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People have red nodules (red lumps) suddenly growing around the four sides inside and outside the anus, first feeling itching, then pain, gradually forming hemorrhoids (hemorrhoidal disease). If not healed for a long time, this condition is caused by damp-heat (Damp-Heat), mostly due to the dampness of the earth's qi, combined with the heat toxin from indulging in alcohol, so it condenses at the edge of the anus and cannot dissolve quickly.

The anus connects to the large intestine. If there is damp-heat internally, it should exit through the large intestine; why does it condense into hemorrhoids? This is because damp-heat cannot stay long in the large intestine and must inevitably rush towards the anus. The anus serves as the lock and key (gatekeeper) of the large intestine, having a tendency to open and close for prevention, not allowing damp-heat to exit externally. Thus, accumulating over time, the toxicity of damp-heat is suffered solely by the anus. Although there are differences between internal hemorrhoids and external hemorrhoids, their nature as damp-toxicity is the same. How can the treatment method abandon damp-toxicity and seek elsewhere? Although the anus is far from the spleen and stomach, resolving the toxicity of damp-heat cannot bypass the spleen and stomach. The anus gains no benefit, while the spleen and stomach suffer damage first, which is why many treatments fail. Therefore, medication must not harm the spleen and stomach but benefit the anus, only then can the treatment achieve success. Use the formula Yi Hou Tang (Benefit Posterior Decoction): Dioscoreae Rhizoma (Shanyao, 1 liang), Poria (Fuling, 1 liang), Paeoniae Radix Alba (Baishao, 1 liang), Zea Mays (Yumi, 1 liang), Sanguisorbae Radix (Diyu, 3 qian), Manis Squama (Shanjia, stir-fried, 1 slice). Decoct in water and take orally. After four doses, symptoms will relieve; after another four doses, it will heal. Then, increase each ingredient tenfold, grind into powder, mix with refined honey to make pills the size of guineafowl seeds. Take 5 qian with warm water on an empty stomach. Upon finishing, one will be cured. This formula promotes urination and clears heat, does not harm the spleen and stomach, but benefits the anus, a perfect solution.

Secret rhyme:
For internal and external hemorrhoids, Yi Hou Tang,
Shanyao, Fuling, Baishao, two liang each,
One liang Yumi, three qian Diyu,
One slice Shanjia stir-fried yellow,
Four doses bring relief, four more cure,
Double amount ground, honey pills try.

Using Yu Huai Yin (Sophora and Sanguisorba Decoction) for this condition is also effective: Sophorae Flos (Huaimi, 2 qian), Sanguisorbae Radix (Diyu, 3 qian), Poria (Fuling, 3 qian), Plantaginis Semen (Cheqianzi, 3 qian). Decoct in water and take orally. Cured in four doses.

Secret rhyme:
Four herbs in Yu Huai Yin,
Two qian Huaimi, three qian Diyu,
Three qian Fuling and Cheqianzi too,
Four doses cure, no need to worry.

Some people initially had hemorrhoids in the anus. Due to imprudence regarding alcohol and sexual activity, they became ulcerated, turning into fistulas (anal fistula), unable to close, growing flesh tubes, oozing pus and blood, causing great suffering. Doctors' treatments often use knives, needles, and hanging threads, merely causing suffering. Internal toxins remain unremoved, external wounds struggle to heal, year after year, achieving no success. The flesh of the anus differs from other parts of the body; it grows either horizontally or vertically. The flesh of the anus has both horizontal and vertical fibers, making it hardest to heal. Moreover, frequent passage of stool causes easy injury. Using knives, needles, and hanging threads means injuring what is already injured; how can skin and flesh grow rapidly? Therefore, knives and threads should not be used lightly. Eliminating damp-heat toxicity via internal treatment is superior. However, since the fistula has existed for a long time, Qi and Blood must be deficient. Merely stopping the leakage damages Qi and Blood further, making it difficult to succeed. Use the formula Qing Gui Wan (Green Turtle Pill): Testudo Chinensis Carapax et Plastrum (Wugui, 1 turtle), Poria (Fuling, 5 liang), Coicis Semen (Yiyiren, 4 liang), Ovis Aries Posterior Claw (Yangti Houzhao, 4 pairs), Manis Squama stir-fried with soil (Shanjia, 5 qian), Ginseng Radix et Rhizoma (Renshen, 2 liang), Astragali Radix (Huangqi, 8 liang), Angelicae Sinensis Radix (Danggui, 3 liang), Angelicae Dahuricae Radix (Baizhi, 2 liang), Sophorae Flos (Huaimi, 2 liang), Parmelia (Wasong, 2 qian), Dry Green Moss (Gan Qingtai, 1 liang).

Grind all into powder. Crush the turtle to death using a stone mortar, mix evenly with the herbs, steam in a pot until cooked, dry and roast into powder, mix with refined honey to make pills the size of guineafowl seeds. Take 3 qian with warm water every morning. After half a month, the fistula will naturally dry up; after two months of continuous use, scabs will cover the lesion. Finishing one course results in a complete cure. Strictly abstain from alcohol and sex for three months, otherwise, success cannot be achieved. This formula removes dampness without dispersing Qi, dissipates toxicity without damaging Blood, repairs leaks invisibly, and fills gaps visibly. May people persist in abstaining from alcohol and sex for three months to remove ten years of disease.

Secret rhyme:
Qing Gui Wan uses Fuling and Yiyiren,
Sheep hind claws, Shanjia, Renshen,
Eight Danggui, three Baizhi, two Huaimi,
Two qian Wasong, one liang Qingtai measured.

When defecating, some people spray blood first, then pass stool. People think this is hematochezia (blood in stool), who knows it is a blood hemorrhoid generated inside the anus? Hemorrhoids that last long must turn into fistulas, flowing pus and blood. But people contract diseases differently, and symptoms vary. This condition arises from drinking excessive distilled spirits, brewing heat toxin, which travels to the rectum. Unable to excrete quickly, it forms small hemorrhoids that do not resolve. Over time, the skin breaks and blood flows. This blood comes from outside the rectum, not bleeding within the rectum, but from the Bladder. The Bladder transforms Qi but not Blood. Alcohol toxin seeps into the Bladder, transforming Qi into water, exiting via the genitalia. Alcohol toxin dries the Blood; with no outlet, the toxin condenses outside the rectum. Toxicity attacks inward, causing rectal hemorrhoids. However, generating hemorrhoids requires a gap to exploit. Long-term infusion of Bladder blood draws blood to itself. Taking advantage of the opening and closing of defecation, blood rushes out first, shooting directly from the stool, showing its urgency to exit. Treatment seems to urgently block the blood gap, preventing exit, as the primary strategy. However, once the private orifice opens, leaking blood is easy to discharge. Not clearing the upstream source urgently, but merely blocking the downstream gap, is not a good plan. Use the formula Qing Yuan San (Clear Source Powder): Scorpio (Quanxie, 2 liang), Manis Squama stir-fried with soil (Shanjia, 2 liang), Margarita (Zhenzhu, boiled in tofu, 3 qian), Parmelia (Wasong, 1 strip).

Grind into powder. Mix with warm water and take one teaspoon daily. Effective after one month. If unwilling to mix, mash rice, make pills the size of guineafowl seeds, take 20 pills with warm water daily. Must abstain from alcohol and sex during medication.

Secret rhyme:
Qing Yuan Quanxie uses two liang,
Shanjia also two, stir-fried yellow,
Three qian Zhenzhu boiled in tofu,
One strip Wasong dried in shade to taste,
Daily warm water mixed with a teaspoon,
One month of taking, wonderful and unique.

Another prescription: Poria (Fuling, 5 qian), Paeoniae Radix Alba (Baishao, 5 qian), Atractylodis Macrocephalae Rhizoma (Baizhu, 5 qen), Angelicae Dahuricae Radix (Baizhi, 3 qian), Sophorae Flos (Huaihua, 3 qian), Ginseng Radix et Rhizoma (Renshen, 3 qian), Sanguisorbae Radix (Diyu, 3 qian), Coptidis Rhizoma (Huanglian, 3 qian), Plantaginis Semen (Cheqianzi, 2 qian), Puerariae Radix (Gegen, 2 qian), Notoginseng Radix et Rhizoma (Sanqishen, 2 qian), Manis Squama (Shanjia, ground and taken with decoction, 1 liang).

Decoct in water, mix in Shanjia and Sanqishen powders, take orally. After three doses, blood loss decreases; remove Huanglian, take for another three doses to cure. Strictly abstain from alcohol and sex for three months to recover. This formula is ingenious in using Huanglian to resolve alcohol-heat toxicity, clearing the source first. If the upstream is free of disease, the downstream is naturally safe. Moreover, the distribution of various herbs is appropriate, all being ingredients to remove dampness and transform heat. With proper blocking, why fear floodwaters bursting the banks?

Secret rhyme:
Meat hemorrhoids: Fuling, Baishao, Baizhu five qian,
Baizhi, Huaihua three qian, Renshen, Diyu, Huanglian,
Cheqian, Gegen two qian, Sanqishen,
One qian Shanjia taken with decoction brings peace,
Three doses remove Huanglian, three more doses,
Strictly abstain from alcohol and sex to recover.

The formula Zhi She Dan (Stop Shooting Elixir) is also effective: Scutellariae Radix (Huangqin, 3 qian), Sophorae Flos (Huaihua, 3 qian), Schizonepetae Spica (Jingjie, 3 qian), Parmelia (Wasong, 1 strip), Rehmanniae Radix Preparata (Shengdi, 1 liang), Angelicae Sinensis Radix (Danggui, 1 liang).

Decoct in water and take orally. Continuous intake for four doses stops the blood. Alternatively, increase this formula tenfold, grind into powder, refine honey to make pills the size of guineafowl seeds. Take 3 qian per dose, healing slowly.

Secret rhyme:
Also named Zhi She Dan,
Huangqin, Huaihua, Jingjie all three qian,
One strip Wasong, one liang Shengdi and Danggui,
Continuous four doses, blood dries naturally.