夫痔肛边痒痛者。由脏腑久积风热。不得宣通。毒热之气。留滞于大肠。冲发于下部。
故令肛边或痛或痒。或乃生疮。时时下血。亦曰脉痔也。
治痔疾。下部肿结。痒痛不止。枳壳散方。
枳壳（二两麸炒微黄去瓤） 槐子（二两微炒令香） 防风〔二（一）两去芦头〕 羌
活（一
两）
黄（一两锉） 白蒺藜（一两微炒去刺） 甘草（半两炙微赤锉）
上件药。捣细罗为散。每于食前。以粥饮调下二钱。
治痔疾。大肠久积风毒。下部痒痛不歇。似有虫咬。蛇床散方。
蛇床子（一两） 蓄（一两） 黄 （一两锉） 苦参（一两锉） 白桐叶（一两） 附
子（一
两炮裂去皮脐）
上件药。捣细罗为散。食前。粥饮调下二钱。
治痔疾久不瘥。肛边痒痛不止。薏苡散方。
薏苡根（二两） 独活（二两） 枳实（二两麸炒微黄） 莽草（一两微炒） 猪后悬
蹄甲〔二
两炙黄燥（焦）〕
上件药。捣细罗为散。每于食前。以黄 汤调下二钱。
治痔疾。肛边痒痛。桑木耳散方。
桑木耳（一两微炒） 槐木耳（一两微炒） 皮（一两炙黄焦） 枳壳〔三（二）两
麸炒微黄
去瓤〕 当归（一两锉微炒） 羌活（一两）
上件药。捣细罗为散。每于食前。以粥饮调下二钱。
治痔疾。肛边痒痛不止。皂荚刺丸方。
皂荚刺（二两烧令烟尽） 臭樗皮（一两微炙） 防风（一两去芦头） 赤芍药（一两）
枳壳
（一两麸炒微黄去瓤）
上件药。捣罗为末。用酽醋一升。熬一半成膏。次下余药。和丸。如小豆大。每于食前
。煎防风汤下二十丸。
治痔疾。肛边痒痛。发歇不止。露蜂房丸方。
露蜂房（一两微炒） 威灵仙（一两） 枳壳（二两麸炒微黄） 皂荚〔一两炙令黄燥
（焦）〕
蓄（一两） 薏苡根（一两） 卷柏（一两微炙） 桑花叶（一两）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每于食前。以槐子汤下三十丸。
治痔疾。风毒攻注。肛门痒痛不止。宜用此方。
枳壳（一两） 蛇床子（一两） 防风（半两去芦头） 莽草（半两） 桑根白皮（半
两） 苦参
（一
柳枝（锉
二合
上件药。都细锉。以水一斗。煎取五升。去滓。于避风处。用软帛蘸汤。乘热熨痔上。
治痔疾。肛门边肿硬。痒痛不可忍。救急熨方。
芫花（三两） 风化锻石（三两） 灶突内黑煤（二两）
上件药。捣罗为末。分作两分。于铫子内点醋炒。候稍热。以帛裹熨之。冷则再换。自
然肿消。痒痛俱息。
又方。
胡粉（半两） 水银（半两）
上件药。以枣瓤和研。令星尽。捏如莲子大。以绵裹。夜卧时。纳于下部中。
又方。
白矾（三分锉）
上以童子热小便二盏。化白矾以洗痔上。日二用效。
The condition of itching and pain around the anus in hemorrhoids arises from the long-term accumulation of wind-heat pathogens in the zang-fu organs, which fail to be dispersed and unblocked. The qi of toxic heat remains stagnant in the large intestine (Da Chang) and rushes to erupt in the lower body. Consequently, this causes the area around the anus to experience alternating pain and itching, or even the formation of sores, with occasional bleeding. This condition is also known as Mai Hemorrhoids (Pulse Hemorrhoids).
To treat hemorrhoidal diseases presenting with swelling and nodules in the lower body, accompanied by incessant itching and pain, use Zhi Qiao San Formula.
Ingredients: Zhi Qiao (Bitter Orange Pericarp, 2 liang, stir-baked with bran until slightly yellow, pith removed), Huai Zi (Sophora Seed, 2 liang, lightly baked until fragrant), Fang Feng (Saposhnikovia Root, 1 liang, radix head removed), Qiang Huo (Notopterygium Rhizome, 1 liang), Huang Qin (Scutellaria Root, 1 liang, sliced), Bai Ji Li (Tribulus Fruit, 1 liang, lightly baked, spines removed), Gan Cao (Licorice Root, 0.5 liang, honey-fried until slightly red, sliced).
Process the above ingredients into a fine powder. Take 2 qian before meals, mixed with rice broth.
To treat hemorrhoidal diseases caused by long-term accumulation of wind-toxin in the large intestine, resulting in incessant itching and pain in the lower body, resembling insect bites, use She Chuang San Formula.
Ingredients: She Chuang Zi (Cnidium Fruit, 1 liang), Lu Sun (Dianthus Herb, 1 liang), Huang Qin (Scutellaria Root, 1 liang, sliced), Ku Shen (Sophora Root, 1 liang, sliced), Bai Tong Ye (Paulownia Leaf, 1 liang), Fu Zi (Aconite Lateral Root, 1 liang, processed until cracked, skin and umbilicus removed).
Process the above ingredients into a fine powder. Take 2 qian before meals, mixed with rice broth.
To treat chronic hemorrhoids that have not healed for a long time, with incessant itching and pain around the anus, use Yi Yi San Formula.
Ingredients: Yi Yi Gen (Coix Root, 2 liang), Du Huo (Angelica Pubescens Root, 2 liang), Zhi Shi (Immature Bitter Orange, 2 liang, stir-baked with bran until slightly yellow), Mang Cao (Artemisia Argyi Herb, 1 liang, lightly baked), Zhu Hou Xuan Ti Jia (Pig Hind Hoof Nail, 2 liang, fried until yellow and dry).
Process the above ingredients into a fine powder. Take 2 qian before meals, mixed with yellow wine decoction.
To treat hemorrhoids with itching and pain around the anus, use Sang Mu Er San Formula.
Ingredients: Sang Mu Er (Mulberry Mucilage/Fungus, 1 liang, lightly baked), Huai Mu Er (Sophora Mucilage/Fungus, 1 liang, lightly baked), Pi (Elm Bark, 1 liang, fried until yellow and charred), Zhi Qiao (Bitter Orange Pericarp, 2 liang, stir-baked with bran until slightly yellow, pith removed), Dang Gui (Angelica Sinensis Root, 1 liang, sliced and lightly baked), Qiang Huo (Notopterygium Rhizome, 1 liang).
Process the above ingredients into a fine powder. Take 2 qian before meals, mixed with rice broth.
To treat hemorrhoids with incessant itching and pain around the anus, use Zao Jia Ci Wan Pill.
Ingredients: Zao Jia Ci (Gleditsia Spine, 2 liang, burned until smoke ceases), Chou Chu Pi (Stinky Dogwood Bark, 1 liang, lightly fried), Fang Feng (Saposhnikovia Root, 1 liang, radix head removed), Chi Shao Yao (Red Peony Root, 1 liang), Zhi Qiao (Bitter Orange Pericarp, 1 liang, stir-baked with bran until slightly yellow, pith removed).
Process the above ingredients into a powder. Boil 1 sheng of strong vinegar until reduced by half to form a paste. Add the remaining medicinal powders and mix to form pills the size of small beans. Take 20 pills before meals, washed down with Fang Feng Tang decoction.
To treat hemorrhoids with intermittent and incessant itching and pain around the anus, use Lu Feng Fang Wan Pill.
Ingredients: Lu Feng Fang (Honeycomb, 1 liang, lightly baked), Wei Ling Xian (Clematis Root, 1 liang), Zhi Qiao (Bitter Orange Pericarp, 2 liang, stir-baked with bran until slightly yellow), Zao Jia (Gleditsia Fruit, 1 liang, fried until yellow and dry), Lu Sun (Dianthus Herb, 1 liang), Yi Yi Gen (Coix Root, 1 liang), Juan Bai (Selaginella Tamariscina, 1 liang, lightly fried), Sang Hua Ye (Mulberry Flower and Leaf, 1 liang).
Process the above ingredients into a powder. Mix with refined honey to form pills the size of sophora seeds. Take 30 pills before meals, washed down with Huai Zi Tang decoction.
For hemorrhoids where wind-toxin attacks and penetrates, causing incessant itching and pain in the anus, this formula is suitable.
Ingredients: Zhi Qiao (Bitter Orange Pericarp, 1 liang), She Chuang Zi (Cnidium Fruit, 1 liang), Fang Feng (Saposhnikovia Root, 0.5 liang, radix head removed), Mang Cao (Artemisia Argyi Herb, 0.5 liang), Sang Gen Bai Pi (Mulberry Root Bark, 0.5 liang), Ku Shen (Sophora Root, 1 liang), Liu Zhi (Willow Branch, 2 he, sliced).
Finely slice all ingredients. Decoct in 1 dou of water until 5 sheng remain. Strain the dregs. In a wind-sheltered place, dip soft cloth into the hot decoction and apply hot compresses to the hemorrhoids.
To treat hemorrhoids with hard swelling around the anus, intolerable itching and pain, use the Emergency Compress Formula.
Ingredients: Yuan Hua (Genkwa Flower, 3 liang), Feng Hua Duan Shi (Weathered Calcined Alumen, 3 liang), Zao Tu Nei Hei Mei (Black Soot from Chimney Flue, 2 liang).
Process the above ingredients into a powder. Divide into two portions. Stir-fry each portion in a pot with vinegar. When slightly warm, wrap in cloth and apply as a compress. Replace when cool. The swelling will naturally subside, and itching and pain will cease.
Another formula.
Ingredients: Hu Fen (Lead Carbonate, 0.5 liang), Shui Yin (Mercury, 0.5 liang).
Grind the above ingredients together with date pulp until the mercury particles disappear. Shape into pills the size of lotus seeds. Wrap in cotton. At night before sleep, insert into the lower orifice (anus).
Another formula.
Ingredients: Bai Fan (Alumen, 3 fen, sliced).
Dissolve the alumen in two cups of hot urine from a young boy. Wash the hemorrhoids with this solution. Apply twice daily for efficacy.