(附论)
夫气痔者。以便下血。或肛头肿凸。良久乃收。风也。皆由邪毒瓦斯蕴积肠间。及患怒不
节。酒食过伤。令下部气涩壅结而成。
乌蛇黄 丸
治气痔。大便闭涩。下血脱肛。
乌蛇(酒浸炙取肉五两) 黄 (一两半) 大黄(锉) 大麻子仁(炒各二两) 独
活(去芦头)
一两半) 羚羊角(
酒下二十丸。以利为度
续断丸(出圣惠方)
治气痔下血。肛门疼痛。
续断(一两) 皂角子仁(一两炒黄) 黄 (一两锉) 皮(一两炙令黄) 熟干
地黄(二两)
甲(一两炙令黄) 枳
为细末。炼蜜丸梧桐子大。
每于食前。煎丹参汤送下三十丸。
橘皮汤(出直指方)
治气痔。
橘皮 枳壳(炒) 川芎 槐花(炒各半两) 槟榔 广木香 桃仁(浸去皮炒) 紫
苏茎叶 香
服。
皮散
治气痔。下部疼痛生疮。脱肛不收。
黄 散
治大肠热。结成气痔。
黄 (锉二两半) 苦参 玄参(各三两) 附子(炮裂去皮脐一两半) 大黄(锉炒
一两半) 干
(一具烧焦) 上为细末
黄 汤
治大肠风壅。积滞不利。变成气痔疼痛。
黄 (锉半两) 当归(切焙) 大黄(锉焙) 槟榔(煨锉各一两) 枳壳(炒) 防
己木香 黄
桃仁散(出圣惠方)
治气痔脱肛。肠胃久冷。腹胁虚胀。不思饮食。
桃仁(一两汤浸去皮尖炒微黄) 陈橘皮(一两汤浸去白皮瓤焙) 桂心(一两) 浓
朴(一两去
皂荚仁(二两炒
荆枳汤(出直指方)
治气滞发痔。
荆芥穗 枳壳(炒) 槐花 紫苏茎叶 香附草 上等分为末。每服二钱。米汤调下。
当归散(出圣惠方)
治痔气。肛肠疼痛。
当归(三分锉微炒) 木香(半两) 桂心(三分) 枳壳(三分麸炒微黄去瓤) 附
子(半两炮裂
槐豆散
治五痔下鲜血。多秘结。疼痛成气痔者。
槐豆(炒二两) 皂荚子仁(三分炒) 枳壳(去瓤麸炒) 防风(去) 桑耳(各一
两) 上为细末
硫黄丸(出圣惠方)
治大肠积冷。气痔不瘥。大肠结涩疼痛。胸胁胀满。
硫黄(一两细研) 猪牙皂角(半两炙令黄赤色) 川大黄(一两锉碎研) 木香(一
两) 桃仁(
前粥饮下二十
诃黎勒丸(出圣惠方)
治气痔。下血疼痛不止。
诃黎勒(一两煨用皮) 槐子仁(二两微炒) 当归(一两锉微炒) 干姜(一两锉炮
制) 陈橘皮
以枳壳汤下二十
威灵仙丸
治气痔。治大便滞。
威灵仙(去土) 乳香(研) 枳壳(去瓤麸炒各一两) 上为细末。粟米和丸。梧桐
子大。每服
卷柏散
治因气成痔 。
卷柏 枳壳(去瓤麸炒) 猪牙皂角(各一两) 上入小藏瓶内。以盐泥固济。慢火烧
透入。去
酒送下。
皮散
治气痔。
皮(一枚烧焦) 桂(去粗皮一两) 磁石(烧灰醋浸十次四两) 上为细末。每于
食前空心米
熏熨方
治气痔脱肛。
枳壳(去瓤麸炒) 防风(去叉各一两) 白矾(熬令汁尽枯一分研) 上除白矾外。
捣为粗末。
神效散(出圣惠方)
治气痔。
槐鹅(一两锉微末炒) 皂荚子仁(半两微炒) 丁香(半两) 上为细末。每于食前。
以粥饮调
治气痔下血。肛边疼痛。(出圣惠方)
夜合叶(二两干者) 枳壳(二两麸炒微黄去瓤) 诃黎勒(煨二两用皮) 上为细末。
每于食前
又方(出圣惠方)
鸡冠花(二两) 枳壳(麸炒微黄去瓤) 臭椿树皮(二两微炒) 上为细末。炼蜜丸
梧桐子大。
圣功丸(一名鸡冠丸)
治气痔。下血。肛边疼痛。
(方见大肠门肠风下血类)(案原方∶鸡冠花。椿根皮各等分。上为末。炼蜜丸。梧桐
子大。
白矾丸
治气痔下血。
必效丸
治气痔脱肛不收。或生乳。时时血出。久不瘥者。
糁药方
治气痔脱肛。良久乃收。
海螵蛸(研) 染胭脂(研各半两) 上为末。同研匀。先以汤洗。略拭干。糁药少许。
治气痔下血。肛边疼痛。(出圣惠方)
硫黄(一两细研) 木香(一两末) 上为细末。令匀。每服食前。以粥饮调下一钱。
又方(出圣惠方)
地榆(一两锉) 槟榔(一两) 上为细末。每于食前。以粥饮调下一钱。
又方(出圣惠方)
槐木耳(二两微炒) 干姜(一两炮制锉) 上 咀。每服三钱。以浆水一钟。煎至六
分。去
又方(出圣惠方)
槐壳树(一两锉微炒) 槐花(一两微炒) 上为细末。每于食前。以粥饮调下一钱。
治气痔
以鲮鲤甲烧一两存性。肉豆蔻仁三个。同为末。米饮调下二钱服。脓血甚者。加
皮一两烧
[Attached Discussion]
Qi hemorrhoids (Hemorrhoids caused by Qi stagnation) are characterized by bleeding during defecation or protrusion of anal masses that take a long time to retract. This is attributed to Wind pathogen. The etiology involves the accumulation and retention of evil toxins and vapors within the intestines, combined with uncontrolled anger and excessive consumption of alcohol and food, leading to sluggishness, obstruction, and knotting of Qi in the lower body.
Wushe Huang Wan (Black Snake and Scutellaria Pill)
Indicated for Qi hemorrhoids, constipation with dry stools, hematochezia, and rectal prolapse.
Ingredients: Ophiophaga hannah (Bungarus multicinctus, Black Snake) meat, five liang, soaked in wine and roasted; Huang Qin (Scutellariae Radix, Scutellaria Root), one and a half liang; Da Huang (Rhei Radix et Rhizoma, Rhubarb Root and Rhizome), sliced; Dama Ren (Cannabis Fructus, Hemp Seed), fried, two liang each; Duhuo (Angelicae Pubescentis Radix, Notopterygium Root), de-rhizome, one and a half liang; Lingyang Jiao (Saigae Tataricae Cornu, Saiga Horn).
Dosage: Take twenty pills with wine, adjusting until bowel movement is smooth.
Xuduan Wan (Dipsacus Pill)
(From *Shenghui Fang*)
Indicated for Qi hemorrhoids with bleeding and anal pain.
Ingredients: Xuduan (Dipsaci Radix, Teasel Root), one liang; Zaojiao Zi Ren (Gleditsiae Sinensis Fructus Seed, Chinese Honeylocust Seed), one liang, fried yellow; Huang Qin (Scutellariae Radix, Scutellaria Root), one liang, sliced; Baipi (Moutan Cortex, Tree Peony Bark), one liang, roasted yellow; Shu Dihuang (Rehmanniae Radix Praeparata, Prepared Rehmannia Root), two liang; Guijia (Testudo Carapax et Plastrum, Tortoise Shell), one liang, roasted yellow; Zhike (Aurantii Fructus, Bitter Orange Fruit), equal parts.
Preparation and Administration: Grind into fine powder, mix with refined honey to make pills the size of paulownia seeds. Take thirty pills before meals, administered with Danshen decoction.
Jupi Tang (Tangerine Peel Decoction)
(From *Zhizhi Fang*)
Indicated for Qi hemorrhoids.
Ingredients: Jupi (Citri Reticulatae Pericarpium, Tangerine Peel); Zhike (Aurantii Fructus, Bitter Orange Fruit), fried; Chuanxiong (Ligustici Chuanxiong Rhizoma, Szechwan Lovage Rhizome); Huaihua (Sophorae Flos, Pagoda Tree Flower), fried, half liang each; Binglang (Arecae Semen, Betel Nut); Guangmuxiang (Aucklandiae Radix, Aucklandia Root); Taoren (Persicae Semen, Peach Kernel), soaked, peeled, fried; Zisu Jingye (Perillae Caulis et Folium, Perilla Stem and Leaf); Xiangfu (Cyperi Rhizoma, Cyperus Rhizome), equal parts.
Administration: Decoct in water and drink.
Huangpi San (Yellow Bark Powder)
Indicated for Qi hemorrhoids. Pain and sores in the lower body, rectal prolapse unable to retract.
Huangqin San (Scutellaria Powder)
Indicated for Intestinal Heat causing Qi hemorrhoids.
Ingredients: Huang Qin (Scutellariae Radix, Scutellaria Root), two and a half liang, sliced; Kushen (Sophorae Flavescentis Radix, Sophora Root); Xuanshen (Scrophulariae Radix, Figwort Root), three liang each; Fuzi (Aconiti Lateralis Radix Praeparata, Prepared Aconite Lateral Root), cracked, de-umbilicus, one and a half liang; Da Huang (Rhei Radix et Rhizoma, Rhubarb Root and Rhizome), sliced and fried, one and a half liang; Ganjiang (Zingiberis Rhizoma, Dried Ginger), one piece, burnt black.
Preparation: Grind into fine powder.
Huangqin Tang (Scutellaria Decoction)
Indicated for Intestinal Wind obstruction, stagnation not resolving, transforming into painful Qi hemorrhoids.
Ingredients: Huang Qin (Scutellariae Radix, Scutellaria Root), half liang, sliced; Danggui (Angelicae Sinensis Radix, Dong Quai Root), cut and dried; Da Huang (Rhei Radix et Rhizoma, Rhubarb Root and Rhizome), sliced and dried; Binglang (Arecae Semen, Betel Nut), baked and sliced, one liang each; Zhike (Aurantii Fructus, Bitter Orange Fruit), fried; Fangji (Stephaniae Tetrandrae Radix, Stephania Root); Muxiang (Aucklandiae Radix, Aucklandia Root); Huang Qin (Scutellariae Radix, Scutellaria Root), equal parts.
Administration: Decoct in water and drink.
Taoren San (Peach Kernel Powder)
(From *Shenghui Fang*)
Indicated for Qi hemorrhoids with rectal prolapse, chronic cold of the stomach and intestines, abdominal distension, and loss of appetite.
Ingredients: Taoren (Persicae Semen, Peach Kernel), one liang, soaked in water, peeled, de-pitted, fried slightly yellow; Chen Jupi (Citri Reticulatae Pericarpium, Tangerine Peel), one liang, soaked in water, de-white pith, dried; Guixin (Cinnamomi Ramulus, Cinnamon Twig), one liang; Houpo (Magnoliae Officinalis Cortex, Magnolia Bark), one liang, de-corky bark; Zaojiao Ren (Gleditsiae Sinensis Fructus Seed, Chinese Honeylocust Seed), two liang, fried.
Administration: Decoct in water and drink.
Jingzhi Tang (Schizonepeta and Bitter Orange Decoction)
(From *Zhizhi Fang*)
Indicated for hemorrhoids caused by Qi stagnation.
Ingredients: Jingjie Sui (Schizonepetae Spica, Schizonepeta Spike); Zhike (Aurantii Fructus, Bitter Orange Fruit), fried; Huaihua (Sophorae Flos, Pagoda Tree Flower); Zisu Jingye (Perillae Caulis et Folium, Perilla Stem and Leaf); Xiangfu Cao (Cyperi Rhizoma, Cyperus Rhizome), equal parts.
Preparation and Administration: Grind into fine powder. Take two qian per dose, mixed with rice soup.
Danggui San (Angelica Powder)
(From *Shenghui Fang*)
Indicated for Hemorrhoid Qi, anal and rectal pain.
Ingredients: Danggui (Angelicae Sinensis Radix, Dong Quai Root), three fen, sliced and slightly fried; Muxiang (Aucklandiae Radix, Aucklandia Root), half liang; Guixin (Cinnamomi Ramulus, Cinnamon Twig), three fen; Zhike (Aurantii Fructus, Bitter Orange Fruit), three fen, bran-fried slightly yellow, de-pith; Fuzi (Aconiti Lateralis Radix Praeparata, Prepared Aconite Lateral Root), half liang, cracked.
Administration: Decoct in water and drink.
Huaidou San (Sophora Bean Powder)
Indicated for five types of hemorrhoids with bright red blood, frequent constipation, and pain forming Qi hemorrhoids.
Ingredients: Huaidou (Sophorae Fructus, Sophora Bean), fried two liang; Zaojiao Zi Ren (Gleditsiae Sinensis Fructus Seed, Chinese Honeylocust Seed), three fen, fried; Zhike (Aurantii Fructus, Bitter Orange Fruit), de-pith, bran-fried; Fangfeng (Saposhnikoviae Radix, Saposhnikovia Root), de-rhizome; Sang'er (Audiotectae Auricula, Wood Ear), one liang each.
Preparation: Grind into fine powder.
Liuhuang Wan (Sulfur Pill)
(From *Shenghui Fang*)
Indicated for Intestinal Cold accumulation, persistent Qi hemorrhoids, intestinal dryness and pain, chest and hypochondriac fullness.
Ingredients: Liuhuang (Sulfur), one liang, finely ground; Zhu Ya Zaojiao (Gleditsiae Sinensis Fructus, Chinese Honeylocust Fruit), half liang, roasted yellow-red; Chuan Da Huang (Rhei Radix et Rhizoma, Rhubarb Root and Rhizome), one liang, sliced and ground; Muxiang (Aucklandiae Radix, Aucklandia Root), one liang; Taoren (Persicae Semen, Peach Kernel), equal parts.
Preparation and Administration: Grind into powder, mix with honey to make pills. Take twenty pills before meals with gruel broth.
Helile Wan (Chebulic Myrobalan Pill)
(From *Shenghui Fang*)
Indicated for Qi hemorrhoids, continuous bleeding and pain.
Ingredients: Helile (Terminaliae Chebulae Fructus, Chebulic Myrobalan), one liang, baked using peel; Huaizi Ren (Sophorae Japonicae Fructus Seed, Pagoda Tree Seed), two liang, slightly fried; Danggui (Angelicae Sinensis Radix, Dong Quai Root), one liang, sliced and slightly fried; Ganjiang (Zingiberis Rhizoma, Dried Ginger), one liang, sliced and baked; Chen Jupi (Citri Reticulatae Pericarpium, Tangerine Peel), equal parts.
Preparation and Administration: Grind into powder, mix with honey to make pills. Take twenty pills administered with Zhike decoction.
Weilingxian Wan (Clematis Pill)
Indicated for Qi hemorrhoids, stagnant stool.
Ingredients: Weilingxian (Clematidis Radix et Rhizoma, Clematis Root and Rhizome), de-soil; Ruxiang (Olibanum, Frankincense), ground; Zhike (Aurantii Fructus, Bitter Orange Fruit), de-pith, bran-fried, one liang each.
Preparation and Administration: Grind into powder, mix with millet flour to make pills the size of paulownia seeds. Take appropriate amount, administer with warm water.
Juanbai San (Selaginella Powder)
Indicated for hemorrhoids caused by Qi.
Ingredients: Juanbai (Selaginellae Tamariscinae Herba, Spikemoss Herb); Zhike (Aurantii Fructus, Bitter Orange Fruit), de-pith, bran-fried; Zhu Ya Zaojiao (Gleditsiae Sinensis Fructus, Chinese Honeylocust Fruit), one liang each.
Preparation and Administration: Place in a small porcelain bottle, seal with salt mud, slowly roast thoroughly. Remove, grind into powder, administer with wine.
Guipi San (Cinnamon Bark Powder)
Indicated for Qi hemorrhoids.
Ingredients: Guipi (Cinnamomi Cortex, Cinnamon Bark), one piece, burnt black; Guizhi (Cinnamomi Ramulus, Cinnamon Twig), de-corky bark, one liang; Cishi (Magnetitum, Magnetite), burnt to ash, soaked in vinegar ten times, four liang.
Preparation and Administration: Grind into fine powder. Take before meals on an empty stomach with rice soup.
Xun Re Fang (Fumigation and Compress Formula)
Indicated for Qi hemorrhoids with rectal prolapse.
Ingredients: Zhike (Aurantii Fructus, Bitter Orange Fruit), de-pith, bran-fried; Fangfeng (Saposhnikoviae Radix, Saposhnikovia Root), de-tips, one liang each; Baifan (Alumen, Alum), boiled until dry, one fen, ground.
Preparation and Administration: Except for alum, crush the rest into coarse powder. First fumigate with smoke, then apply hot compress with the residue.
Shenxiao San (Miraculous Effect Powder)
(From *Shenghui Fang*)
Indicated for Qi hemorrhoids.
Ingredients: Huaie (Stool of Sophora Tree), one liang, sliced and slightly fried; Zaojiao Zi Ren (Gleditsiae Sinensis Fructus Seed, Chinese Honeylocust Seed), half liang, slightly fried; Dingxiang (Caryophylli Flos, Clove Bud), half liang.
Preparation and Administration: Grind into fine powder. Take before meals mixed with gruel broth.
Yehesu San (Night-Blooming Cereus Leaf Powder)
(Treats Qi hemorrhoids with bleeding and perianal pain, From *Shenghui Fang*)
Ingredients: Yeheye (Albiziae Catharticae Folium, Albizia Leaf), two liang, dried; Zhike (Aurantii Fructus, Bitter Orange Fruit), two liang, bran-fried slightly yellow, de-pith; Helile (Terminaliae Chebulae Fructus, Chebulic Myrobalan), baked two liang, use peel.
Preparation and Administration: Grind into fine powder. Take before meals with rice soup.
Another Formula (From *Shenghui Fang*)
Ingredients: Jiguanhua (Celosiae Cristatae Flos, Celosia Flower), two liang; Zhike (Aurantii Fructus, Bitter Orange Fruit), bran-fried slightly yellow, de-pith; Chouchunshupi (Ailanthi Cortex, Tree of Heaven Bark), two liang, slightly fried.
Preparation and Administration: Grind into fine powder, mix with refined honey to make pills the size of paulownia seeds.
Shenggong Wan (Holy Merit Pill, also known as Jiguan Wan)
Indicated for Qi hemorrhoids, bleeding, perianal pain.
(See Intestinal Wind Bleeding category in Large Intestine Section) (Original formula: Jiguanhua (Celosiae Cristatae Flos, Celosia Flower) and Chun Gen Pi (Ailanthi Cortex, Tree of Heaven Bark) in equal parts, grind into powder, mix with honey to make pills the size of paulownia seeds.)
Baifan Wan (Alum Pill)
Indicated for Qi hemorrhoids with bleeding.
Bixiao Wan (Certain Efficacy Pill)
Indicated for Qi hemorrhoids with irretractable rectal prolapse, or formation of polyps, intermittent bleeding, and chronic non-healing conditions.
San Yao Fang (Powder Application Formula)
Indicated for Qi hemorrhoids with rectal prolapse taking a long time to retract.
Ingredients: Haipiaoxiao (Sepiae Endoconcha, Cuttlebone), ground; Ran Yanzhi (Artificial Rouge), ground, half liang each.
Preparation and Administration: Grind evenly. Wash the area with warm water first, pat dry, and sprinkle a small amount of powder.
Liuhuang San (Sulfur Powder)
(Treats Qi hemorrhoids with bleeding and perianal pain, From *Shenghui Fang*)
Ingredients: Liuhuang (Sulfur), one liang, finely ground; Muxiang (Aucklandiae Radix, Aucklandia Root), one liang, powdered.
Preparation and Administration: Grind uniformly. Take one qian before meals mixed with gruel broth.
Another Formula (From *Shenghui Fang*)
Ingredients: Diyu (Sanguisorbae Radix, Burnet Root), one liang, sliced; Binglang (Arecae Semen, Betel Nut), one liang.
Preparation and Administration: Grind into fine powder. Take one qian before meals mixed with gruel broth.
Another Formula (From *Shenghui Fang*)
Ingredients: Huaimuer (Fomes Officinalis on Locust Tree, Locust Wood Ear), two liang, slightly fried; Ganjiang (Zingiberis Rhizoma, Dried Ginger), one liang, baked and sliced.
Preparation and Administration: Chop ingredients. Take three qian per dose, decoct with fermented grain water (Jiangshui) one zhong until reduced to six tenths, strain and drink warm.
Another Formula (From *Shenghui Fang*)
Ingredients: Huaikeshu (Styphnolobii Cortex, Japanese Sophora Bark), one liang, sliced and slightly fried; Huaihua (Sophorae Flos, Pagoda Tree Flower), one liang, slightly fried.
Preparation and Administration: Grind into fine powder. Take one qian before meals mixed with gruel broth.
Treatment for Qi Hemorrhoids
Burn Lingqi Jia (Manis Pentadactyla Squama, Pangolin Scale) to retain properties, one liang. Rou Doukou Ren (Myristicae Semen, Nutmeg Kernel), three kernels. Grind together into powder, take two qian mixed with rice drink. For severe pus and blood, add Guipi (Cinnamomi Cortex, Cinnamon Bark), one liang, burnt.