夫痔者。有牡痔。牝痔。脉痔。肠痔。血痔。酒痔。皆因劳伤过度。损动血气所生。小
儿未
治小儿痔疾。肛边生结核。疼痛。寒热。鳖甲散方。
鳖甲（一两涂醋炙令黄去裙 ） 皮（一两炙令黄） 蛇蜕皮（烧灰三分） 露蜂房
（半两
微炙）
上件药。捣细罗为散。入麝香。都研令匀。每服食前。以粥饮调下半钱。量儿大小。加
减服
治小儿痔疾久不瘥。肛边痒痛。桑木耳散方。
桑木耳（微炒） 槐耳（微炙） 皮（炙令黄） 当归（锉微炒） 羌活（以上各半
两） 枳壳
（一
上件药。捣细罗为散。每服。以粥饮调下半钱。日三四服。量儿大小。加减服之。
治小儿痔疾。下血无时。 藤子散方。
藤子（一枚去壳微炙） 皂荚子（一百枚与 藤子瓤同以酥炒令黄） 牛
两）
酸石榴皮灰（半两）
上件药。捣细罗为散。每服。以温酒调下半钱。日三四服。量儿大小。加减服之。
治小儿痔疾结硬。 痛不止。龟甲丸方。
龟甲（二两涂醋炙令黄） 蛇蜕皮（一两烧灰） 露蜂房（半两微炙） 麝香（一分细
研） 猪
后悬
上件药。捣细罗为散。入麝香。都研令匀。每服。以温酒调下半钱。日三服。量儿大小。
加
治小儿痔疾。下血不止。热毒瓦斯流注。发歇疼痛。槐鹅散方。
槐鹅 侧柏（炙微黄） 荆芥穗 棕榈（烧灰） 黄牛角 （烧灰） 牛膝（去苗以
上各半两）
上件药。捣细罗为散。每服。以粥饮调下半钱。日三四服。量儿大小。加减服之。
治小儿痔疾下血。大肠疼痛。 皮散方。
皮（炙令黄） 枳壳（麸炒微黄去瓤） 木贼 当归（锉微炒） 槐鹅（微炙各一两）
上件药。捣细罗为散。每服。以粥饮调下半钱。日三四服。量儿大小。加减服之。
治小儿痔疾。下血不止。鸡冠花散方。
鸡冠花（一两焙令香） 棕榈（二两烧灰） 羌活（一两）
上件药。捣细罗为散。每服。以粥调下半钱。日三四服。量儿大小。加减服之。
治小儿痔疾。下血不止。黄 散方。
黄 （锉） 枳壳（麸炒微黄去瓤） 侧柏叶（炙微赤锉各一两）
上件药。捣细罗为散。每服。以粥饮调下半钱。日三四服。量儿大小。加减服之。
治小儿痔疾下血。发歇不定方。
荆芥 薄荷 枳壳（麸炒微黄去瓤以上各一两）
上件药。捣细罗为散。每服。以粥饮调下半钱。日三四服。量儿大小。加减服之。
治小儿痔疾。痛不可忍。木贼丸方。
木贼（一两） 藤子（二枚去壳涂酥炙黄） 乌贼鱼骨（二两）
上件药。捣罗为末。炼蜜和丸。如绿豆大。不计时候。以温酒下五丸。看儿大小。以意
加减
治小儿痔疾疼痛。肿硬不消。宜用坐药方。
蛇床子（半两末） 荆芥（半两末） 蜗牛（三七枚）
上件药烂研。涂在纸上。每发时。先用白矾热水。洗痔头子后。用被褥上。安药纸。坐
三
治小儿痔生肛边。如鼠乳。及成疮。痛楚至甚。宜服穿山甲散方。
穿山甲（二两炙令黄） 麝香（半分细研）
上件药。捣研令匀细。每于食前。煎黄 汤调下半钱。量儿大小。加减服之。
治小儿痔。下血不止。肛边生鼠乳。疼痛。榉树菌子丸方。
榉树菌子（一两） 虾蟆（一枚炙令黄） 葫荽子〔一个（合）〕 黄牛角 （一两炙
黄） 鳗
鲡
上件药。捣罗为末。以水煎白胶香和丸。如弹子大。用瓶纳如装香法。烧一丸。熏下部
瘥。
治小儿痔疾。下部痒闷。熨药方。
枳实（一两麸炒微黄） 鬼箭羽 木香 鬼臼（以上各一两）
上件药。捣粗罗为散。以头醋和匀。炒令热。用青布裹熨。日二用之。
治小儿痔疾。鼠乳生肛边。烦热疼痛。槐子丸方。
槐子（一两微炒） 黄芩（一两） 藤子（二枚去壳炙令黄）
上件药。捣罗为末。以水浸蒸饼和丸。如绿豆大。每服以桑耳汤下五丸。日三四服。量
儿大
治小儿肠痔下血不止方。
藤子（三枚大者）
上以七八重湿纸。裹煨良久。胀起取出壳用肉。细切碾罗为散。每服以黄 汤调下半钱。
量
又方。
牛角 （二两炙令黄焦）
上捣细罗为散。每于食前以温酒调下半钱。量儿大小。加减服之。
又方。
皮（一枚）
上细锉。于瓶内烧烟。熏痔上瘥。
Hemorrhoids are classified into six types: Mu hemorrhoids (protruding external hemorrhoids), Pin hemorrhoids (internal hemorrhoids with prolapse), Mai hemorrhoids (vascular hemorrhoids), Chang hemorrhoids (intestinal hemorrhoids), Xue hemorrhoids (hemorrhagic hemorrhoids), and Jiu hemorrhoids (alcohol-induced hemorrhoids). These conditions arise from excessive labor and injury, which damage the Qi and Blood.
Treatment for pediatric hemorrhoid disease: Nodular masses form around the anus, accompanied by pain, aversion to cold, and fever. Use Biejia San (Turtle Shell Powder) Formula.
Ingredients: Bie Jia (Testudinis Carapax et Plastrum, 1 liang, coated with vinegar and roasted until yellow, skirt removed); [Character missing in source, likely a type of bark], Pi (1 liang, roasted until yellow); She Tui Pi (Bombyx Batryticatus, 3 fen, burnt to ash); Lu Feng Fang (Vespa Crabro Nest, 0.5 liang, lightly roasted).
Preparation and Administration: The above ingredients are crushed, passed through a fine sieve to make a powder, mixed with She Xiang (Moschus), and ground uniformly. Before meals, take half a qian of the powder mixed with rice water. Adjust the dosage according to the child's age and size.
Treatment for chronic pediatric hemorrhoids that do not heal: Itching and pain around the anus. Use Sang Er Er San (Mulberry Fungus Powder) Formula.
Ingredients: Sang Er Er (Fici Cochinchinensis Fructus, lightly stir-fried); Huai Er (Sophorae Tonkinensis Fructus, lightly roasted); [Character missing in source, likely a type of bark], Pi (roasted until yellow); Dang Gui (Angelicae Sinensis Radix, chopped and lightly stir-fried); Qiang Huo (Notopterygii Rhizoma et Radix, each 0.5 liang); Zhi Ke (Aurantii Fructus, [Character missing, likely 1 liang]).
Preparation and Administration: The above ingredients are crushed, passed through a fine sieve to make a powder. Take half a qian of the powder mixed with rice water per dose, three to four times daily. Adjust the dosage according to the child's age and size.
Treatment for pediatric hemorrhoids with intermittent bleeding: Use [Character missing] Teng Zi San ([Character missing] Vine Seed Powder) Formula.
Ingredients: [Character missing] Teng Zi ([Character missing] Vine Seed, 1 piece, shelled and lightly roasted); Zao Jia Zi (Gleditsiae Sinensis Spina, 100 pieces, stir-fried with butter together with the pulp of [Character missing] Teng Zi until yellow); Niu [Xi?] (Achyranthis Bidentatae Radix, [Character missing, likely 0.5 liang]); Suan Shi Liu Pi Hui (Ash of Pomegranate Rind, 0.5 liang).
Preparation and Administration: The above ingredients are crushed, passed through a fine sieve to make a powder. Take half a qian of the powder mixed with warm wine per dose, three to four times daily. Adjust the dosage according to the child's age and size.
Treatment for pediatric hemorrhoids with hard nodules and unceasing [Character missing] pain: Use Guijia Wan (Tortoise Shell Pill) Formula.
Ingredients: Gui Jia (Testudinis Carapax, 2 liang, coated with vinegar and roasted until yellow); She Tui Pi (Bombyx Batryticatus, 1 liang, burnt to ash); Lu Feng Fang (Vespa Crabro Nest, 0.5 liang, lightly roasted); She Xiang (Moschus, 1 fen, finely ground); Zhu [Zhi/Dan?] (Pig [Fat/Gallbladder?], [Character missing]).
Preparation and Administration: The above ingredients are crushed, passed through a fine sieve to make a powder, mixed with She Xiang, and ground uniformly. Take half a qian of the powder mixed with warm wine per dose, three times daily. Adjust the dosage according to the child's age and size. (Note: The source text contains "hou xuan" after the ingredients, which may indicate a specific preparation method or is a textual error; based on the administration instruction "mixed with warm wine," it is treated as a powder here).
Treatment for pediatric hemorrhoids with continuous bleeding, where heat-toxin flows through the body causing paroxysmal pain: Use Huai E San (Huai Ear Powder) Formula.
Ingredients: Huai E [Er?] (Sophorae Tonkinensis Fructus); Ce Bai Ye (Platycladi Cacumen, roasted until slightly yellow); Jing Jie Sui (Schizonepetae Spica); Zong Lv (Livistonae Folium, burnt to ash); Huang Niu Jiao [Xie?] (Bovis Cornu, burnt to ash); Niu Xi (Achyranthis Bidentatae Radix, rootlets removed, each 0.5 liang).
Preparation and Administration: The above ingredients are crushed, passed through a fine sieve to make a powder. Take half a qian of the powder mixed with rice water per dose, three to four times daily. Adjust the dosage according to the child's age and size.
Treatment for pediatric hemorrhoids with bleeding and large intestine pain: Use [Character missing] Pi San ([Character missing] Bark Powder) Formula.
Ingredients: [Character missing] Pi ([Character missing] Bark, roasted until yellow); Zhi Ke (Aurantii Fructus, bran-stir-fried until slightly yellow, pith removed); Mu Zei (Equiseti Herba); Dang Gui (Angelicae Sinensis Radix, chopped and lightly stir-fried); Huai E [Er?] (Sophorae Tonkinensis Fructus, lightly roasted, each 1 liang).
Preparation and Administration: The above ingredients are crushed, passed through a fine sieve to make a powder. Take half a qian of the powder mixed with rice water per dose, three to four times daily. Adjust the dosage according to the child's age and size.
Treatment for pediatric hemorrhoids with continuous bleeding: Use Ji Guan Hua San (Cockscomb Flower Powder) Formula.
Ingredients: Ji Guan Hua (Celosiae Cristatae Flos, 1 liang, baked until fragrant); Zong Lv (Livistonae Folium, 2 liang, burnt to ash); Qiang Huo (Notopterygii Rhizoma et Radix, 1 liang).
Preparation and Administration: The above ingredients are crushed, passed through a fine sieve to make a powder. Take half a qian of the powder mixed with rice water per dose, three to four times daily. Adjust the dosage according to the child's age and size.
Treatment for pediatric hemorrhoids with continuous bleeding: Use Huang [Qi?] San (Huang [Qi?] Powder) Formula.
Ingredients: Huang [Qi?] (Astragali Radix, chopped); Zhi Ke (Aurantii Fructus, bran-stir-fried until slightly yellow, pith removed); Ce Bai Ye (Platycladi Cacumen, roasted until slightly red and chopped, each 1 liang).
Preparation and Administration: The above ingredients are crushed, passed through a fine sieve to make a powder. Take half a qian of the powder mixed with rice water per dose, three to four times daily. Adjust the dosage according to the child's age and size.
Treatment for pediatric hemorrhoids with bleeding of irregular onset: Use [Character missing] San ([Character missing] Powder) Formula.
Ingredients: Jing Jie (Schizonepetae Herba); Bo He (Menthae Haplocalycis Herba); Zhi Ke (Aurantii Fructus, bran-stir-fried until slightly yellow, pith removed, each 1 liang).
Preparation and Administration: The above ingredients are crushed, passed through a fine sieve to make a powder. Take half a qian of the powder mixed with rice water per dose, three to four times daily. Adjust the dosage according to the child's age and size.
Treatment for pediatric hemorrhoids with unbearable pain: Use Mu Zei Wan (Equisetum Pill) Formula.
Ingredients: Mu Zei (Equiseti Herba, 1 liang); [Character missing] Teng Zi ([Character missing] Vine Seed, 2 pieces, shelled, coated with butter, and roasted until yellow); Wu Zei Yu Gu (Sepiae Endoconcha, 2 liang).
Preparation and Administration: The above ingredients are crushed, passed through a sieve to make a powder, and mixed with refined honey to form pills the size of mung beans. Take five pills with warm wine at any time. Adjust the dosage according to the child's age and size.
Treatment for pediatric hemorrhoids with pain, swelling, and hardness that does not subside: Use a sitz bath medicine formula.
Ingredients: She Chuang Zi (Cnidii Fructus, 0.5 liang, powdered); Jing Jie (Schizonepetae Herba, 0.5 liang, powdered); Wo Niu (Helix Aspersa, 37-38 pieces).
Preparation and Administration: The above ingredients are mashed and spread onto paper. When an episode occurs, first wash the hemorrhoid area with hot water containing Bai Fan (Alumen). Then, sit on bedding covered with the medicated paper for three minutes.
Treatment for pediatric hemorrhoids growing near the anus, resembling mouse teats, forming sores with severe pain: Use Chuan Shan Jia San (Pangolin Scale Powder) Formula.
Ingredients: Chuan Shan Jia (Manis Squama, 2 liang, roasted until yellow); She Xiang (Moschus, 0.5 fen, finely ground).
Preparation and Administration: The above ingredients are ground into a fine, uniform powder. Before meals, take half a qian of the powder mixed with Huang [Qi?] Decoction. Adjust the dosage according to the child's age and size.
Treatment for pediatric hemorrhoids with continuous bleeding, mouse-teat-like growths near the anus, and pain: Use Ju Shu Jun Zi Wan (Eucommia Fungus Pill) Formula.
Ingredients: Ju Shu Jun Zi (Eucommia Fungus, 1 liang); Xia Ma (Bufo bufo gargarizans, 1 piece, roasted until yellow); Hu Sui Zi (Coriandri Fructus, one unit); Huang Niu Jiao [Xie?] (Bovis Cornu, 1 liang, roasted until yellow); Man Li [Yu?] (Anguilla Japonica, [Character missing]).
Preparation and Administration: The above ingredients are crushed, passed through a sieve to make a powder, and mixed with water-boiled Bai Jiao Xiang (Benzoin Resin) to form pills the size of a marble. Store in a bottle sealed like incense. Burn one pill and fumigate the affected lower body area until cured.
Treatment for pediatric hemorrhoids with itching and stuffiness in the lower body: Use a moxibustion/fomentation medicine formula.
Ingredients: Zhi Shi (Aurantii Fructus Immaturus, 1 liang, bran-stir-fried until slightly yellow); Gui Jian Yu (Sambuci Ramulus); Mu Xiang (Aucklandiae Radix); Gui Jiu (Dahuriae Rhizoma, each 1 liang).
Preparation and Administration: The above ingredients are coarsely crushed and passed through a sieve to make a powder. Mix with the first-run vinegar until uniform, stir-fry until hot, wrap in blue cloth, and apply as a hot compress to the affected area twice daily.
Treatment for pediatric hemorrhoids with mouse-teat growths near the anus, irritability, heat, and pain: Use Huai Zi Wan (Sophora Seed Pill) Formula.
Ingredients: Huai Zi (Sophorae Japonicae Fructus, 1 liang, lightly stir-fried); Huang Qin (Scutellariae Radix, 1 liang); [Character missing] Teng Zi ([Character missing] Vine Seed, 2 pieces, shelled and roasted until yellow).
Preparation and Administration: The above ingredients are crushed, passed through a sieve to make a powder, and mixed with steamed leavened bread soaked in water to form pills the size of mung beans. Take five pills with Sang Er Tang (Mulberry Fungus Decoction) per dose, three to four times daily. Adjust the dosage according to the child's age and size.
Treatment for pediatric intestinal hemorrhoids with continuous bleeding: Use [Character missing] Teng Zi Formula.
Ingredients: [Character missing] Teng Zi ([Character missing] Vine Seed, 3 large pieces).
Preparation and Administration: Wrap in seven to eight layers of wet paper and bake slowly until swollen. Remove the shell and use only the flesh. Cut finely, crush, and pass through a sieve to make a powder. Take half a qian of the powder mixed with Huang [Qi?] Decoction per dose. Adjust the dosage according to the child's age and size.
Another prescription:
Ingredients: Niu Jiao [Xie?] (Bovis Cornu, 2 liang, roasted until scorched yellow).
Preparation and Administration: Crush and pass through a fine sieve to make a powder. Before meals, take half a qian of the powder mixed with warm wine. Adjust the dosage according to the child's age and size.
Another prescription:
Ingredients: [Character missing] Pi ([Character missing] Bark, 1 piece).
Preparation and Administration: Finely chop and burn in a bottle to produce smoke. Fumigate the hemorrhoid area until cured.