一煎散 脏毒初起肿痛。服之立消。
当归尾 皂角刺 桃仁泥 穿山甲（炒） 甘草（各二钱） 黄连（一钱五分） 枳壳 槟榔 乌药 白芷
天花粉 赤芍 生地（各一钱） 红花（五分） 玄明粉 大黄（各三钱）
用水二钟。浸一宿。次早煎一滚。空心服之。俟行三四次。以薄粥补之。
五灰散 脏毒肿痛。生于肛门内者。
蜈蚣 穿山甲 生鹿角 血管鹅毛 血余（各 存性各研末各等分和匀）
每服五钱。空心。用黄酒调服。
灸脏毒及肠风下血不止秘法 令患者平立。量脊骨前与脐平处。是穴于脊椎上灸七壮。如年深者
更于椎上两旁各开一寸。各灸七壮。除根。
贵金丸 卫生散 金黄散 神灯照 蟾酥饼 珍珠散 六味地黄丸（俱见首卷）
谷道生疮久不愈者。内用甘草节为末。每服三钱。空心。生蜜酒调服。外以鸡内金 存性。为末掺之。
痔漏之症。虽疡医之事。而鄙谈之。然择疾而疗。岂仁者之用心乎。予阅内经。惟云。因而饱食。经脉横解。
肠癖为痔。盖为饱食则伤脾土。脾土伤则不能荣养肺金。肺金失养。则肝木无制。而生心火。侮肺金克
脾土。于是克所胜而侮所不胜也。然饱食而成此症者。必有其因。其因惟何。盖因饱食之后。或暴怒。或
努力。或枯坐。或酒色。妇人或产难。小儿或夜啼等因。致使气血纵横。经络交错。流注肛门而成此痔矣。
如其肿者湿也。痛者火也。痒者风也。闭结者燥也。惟宜随其胜者以抑之。乃其治也。第恐学人未得其
详。附以专科赵真子家传的本。再附己意于后。稍补缺略云尔。
一煎散：适用于脏毒（肠道湿热蕴结所致的痔疮或肛周脓肿）初起，出现肿胀疼痛时服用。服用后症状可立即消除。
配方组成：当归尾、皂角刺、桃仁泥、穿山甲（炒制）、甘草（各二钱）；黄连（一钱五分）；枳壳、槟榔、乌药、白芷、天花粉、赤芍、生地黄（各一钱）；红花（五分）；玄明粉、大黄（各三钱）。
煎服方法：用水两钟（约400-600毫升），浸泡一整夜。次日清晨煮沸一次。空腹服用。待排便三四次后，用稀薄粥食调养身体。
五灰散：适用于脏毒引起的肿痛，且病灶位于肛门内部的情况。
配方组成：蜈蚣、穿山甲、生鹿角、血管鹅毛、血余（即人发，以上药材均需存性[保留药性]并研成细末，等量混合均匀）。
服用方法：每次服用五钱（约15-20克），空腹时，用黄酒调服。
灸治脏毒及肠风下血不止的秘法：让患者站立平直。测量脊骨前方与肚脐齐平的位置，该处对应的脊椎穴位上施灸七壮。若病程长久，再于椎骨两旁各旁开一寸处，分别施灸七壮。以此可除根。
贵金丸、卫生散、金黄散、神灯照、蟾酥饼、珍珠散、六味地黄丸（均见于本书首卷）。
肛门部位生疮久不愈合者：内服甘草节研成的粉末，每次三钱，空腹时用蜂蜜和酒调服。外用鸡内金（存性）研末撒敷患处。
关于痔漏病症，虽然属于外科医生的职责范围，但我仍加以谈论。然而，如果因为疾病难以治疗就拒绝诊治，这难道是仁爱之人的用心吗？我阅读《黄帝内经》，其中只提到：“因饱食过度，导致经脉松弛横解，引发肠癖从而形成痔疮。”大概是因为饱食会损伤脾土，脾土受损则不能滋养肺金，肺金失去滋养，则肝木失去制约，进而产生心火，心火侮犯肺金并克制脾土。于是出现了克制其所胜（脾土）而侮犯其所不胜（肺金）的情况。然而，因饱食而导致此症，必有其诱因。诱因是什么？大概是在饱食之后，又有暴怒、用力举重、久坐不动、纵欲饮酒等原因，妇女可能因难产，小儿可能因夜间啼哭等因素，致使气血运行紊乱，经络交错阻滞，流注于肛门而形成了痔疮。其中，肿胀的是湿邪所致，疼痛的是火邪所致，瘙痒的是风邪所致，便秘闭结的是燥邪所致。治疗应当根据偏盛之邪进行抑制，这才是正确的治疗方法。只是担心学习者未能掌握详细情况，因此附上专科医生赵真子的家传秘方，并在后面附加我自己的见解，以稍微弥补其中的缺漏罢了。
Yijian San (One-Boiling Powder): Indicated for the initial stage of Zangdu (toxic sores/abscesses around the anus) presenting with swelling and pain. Administration leads to immediate resolution.
Ingredients: Dangguiwei (Radix Angelicae Sinensis Cauda), Zaogengci (Gleditsiae Sinensis Spina), Taoren Ni (Paste of Persicamae Semen), Chanshanjia (Scalae Manis, stir-fried), Gancao (Radix Glycyrrhizae Preparata) (each 2 qian); Huanglian (Rhizoma Coptidis) (1.5 qian); Zhike (Fructus Aurantii), Binglang (Arecae Semen), Wuyao (Linderae Radix), Baizhi (Radix Angelicae Dahuricae), Tianhuafen (Trichosanthis Radix), Chishao (Radix Paeoniae Rubra), Shengdi (Radix Rehmanniae Preparata) (each 1 qian); Honghua (Flos Carthami) (0.5 qian); Xuanmingfen (Natrii Sulfas Exsiccatus), Dahuang (Radix et Rhizoma Rhei) (each 3 qian).
Preparation and Administration: Soak in two zhong (approx. 400-500 ml) of water overnight. Boil once early the next morning. Take on an empty stomach. After three to four bowel movements, replenish with thin porridge.
Wuhui San (Five-Ashe Powder): Indicated for swelling and pain caused by Zangdu located inside the anus.
Ingredients: Wugong (Centipedae Corpus), Chanshanjia (Scalae Manis), Sheng Lujiao (Cervi Cornu Pantotrichum), Xuangu Emao (Penna Anatis Domesticae Vascularis), Xueyu (Capilli Humanus Carbonisati) (each processed to retain efficacy "cunxing", ground into powder separately, mixed equally).
Administration: Take 5 qian per dose. On an empty stomach, mix with yellow wine for oral administration.
Secret Method for Moxibustion Treatment of Zangdu and Persistent Rectal Bleeding due to Changfeng (Wind in Intestines): Have the patient stand upright. Measure the point on the spine anteriorly level with the umbilicus. Apply seven moxa cones (zhuang) on this spinal point. For chronic cases, additionally apply seven moxa cones each at points one cun lateral to this vertebra. This eliminates the root cause.
Guijin Wan (Guijin Pill), Weisheng San (Weisheng Powder), Jinhuang San (Jinhuang Powder), Shendengzhao (Shendeng Illumination), Chansu Bing (Chansu Cake), Zhenzhu San (Zhenzhu Powder), Liuwei Dihuang Wan (Liuwei Rehmannia Pill) (All described in the first volume).
For ulcers in Gudao (anus) that fail to heal for a long time: Internally, take Gancaojie (Node of Radix Glycyrrhizae) powder, 3 qian per dose, on an empty stomach, mixed with raw honey and wine. Externally, apply Jineijin (Endothelium Corneum Gigeriae Galli, retained efficacy) powder to the lesion.
Hemorrhoids and fistulas, although within the scope of surgical physicians, I discuss them here. However, treating diseases based on their location—refusing to treat those in hidden areas—is not the mindset of a benevolent healer. In my study of the *Neijing* (Inner Canon), it states: "Due to overeating, meridians become distended and loose, leading to intestinal dysentery which forms hemorrhoids." Generally, overeating damages Pi Tu (Spleen Earth). When Pi Tu is damaged, it fails to nourish Fei Jin (Lung Metal). When Fei Jin lacks nourishment, Gan Mu (Liver Wood) loses control, generating Xin Huo (Heart Fire). Xin Huo insults Fei Jin and controls Pi Tu. Thus, there is control over what should be controlled and insult against what should not be insulted. However, hemorrhoids resulting from overeating must have specific triggers. What are these triggers? They include, after overeating, sudden anger, strenuous effort, prolonged sitting, or indulgence in alcohol and sex; women may suffer from difficult labor; children may cry excessively at night. These factors cause Qi and Blood to flow chaotically and meridians to intersect and block, flowing into the anus to form hemorrhoids. Swelling indicates Dampness; pain indicates Fire; itching indicates Wind; constipation indicates Dryness. Treatment should suppress the dominant pathogenic factor. I fear students may not grasp the details, so I append the family secret recipe of specialist Zhao Zhenzi, followed by my own insights, to supplement any omissions.