夫酒痔者。由人饮酒过度。伤于肠胃之所成也。夫酒性酷热。而有大毒。酒毒溃于脏腑
。使血脉充溢。积热不散。攻壅大肠。故令下血。肛边肿痛。复遇饮酒。便即发动。故名酒
痔也
治酒痔。下血如鸡肝。肛边出疮疼痛。因醉饱。气壅即发。大黄散方。
川大黄（一两锉碎微炒） 枳壳（一两麸炒微黄去瓤） 甘草（半两炙微赤锉） 生干
地黄（
一两） 桑根白皮（一两锉） 黄 （一两锉） 羚羊角屑（一两） 赤小豆花（一两） 当
归（一
两）
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治酒痔。肛肠肿痛。下血不止。黄 散方。
黄 （一两锉） 赤芍药（一两） 枳壳（一两麸炒微黄去瓤） 当归（一两锉微炒） 桑
鸡（
一两微炒） 槐子仁（一两微炒） 乌蛇（一两酒浸去皮骨涂酥炙令黄）
上件药。捣细罗为散。每于食前。煎黄 汤调下二钱。
治酒痔。大肠中久积热毒。下血疼痛。赤小豆散方。
赤小豆（一两炒熟） 黄 （一两锉） 白蔹（半两） 赤芍药（半两） 生干地黄（一
两） 桂
心（半两） 黄芩（三分） 当归（三分锉微炒）
上件药。捣细罗为散。每于食前。以槐子仁汤调下二钱。
治酒痔。肛边肿痛。及下血不止方。
鹅不食草（半两去泥焙干） 鸡冠花（半两微炒） 郁金（半两） 麝香（二钱研入） 当
归（
三分锉微炒）
上件药。捣细罗为散。每于食前。以粥饮调下二钱。
治酒痔。下血不止。下部疼痛至甚。宜服此方。
赤小豆（一合炒熟） 当归（一两锉微炒） 白矾（一两烧令汁尽）
上件药。捣细罗为散。每于食前。以蜜水调下一钱。
又方。
白蔹（三分） 黄 （三分锉） 赤小豆（三分炒熟）
上件药。捣细罗为散。每于食前。以粥饮调下一钱。
治酒痔。风热壅滞大肠。下血疼痛。宜服黄 丸方。
黄 （一两锉） 蒺藜子（三分微炒去刺） 皮（一两炙令黄） 枳壳（二两麸炒微
黄去瓤）
槟
两） 皂
荚子
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每于食前。煎桑根白皮汤下三
十丸。
又方。
黄 （一两锉） 枳壳（一两麸炒微黄去瓤） 乌蛇（二两酒浸去皮骨涂酥炙微黄） 当
归（
一两锉微炒） 皂荚刺（一两炙黄）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每于食前。以粥饮下二十丸。
又方。
杏仁（四两汤浸去皮尖双仁生研） 皂荚（五两去皮子生捣为末）
上件药。都以浆水内浸一宿。入锅内。以真酥二两 熬令稠可丸。即丸如梧桐子大。每
于食前。煎柏叶汤下二十丸。
酒痔，是由于人饮酒过度，损伤肠胃而形成的。酒的性质酷热，且含有大毒。酒毒侵蚀脏腑，使血脉充盈满溢，积热不能消散，攻冲壅滞于大肠，因此导致便血，肛门周围肿痛，再次遇到饮酒时，症状就会立即发作，所以称为酒痔。
治疗酒痔，症见便血如鸡肝状，肛门周围生疮疼痛，因醉酒饱食后，气机壅滞即发作的方剂：大黄散方。
川大黄（一两，锉碎，微炒） 枳壳（一两，麸炒至微黄，去瓤） 甘草（半两，炙至微赤，锉） 生干地黄（一两） 桑根白皮（一两，锉） 黄芪（一两，锉） 羚羊角屑（一两） 赤小豆花（一两） 当归（一两）
以上药物，捣碎过筛制成散剂。每次服用四钱，用水一中盏，煎煮至六分，去渣滓，不限时候温服。
治疗酒痔，肛肠肿痛，便血不止的方剂：黄芪散方。
黄芪（一两，锉） 赤芍药（一两） 枳壳（一两，麸炒至微黄，去瓤） 当归（一两，锉，微炒） 桑鸡（一两，微炒） 槐子仁（一两，微炒） 乌蛇（一两，酒浸，去皮骨，涂酥炙至黄色）
以上药物，捣细罗制成散剂。每次在饭前，用黄芪汤调服二钱。
治疗酒痔，大肠中久积热毒，便血疼痛的方剂：赤小豆散方。
赤小豆（一两，炒熟） 黄芪（一两，锉） 白蔹（半两） 赤芍药（半两） 生干地黄（一两） 桂心（半两） 黄芩（三分） 当归（三分，锉，微炒）
以上药物，捣细罗制成散剂。每次在饭前，用槐子仁汤调服二钱。
治疗酒痔，肛门周围肿痛，以及便血不止的方剂：
鹅不食草（半两，去泥焙干） 鸡冠花（半两，微炒） 郁金（半两） 麝香（二钱，研入） 当归（三分，锉，微炒）
以上药物，捣细罗制成散剂。每次在饭前，用粥饮调服二钱。
治疗酒痔，便血不止，下部疼痛严重的，宜服用此方：
赤小豆（一合，炒熟） 当归（一两，锉，微炒） 白矾（一两，烧至汁液尽）
以上药物，捣细罗制成散剂。每次在饭前，用蜜水调服一钱。
又一方：
白蔹（三分） 黄芪（三分，锉） 赤小豆（三分，炒熟）
以上药物，捣细罗制成散剂。每次在饭前，用粥饮调服一钱。
治疗酒痔，风热壅滞大肠，便血疼痛的，宜服用黄芪丸方：
黄芪（一两，锉） 蒺藜子（三分，微炒，去刺） 地榆（一两，炙至黄色） 枳壳（二两，麸炒至微黄，去瓤） 槟榔（一两） 皂荚子（一两）
以上药物，捣罗制成末，炼蜜调和，捣三五百杵，制成梧桐子大小的丸剂。每次在饭前，用桑根白皮汤送服三十丸。
又一方：
黄芪（一两，锉） 枳壳（一两，麸炒至微黄，去瓤） 乌蛇（二两，酒浸，去皮骨，涂酥炙至微黄） 当归（一两，锉，微炒） 皂荚刺（一两，炙黄）
以上药物，捣罗制成末，炼蜜和丸，制成梧桐子大小的丸剂。每次在饭前，用粥饮送服二十丸。
又一方：
杏仁（四两，汤浸，去皮尖双仁，生研） 皂荚（五两，去皮子，生捣为末）
以上药物，都用浆水浸泡一夜，放入锅内，加入真酥二两，熬至稠厚可制丸状，即制成梧桐子大小的丸剂。每次在饭前，用柏叶汤送服二十丸。
Jiu Zhi (Alcohol Hemorrhoids) is caused by excessive alcohol consumption, which damages the intestines and stomach. The nature of alcohol is extremely hot and highly toxic. Alcohol toxin erodes the zang-fu organs, causing blood vessels to become full and overflowing, with accumulated heat failing to dissipate. This heat attacks and obstructs the large intestine, leading to hematochezia (blood in stool) and swelling and pain around the anus. Upon further alcohol consumption, symptoms immediately flare up; hence it is named Jiu Zhi (Alcohol Hemorrhoids).
For treating Jiu Zhi (Alcohol Hemorrhoids) presenting with hematochezia resembling chicken liver, sores emerging around the anus with pain, and onset triggered by qi obstruction after drunkenness or overeating: Da Huang San (Rhubarb Powder) Formula.
Chuan Da Huang (Radix et Rhizoma Rhei, 1 liang, crushed, slightly stir-fried) Zhi Ke (Fructus Aurantii, 1 liang, bran-fried until slightly yellow, pith removed) Gan Cao (Radix Glycyrrhizae, 0.5 liang, honey-fried until slightly red, crushed) Sheng Gan Di Huang (Radix Rehmanniae Preparata, 1 liang) Sang Gen Bai Pi (Cortex Morus Radicis, 1 liang, crushed) Huang Qi (Radix Astragali, 1 liang, crushed) Ling Yang Jiao Xie (Cornu Saigae Tataricae, 1 liang) Chi Xiao Dou Hua (Flos Phaseoli Radiati, 1 liang) Dang Gui (Radix Angelicae Sinensis, 1 liang)
The above ingredients are pounded, sifted, and made into a powder. Each dose consists of 4 qian. Boil with one zhong of water until reduced to 6 fen. Strain and take warm at any time.
For treating Jiu Zhi (Alcohol Hemorrhoids) with swelling and pain in the anal canal and persistent hematochezia: Huang Qi San (Astragalus Powder) Formula.
Huang Qi (Radix Astragali, 1 liang, crushed) Chi Shao Yao (Radix Paeoniae Rubra, 1 liang) Zhi Ke (Fructus Aurantii, 1 liang, bran-fried until slightly yellow, pith removed) Dang Gui (Radix Angelicae Sinensis, 1 liang, crushed, slightly stir-fried) Sang Ji (Note: Likely a textual variant or specific preparation, possibly related to Mulberry, 1 liang, slightly stir-fried) Huai Zi Ren (Semen Gleditsiae Sinensis, 1 liang, slightly stir-fried) Wu She (Bungarus multicinctus, 1 liang, soaked in wine, skin and bones removed, coated with butter and roasted until yellow)
The above ingredients are finely pounded and sieved to make a powder. Before meals, take 2 qian mixed with Huang Qi Decoction.
For treating Jiu Zhi (Alcohol Hemorrhoids) characterized by long-standing accumulation of heat-toxin in the large intestine, hematochezia, and pain: Chi Xiao Dou San (Adzuki Bean Powder) Formula.
Chi Xiao Dou (Semen Phaseoli Radiati, 1 liang, cooked熟) Huang Qi (Radix Astragali, 1 liang, crushed) Bai Lian (Rhizoma Bletillae, 0.5 liang) Chi Shao Yao (Radix Paeoniae Rubra, 0.5 liang) Sheng Gan Di Huang (Radix Rehmanniae Preparata, 1 liang) Gui Xin (Cortex Cinnamomi, 0.5 liang) Huang Qin (Scutellariae Radix, 3 fen) Dang Gui (Radix Angelicae Sinensis, 3 fen, crushed, slightly stir-fried)
The above ingredients are finely pounded and sieved to make a powder. Before meals, take 2 qian mixed with Huai Zi Ren Decoction.
For treating Jiu Zhi (Alcohol Hemorrhoids) with swelling and pain around the anus and persistent hematochezia:
E Bu Shi Cao (Herba Centipedae, 0.5 liang, cleaned of mud and baked dry) Ji Guan Hua (Flos Celosiae Cristatae, 0.5 liang, slightly stir-fried) Yu Jin (Radix Curcumae Longae, 0.5 liang) She Xiang (Moschus, 2 qian, ground and added) Dang Gui (Radix Angelicae Sinensis, 3 fen, crushed, slightly stir-fried)
The above ingredients are finely pounded and sieved to make a powder. Before meals, take 2 qian mixed with porridge drink.
For treating Jiu Zhi (Alcohol Hemorrhoids) with persistent hematochezia and severe pain in the lower body, this formula is suitable:
Chi Xiao Dou (Semen Phaseoli Radiati, 1 he, cooked熟) Dang Gui (Radix Angelicae Sinensis, 1 liang, crushed, slightly stir-fried) Bai Fan (Alumen, 1 liang, burned until liquid evaporates)
The above ingredients are finely pounded and sieved to make a powder. Before meals, take 1 qian mixed with honey water.
Another prescription:
Bai Lian (Rhizoma Bletillae, 3 fen) Huang Qi (Radix Astragali, 3 fen, crushed) Chi Xiao Dou (Semen Phaseoli Radiati, 3 fen, cooked熟)
The above ingredients are finely pounded and sieved to make a powder. Before meals, take 1 qian mixed with porridge drink.
For treating Jiu Zhi (Alcohol Hemorrhoids) with wind-heat obstructing the large intestine, hematochezia, and pain, Huang Qi Wan (Astragalus Pill) is suitable:
Huang Qi (Radix Astragali, 1 liang, crushed) Ji Li Zi (Semen Tribuli, 3 fen, slightly stir-fried, thorns removed) Di Yu (Sanguisorbae Radix, 1 liang, fried until yellow) Zhi Ke (Fructus Aurantii, 2 liang, bran-fried until slightly yellow, pith removed) Bing Lang (Arecae Semen, 1 liang) Zao Jia Zi (Gleditsiae Fructus Spina, 1 liang)
The above ingredients are pounded and sieved into fine powder. Mix with refined honey and pound 300-500 times. Form pills the size of paulownia seeds. Before meals, take 30 pills with Sang Gen Bai Pi Decoction.
Another prescription:
Huang Qi (Radix Astragali, 1 liang, crushed) Zhi Ke (Fructus Aurantii, 1 liang, bran-fried until slightly yellow, pith removed) Wu She (Bungarus multicinctus, 2 liang, soaked in wine, skin and bones removed, coated with butter and roasted until slightly yellow) Dang Gui (Radix Angelicae Sinensis, 1 liang, crushed, slightly stir-fried) Zao Jia Ci (Spina Gleditsiae Sinensis, 1 liang, fried until yellow)
The above ingredients are pounded and sieved into fine powder. Mix with refined honey and form pills the size of paulownia seeds. Before meals, take 20 pills with porridge drink.
Another prescription:
Xing Ren (Semen Armeniacae Amarum, 4 liang, soaked in water, skin and pointed ends removed, double-kernel ones used, raw ground) Zao Jia (Fructus Gleditsiae Sinensis, 5 liang, skin and seeds removed, raw ground into powder)
Soak all ingredients in grain vinegar overnight. Place in a pot, add 2 liang of real butter, and simmer until thick enough to form pills. Form pills the size of paulownia seeds. Before meals, take 20 pills with Bai Ye Decoction.