水调吞下方寸匕。又方，治肠风，赤小豆炒黑为末，每服二钱，米饮调下。
食饮不节，起居不时者，阴受之，阴受之则入五脏，入五脏则腹满闭塞，下为飧泄，久为肠 。
（全文见五脏。）
〔《素》〕因而饱食，筋脉横解，肠 为痔。（生气通天论）
上饮食不节，肠 ，如罗谦甫治真定总管史侯男，饮酸酒下血法，及海藏治杨师饮冰茶下
血法，治唐生饮酪水下血法是也。并见寒湿条。
〔世〕 治酒积下血不止，粪后见，诸药不效。
神曲（一两半） 白酒药（二丸）
上同为末，用清水调，捏作饼子，慢火上炙黄为细末，每服二钱。白汤调下。亦治泄泻神效。
〔《灵》〕春伤于风，夏生飧泄肠 。（论疾诊尺篇）
〔易〕胃风汤 治风冷乘虚，入客肠胃下血。（方论寒湿条。）
〔丹〕治肠风下血及血崩。用五灵脂炒，去火毒，每服二钱。
〔世〕肠风下血。马鞭草叶，研碎扭汁服。
〔丹〕脏毒下血。车前草连根一握，生姜一小块，新水研碎去渣，候血欲下时，腰间必觉重，
便服此药一盏。少坐渐觉冷下腹中，即登厕，已不见血矣，甚者不过再服。
〔《本》〕治肠风脏毒，酒痢下血。
黄连 生姜
上二味煎汤，下二气丸，次服五槐丸，方列于后。
又方
金星草（三两，草味苦寒，大解丹石毒） 陈干姜
上为末，每服一钱，新汲水调，空心服。
孙真人治粪后有血，浓煎艾叶汤，和生姜汁三合服之。
〔《本》〕治脏毒，蒜连丸。鹰爪黄连末，用独头蒜一颗，煨香熟，研和丸如桐子大。每服
三四十丸，陈米饮下。
〔《衍》〕患暴下血。以葫五七枚，去梗皮，量多少入豆豉捣为膏，可即丸如桐子大。以米饮下
五六十丸，无不愈者。（葫即蒜也，本草称其能清血。）
〔垣〕乌梅丸治肠风下血，服之立效。
真僵蚕（一两） 乌梅肉（焙干，一两）
上为末，薄糊丸如鸡头肉大。每服百丸，食前白汤送下，日三服。
〔《本》〕五槐丸治脏毒。
五倍子 槐花（陈者） 百药煎（好者。各等分）
上焙干为末，酒糊丸如桐子大。每服二十丸，空心米汤下，一日三服。
〔丹〕治下血。用白芷、五倍子为末，丸服。
〔《本》〕治肠风。
五倍子 白矾（各五钱。）
上为末，顺流水丸如桐子大。每服七丸，米饮下，忌酒。
上酸寒之剂
〔《千》〕粪前有血，令人面黄。石榴皮取末，茄子枝汤下。
〔丹〕治肠风下血，百药不效。有一良医，独用山里枣，俗名鼻涕团，又名酸枣，最治下血之
疾。试取干者为末，服之应手而安。药苟对症，其效若此，乌可以贱而忽之哉。（《衍义》云∶
酸枣微热。）
上酸热之剂。
〔《本》〕丈夫伤血，妇人血崩渍，入大肠出血。
草豆蔻 槟榔（各炒紫色） 罂粟壳（烧灰）
上等分为末，每服二钱，空心米饮调下。
〔世〕冬荣散 治肠风下血。（方见溲血。）
〔《博》〕治远年日久肠风下血不止。枳壳烧灰存性，羊胫炭为末，和匀，用浓米饮一中
盏调下，空心五更初一服，如人行五里，再服立效。（每服枳壳灰五钱，炭末七钱）
〔《本》〕治肠风，炒赤小豆散。（方见上下血条赤豆当归散下注。）
又方 栝蒌三个，烧灰存性，每服三钱，空心米饮调下。
〔《灵苑》〕治肠风下血久不止。茄蒂烧存性为末，每服三钱匕，食前米饮调下。（丹溪云∶
茄蒂烧灰存性，山栀炒。等分为末，丸之，米饮下百丸。）
〔《本》〕治肠风。丝瓜烧灰存性，空心温酒调服二钱。
〔《食疗》〕治下鲜血。栀子烧灰，水和一钱匕，服之，量其大小多少服之。
〔《广》〕治泻血不止。桑耳一两，熬令黑，水一大升三合，煎取六大合，去渣，空心分温
三服。
〔《本》〕治肠风下血。
核桃壳 茧蜕 皮鞋底 赤鸡冠花（等分）
上烧灰为末，每服一钱，空心温酒下。
又方 治脏毒。
当归 枳壳 侧柏叶 陈槐花子 百草霜 芍药（各一两）
上锉碎，一处炒令烟微起为末，每服二钱，空心温酒调下，日午米汤下，各食前服甚妙。
〔丹〕一方 治肠 。用陈年棕榈烧灰，百药煎为丸服。
〔《本》〕又方 皂角树上蕈，新瓦上焙干为末，每服一钱，温酒下。
〔《山》〕脏毒便血。生藕节切片，清早蘸平胃散嚼下。
〔丹〕治肠痔大便常血，取葱白三五斤煮作汤，盆中坐立瘥。
灸刺肠 下血有二法∶
其一取肝。经云，病注下血，取曲泉是也。
其二取肾。经云∶肾足少阴之脉所生病者，黄胆肠 ，视盛虚热寒陷下，而施补泻疾留灸也。
〔《脉》〕关脉芤，大便出血数斗者，以鬲俞伤故也，宜灸鬲俞。若下重去血者，宜针关元。
〔垣〕治肠风下血，灸二十椎下，随年壮三报穴立愈。
〔《甲》〕肠中有寒热注下，肠 便血，会阳主之。肠鸣 泄，下 主之。肠 泄切痛，四满主
之。肠 ，中 主之。（一名中都。）
〔《怪穴》〕治肠风下血，肘内曲泽下一寸。
〔《集》〕又法∶三间、商阳、大陵、内关、命门、扶承。
〔海〕血症与黄证，俱头汗出，恶风，口饮酒，便褐色或黑色者，亦同血症治之。
〔《素》〕肾脉小搏沉为肠 下血，血温身热者死。（大奇论）
淫而夺精，身热色夭然，及酒后下血，血笃重是逆也。（全文见诊生死。）
〔《素》〕心肝 亦下血，二脏同病者可治。其脉小沉涩，为肠 ，其身热者死，热见七日死。
（大奇论）帝曰∶肠 便血何如？岐伯曰∶身热则死，身寒则生。帝曰∶肠 下脓血何如？
岐伯曰∶脉悬绝则死，滑大则生。帝曰∶肠 之属，身不热，脉不悬绝何如？岐伯曰∶滑大者曰生，
悬涩者曰死，以脏期之。（俱通评虚实论）脾脉外鼓沉为肠 ，久自已。肝脉小缓为肠 ，易
治。（俱大奇论）
腹胀便血，脉大时绝，是逆也。如此者，不及一时而死矣。（全文见诊生死。绝谓断绝而
不相续也。）
〔《脉》〕肠 下脓血，脉沉小留连者生，数疾且大，有热者死。肠 筋挛，其脉小细安静
者生，浮大紧者死。
〔《素》〕阴阳虚，肠 死。（阴阳别论）胃移热于脾，传为虚，肠 ，死不可治。（全文见
诊病传变。）
用水调服下方寸匕大小的药量。另一个方子，治疗肠风下血，将赤小豆炒黑后研成细末，每次服用二钱，用米汤调服。
饮食没有节制，起居没有规律的人，阴气受到邪气侵袭，阴受邪则病邪传入五脏，传入五脏则出现腹部胀满闭塞，向下发展为完谷不化的泄泻，日久则发展为肠痔（肛门直肠部位的痔疮或息肉等病变）。
（全文见“五脏”章节。）
〔《素问》〕如果因为饱食过度，导致筋脉松弛弛缓，肠道发生病变形成痔疮。（出自《生气通天论》）
上述饮食不节导致的肠痔下血，例如罗谦甫治疗真定总管史侯之子的方法，饮用酸酒后下血的治疗法则，以及海藏治疗杨师饮用冰茶后下血的方法，还有治疗唐生饮用乳酪水后下血的方法，都是此类情况。并参见“寒湿”条目。
〔世医〕治疗酒积引起的下血不止，粪便排出后见血，各种药物无效。
神曲（一两半） 白酒药（二丸）
以上两味药共同研成细末，用清水调和，捏成饼状，在慢火上烤至黄色，再研成细末，每次服用二钱，用白开水调服。也治疗泄泻，效果神奇。
〔《灵枢》〕春季伤于风邪，夏季产生完谷不化的泄泻和肠痔。（出自《论疾诊尺篇》）
〔易简方〕胃风汤治疗风冷乘虚侵入肠胃导致的下血。（方论见“寒湿”条。）
〔朱丹溪〕治疗肠风下血及血崩。使用五灵脂炒制，去除火毒，每次服用二钱。
〔世医〕肠风下血。取马鞭草叶，研碎挤压出汁液服用。
〔朱丹溪〕脏毒下血。取车前草连根一把，生姜一小块，用新汲水研碎去渣，等到感觉血液即将下行时，腰部必定觉得沉重，此时便服用此药一盏。稍坐片刻，逐渐感觉药力冷凉下行至腹中，随即上厕所，出血即止，严重者不过再服一次。
〔《本草》〕治疗肠风、脏毒，以及酒痢下血。
黄连 生姜
以上两味药煎汤，送服二气丸，随后服用五槐丸，方剂列在后面。
另一个方子
金星草（三两，草性苦寒，能大解丹石毒） 陈干姜
以上研成细末，每次服用一钱，用新汲水调服，空腹服用。
孙真人治疗粪便后有血，浓煎艾叶汤，混合生姜汁三合服用。
〔《本草》〕治疗脏毒，蒜连丸。鹰爪黄连末，用独头蒜一颗，煨烤至香熟，研和制成如梧桐子大小的丸剂。每次服用三四十丸，用陈米饮送服。
〔《衍义》〕患暴发性下血。用大蒜五七枚，去掉梗皮，根据病情轻重加入豆豉捣成膏状，可以立即制成如梧桐子大小的丸剂。用米饮送服五六十丸，没有不愈的。（大蒜即胡蒜，本草称其能清血。）
〔李东垣〕乌梅丸治疗肠风下血，服用后立即见效。
真僵蚕（一两） 乌梅肉（焙干，一两）
以上研成细末，用薄糊制成如鸡头肉大小的丸剂。每次服用一百丸，饭前用白开水送服，每日三次。
〔《本草》〕五槐丸治疗脏毒。
五倍子 槐花（陈旧的） 百药煎（优质的。各等分）
以上焙干研成细末，用酒糊制成如梧桐子大小的丸剂。每次服用二十丸，空腹用米汤送服，一日三次。
〔朱丹溪〕治疗下血。使用白芷、五倍子研成细末，制成丸剂服用。
〔《本草》〕治疗肠风。
五倍子 白矾（各五钱。）
以上研成细末，用顺流水泛丸如梧桐子大小。每次服用七丸，用米饮送服，忌酒。
以上是酸寒性质的药物。
〔《千金方》〕粪便前有血，使人面色发黄。石榴皮研成细末，用茄子枝煎汤送服。
〔朱丹溪〕治疗肠风下血，各种药物无效。有一位良医，单独使用山里枣，俗名鼻涕团，又名酸枣，最能治疗下血的疾病。尝试取干燥者研成细末，服用后应手而安。药物如果对症，效果如此，怎么能因为价格便宜就忽视它呢？（《衍义》说：酸枣微热。）
以上是酸热性质的药物。
〔《本草》〕男子伤血，妇人血崩浸渍，流入大肠导致出血。
草豆蔻 槟榔（各炒至紫色） 罂粟壳（烧成灰）
以上等分为细末，每次服用二钱，空腹用米饮调服。
〔世医〕冬荣散治疗肠风下血。（方剂见“溲血”条。）
〔《博济方》〕治疗远年日久、肠风下血不止。枳壳烧灰存性，羊胫骨炭研成细末，混合均匀，用浓米饮一中盏调服，空腹五更初服用一次，如人行走五里的时间，再服用一次，立即见效。（每次服用枳壳灰五钱，炭末七钱）
〔《本草》〕治疗肠风，炒赤小豆散。（方剂见“上下血”条赤豆当归散下的注释。）
另一个方子 栝蒌三个，烧灰存性，每次服用三钱，空腹用米饮调服。
〔《灵苑方》〕治疗肠风下血久治不愈。茄蒂烧存性研成细末，每次服用三钱匕，饭前用米饮调服。（丹溪说：茄蒂烧灰存性，山栀炒。等分为细末，制成丸剂，米饮送服一百丸。）
〔《本草》〕治疗肠风。丝瓜烧灰存性，空腹温酒调服二钱。
〔《食疗本草》〕治疗下鲜血。栀子烧成灰，用水调和一钱匕，服用，根据患者年龄大小和病情轻重调整剂量。
〔《广济方》〕治疗泻血不止。桑耳一两，熬至黑色，用水一大升三合，煎取六大合，去渣，空腹分三次温服。
〔《本草》〕治疗肠风下血。
核桃壳 茧蜕 皮鞋底 赤鸡冠花（等分）
以上烧成灰研成细末，每次服用一钱，空腹温酒送服。
另一个方子 治疗脏毒。
当归 枳壳 侧柏叶 陈槐花子 百草霜 芍药（各一两）
以上切碎，一起炒至微微冒烟，研成细末，每次服用二钱，空腹温酒调服，中午用米汤送服，均在饭前服用效果很好。
〔朱丹溪〕一方 治疗肠痔。使用陈年棕榈烧成灰，百药煎制成丸剂服用。
〔《本草》〕又一方 皂角树上的菌类，在新瓦上焙干研成细末，每次服用一钱，温酒送服。
〔《山居方》〕脏毒便血。生藕节切片，清晨蘸平胃散咀嚼服用。
〔朱丹溪〕治疗肠痔大便常出血，取葱白三五斤煮成汤，在盆中坐浴或站立熏洗即可痊愈。
灸刺治疗肠痔下血有两种方法：
其一取肝经穴位。经文说，病势急迫的下血，取曲泉穴即是此法。
其二取肾经穴位。经文说：足少阴肾经所生的疾病中，黄疸、肠痔、便血，视其盛虚、热寒、陷下等情况，施行补泻手法，疾留针或艾灸。
〔《脉诀》〕关脉芤，大便出血数斗者，是因为膈俞受损的缘故，适宜灸膈俞。如果有下坠感且去血多者，适宜针刺关元穴。
〔李东垣〕治疗肠风下血，灸第二十椎下方，随患者年龄决定壮数，三报穴立愈。
〔《甲乙经》〕肠中有寒热注下，肠痔便血，会阳穴主治。肠鸣泄泻，下廉穴主治。肠痔泄泻切痛，四满穴主治。肠痔，中都穴主治。（一名中都。）
〔《怪穴》〕治疗肠风下血，肘内曲泽穴下一寸处。
〔《集验方》〕又一种方法：三间、商阳、大陵、内关、命门、扶承穴。
〔王海藏〕血症与黄证，都出现头部出汗，恶风，口饮酒后，大便呈褐色或黑色者，也按照血症治疗。
〔《素问》〕肾脉小搏沉为肠痔下血，若血色温热且身体发热者死。（出自《大奇论》）
淫欲过度耗夺精气，身体发热面色枯槁，以及酒后下血，血质稠厚沉重者是逆证。（全文见“诊生死”章。）
〔《素问》〕心肝气郁结也会下血，两脏同病者可治。若脉象小沉涩，为肠痔，若身体发热者死，发热持续七日死。（出自《大奇论》）黄帝问：肠痔便血如何？岐伯说：身体发热则死，身体寒冷则生。黄帝问：肠痔下脓血如何？岐伯说：脉象悬绝则死，滑大则生。黄帝问：肠痔一类疾病，身体不热，脉象不悬绝如何？岐伯说：滑大者曰生，悬涩者曰死，以脏腑之气衰竭的日期来预测死亡时间。（均出自《通评虚实论》）脾脉外鼓沉为肠痔，日久自愈。肝脉小缓为肠痔，容易治疗。（均出自《大奇论》）
腹胀便血，脉大时而断绝，是逆证。像这样的人，不到一个时辰就会死亡。（全文见“诊生死”。绝谓断绝而不相续接。）
〔《脉诀》〕肠痔下脓血，脉象沉小留恋者生，脉数疾且大，有热者死。肠痔筋挛，脉象小细安静者生，浮大紧者死。
〔《素问》〕阴阳虚损，肠痔死。（出自《阴阳别论》）胃移热于脾，传变为虚证，肠痔，死不可治。（全文见“诊病传变”。）
Swallow the powder of Fangcunbi (One-Cun-Bi, a small measuring spoon for powder) mixed with water. Another prescription for treating Changfeng (Intestinal Wind) bleeding: stir-fry Red Bean (Vigna angularis) until blackened, grind into powder, take 2 qian each time, mixed with rice drink.
Those whose diet and drinking are irregular, and whose daily routine is untimely, suffer from Yin pathogen invasion; when Yin is invaded, the pathogen enters the Five Zang organs; entering the Five Zang organs causes abdominal fullness and obstruction, manifesting downward as Sundxie (undigested food diarrhea); prolonged illness leads to Changzhi (intestinal hemorrhoids/polyps).
(Full text see "Five Zang" chapter.)
[Suwen] If one eats to satiety, causing tendons and vessels to relax and loosen, the intestines develop into hemorrhoids. (From *Shengqi Tongtian Lun*)
The aforementioned Changzhi bleeding due to irregular diet, such as Luo Qianfu's treatment of the son of Prefect Shi of Zhending who drank sour wine and bled, Haizang's treatment of Teacher Yang who drank iced tea and bled, and the treatment of Tang Sheng who drank milk whey and bled, are all examples of this. See also the "Cold-Dampness" section.
[Worldly Physicians] Treating persistent bleeding due to alcohol accumulation, where blood appears after defecation, unresponsive to various medicines.
Shenqu (Medicated Leaven, 1.5 liang) Baijiuyao (White Wine Medicament, 2 pills)
Grind the above together into fine powder, mix with clear water, shape into cakes, roast slowly over low heat until yellow, then grind into fine powder. Take 2 qian each time, mixed with white boiled water. Also effective for diarrhea.
[Lingshu] Injury by wind in spring generates Sundxie (undigested food diarrhea) and Changzhi in summer. (From *Lun Ji Zhen Chi Pian*)
[Yi Jian Fang] Weifeng Tang (Stomach Wind Decoction) treats bleeding caused by wind-cold invading the stomach and intestines due to deficiency. (Formula theory see "Cold-Dampness" section.)
[Danxi] Treats Changfeng (Intestinal Wind) bleeding and Benglou (uterine bleeding). Use Wulingzhi (Trogopterus Dung) stir-fried to remove fire toxicity, take 2 qian each time.
[Worldly Physicians] For Changfeng (Intestinal Wind) bleeding: Crush Ma Bian Cao (Verbena officinalis) leaves, twist out the juice, and take orally.
[Danxi] For Zangdu (Visceral Toxin) bleeding: Take a handful of Cheqian Cao (Plantago asiatica) including roots, and a small piece of fresh ginger, crush with new well-water, strain off dregs. When feeling that blood is about to descend, the waist will feel heavy; at this moment, take one cup of this medicine. Sit for a short while, gradually feeling a cold sensation descending in the abdomen, then go to the toilet; the bleeding will stop immediately. Severe cases may require only one more dose.
[Bencao] Treats Changfeng (Intestinal Wind), Zangdu (Visceral Toxin), and Jiu Li (Alcohol Dysentery) with bleeding.
Huanglian (Coptis Rhizome) Shengjiang (Fresh Ginger)
Decoct the above two ingredients in water, take Erqi Wan (Two-Qi Pill) with the decoction, followed by Wu Huai Wan (Five-Locust Tree Pill). The formula is listed below.
Another Formula
Jinxing Cao (Chrysanthemum indicum or similar bitter-cold herb, resolves Dan-Shi toxicity strongly, 3 liang) Chen Jiang (Aged Dried Ginger)
Grind into powder, take 1 qian each time, mixed with fresh well-water, taken on an empty stomach.
Sun Simiao treats blood after stool: Decoct Ai Ye (Mugwort Leaf) thickly, mix with 3 he of Shengjiang Juice (Fresh Ginger Juice) and take.
[Bencao] Treats Zangdu (Visceral Toxin), Suan Lian Wan (Garlic-Coptis Pill). Use Yingzhua Huanglian (Eagle-Claw Coptis) powder, one single-head garlic clove, roasted until fragrant and cooked, crushed and mixed to form pills the size of paulownia seeds. Take 30-40 pills each time, with aged rice drink.
[Yanyi] For sudden severe bleeding: Take 5-7 cloves of garlic (Hu), remove stems and skins, add fermented soybeans (Douchi) according to severity, crush into paste, and immediately form pills the size of paulownia seeds. Take 50-60 pills with rice drink; all recover. (Hu refers to garlic; Bencao states it clears blood.)
[Yuan] Wumei Wan (Dark Plum Pill) treats Changfeng (Intestinal Wind) bleeding, taking effect immediately.
Zhen Jiangcan (Silkworm, 1 liang) Wumei Rou (Dark Plum Flesh, dried, 1 liang)
Grind into powder, use thin starch paste to form pills the size of corn kernels. Take 100 pills each time before meals, with white boiled water, three times a day.
[Bencao] Wu Huai Wan (Five-Locust Tree Pill) treats Zangdu (Visceral Toxin).
Wubeizi (Galla Chinensis) Huaihua (Sophora Flower, aged) Bai Yao Jian (Fermented Tea Pill, high quality). Equal parts.
Roast dry, grind into powder, use wine paste to form pills the size of paulownia seeds. Take 20 pills each time on an empty stomach with rice soup, three times a day.
[Danxi] Treats lower body bleeding. Use Baizhi (Angelica Dahurica) and Wubeizi (Galla Chinensis) ground into powder, formed into pills.
[Bencao] Treats Changfeng (Intestinal Wind).
Wubeizi (Galla Chinensis) Baifan (Alum). Each 5 qian.
Grind into powder, roll into pills the size of paulownia seeds using flowing water. Take 7 pills each time with rice drink, avoid alcohol.
Above are sour and cold agents.
[Qianjin] Blood before stool causes sallow complexion. Pomegranate peel powder, taken with eggplant branch decoction.
[Danxi] Treats Changfeng (Intestinal Wind) bleeding unresponsive to hundred medicines. A good physician used Shanli Zao (Mountain Date), commonly known as Biti Tuan (Snot Ball), also called Suan Zao (Sour Date), which best treats lower body bleeding diseases. Try taking dried ones ground into powder; relief follows administration. If the medicine matches the syndrome, its efficacy is thus; how can it be ignored because it is cheap? (Yanyi says: Sour date is slightly warm.)
Above are sour and warm agents.
[Bencao] Men suffering from blood injury, women with Bengzhou (flooding menstruation) infiltrating into the large intestine causing bleeding.
Caodoukou (Black Cardamom) Binglang (Areca Seed). Each stir-fried until purple. Yingsu Qiao (Poppy Shell) burned to ash.
Equal parts ground into powder, take 2 qian each time on an empty stomach with rice drink.
[Worldly Physicians] Dongrong San (Winter Glory Powder) treats Changfeng (Intestinal Wind) bleeding. (Formula see "Urinary Blood" section.)
[Boji] Treats long-standing, persistent Changfeng (Intestinal Wind) bleeding. Zhiqiao (Bitter Orange) burned to ash but retaining nature, Yangjing Tan (Sheep Tibia Charcoal) ground into powder, mixed evenly. Take one medium cup mixed with thick rice drink on an empty stomach at the first watch of the night (5-7 AM). After walking five li, take again; immediate effect. (Each dose: 5 qian Zhiqiao ash, 7 qian charcoal powder.)
[Bencao] Treats Changfeng (Intestinal Wind), Chao Chixiaodou San (Stir-fried Red Bean Powder). (Formula see note under Chidou Danggui San in "Upper and Lower Bleeding" section.)
Another Formula: Three Gualou (Trichosanthes Fruit), burned to ash retaining nature. Take 3 qian each time on an empty stomach with rice drink.
[Lingyuan] Treats persistent Changfeng (Intestinal Wind) bleeding. Qadi (Eggplant Stem) burned to ash retaining nature, ground into powder. Take 3 qian bi each time before meals with rice drink. (Danxi says: Eggplant stem burned to ash retaining nature, Zhizi (Gardenia) stir-fried. Equal parts ground into powder, formed into pills, take 100 pills with rice drink.)
[Bencao] Treats Changfeng (Intestinal Wind). Si Gua (Luffa Fruit) burned to ash retaining nature, taken with warm wine on an empty stomach, 2 qian.
[Shiliao] Treats fresh lower bleeding. Zhizi (Gardenia) burned to ash, mixed with water to make one qian bi, take appropriate amount based on age and condition.
[Guangji] Treats persistent bloody diarrhea. Sang'er (Fungus on Mulberry) 1 liang, roasted until black, decocted in 1 sheng 3 he of water to yield 6 he, strain, take divided into three warm doses on an empty stomach.
[Bencao] Treats Changfeng (Intestinal Wind) bleeding.
Hetao Qiao (Walnut Shell) Jian Tui (Cicada Slough) Pixiedi (Leather Shoe Sole) Ji Guan Hua (Red Chicken Comb Flower). Equal parts.
Burn to ash, grind into powder, take 1 qian each time on an empty stomach with warm wine.
Another Formula: Treats Zangdu (Visceral Toxin).
Danggui (Angelica Sinensis) Zhiqiao (Bitter Orange) Ce Bai Ye (Biota Tops) Chen Huai Hua Zi (Old Sophora Seeds) Baicao Shuang (Herbaceous Ash) Shaoyao (Peony Root). Each 1 liang.
Cut into pieces, stir-fry together until slight smoke rises, grind into powder. Take 2 qian each time on an empty stomach with warm wine, noon with rice soup, taken before meals for best results.
[Danxi] One formula: Treats Changzhi (Intestinal Hemorrhoids). Use aged Zonglv (Palm Frond) burned to ash, Bai Yao Jian (Fermented Tea Pill) formed into pills.
[Bencao] Another formula: Xun growing on Soap Locust tree, dried on new tile, ground into powder. Take 1 qian each time with warm wine.
[Shanju] Zangdu (Visceral Toxin) rectal bleeding. Fresh Oujie (Lotus Node) sliced, dipped in Pingwei San (Peaceful Stomach Powder) and chewed early in the morning.
[Danxi] Treats Changzhi (Intestinal Hemorrhoids) with constant rectal bleeding: Boil 3-5 jin of Congbai (Scallion White) into a decoction, sit or stand over the basin for fumigation/washing until cured.
Moxibustion and acupuncture for Changzhi (Intestinal Hemorrhoids) bleeding have two methods:
First, select Liver meridian points. The classic says: For acute lower body bleeding, select Ququan (LR8).
Second, select Kidney meridian points. The classic says: Diseases generated by the Foot-Shaoyin Kidney Meridian include Jaundice, Changzhi (Intestinal Hemorrhoids), and rectal bleeding. Apply tonification or sedation based on excess/deficiency, heat/cold, and sinking conditions, with rapid needle retention or moxibustion.
[Maijue] Guan pulse Kou (hollow) indicates massive rectal bleeding; this is due to injury to Ge Shu (BL17), suitable for moxibustion on Ge Shu (BL17). If there is tenesmus and excessive blood loss, puncture Guanyuan (CV4).
[Yuan] Treats Changfeng (Intestinal Wind) bleeding: Moxibustion on the point below the 20th thoracic vertebra, number of moxa cones determined by patient's age, applied to Sanbao acupoints for immediate cure.
[Jiayi] Cold and heat pouring into intestines, Changzhi (Intestinal Hemorrhoids) with rectal bleeding: Huiyang (GV35) governs. Intestinal rumbling and diarrhea: Xiawan (ST29) governs. Changzhi (Intestinal Hemorrhoids) diarrhea with cutting pain: Siman (KI25) governs. Changzhi (Intestinal Hemorrhoids): Zhongdu (LR6) governs. (Also named Zhongdu.)
[Guaixue] Treats Changfeng (Intestinal Wind) bleeding: One cun below Quze (PC3) inside the elbow crease.
[Jiyi] Another method: Sanjian (LI3), Shangyang (LI1), Daling (PC7), Neiguan (PC6), Mingmen (GV4), Fucheng (BL38).
[Hai] Blood syndromes and Yellow syndromes both present with head sweating, aversion to wind, desire for alcohol, and brown or black stools; treat them similarly as blood syndromes.
[Suwen] Kidney pulse small, bounding, and deep indicates Changzhi (Intestinal Hemorrhoids) with bleeding. If blood is warm and body feverish, death ensues. (From *Da Qi Lun*)
Excessive lust depletes essence, body feverish with sallow complexion, and post-alcohol bleeding with thick, heavy blood are adverse signs. (Full text see "Diagnosing Life and Death" chapter.)
[Suwen] Heart and Liver Qi stagnation also cause bleeding; simultaneous disease of these two Zang organs is treatable. If pulse is small, deep, and choppy, it is Changzhi (Intestinal Hemorrhoids); if body is feverish, death ensues; fever lasting seven days leads to death. (From *Da Qi Lun*) Emperor asked: How is Changzhi (Intestinal Hemorrhoids) with rectal bleeding? Qibo answered: Body feverish means death, body cold means survival. Emperor asked: How is Changzhi (Intestinal Hemorrhoids) with pus and blood? Qibo answered: Pulse hanging and severed means death, slippery and large means survival. Emperor asked: Regarding Changzhi (Intestinal Hemorrhoids) type diseases, body not feverish, pulse not hanging/severed, how is it? Qibo answered: Slippery and large indicates survival, hanging and choppy indicates death, predict death by Zang organ timing. (All from *Tong Ping Xu Shi Lun*) Spleen pulse external bulging and deep indicates Changzhi (Intestinal Hemorrhoids), self-heals after long time. Liver pulse small and slow indicates Changzhi (Intestinal Hemorrhoids), easy to treat. (All from *Da Qi Lun*)
Abdominal distension with rectal bleeding, pulse large but intermittently absent, is an adverse sign. Such persons die within less than one shichen. (Full text see "Diagnosing Life and Death". Absence means interruption without continuation.)
[Maijue] Changzhi (Intestinal Hemorrhoids) with pus and blood, pulse deep, small, and lingering indicates survival; pulse rapid, large, with heat indicates death. Changzhi (Intestinal Hemorrhoids) with tendon spasm, pulse small, fine, and quiet indicates survival; pulse floating, large, and tight indicates death.
[Suwen] Yin and Yang deficiency, Changzhi (Intestinal Hemorrhoids) leads to death. (From *Yin Yang Bie Lun*) Stomach transferring heat to Spleen transmits as deficiency, Changzhi (Intestinal Hemorrhoids), death is incurable. (Full text see "Diagnosing Disease Transmission".)