脏毒下血。（《三吴医案》）
槐花 木耳（各三钱） 大黄（酒浸，九蒸九晒，二两） 郁李仁 皂角子 象牙屑 条芩
升麻 血余炭 荆芥穗（各五钱）
共为细末，炼蜜为丸如赤豆大，外以四物汤加黑蒲黄各一两为衣，米汤送下，空心及下午各二钱，服完立愈。
又方 干柿饼烧灰，米饮调下二钱。
加味脏连丸 治脏毒。
黄连（八两） 枳壳（六两） 大麦馅子（一升） 甘草（四两）
先为粗末，装入犍猪大肠内，不拘几段，用线扎紧，酒水同煮极烂，捣成饼，晒干，为细末，水叠为丸，白汤送下
二钱。
洗脏毒痔疮。（叶台山。）
五倍子 当归 黄柏 槐花 木鳖子（各一两） 瓦松（十根） 红花（五钱） 煎汤熏洗。
消毒百应丸 治脏毒痔漏。
苍术 猪牙皂 槐花（或槐角子） 金银花 黄柏 当归（各四两）
上六味用河井水各四碗，煎取浓汁滤清，入锦纹大黄一斤，石槌打碎，浸透取
起晒干，又浸又晒，汁尽为度，研细末，用陈荞麦面和杵为丸，如绿豆大，如血多加
地榆四两煎汤，寻常用二十丸；沉重用六十四丸；体浓者用八十一丸，白汤送下。并
治内外诸证。汤引开后∶心痛艾醋煎汤下，追虫下积槟榔汤下，肚痛干姜汤下，咳嗽
姜汤下，伤食酒下，夜多小便山茱萸汤下，疝气茴香汤下，风火时眼黄连汤下，白痢
姜汤下，赤痢甘草汤下，浑身痛乳香汤下，五劳七伤盐汤下，肠风下血、吐血当归汤
下，难产童便下，五淋、大小便秘大黄汤下，痔疮漏疮、头痛眼胀、伤寒发热紫苏
汤或大黄汤下，经水不通红花汤或当归汤下，肚大青筋膨胀石榴汤下，黄肿陈皮汤
下，四肢无力熟地汤下，疔疮磨刀水下。
脏毒下血。（丹溪）车前草连根一握，生姜一小块，和新水捣烂，去渣取汁，候
血欲下时，腰间必觉重，即服此一盏，少倾渐觉冷下腹中，登厕便不见血矣。
脏毒下血（《锦囊》） 黄连四两，酒浸，春秋五日，夏三日，冬十日，晒干为末，乌
梅肉六两，捣烂丸桐子大，每服二三十丸，空心白汤下。
Hematochezia due to Zangdu (Toxic heat in the intestines/rectum). (From *Sanwu Yi'an*)
*Huaihua* (Flos Sophorae), *Mu'er* (Sclerotium Poriae Cocos) (each 3 qian); *Dahuang* (Radix et Rhizoma Rhei) (soaked in wine, steamed nine times and sun-dried nine times, 2 liang); *Yuliren* (Semen Pruni Persicae), *Zaojiaozi* (Fructus Gleditsiae Sinensis), *Xiangyaxie* (Dens Elephantis), *Tiaoqin* (Radix Scutellariae Baicalensis), *Shengma* (Rhizoma Cimicifugae), *Xueyutan* (Cinis Capillis Humanis), *Jingjisui* (Flos Schizonepetae) (each 5 qian).
Grind all ingredients into a fine powder. Form pills with refined honey, sized like red beans. Coat the pills with a mixture of *Siwu Tang* (Four Substances Decoction) and *Hei Puhuang* (Carbonized Sporis Typhae), each 1 liang. Take with rice water, 2 qian on an empty stomach and 2 qian in the afternoon. The condition will be cured upon completion of the course.
Another prescription: Char the dried persimmon cake (*Gan Shibing*), mix with rice drink, and take 2 qian.
Jiawei Zalian Wan (Modified Intestine-Linking Pill): Treats Zangdu.
*Huanglian* (Rhizoma Coptidis) (8 liang), *Zhike* (Fructus Aurantii) (6 liang), *Damai xianzi* (Barley filling) (1 sheng), *Gancao* (Radix Glycyrrhizae Uralensis) (4 liang).
First, cut the herbs into coarse pieces. Pack them into the large intestine of a robust pig. Tie the ends tightly with thread. Boil with wine and water until extremely soft. Mash into cakes, sun-dry, and grind into a fine powder. Form pills with water (water-honeyed pills). Take 2 qian with warm water.
Wash for Zangdu hemorrhoids. (Provided by Ye Taishan.)
*Wubeizi* (Galla Chinensis), *Danggui* (Radix Angelicae Sinensis), *Huangbai* (Cortex Phellodendri Amurensis), *Huaihua* (Flos Sophorae), *Mubiezi* (Semen Strychnos), *Wasong* (Sedum Acre) (10 roots), *Honghua* (Flos Carthami Tinctorii) (5 qian). Decoct for fumigation and washing.
Xiaodu Baiying Wan (Disinfecting Hundred-Response Pill): Treats Zangdu and hemorrhoidal fistula.
*Cangzhu* (Rhizoma Atractylodis Lanceae), *Zhuyazao* (Fructus Gleditsiae Sinensis), *Huaihua* (Flos Sophorae) (or *Huaijiaozhi* Fructus Sophorae Japonicae), *Jinyinhua* (Flos Lonicerae Japonicae), *Huangbai* (Cortex Phellodendri Amurensis), *Danggui* (Radix Angelicae Sinensis) (each 4 liang).
Take the above six herbs, add four bowls each of river water and well water. Decoct to obtain a concentrated liquid, filter clearly. Add 1 jin of *Jinwen Dahuang* (Radix et Rhizoma Rhei with visible grain patterns), crush with a stone pestle, soak thoroughly, take out, sun-dry, then soak again and dry until the juice is exhausted. Grind into a fine powder. Mix with aged buckwheat flour and pound into pills, sized like mung beans. If bleeding is heavy, add *Diyu* (Radix Sanguisorbae) 4 liang, decoct in soup. Routine use: 20 pills; severe cases: 64 pills; robust constitution: 81 pills. Take with warm water. Also treats various internal and external conditions. Soup guides are as follows: For heart pain, take with mugwort vinegar decoction; for expelling parasites and accumulating stagnation, take with betel nut decoction; for abdominal pain, take with dried ginger decoction; for cough, take with ginger decoction; for food stagnation, take with wine; for frequent nocturia, take with cornus decoction; for hernia, take with fennel decoction; for wind-fire eye disorders, take with coptis decoction; for white dysentery, take with ginger decoction; for bloody dysentery, take with licorice decoction; for whole-body pain, take with frankincense decoction; for five labors and seven injuries, take with salt water; for intestinal wind hematochezia and hematemesis, take with angelica decoction; for difficult labor, take with infant urine; for five stranguries and constipation of both large and small bowels, take with rhubarb decoction; for hemorrhoidal fistulas, headache, eye distension, and febrile disease due to cold damage, take with perilla decoction or rhubarb decoction; for amenorrhea, take with safflower decoction or angelica decoction; for abdominal distension with prominent veins (tympanites), take with pomegranate decoction; for yellow edema, take with tangerine peel decoction; for weakness of limbs, take with prepared rehmannia decoction; for carbuncles, take with knife-grinding water.
Hematochezia due to Zangdu. (Zhu Danxi) Take a handful of fresh *Cheqiancao* (Herba Plantaginis Cum Radice) including roots, and a small piece of fresh ginger. Mash together with fresh water, strain to extract juice. When one feels the urge for blood to pass and the waist feels heavy, immediately drink one cup of this juice. Soon, a cooling sensation will descend into the abdomen. Upon using the toilet, the blood will cease.
Hematochezia due to Zangdu (From *Jinnang*). *Huanglian* (Rhizoma Coptidis) 4 liang, soaked in wine: 5 days in spring and autumn, 3 days in summer, 10 days in winter. Sun-dry and grind into powder. *Wumei Rou* (Sarcocarpus Mume) 6 liang, mash into paste. Mix with the powder to form pills sized like paulownia seeds. Take 20-30 pills each time with warm water on an empty stomach.