治五痔，不问内外、牡牝、寒温劳湿，悉主之。
鳖甲(治牡痔) 皮(治牝痔) 猪左足悬蹄甲(治肠痔) 蜂房(治脉痔) 蛇蜕(治气痔，
各等分）
上烧存性，随证倍一分为末。井花水调二钱，空心临卧时一服。
皮（方三指大，切) 熏黄（枣大研) 熟艾（鸡子大）
上为末。用瓶器以灰实一半，如烧香法，安长桶内，坐其上熏之，烟气从口出为佳。凡
三度熏永瘥。勿犯风冷，忌鸡肉毒物。
海桐皮(锉) 蛇床子（各一两） 香南藤(锉) 葱白(切，各三两)
上用水一斗，入药五两，煎减半，去滓，候温，着手轻轻洗，以绢拭干。一法，止用槐
白皮煎汤淋渫，最佳。
蜀葵子（半两） 蝉蜕（五个） 槟榔（一个，并为末)
上用枣三枚，取肉研细，搜和药末，如觉硬，滴少蜜，研成膏。量大小贴于病处。
夫有五痔人，奏圊则下血，或点滴，或 箭，或清或浊，面黄唇白，心忪脚弱，头
目眩晕，此因饱食坐久，肠癖所为。亦有饮酒、房室过度所致。世医多指此为肠风脏毒。然
肠风脏毒，自属滞下门。脏毒，即是脏中积毒；肠风，即是邪入脏，纯下清血，谓之风利。
今五痔下血，乃是酒痔脉痔，其血自肛门边别有一窍，如针孔大，滴淋而下，与泄物不共道，不可不知。
治疗五种痔疮，不论内外、牡痔（突出如菌者）或牝痔（下垂如奶头者）、寒证或热证、劳伤或湿邪所致，均主治。
鳖甲（治疗牡痔） 皮（治疗牝痔，此处原文似有脱漏，通常指某种树皮或特定药材，依原文直译） 猪左前足悬蹄甲（治疗肠痔） 蜂房（治疗脉痔） 蛇蜕（治疗气痔，各等分）
以上药物烧制后保留药性（存性），根据症状加倍其中一份的量，研成粉末。用井花水调服二钱，空腹及临睡前各服一次。
[第二段方剂]
皮（方寸大三指大，切片） 熏黄（枣核大小，研细） 熟艾（鸡蛋大小）
以上药物研成粉末。用瓶器装入一半的灰，像烧香的方法一样，将长桶安置在灰烬上，坐在桶上熏蒸，以烟气从口中排出为最佳。凡熏三次即可永远痊愈。不要触犯风冷，忌食鸡肉及有毒食物。
[第三段方剂]
海桐皮（锉碎） 蛇床子（各一两） 香南藤（锉碎） 葱白（切，各三两）
以上药物用水一斗，加入药五两，煎煮至减半，去渣滓，待温度适宜时，用手轻轻清洗患处，用绢布擦拭干燥。另一种方法，仅用槐白皮煎汤淋洗，效果最佳。
[第四段方剂]
蜀葵子（半两） 蝉蜕（五个） 槟榔（一个，并研成粉末）
以上药物用三枚大枣，取枣肉研细，调和药末，如果觉得太硬，滴入少许蜂蜜，研成膏状。根据病灶大小，贴敷于病处。
患有五种痔疮的人，上厕所时便血，有的点滴出血，有的如箭射般喷射，血色或清或浊，面色发黄，嘴唇苍白，心慌心悸，脚部无力，头晕目眩，这是由于饱食后久坐，导致肠癖（痢疾或肠道积滞）所致。也有因饮酒过度、房事不节引起的。世间的医生多将此症指认为肠风或脏毒。然而，肠风和脏毒，原本属于“滞下”（痢疾类疾病）门类。脏毒，即是脏腑中积聚的毒素；肠风，即是邪气侵入脏腑，纯粹排出清血，称为风利。现在的五痔下血，乃是酒痔或脉痔，其血液从肛门旁边另有一个窍穴流出，如针孔大小，滴滴淋沥而下，与排泄物不走同一条通道，这一点不可不知道。
Treats the five types of hemorrhoids (hemorrhoids), regardless of whether they are internal or external, *mu* hemorrhoids (protruding like a mushroom) or *pin* hemorrhoids (hanging down like a teat), cold or heat patterns, labor injury or dampness pathogenesis; it governs all of them.
*Biejia* (Turtle Shell, *Chiniplax pelvis*) (treats *mu* hemorrhoids) [Pi] (treats *pin* hemorrhoids, text implies a bark or specific material missing here, translated literally as "Bark") *Zhuzuoju Xuantijia* (Suspension hoof nail from the left front foot of a pig, *Sus scrofa domesticus* claw nail) (treats *chang* hemorrhoids) *Fengfang* (Honeycomb, *Vespa orientalis* nest) (treats *mai* hemorrhoids) *Shetui* (Snake Slough, *Ophichthus midas* skin) (treats *qi* hemorrhoids). All in equal parts.
Calcine these ingredients until the original properties are preserved (*cunxing*), then increase one part according to the syndrome, and grind into powder. Mix with well-water (*jinghua shui*) and take two qian orally, once on an empty stomach and once before bed.
[Second Formula]
[Pi] (Three fingers square in size, sliced) *Xunhuang* (Sublimed Arsenic Sulfide, *Realgar* processed) (Size of a jujube, ground fine) *Shuai* (Prepared Mugwort Leaf, *Artemisia argyi* leaf) (Size of a chicken egg).
Grind the above into powder. Fill a bottle vessel halfway with ash. Place a long bamboo tube over the ash, similar to the method of burning incense. Sit on the tube to fumigate the area; it is best if the smoke exits through the mouth. Fumigate three times for permanent cure. Avoid wind and cold. Contraindicated: chicken meat and toxic foods.
[Third Formula]
*Haitongpi* (Sea Privet Bark, *Sarcandra glabra* stem bark) (chopped) *Shechuangzi* (Cnidium Fruit, *Cnidium monnieri* fruit) (each 1 liang) *Xiangnanteng* (Aromatic South Vine, likely *Stephania cepharantha* or similar) (chopped) *Congbai* (Scallion White, *Allium fistulosum* bulb base) (cut, each 3 liang).
Add the five taels of herbs to one dou of water. Decoct until the volume is reduced by half. Strain the dregs. When warm, gently wash the affected area with hands, then dry with silk cloth. Another method: simply decoct *Huai baipi* (White bark of Huai tree, *Sophora japonica* root bark) in water and pour/wash over the area; this is optimal.
[Fourth Formula]
*Shuikuizi* (Hollyhock Seed, *Althaea rosea* seed) (half liang) *Chantui* (Cicada Slough, *Cryptotympana pustulata* exuviae) (five pieces) *Binglang* (Areca Nut, *Areca catechu* seed) (one piece). Grind all together into powder.
Take the flesh of three jujubes, grind finely, and mix with the herbal powder to form a paste. If too hard, add a little honey. Apply the paste to the lesion according to its size.
Patients suffering from the five types of hemorrhoids experience bleeding during defecation. The blood may drip drop by drop or shoot out like an arrow; the blood may be clear or turbid. They present with sallow complexion, pale lips, palpitations (*xin song*), weak legs, and dizziness/vertigo. This is caused by prolonged sitting after full meals, leading to *changpi* (intestinal dysentery/stasis). It can also result from excessive alcohol consumption and sexual indiscretion. Physicians of the world often diagnose this as *changfeng* (Intestinal Wind) or *zangdu* (Visceral Toxin). However, *changfeng* and *zangdu* belong to the category of *zhixia* (dysentery-like disorders). *Zangdu* refers to accumulated toxins within the viscera; *changfeng* refers to pathogens entering the viscera, resulting in pure clear blood discharge, termed *fengli*. The current bleeding from the five hemorrhoids is specifically *jiuzhi* (Wine Hemorrhoid) or *maizhi* (Vein Hemorrhoid). The blood flows from a separate orifice beside the anus, about the size of a needle hole, dripping continuously, distinct from the passage of feces. This distinction must not be overlooked.