《圣惠》坐儿稍早，为客风吹脊，风气达髓，使背高如龟，虽有药方，多成痼疾，
以灸法为要。〔钱〕儿生下客风入脊，逐于骨髓，即成龟背，治之以龟尿点节骨。
取尿之法，当安龟在莲叶上，后用镜照之，其尿自出，以物盛之。〔张〕婴儿生后
一百八十日，始 骨成，方能独坐，若强令儿坐之太早，即客风寒吹着儿背及脊至
骨，传入于髓，使背高如龟之状，以松药丹疗之。
〔张〕松药丹 治龟背病。
松花（洗，焙干） 枳壳（去瓤，麸炒） 独活 防风（去芦叉。各一两） 川大黄（炮） 前胡 麻黄（去根节）
桂心（各半两）
上为细末，炼蜜和如黍米大。每服十粒，粥饮下，量儿大小加减。《圣惠》
麻黄丸、多芍药，少前胡。一方，多槟榔、诃皮。一方，无松花，有当归，
煮面糊丸，名枳壳防风丸。
《圣惠》灸法 当灸第三椎骨节下两旁各一寸半肺俞穴，又第五椎骨节下两旁各一寸
半心俞穴，又第七椎骨节下两旁各一寸半膈俞穴，以小儿中指节为一寸，艾炷如
小麦大，三五壮即止。此法累用，十有一二得效，亦无全效之功。（《颅囟经》云∶符殿直
之孙绍熙，辛亥春，灸即效。）
〔世〕龟背在百日内不治。
〔曾〕肺与大肠为表里，肛者大肠之门，肺实热，则闭结不通，肺虚寒，则肠头
出露，有因痢久里急后重，努力肛开，为外风所吹，或伏暑作泻，肠滑不禁，或禀
赋怯弱，易于感冷，亦致大肠虚脱。凡小儿所患泻痢，皆因暑湿风热乘脾胃虚而得，
盖风属木，木胜则制土，土主脾胃，虚而受制，又湿喜伤脾，因虚受湿，不能分别
清浊，水谷交杂，则为洞泄，洞泄既久，大肠亦虚，大肠乃手阳明燥金，而土虚不
能生金，金气既虚，则传送之道亦虚，又为风冷所袭，故肛门脱而不收。法宜补脾
温胃，使金得受母之益而气实，宜藿香饮（不乳食）、匀气散（疝）、平胃散（不乳食）主之，次则
内投固肠之剂，用健脾饮（不乳食）养脏汤（痢）服饵，外以敷贴之法，用伏龙肝散敷之，及
萆麻膏贴囟门，使引气上，令其自收，如收尽，仍以水洗去其膏。及有邪热积滞
于大肠，未经疏涤，亦成此疾，其肛门色红而软，肺脉浮数，右手指纹紫见，身微
有热，时或烦躁，先投清肺饮（嗽）疏解，次用薄荷散、蟠龙散为治，间服万安饮亦
佳。〔薛〕巢氏云∶实热则大便秘结，虚寒则肛门脱出，此多因吐泻脾气虚，肺无
所养，故大肠之气虚，脱而下陷也，用补中益气、或四君子为主。若脱出绯赤，
或作痛者，血虚而有热也，用补中益气汤佐以四物、牡丹皮，微者或作痛者，气虚
而有热也，佐以四君、牡丹皮。大凡手足指热者属胃气热，手足指寒者属胃气寒。
汤氏方治脱肛大肠自粪门出，宜用葱汤熏洗令软，款款送上。此因泻利得之者，亦
可服泻利之药，然后用槐花等药。又有用一味五倍子煎汤，入朴硝熏洗而缩者。又
有用真蒲黄碾极细，以猪脂拌匀，敷肛门上而入者。
《全婴方》用涩肠散，兼有痔证肿痛者，用黄丹、滑石等分，井水调涂即消，并用
铅白霜半钱，片脑半字，好酒调敷肿处，甚佳。黄连解毒汤亦可服。用苦参汤洗亦
效。亦有密陀僧、白矾、脑子末之敷上，更用荆芥、防风等项洗之。用生栝蒌根者效。
【内服】
张涣芜荑丹 治小儿久痢频并，大肠虚冷，肛门脱出。
白芜荑（微炒） 鳖甲（涂酥炙黄，去裙 ） 蜗牛皮（炙令焦黄） 磁石（烧，醋蘸七遍，细研水飞。各一两） 蚺
蛇胆 黄连（去须，微炒。各半两）
上件捣，罗为末，用软饭和丸，如黍米大。每服十粒，粥饮下，量儿大小加减，乳食前。
妙应散
莨菪子（淘去浮者，炒令黑色） 天台乌药（各半两。以上捣罗为细末，次入） 白面（一分） 龙脑（半钱）
上件都拌匀。每服一字，蜜汤调下，乳食前。
〔曾氏〕薄荷散 治阳证脱肛。
薄荷（和梗） 骨碎补（去毛。各半两） 金罂刺根（七钱半） 甘草（二钱半）
上锉碎。每服二钱，水一盏，入无灰酒大匙，煎七分，空心温服，或无时。
《聚宝方》象豆丸 治诸痢脱肛。
HT 藤子（一名象豆，出广南山林间，如通草藤，紫黑）
上一味为末，每服二钱。血痢，热酒调下，三服必效。白痢，倾打破取仁子碎
碾，银器中慢火炒黄褐色，碾细，罗一两遍后，若带白时再炒褐色，为末，宿蒸
饼汤浸，却握干和丸豌豆大，略焙干。每服十五丸至二十丸，仓米饮温下，空心，
食前服，痢瘥即止。虫毒五痔、小儿脱肛，并可为末，酒调下，立愈。
〔茅先生〕方用破故纸一两，于瓦上焙干为末，每服一字或半钱，米饮调下。吴茱萸末亦可。
《婴孺》用黄连、黄柏，二味为末，蜜丸桐子大。饮下三丸，日三四服。
〔庄氏〕用干莲蓬焙干为末。米饮调下一二钱。
〔汤氏〕治大肠虚弱，肛门脱下方
龙骨 诃子（煨，去核。各一两） 没石子（大者，二枚） 罂粟壳（去核，醋涂炙，二钱）
上，为末，白汤点服。仍用葱汤熏洗令软，款款以手托入，用新砖瓦烧红，以
醋浇之，气上，即用脚布叠数重压定，使热气上透，不可过热，令病者以臀坐于
布上，如觉布温，逐旋减之，以常得温热为度。并常服前药。
〔洁古〕五倍子散 治小儿脱肛。
五倍子 地榆（各等分）
上，为细末。每服半钱或一钱，空心米饮调下。
【外治】
钱氏赤石脂散 治小儿因痢后努 气下，推出肛门不入。（ ，于建反，用力努腹也）
真赤石脂 伏龙肝（各等分）
上，为细末。每用五分，敷肛头上，频用按入。
〔曾氏〕蟠龙散 治阳证脱肛。
干地龙蟠（如钱样者佳，略去土，一两） 风化朴硝（二钱）
上锉、焙，研为细末，仍和匀朴硝。每以二钱至三钱，肛门湿润干涂，或干燥
用清油调涂。先以见毒消、荆芥、生葱煮水，候温浴洗，轻与拭干，然后敷药。
伏龙肝散 治阴证脱肛。
伏龙肝（一两） 鳖头骨（一具） 百药煎（二钱半）
上三味，焙研为末。每用一钱至三钱，浓煎紫苏汤候温，和清油调涂患处，并
如前法浴洗拭干，方上药。
治小儿脱肛用五倍子为末，量多少掺患处，以物衬手揉入，切忌食发风毒物。
脱肛治法，用蒲黄一两，猪脂二两，炼猪脂和蒲黄成膏，涂肠头上，即缩入。
水圣散 治小儿脱肛不收，用浮萍草不以多少，杵为细末，干贴患处。
涩肠散 治小儿久痢，大肠头脱出不收
诃子（炮） 赤石脂 龙骨（各等分）
上为末。腊茶少许，和药掺肠头上，绢帛揉入。又治痢，米汤调。又方，治脱
肛，五倍子焙为末，入茶，根据前方用。
胜雪膏 治随肠、番花、鼠奶等痔，热痛不可忍，或已成疮者，并皆治之。
片脑 风化硝
上件，各半字，用好酒少许，研成膏子涂之。随手辄愈。
治大人小儿脱肛不收方 连翘不以多少，洗净，为细末。先以盐水洗，后用药末时
时干敷脱肛上，立瘥。
蓖麻膏 治暴患脱肛。
蓖麻子（一两）
上件，烂杵为膏，捻作饼子，两指宽大，贴囟上。如阴证脱肛，加生附子末，
葱蒜同研作膏，根据前法贴之。
《朱氏家传》治小儿脱肛方
上用磁母石，以石碾为末，面糊为丸，如绿豆大。熟水下五七丸。后以磨刀水
洗脱肛处，立效。
脱肛用东北方陈壁泥土，汤泡，先洗下，后熏上。
《保生信效》治久病肠风痔漏，肠出不收，至有出数寸者，苦楚良极。小儿久泻痢，亦名此疾。
上，先用五倍子四两，以水五升，煎汤一两沸，投入朴硝四两，通手淋洗，至
水冷即止。若觉热痛，即津唾调熊胆涂之，痛即止，当渐收，甚者不过淋洗三五
次收尽。窃详此药朴硝能软，五倍子能收，二物相须以为用也，或更以干蜘蛛末
掺之，乘热以软帛 入，尤妙。（掺蜘蛛者与葛氏方同）
《九 卫生》疗小儿脱肛方
香附子 荆芥穗（各等分）
上，同为粗末。每用三匙，水一大碗，煎十数沸，淋渫。
苦参汤 治脱肛并痔。
枳壳 黄连 大黄 甘草 荆芥 苦参 赤芍药 黄芩（各等分）
上锉散。每用五钱，以车前子、茅草同煎，熏洗。
小儿脱肛泻血，秋深不痊。灸龟尾一壮，炷如小麦大，脊端穷骨也。小儿脱肛者，
灸脐中三壮。小儿脱肛久不瘥，及风痫中风，角弓反张，多哭言语不择，发无
时节，盛即吐沫者，取百会一穴，灸七壮，在鼻直入发际五寸顶中央旋毛中，可容豆，炷如小麦大。
*Shenghui Fang* (Supreme Benefit Formulas) suggests that allowing infants to sit too early exposes the spine to external wind-cold. Wind-pathogen enters the marrow, causing the back to protrude like a turtle shell. Although medicinal formulas exist, they often fail to cure chronic conditions; therefore, moxibustion is the primary treatment. [Qian Yi] states that if postnatal "guest wind" invades the spine and penetrates the bone marrow, it results in turtle-back deformity. Treatment involves applying turtle urine to the joint bones. To collect the urine, place the turtle on a lotus leaf and shine a mirror upon it; the urine will excrete naturally and can be collected with a vessel. [Zhang Huan] notes that an infant's bones are not fully formed until 180 days after birth, at which point they can sit independently. Forcing an infant to sit too early allows external wind-cold to strike the back and spine, penetrating the bones and marrow, resulting in a humpback resembling a turtle. This should be treated with *Songyao Dan* (Pine Medicine Pill).
[Zhang Huan] *Songyao Dan*: Treats turtle-back deformity.
Ingredients: *Pinus massoniana* flower heads (washed, dried by baking) 1 liang, *Aurantii Fructus* (pulp removed, stir-fried with bran) 1 liang, *Angelicae Pubescentis Radix* 1 liang, *Saposhnikoviae Radix* (rhizome and forked roots removed) 1 liang, *Rhei Radix et Rhizoma* (processed) 0.5 liang, *Peucedani Radix* 0.5 liang, *Ephedrae Herba* (roots and nodes removed) 0.5 liang, *Cinnamomi Cortex* 0.5 liang.
Grind all ingredients into a fine powder. Mix with refined honey to form pills the size of millet seeds. Administer 10 pills per dose, washed down with gruel beverage, adjusting the dosage according to the child's age and size. In *Shenghui Fang*'s *Mahuang Wan*, the dosage of *Paeoniae Radix Alba* is increased while *Peucedani Radix* is decreased. Another variation increases *Arecae Semen* and *Terminalia Chebula Retusa*. A third variant omits pine flowers but adds *Angelicae Sinensis Radix*, formed into pills with boiled wheat paste, named *Zhike Fangfeng Wan*.
*Shenghui Fang* Moxibustion Method: Moxibustion should be applied to the *Feishu* (BL13) acupoint, located 1.5 cun lateral to the spinous process of the third thoracic vertebra; the *Xinshu* (BL15) acupoint, located 1.5 cun lateral to the fifth thoracic vertebra; and the *Geshu* (BL17) acupoint, located 1.5 cun lateral to the seventh thoracic vertebra. Use the middle segment of the child's middle finger as the standard for 1 cun. The moxa cone should be the size of a wheat grain. Apply 3 to 5 cones per acupoint. This method has been used repeatedly with success in only one or two out of ten cases, and rarely achieves complete cure. (*Lunxin Jing* records: Shaoxi, grandson of Fu Dianzhi, was cured after moxibustion in the spring of the Xinhai year.)
[General Medical Consensus] Turtle-back deformity is incurable if not treated within the first hundred days.
[Zeng Zhixi] The Lung and Large Intestine are exterior-interior paired organs. The anus is the gate of the Large Intestine. Lung excess-heat causes constipation; Lung deficiency-cold causes rectal prolapse. Prolapse may result from prolonged dysentery with tenesmus and straining, exposing the anus to external wind; or from summer-heat diarrhea causing intestinal slippage and incontinence; or from congenital weakness making the child susceptible to cold, leading to Large Intestine deficiency collapse. Pediatric diarrhea and dysentery generally arise when summer-dampness, wind, and heat exploit Spleen-Stomach deficiency. Wind belongs to Wood; excessive Wood controls Earth. Earth governs the Spleen and Stomach; when deficient and controlled, combined with dampness injuring the Spleen due to deficiency, the body fails to separate clear from turbid. Water and food mix, causing profuse watery diarrhea. Prolonged watery diarrhea weakens the Large Intestine. The Large Intestine corresponds to Hand-Yangming Dryness-Metal. Spleen-earth deficiency fails to generate Metal; thus, Metal qi becomes deficient, weakening the transmission pathway. Attack by wind-cold then causes anal prolapse that cannot retract. The treatment principle is to tonify the Spleen and warm the Stomach, allowing Metal to receive nourishment from its mother (Earth) and strengthen its qi. Primary formulas include *Huoxiang Yin* (for poor appetite), *Yunqi San* (for hernia), and *Pingwei San* (for poor appetite). Subsequently, administer internal bowel-consolidating agents such as *Jianpi Yin* (for poor appetite) and *Yangzang Tang* (for dysentery). Externally, apply *Fulonggan San* (Dragon Bone Powder) or castor oil plaster to the anterior fontanelle to guide qi upward, allowing spontaneous retraction. Once retracted, wash off the plaster with water. If pathogenic heat and stagnation accumulate in the Large Intestine without prior resolution, this condition also arises. Signs include red, soft anus, floating-rapid Lung pulse, purple appearance of the distal phalanx fingerprint on the right hand, slight fever, and occasional irritability. Initially administer *Qingfei Yin* (for cough) to disperse and resolve, followed by *Bohe San* and *Panlong San*. Intermittent administration of *Wan'an Yin* is also beneficial.
[Xue Ji] Chao Yuanfang stated: Excess-heat causes constipation; deficiency-cold causes anal prolapse. This is often due to vomiting and diarrhea causing Spleen qi deficiency, leaving the Lung un-nourished, resulting in Large Intestine qi deficiency, leading to prolapse and sinking. Treat primarily with *Buzhong Yiqi Tang* (Tonify the Middle and Augment the Qi Decoction) or *Sijunzi Tang* (Four Gentlemen Decoction). If the prolapsed tissue is crimson or painful, it indicates blood deficiency with heat; treat with *Buzhong Yiqi Tang* supplemented by *Siwu Tang* (Four Substances Decoction) and *Mudanpi* (Tree Peony Bark). If symptoms are mild with pain, it indicates qi deficiency with heat; supplement *Sijunzi Tang* with *Mudanpi*. Generally, hot fingertips indicate Stomach qi heat; cold fingertips indicate Stomach qi cold.
[Tang Shi's Formula] For rectal prolapse where the Large Intestine exits the anus, fumigate and wash with scallion decoction to soften, then gently reduce it manually. For cases caused by diarrhea/dysentery, administer anti-diarrheal/dysentery medicines first, followed by herbs such as *Chrysanthemi Flos* (Flower of Chrysanthemum). Another method uses a decoction of single-ingredient *Galla Chinensis* (Chinese Gall) with *Natrii Sulfas* (Mirabilite) for fumigation and washing to induce retraction. Another method uses finely powdered *Pollen Typhae* (Cat-tail Pollen) mixed with lard, applied to the anus to facilitate reduction.
*Quanying Fang* uses *Secchang San* (Intestine-Astringing Powder). For cases with hemorrhoid swelling and pain, mix equal parts of *Minium* (Lead Monoxide) and *Talcum* (Talc), apply with well water to resolve swelling. Also apply half a qian of *Plumbi Subcarbonas* (White Lead Frost) and half a zi of *Borneolum Syntheticum* (Borneol) mixed with good wine to the swollen area for excellent results. *Huanglian Jiedu Tang* (Coptis Decoction to Relieve Toxicity) is also suitable. Washing with *Sophorae Flavescentis Radix* (Kushen) decoction is effective. Other options include applying powders of *Argenti Nitras* (Litharge), *Alumen* (Alum), and *Borneolum* (Camphor), followed by washing with *Schizonepetae Herba* (Schizonepeta) and *Saposhnikoviae Radix* (Fangfeng). Using fresh *Trichosanthis Radix* (Gualou Gen) is also effective.
[Internal Administration]
Zhang Huan's *Wuyi Dan* (Melia Pill): Treats pediatric chronic frequent dysentery, Large Intestine deficiency-cold, and anal prolapse.
Ingredients: *Meliae Semen* (lightly stir-fried) 1 liang, *Testudinis Carapax et Plastrum* (coated with butter, roasted yellow, remove skirt) 1 liang, *Viperis Corpus* (roasted until scorched yellow) 1 liang, *Magnetitum* (calcined, dipped in vinegar seven times, finely ground and levigated) 1 liang, *Bungarus Caeruleus Bile* 0.5 liang, *Coptidis Rhizoma* (remove whiskers, lightly stir-fried) 0.5 liang.
Crush and sieve into powder. Mix with soft rice to form pills the size of millet seeds. Administer 10 pills per dose with gruel beverage, adjusting for age/size, before milk or meals.
*Miaoying San* (Wonderful Efficacy Powder):
Ingredients: *Hyoscyami Semen* (wash away floating ones, roast until black) 0.5 liang, *Linderae Radix* (Tiantai Wuyao) 0.5 liang. Grind these into fine powder, then add *Tritici Farina* (Wheat Flour) 1 fen, *Borneolum* (Borneol) 0.5 qian.
Mix thoroughly. Administer one zi per dose, mixed with honey water, before milk or meals.
[Zeng Shi] *Bohe San* (Mint Powder): Treats Yang-type rectal prolapse.
Ingredients: *Menthae Haplocalycis Herba* (with stem) 0.5 liang, *Drynariae Rhizoma* (remove hairs) 0.5 liang, *Berberidis Radix* (Jinyingsi root) 0.75 liang, *Glycyrrhizae Radix et Rhizoma* 0.25 liang.
Cut into pieces. Administer 2 qian per dose with one cup of water and one large spoon of non-adulterated wine. Decoct to 0.7 cup. Take warm on an empty stomach or as needed.
*Jubao Fang* *Xiangdou Wan* (Elephant Bean Pill): Treats various dysenteries with prolapse.
Ingredient: HT Vine Seeds (also known as Elephant Beans, found in mountains of Guangnan, resembling *Akebia* vine, purple-black).
Grind into powder. Administer 2 qian per dose. For bloody dysentery, take with hot wine; three doses guarantee efficacy. For white dysentery, break open, extract kernels, grind, and slowly roast in a silver vessel until yellow-brown. Grind fine, sieve once or twice. If white remains, roast again until brown. Grind to powder. Soak in steamed cake tea, squeeze dry, and form pills the size of pea seeds. Lightly dry. Administer 15-20 pills per dose with warehouse rice beverage, warm, on an empty stomach before meals. Stop when dysentery resolves. For worm toxins, five types of hemorrhoids, and pediatric prolapse, take powder mixed with wine for immediate cure.
[Mao Xiansheng] Formula: Roast *Psoraleae Fructus* (Buguzhi) 1 liang on a tile until dry, grind to powder. Administer one zi or half a qian, mixed with rice beverage. *Evodiae Fructus* (Wuzhuyu) powder is also acceptable.
*Yingru Ji* uses *Coptidis Rhizoma* (Huanglian) and *Phellodendri Cortex* (Huangbai), ground to powder, honey-pilled to the size of paulownia seeds. Take 3 pills with water, 3-4 times daily.
[Zhuang Shi] Uses dried lotus seed pods, roasted and ground to powder. Take 1-2 qian mixed with rice beverage.
[Tang Shi] Formula for Large Intestine weakness and anal prolapse:
Ingredients: *Longgu* (Fossilized Bones) 1 liang, *Terminalia Chebula Retusa* (Hezi, baked, pitted) 1 liang, *Myrobalans* (large ones, 2 pieces), *Papaveris Pericarpium* (Yangsuke Qiao, pitted, coated with vinegar and roasted) 2 qian.
Grind to powder. Take with plain boiled water. Continue fumigating and washing with scallion water to soften, then gently reduce manually. Heat new brick tiles, pour vinegar to generate steam, stack several layers of foot cloth, press firmly to allow heat penetration (ensure not too hot). Have the patient sit on the cloth. Reduce layers gradually as it cools, maintaining warmth. Continue taking the internal medicine.
[Jiegu] *Wubeizi San* (Five-Gallnut Powder): Treats pediatric rectal prolapse.
Ingredients: *Galla Chinensis* (Wubeizi), *Sanguisorbae Radix* (Diyu) (equal parts).
Grind to fine powder. Take half a qian or one qian, mixed with rice beverage on an empty stomach.
[External Treatment]
Qian Yi's *Chishizhi San* (Red Halloysite Powder): Treats pediatric anal prolapse following dysentery due to straining. ("Nu" means straining the abdomen).
Ingredients: True *Halloysitum Rubrum* (Chishizhi), *Fulonggan* (Dragon's House Soil) (equal parts).
Grind to fine powder. Apply 0.5 fen to the anal head frequently, pressing it in.
[Zeng Shi] *Panlong San* (Coiled Dragon Powder): Treats Yang-type rectal prolapse.
Ingredients: Dried *Pheretima* (Di Long, coiled like a coin is best, remove soil) 1 liang, *Natrii Sulfas Efflorescens* (Fenghua Puxiao) 2 qian.
Cut, bake, and grind to fine powder, mixing evenly with Mirabilite. Apply 2-3 qian directly if the anus is moist, or mix with sesame oil if dry. First, boil *Anemones Radix* (Jianduxiao), *Schizonepetae Herba* (Jingjie), and raw scallion in water. Wash with warm water, gently pat dry, then apply medicine.
*Fulonggan San* (Dragon's House Soil Powder): Treats Yin-type rectal prolapse.
Ingredients: *Fulonggan* (Dragon's House Soil) 1 liang, *Testudinis Cranium* (Bie Tou Gu) 1 piece, *Baiyaojian* (Fermented Medicinal Leaven) 2.5 qian.
Bake and grind the three ingredients to powder. Take 1-3 qian, mix with strong decoction of *Perillae Folium* (Zisu Ye) cooled to warm temperature and sesame oil. Apply to the affected area. Wash and dry as described above before application.
For pediatric rectal prolapse, use *Galla Chinensis* powder applied to the lesion, reducing it manually with protection. Strictly avoid foods that trigger wind-toxins.
Treatment for prolapse: Mix 1 liang *Pollen Typhae* with 2 liang lard, refine into ointment, apply to the prolapsed intestine to induce retraction.
*Shuisheng San*: For irreducible pediatric prolapse, use *Lemma Minoris* (Fuping) in any amount, pounded to fine powder, applied dry to the lesion.
*Secchang San*: For chronic pediatric dysentery with irreducible Large Intestine prolapse.
Ingredients: *Terminalia Chebula Retusa* (Hezi, processed), *Halloysitum Rubrum* (Chishizhi), *Longgu* (equal parts).
Grind to powder. Add a little aged tea, mix with powder, apply to the prolapsed intestine, and reduce with silk cloth. Also treats dysentery when mixed with rice soup. Another formula for prolapse: Roast *Galla Chinensis*, grind to powder, add tea, follow previous instructions.
*Xuesnow Ointment*: Treats prolapsed hemorrhoids (Suochang, Fanhua, Shunainai), unbearable heat/pain, or ulcerated hemorrhoids.
Ingredients: *Borneolum Syntheticum* (Bingpian), *Natrii Sulfas Efflorescens* (Fenghua Xiao) (half a zi each).
Mix with a small amount of good wine, grind into ointment, and apply. Cures immediately.
Formula for adult/pediatric irreducible prolapse: *Forsythiae Fructum* (Lianqiao) in any amount, washed and ground to powder. Wash with salt water first, then apply powder dry to the prolapse repeatedly. Cures instantly.
*Bimagan Gao* (Castor Oil Plaster): Treats acute rectal prolapse.
Ingredients: *Ricini Semen* (Bimazi) 1 liang.
Pound into paste, shape into cakes two fingers wide, apply to the anterior fontanelle. For Yin-type prolapse, add *Aconiti Lateralis Radix Praeparata* (Sheng Fuzi) powder, crush with scallion and garlic to make paste, apply as above.
*Zhu Shi Jia Chuan* Formula for pediatric prolapse:
Grind *Ci Mu Shi* (Magnetite) to powder with a stone mill, form pills with wheat paste the size of mung beans. Swallow 5-7 pills with cooked water. Wash the prolapse area with whetstone water for immediate effect.
Northeastern folk remedy for prolapse: Use old wall earth, soak in hot water, wash the lower part first, then fumigate the upper part.
*Bao Sheng Xin Xiao* treats chronic wind-intestinal hemorrhoids/fistulas with irreducible prolapse (sometimes extending several inches), causing extreme suffering. Chronic pediatric diarrhea/dysentery is also called this disease.
Take 4 liang *Galla Chinensis*, boil in 5 sheng water for one boil, add 4 liang *Natrii Sulfas* (Mirabilite). Wash with solution until cool. If burning pain occurs, mix bear bile with saliva and apply to stop pain; retraction follows. Severe cases resolve in 3-5 washes. Mirabilite softens, *Galla Chinensis* astringes; they work synergistically. Alternatively, sprinkle dry spider powder and reduce with warm soft cloth for superior results (same as Ge Shi's formula).
*Jiu Wei Wei Sheng* Formula for pediatric prolapse:
Ingredients: *Cyperi Rhizoma* (Xiangfu), *Schizonepetae Spica* (Jingjie Sui) (equal parts).
Grind to coarse powder. Take 3 spoons, boil in one large bowl of water for several boils, pour over the area.
*Kushen Tang* (Sophora Decoction): Treats prolapse and hemorrhoids.
Ingredients: *Aurantii Fructus* (Zhike), *Coptidis Rhizoma* (Huanglian), *Rhei Radix et Rhizoma* (Dahuang), *Glycyrrhizae Radix et Rhizoma* (Gancao), *Schizonepetae Herba* (Jingjie), *Sophorae Flavescentis Radix* (Kushen), *Paeoniae Radix Rubra* (Chishaoyao), *Scutellariae Radix* (Huangqin) (equal parts).
Cut into pieces. Take 5 qian, decoct with *Plantaginis Semen* (Cheqian Zi) and *Imperatae Rhizoma* (Maogeng), fumigate and wash.
For pediatric prolapse with bloody stool persisting late autumn: Apply one cone of moxibustion to *Guiwei* (Coccyx tip, the end of the spine), cone size of a wheat grain. For pediatric prolapse: Apply three cones to *Qihai* (CV6, center of umbilicus). For chronic pediatric prolapse, wind-stroke epilepsy, opisthotonos, excessive crying, incoherent speech, irregular onset, or foaming at the mouth during attacks: Moxibustion on *Baihui* (GV20), seven cones. Location: 5 cun directly above the nose hairline, in the central whorl of hair on the vertex. Cone size of a wheat grain.