夫五痔者。谓牡痔。牝痔。脉痔。肠痔。血痔也。其形证各条如后。又有酒痔。肛边生
疮。亦有血出。又有气痔。大便难而血出。肛亦出外。良久不入。诸痔皆由伤于风湿。饮食
不节
者。
治五痔下血不止。宜服艾叶散方。
白龙骨（一两） 艾叶（半两炒令微黄） 黄 （一两半锉） 地榆（一两锉） 枳实
（一两麸
炒微黄） 白芍药（一两） 熟干地黄（一两）
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。每于食前温服。
治五痔。结硬 痛不止。宜服龟甲散方。
龟甲（二两涂醋炙令黄） 蛇蜕皮（一两烧灰） 露蜂房（半两微炒） 麝香（一分研
入） 猪
后悬蹄甲（一两炙令微黄）
上件药。捣细罗为散。每于食前。以温粥饮调下一钱。
治五痔。下血疼痛不可忍。密陀僧散方。
密陀僧（半两细研） 橡实（半两） 肉豆蔻（半两去壳） 地龙（一两微炒） 槟榔
（一两）
藤子仁（一两煨取肉用）
上件药。捣细罗为散。每于食前。以粥饮调下一钱。
治五痔。出血疼痛久不瘥。硫黄散方。
硫黄（一两） 蛇黄（一两金星者火烧令赤碎） 白矾（一两碎） 鳗鲡鱼头（一枚） 鲫
鱼大
者（一头开肚取却肠却入四味药安腹内以散麻皮缠缚泥裹之候干入炭上烧令烟尽取出去泥）
上都研如粉。每于食前。以粥饮调二钱服之。
治五痔。下血疼痛。里急不可忍。 皮丸方。
皮（二两炙令焦黄） 槐子仁（二两微炒） 龙骨（二两） 槲叶（一两微炙） 干
姜（半两
炮裂锉） 熟干地黄（一两） 当归（一两锉微炒） 茜根（三分锉） 附子（一两炮裂去
皮脐）
芎
上件药。捣罗为末。炼蜜和捣五七百杵。丸如梧桐子大。每于食前。以粥饮下三十丸。
治五痔下血不止。疼痛。壅塞不通。宜服黄 丸方。
黄 （一两锉） 皮（一两炙令焦黄） 当归（一两锉微炒） 桂心（三分） 槐子
仁（二两
微炒） 白
两炮裂去
皮脐） 白
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。煎柏叶汤下三十丸。
治五痔。肿硬。发歇疼痛久不瘥。宜服此方。
雷丸〔二（一）两〕 紫参（半两） 当归（一两） 白芷（半两） 槐子仁（一两微
炒） 乱发
（
）分去翅足炒令微
黄〕 石南
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以粥饮下三十丸。
治五痔。及肠风泻血等方。
鹰头草（半两） 甘菊花（半两） 地榆（半两锉） 黄 （一两锉） 金萝藤（半两）
黄药（
半两） 藤子（半两煨用肉）
上件药。捣罗为末。以软饭和丸。如梧桐子大。每于食前。以粥饮下三十丸。
治五痔下血。疼痛不止。槐子丸方。
槐子仁（一两微炒） 龙骨（一两） 槲叶（三分微炙） 干姜（三分炮裂锉） 当归
（三分锉
微炒）
锉碎微炒）
乱发
上件药。捣筛为末。炼蜜和捣五七百杵。丸如梧桐子大。每服。不计时候。以温粥饮下
三十丸。
治五痔下血不止。众治无效。宜服此方。
石南（一两半） 槐实（一两半微炒） 黄 （一两半） 贯众（一两微炒） 附子（一
两炮裂
去皮脐） 皮（一
矾（一两
烧灰） 乱发灰（一
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于空腹及晚食前。煎桑枝汤
下三十丸。
治五痔必效方。
枳壳（二两麸炒微黄去瓤） 胡荽子（一合微炒） 皂荚（一挺炙令黄去皮子）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每于食前。煎黄 汤下三十丸。
治五痔有头。疼痛不可忍。宜用此药熏之。神效方。
槐胶（二两用水煎成膏） 皂荚（二两去皮子） 麝香（一分细研） 鳗鲡鱼（半两） 雄
黄（
半两细研） 丁香（半两） 莨菪子（半两）
上件药。捣罗为末。都研令匀。用槐胶膏和。分为五丸。取一净瓶纳。着炭火烧一丸。
以物盖之。于盖子上钻一孔子。掘地埋瓶与地面平。于上正坐。当痔上熏之。日可二度。痔
上汗
治五痔。槐黄散方。
槐黄（二两微炒） 附子（一两炮裂去皮脐）
上件药。捣细罗为散。每于食前。以温粥饮调下一钱。
治五痔熨药方。
桃叶（切二升） 槐花（一升） 胡麻（一升）
上件药。合捣蒸之。以热熟为度。旋取一升。以绵裹熨痔上。冷即频换熨之。
治五痔悉主之方。
蛇蜕皮（二两）
上件药。烧为灰。入麝香一钱。同研令细。每于食前。以粥饮调下二钱。
又方。
桑耳（二两）
上件药。捣细罗为散。每于食前。以粥饮调下二钱。
又方。
腊月牛脾（一具）
上煮令熟。食之令尽。
又方。
苍耳茎叶（二两五月五日采阴干者）
上件药。捣细罗为散。每于食前。以清粥饮调下二钱。
又方。
牛角 （二两炙令黄焦）
上件药。捣细罗为散。每于食前。以温粥饮调下一钱。
又方。
蒲黄（二两微炒）
上件药。细罗为散。每于食前。以粥饮调下一钱。
又方。
莨菪子（一合水淘去浮者生用）
上件药。捣罗为末。以饧和丸。如莲子大。绵裹纳下部中。日三四度易之。
又方。
槐根（五两细研） 艾叶（三两）
上以水一斗。煎至五升。去滓。冷暖得所。淋下部。日二用之。
又方。
皮（一枚细研）
上入于瓶内。烧烟熏痔上瘥。
又方。
莨菪根（中指大）
上以湿纸裹。煨令熟。去纸。以蜜涂。纳下部中三分。冷即出之。有虫下便瘥。
又方。
上取槐脂捏作丸。半枣许大。每日纳下部中。不过十上瘥。
Hemorrhoids are classified into five types: Mu hemorrhoids (protruding external hemorrhoids), Pin hemorrhoids (internal hemorrhoids with a stalk), Mai hemorrhoids (vascular hemorrhoids), Chang hemorrhoids (intestinal hemorrhoids), and Xue hemorrhoids (hemorrhoidal bleeding). Their respective clinical manifestations are detailed below. Additionally, there are Jiu hemorrhoids (alcohol-induced hemorrhoids), characterized by sores around the anus and bleeding; and Qi hemorrhoids (gas-related hemorrhoids), characterized by difficult defecation accompanied by bleeding and prolapse of the anus that fails to retract for a long time. All types of hemorrhoids are primarily caused by injury from wind-dampness pathogens and irregular diet.
For treating persistent bleeding from the five types of hemorrhoids, it is advisable to take Ai Ye San (Mugwort Powder).
Bai Long Gu (Fossilized Bones, 1 liang) Ai Ye (Artemisiae Argyi Folium, 0.5 liang, stir-fried until slightly yellow) Huang Qi (Astragali Radix, 1.5 liang, sliced) Di Yu (Sanguisorbae Radix, 1 liang, sliced) Zhi Shi (Immature Bitter Orange, 1 liang, bran-fried until slightly yellow) Bai Shao Yao (White Peony Root, 1 liang) Shu Gan Di Huang (Prepared Rehmannia Root, 1 liang).
The above herbs are coarsely ground and sifted to make a powder. Take 3 qian per dose. Add one zhong of water, decoct until reduced to 0.6 zhong, strain, and take warm before meals.
For treating the five types of hemorrhoids with indurated masses and unceasing pain, it is advisable to take Gui Jia San (Tortoise Shell Powder).
Gui Jia (Testudinis Carapax et Plastrum, 2 liang, coated with vinegar and roasted until yellow) She Tui Pi (Ophichthidis Cutis, 1 liang, burnt to ash) Lu Feng Fang (Vespa Nidus, 0.5 liang, lightly stir-fried) She Xiang (Moschus, 1 fen, finely ground and added) Zhu Hou Xuan Ti Jia (Porcine Calcaneus, 1 liang, roasted until slightly yellow).
The above herbs are finely ground and sifted to make a powder. Take 1 qian per dose before meals, mixed with warm rice gruel.
For treating the five types of hemorrhoids with unbearable bleeding and pain, use Mi Tuo Seng San (Lead Monoxide Powder).
Mi Tuo Seng (Lithargyrum, 0.5 liang, finely ground) Xiang Shi (Quercus Galls, 0.5 liang) Rou Dou Kou (Myristica Seed, 0.5 liang, shell removed) Di Long (Pheretima, 1 liang, lightly stir-fried) Bing Lang (Areca Seed, 1 liang) Fei Zi Ren (Torreya Seed, 1 liang, baked and flesh used).
The above herbs are finely ground and sifted to make a powder. Take 1 qian per dose before meals, mixed with rice gruel.
For treating the five types of hemorrhoids with prolonged bleeding and pain that does not heal, use Liu Huang San (Sulfur Powder).
Liu Huang (Sulfur, 1 liang) She Huang (Arsenolite containing gold stars, 1 liang, fired until red-hot and crushed) Bai Fan (Alumen, 1 liang, crushed) Man Li Yu Tou (Muraenesox Caput, 1 piece) Ji Yu Da Zhe (Carassius Auratus, 1 large fish, belly opened, intestines removed, filled with the four aforementioned herbs, bound with hemp fiber, coated with mud, fired on charcoal until smoke ceases, then cleaned).
All ingredients are ground into a fine powder. Take 2 qian per dose before meals, mixed with rice gruel.
For treating the five types of hemorrhoids with bleeding, pain, and severe tenesmus, use [Huai] Pi Wan (Sophora Bark Pills).
Pi (Bark, likely Sophorae Tonkinensis Cortex or similar, 2 liang, roasted until scorched yellow) Huai Zi Ren (Sophorae Fructus, 2 liang, lightly stir-fried) Long Gu (Fossilized Bones, 2 liang) Hu Ye (Quercus Leaf, 1 liang, lightly roasted) Gan Jiang (Zingiberis Rhizoma Recens, 0.5 liang, processed, cracked, and sliced) Shu Gan Di Huang (Prepared Rehmannia Root, 1 liang) Dang Gui (Angelicae Sinensis Radix, 1 liang, sliced and lightly stir-fried) Qian Gen (Rubiae Radix et Rhizoma, 3 qian, sliced) Fu Zi (Aconiti Lateralis Radix Praeparata, 1 liang, processed, skin and umbilicus removed) Chuan Xiong (Ligustici Chuanxiong Rhizoma, implied/fragmentary).
The above herbs are ground into powder, mixed with refined honey, pounded 500-700 times, and formed into pills the size of paulownia seeds. Take 30 pills per dose before meals, washed down with rice gruel.
For treating persistent bleeding from the five types of hemorrhoids, pain, and obstruction, it is advisable to take Huang Qi Wan (Astragalus Pills).
Huang Qi (Astragali Radix, 1 liang, sliced) Pi (Bark, likely Sophorae Tonkinensis Cortex, 1 liang, roasted until scorched yellow) Dang Gui (Angelicae Sinensis Radix, 1 liang, sliced and lightly stir-fried) Gui Xin (Cinnamomi Ramulus Heart, 3 qian) Huai Zi Ren (Sophorae Fructus, 2 liang, lightly stir-fried) Bai Zhu (Atractylodis Macrocephalae Rhizoma, fragmentary text implies this) ...
The above herbs are ground into powder, mixed with refined honey, pounded 200-300 times, and formed into pills the size of paulownia seeds. Take 30 pills per dose before meals, washed down with decoction of Bi Ye (Platycladi Cacumen).
For treating the five types of hemorrhoids with swelling, hardness, and intermittent pain that persists for a long time, use the following formula.
Lei Wan (Polyporus Umbellatus, 1-2 liang) Zi Shen (Codonopsis Radix or similar, 0.5 liang) Dang Gui (Angelicae Sinensis Radix, 1 liang) Bai Zhi (Angelicae Dahuricae Radix, 0.5 liang) Huai Zi Ren (Sophorae Fructus, 1 liang, lightly stir-fried) Luan Fa (Human Hair, 1 liang, cleaned and lightly stir-fried) Shi Nan Teng (Rhododendri Daurici Caulis, fragmentary).
The above herbs are ground into powder, mixed with refined honey, pounded 200-300 times, and formed into pills the size of paulownia seeds. Take 30 pills per dose before meals, washed down with rice gruel.
For treating the five types of hemorrhoids and intestinal wind with bloody diarrhea, use the following formula.
Ying Tou Cao (Herba Siegesbeckiae or similar, 0.5 liang) Gan Ju Hua (Chrysanthemi Flos, 0.5 liang) Di Yu (Sanguisorbae Radix, 0.5 liang, sliced) Huang Qi (Astragali Radix, 1 liang, sliced) Jin Luo Teng (Uncariae Ramulus cum Uncis or similar, 0.5 liang) Huang Yao (Dioscoreae Hypoglaucae Rhizoma, 0.5 liang) Fei Zi (Torreya Seed, 0.5 liang, baked and flesh used).
The above herbs are ground into powder, mixed with soft cooked rice, and formed into pills the size of paulownia seeds. Take 30 pills per dose before meals, washed down with rice gruel.
For treating the five types of hemorrhoids with persistent bleeding and pain, use Huai Zi Wan (Sophora Fruit Pills).
Huai Zi Ren (Sophorae Fructus, 1 liang, lightly stir-fried) Long Gu (Fossilized Bones, 1 liang) Hu Ye (Quercus Leaf, 3 qian, lightly roasted) Gan Jiang (Zingiberis Rhizoma Recens, 3 qian, processed, cracked, and sliced) Dang Gui (Angelicae Sinensis Radix, 3 qian, sliced and lightly stir-fried) Pi (Bark, 3 qian, sliced and lightly stir-fried) Luan Fa Hui (Ash of Human Hair, 1 liang).
The above herbs are ground and sifted into powder, mixed with refined honey, pounded 500-700 times, and formed into pills the size of paulownia seeds. Take 30 pills per dose at any time, washed down with warm rice gruel.
For treating persistent bleeding from the five types of hemorrhoids when other treatments fail, use the following formula.
Shi Nan (Rhododendri Daurici Caulis, 1.5 liang) Huai Shi (Sophorae Fructus, 1.5 liang, lightly stir-fried) Huang Qi (Astragali Radix, 1.5 liang) Guan Zhong (Cyrtomii Rhizoma, 1 liang, lightly stir-fried) Fu Zi (Aconiti Lateralis Radix Praeparata, 1 liang, processed, skin and umbilicus removed) Pi (Bark, 1 liang) Bai Fan (Alumen, 1 liang, burnt to ash) Luan Fa Hui (Ash of Human Hair, 1 liang).
The above herbs are ground into powder, mixed with refined honey, pounded 200-300 times, and formed into pills the size of paulownia seeds. Take 30 pills per dose on an empty stomach and before evening meal, washed down with decoction of Sang Zhi (Mori Ramulus).
An efficacious formula for the five types of hemorrhoids.
Zhi Ke (Aurantii Fructus Immaturus, 2 liang, bran-fried until slightly yellow, pith removed) Hu Sui Zi (Coriandri Fructus, 1 he, lightly stir-fried) Zao Jia (Gleditsiae Fructus, 1 ting, roasted until yellow, skin and seeds removed).
The above herbs are ground into powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Take 30 pills per dose before meals, washed down with decoction of Huang Lian (Coptidis Rhizoma) or similar (text fragmentary).
For treating protruding hemorrhoids with unbearable pain, use this fumigation method for miraculous effect.
Huai Jiao (Sophorae Gum, 2 liang, decocted into paste) Zao Jia (Gleditsiae Fructus, 2 liang, skin and seeds removed) She Xiang (Moschus, 1 fen, finely ground) Man Li Yu (Muraenesox, 0.5 liang) Xiong Huang (Realgar, 0.5 liang, finely ground) Ding Xiang (Caryophylli Flos, 0.5 liang) Lang Dan Zi (Daturae Semen, 0.5 liang).
The above herbs are ground into powder, mixed evenly with Huai Jiao paste, divided into five pills. Place one pill in a clean bottle, heat over charcoal. Cover the bottle, drill a small hole in the cover. Bury the bottle in the ground level with the surface. Sit upright above the hole and fumigate the hemorrhoid area. Perform twice daily. Healing occurs when sweat appears on the hemorrhoid.
Huai Huang San (Sophora and Gold Powder) for the five types of hemorrhoids.
Huai Huang (Sophorae Flos or similar, 2 liang, lightly stir-fried) Fu Zi (Aconiti Lateralis Radix Praeparata, 1 liang, processed, skin and umbilicus removed).
The above herbs are finely ground and sifted to make a powder. Take 1 qian per dose before meals, mixed with warm rice gruel.
Fumigation/Compress Medicine for the five types of hemorrhoids.
Tao Ye (Persicae Leaf, cut 2 sheng) Huai Hua (Sophorae Flos, 1 sheng) Hu Ma (Sesami Semen, 1 sheng).
The above herbs are mixed, pounded, and steamed until thoroughly hot. Take 1 sheng, wrap in cotton cloth, and compress the hemorrhoid area. Replace frequently as it cools.
A comprehensive formula for the five types of hemorrhoids.
She Tui Pi (Ophichthidis Cutis, 2 liang).
Burn the herb to ash, add 1 qian of She Xiang (Moschus), grind together finely. Take 2 qian per dose before meals, mixed with rice gruel.
Another formula.
Sang Er (Ustilago Maydis or Tremella, 2 liang).
Grind finely and sift. Take 2 qian per dose before meals, mixed with rice gruel.
Another formula.
Niu Pi (Bovis Stomach, collected in the twelfth lunar month, 1 unit).
Boil until cooked and consume entirely.
Another formula.
Cang Er Jing Ye (Xanthii Caulis et Folium, 2 liang, harvested on the fifth day of the fifth lunar month and dried in shade).
Grind finely and sift. Take 2 qian per dose before meals, mixed with clear rice gruel.
Another formula.
Niu Jiao (Bovis Cornu, 2 liang, roasted until yellow and scorched).
Grind finely and sift. Take 1 qian per dose before meals, mixed with warm rice gruel.
Another formula.
Pu Huang (Typhae Pollen, 2 liang, lightly stir-fried).
Sift finely. Take 1 qian per dose before meals, mixed with rice gruel.
Another formula.
Lang Dan Zi (Daturae Semen, 1 he, washed with water to remove floating impurities, used raw).
Grind into powder, mix with maltose to form pills the size of lotus seeds. Wrap in cotton and insert into the lower orifice (anus). Change 3-4 times daily.
Another formula.
Huai Gen (Sophorae Radix, 5 liang, finely ground) Ai Ye (Artemisiae Argyi Folium, 3 liang).
Decoct in 1 dou of water until reduced to 5 sheng. Strain. Adjust temperature appropriately. Wash the lower orifice. Use twice daily.
Another formula.
Pi (Bark, 1 piece, finely ground).
Place in a bottle, burn to produce smoke, and fumigate the hemorrhoid area until healed.
Another formula.
Lang Dan Gen (Daturae Radix, size of middle finger).
Wrap in wet paper, bake until cooked. Remove paper, coat with honey, and insert one-third into the lower orifice. Remove if cold. Healing occurs if worms are expelled.
Another formula.
Huai Zhi (Sophora Resin/Gum).
Form into pills half the size of a jujube pit. Insert into the lower orifice daily. Healing occurs within no more than ten applications.