治痔漏下血疼痛。
东行椿根白皮
上为细末，醋糊和丸，如梧桐子大，每服七十丸，空心用米汤送下。
治痔 下血。
猪脏（一条，洗净，控干） 槐花（炒为末，填入脏内，两头扎定，石器内，米醋煮烂）
上捣和丸，如梧桐子大，每服五十丸，食前当归酒下。
治脏毒神效。
卷柏（生石上，高四五寸，根黄如丝细，上有黄点子，取枝焙干用） 黄 （各等分）
上为细末，每服二钱，空心米饮调服。
山里果（晒干）
上为细末，每服二钱，空心米饮调服。
脱肛之证，《难经》云∶虚实出焉。出者为虚，入者为实。肛门之脱，非虚无故然哉。
盖实则温，温则内气充，有气蓄；虚则寒，寒则内气馁而不能收。况大肠有浓薄，与肺为表
里，肺藏蕴热则闭，虚则脱，三因之论，且妇人有此疾者，产育用力过多，少儿此疾，皆因
久利，大肠虚冷所为也。肛门为大肠之候，大肠伤于寒利，而用力努 ，其气下冲，肛门脱
出也。用香附子荆芥等分，煎汤洗之，或以五倍子碾为细末，放于纸上，托入肛，缓缓揉入。
若或长久，男子变成肠风痔漏，肠出不收，至于出数寸者，以五倍子朴硝等分，煎汤洗之，
亦用木贼烧灰，不令烟尽，入麝香少许，大便了，贴少许，效。又有久痢脏虚，皆能令人肛
门突出。有肠头作痒，即腹中有虫，丈夫由此，酒色过度。大肠者，传道之官，肾者，作强
之官，盖肾虚而泄，母气因肺虚，是以大肠气无所主，故自肛脱。治法实原气去蕴热之剂，
外用前药洗之，医治无不愈矣。
To treat hemorrhoids, fistulas, bleeding, and pain.
*Radix Toosendan* (specifically the white bark of the trunk growing towards the east)
Grind the above material into a fine powder, mix with vinegar paste to form pills the size of *Koelreuteria paniculata* seeds. Take seventy pills per dose, administered on an empty stomach with rice soup.
To treat hemorrhoidal bleeding.
Pig intestine (one piece, washed clean and drained) *Flos Sophorae* (Styphnolobii Flos) (stir-fried and ground into powder, stuffed into the intestine, both ends tied securely, boiled until soft in a stone vessel with rice vinegar)
Mash and mix the above materials to form pills the size of *Koelreuteria paniculata* seeds. Take fifty pills per dose, administered before meals with *Danggui* wine.
For the miraculous treatment of *Zangdu* (a TCM disease pattern referring to toxic heat-dampness accumulating in the intestines).
*Selaginella tamariscina* (Grown on rocks, four to five cun high, roots yellow and thread-like, with yellow spots on branches; use dried branches) *Astragali Radix* (Huangqi) (equal parts)
Grind the above materials into a fine powder. Take two qian per dose, mixed with rice drink on an empty stomach.
*Shanliguo* (dried)
Grind the above material into a fine powder. Take two qian per dose, mixed with rice drink on an empty stomach.
Regarding the syndrome of rectal prolapse, *Nan Jing* states: it arises from deficiency and excess. Prolapse outward indicates deficiency; retraction inward indicates excess. Is the prolapse of the anus not caused by deficiency without reason?
Generally, excess patterns manifest as warmth; warmth implies sufficient internal Qi and Qi accumulation. Deficiency patterns manifest as cold; cold implies depleted internal Qi unable to retain. Furthermore, the Large Intestine may contain pus or be thin, and it is exterior-interior related to the Lung. If the Lung harbors latent heat, constipation results; if the Lung is deficient, prolapse occurs. According to the theory of Three Causes (internal, external, and non-external), women suffering from this condition often do so due to excessive exertion during childbirth. Children suffer from this due to chronic diarrhea/dysentery, resulting from Cold-deficiency of the Large Intestine. The anus is the manifestation of the Large Intestine. When the Large Intestine is injured by Cold-diarrhea and strain is applied, Qi rushes downward, causing the anus to prolapse. Wash the area with a decoction of equal parts *Cyperi Rhizoma* (Xiangfu) and *Schizonepetae Herba* (Jingjie). Alternatively, grind *Agrimoniae Herba* (Wubeizi) into a fine powder, place it on paper, insert it into the anus, and gently massage it in. If the condition persists for a long time, men may develop *Changfeng* (intestinal wind) and hemorrhoidal fistulas, with the anal verge protruding and unable to retract, even extending several cun. Wash with a decoction of equal parts *Agrimoniae Herba* (Wubeizi) and *Natrii Sulfas* (Puxiao). Also, burn *Equiseti Herba* (Muzei) to ash (without letting the smoke completely dissipate), add a small amount of *Moschus* (Shexiang), and apply a small amount after defecation; this is effective. Chronic dysentery leading to Zang-Fu deficiency can also cause anal protrusion. Itching at the anal verge indicates intestinal parasites; in men, this is often due to excessive alcohol and sexual indulgence. The Large Intestine is the official of transmission and transformation; the Kidney is the official of strength and vigor. Generally, Kidney deficiency leads to leakage, and maternal Qi (Lung Qi) is deficient due to Lung weakness, leaving the Qi of the Large Intestine without mastery, thus causing spontaneous anal prolapse. The treatment method involves using formulas that tonify Yuan Qi and clear latent heat, combined with washing externally with the aforementioned herbs. Medical treatment will invariably result in recovery.