heal with Yuebai Zhenzhu San (Moon-White Pearl Powder).
[Formula Song] Medicinal thread with Yuan Hua and Bi Qian, boil together with white knotted thread; tie roots of all hemorrhoids and goiters, shaped like mushrooms, use this method.
Kuzhi San (Hemorrhoid-Withering Powder)
Tian Ling Gai (Skull cap of a boy preferred. Soak in green thread water briefly, remove, heat red in fire, quench in green thread water, repeat seven times, net weight 4 qian) Pi Shuang (Arsenic Trioxide, 1 liang) Bai Fan (Alumen crude, 2 liang) Qing Fen (Calomelas, 4 qian) Chan Su (Venenum Bufonis, 2 qian)
Grind to extremely fine powder, place in a new small iron pot, cover tightly with a coarse porcelain bowl, seal with salt mud, calcine over charcoal fire for two incense sticks' duration. When cool, remove bowl, grind medicine again, apply to hemorrhoids. Wash area with warm water at Chen, Wu, and Shen hours (9 AM, 1 PM, 3 PM), apply medicine three times daily. After 7-8 days, hemorrhoid becomes black, hard, cracks, and falls off spontaneously.
[Formula Song] Kuzhi Tian Ling Gai quenched, Pi, Fan, Qing Fen, and Chan Su combined; sealed in pot with mud and bowl, removes old and new hemorrhoids upon application.
Huanzhi San (Hemorrhoid-Calling Powder)
Ku Bai Fan (Calcined Alum, 5 fen) Yan Yan (Salt, fried, 3 fen) Cao Wu (Radix Aconiti Kusnezoffii, raw) Ci Ji Li Pi (Spina Gleditsiae Sinensis, processed to retain character, each 1 qian) She Xiang (Moschus, 5 fen) Bing Pian (Borneolum Syntheticum, 2 fen)
Grind to fine powder. Clean anus with warm water, mix 3 qian of medicine with saliva, insert into anus; prolapses within moments.
[Formula Song] Huanzhi San calls internal hemorrhoids, Ci Ji Li Pi, Salt, She Xiang, Cao Wu; Bing Pian and Ku Bai Fan ground fine, saliva-mixed insertion causes quick prolapse.
Shengshu Sanhuang Tang (Raw and Cooked Three-Yellows Decoction)
Sheng Di Huang (Radix Rehmanniae Preparata) Shu Di Huang (Radix Rehmanniae Preparata, each 1.5 qian) Huang Lian (Rhizoma Coptidis) Huang Bo (Cortex Phellodendri) Huang Qin (Radix Scutellariae) Renshen (Radix Ginseng) Cang Zhu (Rhizoma Atractylodis Lanceae, soak in rice water, stir-fry) Bai Zhu (Rhizoma Atractylodis Macrocephalae, soil-stir-fried) Hou Po (Cortex Magnoliae Officinalis, ginger-processed) Dang Gui Shen (Radix Angelicae Sinensis body) Chen Pi (Pericarpium Citri Reticulatae, each 1 qian) Di Yu (Radix Sanguisorbae) Fang Feng (Radix Saposhnikoviae) Ze Xie (Rhizoma Alismatis) Gan Cao (Radix Glycyrrhizae, raw, each 6 fen) Wu Mei (Fructus Mume, 2 pieces)
Decoct two cups of water to eight-tenths, take before meals.
[Formula Song] Shengshu Sanhuang with Lian, Bo, Shen; Cang, Qin, Hou, Zhu, Gui, Chen; Yu, Feng, Ze Xie, Wu Mei, Cao; specifically cures Blood-Arrow Hemorrhoids divinely.
Fangfeng Qinjiao Tang (Saposhnikovia and Gentian Decoction)
Fang Feng (Radix Saposhnikoviae) Qin Jiao (Radix Gentianae Macrophyllae) Dang Gui (Radix Angelicae Sinensis) Sheng Di Huang (Radix Rehmanniae Preparata) Bai Shao (Radix Paeoniae Alba, wine-fried) Chuan Xiong (Rhizoma Chuanxiong) Chi Fu Ling (Poria cum Rubro) Lian Qiao (Fructus Forsythiae, remove heart, each 1 qian) Zhi Zi (Fructus Gardeniae, raw, crushed) Cang Zhu (Rhizoma Atractylodis Lanceae, soak in rice water, stir-fry) Huai Jiao (Fructus Sophorae Tonkinensis) Bai Zhi (Radix Angelicae Dahuricae) Di Yu (Radix Sanguisorbae) Zhi Ke (Fructus Aurantii Immaturus, bran-fried) Bing Lang (Semen Arecae) Gan Cao (Radix Glycyrrhizae, raw, each 6 fen)
Decoct two cups of water to eight-tenths, take warm before meals. Add Da Huang if constipated.
[Formula Song] Fangfeng Qinjiao treats Intestinal Wind, stops pain from swelling and fluids/blood; Si Wu, Zhi, Cang, Huai Jiao, Bai Zhi, Di Yu, Zhi, Cao, Lian Qiao, Bing Lang, Fu Ling.
Kushen Dihuang Wan (Sophora and Rehmannia Pill)
Kushen (Radix Sophorae Flavescentis, sliced, soaked in wine until damp, steamed and sun-dried nine times, stir-fried yellow, pure powder 1 jin) Sheng Di Huang (Radix Rehmanniae Preparata, soaked in wine overnight, steamed, mashed, mixed with Kushen powder, 4 liang)
Add refined honey to form pills the size of Sophora seeds. Take 3 qian per dose, swallow with plain boiled water or wine, twice daily.
[Formula Song] Kushen Dihuang for red blood after stool, caused by alcohol-toxin Heat attacking; these two ingredients wine-steamed and honey-refined, pills taken with water are most effective.
Zanglian Wan (Intestine-Linked Pill)
Huang Lian (Rhizoma Coptidis, pure powder 8 liang) Gong Zhu Da Chang (Male pig large intestine, washed clean, fatty segment 1 chi 2 cun long)
Place Huang Lian powder inside the intestine, tie both ends tightly, place in clay pot with 2.5 jin of cooking wine, simmer slowly until wine evaporates. Remove intestine and medicine, pound into paste; if too thick, sun-dry for an hour, then pound into pills the size of Sophora seeds. Take 70 pills per dose, swallow with warm wine on an empty stomach; long-term use eradicates the root.
[Formula Song] Zanglian Wan uses Chuan Huang Lian, pounded into pig intestine, cooked in wine; pounded into pills taken with warm wine, cures bloody stool and anal swelling.
Hulian Zhuidu Wan (Picrorhiza Pursuing Toxin Pill)
Hu Huang Lian (Radix Picrorhizae, sliced, stir-fried with ginger juice, powdered) Ci Ji Li Pi (Spina Gleditsiae Sinensis, roasted, sliced, stir-fried yellow, powdered, each 1 liang) She Xiang (Moschus, finely powdered, 2 fen)
Mix evenly, form pills with soft rice the size of hemp seeds. Take 1 qian per dose, swallow with warm wine before meals.
[Formula Song] Hulian Zhuidu Wan treats hemorrhoids, best for formed fistulas penetrating intestines; Lian, She, Ci Ji Li rice pills expel stasis/pus, renewing healthy tissue.
Huanglian Guan Guan Wan (Coptis Closing Tube Pill)
Hu Huang Lian (Pure powder, 1 liang) Chuan Shan Jia (Squama Manis, fried in sesame oil until yellow) Shi Jue Ming (Concha Haliotidis, calcined) Huai Hua (Flos Sophorae, lightly stir-fried, each 5 qian)
Grind to fine powder, form pills with refined honey the size of hemp seeds. Take 1 qian per dose, swallow with clear rice soup on an empty stomach. Take morning and evening, twice daily; severe cases heal within 40 days.
If hard flesh protrudes around fistula edges, add 20 Jiang Can (Bombyx Batryticatus), roasted and powdered, mixed into medicine. Effective for all types of fistulas throughout the body.
[Formula Song] Huanglian Guan Guan Wan with Chuan Shan Jia, Shi Jue Ming, Huai Hua ground fine; clears fistula tubes with rice soup, honey pills size of hemp seeds.
Quedu Tang (Toxin-Expelling Decoction)
Wa Song (Sedum sarmentosum) Ma Chi Xian (Herba Portulacae Oleraceae) Gan Cao (Radix Glycyrrhizae, raw, each 5 qian) Chuan Wen Ge (Concha Meretricis Cyprinae) Chuan Jiao (Fructus Zanthoxyli) Cang Zhu (Rhizoma Atractylodis Lanceae) Fang Feng (Radix Saposhnikoviae) Cong Bai (Bulbus Allii Cepae) Zhi Ke (Fructus Aurantii Immaturus) Ce Bai Ye (Cacumen Platycladi, each 3 qian) Yan Xiao (Saltpeter, 1 liang)
Decoct five bowls of water to three bowls. Fumigate first, then wash, three times daily.
[Formula Song] Quedu Tang washes hemorrhoids/fistulas effectively, Wa Song, Gan Cao, Wen Ge, Chuan Jiao; Ma Chi Xian, Cang, Fang Feng, Cong, Zhi Ke, Ce Bai Ye boiled together with Yan Xiao.
Puti Lu (See Zang Du [Anal Abscess])
Yuebai Zhenzhu San (Moon-White Pearl Powder) Shiquan Dabu Tang (Ten Complete Tonifying Decoction) Buzhong Yiqi Tang (Middle-Joint Replenishing Qi Decoction) (All see Ulcer Section)