崔氏论曰∶凡痔病有五，若肛边生肉如鼠乳出孔外，时时脓血出者，名牡痔也，若肛边
肿痛
若
不
四
广济疗五痔方。
生槐煎（五分） 皂角（二两炙去皮子） 麝香（研） 鳗鲡鱼（炙） 雄黄（研） 莨
菪（熬） 丁香 木香（各二分）
上八味捣筛，以槐煎和丸，分为五丸，取一净瓶可一升以来，掘地埋之，着一叠子于瓶
上，钻叠子作孔，纳火瓶中，灰盖之，然后纳药一丸烧，以下部着叠孔上坐，便通汗，其尽
一丸，药即止，内痔以药一丸纳下部立效，仍不及熏。忌鱼热面等。
又疗五痔， 皮散方。
皮（炙） 鳖甲（炙） 当归（各六分） 黄 槐子 大黄（各八分） 蛇皮（炙
五寸）
露蜂房（炙五分） 本 桂心（各五分） 猪后悬蹄甲（十四枚炙）
上十一味捣为散，空腹以米饮服方寸匕，日二，渐加一匕半，不利。忌如前方。
又疗五痔下血不止方。
槐子 五色龙骨 叶（炙令紫色） 干姜 芎 当归 茜根 吴茱萸（各六分）
白蔹 附子（五分炮） 黄 （八分） 大黄（十分） 猪悬蹄甲（十四枚炙） 发灰（四
分）
上十四味捣筛，蜜丸，空腹以饮服如梧子二十丸。日二，渐加至四十丸，若利恐多，以
意减之。忌如前方。（出第四卷中）
短剧疗五痔散，主酒客劳及损伤，疗下部中旁孔，起居血纵横出方。
赤小豆（四分熬） 黄 （三分） 附子（炮） 白蔹 桂心（各一分） 芍药 黄芩
（各二
分）
上七味捣为散，以酒服方寸匕，日三，止血大验。（文仲同备急集验同）
又方
藜芦 大黄 黄连（各半两） 楝木子（十四枚） 桃仁（十四枚去皮） 巴豆（四枚
去皮
心） 蓖麻（十四枚一名狗蝉）
上七味 咀，以猪肪一升煎三沸，下去滓，敷赘肉上，日三，外着此膏，内服紫参丸，
常并行。（古今录验同）
又疗五痔，大便肛边清血出，紫参丸疗不瘥，服之无不瘥方。
紫参 秦艽 乱发灰 紫菀 浓朴（炙以上各一两） 本（二两） 雷丸（半升） 白
芷（
一两） 虫（半两熬） 贯众（三两去毛） 猪后悬蹄甲（十四枚炙） 虻虫（半两去翅
足熬）
石南（半两炙）
上十三味捣筛，以羊脊骨中髓合猪脂各半升煎，和丸如梧子。未食酒服十五丸，日再，
亦可饮下，剧者夜一服，四日肛边痒止，八日脓血尽，鼠乳悉愈，满六十日，终生不复发，
久服益善，有痔病十八年，肛出长三寸，服此方即愈，亦疗脱肛，有人热可除羊髓，以赤蜜
代。（集验备急千金同）
集验疗五痔，有气痔，温寒湿劳即发，蛇蜕皮主之，牡痔，生肉如鼠乳在孔中颇见外，
妨于更衣，鳖甲主之，牝痔，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，牡猪左悬蹄甲主之，脉痔，更衣出清血，蜂房主之方。
上所主药，皆下筛等分，随病倍其所主药为三分，旦早以井华水服方寸匕，病甚者旦暮
服之，亦可至四五服，唯得食干白肉，病瘥之后，百日乃近房室，又用药纳下部，有疮纳中
无疮纳孔中。（千金删繁文仲同）
又方
野葛末
上一味，以刀圭纳药中服，五日知，二十日瘥，三十日愈。（徐安用之良千金同）
又方
煮槐根洗之，又煮桃根洗之。（千金备急同并出第九卷中）
删繁疗五痔，桃叶蒸痔方。
桃叶（一斛） 细糠 胡麻（各一斗熬）
上三味合为一家蒸之，取细糠熟为度，纳小口瓮中，将肛门坐，桃叶气熏入肛门，虫出
当死。（出第十七卷中）
千金疗五痔方。
皮（三指大切） 熏黄（如枣大） 熟艾（一握）
上三味，穿地作坑，调和，取便熏之，取口中熏黄烟气出为佳，火气稍尽即停，三日将
息，更熏之三度，永瘥，勿犯风冷，羹 将补，慎鸡猪鱼生冷。
又方
桑耳
上一味作羹，空腹下饭饱食之，三日食之，待孔卒痛如鸟啄，取大豆小豆各一升合捣，
作两囊中蒸之，及热更互坐之，即瘥。（并出第二十四卷中）
崔氏论述说：凡是痔病有五种，如果肛门旁边长出像老鼠乳房一样的肉赘突出孔外，时常流出脓血的，称为牡痔；如果肛门旁边肿痛……（原文此处中断）
《广济方》治疗五种痔病的方剂。
生槐煎（五分） 皂角（二两，炙后去皮和子） 麝香（研碎） 鳗鲡鱼（炙烤） 雄黄（研碎） 莨菪（熬制） 丁香 木香（各二分）
以上八味药捣碎过筛，用槐煎调和制成丸药，分为五丸。取一个干净的瓶子，容量约一升左右，在地上挖坑埋好，在瓶口盖一张叠好的纸，在纸上钻一个孔，将火放入瓶中，用灰盖上，然后放入一丸药燃烧，将患病部位对着纸上的孔坐着，就会通身出汗。当一丸药烧尽时，停止用药。内痔将一丸药纳入下部立即见效，但仍不如熏蒸法好。忌食鱼类、热面等。
又一种治疗五种痔病的皮散方。
皮（炙烤） 鳖甲（炙烤） 当归（各六分） 黄芩 槐子 大黄（各八分） 蛇皮（炙烤，五寸）
露蜂房（炙烤，五分） 藁本 桂心（各五分） 猪后悬蹄甲（十四枚，炙烤）
以上十一味药捣成散剂，空腹时用米汤送服一方寸匕，每日两次，逐渐增加至一方寸半，以不腹泻为度。禁忌同前方。
又一种治疗五种痔病下血不止的方剂。
槐子 五色龙骨 叶（炙烤至紫色） 干姜 川芎 当归 茜根 吴茱萸（各六分）
白蔹 附子（五分，炮制） 黄芪（八分） 大黄（十分） 猪悬蹄甲（十四枚，炙烤） 发灰（四分）
以上十四味药捣碎过筛，蜂蜜调和制成丸药，大小如梧桐子。空腹时用饮送服二十丸，每日两次，逐渐增加至四十丸，如果腹泻恐怕是药量过多，请酌情减少。禁忌同前方。（出自第四卷中）
《短剧方》治疗五种痔病的散剂，主治饮酒者劳损及外伤，治疗下部旁侧孔窍出血纵横流出的方剂。
赤小豆（四分，熬制） 黄芪（三分） 附子（炮制） 白蔹 桂心（各一分） 芍药 黄芩（各二分）
以上七味药捣成散剂，用酒送服一方寸匕，每日三次，止血效果显著。（文仲《备急集验方》相同）
又一方
藜芦 大黄 黄连（各半两） 楝木子（十四枚） 桃仁（十四枚，去皮） 巴豆（四枚，去皮去心） 蓖麻（十四枚，又名狗蝉）
以上七味药切碎，用猪脂一升煎煮三沸，去掉药渣，涂抹在赘肉上，每日三次，外用此膏的同时，内服紫参丸，常并行使用。（《古今录验方》相同）
又一种治疗五种痔病的方剂，大便时肛门边流出清血，服用紫参丸无效，服用此方无不痊愈的方剂。
紫参 秦艽 乱发灰 紫菀 厚朴（炙，以上各一两） 藁本（二两） 雷丸（半升） 白芷（一两） 虫（半两，熬制） 贯众（三两，去毛） 猪后悬蹄甲（十四枚，炙烤） 虻虫（半两，去翅足熬制）
石南（半两，炙烤）
以上十三味药捣碎过筛，用羊脊骨中的骨髓和猪脂各半升煎煮，调和制成如梧桐子大小的丸药。未进食时用酒送服十五丸，每日两次，也可以用温水送服，病情严重者夜间再服一次。四天后肛门边瘙痒停止，八天后脓血排尽，鼠乳状赘肉全部痊愈，满六十日，终生不再复发，长期服用更好有益。有患痔病十八年，肛门脱出长三寸的人，服用此方即愈，也治疗脱肛。有人因体质热可去除羊髓，用赤蜜代替。（《集验方》《备急千金要方》相同）
《集验方》治疗五种痔病，有气痔，遇温寒湿劳累即发作，用蛇蜕皮主治；牡痔，生长像老鼠乳房一样的肉赘在孔中颇见外露，妨碍更衣，用鳖甲主治；牝痔，从孔中起向外肿胀，五六日后自行溃破流出脓血，用皮主治；肠痔，排便时挺出，许久才缩回，用牡猪左悬蹄甲主治；脉痔，排便时流出清血，用蜂房主治的方剂。
上述所主药物，都下筛等分，根据病情加倍其所主药物的用量作为三分，早晨用井华水送服一方寸匕，病重者早晚各服，也可以服四五次，只能吃干的白色肉类，病愈之后，一百天之内才接近房事。另外用药纳入下部，有疮口纳入中间，无疮口纳入孔中。（《千金要方》删减繁文，《文仲方》相同）
又一方
野葛末
以上一味药，用刀圭量取纳入药中服用，五日见效，二十日痊愈，三十日治愈。（徐安用之良，《千金要方》相同）
又一方
煮槐根清洗患处，又煮桃根清洗患处。（《千金要方》《备急千金要方》相同，并出自第九卷中）
《删繁方》治疗五种痔病，桃叶蒸痔方。
桃叶（一斛） 细糠 胡麻（各一斗，熬制）
以上三味合在一起蒸熟，以细糠熟透为度，装入小口瓮中，将肛门坐在瓮口上，让桃叶的热气熏入肛门，虫子出来就会死亡。（出自第十七卷中）
《千金要方》治疗五种痔病的方剂。
皮（三指大切） 熏黄（如枣大） 熟艾（一握）
以上三味药，在地上挖坑，混合均匀，取便熏之，以口中闻到熏黄的烟气为佳，火势稍尽即停止，休息三天，再熏三次，永远痊愈。不要触犯风冷，羹汤用来进补，慎食鸡、猪、鱼及生冷食物。
又一方
桑耳
以上一味药做成羹汤，空腹饭后饱食之，连续三日食用。等到肛门突然疼痛如鸟啄般，取大豆、小豆各一升合捣，装在两个囊中蒸热，轮流坐上去，即痊愈。（并出自第二十四卷中）
Cui Shi stated: There are five types of hemorrhoids. If flesh grows near the anus like a mouse's teat protruding outside the orifice, with frequent discharge of pus and blood, it is called *Mu Zhi* (Male Hemorrhoid). If there is swelling and pain near the anus... [text interrupted]
*Guangji Fang* (Extensive Effective Prescriptions) formula for treating the five types of hemorrhoids.
*Sheng Huai Jian* (Raw Locust Bean Decoction) (5 fen), *Zao Jiao* (Gleditsia Sinensis Fruit) (2 liang, roasted, skin and seeds removed), *She Xiang* (Musk), *Man Li Yu* (Moray Eel) (roasted), *Xiong Huang* (Realgar) (ground), *Lang Dan* (Datura Metel Seed) (roasted), *Ding Xiang* (Clove), *Mu Xiang* (Aucklandiae Radix) (each 2 fen).
The above eight herbs are pounded and sifted. Mix with *Huai Jian* to form pills, divided into five pills. Take a clean bottle of about one sheng capacity, bury it in the ground. Place a folded paper over the bottle mouth, drill a hole in the paper, place fire inside the bottle, cover with ash, then insert one pill to burn. Sit with the affected area over the hole on the paper. Sweating will ensue. When one pill is consumed, stop the medication. For internal hemorrhoids (*Nei Zhi*), inserting one pill internally brings immediate effect, but fumigation is still superior. Avoid fish and hot noodles.
Another formula for the five types of hemorrhoids: Pi San Powder.
Pi (roasted), *Bie Jia* (Carapax et Plastrum Testudinis) (roasted), *Dang Gui* (Angelicae Sinensis Radix) (each 6 fen), *Huang Qin* (Scutellariae Radix), *Huai Zi* (Semina Gleditsiae Sinensis), *Da Huang* (Rhei Radix et Rhizoma) (each 8 fen), *She Pi* (Snake Skin) (roasted, 5 cun), *Lu Feng Fang* (Vespa Nidus) (roasted, 5 fen), *Ben Cao* (Ligustici Chuanxiong Rhizoma), *Gui Xin* (Cinnamomi Ramulus) (each 5 fen), *Zhu Hou Xuan Ti Jia* (Porcine Posterior Hoof Claws) (14 pieces, roasted).
The above eleven herbs are pounded into powder. Take one fang cun bi (square-inch spoonful) with rice water on an empty stomach, twice daily. Gradually increase to one and a half fang cun bi. Stop if diarrhea occurs. Dietary restrictions are the same as the previous formula.
Another formula for continuous bleeding from hemorrhoids.
*Huai Zi*, *Wu Se Long Gu* (Five-colored Dragon Bone), Ye (leaves, roasted until purple), *Gan Jiang* (Zingiberis Rhizoma), *Xiong Qiong* (Ligusticum Wallichii), *Dang Gui*, *Qian Gen* (Rubiae Cordifoliae Radix), *Wu Zhu Yu* (Evodiae Fructus) (each 6 fen), *Bai Lian* (Trollii Radix), *Fu Zi* (Aconiti Lateralis Radix Praeparata) (5 fen, processed), *Huang Qi* (Astragali Radix) (8 fen), *Da Huang* (10 fen), *Zhu Xuan Ti Jia* (14 pieces, roasted), *Fa Hui* (Ash of Human Hair) (4 fen).
The above fourteen herbs are pounded and sifted. Form pills with honey, size of wu zi (wu-tzu seeds). Take twenty pills with water on an empty stomach, twice daily. Gradually increase to forty pills. If diarrhea occurs, reduce dosage according to judgment. Dietary restrictions are the same as the previous formula. (From Volume IV)
*Duan Ji Fang* (Short Drama Prescriptions) powder for the five types of hemorrhoids, mainly for alcohol-induced fatigue and trauma, treating bleeding from lateral orifices in the lower body.
*Chi Xiao Dou* (Adzuki Bean) (4 fen, roasted), *Huang Qi* (3 fen), *Fu Zi* (processed), *Bai Lian*, *Gui Xin* (each 1 fen), *Shao Yao* (Paeoniae Radix), *Huang Qin* (each 2 fen).
The above seven herbs are pounded into powder. Take one fang cun bi with wine, three times daily. Highly effective for stopping bleeding. (Same as Wen Zhong's *Bei Ji Ji Yan Fang*)
Another formula
*Liu Lu* (Veratrum), *Da Huang*, *Huang Lian* (Coptidis Rhizoma) (each 0.5 liang), *Lian Mu Zi* (Meliae Semen), *Tao Ren* (Persicae Semen) (14 pieces, peeled), *Ba Dou* (Crotonis Fructus) (4 pieces, peeled and heart removed), *Bi Ma* (Ricini Semen, also known as Gou Chan) (14 pieces).
The above seven herbs are chopped. Boil in one sheng of pig fat for three boils. Remove dregs. Apply to the fleshy growths three times daily. Externally apply this ointment while internally taking *Zi Shen Wan* (Purple Ginseng Pills). They should be used concurrently. (Same as *Gu Jin Lu Yan Fang*)
Another formula for the five types of hemorrhoids, where clear blood flows from the anus during defecation, and *Zi Shen Wan* fails to cure. This formula ensures recovery.
*Zi Shen* (Codonopsis Radix or similar, context dependent), *Qin Jiao* (Gentianae Macrophyllae Radix), *Luan Fa Hui* (Ash of Tangled Hair), *Zi Wan* (Asteris Radix), *Hou Po* (Magnoliae Officinalis Cortex) (roasted, each 1 liang), *Ben Cao* (2 liang), *Lei Wan* (Omphalia Lapponica), *Bai Zhi* (Angelicae Dahuricae Radix) (1 liang), *Chong* (Insect, unspecified, roasted) (0.5 liang), *Guan Zhong* (Cyrtomii Rhizoma) (3 liang, hairs removed), *Zhu Hou Xuan Ti Jia* (14 pieces, roasted), *Meng Chong* (Tabanus Larva) (0.5 liang, wings and feet removed, roasted), *Shi Nan* (Rhododendri Daurici Folium) (0.5 liang, roasted).
The above thirteen herbs are pounded and sifted. Boil sheep spinal marrow and pig fat (half sheng each). Mix to form pills the size of wu zi. Take fifteen pills with wine before meals, twice daily. Can also be taken with water. For severe cases, take once at night. After four days, anal itching stops; after eight days, pus and blood cease, and mouse-teat hemorrhoids heal completely. After sixty days, recurrence is lifelong prevented. Long-term use is beneficial. A case of 18-year hemorrhoids with 3-cun prolapse was cured by this formula. It also treats rectal prolapse (*Tuo Gang*). Those with heat constitution may replace sheep marrow with red honey. (Same as *Ji Yan Fang* and *Bei Ji Qian Jin Yao Fang*)
*Ji Yan Fang* treatment for the five types of hemorrhoids:
*Qi Zhi* (Gas Hemorrhoid): triggered by cold, heat, dampness, and fatigue; treated with *She Tui Pi* (Snake Slough).
*Mu Zhi*: fleshy growth like a mouse teat protruding slightly, interfering with defecation; treated with *Bie Jia*.
*Nv Zhi*: swelling outside the orifice, rupturing after 5-6 days with pus and blood discharge; treated with Pi.
*Chang Zhi*: prolapses during defecation, retracts slowly; treated with Male Pig Left Suspended Hoof Claw.
*Mai Zhi*: clear blood discharged during defecation; treated with *Feng Fang* (Honeycomb).
For the above specified herbs, sieve them equally. Double the amount of the primary herb for the specific condition to make three parts. Take one fang cun bi with well-water in the morning. For severe cases, take morning and evening, up to 4-5 doses. Eat only dry white meat. After recovery, abstain from sexual activity for 100 days. For internal application, insert into ulcers if present, otherwise into the orifice. (Edited from *Qian Jin Yao Fang*, same as Wen Zhong)
Another formula
*Ye Ge* (Aconitum carmichaelii root, processed) powder.
Take one dao gui (knife-point measure) with medicine. Effect seen in 5 days, healed in 20 days, cured in 30 days. (Xu Anyong uses this effectively, same as *Qian Jin Yao Fang*)
Another formula
Boil locust roots to wash. Also boil peach roots to wash. (Same as *Qian Jin Yao Fang* and *Bei Ji Qian Jin Yao Fang*, from Volume IX)
*Shan Fan Fang* (Simplified Prescriptions) for peach leaf fumigation of hemorrhoids.
Peach leaves (1 hu), fine bran, sesame (each 1 dou, roasted).
Steam the three ingredients together until the fine bran is cooked. Put into a narrow-mouthed jar. Sit with the anus over the jar opening. The steam enters the anus, killing parasites when they emerge. (From Volume XVII)
*Qian Jin Yao Fang* formula for the five types of hemorrhoids.
Pi (cut large, three fingers wide), *Xun Huang* (Realgar smoke residue, date-sized), *Shu Ai* (Prepared Mugwort Wormwood, one handful).
Dig a pit in the ground. Mix the three ingredients. Fumigate using the pit. Aim for the smoke of Xun Huang to enter the mouth/nose as a good sign. Stop when the fire diminishes. Rest for three days, then fumigate three more times for permanent cure. Avoid wind and cold. Use soups for nourishment. Avoid chicken, pork, fish, and raw/cold foods.
Another formula
*Sang Er* (Mulberry Mould).
Make a soup with this single ingredient. Eat on an empty stomach after a meal. Continue for three days. Wait until the orifice feels sudden pain like bird pecking. Take one sheng each of soybeans and adzuki beans, pound them, put in two bags, steam them. While hot, sit alternately on the bags. Cure. (From Volume XXIV)