治小儿大肠虚，肛门脱出。
龙骨（二钱五分） 诃子（煨，去核） 没石子（二个） 赤石脂 罂粟壳（去盖，蒂、
瓤醋炒，各二钱） 为极细末，米饭调化，食前服。
治小儿阴证脱肛。
伏龙肝（一两） 鳖头骨（五钱） 百药煎（二钱五分） 为细末，用紫苏煎浓，候温和，
清油同调敷。又方，用五倍子为末，每用二钱，入白矾，水煎洗。又方，用木贼，烧灰
存性，为末，搽肛门上按人即愈。
又方
浮萍为末干贴。又方，用陈壁土泡汤，先熏后洗。
一方
用槐花槐角等分，炒黄色，为末，用羊肉蘸药炙热食之，以酒送下，或以猪膘去
皮，蘸药炙食亦可。
痔者，肛门之傍，生疮肿痛者是也。亦有生疮有孔，恶水不干，而为漏者，皆由母
食酒面爆炙，在胎受之，或因后天失调，心经蕴热，热传于肺，注于大肠而成者，宜内
服凉血解毒之剂，外用熏洗可也。
痔漏其名有五、曰牡、曰牝、曰气、曰血、曰酒，又有肠风痔、脉痔、雌雄痔，皆
五痔之别名也。初生俱在肛边，状如鼠乳，或结小核痒痛注闷，甚者身者恶寒，皆由房
劳饮酒过度，久嗜甘肥不慎，醉饱以合，阴阳劳扰，血脉肠僻，渗漏冲注下部而成，治
法始觉便服秦艽、槐角、连翘、土贝之类，外用熏洗以取内消，倘仍恣嗜欲，则腐溃脓
血，逗留日久，傍穿窍穴，即变为漏，乃须补气血，慎调摄，方可以渐取功。
痔漏之源，受病者燥气也。为病者湿热也。由乎酒色过度，湿而生热，充于脏腑，
溢于经络，坠于谷道。左右冲突为痔，虽见症于大肠，实阴虚而火实所致。《经》所谓
开窍于二阴，久则溃而成漏，然痔轻而漏重，痔实而漏虚，治痔不过凉血清热，治漏
初则凉血清热燥湿，久则涩窍杀虫，兼乎温散，或曰∶痔漏，火是根源，何故而用温
涩？殊不知痔止出血，始终是热，漏流脓水，始是湿热，终是湿寒，不用温药，何以
去湿而散寒乎？非止痔漏，百病中多有始热而终寒者，即如泻泄呕吐，初则肠胃气实为
热，久则肠胃气虚为寒。丹溪下血条云∶下血久不愈者，后用温剂，正此义也。
手阳明大肠庚金也。清燥主收，司行律液，以从足阳明胃土之化，旺则生化万物，
人或醉饱入房，酒热留着，忍精不泄，流注篡间，前阴之气，归于大肠，木乘火势，而
侮燥金，火就燥，则大便闭而痔作矣。受气者燥气也。为病者胃湿也。故东垣曰∶肠头
成块者湿也。作大痛者风也。大便燥结者兼受火热也。是湿热风燥，四气合邪，法当泻
火，润燥疏风，和血止痛，是其治也。
漏疮须先服补药生气血，用参、术、 、芎、归为主，大剂服之，随以附子末唾
和作饼如钱浓，以艾灸之，漏大炷大，漏小炷小，灸令微热，不可使痛，干则易饼再
灸，直至则止，来日又灸，直至肉平为效。亦有用附片灸，仍用前补剂，作膏贴之尤
妙。痔漏初起须用芩莲之类，以凉大肠，枳壳以宽大肠，涩窍用赤白石脂、枯矾、黄丹、脑子之类。
治疗小儿大肠虚弱，导致肛门脱出。
龙骨（二钱五分） 诃子（煨制，去核） 没石子（二个） 赤石脂 罂粟壳（去掉盖子、蒂和瓤，用醋炒，各二钱），研成极细粉末，用米饭调化，饭前服用。
治疗小儿阴证导致的脱肛。
伏龙肝（一两） 鳖头骨（五钱） 百药煎（二钱五分），研成细末，用紫苏煎煮浓汁，待温度温和后，与清油混合调和敷用。另一方法，用五倍子研成末，每次取二钱，加入白矾，用水煎煮后清洗。再一种方法，用木贼，烧成灰但保留药性，研成末，涂抹在肛门上并按压，即可痊愈。
另一种方子
浮萍研成末，干贴。另一种方法，用陈旧的墙壁土泡汤，先熏蒸后清洗。
一方
用槐花、槐角等量，炒至黄色，研成末，用羊肉蘸药烤热后食用，用酒送下，或者用猪膘（猪皮下的脂肪层）去皮，蘸药烤食也可以。
痔，是指肛门旁边生疮肿痛的情况。也有生疮且有孔洞，恶水不干，从而形成漏症的，这都是因为母亲在孕期食用酒类、面食及爆炒炙烤食物，胎儿在母体内受之所致；或因后天调养不当，心经蕴藏热邪，热邪传于肺，注入大肠而形成的。适宜内服凉血解毒的药物，外用熏洗治疗即可。
痔漏的名称有五种：称为牡痔、牝痔、气痔、血痔、酒痔，又有肠风痔、脉痔、雌雄痔，这些都是五痔的别名。初发时都在肛边，形状像鼠乳，或结成小核，瘙痒疼痛且伴有闷胀感，严重的出现身体恶寒，这都是由于房事劳累、饮酒过度，长期嗜好甘甜肥腻而不谨慎，醉饱后进行房事，阴阳劳扰，血脉失调，渗漏冲注下部而成。治疗方法是刚开始感觉不适时，服用秦艽、槐角、连翘、土贝等药物，外用熏洗以求内部消散。倘若仍然放纵嗜欲，则会导致腐烂溃烂、脓血滞留日久，旁穿窍穴，即转变为漏症，这时需要补益气血，谨慎调养摄生，才可以逐渐取得疗效。
痔漏的根源，致病的是燥气。表现为病的是湿热。由于酒色过度，湿而生热，充塞于脏腑，溢出于经络，下坠于谷道（肛门）。左右冲突形成痔，虽然症状见于大肠，实际上是阴虚而火实所致。《内经》所谓“开窍于二阴”，久则溃烂而成漏。然而痔轻而漏重，痔实而漏虚。治疗痔不过是凉血清热，治疗漏起初是凉血清热燥湿，久了则是涩窍杀虫，兼用温散。有人说：痔漏，火是根源，为什么使用温涩药？殊不知痔只是出血，始终是热；漏流脓水，起初是湿热，最终是湿寒。不用温药，怎么能去湿散寒呢？不仅痔漏，百病中多有始热而终寒的，就像泄泻呕吐，起初肠胃气实为热，久了肠胃气虚为寒。丹溪在下血条文中说：下血久不愈者，后用温剂，正是这个意思。
手阳明大肠经属庚金。清燥主收敛，司行津液，以顺从足阳明胃土的化生，旺盛则生化万物。人如果醉饱后入房，酒热留着，忍精不泄，流注于篡间（会阴部），前阴之气归于大肠，木乘火势，而侮燥金，火就燥，则大便闭结而痔发作了。受病的是燥气。致病的是胃湿。所以东垣说：肠头成块者是湿。作大痛者是风。大便燥结者是兼受火热。因此湿热风燥，四气合邪，治法应当泻火，润燥疏风，和血止痛，这是其治疗原则。
漏疮必须先服用补药以生气血，用人参、白术、[缺字]、川芎、当归为主，大剂量服用，随后用附子末唾液调和做成如铜钱厚的饼，用艾灸之，漏大灸大炷，漏小灸小炷，灸令微热，不可使痛，干了则换饼再灸，直到愈合为止，第二天再灸，直到肉平为效。也有用附片灸，仍用前面的补剂，制成膏贴敷尤其妙。痔漏初起须用黄芩、黄连之类，以凉大肠，枳壳以宽大肠，涩窍用赤石脂、白石脂、枯矾、黄丹、脑子（冰片）之类。
To treat pediatric large intestine deficiency, resulting in rectal prolapse.
Longgu (Dragon Bone) (2.5 qian), Hezi (Chebulae Fructus, 诃子) (roasted, pitted), Moshizi (Myrobalan Fruit, 没石子) (2 pieces), Chishizhi (Halloysitum Rubrum, 赤石脂), Yingusuqiao (Papaveris Pericarpium, 罂粟壳) (cap, stem, and pulp removed, stir-fried with vinegar, each 2 qian). Grind into an extremely fine powder. Mix with rice paste and take before meals.
To treat pediatric Yin syndrome-induced rectal prolapse.
Fulonggan (Caulis Longi Ustus, 伏龙肝) (1 liang), Bie Tou Gu (Testudinis Carapax et Plastrum, specifically from turtle head bone, 鳖头骨) (5 qian), Baiyaojian (Theae Fermentatae Folium, 百药煎) (2.5 qian). Grind into a fine powder. Decoct Zisu (Perillae Folium, 紫苏) to make a strong decoction. When warm, mix with refined oil and apply externally. Another method: use Wubeizi (Galla Chinensis, 五倍子) ground into powder. Take 2 qian each time, add Baifan (Alumen, 白矾), decoct with water, and wash. Yet another method: use Muzei (Equiseti Herba, 木贼), burn to ash but retain its properties, grind into powder, apply to the anus, and press manually for cure.
Another prescription
Fuping (Lemnae Herba, 浮萍) ground into powder, apply dry. Another method: use Chenbi Tu (Old Wall Earth, 陈壁土) soaked in water, fumigate first, then wash.
One formula
Use Huaihua (Sophorae Flos, 槐花) and Huaijiao (Stemonae Rhizoma, 槐角) in equal parts, stir-fry until yellow, grind into powder. Dip mutton in the powder, roast until hot, and eat, washed down with wine. Alternatively, use Pigbiao (Subcutaneous Fat of Sus Scrofa Domestica, 猪膘) peeled of skin, dip in powder, roast, and eat.
Zhi (Hemorrhoids) refers to sores arising beside the anus with swelling and pain. There are also cases where sores develop holes, discharge foul fluid that does not dry, forming Lou (Anal Fistula). These are all caused by the mother consuming alcohol, wheat products, and fried/roasted foods during pregnancy, which the fetus inherits; or due to improper postnatal care, heat accumulating in the Heart Meridian, transmitting to the Lung, and pouring into the Large Intestine. It is suitable to internally administer blood-cooling and detoxifying agents, and externally use fumigation and washing.
There are five names for Zhi Lou: Mu Zhi (Male Hemorrhoid), Pin Zhi (Female Hemorrhoid), Qi Zhi (Qi Hemorrhoid), Xue Zhi (Blood Hemorrhoid), Jiu Zhi (Wine Hemorrhoid). There are also Changfeng Zhi (Intestinal Wind Hemorrhoid), Mai Zhi (Vascular Hemorrhoid), and Cixiong Zhi (Yin-Yang Hemorrhoid); these are all aliases of the Five Hemorrhoids. Initially appearing at the anal verge, resembling mouse teats, or forming small nodules with itching, pain, and distension. Severe cases present with aversion to cold. All are caused by sexual exhaustion, excessive drinking, long-term indulgence in sweet and fatty foods without caution, intercourse while drunk or full, disturbing Yin and Yang, disrupting blood vessels and bowels, leading to leakage and rushing downward. The treatment method is: upon initial sensation, take Qinjiao (Gentianae Radix, 秦艽), Huaijiao (Stemonae Rhizoma, 槐角), Lianqiao (Forsythiae Fructus, 连翘), Tubei (Fritillariae Thunbergii Bulbus, 土贝), etc., and externally use fumigation and washing to achieve internal resolution. If one continues to indulge desires, it will lead to rotting, ulceration, pus and blood retention for a long time, perforating side channels, transforming into Lou (Anal Fistula). At this stage, one must tonify Qi and Blood, and carefully regulate lifestyle to gradually achieve efficacy.
The source of Zhi Lou is Dryness Qi causing disease. The manifestation is Damp-Heat. Due to excess alcohol and sex, Dampness generates Heat, filling the Zang-Fu organs, overflowing into meridians, and sinking into the Gut Dao (Anus). Conflicting left and right forms Zhi. Although symptoms appear in the Large Intestine, it is actually caused by Yin Deficiency and Fire Excess. As stated in the *Classic*: "Opens into the two yin orifices," prolonged illness leads to ulceration and formation of Lou. However, Zhi is mild and Lou is severe; Zhi is Excess and Lou is Deficient. Treating Zhi involves merely cooling blood and clearing heat. Treating Lou initially involves cooling blood, clearing heat, and drying dampness; later, it involves astringing orifices and killing parasites, combined with warming and dispersing. Some say: Fire is the root of Zhi Lou, why use warming and astringent drugs? Little do they know that Zhi only involves bleeding, always remaining Heat; Lou discharges pus and water, initially Damp-Heat, ultimately Damp-Cold. Without warming drugs, how can one dispel dampness and scatter cold? Not just Zhi Lou, many diseases start with Heat and end with Cold. For example, diarrhea and vomiting: initially, stomach and intestinal Qi Excess causes Heat; later, Stomach and Intestinal Qi Deficiency causes Cold. Danxi states in the section on Lower Bleeding: For lower bleeding that does not heal for a long time, subsequently use warming agents. This is exactly the meaning.
The Hand-Yangming Large Intestine belongs to Geng Metal. Clear Dryness governs contraction, manages fluid circulation, following the transformation of Foot-Yangming Stomach Earth. When prosperous, it generates and transforms all things. If people engage in intercourse after overeating and drinking, leaving alcohol heat inside, restraining semen emission, flow gathers in the Cu Jian (Perineum). Qi from the anterior yin returns to the Large Intestine. Wood takes advantage of Fire's momentum to insult Dryness Metal. Fire follows Dryness, causing constipation and the onset of hemorrhoids. The pathogenic factor received is Dryness Qi. The disease-causing factor is Stomach Dampness. Therefore, Dongyuan said: Intestinal mass formation is due to Dampness. Severe pain is due to Wind. Dry stool binding is due to combined Fire-Heat. Thus, Damp-Heat, Wind, and Dryness, four pathogens combining, the method should be to purge fire, moisten dryness, disperse wind, harmonize blood, and relieve pain. This is its treatment.
Lou Chuang (Anal Fistula Sores) must first be treated with tonifying medicines to generate Qi and Blood, using Renshen (Ginseng Radix, 人参), Baizhu (Atractylodis Macrocephalae Rhizoma, 白术), [missing character], Chuanxiong (Chuanxiong Rhizoma, 川芎), Danggui (Angelicae Sinensis Radix, 当归) as main ingredients, taken in large doses. Subsequently, use Fuzi (Aconiti Lateralis Radix Praeparata, 附子) powder mixed with saliva to form cakes as thick as coins. Apply moxibustion: large lou gets large moxa cones, small lou gets small cones. Moxa until slightly warm, do not cause pain. When dry, replace cake and moxa again, until healed. Moxa again the next day, until flesh levels out for effect. Some also use Fupian (Prepared Aconite Slice) for moxibustion, still using the previous tonifying agent made into a plaster for application, which is excellent. For early-stage Zhi Lou, use Huangqin (Scutellariae Radix, 黄芩) and Lian (Scutellariae Radix/Coptidis Rhizoma, 黄连) to cool the Large Intestine, Zhike (Aurantii Fructus Immaturus, 枳壳) to widen the Large Intestine, and for astringing orifices, use Chishizhi (Halloysitum Rubrum, 赤石脂), Baishizhi (Halloysitum Album, 白石脂), Kufan (Alumen Exsiccatum, 枯矾), Huangdan (Minium, 黄丹), Naobing (Borneolum Syntheticum, 脑子/冰片), etc.