论曰下痢脱肛者，因大肠虚弱，冷气淹滞。至圊不能便。极力于下。肛门脱出，故谓之
脱肛，温其脏则愈，古方有坐汤温熨之疗，皆良法也。
治肛门不收，里急后重，磁石散方
磁石（火 醋淬四两） 桂（去粗皮一两） 皮（一枚炙令黄熟）
上三味，捣罗为末，每服二钱匕，米饮调下，慎举重及急衣带，断房室，周年乃佳。
治痢后脱肛，蜗牛散方
蜗牛（三七枚烧灰细研） 磁石（火 醋淬一两细研）
上二味。重合研如粉，每服二钱匕，空心米饮调下，日午再服。
治痢后脱肛。莨菪散方
莨菪子（炒黄半两） 鳖头（二枚烧灰） 铁精（半两研）
上三味，捣罗为末，每服二钱匕，空心米饮调下，日晚再服，仍将药末少许 肛上，炙
故麻履底 入，即不出。
治泻痢日久，脱肛疼痛，黑圣散方
大蜘蛛（一枚用瓠子叶两重裹以线系定合子内烧令黑色勿太过）
上一味细研，入黄丹少许研匀，每先用白矾葱椒煎汤，洗浴拭干后，将药渗在软帛子上，
将手掌 托上、肛头即不下。
治冷热不和，下部痛，里急后重，虚滑或结涩，肠头脱出， 砂丸方
砂（飞一两） 硫黄（研） 白矾（研各一分）
以上三味，同研匀，用莱菔一枚，重五两者，割开留元盖子，剜作坑子，填上件末在内，
将元盖用竹签定，以面剂十五两裹了，开地坑子一枚，方一尺。铺马粪浓三寸，安面球在上，
更以马粪盖之，上发火烧，候面黑即止，去面将莱菔药烂捣如膏，更入后药，肉豆蔻（去壳）
葫芦巴（各半两） 诃黎勒皮 附子（炮裂去皮脐） 补骨脂（炒各一两） 香子（一分
炒）
上六味，捣罗为末，通前药膏同捣，滴少好酒捣令匀，丸如梧桐子大，每服十五丸，至
二十丸，空心食前，温米饮下。
治洞泄肛门脱出。猪肝散方
猪肝（一片切慢火熬干） 黄连（去须） 阿胶（炒令燥） 芎 （各一两） 乌梅（取
肉二两半熬） 艾叶（半两醋炒）
上六味，捣罗为散，每服二钱匕，温酒调下，白米饮亦可，食前日再服。
治肛门脱出。壁土散方
故屋东壁上土（五合） 皂荚（三挺各长一尺者）
上二味，捣罗土为细末，敷肛头，取皂荚炙暖，更互熨入则止。
治脱肛不收。蒲黄敷方
上用蒲黄一味，以猪脂和，敷肛上，手按抑令入，日二三、愈。
治积冷下痢脱肛，枳实熨方
上用枳实一枚，石上磨令滑泽，钻安柄子，蜜涂炙令暖熨之，冷更易之，肛缩入即止。
论述说：下痢导致脱肛，是因为大肠虚弱，冷气郁滞。到了厕所想排便却排不出。极力向下用力，导致肛门脱出，所以称为脱肛，温补脏腑就能痊愈，古方中有坐浴汤药和温熨的治疗方法，都是很好的方法。
治疗肛门不收摄，伴有里急后重（腹痛窘迫，时时欲便，肛门重坠，便出不爽），用磁石散方：
磁石（经火煅烧后用醋淬炼四两） 桂枝（去除粗皮一两） 附子（一枚，炙烤至黄熟）
以上三味药，捣碎过筛成粉末，每次服用二钱匕，用米汤调服，注意避免提重物及系紧衣带，禁止房事，坚持一年才能痊愈。
治疗痢疾后脱肛，用蜗牛散方：
蜗牛（三十七枚，烧成灰后细细研磨） 磁石（经火煅烧后用醋淬炼一两，细细研磨）
以上两味药，混合在一起研磨如粉状，每次空腹时取二钱匕，用米汤调服，中午时分再服一次。
治疗痢疾后脱肛，用莨菪散方：
莨菪子（炒至黄色半两） 鳖甲头（二枚，烧成灰） 铁精（半两，研磨）
以上三味药，捣碎过筛成粉末，每次空腹时取二钱匕，用米汤调服，傍晚时分再服一次。仍将少许药末敷在肛门上，用烧热的旧麻鞋底熏入，肛门就不会再脱出了。
治疗因泻痢日久导致的脱肛疼痛，用黑圣散方：
大蜘蛛（一枚，用两重葫芦叶包裹，用线系紧放入容器内烧至黑色，但不要烧过头）
以上一味药，细细研磨，加入少许黄丹一起研匀。每次先用白矾、葱、花椒煎汤，洗浴并擦干后，将药粉撒在软布上，用手掌托住肛门头部，使其不再脱出。
治疗冷热不调，下部疼痛，里急后重，虚滑不禁或便秘涩滞，肠头脱出，用硇砂丸方：
硇砂（飞制一两） 硫黄（研磨） 白矾（研磨，各一分）
以上三味药，一同研匀。用一个重五两的萝卜一个，切开保留原盖子，挖成坑状，填入上述药末，将原盖用竹签固定，用十五两面粉包裹，在地上挖一个一尺见方的坑，铺上三寸厚的马粪，将面球放在上面，再用马粪覆盖，在上面点火燃烧，等到面粉变黑就停止，去掉面粉，将萝卜中的药烂捣成膏状，再加入以下药物：肉豆蔻（去壳） 葫芦巴（各半两） 诃黎勒皮 附子（炮裂，去皮脐） 补骨脂（炒，各一两） 香子（一分，炒）
以上六味药，捣碎过筛成粉末，与前药膏一同捣匀，滴入少量好酒捣令均匀，制成梧桐子大小的丸药。每次服用十五至二十丸，空腹食前，用温米汤送服。
治疗洞泄（严重的水样腹泻）导致肛门脱出，用猪肝散方：
猪肝（一片，切片慢火熬干） 黄连（去除须根） 阿胶（炒至干燥） 川芎（各一两） 乌梅（取肉二两半，熬制） 艾叶（半两，醋炒）
以上六味药，捣碎过筛成散剂，每次服用二钱匕，用温酒调服，也可以用白米汤，饭前每日服用两次。
治疗肛门脱出，用壁土散方：
老屋东墙上的土（五合） 皂荚（三挺，每挺长一尺的）
以上两味药，将土捣碎过筛成细末，敷在肛门头部，取皂荚加热暖熨，交替进行直到肛门收回为止。
治疗脱肛不收摄，用蒲黄敷方：
只用蒲黄一味药，用猪脂调和，敷在肛门上，用手按压使其纳入，每天二三次，即可痊愈。
治疗积冷引起的下痢脱肛，用枳实熨方：
只用枳实一枚，在石头上磨得光滑润泽，钻安手柄，涂蜜炙烤至温暖后熨烫肛门，冷了更换，肛门缩回即止。
It is stated that prolapse of the anus following dysentery occurs due to deficiency and coldness stagnation in the Large Intestine (Da Chang). When going to the toilet, there is an urge to defecate but inability to do so. Straining forcefully downward causes the anus to protrude, hence it is called "prolapse of the anus" (Tuo Gang). Warming the viscera leads to recovery. Ancient prescriptions include sitz baths with decoctions and warm moxibustion/ironing therapies, which are all excellent methods.
For treating prolapsed anus not retracting, accompanied by tenesmus (Li Ji Hou Zhong - abdominal urgency and heaviness in the rectum), use Ci Shi San Formula:
Ci Shi (Magnetitum, calcined and quenched in vinegar, 4 liang)
Gui Zhi (Ramulus Cinnamomi, bark removed, 1 liang)
Fu Zi (Radix Aconiti Lateralis Preparata, roasted until yellow and cooked, 1 piece)
Crush and sieve the above three ingredients into powder. Take 2 qian bi per dose, mixed with rice water. Avoid lifting heavy objects and tight belts; abstain from sexual intercourse. Recovery may take a year.
For treating prolapse of the anus after dysentery, use Wo Niu San Formula:
Wo Niu (Cochlicopa, burned to ash and finely ground, 37 pieces)
Ci Shi (Magnetitum, calcined and quenched in vinegar, finely ground, 1 liang)
Grind the above two ingredients together until powdery. Take 2 qian bi per dose, mixed with rice water on an empty stomach; take another dose at noon.
For treating prolapse of the anus after dysentery, use Lang Dan San Formula:
Lang Dan Zi (Fructus Hyoscyami, stir-fried until yellow, half liang)
Bie Jia Tou (Carapax et Plastrum Testudinis, head part, burned to ash, 2 pieces)
Tie Jing (Ferrum, half liang, ground)
Crush and sieve the above three ingredients into powder. Take 2 qian bi per dose, mixed with rice water on an empty stomach; take another dose in the evening. Apply a small amount of the powder to the anus, and use a heated old hemp shoe sole to fumigate/iron the area, which will prevent further prolapse.
For treating pain from prolapsed anus due to chronic diarrhea/dysentery, use Hei Sheng San Formula:
Da Zhi Zhu (Araneus, wrapped in two layers of Benincasa hispida leaves, tied securely, and burned black inside a container without over-burning, 1 piece)
Finely grind this single ingredient, mix with a small amount of Dan Sha (Minium), and grind evenly. Before application, wash with a decoction of Bai Fan (Alumen), Cong Bai (Scallion), and Hua Jiao (Zanthoxylum), then dry. Sprinkle the medicine onto a soft cloth, support the prolapsed anus with the palm to prevent further descent.
For treating disharmony of cold and heat, lower body pain, tenesmus, loose stools or constipation/stagnation, and intestinal prolapse, use Nao Sha Wan Formula:
Nao Sha (Sal Ammoniac, purified, 1 liang)
Liu Huang (Sulfur, ground)
Bai Fan (Alumen, ground, each 1 fen)
Grind the above three ingredients uniformly. Take one radish weighing 5 liang, cut off the top to keep as a lid, hollow out a cavity, and fill it with the powder. Secure the lid with bamboo pins. Wrap the radish in 15 liang of dough. Dig a pit one chi square, line it with 3 cun of thick horse manure, place the dough-wrapped radish on top, cover with more horse manure, and ignite fire above. Stop when the dough turns black. Remove the dough, mash the radish contents into a paste. Add the following herbs: Rou Dou Kou (Nucis Arecae Semen Preparatum, shelled) Hu Lu Ba (Fenugreek Seed, half liang each) He Le Li Pi (Pericarpium Chebulae) Fu Zi (Radix Aconiti Lateralis Preparata, processed, skin and root removed) Bu Gu Zhi (Fructus Psoraleae, stir-fried, 1 liang each) Xiang Zi (Fructus Foeniculi, stir-fried, 1 fen).
Grind these six ingredients into powder, mix thoroughly with the radish paste, add a little good wine, and knead until uniform. Form pills the size of Sophora seeds. Take 15-20 pills per dose, before meals on an empty stomach, washed down with warm rice water.
For treating severe watery diarrhea leading to anal prolapse, use Zhu Gan San Formula:
Zhu Gan (Porcine Liver, sliced and slow-cooked until dry) Huang Lian (Rhizoma Coptidis, whiskers removed) E Jiao (Colla Corii Asini, stir-fried until dry) Chuan Xiong (Rhizoma Chuanxiong, 1 liang each) Wu Mei (Fructus Mume, pulp only, 2.5 liang, cooked) Ai Ye (Folium Artemisiae Argyi, stir-fried with vinegar, half liang)
Grind and sieve the above six ingredients into a powder. Take 2 qian bi per dose, mixed with warm wine or white rice water. Take twice daily before meals.
For treating prolapsed anus, use Bi Tu San Formula:
Gu Wu Dong Qiang Bi Shang Tu (Soil from the east wall of an old house, 5 he) Zao Jia (Fructus Gleditsiae Sinensis, 3 pods, each one chi long)
Grind the soil into fine powder and apply to the prolapsed anus. Heat the Gleditsia pods and apply warm compressions alternately until the anus retracts.
For treating non-retracting prolapse of the anus, use Pu Huang Fu Method:
Use Pu Huang (Pollinis Typhae) alone, mix with lard, apply to the anus, and press manually to insert. Apply 2-3 times daily until healed.
For treating cold accumulation causing dysentery and anal prolapse, use Zhi Shi Yu Method:
Take one Zhi Shi (Fructus Aurantii Immaturus), grind smooth on a stone, attach a handle, coat with honey, and warm by roasting. Use for warm compression on the anus. Replace when cool. Stop when the anus retracts.