《巢氏病源》小儿寒淋候∶寒淋者，其病状，先寒颤，然后尿是也。小儿取冷过度，下焦受之，冷气入胞，
与正气交争，寒气胜则颤寒，正气胜则颤寒解，故得小便也。
《集验方》治小便寒淋不禁。
赤茯苓 肉桂（各半两。去皮）
上为末，用稀糊丸如绿豆大。每服五十丸，熟水下，不拘时候。儿小量之。
宋义叔和参八味丸 治阴虚小便难并寒淋方。
熟干地黄（八两） 山药 山茱萸（各四两） 泽泻 赤茯苓 牡丹皮（各三两） 桂（去皮） 附子 元参 赤
芍药（各二两）
上末之，炼蜜丸桐子大。每服三十丸，煎赤茯苓汤下，日二。儿小者，丸如绿豆大。每服量大小十丸、二
十丸。
《巢氏病源》痔候∶痔有牡痔、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
有虚损而患痔，止是大便有血出，肠内有结热故也。
《圣惠》治小儿痔疾，肛边生结核，疼痛寒热。鳖甲散方
鳖甲（涂醋炙令黄，去裙 ） 皮（炙令黄。各一两） 蛇蜕皮（烧灰） 槟榔（各三分） 露蜂房（半两，微
炙） 麝香（一分，细研） 猪悬蹄甲（七枚，炙令焦）
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。量儿大小加减服之。
《圣惠》治小儿久不瘥痔疾，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（一两，麸炒
微黄，去瓤）
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。
《圣惠》治小儿痔疾下血无时。 藤子散方
藤子（一枚，去壳微炙） 牛角 （灰，一两） 皂荚子（一百枚，与 藤子瓤同以酥炒令黄） 醋石榴皮（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。
《圣惠》治小儿痔疾结硬， 痛不止。龟甲散方
龟甲（二两，涂醋炙令黄） 蛇蜕皮（烧灰） 猪后悬蹄甲（微炙焦。各一两） 露蜂房（半两，微炙） 麝香（一
分，细研）
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、四服。量儿大小加减服之。
《圣惠》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。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。
《圣惠》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。
《圣惠》治小儿痔疾下血不止。鸡冠花散方
鸡冠花（焙令香） 羌活（各一两） 棕榈（一两，烧灰）
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。
《圣惠》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。
《圣惠》治小儿痔疾下血，发歇不定方。
荆芥 枳壳（麸炒，微黄去瓤） 薄荷（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。
《圣惠》治小儿痔疾痛不可忍。木贼丸方
木贼（一两） 藤子（二枚，去壳，涂醋炙黄） 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。
《圣惠》治小儿痔疾疼痛，肿硬不消，宜用坐药方
蛇床子 荆芥（各末。半两） 蜗牛（二七枚）
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，坐三两上，瘥。
《圣惠》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。
《圣惠》治小儿痔，下血不止，肛边生鼠乳，疼痛。榉树茵子丸方
榉树茵子 黄牛角 （炙。各一两） 葫荽子（一合） 虾蟆 鳗鲡鱼头（各一枚。炙令黄）
上件药捣，罗为末，以水煎白胶香和丸，如弹子大。用瓶内如装香法，烧一丸，熏下部瘥。
《圣惠》治小儿痔疾，下部痒闷。熨药方
枳实（二两，炙炒微黄） 鬼箭羽 木香 鬼柏（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。
《圣惠》治小儿痔疾，鼠乳生肛边。烦热，疼痛。槐子丸方
槐子（微炒） 黄芩（各一两） 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。量儿大小加减服之。
《圣惠》治小儿肠痔，下血不止方
上用 藤子三枚，大者以七八重湿纸裹煨，良久胀起，取去壳用肉，细切碾罗为散。每服以黄 汤调下半
钱，量儿大小加减服之。
《圣惠》又方
上用牛角 二两，炙令黄焦，捣、细罗为散，每于食前，以温酒调下半钱。量儿大小加减服之。
《圣惠》又方
上细锉， 皮一枚，于瓶内烧烟，熏痔上瘥。
张涣治小儿痔疾，皆由劳伤过度，损动血气，其里有虫，甚微难见。 皮散方
皮（烧灰） 鳖甲（涂醋炙黄，去裙 ） 蛇蜕皮（烧灰。各一两） 露蜂房（半两，微炙）
以上捣，罗为细末，次入麝香（一分）。
上件同拌匀。每服半钱，米饮调下。量儿大小加减。
张涣又方棕榈散
棕榈（烧灰） 荆芥（去枝梗） 侧柏（炙黄。各一两） 牛膝 枳壳 黄 （各半两）
上捣，罗为细末。每服半钱，米饮调下，乳食前。
《王氏手集》治肠风下血，或成痔疾。乌金散方
槐花（银石器干炒紫色，秤一两） 枳壳（面炒，去瓤，秤二分） 荆芥穗（去皮梗，秤半两）
上件捣，罗为细末。每服一钱，米饮调下，儿小半钱。
长沙医者丁时发传治小儿痔疾下血，大腹疼痛。 皮散方
皮（炙） 枳壳（麸炒） 当归 槐花（微炙） 木贼（各一两）
上件为末。每服半钱，用米饮调下，一日三服。
According to *Chao Shi Bing Yuan* (Pathogenesis of Diseases by Master Chao) regarding the syndrome of cold lin in children: Cold lin is characterized by symptoms that begin with chills and trembling, followed by urination. This occurs because children have overexposed themselves to cold, allowing pathogenic cold to invade the lower jiao (lower burner). The cold qi enters the bladder (urinary bladder) and contends with the body's righteous qi. When the cold pathogen prevails, chills and trembling occur; when the righteous qi prevails, the chills subside, allowing for normal urination.
*Ji Yan Fang* (Collected Proven Prescriptions) treats uncontrollable cold lin with frequent urination.
Ingredients: Chi Fu Ling (Polyporus), Rou Gui (Cinnamon Bark) (each 0.5 liang, peeled).
Preparation: Grind the above ingredients into fine powder. Use thin rice paste to form pills the size of mung beans.
Administration: Take 50 pills each time, swallowed with warm water, at any time. Adjust dosage for younger children.
Song Yi Shu He Can Ba Wei Wan (Eight-Ingredient Pill with Ginseng from Song Yi Shu He): Treats difficulty in urination due to yin deficiency and cold lin.
Ingredients: Shu Gan Di Huang (Prepared Rehmannia Root) (8 liang), Shan Yao (Chinese Yam), Shan Zhu Yu (Cornus Fruit) (each 4 liang), Ze Xie (Alisma Rhizome), Chi Fu Ling (Polyporus), Mu Dan Pi (Moutan Cortex) (each 3 liang), Gui Zhi (Cinnamon Twig, peeled), Fu Zi (Aconite Lateral Root), Yuan Shen (Scrophularia Root), Chi Shao Yao (Red Peony Root) (each 2 liang).
Preparation: Grind the above ingredients into fine powder. Mix with refined honey to form pills the size of paulownia seeds.
Administration: Take 30 pills each time, swallowed with decoction of Chi Fu Ling. Twice daily. For younger children, make pills the size of mung beans. Take 10 or 20 pills based on age and size.
According to *Chao Shi Bing Yuan* regarding hemorrhoids: Hemorrhoids are classified into six types: Mu Zhi (male hemorrhoid), Pin Zhi (female hemorrhoid), Mai Zhi (vascular hemorrhoid), Chang Zhi (intestinal hemorrhoid), Xue Zhi (blood hemorrhoid), and Jiu Zhi (alcohol hemorrhoid). These conditions arise from excessive labor causing damage to qi and blood. Children rarely suffer from hemorrhoids due to deficiency; if they present with blood in the stool, it is due to accumulated heat in the intestines.
*Tai Ping Sheng Hui Fang* (Imperial Grace Formulas of the Taiping Era) treats pediatric hemorrhoids with nodules around the anus, accompanied by pain, chills, and fever. Bie Jia San (Turtle Shell Powder).
Ingredients: Bie Jia (Turtle Carapace, coated with vinegar and roasted until yellow, remove skirt), [Missing Character] Pi (Roasted until yellow, each 1 liang), She Tui Pi (Snake Slough, burnt to ash), Bing Lang (Areca Seed) (each 3 fen), Lu Feng Fang (Honeycomb, 0.5 liang, lightly roasted), She Xiang (Musk, 1 fen, finely ground), Zhu Xuan Ti Jia (Pig Suspended Hoof Nail, 7 pieces, roasted until charred).
Preparation: Pound the above ingredients, sieve into fine powder, add Musk, and grind uniformly.
Administration: Take half a qian before meals, mixed with rice drink. Adjust dosage according to the child's age.
*Tai Ping Sheng Hui Fang* treats chronic pediatric hemorrhoids with itching and pain around the anus. Sang Er Mu San (Mulberry Ear Powder).
Ingredients: Sang Er Mu (Fungus on Mulberry Tree, lightly stir-fried), Huai Er (Fungus on Locust Tree, lightly roasted), [Missing Character] Pi (Roasted until yellow), Dang Gui (Angelica Sinensis, chopped, lightly stir-fried), Qiang Huo (Notopterygium Rhizome) (each 0.5 liang), Zhi Ke (Bitter Orange, bran-roasted until slightly yellow, remove pith) (1 liang).
Preparation: Pound the above ingredients, sieve into fine powder.
Administration: Take half a qian mixed with rice drink, three to four times daily. Adjust dosage according to the child's age.
*Tai Ping Sheng Hui Fang* treats intermittent bleeding from pediatric hemorrhoids. Fei Teng Zi San (Fei Nut Powder).
Ingredients: [Missing Character] Fei Teng Zi (One piece, shell removed, lightly roasted), Niu Jiao [Xie/Jian] (Cow Horn [Shavings/Tips], burnt to ash, 1 liang), Zao Jia Zi (Gleditsia Seed) (100 pieces, stir-fried with su and the pulp of Fei Teng Zi until yellow), Cu Shi Liu Pi (Vinegar-treated Pomegranate Peel, burnt to ash, 0.5 liang).
Preparation: Pound the above ingredients, sieve into fine powder.
Administration: Take half a qian mixed with warm wine, three to four times daily. Adjust dosage according to the child's age.
*Tai Ping Sheng Hui Fang* treats hard, painful nodules in pediatric hemorrhoids that do not cease. Gui Jia San (Tortoise Plastron Powder).
Ingredients: Gui Jia (Tortoise Plastron, 2 liang, coated with vinegar and roasted until yellow), She Tui Pi (Snake Slough, burnt to ash), Zhu Hou Xuan Ti Jia (Pig Posterior Suspended Hoof Nail, lightly roasted until charred, each 1 liang), Lu Feng Fang (Honeycomb, 0.5 liang, lightly roasted), She Xiang (Musk, 1 fen, finely ground).
Preparation: Pound the above ingredients, sieve into fine powder, add Musk, and grind uniformly.
Administration: Take half a qian mixed with warm wine, three to four times daily. Adjust dosage according to the child's age.
*Tai Ping Sheng Hui Fang* treats persistent bleeding from pediatric hemorrhoids caused by flowing heat-toxin, resulting in paroxysmal pain. Huai E San (Huai Goose Powder).
Ingredients: Huai E, Ce Bai (Roasted until slightly yellow), Jing Jie Sui (Schizonepeta Spike), Zong Lv (Burnt to ash), Huang Niu Jiao [Xie/Jian] (Yellow Cow Horn [Shavings/Tips], burnt to ash), Niu Xi (Achyranthes Root, remove sprouts, each 0.5 liang).
Preparation: Pound the above ingredients, sieve into fine powder.
Administration: Take half a qian mixed with rice drink, three to four times daily. Adjust dosage according to the child's age.
*Tai Ping Sheng Hui Fang* treats pediatric hemorrhoids with bleeding and pain in the large intestine. [Certain] Pi San ([Certain] Bark Powder).
Ingredients: [Certain] Pi (Roasted until yellow), Zhi Ke (Bitter Orange, bran-roasted until slightly yellow, remove pith), Mu Zei (Equisetum), Dang Gui (Angelica Sinensis, chopped, lightly stir-fried), Huai E (lightly roasted, each 1 liang).
Preparation: Pound the above ingredients, sieve into fine powder.
Administration: Take half a qian mixed with rice drink, three to four times daily. Adjust dosage according to the child's age.
*Tai Ping Sheng Hui Fang* treats persistent bleeding from pediatric hemorrhoids. Ji Guan Hua San (Cockscomb Flower Powder).
Ingredients: Ji Guan Hua (Cockscomb Flower, baked until fragrant), Qiang Huo (Notopterygium Rhizome) (each 1 liang), Zong Lv (Palmae Fructus, 1 liang, burnt to ash).
Preparation: Pound the above ingredients, sieve into fine powder.
Administration: Take half a qian mixed with rice drink, three to four times daily. Adjust dosage according to the child's age.
*Tai Ping Sheng Hui Fang* treats persistent bleeding from pediatric hemorrhoids. Huang [Qi] San (Astragalus Powder).
Ingredients: Huang [Qi] (Astragalus Root, chopped), Zhi Ke (Bitter Orange, bran-roasted until slightly yellow, remove pith), Ce Bai Ye (Biota Leaf, roasted until slightly red, chopped, each 1 liang).
Preparation: Pound the above ingredients, sieve into fine powder.
Administration: Take half a qian mixed with rice drink, three to four times daily. Adjust dosage according to the child's age.
*Tai Ping Sheng Hui Fang* treats irregular bleeding from pediatric hemorrhoids.
Ingredients: Jing Jie (Schizonepeta), Zhi Ke (Bitter Orange, bran-roasted until slightly yellow, remove pith), Bo He (Mint) (each 1 liang).
Preparation: Pound the above ingredients, sieve into fine powder.
Administration: Take half a qian mixed with rice drink, three to four times daily. Adjust dosage according to the child's age.
*Tai Ping Sheng Hui Fang* treats unbearable pain from pediatric hemorrhoids. Mu Zei Wan (Equisetum Pill).
Ingredients: Mu Zei (Equisetum, 1 liang), [Fei] Teng Zi (Fei Nut, 2 pieces, shell removed, coated with vinegar and roasted until yellow), Wu Zei Yu Gu (Cuttlebone, 2 liang).
Preparation: Pound the above ingredients, sieve into powder. Mix with refined honey to form pills the size of mung beans.
Administration: Take 5 pills with warm water at any time. Adjust dosage according to the child's age.
*Tai Ping Sheng Hui Fang* treats painful, swollen, and indurated pediatric hemorrhoids using a sitz bath preparation.
Ingredients: She Chuang Zi (Cnidium Fruit), Jing Jie (Schizonepeta) (each ground into powder, 0.5 liang), Wo Niu (Snail, 14 pieces).
Preparation: Pound and grind the above ingredients thoroughly, spread onto paper.
Administration: At onset, wash the hemorrhoid area with hot water containing Bai Fan (Alum). Place the medicated paper on bedding and sit upon it for approximately three hours until healed.
*Tai Ping Sheng Hui Fang* treats pediatric hemorrhoids growing near the anus resembling mouse teats, forming sores with severe pain. Chuan Shan Jia San (Pangolin Scale Powder).
Ingredients: Chuan Shan Jia (Pangolin Scale, 2 liang, roasted until yellow), She Xiang (Musk, 0.5 fen, finely ground).
Preparation: Pound and grind the above ingredients until uniform and fine.
Administration: Take half a qian before meals, mixed with decoction of Huang [Qi]. Adjust dosage according to the child's age.
*Tai Ping Sheng Hui Fang* treats pediatric hemorrhoids with persistent bleeding, mouse-teat-like growths near the anus, and pain. Ju Shu Yin Zi Wan (Zelkova Seed Pill).
Ingredients: Ju Shu Yin Zi (Zelkova Seed), Huang Niu Jiao [Xie/Jian] (Yellow Cow Horn [Shavings/Tips], roasted, each 1 liang), Hu Sui Zi (Coriander Seed, 1 he), Xia Ma (Toad), Man Li Yu Tou (Eel Head) (each 1 piece, roasted until yellow).
Preparation: Pound the above ingredients, sieve into powder. Decoct white rosin (Bai Jiao Xiang) in water and mix with the powder to form pills the size of a marble.
Administration: Like incense, burn one pill in a bottle and fumigate the affected area until healed.
*Tai Ping Sheng Hui Fang* treats pediatric hemorrhoids with itching and stifling sensation in the lower part. Iron Medicine Preparation.
Ingredients: Zhi Shi (Immature Bitter Orange, 2 liang, roasted until slightly yellow), Gui Jian Yu (Arrowwood), Mu Xiang (Costus Root), Gui Bai (Cypress Leaf) (each 1 liang).
Preparation: Pound the above ingredients, coarsely sieve into powder. Mix with aged vinegar, stir-fry until hot, wrap in blue cloth, and apply as a hot compress. Use twice daily.
*Tai Ping Sheng Hui Fang* treats pediatric hemorrhoids with mouse-teat-like growths near the anus, accompanied by irritability, heat, and pain. Huai Zi Wan (Locust Seed Pill).
Ingredients: Huai Zi (Locust Seed, lightly stir-fried), Huang Qin (Scutellaria Root) (each 1 liang), [Fei] Teng Zi (Fei Nut, 2 pieces, shell removed, roasted until yellow).
Preparation: Pound the above ingredients, sieve into powder. Soak in water, mix with steamed bread dough to form pills the size of mung beans.
Administration: Take 5 pills with Sang Er Tang (Mulberry Ear Decoction), three to four times daily. Adjust dosage according to the child's age.
*Tai Ping Sheng Hui Fang* treats intestinal hemorrhoids with persistent bleeding.
Usage: Take 3 [Fei] Teng Zi. Wrap larger ones in 7-8 layers of wet paper and roast until swollen. Remove shell, use the flesh, chop finely, and sieve into powder. Take half a qian mixed with Huang [Qi] decoction. Adjust dosage according to the child's age.
*Tai Ping Sheng Hui Fang* Another Formula.
Usage: Take 2 liang of Niu Jiao [Xie/Jian] (Cow Horn [Shavings/Tips]), roast until charred, pound, and sieve into fine powder. Take half a qian mixed with warm wine before meals. Adjust dosage according to the child's age.
*Tai Ping Sheng Hui Fang* Another Formula.
Usage: Finely chop [Certain] Pi (1 piece), place in a bottle, burn to produce smoke, and fumigate the hemorrhoid until healed.
Zhang Huan treats pediatric hemorrhoids, attributing them to excessive labor damaging qi and blood, with microscopic worms inside that are difficult to see. [Certain] Pi San ([Certain] Bark Powder).
Ingredients: [Certain] Pi (Burnt to ash), Bie Jia (Turtle Carapace, coated with vinegar and roasted until yellow, remove skirt), She Tui Pi (Snake Slough, burnt to ash, each 1 liang), Lu Feng Fang (Honeycomb, 0.5 liang, lightly roasted).
Preparation: Pound the above ingredients, sieve into fine powder, then add She Xiang (Musk, 1 fen).
Administration: Mix well. Take half a qian mixed with rice drink. Adjust dosage according to the child's age.
Zhang Huan Another Formula: Zong Lv San (Palmae Fructus Powder).
Ingredients: Zong Lv (Palmae Fructus, burnt to ash), Jing Jie (Schizonepeta, remove stems), Ce Bai (Biota Leaf, roasted until yellow, each 1 liang), Niu Xi (Achyranthes Root), Zhi Ke (Bitter Orange), Huang [Qi] (Astragalus Root) (each 0.5 liang).
Preparation: Pound the above ingredients, sieve into fine powder.
Administration: Take half a qian mixed with rice drink before milk or food.
*Wang Shi Shou Ji* (Wang Family Manual Collection) treats intestinal wind with bleeding or formed hemorrhoids. Wu Jin San (Black Gold Powder).
Ingredients: Huai Hua (Sophora Flower, dry-roasted in silver/ceramic vessel until purple, weigh 1 liang), Zhi Ke (Bitter Orange, flour-roasted, remove pith, weigh 2 fen), Jing Jie Sui (Schizonepeta Spike, remove skin and stems, weigh 0.5 liang).
Preparation: Pound the above ingredients, sieve into fine powder.
Administration: Take 1 qian mixed with rice drink; take half a qian for young children.
Ding Shifa, a physician from Changsha, transmitted a formula for pediatric hemorrhoids with bleeding and abdominal pain. [Certain] Pi San ([Certain] Bark Powder).
Ingredients: [Certain] Pi (Roasted), Zhi Ke (Bitter Orange, bran-roasted), Dang Gui (Angelica Sinensis), Huai Hua (Sophora Flower, lightly roasted), Mu Zei (Equisetum) (each 1 liang).
Preparation: Grind the above ingredients into powder.
Administration: Take half a qian mixed with rice drink, three times daily.