(附∶脱肛)
经曰∶因而饱食，筋脉横解，肠癖为痔。多由饱食用力，或恣浓味；醉饱房劳，热毒蕴蓄；
或强忍败精及过服固精药饵，停积归注；或怒动肝火，火侮燥金，毒聚肛门；或脾胃湿热，下迫
大肠，不胜枚举，更兼六淫七情而成。痔有七种∶肛边肉珠，时出脓血，名牡痔；肛疮肿突，如 出血，名牝
痔；疮血淋漓，痛而复痒，名脉痔；肿核脱肛，往来寒热，名肠痔；始如肠风，清血时下，名血
痔；并酷饮而成，名酒痔；忧怒则发，名气痔也；破溃日久，脓血水出，名痔漏。欲调治，须断
房室，戒浓味、怒气。脉沉小实易治，洪大软弱难治。
主方 （诸痔） 当归 连翘 生地 芍药 防风梢 荆芥 白芷 栀子 条芩 地榆（
等分） 甘草（减半）上加枣、乌梅各一枚，水煎空心服。
热加连、柏；泻加白术；秘加大黄、麻仁；湿加苍术、猪苓、泽泻。酒痔，葛根、枳壳、半
夏。
秦艽苍术汤 诸痔，痔漏，大便秘涩大痛，一服安。
秦艽 桃仁（研） 皂荚仁（烧，研） 苍术（制。各一钱） 防风（七分） 黄柏（酒浸
）归尾 青皮（各五分） 泽泻 槟榔 大黄 木香（各三分）
上除桃、皂、槟、木另研外，水煎成。调入四末，煎一沸服，少时以干物压之。有脓，加白
葵花（五朵，去萼心）。忌热毒物。
羌活秦艽汤 痔漏下垂，不胜其痒。
羌活 秦艽 黄 防风（各八分） 升麻 炙草 麻黄 柴胡（各五分） 本（三分）
细辛 红花（各二分） 水煎服
脏连丸 治诸痔及肠风下血。
黄连（川者，去须芦，研末，六两） 槐角子末（二两） 猪大肠（去头梢）
将连、槐末装入半空，勿胀肠破，砂锅水煮烂，待干连脏捣。若湿，加炒黄米粉少许，丸如
桐子大。每服百丸，空心白汤下。
皮丸 诸痔漏下血，远年近日皆效。
皮（一个，火炙） 槐角 防风 当归 贯众 枳壳 黄 枯矾 发灰（各一两） 猪
悬蹄小甲（十个，炙）
上为末，蜜丸或醋糊丸，如桐子大。每服百丸，空心白汤送下。
收痔丸 理诸痔通用。或服槐榆丸，诸痔有效（方见血门）。
真阿胶 黄连 贯众（各半两） 皮（炙） 蜂房（炒焦） 蛇蜕（炙黄） 皂角刺（炒）
穿山甲（炙黄） 当归 川芎 槐花 发灰 猪后蹄垂甲（烧。各三钱半） 皂荚（长尺）者，（
醋炙，去弦）
为末，醋糊丸，桐子大，服如前。
黑丸子 年久痔漏累效。
百草霜 干姜（炮。各一两） 木馒头（生墙头者，二两） 乌梅肉 白芷 败棕 扁柏叶
油发（俱烧焦，研。各半两） 桂心（三钱）
上为末，醋糊丸桐子大，服如前。
敷痔∶硼砂（一钱，透明） 朱砂（水飞，五分） 冰片（二分） 研匀，熊胆调敷。猪胆
亦可。
又 乳香、没药、轻粉、黄柏末、软石膏（ ） 龙骨（等分，）研极细掺之。
枯痔∶用五倍子（一个），尖上开孔，扫净蛀屑，入轻粉满，孔糊好，外用湿草纸包数层，
微火煨令燥，去纸研细，入冰片少许。湿者干掺，干者胆调敷。下疳、 疮等，亦收水结靥。
简便方 马齿苋煎汤，熏洗肛门。肿加皮硝，再以熊胆水研化敷尤妙。
痔血∶东行臭椿根皮为末，醋糊丸桐子大，每百丸，空心米汤下。
诸痔、肠风∶扁柏（四两） 白矾（五钱，研末，拌柏炒干） 败棕（烧灰，一两） 槐花（
四两，炒）共末，每服三钱，酒调下。
洗痔∶韭菜煮汁置坛中，先坐熏，次倾盆中，将韭蘸洗，日三次。
又 茄柯、槐花、冬瓜皮、陈香圆煎汤，入坛，患人坐熏，次倾出洗。
又 用干莲房、荆芥（各一两），枳壳、薄荷（各半两），水煎，入朴硝五钱洗。
又 槐花、艾叶、荆壳水煎，入白矾洗。或冬瓜，或五倍子洗。
痛甚∶用枸杞根煎洗。或水杨柳根上赤须煎洗；羊蹄根叶油蒸食；枳壳末蜜丸服；苍耳子末
白汤调服。
痔痒∶甘草、白芷、荆芥、槐花煎汤熏洗，更以布鞋底烘热熨。
（附：脱肛）
经典记载：因为饱食过度，导致筋脉松弛散漫，引发肠癖进而形成痔疮。多由于饱食后用力，或恣意食用浓烈厚味的食物；醉酒后行房事，致使热毒蕴结蓄积；或强忍精液不泄及过服固精药物，导致败精停积归注于肛门；或因愤怒触动肝火，火气克制燥金，毒邪聚集于肛门；或脾胃湿热下迫大肠，情况不胜枚举，再加上六淫（风、寒、暑、湿、燥、火）和七情（喜、怒、忧、思、悲、恐、惊）的影响而形成。痔疮有七种：肛边长出肉珠，时常流出脓血，称为牡痔（Male Hemorrhoid）；肛口疮肿突起，如同出血状，称为牝痔（Female Hemorrhoid）；疮口血液淋漓，疼痛后又发痒，称为脉痔（Vein Hemorrhoid）；肿核脱出肛门，伴有往来寒热症状，称为肠痔（Intestinal Hemorrhoid）；起初像肠风（Wind in the Intestines），清血不时排出，称为血痔（Blood Hemorrhoid）；因酗酒而成，称为酒痔（Wine Hemorrhoid）；因忧愁愤怒而发作，称为气痔（Qi Hemorrhoid）；破溃日久，脓血水液流出，称为痔漏（Hemorrhoidal Fistula）。想要调理治疗，必须断绝房事，戒除浓味食物和愤怒情绪。脉象沉小实者易治，洪大软弱者难治。
主方（治疗各种痔疮）：当归、连翘、生地、芍药、防风梢、荆芥、白芷、栀子、条芩、地榆（各等分），甘草（减半量）。上方加红枣、乌梅各一枚，用水煎煮，空腹服用。
若热盛，加连翘、黄柏；若腹泻，加白术；若便秘，加大黄、麻仁；若湿气重，加苍术、猪苓、泽泻。若是酒痔，加葛根、枳壳、半夏。
秦艽苍术汤：治疗各种痔疮、痔漏，大便秘涩且剧烈疼痛，服用一剂即可安宁。
秦艽、桃仁（研碎）、皂荚仁（烧后研碎）、苍术（炮制，各一钱）、防风（七分）、黄柏（酒浸）、归尾、青皮（各五分）、泽泻、槟榔、大黄、木香（各三分）。
以上药材除桃仁、皂荚仁、槟榔、木香单独研碎外，其余用水煎成。调入四末（此处指药粉或特定用法，原文语境可能指调匀或特定部位，依古法通常指调和或局部应用，但结合“煎一沸服”，此处应理解为将另研的药粉混入煎液中或作为引子，根据上下文“少时以干物压之”推测可能有外用或特殊服法，但前文说“服”，故译为口服混合制剂），煮沸一次后服用，片刻后用干物压迫患处。若有脓液，加白葵花五朵（去掉花萼心）。忌食热毒之物。
羌活秦艽汤：治疗痔漏下垂，瘙痒难忍。
羌活、秦艽、黄芪、防风（各八分）、升麻、炙甘草、麻黄、柴胡（各五分）、藁本（三分）、细辛、红花（各二分）。用水煎服。
脏连丸：治疗各种痔疮及肠风下血。
黄连（四川产，去须芦，研成粉末，六两）、槐角子末（二两）、猪大肠（去掉头尾）。
将黄连末、槐角末装入半空的猪大肠中，不要装得太胀以免肠破，用砂锅水煮烂，晾干后连同大肠一起捣碎。如果太湿，加少许炒黄的米粉，制成梧桐子大小的丸药。每次服用一百丸，空腹用白开水送服。
[此处原文缺字，推测为某皮丸，如“槐皮丸”或类似，依原文“皮丸”处理] 皮丸：治疗各种痔漏下血，无论新久皆有效。
[某]皮（一个，火烤）、槐角、防风、当归、贯众、枳壳、黄芪、枯矾、发灰（各一两）、猪悬蹄小甲（十个，烤焦）。
以上药材研成粉末，用蜜丸或醋糊制成梧桐子大小的丸药。每次服用一百丸，空腹用白开水送服。
收痔丸：调理各种痔疮通用。或者服用槐榆丸，对各类痔疮有效（方剂见血证门）。
真阿胶、黄连、贯众（各半两）、[某]皮（烤焦）、蜂房（炒焦）、蛇蜕（烤黄）、皂角刺（炒）、穿山甲（烤黄）、当归、川芎、槐花、发灰、猪后蹄垂甲（烧焦，各三钱半）、皂荚（长度一尺的，醋烤，去弦膜）。
研成粉末，用醋糊制成梧桐子大小的丸药，服用方法同上。
黑丸子：治疗年久不愈的痔漏，屡试屡效。
百草霜、干姜（炮制，各一两）、木馒头（生长在墙头上的生品，二两）、乌梅肉、白芷、败棕、扁柏叶、油发（均烧焦研碎，各半两）、桂心（三钱）。
以上药材研成粉末，用醋糊制成梧桐子大小的丸药，服用方法同上。
敷痔（外用涂抹）：硼砂（一钱，透明的）、朱砂（水飞法研磨，五分）、冰片（二分），研匀，用熊胆调匀后涂抹。猪胆汁也可以。
又方：乳香、没药、轻粉、黄柏末、软石膏（比例未详，依前文逻辑应为等分或适量）、龙骨（等分），研至极细，掺撒患处。
枯痔（使痔核枯萎脱落）：用一个五倍子，在尖端开孔，扫净内部蛀屑，放入满孔的轻粉，用面糊封好孔，外面用湿草纸包裹数层，用微火煨烤至干燥，去掉纸张研细，加入少许冰片。潮湿的痔核用干粉掺撒，干燥的用胆汁调敷。也可用于下疳、臁疮等，能收敛水分并结痂。
简便方：马齿苋煎汤，熏洗肛门。肿胀加皮硝，再用熊胆水研化后涂抹尤其奇妙。
痔血：向东生长的臭椿根皮研成粉末，用醋糊制成梧桐子大小的丸药，每次一百丸，空腹用米汤送服。
各种痔疮、肠风：侧柏叶（四两）、白矾（五钱，研末，拌入柏叶炒干）、败棕（烧成灰，一两）、槐花（四两，炒）。共研为末，每次服用三钱，用酒调服。
洗痔：韭菜煮汁放在坛中，先坐着熏蒸，然后倒入盆中，用韭菜蘸汁清洗，每天三次。
又方：茄柯、槐花、冬瓜皮、陈香圆煎汤，倒入坛中，患者坐着熏蒸，然后倒出清洗。
又方：用干莲房、荆芥（各一两），枳壳、薄荷（各半两），用水煎煮，加入朴硝五钱清洗。
又方：槐花、艾叶、荆芥壳水煎，加入白矾清洗。或用冬瓜，或用五倍子清洗。
疼痛剧烈：用枸杞根煎汤清洗。或者用水杨柳根上的红色须根煎汤清洗；羊蹄根叶用油蒸熟食用；枳壳末制成蜜丸服用；苍耳子末用白开水调服。
(Attachment: Rectal Prolapse)
The Classics state: "Due to overeating, the sinews and vessels become loose and relaxed, leading to intestinal dysentery which manifests as hemorrhoids." This is mostly caused by exertion after full meals, or indulgence in rich and strong-flavored foods; sexual activity while drunk and full, causing heat-toxin to accumulate; forcibly retaining semen or overusing astringent medicines, causing stale essence to stagnate and settle in the anus; anger stirring up Liver Fire, where Fire insults Dryness-Metal (Lung/Large Intestine), causing toxin to gather in the anus; or Damp-Heat in the Spleen and Stomach pressing downward into the Large Intestine. There are countless other causes, compounded by the Six Evils (Wind, Cold, Summer-heat, Dampness, Dryness, Fire) and Seven Emotions (Joy, Anger, Worry, Pensiveness, Sadness, Fear, Fright).
There are seven types of hemorrhoids: Flesh nodules at the anal margin with intermittent pus and blood discharge are called *Mu Zhi* (Male Hemorrhoid); anal sores swelling and protruding with bleeding appearance are called *Pin Zhi* (Female Hemorrhoid); continuous dripping of blood from sores, alternating pain and itching, are called *Mai Zhi* (Vein Hemorrhoid); swollen nodes prolapsing from the anus accompanied by alternating chills and fever are called *Chang Zhi* (Intestinal Hemorrhoid); resembling *Chang Feng* (Wind in the Intestines) with fresh blood intermittently discharged, are called *Xue Zhi* (Blood Hemorrhoid); formed due to excessive drinking, are called *Jiu Zhi* (Wine Hemorrhoid); triggered by worry and anger, are called *Qi Zhi* (Qi Hemorrhoid); chronic ulceration with prolonged discharge of pus, blood, and water, are called *Zhi Lou* (Hemorrhoidal Fistula). To treat these, one must abstain from sexual intercourse, avoid rich flavors, and control anger. A pulse that is deep, small, and solid indicates an easy cure; a pulse that is surging, large, weak, and soft indicates a difficult cure.
Main Formula (For Various Hemorrhoids): *Dang Gui* (Angelicae Sinensis Radix), *Lian Qiao* (Forsythiae Fructus), *Sheng Di* (Rehmanniae Radix), *Shao Yao* (Paeoniae Radix Alba), *Fang Feng* tips, *Jing Jie* (Schizonepetae Spica), *Bai Zhi* (Angelicae Dahuricae Radix), *Zhi Zi* (Gardeniae Fructus), *Tiao Qin* (Scutellariae Radix), *Di Yu* (Sanguisorbae Radix) (equal parts); *Gan Cao* (Glycyrrhizae Radix et Rhizoma) (half dose). Add one red date (*Da Zao*) and one dark plum (*Wu Mei*) to the above, decoct in water, and take on an empty stomach.
If Heat is excess, add *Lian Qiao* and *Huang Bo*; if diarrhea occurs, add *Bai Zhu*; if constipation, add *Da Huang* and *Ma Ren*; if Dampness is heavy, add *Cang Zhu*, *Zhu Ling*, and *Ze Xie*. For Wine Hemorrhoids, add *Ge Gen*, *Zhi Ke*, and *Ban Xia*.
*Qin Jiao Cang Zhu Tang*: Treats various hemorrhoids and fistulas, severe constipation with hard stools and intense pain; relief is achieved after one dose.
*Qin Jiao* (Gentianae Macrophyllae Radix), *Tao Ren* (Persicae Semen, crushed), *Zao Jia Ren* (Gleditsiae Sinensis Fructus, burnt and crushed), *Cang Zhu* (Atractylodis Rhizoma, processed, each 1 qian), *Fang Feng* (Saposhnikoviae Radix, 0.7 qian), *Huang Bo* (Phellodendri Cortex, wine-soaked), *Gui Wei* (Angelicae Sinensis Radix caudex), *Qing Pi* (Citri Reticulatae Pericarpium Viride, each 0.5 qian), *Ze Xie* (Alismatis Rhizoma), *Bing Lang* (Arecae Semen), *Da Huang* (Rhei Radix et Rhizoma), *Mu Xiang* (Aucklandiae Radix, each 0.3 qian).
Except for *Tao Ren*, *Zao Jia Ren*, *Bing Lang*, and *Mu Xiang* which are separately ground, decoct the rest in water. Mix in the powdered ingredients, boil for one boil, and take. Shortly after, apply dry material to compress the area. If pus is present, add five white chrysanthemum flowers (*Bai Ju Hua*), removing the calyx. Avoid hot and toxic foods.
*Qiang Huo Qin Jiao Tang*: Treats prolapsed hemorrhoidal fistulas with unbearable itching.
*Qiang Huo* (Notopterygii Rhizoma et Radix), *Qin Jiao*, *Huang Qi* (Astragali Radix), *Fang Feng* (each 0.8 qian), *Sheng Ma* (Cimicifugae Rhizoma), *Zhi Gan Cao* (Prepared Glycyrrhizae Radix et Rhizoma), *Ma Huang* (Ephedrae Herba), *Chai Hu* (Bupleuri Radix, each 0.5 qian), *Ben* (Ligustici Chuanxiong Rhizoma, 0.3 qian), *Xi Xin* (Asari Radix et Rhizoma), *Hong Hua* (Carthami Flos, each 0.2 qian). Decoct in water and take.
*Zang Lian Wan*: Treats various hemorrhoids and *Chang Feng* with lower gastrointestinal bleeding.
*Huang Lian* (Coptidis Rhizoma, Sichuan origin, remove roots and rhizome ends, grind to powder, 6 liang), *Huai Jiao Zi Mo* (Sophorae Tonkinensis Fructus powder, 2 liang), Pig Large Intestine (remove head and tail ends).
Stuff the *Huang Lian* and *Huai Jiao* powders into the hollow intestine without overfilling to prevent bursting. Boil in a clay pot until soft, dry, then pound together with the intestine. If too moist, add a little fried yellow rice flour. Form pills the size of paulownia seeds. Take 100 pills per dose with plain warm water on an empty stomach.
[Pi Wan]: Treats various hemorrhoidal fistulas with bleeding, effective for both recent and long-standing cases.
[Missing Character] Pi (one piece, fire-roasted), *Huai Jiao*, *Fang Feng*, *Dang Gui*, *Guan Zhong* (Cyathulae Officinalis Rhizoma), *Zhi Ke* (Aurantii Fructus), *Huang Qi*, *Ku Fan* (Alumen), *Fa Hui* (Human Hair Ash) (each 1 liang), Pig Suspended Hoof Small Claws (ten pieces, roasted).
Grind all to powder, form pills with honey or vinegar paste the size of paulownia seeds. Take 100 pills per dose with plain warm water on an empty stomach.
*Shou Zhi Wan*: General regulation for various hemorrhoids. Alternatively, take *Huai Yu Wan*, which is effective for all hemorrhoids (see Blood Section for formula).
True *E Jiao* (Donkey-Hide Glue), *Huang Lian*, *Guan Zhong* (each half liang), [Missing Character] Pi (roasted), *Feng Fang* (Vespa Nest, burnt to char), *She Tui* (Ophiopogon Skin/Slough, roasted yellow), *Zao Jiao Ci* (Gleditsiae Spina, stir-fried), *Chuan Shan Jia* (Manis Squama, roasted yellow), *Dang Gui*, *Chuan Xiong* (Ligustici Chuanxiong Rhizoma), *Huai Hua* (Sophorae Flos), *Fa Hui*, Pig Hind Hoof Hanging Claw (burnt, each 3.5 qian), *Zao Jia* (Gleditsiae Fructus, one chi long, vinegar-roasted, remove strings).
Grind to powder, form pills with vinegar paste the size of paulownia seeds, take as before.
*Hei Wan Zi*: Effective for long-standing hemorrhoidal fistulas.
*Bai Cao Shuang* (Soot from kitchen chimney), *Gan Jiang* (Zingiberis Rhizoma Preparatum, each 1 liang), *Mu Man Tou* (Mushroom growing on walls, raw, 2 liang), *Wu Mei Rou* (Dark Plum Flesh), *Bai Zhi*, *Bai Zong* (Decayed Palm Fiber), *Bian Bai Ye* (Platycladi Cacumen), *You Fa* (Human Hair treated with oil, all burnt to char and crushed, each half liang), *Gui Xin* (Cinnamomi Cortex, 3 qian).
Grind to powder, form pills with vinegar paste the size of paulownia seeds, take as before.
Topical Application for Hemorrhoids: *Peng Sha* (Borax, 1 qian, transparent), *Zhu Sha* (Cinnabar, water-triturated, 0.5 qian), *Bing Pian* (Borneolum Syntheticum, 0.2 qian). Grind uniformly, mix with Bear Bile (*Xiong Dan*) for application. Pig bile is also acceptable.
Another Formula: *Ru Xiang* (Olibanum), *Mo Yao* (Myrrha), *Qing Fen* (Calomel), *Huang Bo* powder, Soft Gypsum (*Rou Shi Gao*), *Long Gu* (Fossil Bones) (equal parts). Grind extremely fine and sprinkle on the lesion.
Killing Hemorrhoids (Causing Necrosis): Use one *Wu Bei Zi* (Galla Chinensis). Open a hole at the tip, clean out worm debris, fill with *Qing Fen*, seal the hole with paste. Wrap in several layers of wet straw paper and bake gently over low fire until dry. Remove paper, grind fine, add a little *Bing Pian*. For damp lesions, sprinkle dry powder; for dry lesions, mix with bile for application. Also used for Chancre (*Xia Gan*) and Ulcerative Sores (*Chan Chuang*) to absorb moisture and form scabs.
Simple Prescription: Decoct *Ma Chi Xian* (Portulacae Herba) in water to fumigate and wash the anus. For swelling, add *Pi Xiao* (Mirabilite); applying Bear Bile solution afterwards is especially excellent.
Hemorrhoidal Bleeding: Powder the bark of the *Chou Chun* (Toona Sinensis) root growing eastward. Form pills with vinegar paste the size of paulownia seeds. Take 100 pills per dose with rice water on an empty stomach.
Various Hemorrhoids and Chang Feng: *Bian Bai* (Platycladi Cacumen, 4 liang), *Bai Fan* (Alumen, 5 qian, grind to powder, mix with Bai Ye and stir-fry until dry), *Bai Zong* (burnt to ash, 1 liang), *Huai Hua* (Sophorae Flos, 4 liang, stir-fried). Grind all to powder. Take 3 qian per dose, mixed with wine.
Washing Hemorrhoids: Decoct *Jiu Cai* (Allii Tuberosi Herba) juice in a jar. Sit over it to fumigate first, then pour into a basin and wash with the chives dipped in the liquid, three times daily.
Another Formula: Decoct *Qie Ke* (Solanum Melongena Stem), *Huai Hua*, *Dong Gua Pi* (Benincasae Exocarpium), and *Chen Xiang Yuan* (aged citrus peel) in water. Pour into a jar, sit to fumigate, then pour out and wash.
Another Formula: Use dried Lotus Seed Pod (*Lian Fang*) and *Jing Jie* (each 1 liang), *Zhi Ke* and *Bo He* (Menthae Haplocalycis Herba, each half liang). Decoct in water, add 5 qian *Pu Xiao* (Mirabilite), and use for washing.
Another Formula: Decoct *Huai Hua*, *Ai Ye* (Artemisiae Argyi Folium), and *Jing Qiao* (Schizonepetae Spica) in water, add *Bai Fan* for washing. Or wash with Winter Melon or *Wu Bei Zi*.
Severe Pain: Decoct *Gou Qi Gen* (Lycii Radix) for washing. Or decoct the red roots of Water Willow (*Shui Liu Yang*). Eat sheep's foot root leaves steamed with oil. Take *Zhi Ke* powder formed into honey pills. Take *Cang Er Zi* (Xanthii Fructus) powder mixed with warm water.
Hemorrhoidal Itching: Decoct *Gan Cao*, *Bai Zhi*, *Jing Jie*, and *Huai Hua* in water for fumigation and washing. Then iron the area with a heated cloth shoe sole.