上一味，以鸡子开一小窍，纳巴豆一枚入鸡子壳中，以
纸塞定，别以湿纸裹，用火煨熟透，去壳并巴豆，只一味吃尽鸡子，其病即止，不得稍生气，虚人作二服。（《圣
济》）
治肠风脏毒便血等疾。
温州枳壳（不以多少）
上逐个刮去穣，入去壳巴豆一粒，以线扎两片合定，银石器内，米醋煮枳烂为度，洗净去巴，只以枳锉焙为
末，醋糊为丸，绿豆大，每服三十粒，空心腊茶清吞下，病愈住服。痢疾亦可用，初患则留巴少许亦可。（《增品
易简》）（《澹寮》）
世传经验方，下血，用乳香、没药、血竭、儿茶各一钱，巴豆霜五分，丸绿豆大，空心酒下，神妙不可言。
（《六要》）
止遏诸方 治大肠风，下血不止，腹痛，日渐 羸，宜服此方。
棕榈皮（二两烧灰） 艾叶（二两烧灰） 鸡子（三枚炒令焦）
上件药都研如粉，每于食前，以粥饮调下一钱。（《圣惠》）
治积年肠风下血，肛门肿痛，肌体羸劣，宜服此方。
蛇黄（一枚大者） 酽醋（五合）
上以炭火烧蛇黄通赤，即入醋中 ，重迭烧 ，醋尽为度，捣细研为散，每于食前，以粥饮调下半钱。（同上）
黑圣散，治肠风脏毒痔 及诸下血。
当归 川芎 茯苓 地榆 槐花（焙） 败棕 艾叶（烧存性） 百草霜
上件等分为末，每服二钱，食前陈米饮调下。（《直指》）
真人养脏汤，加生槐花，治肠风，冷热不调下血。（同上）
陈彦质患肠风下血，近三十年，体肥身健，零星去血，旋亦生长，不为害也。旧冬忽然下血数斗，直出如箭，
以致肛门脱出三五寸，一昼夜下利二十余行，苦不可言，面色浮肿，夭然不泽，唇焦口干，鼻孔黑煤。于是以人
参汤调赤石脂末，服之稍安。次以人参、白术、赤石脂、禹余粮为丸，服之全愈。（《寓意草》）（节录）
利气诸方 肠风方。
香附（一两制） 枳壳（三分） 当归 川芎（各半两） 槐花（炒） 甘草（炙各一分）
上为粗末，每服三钱，新水一盏半，姜枣煎，食前服。（《直指》）
法制香附方，治诸下血。
大香附（杵去毛皮，以童子小便浸一日夜，日干截碎，又用米醋蘸过，焙干。）
上为末，每二钱，米汤调下。治冷带，用炒艾叶煎汤调下。（同上）
姜香散，止血有奇功。若肠风脏毒，下血不止者，可服。若是肠脏虚弱，则不可服也，专以凉药攻之，必至
脾虚，血必大下，宜谨之。
干姜 香附子 乌梅（各烧灰存性） 乌药
上等分细末，煎乌梅汤调下，不拘时候。（《魏氏》）
沉香汤，失血之后，脾虚人尤宜服。
香附子（去毛三两） 白茯苓（去皮） 缩砂仁 甘草（炙锉各一两半） 沉香（二钱不见火）
上为细末，入盐汤点服。如煎服，则用姜枣。（同上）
平胃诸方 病必问药，药贵当病。 苦下血十五年，盖
因思虑损心，饮酒过量，百药俱尝，或暂止复作，或屡投不验。近有俾服平胃散，云得于绍兴国医王继先，主浓
朴浓肠也。以十五年之病，欲愈于此浅近之剂，固可笑。然日进一杯，固无反误，虽未保断除根本，似有近效。
广求博访，徒费前劳，道在迩而求诸远，其斯之谓乎。（《清波别志》）（按∶《续医说》引《清波杂志》，作
或教以服人参平胃散，逐日进一服，至月余而十五年之病瘳矣。盖妄意所改，然人参平胃散却妙，故《观聚方》
取之。）
唐生者，病因饮酪水及食生物，下利紫黑血十余行，脾胃受寒湿毒。与六神平胃散（当考）半两，加白术三
钱，以利腰脐间血，一服愈。（《阴证略例》）
杨氏饮冷酒泻血，服对金散止（即胃苓散），亦理中脘，分利阴阳，安定血脉之意也。（《纲目》引《海藏》）
肠风下血，平胃散加续断煎服。又方，加小麦四十九粒，去续断。（《理伤续断方》）
温中补虚诸方 胶姜理中汤，治腹虚便血。
上用理中汤，加黄 、阿胶、艾、当归煎，食前服。（《魏氏》）
阳虚阴乏之人，久年便血不时，面带黄柏皮色者，理中汤加附子、百草霜，为丸服。（《丹溪》）
理物汤，即理中汤、四物汤并用。（《证治类方》）
艾附汤，治脏寒大便血作。
大附子（二两炮去皮脐切片） 熟白艾（一两） 川姜（七钱炮洗）
上 咀，每服三钱，水一盏半，煎七分去滓，食前温服。（《魏氏》）
归附汤。
当归（半两去芦） 附子（一两炮去皮脐）
上 咀，每服三钱，水一盏半，生姜五片，煎七分去滓，食前温服。（同上）
治凡下血虚极，麦门冬汤方。
麦门冬 白术（各四两） 甘草（一两） 牡蛎 芍药 阿胶（各三两） 大枣（二十枚）
上七味 咀，以水八升，煮取二升，分再服。（《千金》）
人参散，治肠风脏毒。运使孙绍远传，云有此疾者，常常服之，不至力乏，不至面黄，多服为佳。屡传与人，
皆以为妙。
人参 白茯苓 黄 （蜜炙） 甘草 五味子
上等分为细末，每服二大钱，白汤调下，每日四、五服。（《事证方》）（按∶此方本于《三因》，治五痔
下血，加味四君子汤。今去白术、白扁豆，加五味子。）
去血过多，面色萎黄，以十全大补汤去桂主之。（《原病集》）
通府薛允 下血，服犀角地黄汤等药，其血愈多，形体消瘦，发热少食，里急后重。此脾气下陷，余用补中益
气加炮姜，一剂而愈。（《内科摘要》）
一人素善饮酒，不时便血，或在粪前，或在粪后，食少体倦，面色萎黄。此脾气虚而不能统血，以益气汤加吴茱
萸、黄连。（《寿世》）
断红丸，治脏腑阳虚，久而肠风痔疾，下血不止，或所下太多，面色萎黄，日渐羸瘦。
侧柏叶（微炒黄） 川续断（酒浸） 鹿茸（燎去毛醋煮） 附子（炮去皮脐） 黄 （去芦） 阿胶（锉
蛤粉炒成珠子） 当归（去芦酒浸各一两） 白矾（枯半两）
上为细末，醋煮米糊为丸，如梧桐子大，每服七十丸，
空心食前，用米饮送下。（《济生》）
如老年阳气虚亏，脱血不能存，走失大肠，宜鹿茸丸。
鹿茸（七两） 熟地黄（十两） 附子（四十个） 牛膝（二十两） 山药（四斤） 杜仲（三斤半）
五味（二斤） 肉苁蓉（三斤）
炼蜜丸，麝香为衣，盐汤盐酒下。（《如宜》）
肾虚下血。
鹿茸（酥炙） 乌梅（去仁各一两） 破故纸（炒） 杜仲（各半两）
上炒为末，粟米粥为丸，每三十粒，空心盐汤吞下。（《澹寮》）
调摄法 血证不断酒色浓味，纵止必发，终成痼疾。（《六要》）
The aforementioned single ingredient: Make a small hole in an egg, insert one bean of Croton (Ba Dou) into the eggshell, seal it with paper, wrap it in wet paper, and roast it thoroughly over fire. Remove the shell and the bean, consume only the egg entirely, and the disease will cease. Do not allow any anger during this period; for persons with deficiency constitution, divide into two doses. (From *Shengji Zonglu*)
Treating diseases such as intestinal wind (Chang Feng) and internal toxin (Zang Du) causing hematochezia.
Wenzhou Aurantium Fructus (Zhi Qiao) (any quantity):
Scrape off the pulp from each piece individually, insert one peeled bean of Croton (Ba Dou), tie the two halves together securely with thread. Boil in rice vinegar in a silver or earthenware vessel until the Zhi Qiao is soft and rotten. Wash clean, remove the Ba Dou, chop the Zhi Qiao, dry-roast, and grind into powder. Form pills with vinegar paste, sized like mung beans. Take thirty pills per dose, swallowed with clear aged tea on an empty stomach. Discontinue when cured. This may also be used for dysentery; in early stages, retaining a small amount of Ba Dou is acceptable. (From *Zengpin Yijian Fang*, *Danliao Fang*)
A widely circulated empirical prescription for hematochezia: Use Frankincense (Ru Xiang), Myrrh (Mo Yao), Dragon's Blood (Xue Jie), and Child's Breath (Er Cha), each 1 qian, and Croton Frost (Ba Dou Shuang), 5 fen. Form pills sized like mung beans. Take on an empty stomach with wine. The efficacy is miraculous and indescribable. (From *Shiyi De Xiao Fang* [Liu Yao])
**Prescriptions to Stop Bleeding**: For large intestine wind causing persistent hematochezia, abdominal pain, and gradual emaciation, this prescription is suitable.
Areca Palm Bark (Zong Lu Pi) (2 liang, burnt to ash) Mugwort Leaf (Ai Ye) (2 liang, burnt to ash) Egg (3 pieces, fried until charred):
Grind all ingredients into powder. Before meals, take 1 qian mixed with congee water. (From *Taiping Shenghui Fang*)
For chronic intestinal wind hematochezia, anal swelling and pain, and physical emaciation, this prescription is suitable.
Snake Yellow (She Huang) (one large piece) Strong Vinegar (Yan Cu) (5 he):
Heat the She Huang over charcoal until red hot, then immerse it in vinegar. Repeat the heating and immersing process until the vinegar is exhausted. Pound and grind finely into a powder. Before meals, take half a qian mixed with congee water. (Ibid.)
**Heisheng San**: Treats intestinal wind, internal toxin, hemorrhoids, and various types of lower bleeding.
Angelica Sinensis Root (Dang Gui) Ligusticum Chuanxiong Rhizome (Chuan Xiong) Poria (Fu Ling) Sanguisorba Officinalis Root (Di Yu) Sophora Flower (Huai Hua) (roasted) Decayed Palm (Bai Zong) Mugwort Leaf (Ai Ye) (burnt to retain nature) Carbonized Herb Powder (Baicao Shuang):
Grind equal parts into fine powder. Take 2 qian before meals, mixed with old rice water. (From *Zhizhi Fang*)
**Zhenren Yangzang Tang**: Add raw Sophora Flower (Huai Hua). Treats intestinal wind and lower bleeding due to cold-heat imbalance. (Ibid.)
Chen Yanzhi suffered from intestinal wind hematochezia for nearly thirty years. His body was robust and fat; although blood was lost intermittently, new blood grew rapidly, causing no harm. Last winter, he suddenly experienced massive hematochezia, shooting out like an arrow, causing the anus to prolapse by three to five cun. He had more than twenty bowel movements in a day and night, suffering unspeakably. His face was swollen, complexion dull and lusterless, lips cracked and mouth dry, with black coal-like discoloration around the nostrils. I administered Cinnabar Red Stone (Chishi Zhi) powder mixed in Ginseng Decoction (Renshen Tang), after which he felt slightly relieved. Subsequently, I formed pills using Ginseng (Renshen), Atractodes Macrocephala Rhizome (Baizhu), Chishi Zhi, and Halloysitum Rubrum (Yuyuliang). He took these and was completely cured. (From *Yuyi Cao*, excerpted)
**Prescriptions to Benefit Qi**: Prescription for Intestinal Wind.
Cyperus Rotundus Rhizome (Xiang Fu) (1 liang, processed) Aurantium Fructus (Zhi Qiao) (3 fen) Angelica Sinensis Root (Dang Gui) Ligusticum Chuanxiong Rhizome (Chuan Xiong) (each 0.5 liang) Sophora Flower (Huai Hua) (fried) Licorice Root (Gan Cao) (roasted, each 1 fen):
Make into coarse powder. Take 3 qian per dose, decoct with 1.5 cups of fresh water, ginger, and jujube. Take before meals. (From *Zhizhi Fang*)
**Processed Cyperus Prescription**: Treats various types of lower bleeding.
Large Cyperus Rotundus Rhizome (Xiang Fu) (pound to remove hairs and skin, soak in urine of a young boy for one day and night, sun-dry, cut into pieces, dip in rice vinegar, and dry-roast):
Grind into powder. Take 2 qian per dose, mixed with rice soup. To treat cold leukorrhea, mix with decoction of fried mugwort leaf. (Ibid.)
**Jiangxiang San**: Has extraordinary effects in stopping bleeding. Suitable for intestinal wind or internal toxin causing persistent lower bleeding. However, if the intestines and organs are weak, do not use it. Using only cooling herbs to attack will inevitably lead to spleen deficiency and massive bleeding. Be cautious.
Dried Ginger (Gan Jiang) Cyperus Rotundus Rhizome (Xiang Fu Zi) Mume Fruit (Wu Mei) (each burnt to retain nature) Lindera Root (Wu Yao):
Equal parts, ground into fine powder. Mix with Mume Fruit decoction to take at any time. (From *Wei Shi Jia Cang Fang*)
**Chenxiang Tang**: Especially suitable for persons with spleen deficiency after blood loss.
Cyperus Rotundus Rhizome (Xiang Fu Zi) (remove hairs, 3 liang) White Poria (Bai Fu Ling) (remove skin) Amomum Fruit (Suo Sha Ren) Licorice Root (Gan Cao) (roasted and chopped, each 1.5 liang) Agarwood (Chen Xiang) (2 qian, avoid direct fire):
Grind into fine powder. Take with salt water. If decocted, add ginger and jujube. (Ibid.)
**Pingwei Prescriptions**: In treating disease, one must ask about medication; medication must suit the disease. Someone suffered from hematochezia for fifteen years, likely due to excessive worry damaging the heart and excessive alcohol consumption. They tried all medicines; sometimes it stopped temporarily but recurred, sometimes multiple prescriptions failed. Recently, someone advised taking Pingwei San, obtained from Wang Jixian, the State Physician of Shaoxing, who specialized in thickening the intestines with Magnolia Bark (Hou Po). It seems laughable to expect a fifteen-year illness to be cured by such a simple formula. However, taking one cup daily causes no harm. Although it may not eradicate the root, it shows near-term efficacy. Seeking broadly is futile labor; the way is near, yet we seek far away. This is what is meant. (From *Qingbo Biezhi*) (Note: *Xu Yishuo* cites *Qingbo Zazhi*, stating "someone taught taking Renshen Pingwei San," taken daily for over a month, curing the fifteen-year illness. This was likely a modification, but Renshen Pingwei San is indeed excellent, so *Guanju Fang* included it.)
Student Tang suffered from diarrhea with purple-black blood stools more than ten times a day due to drinking milk products and eating raw food, resulting in spleen and stomach invasion by cold-dampness toxins. I gave him Liushen Pingwei San (to be verified) 0.5 liang, plus Atractodes Macrocephala Rhizome (Baizhu) 3 qian, to promote blood circulation in the waist and umbilicus. One dose cured him. (From *Yinzheng Lueli*)
Yang suffered from bloody diarrhea due to drinking cold wine. Taking Duijin San stopped it (which is Weiling San). This also reflects the principle of regulating the middle jiao, separating yin and yang, and stabilizing the blood vessels. (From *Bencao Gangmu* citing *Haizang*)
For intestinal wind hematochezia, decoct Pingwei San with Drynaria Rhizome (Xuduan). Another method: add forty-nine wheat grains, removing Xuduan. (From *Lishang Xuduan Fang*)
**Prescriptions to Warm Middle and Tonify Deficiency**: Jiaojiang Lizhong Tang treats abdominal deficiency and hematochezia.
Take Lizhong Tang, add Astragalus Membranaceus Root (Huang Qi), Donkey-hide Gelatin (Ejiao), Mugwort Leaf (Ai Ye), and Angelica Sinensis Root (Dang Gui). Decoct and take before meals. (From *Wei Shi Jia Cang Fang*)
For persons with yang deficiency and yin insufficiency, suffering from intermittent hematochezia for many years, with a yellowish-brown complexion resembling Phellodendron bark, take Lizhong Tang added with Aconite Root (Fuzi) and Carbonized Herb Powder (Baicao Shuang), form into pills and take. (From *Danxi Xinfa*)
**Li Wu Tang**: Combines Lizhong Tang and Siwu Tang. (From *Zhengzhi Leifang*)
**Aifu Tang**: Treats hematochezia caused by cold in the zang organs.
Large Aconite Root (Fuzi) (2 liang, processed, peel and navel removed, sliced) Prepared White Mugwort (Shu Bai Ai) (1 liang) Sichuan Ginger (Chuan Jiang) (7 qian, processed and washed):
Cut into pieces. Take 3 qian per dose, add 1.5 cups of water, decoct to 0.7 portion, remove dregs, and take warm before meals. (From *Wei Shi Jia Cang Fang*)
**Guifu Tang**.
Angelica Sinensis Root (Dang Gui) (0.5 liang, remove rhizome) Aconite Root (Fuzi) (1 liang, processed, peel and navel removed):
Cut into pieces. Take 3 qian per dose, add 1.5 cups of water and five slices of fresh ginger, decoct to 0.7 portion, remove dregs, and take warm before meals. (Ibid.)
**Mendong Tang** for treating severe deficiency from lower bleeding.
Ophiopogon Tuber (Maidong) Atractodes Macrocephala Rhizome (Baizhu) (each 4 liang) Licorice Root (Gan Cao) (1 liang) Oyster Shell (Muli) Rehmannia Root (Shaoyao) Donkey-hide Gelatin (Ejiao) (each 3 liang) Jujube (Dazao) (20 pieces):
Cut the seven ingredients. Add eight sheng of water, boil to obtain two sheng. Divide into two doses. (From *Qianjin Fang*)
**Renshen San**: Treats intestinal wind and internal toxin. Transferred by Sun Shaoyuan, Transport Commissioner. He stated that those with this condition should take it regularly to prevent fatigue and sallow complexion. Taking more is better. Repeatedly transmitted to others, all considered it excellent.
Ginseng Root (Renshen) White Poria (Bai Fu Ling) Astragalus Membranaceus Root (Huang Qi) (honey-roasted) Licorice Root (Gan Cao) Schisandra Berry (Wuweizi):
Equal parts, ground into fine powder. Take two large qian per dose, mixed with plain boiled water. Take four or five times daily. (From *Shizheng Fang*) (Note: This formula originates from *Sanyin Fang*, treating lower bleeding from five types of hemorrhoids, based on modified Sijunzi Tang. Here, Baizhu and White Hyacinth Bean are removed, and Wuweizi is added.)
For excessive blood loss leading to sallow complexion, use Shiquan Dabu Tang removing Cinnamon Twig (Guizhi) as the main prescription. (From *Yuanbing Ji*)
Xue Yun, Commissioner of Communications, suffered from lower bleeding. After taking Rhinoceros Horn Dihuang Tang and other medications, the bleeding increased, body emaciated, fever developed, appetite decreased, and there was tenesmus. This was sinking of spleen qi. I used Buzhong Yiqi Tang added with Processed Ginger (Pao Jiang). One dose cured him. (From *Neike Yaosha*)
A person who habitually drank alcohol occasionally passed blood in stool, either before or after defecation, with poor appetite, fatigue, and sallow complexion. This was spleen qi deficiency failing to control blood. I used Yiqi Tang added with Evodia Fruit (Wuzhuyu) and Coptis Rhizome (Huanglian). (From *Shoushi Baoyuan*)
**Duanhong Wan**: Treats yang deficiency of zang-fu, chronic intestinal wind and hemorrhoidal diseases with persistent lower bleeding, or excessive blood loss, leading to sallow complexion and gradual emaciation.
Platycladus Seed (Bai Zhi Ye) (lightly fried until yellow) Drynaria Rhizome (Xuduan) (soaked in wine) Deer Antler (Lu Rong) (scraped of hair, boiled in vinegar) Aconite Root (Fuzi) (processed, peel and navel removed) Astragalus Membranaceus Root (Huang Qi) (remove rhizome) Donkey-hide Gelatin (Ejiao) (chopped, stir-fried with clam powder into beads) Angelica Sinensis Root (Dang Gui) (remove rhizome, soaked in wine, each 1 liang) Alum (Bai Fan) (calcined, 0.5 liang):
Grind into fine powder. Make pills with vinegar-boiled rice paste, sized like paulownia seeds. Take seventy pills per dose, on an empty stomach before meals, with rice water. (From *Jisheng Fang*)
For elderly persons with deficient yang qi, unable to retain blood, with leakage from the large intestine, Deer Antler Pill (Lurong Wan) is suitable.
Deer Antler (Lu Rong) (7 liang) Prepared Rehmannia Root (Shu Dihuang) (10 liang) Aconite Root (Fuzi) (40 pieces) Achyranthes Root (Niuxi) (20 liang) Chinese Yam (Shanyao) (4 jin) Eucommia Bark (Duzhong) (3.5 jin) Schisandra Berry (Wuweizi) (2 jin) Cistanche Stem (Rou Congrong) (3 jin):
Form pills with refined honey, coat with musk. Take with salt water or salt wine. (From *Ruyi Fang*)
**Lower bleeding due to kidney deficiency**.
Deer Antler (Lu Rong) (prepared with butter) Mume Fruit (Wu Mei) (remove pits, each 1 liang) Psoralea Fruit (Po Gu Zhi) (fried) Eucommia Bark (Duzhong) (each 0.5 liang):
Stir-fry and grind into powder. Form pills with millet porridge. Take thirty pills per dose, swallowed with salt water on an empty stomach. (From *Danliao Fang*)
**Regulation Method**: For blood disorders, if one does not abstain from alcohol, sexual activity, and rich flavors, even if bleeding stops temporarily, it will recur and eventually become a stubborn disease. (From *Shiyi De Xiao Fang* [Liu Yao])