夫痔 者。由诸痔毒瓦斯。结聚肛边。有疮或作鼠乳。或生结核。穿穴之后。疮口不合。
时有脓血。肠头肿疼。经久不瘥。故名痔 也。
治痔 。下脓血不止。香墨散方。
香墨（三分） 枳实（一两麸炒微黄） 黄 （一两锉） 代赭（一两） 当归（一两
锉微炒）
麝香（一分细研） 白芍药（三分）
上件药。捣细罗为散。入麝香。更研令匀。每于食前。以粥饮调下一钱。
治痔 。下脓血不止。臭樗皮散方。
臭樗皮（一两微炙锉） 酸石榴皮（一两） 地榆（一两锉） 黄连（一两去须） 艾
叶（三分
微炒） 阿胶（一两捣碎炒令黄燥）
上件药。捣细罗为散。每于食前。以粥饮调下二钱。
又方。
何首乌（一两） 枳壳（二两麸炒微黄去瓤） 威灵仙（一两）
上件药。捣细罗为散。每于食前。以温粥饮调下二钱。
又方。
木贼（一两） 皮（一两炙令焦黄）
上件药。捣细罗为散。每于食前。以粥饮调下一钱。
又方。
远志（一两去心） 棕榈皮（二两烧灰）
上件药。捣细罗为散。每于食前。以粥饮调下一钱。
治痔 积年不瘥。内补丸方。
黄 （三分锉） 槐耳（一两微炙） 苦参（半两锉） 白桐叶（三分） 龙骨（三分）
狸睛（
一对微炙） 漏
两） 木
香（半两） 浓朴
焦）
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每于食前。以粥饮下二十丸。
治痔 肿痛。肿脓水不绝。硫黄丸方。
硫黄（一两细研水飞过） 白矾（一两烧灰） 附子（一两炮裂去皮脐） 皂荚针（一
两烧为
灰） 麝香（一分细研） 皮（一两烧为灰） 皂荚（二两去黑皮涂酥炙黄焦去子）
上件药。捣罗为末。入麝香。研令匀。以醋煮面糊和丸。如梧桐子大。每于食前。以温
粥饮下十五丸。
治痔 疮肿疼痛。脓血不止。麝香丸方。
麝香（半两细研） 蜗牛子（二两炙令微黄） 灶突墨（二两） 道人头（二两） 汉
椒（二两
去目及闭口者微炒去汗）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服食前。以粥饮下三十丸。
治痔 。下血不止。肌体黄瘦。四肢无力。硼（ ）砂丸方。
硼（ ）砂（一两） 朱砂（一两） 黄丹（一两） 砒霜（半两）
上件药。都细研。入瓷盏子内。歇口。小火烧令烟出为度。停冷。又细研。再入火烧。
如此
丸。
治痔 。涓涓出脓血。疼痛。日夜不止。渐加羸瘦。宜服此方。
磁石（二两） 白矾（二两） 绿矾（四两）
上件药。都捣细。入瓷瓶子内盛。以大火烧令通赤。候冷。将出。纸衬摊于地上。经宿
细研如粉。煮枣瓤和丸。如绿豆大。每于食前。以粥饮下二十丸。
治痔 。脓血不绝。发歇疼痛。 皮丸方。
皮（一两烧灰） 白矾（一两烧灰） 皂荚刺（一两烧灰） 硫黄（半两细研） 附
子（半两
炮裂去皮脐） 藤子〔一分（个）去瓤（壳）〕
上件药。捣罗为末。以醋煮面糊和丸。如梧桐子大。每于食前。以温粥饮下二十丸。
治痔 肿痛。脓血不止。黄矾丸方。
黄矾（三两） 乌蛇（六两酒浸去骨皮炙令黄） 黄 （三两锉） 枳壳（二两麸炒微
黄去瓤）
骆驼胸前毛（三两半烧灰）
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。煎黄 汤下二十丸。
治一切痔 。不论浅深。必验方。
黄 （一两锉） 枳实（一两半麸炒微黄） 萆 （二两锉） 白蒺藜（三两微炒去刺）
菟丝
子（二两酒浸三日曝干别捣末） 乌蛇（三两酒浸去皮骨微炙）
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每日空心。及晚食前。以温粥
饮下十五丸。
治痔 。痛不可忍。木贼丸方。
木贼（一两） 藤子仁（二枚涂酥炙黄） 乌贼鱼骨（二两）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每服。不计时候。以温粥饮下二十丸。
治 痔久不瘥。宜服此方。
硼（ ）砂（半两） 绿青（半两） 白龙骨（一两）
上件药。捣罗为末。煮面糊和丸。如绿豆大。每于空心及晚食前。煎黄芩汤下十丸。以
瘥为度。
治痔 疼痛。肿硬不消。宜用此熏方。
莨菪子 韭子 雄黄 吴茱萸 猪牙皂荚（以上并生用） 油头发（炒焦） 驴蹄（炙
黄）
（以上各半两）
上件药。捣罗为末。黄蜡和丸。如弹子大。用小口瓶子内。烧一丸熏痔 上。日可两度
用之。
又方。
蛇床子（半两末） 荆芥（半两末） 蜗牛（三七枚）
上件药。一处烂研。涂在纸上。每发时。先用白矾热水洗痔头了。后用被褥上安药纸。
坐三两上瘥。
治痔 下脓血。有疮窍。疼痛。宜用此方。
砒霜（半两研如粉） 黄蜡（半分）
上件药。以铫子先熔蜡作汁。后入砒霜。搅和令匀。看疮口大小。捻为条子。每于发时
。用
效。
治痔 有头。肿痛。下脓血。宜用此方。
麝香（一钱细研） 雄鸽粪（一两细研）
上件药。硝黑饧二两。和 作饼子。当于疮上贴之。神效。
治痔 。脓血出不止。露蜂房散方。
露蜂房（半两炙黄） 皮（半两炙令焦黄） 麝香（一钱）
上件药。都细研令匀。每日三五度。半钱敷之。
治痔 有头。疼痛下脓血。宜用此方。
莨菪子（一合炒熟）
上捣罗为末。以牛皮胶煎汁。调和如膏。摊于帛上。贴痔 处。其痛立止。如有头。即
渐渐消落。
又方。
上用吐出蛔虫二枚。炙干。捣罗为末。贴 头上。当断脓血。贴五七度瘥。
又方。
上以硫黄末少许。纳疮孔中。以艾烟熏之瘥。
又方。
上用桃根煮汁。日二上洗之。
又方。
啄木鸟（一枚）
上烧为灰。细研。每服。以温酒调下二钱。又胆治疮虫立死。
Hemorrhoids are caused by the accumulation of various hemorrhoidal toxic qi around the anus, forming sores that may protrude like rat nipples or generate nodules. After ulceration and perforation, the wound fails to heal, occasionally discharging pus and blood, with swelling and pain in the prolapsed rectal tissue, persisting for a long time without recovery; hence they are called hemorrhoids.
For treating hemorrhoids with continuous discharge of pus and blood, Xiangmo San (Fragrant Ink Powder) formula:
Xiangmo (Fragrant Ink, 3 fen) Zhi Shi (Immature Bitter Orange, 1 liang, stir-fried with bran until slightly yellow) Huangqi (Astragali Radix, 1 liang, sliced) Daizhe (Haematitum, 1 liang) Danggui (Angelicae Sinensis Radix, 1 liang, sliced and slightly stir-fried)
Shexiang (Musk, 1 fen, finely ground) Baishao (White Peony Root, 3 fen)
The above herbs are pounded into a fine powder through a fine sieve, mixed with Shexiang (Musk), and ground evenly. Before meals, take 1 qian mixed with rice broth.
For treating hemorrhoids with continuous discharge of pus and blood, Chou Chu Pi San (Stinky Toona Bark Powder) formula:
Chou Chu Pi (Toosendan Fructus/Chun Pi, 1 liang, slightly roasted and sliced) Suan Shiliu Pi (Pomegranate Peel, 1 liang) Diyu (Sanguisorbae Radix, 1 liang, sliced) Huanglian (Coptidis Rhizoma, 1 liang, removing stamens) Aiye (Artemisiae Argyi Folium, 3 fen, slightly stir-fried) Ejiao (Donkey-hide Gelatin, 1 liang, crushed and roasted until yellow and dry)
The above herbs are pounded into a fine powder through a fine sieve. Before meals, take 2 qian mixed with rice broth.
Another prescription:
Heshouwu (Polygoni Multiflori Radix, 1 liang) Zhi Qiao (Aurantii Fructus, 2 liang, stir-fried with bran until slightly yellow, pith removed) Weilingxian (Salviae Miltiorrhizae Radix et Rhizoma/Cyperici Rhizoma - context suggests Cyperi Rhizoma usually, but Weilingxian is typically Salviae Miltiorrhizae or Saposhnikoviae Radix, here likely Saposhnikoviae Radix based on common usage in such contexts, though strictly Weilingxian is Saposhnikoviae. WHO term: Saposhnikoviae Radix) 1 liang
The above herbs are pounded into a fine powder through a fine sieve. Before meals, take 2 qian mixed with warm rice broth.
Another prescription:
Muzei (Equiseti Herba, 1 liang) Sangpi (Mori Cortex, 1 liang, roasted until scorched yellow)
The above herbs are pounded into a fine powder through a fine sieve. Before meals, take 1 qian mixed with rice broth.
Another prescription:
Yuanzhi (Polygalae Radix, 1 liang, heart removed) Zonglupi (Livistonae Folium/Palm Fiber, 2 liang, burnt to ash)
The above herbs are pounded into a fine powder through a fine sieve. Before meals, take 1 qian mixed with rice broth.
For treating hemorrhoids that have persisted for years without healing, Neibu Wan (Internal Tonification Pill) formula:
Huangqi (Astragali Radix, 3 fen, sliced) Huai'er (Fomes Officinalis/Huai Er, 1 liang, slightly roasted) Kushen (Sophorae Flavescentis Radix, 0.5 liang, sliced) Bai Tong Ye (Meliae Toosendan Folium/Bai Tong Ye, 3 fen) Longgu (Fossilia Ossis Mastodi, 3 fen) Li Jing (Cat Eye, 1 pair, slightly roasted) Loulu (Radix Euphorbiae Humifusae/Lou Lu, 1 liang - text missing character, inferred as Loulu) Muxiang (Costi Radix, 0.5 liang) Houpo (Magnoliae Officinalis Cortex, 1 liang, roasted until scorched yellow - text missing character, inferred as Houpo)
The above herbs are pounded into powder, sifted, and kneaded with refined honey for 300-500 strikes, formed into pills the size of paulownia seeds. Before meals, take 20 pills with rice broth.
For treating hemorrhoid swelling, pain, and continuous purulent discharge, Liuhuang Wan (Sulfur Pill) formula:
Liuhuang (Sulfur, 1 liang, finely ground and washed with water) Bai Fan (Alumen, 1 liang, burnt to ash) Fuzi (Aconiti Lateralis Radix Praeparata, 1 liang, processed, skin and bud removed) Zaojia Zhen (Gleditsiae Sinensis Spina, 1 liang, burnt to ash) Shexiang (Musk, 1 fen, finely ground) Sangpi (Mori Cortex, 1 liang, burnt to ash) Zaojia (Gleditsiae Sinensis Fructus, 2 liang, black skin removed, coated with butter, roasted until yellow and scorched, seeds removed)
The above herbs are pounded into powder, sifted, mixed with Shexiang (Musk), and ground evenly. Knead with vinegar-made flour paste into pills the size of paulownia seeds. Before meals, take 15 pills with warm rice broth.
For treating hemorrhoid sores with swelling, pain, and continuous pus and blood discharge, Shexiang Wan (Musk Pill) formula:
Shexiang (Musk, 0.5 liang, finely ground) Wo Niuzi (Cochlicopa/Slug Egg, 2 liang, roasted until slightly yellow) Zaotu Mo (Soot from Chimney, 2 liang) Daoren Tou (Snake Skin, 2 liang) Han Jiao (Zanthoxyli Pericarpium, 2 liang, remove eyes and closed ones, slightly stir-fried to remove oil)
The above herbs are pounded into powder, sifted, and kneaded with refined honey for 200-300 strikes, formed into pills the size of paulownia seeds. Before meals, take 30 pills with rice broth.
For treating hemorrhoids with continuous bleeding, sallow complexion, and weak limbs, Pengsha Wan (Borax Pill) formula:
Pengsha (Borax, 1 liang) Zhusha (Cinnabar, 1 liang) Huang Dan (Minium, 1 liang) Pishuang (Arsenic Trioxide, 0.5 liang)
The above herbs are all finely ground, placed in a porcelain cup, covered, and heated over low fire until smoke appears. Cool down, grind finely again, and repeat the heating process three times. Form into pills. (Text incomplete regarding pill formation details).
For treating hemorrhoids with dripping pus and blood, pain, day and night without cessation, leading to gradual emaciation, this formula is suitable:
Cishi (Magnetitum, 2 liang) Bai Fan (Alumen, 2 liang) Lüfan (Melanteritum/Vitriol, 4 liang)
The above herbs are all pounded finely, placed in a porcelain bottle, and heated over high fire until red hot. Cool down, remove, spread on paper on the ground, leave overnight, then grind finely into powder. Knead with boiled jujube pulp into pills the size of mung beans. Before meals, take 20 pills with rice broth.
For treating hemorrhoids with continuous pus and blood, intermittent pain, Sangpi Wan (Mulberry Bark Pill) formula:
Sangpi (Mori Cortex, 1 liang, burnt to ash) Bai Fan (Alumen, 1 liang, burnt to ash) Zaojia Ci (Gleditsiae Sinensis Spina, 1 liang, burnt to ash) Liuhuang (Sulfur, 0.5 liang, finely ground) Fuzi (Aconiti Lateralis Radix Praeparata, 0.5 liang, processed, skin and bud removed) Tengzi Ren (Teng Zi Kernel, 1 fen, pith and shell removed)
The above herbs are pounded into powder, sifted, and kneaded with vinegar-made flour paste into pills the size of paulownia seeds. Before meals, take 20 pills with warm rice broth.
For treating hemorrhoid swelling, pain, and continuous pus and blood discharge, Huangfan Wan (Yellow Vitriol Pill) formula:
Huangfan (Melanteritum/Rosetta Vitriol, 3 liang) Wushe (Zaocys/Dry Snake, 6 liang, soaked in wine, bones and skin removed, roasted until yellow) Huangqi (Astragali Radix, 3 liang, sliced) Zhi Qiao (Aurantii Fructus, 2 liang, stir-fried with bran until slightly yellow, pith removed)
Camel chest hair (3.5 liang, burnt to ash)
The above herbs are pounded into powder, sifted, and kneaded with refined honey for 200-300 strikes, formed into pills the size of paulownia seeds. Before meals, take 20 pills with decoction of Huangqi (Astragali Radix).
For treating all types of hemorrhoids, regardless of depth, a verified formula:
Huangqi (Astragali Radix, 1 liang, sliced) Zhi Shi (Immature Bitter Orange, 1.5 liang, stir-fried with bran until slightly yellow) Bi Xie (Dioscoreae Hypoglaucae Rhizoma, 2 liang, sliced) Bai Jili (Tribuli Fructus, 3 liang, slightly stir-fried, spines removed) Tusizi (Cuscutae Semen, 2 liang, soaked in wine for 3 days, dried, separately pounded into powder) Wushe (Zaocys/Dry Snake, 3 liang, soaked in wine, skin and bones removed, slightly roasted)
The above herbs are pounded into powder, sifted, and kneaded with refined honey for 300-500 strikes, formed into pills the size of paulownia seeds. On an empty stomach daily, and before evening meal, take 15 pills with warm rice broth.
For treating hemorrhoids with unbearable pain, Muzei Wan (Horsetail Pill) formula:
Muzei (Equiseti Herba, 1 liang) Tengzi Ren (Teng Zi Kernel, 2 pieces, coated with butter, roasted until yellow) Wuzeiyu Gu (Sepiae Endoconcha, 2 liang)
The above herbs are pounded into powder, sifted, and kneaded with refined honey into pills the size of paulownia seeds. Take at any time, 20 pills with warm rice broth.
For treating chronic hemorrhoids that do not heal, this formula is suitable:
Pengsha (Borax, 0.5 liang) Lü Qing (Chloropyrum/Green Copper Residue, 0.5 liang) Bai Longgu (Fossilia Ossis Mastodi, 1 liang)
The above herbs are pounded into powder, sifted, and kneaded with flour paste into pills the size of mung beans. On an empty stomach and before evening meal, take 10 pills with Huangqin (Scutellariae Radix) decoction, until cured.
For treating hemorrhoid pain, swelling, hardness, and non-resolution, use this fumigation formula:
Langdanzi (Daturae Semen), Jiuzi (Allii Tuberosi Semen), Xionghuang (Realgar), Wuzhuyu (Evodiae Fructus), Zhuya Zaojia (Gleditsiae Sinensis Fructus) (all raw), You Toufa (Burnt Human Hair, fried until scorched), Lv Ti (Donkey Hoof, roasted until yellow) (each 0.5 liang)
The above herbs are pounded into powder, sifted, and kneaded with yellow beeswax into pills the size of a marble. Place one pill in a small-mouthed bottle and burn it to fumigate the hemorrhoids. Use twice a day.
Another prescription:
Shechuangzi (Cnidii Fructus, 0.5 liang, powdered) Jingjie (Schizonepetae Herba, 0.5 liang, powdered) Woniu (Cochlea/Snail, 3-7 pieces)
The above herbs are mashed together, applied onto paper. At onset, first wash the hemorrhoid head with hot water containing Bai Fan (Alumen), then place the medicated paper on bedding and sit on it for 2-3 days until cured.
For treating hemorrhoids with pus and blood discharge, sores, and pain, use this formula:
Pishuang (Arsenic Trioxide, 0.5 liang, ground to powder) Huangla (Yellow Beeswax, 0.5 fen)
Melt the wax first in a pot, then add Pishuang (Arsenic Trioxide), mix evenly. Shape into strips according to the sore size. Insert into the sore at onset; effective.
For treating hemorrhoids with heads, swelling, pain, and pus/blood discharge, use this formula:
Shexiang (Musk, 1 qian, finely ground) Xiong Ge Fen (Male Pigeon Droppings, 1 liang, finely ground)
Mix with 2 liang of dark sugar syrup to form cakes. Apply directly to the sore; miraculous effect.
For treating hemorrhoids with continuous pus and blood discharge, Lufengfang San (Honeycomb Powder) formula:
Lufengfang (Vespa/Nest of Honeybee, 0.5 liang, roasted until yellow) Sangpi (Mori Cortex, 0.5 liang, roasted until scorched yellow) Shexiang (Musk, 1 qian)
The above herbs are finely ground and mixed evenly. Apply 0.5 qian externally 3-5 times daily.
For treating hemorrhoids with heads, pain, and pus/blood discharge, use this formula:
Langdanzi (Daturae Semen, 1 he, stir-fried until cooked)
Grind into powder, mix with gelatin from cow hide boiled in water to form a paste, spread on silk, and apply to the hemorrhoid site. Pain stops immediately. If there is a head, it will gradually shrink and fall off.
Another prescription:
Take 2 expelled roundworms, roast until dry, pound into powder, apply to the hemorrhoid head. It will stop pus and blood discharge. Apply 5-7 times until cured.
Another prescription:
Put a small amount of Liuhuang (Sulfur) powder into the sore hole, fumigate with mugwort smoke until cured.
Another prescription:
Boil Tao Gen (Pruni Persicae Radix) juice, wash the area twice daily.
Another prescription:
Zhuomuniao (Woodpecker, 1 piece)
Roast into ash, grind finely. Take 2 qian mixed with warm wine. Additionally, Dan (Bile) kills wound parasites instantly.