治诸痔神效。用蚕茧纳入男子指甲，以满为度，外用童发缠裹，烧灰存性，蜜调敷之。
治痔疮久不愈、用鲫鱼一个，破去肠尽，入白矾令满，瓦上烧存性，为末，鸡毛
卷药敷之立效。
痔疮虫 作痒，用槐白皮浓煎汁浸之，冷再换，再浸良久，欲大盒饭有虫出。
槐花 荆芥 枳壳 艾叶 水煎，入白矾，先熏后洗。
又方
木鳖子七个取仁研，白矾二钱，水煎，熏洗二三次。
一方
治痔疮有头，用芫花根，洗净，木臼捣，以少水绞汁，于银铜器内，慢火煎成
膏，将丝线于膏内度过，系痔疮头，系时微痛，候心躁痔落时，以纸捻蘸膏于窍内，永除其根。
用荆芥、防风、朴硝煎汤洗之，次用木鳖子、郁金研末，入龙脑些少，水调敷，或
用熊胆和匀贴之尤妙。
用大蒜一片，头垢捻成饼子，先安头垢饼于痔上，外安蒜，艾灸之。
百病之始生，莫不由六淫七情所致，若夫肿胀，尤特甚焉。然有脾虚水肿、鼓胀、
胀满、肤胀、虚肿，在脏、在腑之分。小儿脏腑娇嫩，乳食不节，脾一受伤，不能制
水，流溢皮肤，然症有三，疳水、积水、惊水是也。疳水者，心脾虚损，面黄脚肿也。
积水者，五积在腹，结化为水也。惊水者，重叠受惊，心火燥湿，过饮停蓄也。然水气
而脉浮大滑实者生，以其在表，而未大虚也。沉细虚微者死，以其在里而虚极，兼之
阳虚，则不能化阴也。有脾胃受湿，不能运化，气浮四肢，头面皆肿者，此名湿肿。有
湿毒并诸毒瓦斯停留胃脘，是以入腹作痛，此名毒瓦斯肿也。有伤寒下之太早，是以乘虚入
腹而作肿者，此名伤寒肿也。更有虚肿者，凡诸大病之后，气血两虚，中气不固，皆能
外浮而为肿，晨起面浮，午后足肿。若元气未耗，宜急养胃调脾，则肿不治而自退。其
水肿者，脾虚受湿，是以荣卫留止，脾失健运，肺失输降，水气上侵，目窠浮肿，腹大
而白，足经皆肿而如冰，手按成窟而即起，光肿如泡者也，失治则皮烂水流。若遍体成
疮者，皆可治，虚陷者危矣。更有十种水之分，如气短不得卧者，为心水；两胁紧痛
者，为肝水；大便骛溏者，为肺水；四肢苦重者，为脾水；腰痛足冷者为肾水；口苦咽
干者为胆水；乍虚乍实者大肠水；腹急肢瘦者膀胱水；小便闭涩者为胃水；小腹急满者
小肠水；更有气聚膀胱，而致阴囊亦肿者，总而论之，肾虚不能行水，脾虚不能制水，
胃为水谷之海，虚则不能传化，是以泛滥，反得浸溃脾土，于是三焦停滞，经络壅塞，
气留于脏而为胀，水溢于皮肤而为肿。宜先益气补中，切勿徒投渗泄。鼓胀者，心腹胀
满，旦食不能暮食，形如鼓胀，色苍黄，腹筋起，又名单鼓。外虽坚满，中空无物，胀
满者，心腹痞胀，噎气妨食，气短烦渴，面黄皮薄而光，肢瘦肌栗而咳，溲短便闭，此
乃脾虚之甚，治宜大补中气，佐以行湿，或补中益气，金匮肾气，兼而服之。肤胀者，
脾胃卒伤，风寒陡感，湿气泊流，周身尽肿，按其腹 而不起，倦言懒食，吞酸恶
心，治宜燥湿和中。然气虚而肿者，名曰气蛊。血虚而肿者，名曰血蛊。荣卫俱虚者，
名曰气血蛊。凡肿先起于腹，而散于四肢者可治。自四肢而归于腹者难疗，并鼓胀而腹
有青筋，胀满而大便滑泻，面青作喘者，单腹胀而面目手足硬者，唇黑肿伤肝，缺盆平
伤心，脐突平伤脾，足心平伤肾，背平伤肺。男从足肿而上，女从身肿而下、或肉
硬，或手掌平外肾胀极，囊茎肿腐，脐间青黑，喘促烦渴，身浮青紫，或身似枝色，偏
肤生斑，自利畏食，唇缩枯涩，小便不禁，及起紫黑斑点，渐若云片者，并皆不治。
大抵因水因湿者，下先肿，因风因火者，上先肿，阳水脉沉数，阴水脉沉迟，故
腰以上肿，宜发汗，腰以下肿宜利水，身热者在表宜汗，身不热者在里宜下，此常论
也，然不可用大戟甘遂之剂。倘水气乘虚腹
至，更将何以治之？即肿胀有因积而得者，倘去积而肿再作，小便不利者，若再用利
药，小便愈闭，医多束手，盖此多因中焦气不升降，为寒所隔，水闭不行，惟服沉附汤
类，小便自通，喘满自退矣。
肿胀症候，若脾虚气未出，腹胀不肿不喘者，或以补为消，或借消为补，务使脾能
健运，肾能闭藏，则祖气有根而不拔，元气深藏而有源，何有为胀为满之患哉！若早不
速治，则虚气已出，附肺而行，入于四肢面目，是以通浮然，此譬如行兵，战寇未出林
也，攻之必获，既出林矣。攻之必失，至此又当以意渐收之，盖标症虽似有余，本症实由不足也。
治疗各种痔疮有显著疗效。将蚕茧放入男子指甲中，以填满为限，外用童男童女头发缠绕包裹，烧成炭保留药性，用蜂蜜调和后敷在患处。
治疗久治不愈的痔疮：取鲫鱼一条，剖开去除内脏，填入白矾使其填满，在瓦片上烧成炭保留药性，研成粉末，用鸡毛卷着药粉敷在患处，立即见效。
痔疮生虫导致瘙痒：用槐树白皮浓煎汁液浸泡患处，冷却后再换，反复浸泡较长时间，会有虫子排出。
治疗各种痔疮：将猪悬蹄甲（猪蹄尖）研成粉末，空腹时用米汤调服二钱。
又一方：取木鳖子七个，取出仁研磨，加白矾二钱，加水煎煮，熏洗二三次。
另一方法：治疗长有痔头的痔疮，用芫花根，洗净后用木臼捣碎，加少量水绞取汁液，在银或铜器内用慢火煎成膏状，将丝线穿过膏体，系在痔疮头上，系时会有轻微疼痛，待心中烦躁、痔头脱落时，用纸捻蘸取膏体塞入肛门内，可永久去除病根。
用荆芥、防风、朴硝煎汤清洗患处，随后用木鳖子、郁金研成粉末，加入少许龙脑（冰片），用水调匀敷贴，或者用熊胆混合均匀贴敷效果更佳。
用一片大蒜，将头垢（头皮屑/耳垢等头部污垢）捏成饼状，先将头垢饼放在痔疮上，外面再放蒜片，进行艾灸。
百病的产生，没有不是由六淫（风、寒、暑、湿、燥、火六种外感病邪）和七情（喜、怒、忧、思、悲、恐、惊七种情志变化）引起的。至于肿胀病症，尤其严重。其中有脾虚引起的水肿、鼓胀、胀满、肤胀、虚肿，分为在脏和在腑的不同情况。小儿脏腑娇嫩，乳食不节制，一旦脾胃受伤，不能制约水液，水液流溢到皮肤，症状有三种：疳水、积水、惊水。疳水，是心脾虚损，表现为面色黄、脚部肿胀。积水，是五脏积滞于腹部，凝结化为水饮。惊水，是多次受惊，心火燥动湿气，饮水过多停蓄体内所致。如果水气病脉象浮大滑实，预后良好，因为病在表，正气未大虚。如果脉象沉细虚微，预后不良，因为病在里且极度虚弱，兼有阳虚，则不能化阴。如果有脾胃受湿，不能运化，气浮于四肢，头面都肿胀的，这叫湿肿。如果有湿毒和各种毒气停留在胃脘，进入腹部引起疼痛的，这叫毒瓦斯肿。如果有伤寒病攻下太早，乘虚进入腹部引起肿胀的，这叫伤寒肿。还有虚肿，凡是各种大病之后，气血两虚，中气不固，都能向外浮越而成为肿胀，早晨起床面部浮肿，午后足部肿胀。如果元气未耗损，应当急养胃调脾，那么肿胀不用治疗也会自行消退。所谓水肿，是脾虚受湿，导致营卫之气留滞，脾失健运，肺失输降，水气上侵，眼睑浮肿，腹部大而色白，足胫肿胀如冰，手按成坑随即弹起，光亮如泡的，这是水肿；失治则皮肤溃烂流水。如果遍体成疮的，都可以治疗；如果正气虚陷则危险。更有十种水的分类：如气短不能平卧的，叫心水；两胁紧绷疼痛的，叫肝水；大便稀溏如鸭粪的，叫肺水；四肢苦重无力的，叫脾水；腰痛足冷的，叫肾水；口苦咽干的，叫胆水；时而虚弱时而实盛的，叫大肠水；腹部紧急肢体消瘦的，叫膀胱水；小便闭塞不通的，叫胃水；小腹急满的，叫小肠水。更有气聚于膀胱，导致阴囊也肿胀的。总括来说，肾虚不能行水，脾虚不能制水，胃为水谷之海，虚弱则不能传化，导致水液泛滥，反过来浸渍脾土，于是三焦停滞，经络壅塞，气留在脏腑则为胀，水溢于皮肤则为肿。应当先益气补中，切勿单纯使用渗泄利尿的药物。鼓胀，是心腹胀满，早上能吃晚上不能吃，形体像鼓一样胀，面色苍黄，腹壁青筋暴露，又称单鼓。外表虽然坚硬胀满，内部中空无物。胀满，是心腹痞塞胀满，噎气妨碍进食，气短烦渴，面色黄皮肤薄而光亮，肢体消瘦肌肉颤抖且咳嗽，尿少便秘，这是脾虚至极，治疗应当大补中气，佐以祛湿，或者服用补中益气汤、金匮肾气丸，同时服用。肤胀，是脾胃突然受伤，风寒陡然而至，湿气停留流淌，周身全部肿胀，按压腹部凹陷不起，倦怠懒言不想吃饭，吞酸恶心，治疗应当燥湿和中。如果是气虚导致的肿胀，名叫气蛊。血虚导致的肿胀，名叫血蛊。营卫俱虚导致的肿胀，名叫气血蛊。凡是肿胀先从腹部开始，然后散发到四肢的可以治疗。从四肢开始然后归于腹部的难治，加上鼓胀且腹部有青筋，胀满且大便滑泻，面色青紫气喘的，单腹胀且面目手足坚硬的，嘴唇黑肿胀伤肝，锁骨上窝平坦伤心，肚脐突出伤脾，足心平坦伤肾，背部平坦伤肺。男性从足部肿胀向上发展，女性从身体肿胀向下发展，或者肌肉坚硬，或者手掌平坦外肾肿胀极度严重，阴囊肿胀腐烂，脐间青黑，气喘急促烦渴，身体浮肿青紫，或者身体颜色像树枝枯槁，偏侧皮肤生斑，自利畏食，嘴唇收缩枯涩，小便不禁，以及出现紫黑斑点，逐渐像云片一样的，都属于不治之症。大体上因水因湿引起的，下部先肿；因风因火引起的，上部先肿。阳水脉象沉数，阴水脉象沉迟。所以腰部以上肿胀，宜发汗；腰部以下肿胀宜利水。身体发热在表的宜发汗，身体不热在里的宜攻下，这是一般规律，但是不可使用大戟、甘遂这类峻猛药物。如果水气乘虚侵入腹部，又将如何治疗呢？即使肿胀有因积滞引起的，如果去除积滞后肿胀再次发作，小便不利的，如果再用利水药，小便会更加闭塞，医生多束手无策，这大多是因为中焦气机不升降，被寒气阻隔，水液闭阻不行，只有服用沉附汤之类的药物，小便自然通畅，喘满自然退去。
肿胀病症，如果脾虚气未外泄，腹胀但不肿不喘的，可以用补法来消胀，或借消法来补虚，务必使脾能健运，肾能闭藏，那么祖气有根而不拔除，元气深藏而有源头，怎么还会有胀满的祸患呢！如果不尽早快速治疗，那么虚气已经外泄，依附肺而行，进入四肢面目，于是全身浮肿，这譬如行兵打仗，贼寇还未出树林时，进攻一定能获胜；既然已经出林了，进攻一定会失败，到了这种地步又应当凭意念慢慢收敛它，大概标症虽然看似有余，本症实际上是由不足引起的。
Treats various hemorrhoids with remarkable efficacy. Place a silkworm cocoon into a man's fingernail, filling it to capacity. Wrap it externally with hair from a young boy, burn it to ash while preserving its medicinal properties, mix with honey, and apply topically.
For chronic, non-healing hemorrhoids: Take one crucian carp, remove the entrails completely, fill with alum until full, burn on a tile until carbonized but retaining medicinal potency, grind into powder, wrap in chicken feathers, and apply to the lesion for immediate effect.
Hemorrhoids infested with parasites causing itching: Decoct bark of Sophora root (Huai Bai Pi) strongly, soak the affected area, replace when cool, repeat soaking for an extended period until worms are expelled.
To treat various hemorrhoids: Grind pig's hoof tip (Zhu Xuan Ti Jia) into powder, take two qian with rice water on an empty stomach.
Sophora flower (Huai Hua), Schizonepeta (Jing Jie), Aurantium (Zhi Ke), Mugwort leaf (Ai Ye): Decoct in water, add alum, fumigate then wash first, then cleanse.
Another prescription: Take seven Semen Momordicae (Mu Bie Zi), extract the kernel and grind, add two qian of alum, decoct in water, fumigate and wash two or three times.
Another method: For hemorrhoids with a distinct head/protrusion, use root of Genkwa (Yuan Hua), clean thoroughly, pound in a wooden mortar, squeeze juice with a small amount of water, slow-boil into a paste in a silver or copper vessel. Pass a silk thread through the paste, tie it around the hemorrhoid head. There will be slight pain during tying; wait until restlessness occurs and the hemorrhoid falls off. Then dip a paper twist in the paste and insert into the anal canal to permanently eradicate the root.
Wash with decoction of Jing Jie, Saposhnikovia (Fang Feng), and Mirabilite (Pu Xiao). Subsequently, grind Semen Momordicae and Curcuma aromatica (Yu Jin) into powder, add a little borneol (Long Nao), mix with water for topical application. Alternatively, mixing with bear bile (Xiong Dan) for application is especially excellent.
Place one slice of garlic, and mold head scum (Tou Gou) into a cake. First place the head scum cake on the hemorrhoid, then place the garlic slice on top, and perform moxibustion.
The onset of all diseases stems from the Six Evils (Liu Yin, external pathogenic factors) and Seven Emotions (Qi Qing, internal emotional factors). Among these, swelling disorders are particularly severe. These include edema due to Spleen deficiency, drum distension (Gu Zhang), general distension, skin swelling (Fu Zhang), and deficiency swelling, categorized by involvement of Zang or Fu organs. Children have delicate Zang-Fu organs; irregular diet damages the Spleen, impairing its ability to control water, leading to fluid overflow into the skin. Symptoms manifest in three types: Gan Water, Ji Water, and Jing Water. Gan Water results from Heart and Spleen deficiency, presenting with yellow complexion and swollen feet. Ji Water arises from accumulation in five Zang organs within the abdomen, condensing into fluid. Jing Water results from repeated fright, drying dampness with Heart fire, and excessive drinking leading to fluid retention. If the pulse in water disorders is floating, large, slippery, and excess, survival is likely as the pathogen is superficial and Qi is not severely deficient. If the pulse is deep, fine, deficient, and faint, death is likely as the pathology is interior with extreme deficiency, compounded by Yang deficiency failing to transform Yin.
If Dampness invades the Spleen and Stomach, impairing transformation, causing Qi to float to limbs and swelling of head and face, this is called Damp Swelling. If Damp-Toxin and other toxic vapors linger in the epigastrium, entering the abdomen causing pain, this is called Toxic Vapor Swelling. If Taiyang disease is purged too early, allowing pathogens to enter the abdomen causing swelling, this is called Taiyang Swelling. Deficiency swelling occurs after major illnesses where both Qi and Blood are deficient, Middle Qi is insecure, leading to outward floating and swelling—facial puffiness in the morning, foot swelling in the afternoon. If Yuan Qi is not exhausted, urgently nourish the Stomach and regulate the Spleen; the swelling will recede spontaneously.
Edema specifically refers to Spleen deficiency with Dampness invasion, causing Ying and Wei stagnation, Spleen failing to transport, Lung failing to descend, leading to water invading upward. Symptoms include puffy eye sockets, large white abdomen, cold swollen calves, pitting edema that rebounds quickly, and shiny skin like blisters. Untreated, skin may ulcerate and weep. Generalized sores are treatable; collapse indicates danger.
There are ten types of water disorders: Shortness of breath preventing lying flat is Heart Water; tight painful hypochondrium is Liver Water; loose diarrhea is Lung Water; heavy limbs is Spleen Water; lower back pain and cold feet is Kidney Water; bitter taste and dry throat is Gallbladder Water; alternating deficiency and excess is Large Intestine Water; abdominal urgency with emaciated limbs is Bladder Water; urinary obstruction is Stomach Water; lower abdominal fullness is Small Intestine Water. Gas accumulating in the Bladder causing scrotal swelling is also noted. Generally, Kidney deficiency fails to move water, Spleen deficiency fails to control water. The Stomach, sea of grain and water, if deficient, fails to transmit and transform, causing flooding that inundates Spleen Earth, stagnating San Jiao and blocking meridians. Qi stagnating in Zang causes distension; water overflowing in skin causes swelling. Treat by tonifying Qi and supplementing the Middle; do not merely use diuretics.
Drum Distension (Gu Zhang) involves abdominal fullness, inability to eat at night after eating in the morning, drum-like shape, sallow-yellow complexion, and visible abdominal veins, also called Single Drum. Though externally hard and full, internally it is hollow. Distension involves epigastric/full abdominal blockage, belching hindering food intake, shortness of breath, thirst, sallow thin shiny skin, emaciated trembling limbs with cough, scanty urine, and constipation. This is extreme Spleen deficiency; treat by greatly tonifying Middle Qi, assisting with damp-resolving herbs, or combining Buzhong Yiqi Tang and Jin Gui Shenqi Wan. Skin Swelling (Fu Zhang) results from sudden injury to Spleen/Stomach, abrupt wind-cold, and dampness pooling, causing whole-body swelling, non-rebounding abdominal pressure, lethargy, poor appetite, acid regurgitation, and nausea. Treat by drying dampness and harmonizing the Middle.
Swelling due to Qi deficiency is called Qi Gu; due to Blood deficiency, Blood Gu; due to both Ying and Wei deficiency, Qi-Blood Gu. Swelling starting in the abdomen and spreading to limbs is treatable; starting in limbs and returning to abdomen is difficult. Combined with drum distension, visible veins, loose stools, cyanosis, and panting, or single abdominal distension with hard features, black lips (liver injury), flat supraclavicular fossa (heart injury), protruding umbilicus (spleen injury), flat soles (kidney injury), flat back (lung injury)—these indicate severe organ damage. Male swelling ascending from feet, female descending from body, hard flesh, flat palms, extreme genital swelling/ulceration, black umbilicus, panting/thirst, cyanotic edema, branch-like skin discoloration, unilateral spots, spontaneous diarrhea, aversion to food, shriveled dry lips, incontinence, purple-black cloud-like spots—all are untreatable.
Generally, water/dampness causes lower swelling first; wind/fire causes upper swelling first. Yang water has deep-rapid pulse; Yin water has deep-slow pulse. Upper body swelling requires sweating; lower body swelling requires diuresis. Fever indicating exterior requires sweating; no fever indicating interior requires purging. This is the general rule, but avoid harsh drugs like Kansui (Gan Sui) or Euphorbia (Da Ji). If water qi invades the abdomen due to deficiency, how to treat? Even if swelling is due to accumulation, if swelling recurs after removing accumulation with oliguria, further diuretics will worsen obstruction. Doctors often despair; this is usually due to Middle Jiao Qi failure to ascend/descend, blocked by cold, closing water flow. Only by taking Chen Fu Tang type formulas will urine flow freely and panting/fullness recede.
In swelling syndromes, if Spleen deficiency exists but Qi has not leaked out, with abdominal distension but no swelling or panting, use tonification to eliminate, or elimination to tonify. Ensure Spleen transports and Kidney stores, so ancestral Qi remains rooted and Yuan Qi is deep and sourced, avoiding distension issues. If not treated early, leaking Qi attaches to Lung, enters limbs/face, causing generalized edema. Like warfare, attacking bandits before they leave the forest ensures victory; attacking after they leave ensures defeat. At this stage, gradually gather them by intent. Although symptoms appear excess, the root is deficiency.