〔气虚〕补中益气汤 见一卷中风。
〔妊妇〕参术饮 参 术 陈 草 夏 地 芍 归 芎 姜 枣 服后探吐。
〔妊妇〕参术汤 参 术 陈 草 夏 芍 归 服后探吐。
〔老人〕六味地黄汤 见一卷中风。
〔通治〕蒲黄散 蒲黄 滑石 等分为末。服三钱，鸡蛋清调下。
〔清利〕滑石散 寒水石（二两） 滑石 血余炭 车前子 木通（各一两） 冬葵子（一合）
〔惊忧〕葱白汤 陈皮（三两） 冬葵子（一两） 葱白（三茎） 水五升，煎三升，分三服。
〔补血〕四物汤 地 芍 归 芎
〔通利〕五苓散 见一卷温。
（肛头痒痛附）
脱肛，元气陷下症也，惟气虚不能禁固。故凡产后，及久痢，用力多，老人病衰，幼儿气血不足，多
有之。大剂补中益气汤，升麻用醋炒。《入门》曰∶肺主魄门，肺热则肛门闭，肺寒则肛门
脱，必温补肺气，前汤加诃子、樗根皮。以肺与大肠相表里也。如脾胃虚寒，泻痢而滑脱者，胃关煎加乌梅、
五味。脾虚下陷而脱者，补中益气汤。肝肾阴虚而下陷者，补阴益气煎。虚中夹火，或热赤肿痛，补中益气汤
加芩、连、槐花之属。产后脱肛，六物煎加升麻，或殿胞煎加人参。仍用温汤洗而收之。有湿热下坠，疼痛脱
肛者，抽薪饮，或大厘清饮。肠风下血脱肛者，人参胃风汤。便秘努挣致脱者，人参固本丸加槐角。兼痔而痛
者，四物汤加槐花、黄连、升麻。外煎洗法。寒者，以荆芥、胡葱煎洗，以伏龙肝、鳖头骨灰、百药煎研末，
油调敷。热者。以朴硝、白矾汤洗，以黄柏面、牡蛎粉掺搽。 赤肿痛，以田螺去 ，入冰片，化水搽之。小
儿脱肛，鳖头炙灰涂之。肛头痒，朴硝煎汤熏洗。
《内经》曰∶下者举之。徐之才曰∶涩可去脱。治脱肛之法也。古人多用参、 、归、术、川芎、甘草、
升麻之类以升之补之，或兼用乌梅、五味之属以固之涩之。外仍用熏洗收涩之药，则无不愈矣。
〔肛头痒痛〕风湿火兼病也，大肠受湿，流注肛头，则作痒，秦艽羌活汤。得风与湿热，则生虫而痒，
神应黑玉丹、 蓄汤，外以苦楝根煎汤洗。若虫蚀其肛，则上唇有疮，化 丸。大肠有火，则肛门作痛，七圣
丸、秦艽白术丸。甚或便燥，肠头努出，下血，当归郁李仁汤。
丹溪曰∶凡醉饱入房，忍泄前阴之气，归于大肠，木乘火势，而侮燥金，故火就燥也，大便必秘。其疾
甚者，必以苦寒泻火，以辛温和血，润燥疏风止痛，是其治也。宜秦艽白术丸、宽肠丸、当归郁李仁汤。
【气虚】补中益气汤（见一卷中风）。
【孕妇】参术饮：人参、白术、陈皮、甘草、半夏、地黄、芍药、当归、川芎、生姜、大枣。服用后探喉催吐。
【孕妇】参术汤：人参、白术、陈皮、甘草、半夏、芍药、当归。服用后探喉催吐。
【老人】六味地黄汤（见一卷中风）。
【通用】蒲黄散：蒲黄、滑石，等分为末。每次服三钱，用鸡蛋清调服。
【清热利湿】滑石散：寒水石（二两）、滑石、血余炭、车前子、木通（各一两）、冬葵子（一合）。
【受惊忧虑】葱白汤：陈皮（三两）、冬葵子（一两）、葱白（三茎），加水五升，煎至三升，分三次服用。
【补血】四物汤：地黄、芍药、当归、川芎。
【通利小便】五苓散（见一卷温病）。
（附：肛门瘙痒疼痛）
脱肛，是元气下陷的病证，只因气虚不能固摄。所以凡是产后，以及久痢、用力过多、老人病衰、幼儿气血不足者，多有此症。用大剂量补中益气汤，其中升麻需用醋炒。《医宗入门》说：肺主魄门（肛门），肺热则肛门闭塞，肺寒则肛门脱出，必须温补肺气，前方加诃子、樗根皮。因为肺与大肠相表里。如脾胃虚寒，泻痢且滑脱不禁的，用胃关煎加乌梅、五味子。脾虚下陷而脱出的，用补中益气汤。肝肾阴虚而下陷的，用补阴益气煎。虚中夹火，或红肿热痛的，用补中益气汤加黄芩、黄连、槐花之类。产后脱肛，用六物煎加升麻，或殿胞煎加人参。仍用温水清洗并纳回。有湿热下坠，疼痛脱肛的，用抽薪饮，或大厘清饮。肠风下血致脱肛的，用人参胃风汤。便秘努挣导致脱出的，用人参固本丸加槐角。兼患痔疮而疼痛的，用四物汤加槐花、黄连、升麻。外用煎汤熏洗法。属寒证的，用荆芥、胡葱煎汤熏洗，再用伏龙肝、鳖头骨灰、百药煎研成细末，用油调敷。属热证的，用朴硝、白矾汤清洗，再用黄柏面、牡蛎粉掺搽。若红肿热痛，将田螺去壳，加入冰片，化水涂抹。小儿脱肛，用鳖头炙成灰涂敷。肛门瘙痒，用朴硝煎汤熏洗。
《内经》说：下陷者举之。徐之才说：涩可去脱。这是治疗脱肛的方法。古人多用参、芪、归、术、川芎、甘草、升麻之类来升提补益，或兼用乌梅、五味之类来固涩收敛。外用仍用熏洗收涩的药物，则没有不愈的。
【肛门瘙痒疼痛】是风湿火邪兼杂为病。大肠受湿，流注于肛门，则作痒，用秦艽羌活汤。若感受风与湿热，则生虫而痒，用神应黑玉丹、萹蓄汤，外用苦楝根煎汤清洗。若虫蚀其肛门，则上唇有疮，用化虫丸。大肠有火，则肛门作痛，用七圣丸、秦艽白术丸。甚至大便干燥，直肠努出，下血，用当归郁李仁汤。
丹溪说：凡是醉饱后行房事，忍泄前阴之气，归于大肠，木乘火势，而侮燥金，所以火就燥，大便必然秘结。病情严重的，必用苦寒泻火，用辛温和血，润燥疏风止痛，这是治疗方法。宜用秦艽白术丸、宽肠丸、当归郁李仁汤。
[Qi Deficiency] Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) [See Vol. 1, Stroke].
[Pregnant Women] Shen Zhu Yin (Ginseng and Atractylodes Drink): Ren Shen (Ginseng), Bai Zhu (Atractylodes Macrocephala), Chen Pi (Tangerine Peel), Gan Cao (Licorice), Ban Xia (Pinellia), Di Huang (Rehmannia), Shao Yao (Peony), Dang Gui (Angelica Sinensis), Chuan Xiong (Ligusticum), Sheng Jiang (Fresh Ginger), Da Zao (Jujube). After taking, induce vomiting by stimulating the throat.
[Pregnant Women] Shen Zhu Tang (Ginseng and Atractylodes Decoction): Ren Shen (Ginseng), Bai Zhu (Atractylodes Macrocephala), Chen Pi (Tangerine Peel), Gan Cao (Licorice), Ban Xia (Pinellia), Shao Yao (Peony), Dang Gui (Angelica Sinensis). After taking, induce vomiting by stimulating the throat.
[Elderly] Liuwei Dihuang Tang (Six-Ingredient Rehmannia Pill) [See Vol. 1, Stroke].
[General Use] Puhuang San (Pollen Typhae Powder): Pu Huang (Pollen Typhae), Hua Shi (Talcum), ground equally into powder. Take three qian (approx. 9g), mixed with egg white for administration.
[Clear Heat and Promote Urination] Huashi San (Talcum Powder): Han Shui Shi (Calcitum), Hua Shi (Talcum), Xue Yu Tan (Charred Human Hair), Che Qian Zi (Plantago Seed), Mu Tong (Akebia Caulis) (each one liang, approx. 30g), Dong Kui Zi (Abelmoschus Manihot Seed) (one he, approx. 60ml volume).
[Startled and Anxious] Congbai Tang (Scallion White Decoction): Chen Pi (Tangerine Peel) (three liang, approx. 90g), Dong Kui Zi (Abelmoschus Manihot Seed) (one liang, approx. 30g), Cong Bai (Scallion White) (three stalks). Add five sheng (approx. 1000ml) of water, decoct to three sheng (approx. 600ml), divide into three doses.
[Nourish Blood] Siwu Tang (Four Substances Decoction): Di Huang (Rehmannia), Shao Yao (Peony), Dang Gui (Angelica Sinensis), Chuan Xiong (Ligusticum).
[Promote Urination and Unblock Obstruction] Wuling San (Five-Ling Powder) [See Vol. 1, Warm Disease].
(Attached: Anal Itching and Pain)
Rectal prolapse is a syndrome of Yuan Qi (Primordial Qi) sinking, caused solely by Qi deficiency failing to secure and hold. Therefore, it commonly occurs in postpartum women, those with chronic dysentery, those who exert excessive effort, the elderly with declining health, and infants with insufficient Qi and Blood. Use a large dose of Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), where Sheng Ma (Cimicifugae Rhizoma) should be stir-fried with vinegar. *Yimen* states: The Lung governs the Po Men (Anal Orifice); Lung Heat causes anal closure, while Lung Cold causes anal prolapse. One must warm and tonify Lung Qi, adding He Zi (Chebulae Fructus) and Chu Gen Pi (Buckthorn Bark) to the aforementioned formula. This is because the Lung and Large Intestine are exterior-interior related. If Spleen and Stomach deficiency-cold leads to diarrhea/dysentery with sliding prolapse, use Weiguan Jian (Stomach Gate Decoction) added with Wu Mei (Mume Fruit) and Wu Wei Zi (Schisandrae Fructus). If Spleen Qi deficiency causes sinking and prolapse, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). If Liver and Kidney Yin deficiency causes sinking and prolapse, use Buyin Yiqi Jian (Nourish Yin and Augment Qi Decoction). If deficiency is complicated by Fire, or there is redness, swelling, heat, and pain, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), and Huai Hua (Sophorae Flos). For postpartum rectal prolapse, use Liuwu Jian (Six-Ingredient Decoction) added with Sheng Ma (Cimicifugae Rhizoma), or Dianbao Jian (Placenta Chamber Decoction) added with Ren Shen (Ginseng). Still, wash with warm water and reduce the prolapse manually. For cases with Damp-Heat sinking down causing painful prolapse, use Chouxin Yin (Draw Down the Fuel Infusion) or Dali Qingyin (Great Purification Infusion). For intestinal wind with bleeding leading to prolapse, use Renshen Weifeng Tang (Ginseng Wind-Protecting Decoction). For prolapse caused by constipation and straining, use Renshen Guben Wan (Ginseng Root-Solidifying Pill) added with Huai Jiao (Sophorae Immaturus Fructus). For cases complicated by hemorrhoids and pain, use Siwu Tang (Four Substances Decoction) added with Huai Hua (Sophorae Flos), Huang Lian (Coptidis Rhizoma), and Sheng Ma (Cimicifugae Rhizoma). External method: decoct for washing/fumigation. For Cold patterns, fumigate and wash with Jingjie (Schizonepetae Herba) and Hu Cong (Allium Fistulosum), then apply a paste made from Fu Long Gan (Uterus Dragon's Liver/Calcined Lodestone), Die Tou Gu Hui (Ash of Turtle Head), and Bai Yao Jian (Fermented Tea Brick) mixed with oil. For Heat patterns, wash with Xiao Ming (Mirabilite) and Bai Fan (Alumen) decoction, then sprinkle Huang Bo (Phellodendri Cortex) powder and Mu Li Fen (Oyster Shell Powder). For redness, swelling, and heat/pain, remove the shell of Tian Luo (Apple Snail), add Bing Pian (Borneolum Syntheticum), dissolve in water, and apply. For pediatric rectal prolapse, apply ash from roasted turtle head. For anal itching, fumigate and wash with Xiao Ming (Mirabilite) decoction.
*Neijing* states: "What has sunk, lift it up." Xu Zhicai said: "Astringents can treat prolapse." These are the methods for treating rectal prolapse. Ancients mostly used herbs like Ren Shen (Ginseng), Huang Qi (Astragali Radix), Dang Gui (Angelica Sinensis), Bai Zhu (Atractylodes Macrocephala), Chuan Xiong (Ligusticum), Gan Cao (Licorice), and Sheng Ma (Cimicifugae Rhizoma) to lift and tonify, or combined them with Wu Mei (Mume Fruit) and Wu Wei Zi (Schisandrae Fructus) to secure and astringe. Externally, using fumigation and washing agents with astringent properties ensures cure without exception.
[Anal Itching and Pain] This is a disease involving Wind, Dampness, and Fire simultaneously. When Large Intestine receives Dampness, it flows to the anus, causing itching; use Qin Jiao Qiang Huo Tang (Gentian and Notopterygium Decoction). If affected by Wind and Damp-Heat, parasites may generate causing itching; use Shenying Heiyu Dan (Divine Response Black Jade Pill) or Pian Xu Tang (Polygoni Avicularis Decoction), externally wash with Ku Lian Gen (Meliae Cortex) decoction. If worms erode the anus, sores appear on the upper lip; use Huachong Wan (Worm-Dissolving Pill). If Large Intestine has Fire, the anus becomes painful; use Qisheng Wan (Seven-Sages Pill) or Qin Jiao Bai Zhu Wan (Gentian and Atractylodes Pill). In severe cases with dry stool, rectal protrusion, and bleeding, use Danggui Yuliren Tang (Angelica and Prunus Decoction).
Danxi stated: Whenever one engages in sexual intercourse after heavy drinking and eating, or suppresses the emission of anterior yin Qi, which then returns to the Large Intestine, Wood overacts on Fire and insults Dry Metal, thus Fire follows Dryness, resulting in inevitable constipation. For severe cases, one must use Bitter-Cold to drain Fire, Pungent-Warm to harmonize Blood, Moisten Dryness, Dispel Wind, and relieve pain; this is the treatment principle. Suitable formulas include Qin Jiao Bai Zhu Wan (Gentian and Atractylodes Pill), Kuchang Wan (Intestine-Widening Pill), and Danggui Yuliren Tang (Angelica and Prunus Decoction).