痔疮专以凉血为主。
入方
人参 黄 生地黄 川芎 当归（和血） 升麻 条芩 枳壳（宽肠） 槐角（凉血生血）
一方无黄连。
熏浣
五倍子 朴硝 桑寄生 莲房（又加荆芥）
煎汤，先熏后洗。又冬瓜藤，亦好。又大肠热肿者，用木鳖子、五倍子研细末，调敷，
痔头向上，是大肠热甚，收缩而上。用四物汤解毒，加枳壳、白术、槐角、秦艽。
〔附录〕痔者，皆因脏腑本虚，外伤风湿，内蕴热毒，醉饱交接，多欲自戕，以故气血下
坠，结聚肛门，宿滞不散，而冲突为痔也。其肛边发露肉珠，状如鼠乳，时时滴渍脓血，曰
牡痔；肛边生疮肿痛，突出一枚，数日脓溃即散，曰牝痔；肠口大颗发 ，且
沥，曰脉痔；肠内结核有血，寒热往来，登溷脱肛，曰肠痔。若血痔则每遇大便，清血随
不止；若酒痔则每遇饮酒，发动疮肿，痛而流血；若气痔则忧恐郁怒，适临乎前，立见肿痛
，大便艰难，强力则肛出而不收矣。此诸痔之外证也。治法总要，大抵以解热调血顺气先
盖热则血伤，血伤则经滞，经滞则气不营运，气与血俱滞，乘虚而坠入大肠，此其所以为痔
也。诸痔久不愈，必至穿穴为漏矣。
附方
治诸痔疮。
槐花（四两） 槐角刺（一两，捶碎） 胡椒（十粒） 川椒（一两）
上用 猪肚一个，入药在内，扎定口煮熟，去药，空
清心丸 《素问》云∶“诸痛痒疮，皆属于心”。心主血热，此药主之。
黄连（一两） 茯神 赤苓
上为末，炼蜜丸如梧子大。每一百丸，食前米汤下。
清凉饮 治诸痔热甚，大便秘结。
当归 赤芍 甘草（炙） 大黄（米上蒸晒）
上等分为末。每服二钱，新水调下。
槐角丸 治诸痔，及肠风下血脱肛。
槐角（一两） 防风 地榆 当归 枳壳 黄芩（各半两）
上为末，糊丸如梧子大。空心米汤下二十丸。
皮丸 治诸痔出，里急疼痛。
槐花（炒） 艾叶（炒） 枳壳 地榆 当归 川芎 黄 白芍 白矾（枯） 贯众 皮
（一两，炙） 头发（烧，三钱） 猪后蹄重甲（十枚，炙焦） 皂角（一大锭，炙黄去皮）
上为末，炼蜜丸梧子大。服五十丸，食前米汤下。
猪甲散 治诸痔。
猪悬蹄甲（不以多少）
上为末。陈米汤，调二钱，空心服。
芎归丸 治痔下血不止。
川芎 当归 黄 神曲（炒） 地榆 槐花（炒，各半两） 阿胶（炒） 荆芥 木贼 头发
（烧灰，各一钱半）
上为末，炼蜜丸梧子大。服五十丸，食前米汤下。
干葛汤 治酒痔。
干葛 枳壳（炒） 半夏 茯苓 生地黄 杏仁（各半两） 黄芩（二钱半） 甘草（同上）
上锉。每服三钱，黑豆一百粒，姜三片，白梅一个，煎
橘皮汤 治气痔。
橘皮 枳壳（炒） 川芎 槐花（炒，各半两） 槟榔 木香 桃仁（炒去
皮） 紫苏茎叶 香附 甘草（炙，各二分半）
上锉。每服八钱，姜枣煎服。
熏洗方
槐花 荆芥 枳壳 艾叶
又方
土矾末（二钱） 木鳖子（七个，取仁研）
上以水煎，熏洗三两次。如肛门肿热，以朴硝末水调，淋之良。
又方 治肠痔，每大便常有血。
上以蒲黄末方寸匕，米饮调下。日三顿，瘥。
又方
捣桃叶一斛蒸之，纳小口器中，以下部榻上坐，虫自出。
地黄丸 治五痔，滋阴必用之。
地黄（酒蒸熟，一两六钱） 槐角（炒） 黄柏（炒） 杜仲（炒） 白芷（各一两） 山药 山茱萸
独活（各八钱） 泽泻 牡丹 茯苓（各六钱） 黄芩（一两半） 白附子（二钱）
上炼蜜丸如梧子大。空心服五十丸，米汤下。
熏痔方
用无花果叶煮水熏。少时再洗，又好醋沃烧新砖，如法坐熏，良。
又方
大黄（三钱，煨） 牡蛎（一两， ）
上为末。作十服，空心服。
又方
大蒜一片，头垢捻成饼子，先安头垢饼于痔上，外安蒜艾灸之。
翻花痔
荆芥、防风、朴硝煎汤洗之，次用木鳖子、郁金研末，入龙脑些少，水调敷。又方∶熊
胆、片脑和匀，贴之。
入方（内服方）：
人参、黄芩、生地黄、川芎、当归（调和血液）、升麻、条芩、枳壳（宽肠理气）、槐角（凉血生血）。
另一配方中不含黄连。
熏浣（熏洗法）：
五倍子、朴硝、桑寄生、莲房（也可加入荆芥）。
煎煮汤药，先熏后洗。冬瓜藤也很好。另外，对于大肠热肿的情况，可用木鳖子、五倍子研成细末，调敷患处。
痔核向上突出，说明大肠热毒极盛，导致收缩而上行。治疗需用四物汤解毒，并加入枳壳、白术、槐角、秦艽。
〔附录〕痔疮的产生，都是因为脏腑本虚，外受风湿侵袭，内蕴热毒，加之醉饱之后行房事，多欲自戕身体，因此气血下坠，结聚于肛门，宿滞不散，从而冲突形成痔疮。其表现有：肛边长出肉珠，状如鼠乳，时时滴流脓血，称为牡痔；肛边生疮肿痛，突出一枚，数日后脓溃即消散，称为牝痔；肠口大颗突起且出血沥下，称为脉痔；肠内有结核伴血，寒热往来，排便时脱肛，称为肠痔。若是血痔，则每次大便时清血不止；若是酒痔，则每次饮酒后，疮肿发动，疼痛而流血；若是气痔，则在忧恐郁怒或临厕用力时，立即出现肿痛，大便艰难，强力努挣则肛门脱出而不能收回。这是各种痔疮的外部证候。治疗方法总纲，大致以清热、调血、顺气为先。因为热邪会损伤血液，血液受损则经脉阻滞，经脉阻滞则气机运行不畅，气与血都停滞，乘虚下坠进入大肠，这就是形成痔疮的原因。各种痔疮久治不愈，必然会导致穿孔成为漏症。
附方：
治疗各种痔疮的方剂。
槐花散：
槐花（四两）、槐角刺（一两，捶碎）、胡椒（十粒）、川椒（一两）。
以上药物放入一个猪肚内，扎紧口煮熟，去掉药物，吃猪肚。
清心丸：《素问》说：“各种痛痒疮疡，都归属于心。”心主血热，此药主治之。
黄连（一两）、茯神、赤茯苓。
以上研为末，炼蜜制成梧桐子大小的丸药。每次一百丸，饭前用米汤送服。
清凉饮：治疗各种痔疮热毒甚重，大便秘结。
当归、赤芍、甘草（炙）、大黄（米泔水上蒸晒）。
以上等分为末。每次服用二钱，新水调下。
槐角丸：治疗各种痔疮，以及肠风下血、脱肛。
槐角（一两）、防风、地榆、当归、枳壳、黄芩（各半两）。
以上研为末，糊丸制成梧桐子大小。空腹时米汤送服二十丸。
皮丸：治疗各种痔疮脱出，伴有里急后重和疼痛。
槐花（炒）、艾叶（炒）、枳壳、地榆、当归、川芎、黄芪、白芍、白矾（枯）、贯众、陈皮（一两，炙）、头发（烧灰，三钱）、猪后蹄重甲（十枚，炙焦）、皂角（一大锭，炙黄去皮）。
以上研为末，炼蜜制成梧桐子大小的丸药。服用五十丸，饭前米汤送服。
猪甲散：治疗各种痔疮。
猪悬蹄甲（不限多少）。
以上研为末。陈米汤调服二钱，空腹服用。
芎归丸：治疗痔疮下血不止。
川芎、当归、黄芪、神曲（炒）、地榆、槐花（炒，各半两）、阿胶（炒）、荆芥、木贼、头发（烧灰，各一钱半）。
以上研为末，炼蜜制成梧桐子大小的丸药。服用五十丸，饭前米汤送服。
干葛汤：治疗酒痔。
干葛、枳壳（炒）、半夏、茯苓、生地黄、杏仁（各半两）、黄芩（二钱半）、甘草（同上）。
以上切碎。每次服用三钱，加黑豆一百粒、姜三片、白梅一个，煎服。
橘皮汤：治疗气痔。
橘皮、枳壳（炒）、川芎、槐花（炒，各半两）、槟榔、木香、桃仁（炒去皮）、紫苏茎叶、香附、甘草（炙，各二分半）。
以上切碎。每次服用八钱，加姜枣煎服。
又方：
土矾末（二钱）、木鳖子（七个，取仁研碎）。
以上用水煎煮，熏洗两三次。如果肛门肿热，用朴硝末水调，淋洗效果良好。
又方：治疗肠痔，每次大便常有血。
以上用蒲黄末一方寸匕，米饮调下。每日三次，痊愈为止。
又方：
捣碎桃叶一斛蒸之，放入小口容器中，将下部坐在容器口上，虫子自然出来。
地黄丸：治疗五种痔疮，滋阴必用之药。
地黄（酒蒸熟，一两六钱）、槐角（炒）、黄柏（炒）、杜仲（炒）、白芷（各一两）、山药、山茱萸、独活（各八钱）、泽泻、牡丹皮、茯苓（各六钱）、黄芩（一两半）、白附子（二钱）。
以上炼蜜制成梧桐子大小的丸药。空腹服用五十丸，米汤送服。
熏痔方：
用无花果叶煮水熏。稍后再洗，效果更好。也可以用醋浇在烧红的新砖上，依法坐熏，效果良好。
又方：
大黄（三钱，煨）、牡蛎（一两，煅）。
以上研为末。分成十服，空腹服用。
又方：
大蒜一片，头垢捻成饼子，先将头垢饼放在痔疮上，外面放蒜进行艾灸。
翻花痔：
荆芥、防风、朴硝煎汤洗之，其次用木鳖子、郁金研末，加入少许龙脑，水调敷。又方：熊胆、片脑（冰片）和匀，贴敷患处。
The treatment of hemorrhoids primarily focuses on cooling the blood.
Internal Decoction:
Renshen (Ginseng Radix), Huangqin (Scutellariae Radix), Shengdihuang (Rehmanniae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix) [harmonizes blood], Shengma (Cimicifugae Rhizoma), Tiaoqin (Scutellariae Radix, specific variety), Zhike (Aurantii Fructus) [widens intestines and regulates qi], Huaijiao (Sophorae Tonkinensis Fructus) [cools blood and generates blood].
Another prescription does not contain Huanglian (Coptidis Rhizoma).
Fumigation and Washing:
Wubeizi (Galae Chinensis), Puxiao (Natrii Sulfas), Sangjisheng (Taxilli Herba), Lianfang (Nelumbinis Nuciferae Calyx) [Jingjie (Schizonepetae Herba) can also be added].
Decoct in water, fumigate first, then wash. Dongguateng (Benincasae Caulis) is also good. Additionally, for heat-swelling of the large intestine, use Mubiezi (Semen Momordicae) and Wubeizi ground into fine powder, mixed with liquid and applied topically.
If the hemorrhoidal prolapse points upward, it indicates excessive heat in the large intestine causing contraction and upward movement. Treat with Siwu Tang (Four Substances Decoction) to resolve toxicity, adding Zhike (Aurantii Fructus), Baizhu (Atractylodis Macrocephalae Rhizoma), Huaijiao (Sophorae Tonkinensis Fructus), and Qinjiao (Gentianae Macrophyllae Radix).
[Appendix] Hemorrhoids arise from the inherent deficiency of the zang-fu organs, external invasion of wind-dampness, internal accumulation of heat-toxin, sexual intercourse after heavy eating or drinking, and excessive desire damaging the body. Consequently, qi and blood sink downward, knotting at the anus, where stagnation remains unresolved, leading to conflict and the formation of hemorrhoids. Manifestations include: flesh nodules protruding from the anal margin, resembling mouse teats, dripping pus and blood intermittently, called Mu Zhi (Yang Hemorrhoid); sores swelling and painful at the anal margin, protruding one mass, discharging pus and dissipating after a few days, called Pin Zhi (Yin Hemorrhoid); large nodules protruding from the intestinal opening with bleeding discharge, called Mai Zhi (Vascular Hemorrhoid); hard masses inside the intestine with blood, alternating chills and fever, rectal prolapse during defecation, called Chang Zhi (Intestinal Hemorrhoid). If Xue Zhi (Blood Hemorrhoid), clear blood flows continuously with every bowel movement; if Jiu Zhi (Alcohol Hemorrhoid), sores swell and bleed painfully upon drinking alcohol; if Qi Zhi (Qi Hemorrhoid), pain and swelling appear immediately upon worry, fear, depression, anger, or straining during defecation, with difficult bowel movements and irreducible prolapse upon forceful pushing. These are the external signs of various hemorrhoids. The general principle of treatment is to clear heat, regulate blood, and smooth qi first. Heat injures blood; injured blood causes meridian stagnation; stagnant meridians impede qi circulation; when both qi and blood stagnate, they sink into the large intestine due to deficiency, which is why hemorrhoids form. Untreated hemorrhoids for a long time will inevitably perforate and become fistulas.
Attached Prescriptions:
Prescriptions treating various hemorrhoids.
Huaihua San:
Huaihua (Flower of Sophora tonkinensis, 4 liang), Huaiguoci (Spine of Sophorae Tonkinensis Fructus, 1 liang, crushed), Hujiao (Piperis Nigris Fructus, 10 grains), Chuanjiao (Zanthoxyli Pericarpium, 1 liang).
Place these herbs inside one pig stomach, tie the mouth tightly, boil until cooked, remove the herbs, and eat the stomach.
Qingxin Wan: *Suwen* states: "All pain, itching, and sores belong to the Heart." The Heart governs blood-heat; this prescription treats it.
Huanglian (Coptidis Rhizoma, 1 liang), Fushen (Poria with Hostwood), Chiling (Poria cum Rosa).
Grind into powder, refine honey to make pills the size of wu zi (wisteria seeds). Take 100 pills before meals with rice soup.
Qingliang Yin: Treats severe heat in various hemorrhoids with constipation.
Danggui (Angelicae Sinensis Radix), Chishao (Paeoniae Radix Rubra), Gancao (Licorice Root, roasted), Dahuang (Rhei Radix et Rhizoma, steamed and dried in rice water).
Equal parts ground into powder. Take 2 qian each time, mixed with fresh water.
Huaijiao Wan: Treats various hemorrhoids, as well as wind-bleeding from the intestines and rectal prolapse.
Huaijiao (Sophorae Tonkinensis Fructus, 1 liang), Fangfeng (Saposhnikoviae Radix), Diyü (Sanguisorbae Radix), Danggui (Angelicae Sinensis Radix), Zhike (Aurantii Fructus), Huangqin (Scutellariae Radix) [each 0.5 liang].
Grind into powder, make pills with paste the size of wu zi. Take 20 pills on an empty stomach with rice soup.
Pi Wan: Treats prolapsed hemorrhoids with tenesmus and pain.
Huaihua (Sophorae Flos, stir-fried), Aiye (Artemisiae Argyi Folium, stir-fried), Zhike (Aurantii Fructus), Diyü (Sanguisorbae Radix), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Huangqi (Astragali Radix), Baishao (Paeoniae Radix Alba), Baifan (Alumen exsiccatum), Guanzhong (Cyathulae Rhizoma), Chenpi (Citri Reticulatae Pericarpium, 1 liang, roasted), Toufa (Capillus Carbonisatus, 3 qian, burnt), Zhu Hou Ti Zhongjia (Ungula Sus Scrofae Domesticae Posterioris, 10 pieces, roasted until charred), Zaojiao (Gleditsiae Sinensis Spina, 1 large piece, roasted yellow, skin removed).
Grind into powder, refine honey to make pills the size of wu zi. Take 50 pills before meals with rice soup.
Zhujia San: Treats various hemorrhoids.
Zhu Xuantijia (Ungula Sus Scrofae Domesticae Pendula, quantity unspecified).
Grind into powder. Mix 2 qian with aged rice soup, take on an empty stomach.
Xiong Gui Wan: Treats continuous bleeding from hemorrhoids.
Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Huangqi (Astragali Radix), Shenqu (Massa Medicata Fermentata, stir-fried), Diyü (Sanguisorbae Radix), Huaihua (Sophorae Flos, stir-fried) [each 0.5 liang], Ejiao (Colla Corii Asini, stir-fried), Jingjie (Schizonepetae Herba), Mouze (Equiseti Herba), Toufa (Capillus Carbonisatus, 1.5 qian, burnt to ash).
Grind into powder, refine honey to make pills the size of wu zi. Take 50 pills before meals with rice soup.
Gan Ge Tang: Treats Alcohol Hemorrhoid (Jiu Zhi).
Gan Ge (Puerariae Lobatae Radix), Zhike (Aurantii Fructus, stir-fried), Banxia (Pinelliae Rhizoma), Fuling (Poria), Shengdihuang (Rehmanniae Radix), Xingren (Pruni Semen, stir-fried, peeled) [each 0.5 liang], Huangqin (Scutellariae Radix, 2.5 qian), Gancao (Licorice Root, same preparation).
Cut into pieces. Take 3 qian each time, decoct with 100 black beans, 3 slices of ginger, and 1 white plum.
Ju Pi Tang: Treats Qi Hemorrhoid (Qi Zhi).
Ju Pi (Citri Reticulatae Pericarpium), Zhike (Aurantii Fructus, stir-fried), Chuanxiong (Ligustici Chuanxiong Rhizoma), Huaihua (Sophorae Flos, stir-fried) [each 0.5 liang], Binglang (Arecae Semen), Muxiang (Aucklandiae Radix), Taoren (Persicae Semen, stir-fried, peeled), Zisu Jingye (Perillae Caulis et Folium), Xiangfu (Cyperi Rhizoma), Gancao (Licorice Root, roasted) [each 0.25 fen].
Cut into pieces. Take 8 qian each time, decoct with ginger and jujube.
Fumigation and Washing Formula:
Huaihua (Sophorae Flos), Jingjie (Schizonepetae Herba), Zhike (Aurantii Fructus), Aiye (Artemisiae Argyi Folium).
Another Formula:
Tu Fan Mo (Alumen terrestris, 2 qian), Mubiezi (Semen Momordicae, 7 pieces, kernel taken and ground).
Decoct in water, fumigate and wash two or three times. If the anus is swollen and hot, mix Puxiao (Natrii Sulfas) powder with water and pour over it; this is effective.
Another Formula: Treats Intestinal Hemorrhoid (Chang Zhi), characterized by frequent blood in stool.
Take 1 fang cun bi (square-inch spoonful) of Puhuang Pollen Lygodii Spori, mix with rice drink, and swallow. Three times daily until cured.
Another Formula:
Crush 1 hu (ancient unit of volume) of peach leaves, steam them, place in a vessel with a small opening, sit with the lower part over the opening, and worms will naturally emerge.
Dihuang Wan: Treats five types of hemorrhoids; essential for nourishing yin.
Dihuang (Rehmanniae Radix Praeparata, steamed with wine, 1.6 liang), Huaijiao (Sophorae Tonkinensis Fructus, stir-fried), Huangbai (Phellodendri Cortex, stir-fried), Duzhong (Eucommiae Cortex, stir-fried), Baizhi (Angelicae Dahuricae Radix) [each 1 liang], Shanyao (Dioscoreae Rhizoma), Shanzhuyu (Corni Fructus), Duhuo (Angelicae Pubescentis Radix) [each 0.8 liang], Zexie (Alismatis Rhizoma), Mudanpi (Moutan Cortex), Fuling (Poria) [each 0.6 liang], Huangqin (Scutellariae Radix, 1.5 liang), Baifu Zi (Buckwhti Rhizoma, 2 qian).
Refine honey to make pills the size of wu zi. Take 50 pills on an empty stomach with rice soup.
Fumigation Formula for Hemorrhoids:
Boil fig leaves (Wuhuaguo Ye) in water for fumigation. Wash again afterwards for better effect. Alternatively, pour vinegar on newly fired bricks, and sit over them for fumigation according to method; this is effective.
Another Formula:
Dahuang (Rhei Radix et Rhizoma, 3 qian, baked), Muli (Concha Ostreae, 1 liang, calcined).
Grind into powder. Divide into ten doses, take on an empty stomach.
Another Formula:
One slice of garlic, head dirt (Tou Gou) kneaded into a cake. Place the head dirt cake on the hemorrhoid first, then place the garlic slice on top and apply moxibustion.
Fan Hua Zhi (Reversed Flower Hemorrhoid):
Decoct Jingjie (Schizonepetae Herba), Fangfeng (Saposhnikoviae Radix), and Puxiao (Natrii Sulfas) in water to wash. Then, grind Mubiezi (Semen Momordicae) and Yujin (Curcumae Radix) into powder, add a small amount of Longnao (Borneolum Syntheticum), mix with water, and apply. Another formula: Mix Xiongdan (Ursi Fellis Vesica) and Pian Nao (Borneolum Syntheticum) evenly and apply.