地榆（四两） 甘草（一两半） 缩砂仁（四、七枚）
上为粗末，每服三钱。水一盏，煎至七分，去滓，空心温服。
治荣卫气虚，风邪冷气进袭脏腑之内，或食生冷、或啖炙 ，或饮酒过度，积热肠间，
致使脾虚弱，糟粕不聚，大便鲜血，脐腹疼痛，里急后重，或肛门脱出，或久患酒痢，大便
频并，并皆治之。
败棕（烧） 木馒头（烧） 乌梅（去核） 粉草（炙，各等分）
上为细末，每服二钱。水一盏，煎至七分，空心温服。
仆尝治一妇人，便血不止，用煮附丸加五灵脂效。（方见第一卷）
夫妇人痔 者，皆由酒、色、气、风、食及劳伤经络，其血渗而成之。亦有长年久坐而
成者。其痔有五种∶肛边疮如乳，出于外，时出脓血者，为牡痔也；肛边肿，生疮而出血者
，为牝痔也；肛边生疮，痒而复痛者，为脉痔也；肛边肿，核痛，发寒热而出血者，为肠痔
也；因便转而清血随出者，为血痔也。治之各有方。
治妇人五种痔疾。
鳖甲 露蜂房 蛇蜕 皮 猪后悬蹄甲（五味烧存性，各二分） 麝香（一分）
上各研为细末，和药令停，每服一钱。空心，用生干地黄煎汤调下。若肛门有窍肿痛，
敷之即愈。忌苋菜。
《局方》钓肠丸、黑玉丹，服之皆验。
仆尝治一妇人，久病心焦多怒，遂成痔疾，状如连子、热肿而痛，遂用熊胆入梅花脑子
并研，更用猪胆汁调开涂痔立愈。（方出张氏方）
又方∶疗痔热肿痛。（邬解元方）
蛞蝓大者一、二条（江西名蜒蚰，湖北名石夹子，广州名鼻涕虫）
研令烂，入研了龙脑一字，坯子半钱。研令停，敷之愈。先以石薜荔煮水，熏洗尤妙。
（五羊大师赵尚书上汝下暨云∶母夫人病此，只用蛞蝓与京墨研涂，亦效）
Radix Sanguisorbae (Siyu, four liang) Radix Glycyrrhizae Preparata (Gancao, one and a half liang) Fructus Amomi Rotundus (Suosharen, four to seven pods)
The above ingredients are crushed into coarse powder. Each dose is three qian. Add one zhan of water, decoct until reduced to seven-tenths, remove the dregs, and take warm on an empty stomach.
It treats deficiency of Ying and Wei Qi (Nutritive and Defensive Qi), where wind-cold pathogenic factors invade the interior of the Zang-Fu organs. This may be caused by consuming raw or cold foods, eating roasted/grilled foods, or excessive alcohol consumption, leading to accumulated heat in the intestines. This causes Spleen deficiency, failure of waste materials to consolidate, bright red blood in the stool, pain in the umbilical and abdominal regions, tenesmus (a feeling of incomplete defecation with urgency), prolapse of the anus, chronic dysentery due to alcohol (Jiu Li), and frequent bowel movements. All these conditions can be treated with this formula.
Charred Palm Fiber (Baizhong, charred) Charred Ficus Hirta Fruit (Mumantou, charred) Dried Plum (Wumei, pitted) Charred Licorice Root (Fengcao, charred, equal parts)
The above ingredients are ground into fine powder. Each dose is two qian. Add one zhan of water, decoct until reduced to seven-tenths, and take warm on an empty stomach.
I once treated a woman with continuous hematochezia (blood in stool). Using Zhufu Wan (Boiled Aconite Pill) added with Lingzhi (Trogopterus Dung), it was effective. (See Volume 1 for the formula.)
Hemorrhoids in women are all caused by wine, sexual indulgence, anger, wind pathogens, diet, and labor injuring the meridians and collaterals, causing blood to seep out and form hemorrhoids. Some also develop from prolonged sitting over many years. There are five types of hemorrhoids: sores like papillae appearing outside the anal verge, discharging pus and blood occasionally, are called Mu Hemorrhoids; swelling at the anal verge with sores and bleeding, are called Pin Hemorrhoids; sores at the anal verge that itch then hurt, are called Mai Hemorrhoids; swelling at the anal verge with nodular pain, accompanied by chills and fever and bleeding, are called Chang Hemorrhoids; clear blood flowing out with stool due to straining during defecation, are called Xue Hemorrhoids. Each type has its specific treatment formula.
To treat the five types of hemorrhoidal diseases in women.
Carapax et Plastrum Testudinis (Biejia) Nidus Vespae (Lufengfang) Exuviae Bombycis (Shetui) Unguis Porci Suspensio Posterior (Zhu Hou Xuanti Jia) [These five ingredients are charred but retain their properties, each two fen] Moschus (Shexiang, one fen)
Each ingredient is ground into fine powder and mixed evenly. Each dose is one qian. Take on an empty stomach, administered with a decoction of Radix Rehmanniae Preparata (Sheng Gan Dihuang). If there are painful swellings with openings in the anus, topical application will cure it. Avoid eating amaranth.
Diaochang Wan (Hook Intestine Pill) and Heiyu Dan (Black Jade Pill) from Ju Fang (Formulas of the Imperial Medical Bureau) are both effective when taken.
I once treated a woman who suffered from long-term illness, irritability, and anger, which led to hemorrhoids resembling "Lianzi" fruits, with hot swelling and pain. I used Bear Bile (Xiong Dan) and Borneolum Syntheticum (Meihua Nao/Bingpian) ground together, mixed with Pig Bile (Zhudan Zhi), and applied it to the hemorrhoids, resulting in immediate cure. (From Zhang's Formulas)
Another formula: To treat hemorrhoids with heat, swelling, and pain. (Formula of Scholar Wu)
Large Slugs (Kuo Yu) one or two pieces (Known as Yanyou in Jiangxi, Shijiazi in Hubei, Bibichong in Guangzhou)
Grind until smooth/paste-like. Add one zi amount of ground Borneolum Syntheticum (Longnao) and Ban Pi Zi (Banpi) half a qian. Grind evenly and apply topically to cure. It is especially excellent to first fumigate and wash the area with water boiled from Ficus tikoua Bur. (Master Zhao Shangshu of Wuyang said: His mother suffered from this condition, and using only slugs and Jingmo (Beijing Inkstick) ground and applied was also effective.)