二日仍用洗剩药水，再加苦参一两，加水一大碗煎成，加制硝末五钱，如上熏洗。第三日照第二日洗法。
第四日旧药水俱不用，照第一日换新水煎苦参制硝洗之。以三日又换一次，其痔自消，永不再发。
痔疮 线香为丸，每服二钱，白汤送下。
痔漏神方（顾玉书。）
抱鸡蛋壳内皮（ 存性） 血余（各三钱） 石膏（ 二钱） 冰片 儿茶（各五分） 血竭（三分）
共乳极细搽痔上，脓水自干，管根自落，用真耿饼一斤，粉甘草半斤，捣匀为
丸，每早空心白汤送下三钱。此乃秘方，经验多人，用之必效。
内痔 冬青树叶煎汤熏洗。
外痔 鳖甲、五倍子，煎汤熏洗。
痔疮 广元肉一个，包明矾五分。嚼碎滚水吞下，七日后用明矾一钱，十四日后用明矾一钱五分。待痔枯即止。
又方 青饼一个入黄蜡一钱于内，置碗中，于饭上蒸熟，清晨开水细嚼一枚，以愈为度。
又方 梓桐树皮叶煎汤洗。
又方 草连根煎汤洗。
痔疮肿痛 冬瓜煎汤洗。
澄曰∶痔疮初起，有奔走过急，瘀凝肠分，流注肛门者；有色欲违度，忍精强
固者；有耽于醇酒者；有好嗜辛辣煎炒炙 者；有湿热流滞者；有久嗽气虚，群火
灼阴而成者；有久坐气血凝聚者；又有妇女血燥，大便秘结，用力努挣而成者；亦
有生产用力太过，瘀血流结而成者；更有脾泻肾泄、元气下陷而成者；又有久痢气
陷而成者，种种皆能成痔。而痔类甚多，有因其形而名者；有因其部位前后左右内外
而名者；既溃之后，每每多成漏管，不能收口者。非内服外洗，纯用苦寒，致令脾
元日损，肌肉难生，即系医家妄用刀针，药线系扎，铅丸悬坠，利剪割切，良肉受伤，
日施药 ，插入拔出，日逐将疮内四旁新肉磨成硬管，愈插愈深。此固医家之过，然
病家见痔疮溃后，虽流脓血，不疼不痛，嗜饮者依然畅饮，好色者仍复贪欢，善啖者
辛辣煎炒全不禁戒，虽无刀剪药线之害，亦断无不成漏者，所以致漏之源又伙。更有
等自愚之辈，每言痔漏不可医痊，留此门户为湿热外渗之地，若收功完口，湿热反
无门可出矣。殊不知肾开窍于二阴，谷道即肾之门户，若使终年破流血水，则真阴
由此而耗，正气从此而亏，安能保其不成痨瘵乎！况湿热若果由大肠而来，自由大
肠直出，岂有归大肠而不出，反由漏口徐徐而泄哉！是以痔贵早为培补，益气保元，
不可用苦寒内服外涂淋洗，病者谨戒百日醇酒房劳，再无不收口之理。若不遵禁忌，虽有灵丹，亦难奏效。
第二天仍然使用前一天剩下的药水，另外加入苦参一两，加水一大碗煎煮成汤，再加入制过的芒硝末五钱，按照之前的方法进行熏洗。第三天照第二天的方法清洗。
第四天不再使用旧的药水，按照第一天的方法换新水煎煮苦参和制过的芒硝进行清洗。每三天更换一次药物，痔疮自然消退，永不复发。
痔疮：将线香制成丸剂，每次服用二钱，用白开水送服。
痔漏神方（顾玉书）：
抱鸡蛋壳内皮（煅存性）三钱，血余炭三钱，石膏二钱，冰片五分，儿茶五分，血竭三分。
共同研磨成极细粉末，外敷于患处，脓水自然干燥，瘘管根部自然脱落。另取真耿饼一斤，粉甘草半斤，捣匀制成丸剂，每天早晨空腹时，用白开水送服三钱。这是秘方，经多人验证有效，使用必定见效。
痔疮：取一个广元肉（核桃仁），包裹明矾五分。嚼碎后用滚水吞下，七日后改用明矾一钱，十四日后改用明矾一钱五分。等到痔疮枯萎即停止用药。
又一方：取一个青饼，放入黄蜡一钱在内，置于碗中，在饭上蒸熟，清晨用开水细细咀嚼一枚，以痊愈为度。
又一方：用梓桐树的树皮和叶子煎汤清洗。
又一方：用草连根煎汤清洗。
顾澄说：痔疮初起，有因奔走过急，导致瘀血凝滞于肠道，流注到肛门形成的；有因房事过度，忍精不泄强行固摄形成的；有沉迷于烈酒的；有喜好嗜食辛辣、煎炒炙烤食物的；有湿热流滞的；有久咳气虚，群火灼伤阴液形成的；有久坐导致气血凝聚的；又有妇女血燥，大便秘结，用力努挣形成的；也有因生产用力太过，瘀血流结形成的；更有脾泻肾泄、元气下陷形成的；还有久痢导致气陷形成的，种种情况都能形成痔疮。而痔疮种类很多，有的因其形状命名；有的因其部位前后左右内外命名；溃破之后，往往多形成漏管，不能收口。如果不内服外洗，单纯使用苦寒药物，会导致脾胃元气日渐受损，肌肉难以生长；或者是医生妄用刀针、药线系扎、铅丸悬坠、利剪割切，损伤良肉，每日施药，插入拔出，日复一日将疮口四周的新肉磨成硬管，越插越深。这固然是医生的过错，然而病人见痔疮溃破后，虽然流脓血，但不疼不痛，嗜酒者依然畅饮，好色者仍复贪欢，善吃辛辣煎炒者全不禁戒，即使没有刀剪药线的危害，也断然没有不成漏管的，所以导致漏管的根源又多了一层。更有等自愚之辈，常说痔漏不可医愈，留着这个门户作为湿热外渗的地方，如果收功完口，湿热反而没有门路可出了。殊不知肾开窍于二阴，谷道（肛门）即是肾的门户，如果整年破流血水，则真阴由此耗损，正气从此亏损，怎么能保证不发展成痨瘵（肺结核类消耗性疾病）呢！况且湿热如果确实由大肠而来，自然从大肠直接排出，怎么会有归入大肠而不出去，反而由漏口徐徐泄漏的呢！因此痔疮贵在早期培补，益气保元，不可用苦寒药物内服外涂淋洗，患者必须严格禁忌百日内的醇酒房劳，再没有不收口的道理。如果不遵守禁忌，虽有灵丹妙药，也难以奏效。
On the second day, continue using the leftover medicinal water from the previous day. Add one liang of *Sophorae Flavescentis Cortex* (Ku Shen) and one large bowl of water, decoct it, then add five qian of prepared *Natrii Sulfas* (Zhi Xiao) powder. Perform fumigation and washing as before. On the third day, follow the washing method of the second day.
On the fourth day, do not use the old medicinal water. Instead, prepare fresh water and decoct *Sophorae Flavescentis Cortex* (Ku Shen) and prepared *Natrii Sulfas* (Zhi Xiao) for washing, following the method of the first day. Change the medication every three days; the hemorrhoids will naturally subside and never recur.
Hemorrhoids: Form *Cyperus Longus Rhizome* (Xian Xiang) into pills. Take two qian per dose, swallowed with plain warm water.
Miraculous Formula for Hemorrhoidal Fistula (by Gu Yushu):
Inner membrane of chicken eggshell (calcined to retain nature), three qian; *Human Hair Carbon* (Xue Yu), three qian; *Gypsum Fibrosum* (Shi Gao), two qian; *Borneolum Syntheticum* (Bing Pian), five fen; *Tectona Grandis Root Bark* (Er Cha), five fen; *Draconis Sanguis* (Xue Jie), three fen.
Grind all ingredients together into an extremely fine powder and apply externally to the affected area. The pus and discharge will dry up naturally, and the root of the fistula will fall off on its own. Additionally, take one jin of genuine Geng Bing (a type of refined sugar/candy base), half a jin of *Glycyrrhizae Radix et Rhizoma Praeparatum cum Melle* (Fen Gan Cao), pound them evenly, and form into pills. Take three qian each morning on an empty stomach, swallowed with plain warm water. This is a secret formula, verified effective on many people; it will certainly work.
Internal Hemorrhoids: Fumigate and wash with decoction of *Ilex Aquifolioides Leaf* (Dong Qing Ye).
External Hemorrhoids: Fumigate and wash with decoction of *Trionycis Carapax et Plastrum* (Bie Jia) and *Galae Chinosae* (Wu Bei Zi).
Hemorrhoids: Take one walnut kernel (Guang Yuan Rou), wrap five fen of *Alumen* (Ming Fan) inside. Chew thoroughly and swallow with boiling water. After seven days, increase the dosage of *Alumen* (Ming Fan) to one qian; after fourteen days, increase to one qian and five fen. Stop when the hemorrhoid withers.
Another prescription: Take one green cake, insert one qian of yellow beeswax inside, place in a bowl, and steam over rice until cooked. In the early morning, chew one piece finely with boiled water. Continue until healed.
Another prescription: Wash with decoction of *Toona Sinensis* bark and leaves.
Another prescription: Wash with decoction of *Smilax Glabra Rhizome* (Cao Lian Gen).
Swelling and Pain of Hemorrhoids: Wash with decoction of *Benincasa Fructus* (Dong Gua).
Gu Cheng stated: When hemorrhoids first arise, they may be caused by rushing or running too hastily, leading to blood stasis condensing in the intestines and flowing to the anus; by excessive sexual desire, retaining semen and forcing retention; by indulgence in strong wine; by a preference for spicy, fried, roasted, or grilled foods; by damp-heat stagnation; by chronic cough and Qi deficiency, with multiple fires scorching Yin; by prolonged sitting causing Qi and blood condensation; by women with dry blood and constipation, straining excessively during defecation; by excessive effort during childbirth causing blood stasis and knotting; by spleen diarrhea and kidney leakage causing sinking of Yuan Qi; or by chronic dysentery causing Qi sinking. All these conditions can lead to hemorrhoids. There are many types of hemorrhoids, named according to their shape or their position (anterior, posterior, left, right, internal, external). After ulceration, they often become fistulas that fail to close. If treated solely with bitter-cold herbs internally and externally without proper internal regulation and external washing, the Spleen's primal Qi will be daily damaged, making muscle regeneration difficult. Alternatively, if physicians recklessly use knives, needles, medicated threads for ligation, lead weights for suspension, or sharp scissors for cutting, healthy flesh is injured. Daily application involves inserting and withdrawing medicines, grinding the new flesh around the wound into hard tubes day by day, penetrating deeper each time. This is indeed the fault of the physician. However, patients, seeing that although pus and blood flow from the ulcerated hemorrhoid, there is no pain, continue to drink alcohol freely, indulge in sex, and eat spicy and fried foods without restriction. Even without the harm of knives, scissors, or medicated threads, it is impossible for them not to develop fistulas. Thus, the sources leading to fistulas are numerous. Furthermore, some self-deluded individuals claim that hemorrhoidal fistulas cannot be cured, arguing that leaving this "portal" allows damp-heat to exude externally; if the wound were closed, the damp-heat would have no outlet. They fail to realize that the Kidney opens into the two yin orifices, and the anal canal (Guy Dao) is the portal of the Kidney. If bleeding and fluid discharge persist year-round, True Yin is consumed here, and Righteous Qi is depleted here. How can one ensure that consumption diseases (Lao Zhai, such as tuberculosis) do not develop? Moreover, if damp-heat truly originates from the Large Intestine, it should exit directly through the Large Intestine. Why would it enter the Large Intestine but not exit, instead leaking slowly through the fistula opening? Therefore, it is crucial to tonify and support early in the course of hemorrhoids, benefiting Qi and preserving Yuan Qi. One must avoid bitter-cold herbs for internal use, external application, or washing. Patients must strictly abstain from alcohol and sexual activity for one hundred days. Under these conditions, healing without closing the wound is inconceivable. If these taboos are not observed, even miraculous elixirs will hardly achieve efficacy.