盖虑痔根毒水流污好肉生疮，故用药涂油单纸护肉周遍，不用连纸贴定可也。唤痔
真磁石（一钱重，别研） 白矾（半钱，枯过） 白姜（一钱，别研） 草乌尖（三个，生用）
上为细末，却以葱涎调敷肠头上，其乳出用枯药。
又方用
磁石（ ，醋淬九次，研，水飞） 白矾（枯） 大草乌 穿山甲 硼砂
上为末如前，出用洗药。
二十四证痔歌 此疾，酒、色、气、风、食五事过度。
痔证分三八，凭君子细看。莫教年日久，见者胆心寒。菱角看形怪，莲花不可观。穿肠
并鼠
痛若钻。核桃与流气，见者便心酸。栗子于中大，鸡心在外安。珊瑚形可恶，那更脱肛难。
内痔红不出，搭肠裹内盘。垂珠更难治，日久有鸡冠。切莫轻刀火，令君性命残。用工无半
了，去病更除根。
用换药用此治痔方∶
辰砂（一钱） 乳香（半钱，别研） 白矾（一两） 黄丹（一钱） 巴豆（三个） 砒（半两，用白矾铺底火
七分）
上为细末，每用二钱，斑蝥三个，香油一两，同一处煎，斑蝥、巴豆赤为度。去二味，
只用
，已破用纸捻子任药入疮。
It is feared that the toxic fluid from the root of the hemorrhoid flows out and pollutes healthy flesh, causing sores. Therefore, apply medicine and oil, and protect the surrounding flesh with a single sheet of paper; do not use connected paper to fix it tightly.
**Zhen Cishi San (True Magnetite Powder) for Hemorrhoids:**
* *Cishi* (Magnetitum, 1 qian, ground separately)
* *Baifan* (Alumen, 0.5 qian, calcined until dry)
* *Baijiang* (Gingeris Rhizoma Alba, 1 qian, ground separately)
* *Caowu Jian* (Aconiti Radix Lateralis Preparata Aculeus, 3 pieces, used raw)
Grind the above into fine powder. Then mix with scallion juice (Cong Xin) and apply to the anus (Chang Tou). If milky discharge occurs, use desiccating/cauterizing medicines.
**Another Formula:**
* *Cishi* (Magnetitum, amount unspecified, quenched in vinegar nine times, ground, processed by water flotation)
* *Baifan* (Alumen, calcined until dry)
* *Da Caowu* (Aconiti Radix Preparata Major)
* *Chuanshanjia* (Manis Squama)
* *Pengsha* (Borax)
Grind the above into powder as before. If discharge occurs, use a washing solution.
**Song of Twenty-Four Types of Hemorrhoids:**
This disease is caused by excess in five aspects: wine, sex, anger, wind, and food.
Hemorrhoid symptoms are divided into three categories; please examine them carefully. Do not let the condition persist for years, or those who see it will be terrified.
* Lingjiao Hemorrhoid (Lingjiao Zhi): Strange shape.
* Lianhua Hemorrhoid (Lianhua Zhi): Cannot be viewed.
* Chuanchang Hemorrhoid (Chuanchang Zhi) and Shu Hemorrhoid (Shu Zhi): Pain like drilling.
* Hetao Hemorrhoid (Hetao Zhi) and Liuqi Hemorrhoid (Liuqi Zhi): Heartbreaking to see.
* Lizi Hemorrhoid (Lizi Zhi): Large in the middle.
* Jixin Hemorrhoid (Jixin Zhi): Located outside.
* Shanhu Hemorrhoid (Shanhu Zhi): Disgusting form; difficult to treat combined with rectal prolapse (Tuogang).
* Neizhi (Internal Hemorrhoid): Red but no bleeding, coiled inside the intestine (Dachang).
* Chuzhu Hemorrhoid (Chuzhu Zhi): Harder to treat; becomes Guanmiao (Chicken Comb) Hemorrhoid after long duration.
Do not lightly use knives or fire, lest your life be ruined. Work diligently to remove the disease at its root.
**Formula for Changing Medication to Treat Hemorrhoids:**
* *Chensha* (Cinnabar, 1 qian)
* *Ruxiang* (Olibanum, 0.5 qian, ground separately)
* *Baifan* (Alumen, 1 liang)
* *Huandan* (Minii Oxidum Rubrum, 1 qian)
* *Badou* (Crotonis Fructus, 3 pieces)
* *Pi* (Arsenic Trioxide, 0.5 liang, placed on bottom with Baifan, fired to 70% completion)
Grind the above into fine powder. Take 2 qian each time, add 3 *Banmao* (Mylabris), and 1 liang of Sesame Oil (Xiangyou). Decoct together until Banmao and Badou turn red. Remove these two ingredients. Use the remaining residue. For already ulcerated sores, use a paper wick to allow the medicine to enter the wound.
**Washing/Preparation Formula:**
* *Wumingyi* (Haematites, 0.5 qian)
* *Huangbai* (Phellodendri Cortex, 1 liang)
* *Huanglian* (Coptidis Rhizoma, 0.5 liang, raw)
* *Wuheidou* (Sojae Semen Nigrum, 0.5 sheng)
Grind the above into powder. Wash with warm water, then apply *Haige San*.
**Haige San (Clam Shell Powder):**
* *Wuyi* (Meliae Fructus, 1 liang)
* *Longgu* (Os Draconis, 1 qian)
* *Haige* (Concha Arcae, 1 qian, calcined)
* *Mituo Seng* (Lithargyrum, 0.5 qian)
Grind the above into powder. First sprinkle the powder, then apply Tie Zhi Gao (Hemorrhoid Paste) once daily.