Library

The anus is the passage for the large intestine to conduct waste. The lungs and large intestines are exteriorly-interiorly related, hence it is called "Tongshi Lingshi" (an official responsible for transmitting information). Its weight is twelve taels, length one chi two cun, and width two cun two fen.

*Nan Jing* (Classic of Difficult Issues), Chapter 48 states: Regarding the deficiency and excess of diseases, qi flowing outward indicates deficiency, while qi sinking inward indicates excess. Prolapse of the anus belongs to a deficiency syndrome. Because excess syndromes should be treated with warmth; warmth fills the interior qi, allowing righteous qi to secure and hold.

Prolapse of the anus caused by dysentery results from weakness of the large intestine and invasion of cold pathogenic factors. When defecating, if stool is difficult to pass, excessive straining causes the anus to prolapse, thus it is called anal prolapse.

Zhugan San (Liver Pig Decoction) (from *Qianjin Fang*): Treats cold evil lodging in the anus due to large intestine cold. Cold abundance leads to severe diarrhea (Dongxie), causing stagnation and prolapse of the anus.
Ingredients: Pig liver (one jin, dried by cooking), Coptidis Rhizoma (Huanglian), Donkey-hide Gelatin (Ejiao), Ligusticum Chuanxiong Rhizome (Xiong), Dried Prunus Mume Fruit (Wumei Rou) (five liang), Artemisia argyi Leaf (Aiye) (one liang). All ingredients are powdered.

Jinfeng Gao (Golden Phoenix Ointment): Treats ruptured hemorrhoids and anal prolapse.
Ingredients: Fresh fish gallbladder (one), Borneol (Longnao) (one qian), Moschus (Shexiang) (five fen), Calcined Alum (Feifan), Coptidis Rhizoma powder (Huanglian mo) (a little, stir-fried). All ingredients are powdered.
Usage: ... (Original text has gaps here, likely implying mixing or application based on context, but strictly translating visible parts only).

Biejia Wan (Softshell Turtle Pill) (from *Shenghui Fang*): Treats anal prolapse caused by chronic dysentery leading to large intestine deficiency and cold. The anus is the external manifestation of the large intestine. Injury to the large intestine by cold causes persistent dysentery, preventing the anus from being at ease.
Ingredients: Softshell turtle shell (Biejia) (vinegar-processed, one formula uses turtle head), Cassia Twig (Guixin) (roasted), Cinnamon Twig (Guixin) (each one liang), Magnetitum (Cishi) (two liang, vinegar-quenched). All are powdered and formed into pills with honey.

Treating Anal Prolapse (from *Shenxiao Fang*):
Ingredients: Datura seed (Tuoluohua hua zi), Lotus pod (Lianke) (one pair), Acorn cup (Xiangshi) (sixteen pieces). All are crushed, decocted in water for three to five boils, then add Glauber's salt (Puxiao), and wash the anus while hot. The anus will naturally retract.

Xiangdan Wan (Incense Gall Pill): Treats fistula hemorrhoids and anal prolapse. (Formula see Hemorrhoids Section, Various Hemorrhoids Category).

Jingjie San (Schizonepeta Powder) (from *Zhizhi Fang*): Treats anal prolapse.
Ingredients: Cyperi Rhizoma (Da Xiangfu), Schizonepeta Spike (Jingjie sui) (each half liang), Amomum Fructus (Suosha) (two qian five fen). All are powdered. Take three qian each time, decocted in fresh water for a few boils before meals.

Suosha Tang (Amomum Decoction) (from *Zhizhi Fang*): Treats large intestine deficiency with accompanying heat, causing redness and swelling of prolapsed anus.
Ingredients: Amomum Fructus (Suosha), Coptidis Rhizoma (Huanglian), Equisetum Hiemale (Muzei). All are powdered. Take two qian each time, mixed with rice drink.

Treating large intestine deficiency and cold, anus gaping open after defecation (from *Shenghui Fang*):
Ingredients: Softshell turtle head (Bie tou) (one piece, coated with lard and roasted until charred), Iron filings (Tie jing) (one liang, finely ground), Henbane seed (Langdang zi) (one liang, washed in water to remove floating ones, soaked to remove hairs and buds, taken out, dried, and stir-fried). All... (Original text has gaps here, usually implies processing into medicine).

Treating anal prolapse due to wind-cold in stool, accompanied by unbearable lower back pain (from *Shibian Liangfang*, also known as Sanshen Dan):
Ingredients: Smelted stone dust (Duanshi), Alum (Baifan), Red lead (Huandan) (each one liang). All are finely ground, mixed with oil to make cakes, burned on new tiles until red-hot, cooled, ground again, mixed again, and burned again.

Treating non-healing anal prolapse (from *Shenghui Fang*):
Ingredients: Softshell turtle head (Bie tou) (one piece, burned to ash), Polygonum multiflorum Seed (Puhuang) (half liang), Peucedanum Root (Bailian) (one liang). All are powdered, applied to the anus, pressed to reduce, three to four times daily.

Treating continuous bleeding from anal prolapse (from *Shenghui Fang*):
Ingredients: Rock ear fungus (Shier) (five liang, stir-fried), Alum (Baifan) (one liang, burned to ash), Lead monoxide (Miduoseng) (one liang). All are powdered, soaked in steamed wheat dough, made into pills the size of paulownia seeds. Each... (Original text has gaps here, usually implies dosage).

Guipi San (Cinnamon Bark Powder), also known as Bietou San: Treats prolapsed anus. Due to excessive effort or severe diarrhea not stopping (from *Qianjin Fang*):
Ingredients: Magnetitum (Cishi) (four liang), Cassia Twig (Guixin) (one chi), Cinnamon Bark (Guipi) (one piece). All are powdered, taken with drink using a square-inch spoon. One dose daily will cause retraction. Avoid heavy lifting and sudden... (Original text has gaps here).

Bitu San (Wall Earth Powder) (from *Qianjin Fang*): Treats stagnant prolapse of the anus.
Ingredients: Earth from the east wall of an old house (Yuwu Dongbi tu) (one sheng, crushed), Gleditsia sinensis Fruit (Zaojia) (three pods, each one chi two cun long). All are crushed earth into powder, sprinkled with talc on the protruding anus. Next, take Gleditsia sinensis fruit... (Original text has gaps here, usually implies roasting/application).

Another Formula (from *Qianjin Fang*): Treats prolapsed anus.
Ingredients: Softshell turtle head (Bie tou), Old worn hemp shoe sole (Gubai malvandi di) (each one piece). First, burn the turtle head to powder, apply to the protruding anus. Next, press the shoe sole to push it in, so it does not come out again.

Treating Anal Prolapse (from *Yifang Dacheng*, also known as Huaihua San):
Ingredients: Sophora Flower (Huaihua), Sophora Fruit (Huaijiao). Equal parts, stir-fried until fragrant and yellow, then powdered. Dip in sheep blood, roast until hot, take with wine before meals. Alternatively, dip in pig fat without skin, roast, and take.

Treating adult and pediatric non-retracting anal prolapse (from *Jingyan Liangfang*, also known as Xiangjing San):
Ingredients: Schizonepeta Herb (Jingjie) (one liang five fen), Gleditsia sinensis Fruit (Zaojiao) (three pieces). All are powdered, decocted in water to wash the anus, then apply iron slurry to insert it. Also treats hemorrhoids and uterine prolapse in women.

Treating adult and pediatric intestinal head prolapse (from *Jingyan Liangfang*):
Ingredients: Soot (Baicaoshuang), Chinese gallnut (Wubeizi). All are powdered, boiled with vinegar into a paste, applied with a goose feather to insert.

Shechuang San (Cnidium Powder) (from *Jingyan Liangfang*): Treats anal prolapse.
Ingredients: Cnidium Fruit (Shechuangzi), Licorice Root (Gancao) (each one liang). All are powdered, taken with hot water, one qian per dose. Three doses daily.

Another Formula (from *Yonglei Lingfang*):
Ingredients: White cockscomb flower (Bai jiguan hua), Saposhnikovia Root (Fangfeng) (equal parts). All are powdered, made into pills with paste. Take one hundred pills with rice drink on an empty stomach.

Jingjie San: Treats anal prolapse.

Xiangrong Wan (Incense Velvet Pill), also known as Shexiang Wan: Treats anal prolapse (Formula see Diarrhea/Dysentery Section, Intestinal Slippage and Discharge Category):
(Note original formula: Moschus (Shexiang) half liang, Deer Antler (Lurong) roasted two liang. All powdered, made into paulownia seed-sized pills with vinegar-boiled flour paste. Take thirty pills each time with porridge drink.)

Treating Anal Prolapse (Formula see Zhike San).

Treating accumulation dysentery with anal prolapse (from *Qianjin Fang*):
Ingredient: Immature Bitter Orange (Zhishi). Grind smooth on a stone, attach a handle, coat with honey, warm by roasting, and apply as a compress. Change when cold, until retracted.

Treating bloody and white dysentery with anal prolapse:
Ingredient: Use one handful of Quince (Mu Gua), one piece of Myrobalan (Baiyaojian), three aged white plums (Chen baimei). Decoct in one bowl of water until half remains. Take as needed.

Treating large intestine deficiency-cold prolapse, and post-dysentery prolapse (from *Shenghui Fang*):
Ingredient: Dried snail (Gan woniu zi) (one hundred pieces, stir-fried to powder), Magnetitum (Cishi) (two liang, crushed and washed to remove red juice). Decoct magnetite in one large cup of water until reduced to five qian to five fen, remove dregs... (Original text has gaps here, usually implies drinking the liquid).

Treating continuous bleeding from anal prolapse (from *Shenghui Fang*):
Ingredient: Aconite Root (Fuzi) (one liang, cooked thoroughly, covered with a bowl on the ground to remove fire toxicity), Phellinus Linteus (Sanghuang) (one liang, roasted). All powdered, made into paulownia seed-sized pills with refined honey. Take twenty pills each time... (Original text has gaps here, usually implies taking with warm water).

Treating non-retracting anal prolapse (from *Shenghui Fang*):
Ingredient: Pomegranate Peel (Shiliupi), Rubia Root (Qigen) (each one handful). All chopped, decocted in good wine (one large cup) until seven-tenths remain, remove dregs. Take warm in two doses.

Treating non-retracting anal prolapse:
Ingredient: Halloysitum Rubrum (Chishizhi), Alum (Baifan) (half raw, half roasted). All powdered, used to wash and apply. Use clean material to support the anus internally.

Treating protruding intestinal head:
Ingredient: Use one piece of toad skin, burned to ash and applied to the protrusion. Another method: burn in a bottle and fumigate.

Treating stagnant prolapse of the anus (from *Qianjin Fang*):
Ingredient: Press the anus in using a roasted old hemp shoe sole. Frequent pressing leads to permanent cure.

Treating prolapsed anus (from *Qianjin Fang*):
Ingredient: Use one sheng of Anemarrhena Rhizome (Nvwang), burn in a vessel, sit over the smoke to insert.

Treating hot and painful anal prolapse (from *Qianjin Fang*, also known as Puhuang Gao):
Ingredient: Use two liang of Polygonum multiflorum Seed (Puhuang), mix with lard, apply to anus and insert. Heals in two or three applications. Using starch powder is also good.

Treating intestinal prolapse that cannot be reduced after long duration (from *Jingyan Liangfang*):
Ingredient: Use fresh Trichosanthes root (Gualugen) as powder, mix with warm lard ointment. Press manually, it will retract spontaneously. Another method: crush fresh, take juice warm. Wash hands with pork broth... (Original text is incomplete here, usually implies washing the affected area).

Treating chronic non-healing anal prolapse (from *Shenghui Fang*):
Ingredient: Use five jin of raw iron, ten dou of water, boil down to five sheng. Remove iron, wash with the liquid, twice daily. No case fails to heal. Burning alum and applying is also good.

Muzei San (Equisetum Powder) (from *Zhizhi Fang*): Treats anal prolapse without heat.
Ingredient: Use Equisetum Hiemale (Muzei) any amount, burn to ash retaining nature, powder, sprinkle on anus and press.

Treating Anal Prolapse (from *Jingyan Liangfang*):
Ingredient: Use water from sharpening knives containing iron slurry, apply a little with a feather to the anus. Then decoct Magnetitum (Cishi) and take half a cup on an empty stomach. Another method uses sharpening water... (Original text has gaps here).

Another Formula (from *Jingyan Liangfang*):
Ingredient: Bake lotus leaves touching water into fine powder, take two qian mixed with good wine. Place two qian of powder on a lotus leaf, have the patient sit on the leaf... (Original text has gaps here, usually implies sitting on it).

Another Formula (from *Jingyan Liangfang*):
Ingredient: Use light green bamboo leaves (Dan zhuye) any amount, decoct strongly to wash, immediate effect.

Treating fistula hemorrhoids and anal prolapse (from *Zhouhou Fang*):
Ingredient: Use two joints of tiger shin bone, coat with lard (or honey) two liang, roast until red, powder. Soak in water, steam wheat dough to make pills, paulownia seed size. Take with warm wine early morning.

Treating large intestine prolapse:
Ingredient: Use Cardamom (Caoguo) (Castor bean/Rimazi) remove shell and crush. Untie hair bun on head, place this medicine in the hair at the crown, tie loosely. Wait for intestinal head to retract... (Original text has gaps here, usually implies securing).

Huopao Tang:
Ingredient: Use Ramie root (Zhu gen) any amount, crush and decoct to fumigate and wash.

Treating anal prolapse, hemorrhoids, etc.:
Ingredient: Wash with scallion and salt water. Then decoct mint, grind finely with scallion white juice, remove dregs, add honey, boil, and apply to lesion. Cover with oiled paper.

Bietou San (from *Qianjin Fang*): Treats anal prolapse. Long-term accumulation of cold in large intestine, often prolapsing during defecation, unable to retract. Slowly roast softshell turtle head until yellow-brown, take mixed with... (Original text has gaps here, usually implies mixing with something). If another formula does not heal... (Original text has gaps here, usually implies combining methods).

Cishi San (Magnetite Powder) (from *Zhizhi Fang*): Treats anal prolapse.
Ingredient: Take half liang of Magnetitum (Cishi), dip seven times in boiling vinegar, powder. Take one qian each time with rice drink on empty stomach. Wine administration is also acceptable. Next, use iron sheet burned through... (Original text has gaps here).

Tiefen San (Iron Powder Powder) (from *Zhizhi Fang*): Treats large intestine inherent deficiency, wind-toxicity and guest-heat attacking, causing redness and swelling of prolapsed anus.
Ingredient: Finely grind Iron Powder (Tiefen), mix with Peucedanum Root (Bailian) powder, apply, then press in. Another method: sprinkle a little Iron Powder, press to heal.

Rangdou Gao (Acorn Cup Ointment) (from *Zhizhi Fang*): Treats anal prolapse.
Ingredient: Burn acorn cups (Rangdou zi) retaining nature, mix with lard and apply.

Duanshi Fang (Smelted Stone Formula) (from *Zhizhi Fang*): Treats large intestine accumulated cold, chronic anal prolapse, and prolapse during defecation not retracting.
Ingredient: Stir-fry smelted stone dust (Duanshi) until hot, wrap in cloth, sit on it. Replace when cold. Also apply Cuttlebone powder (Haipiaoxiao).

Wenge San (Clam Shell Powder) (from *Ren Cun Fang*): Treats large intestine cold, excessive effort causing non-retracting prolapse. Also in children crying with chronic dysentery, all causing prolapse.
Ingredient: Use Chinese gallnut (Wubeizi) any amount, powder, decoct in water to soak and wash. Adding Alum (Baifan) and Cnidium Fruit (Shechuangzi) is better. After washing, use Halloysitum Rubrum (Chishizhi) powder, apply a little... (Original text has gaps here, usually implies applying to anus). With bed... (Original text has gaps here). Apply to anus... (Original text has gaps here).

Treating adult and pediatric anal prolapse, where daily cold or changing to cold food causes acute dysentery not stopping, anus drops, and long-term treatment fails:
Ingredient: Use Corydalis herb (Zijin cao). In spring, collect two jin of Corydalis flowers, dry, powder, add seven liang of Magnetite powder, mix and grind finely, apply to anus and insert, making... (Original text has gaps here). San yi... (Original text has gaps here). San... (Original text has gaps here).

Treating Anal Prolapse:
Ingredient: Dry焙 (bake) Stephania Root (Fangji) solid into powder, decoct like tea and take.

Another Formula (from *Zhizhi Fang*, also known as Sangluo Gao):
Ingredient: Burn silkmoth cocoons from mulberry trees (Yuansangluo) to powder, mix with pig fat and apply, immediate retraction. These cocoons resemble small yellow snails, found on mulberry leaves after rain. Another method: dry to powder and apply... (Original text has gaps here).

Treating large intestine prolapse, long-term accumulation of deficiency-cold, often prolapsing during defecation, unable to retract:
Ingredient: Use snails, crush fresh and apply, immediately retracts. Another method: burn to ash, mix with lard, apply to shrink.

Treating lower body anal prolapse:
Ingredient: Stir-fry Henbane seed (Langdang zi) until charred, grind to fine powder and apply.

Ziji Gao (Purple Perilla Ointment) (from *Yifang Dacheng*): Treats internal heat, prolapsed anus.
Ingredient: Use one handful of Purple Perilla (Ziji), also known as Houttuynia (Yuxingcao), mash into paste. First wash anus with Glauber's salt water, support with banana leaf, then apply medicine to... (Original text has gaps here).

Treating intestine following anus out:
Ingredient: Apply Yangfat (Sheep fat) mixed with Iron Powder (Tiejing fen) on top, wrap fat in cloth, warm by roasting and insert. Also take one qian of Magnetite powder with wine, three times daily.

Duhu San (Tiger Powder) (from *Zhizhi Fang*): Treats non-retracting anal prolapse.
Ingredient: Use half liang of Chinese gallnut powder, three bowls of well water, put in porcelain bottle, slow fire boil to half. Add Glauber's salt (Puxiao) and Schizonepeta Spike (Jingjie sui) one qian each, fumigate and wash while hot. Still... (Original text has gaps here).

Treating Anal Prolapse:
Ingredient: Use turtle blood, ash also treats. Another method uses shell ash.

Treating prolapse of three to five cun from anus (from *Deshengtang Fang*):
Ingredient: Boil aged tea water, wash warm to remove filth. Use two or three large field snails, raise in water for one day, remove mud. Use a little Coptidis Rhizoma powder (Huanglian mo), lift... (Original text has gaps here). Not... (Original text has gaps here).

Treating large intestine wind-cold, continuous bleeding, swollen and painful prolapse (from *Shenghui Fang*):
Ingredient: Use one wild civet cat, put in a large porcelain bottle that fits, seal tightly with thick mud, let dry, burn with strong fire. Just as smoke ends... (Original text has gaps here).

Treating non-retracting anal prolapse (from *Shenghui Fang*):
Ingredient: Slice one jin of fresh leeks finely, mix with lard and stir-fry until cooked, divide into two parts, wrap in soft cloth, alternate compressing. Change when cold, until inserted.

Another Formula (from *Shenghui Fang*):
Ingredient: Use leaves of Wujia (Wuhua gouzi ye) any amount, dry in shade, powder. Take two qian each time before meals with porridge drink. Also apply to intestinal head, heals.

Another Formula (from *Shenghui Fang*):
Ingredient: Use one liang of Cnidium Fruit (Shechuangzi), stir-fry to powder and apply.

Treating anal prolapse (from *Jingyan Liangfang*):
Ingredient: Grind Coptidis Rhizoma (Huanglian) to fine powder, mix with cold water, frequently apply to intestinal head.

Treating sudden anal prolapse (from *Zhouhou Fang*):
Ingredient: Apply soy sauce clear mixed with wine.

Zhusha Wan (Cinnabar Pill): Treats cold-heat disharmony, lower body pain, tenesmus, deficiency slipperiness or constipation, intestinal head prolapse.
Ingredient: Cinnabar (Zhusha) flown (one liang), Sulfur (Liuhuang) ground, Alum (Baifan) ground (each one fen). All three ground evenly together. Use one radish (Laifu), weighing five liang, cut... (Original text has gaps here). One... (Original text has gaps here). Lai... (Original text has gaps here).
Myristica Seed (Roudoukou) peeled, Trigonella Foenum-graecum Seed (Huluba) (each half liang), Terminalia Chebula Peel (Helile pi), Aconite Root (Fuzi), Fennel Seed (Xiangzi) (one fen stir-fried), Psoralea Fruit (Buguzhi) (stir-fried each one liang)... (Original text has gaps here, usually implies pill making process). Twenty pills... (Original text has gaps here).

Chishizhi San (Halloysitum Rubrum Powder) (from *Shenghui Fang*): Treats large intestine wind-cold, chronic dysentery not healing, anal prolapse.
Ingredient: Halloysitum Rubrum (Chishizhi), Dragon Bone (Longgu), Alabaster (Baishizhi) (each one liang), Angelica Sinensis Root (Danggui) (half liang, chopped and stir-fried), Curcuma Zedoaria Rhizome (Peng'e zhu), Myristica Seed (Roudoukou) peeled, Coptidis Rhizoma (Huanglian) removing stamens stir-fried... (Original text has gaps here).

Juanbai San (Selaginella Powder) (from *Shenghui Fang*): Treats chronic dysentery not healing, anal prolapse.
Ingredient: Selaginella Tamariscina (Juanbai) (one liang), Dragon Bone (Longgu), Terminalia Chebula (Helile) roasted using peel, Coptidis Rhizoma (Huanglian) removing stamens stir-fried, Amomum Fructus (Suosha) peeled, Myristica Seed (Roudoukou) peeled, Long Pepper (Bibo)... (Original text has gaps here).

Diyu Shaoyao Tang: Treats dysentery with pus and blood, even to anal prolapse.
Ingredient: Atractylodes Rhizome (Cangzhu) (eight liang), Sanguisorba Root (Diyu) (three liang), Selaginella Tamariscina (Juanbai) (three liang), Peony Root (Shaoyao) (three liang). All chopped. Take one liang each time, with one and a half large cups of water, decoct to one cup, take warm.

Longgu Wan: Treats various dysenteries with anal prolapse, long-lasting not stopping.
Ingredient: Dragon Bone (Longgu), Artemisia argyi Leaf (Aiye) stir-fried (each one liang), Softshell turtle head bone (Bie tou gu) (two pieces, coated with lard, roasted until yellow-brown, ground). All made into powder. Take two qian each time before meals with porridge drink.

Heisheng San: Treats long-term diarrhea/dysentery, painful anal prolapse.
Ingredient: Use one large spider, wrap in two layers of bottle gourd leaves, tie with thread, burn in a box until black, not too much. Fine grind, add a little yellow lead (Huandan), grind evenly. First wash with Alum, scallion, pepper decoction, dry, sprinkle medicine on soft cloth, support anus with hand, it will not drop.

Hezi Pi San (Lanshi Mizang Fang): Winter of Guimao year, Vice Director Bai Wenju's old servant, face dusty and pale, spirit very weak, knelt long and said: "...". Said: "...". Moreover heaven... (Original text is medical case dialogue, content incomplete). It is cold-slippery qi leakage not securing, thus form quality drops downward. Should treat with astringents to remove prolapse and eliminate slipperiness. Slightly sour flavors secure qi and gather upward agents, eliminating cold and tonifying yang, using qi-tonifying agents to raise yang and benefit qi.
Ingredient: Poppy Shell (Yumi ke) removing calyx honey-roasted (half qian), Terminalia Chebula Fruit (Hezi) roasted pitted (seven fen), Dried Ginger (Ganjiang) processed (six fen), Tangerine Peel (Jupi) (half qian). All powdered, divided into... (Original text has gaps here).

Treating intestinal head prolapse (from *Bencao*):
Ingredient: Crush Coriander Seed (Hucui zi), boil with vinegar, compress prolapsed intestinal head, very effective.

Treating Anal Prolapse (from *Bencao*):
Ingredient: Decoct steamer band (Zengdai) juice and take.

Treating sudden anal prolapse (from *Bencao*):
Ingredient: Burn spider to ash powder, apply to anus.

Treating Anal Prolapse (from *Bencao*):
Ingredient: Burn old pen tip to ash, take with water.

Treating anal band prolapse (from *Bencao*):
Ingredient: Cut one sheng of Coriander Seed (Hucui zi), burn, fumigate anus with smoke to insert.

Treating Anal Prolapse:
Ingredient: Roast Motherwort Herb (Yimucao) until fragrant, steep in wine and take. (Motherwort grows in Shaoze valleys, leaves like Glechoma, stem red, two to three chi high).