（论一首 方二十六首 灸法二首）
论曰∶夫五痔者，一曰牡痔，二曰牝痔，三曰脉痔，四曰肠痔，五曰血痔。牡痔者，肛
边如鼠乳，时时溃脓血出。牝痔者，肛肿痛生疮。脉痔者，肛边有疮痒痛。肠痔者，肛边核
痛，发寒热。血痔者，大便清血，随大便污衣。又，五痔有气痔，寒温劳湿即发，蛇蜕皮主
之。牡痔生肉如鼠乳在孔中，颇出见外，妨于更衣，鳖甲主之。牝痔（《集验》作酒痔）从
孔
中起，外肿五六日自溃出脓血， 皮主之。肠痔更衣挺出，久乃缩，母猪左足悬蹄甲主之。
脉痔更衣出清血，蜂房主之。五药皆下筛等分，随其病倍其主药为三分，旦以井花水服半方
寸匕。病甚者，旦暮服之，亦可四五服。禁寒冷、食猪肉、生鱼、菜、房室，唯食干白肉。
病瘥之后百日，乃可通房内。又用药导下部，有疮纳药疮中，无疮纳孔中。又用野葛烧末，
刀圭纳药中，服药五日知，二十日若三十日愈。痔痛
治五痔众医所不能愈者方∶
秦艽 白芷 浓朴 紫参 乱发 紫菀（各一两） 雷丸 本（各二两） 石南
虫
（各半
上十三味，合捣下筛，以羊髓脂煎和丸，如梧子大，空腹饮下十五丸，日二。若剧者，
夜一服。四日肛边痒止，八日脓血尽，鼠乳悉瘥。满六十日，终身不复发。久服益善，忌鱼、
猪肉等。
（论述一篇，方剂二十六首，灸法二首）
论述说：所谓的五痔，一是牡痔，二是牝痔，三是脉痔，四是肠痔，五是血痔。牡痔的症状是肛门边缘长出像老鼠乳房一样的肉赘，时常溃烂流脓出血。牝痔的症状是肛门肿痛并生疮疡。脉痔的症状是肛门边缘有疮疡，伴有瘙痒和疼痛。肠痔的症状是肛门边缘有硬结疼痛，发作时伴有发冷发热。血痔的症状是大便排出清血，血液随大便弄脏衣物。另外，五痔中还有气痔，遇到寒温变化、劳累或湿气侵袭就会发作，用蛇蜕皮主治。牡痔在肛孔内长出像老鼠乳房一样的肉赘，突出于外，妨碍排便，用鳖甲主治。牝痔（《集验方》称为酒痔）从肛孔中突起，外部肿胀，五六日后自行溃破流出脓血，用某皮（原文缺字，据上下文推测可能为某种树皮或药名，此处依原文保留“皮”字或指代特定药材，因原文缺失具体前缀，暂译为“...皮”）主治。肠痔患者在排便时直肠脱出，许久才能缩回，用母猪左足的悬蹄甲主治。脉痔患者在排便时流出清血，用蜂房主治。上述五种药物都要研磨过筛，按等分比例混合，根据病情加倍使用主药，使其占总量的三分之一，早晨用井水服用半方寸匕。病情严重的，早晚各服一次，也可以服用四五次。禁忌寒冷环境、食用猪肉、生鱼、生菜以及房事，只可食用干燥的白色肉类。病愈之后一百天内，才可恢复房事。另外用药导入下部（肛门），如果有疮疡就将药纳入疮口中，如果没有疮疡就纳入肛孔中。另外使用野葛烧成粉末，取刀圭大小的量混入药中，服药五天后见效，二十天或三十天后痊愈。
治疗五痔，经众医治疗不能痊愈的方剂：
秦艽、白芷、浓朴、紫参、乱发、紫菀（各一两）、雷丸、藁本（原文作“本”，中医常指藁本）、石南虫（各半两）。以上十三味药，一起捣碎研磨过筛，用羊髓脂煎煮调和制成丸剂，如梧桐子大小，空腹时用温水送服十五丸，每日两次。如果病情严重，夜间加服一次。四天后肛门边缘瘙痒停止，八天后脓血排尽，鼠乳状肉赘全部痊愈。满六十天后，终身不再复发。长期服用效果更好，忌食鱼、猪肉等。
(One Treatise, Twenty-six Prescriptions, Two Moxibustion Methods)
The treatise states: The so-called five hemorrhoids are: one is Mu Zhi (Male Hemorrhoid), two is Pin Zhi (Female Hemorrhoid), three is Mai Zhi (Vascular Hemorrhoid), four is Chang Zhi (Intestinal Hemorrhoid), and five is Xue Zhi (Blood Hemorrhoid). Mu Zhi (Male Hemorrhoid) presents as a flesh growth resembling a mouse's teat at the anal margin, which occasionally ulcerates and discharges pus and blood. Pin Zhi (Female Hemorrhoid) presents with swelling, pain, and ulceration at the anus. Mai Zhi (Vascular Hemorrhoid) presents with ulcers at the anal margin accompanied by itching and pain. Chang Zhi (Intestinal Hemorrhoid) presents with painful nodules at the anal margin, accompanied by chills and fever upon onset. Xue Zhi (Blood Hemorrhoid) presents with clear blood in the stool, staining the clothing. Additionally, among the five hemorrhoids, there is Qi Zhi (Qi Hemorrhoid), which occurs upon exposure to cold or heat, fatigue, or dampness, and is primarily treated with Ophichthidis Cutis Coriacea (Snake Slough). For Mu Zhi (Male Hemorrhoid), where flesh grows like a mouse's teat inside the orifice and protrudes externally, interfering with defecation, Testudinis Carapax et Plastrum (Turtle Shell) is used. For Pin Zhi (Female Hemorrhoid, referred to as Jiu Zhi/Wine Hemorrhoid in *Ji Yan Fang*), which rises from the orifice, swells externally, and spontaneously ulcerates after five to six days discharging pus and blood, [missing character] Pi (Bark) is used. For Chang Zhi (Intestinal Hemorrhoid), where the rectum prolapses during defecation and takes a long time to retract, Su Porci Unguis Suspensio (Swine Hoof Nail) is used. For Mai Zhi (Vascular Hemorrhoid), where clear blood flows during defecation, Apis Ceranae Fascia (Honeycomb) is used. All five aforementioned medicines should be ground and sifted equally. Based on the severity of the disease, double the amount of the principal herb so that it constitutes one-third of the total mixture. Take half a fang cun bi (a traditional measuring spoon) with well water in the morning. For severe cases, take it morning and evening, or up to four or five doses. Avoid cold environments, consumption of pork, raw fish, raw vegetables, and sexual intercourse; only consume dried white meat. One hundred days after recovery, sexual activity may resume. Additionally, when applying medication to the lower part (anus), if there is an ulcer, insert the medicine into the ulcer; if there is no ulcer, insert it into the anal orifice. Also, use Gleditsiae Sinensis Spina (Gleditsia Sinensis Thorn) burned to ash, take a Dao Gui (a small measure) amount, mix it with the medicine. After taking the medicine for five days, improvement will be seen; after twenty or thirty days, the condition will heal.
Prescription for treating the five hemorrhoids refractory to conventional medical treatment:
Qin Jiao (Radix Gentianae Macrophyllae), Bai Zhi (Radix Angelicae Dahuricae), Hou Po (Cortex Magnoliae Officinalis), Zi Shen (Radix Perillae), Luan Fa (Capilli Humani Carbonisatus), Zi Wan (Herba Asteris Tatarici) (each 1 liang), Lei Wan (Fructus Tetrastigomatis), Ben Cao (Rhizoma Ligustici Wallichii - text says "Ben"), Shi Nan Chong (Insectus Rhopalosiphini) (each 0.5 liang). The above thirteen ingredients are crushed, ground, and sifted together. They are decocted and mixed with Yang Sui Zhi (Medulla Candi Agni) to form pills the size of Wuzi (Wu Tong seeds). Take fifteen pills with warm water on an empty stomach, twice daily. If the condition is severe, take one dose at night. Itching at the anal margin stops after four days, pus and blood discharge ceases after eight days, and the mouse-teat-like growths completely heal. After sixty days, recurrence will not occur for life. Long-term use is beneficial. Avoid fish, pork, etc.