独在胃与大肠出，多用黄芩、秦艽、槐角、升麻、青黛。有兼风者，苍术、秦艽、芍药、香附。肠风方∶苍
术、滑石、当归、生地、黄芩、甘草，定肠痛多用之。一方∶大黄（煨过三钱） 当归（半两） 桃仁（三钱去皮尖）
皮（一两炙） 黄连（一两炒） 秦艽（一两） 槐角子（一两） 槟榔（半两） 皂角仁（五钱） 黄柏
荆芥穗（以上各五钱炒） 枳壳（五钱） 上为末，糊丸，如梧桐子大，每服五十粒，食前白汤下。鲜血下者，加棕
毛灰、蓬房灰，上专治脏毒下血。肠癖下血，湿热两感，起居不节，为餐
泄肠 ，凉血地黄汤。湿毒下血当归和血散。肠风脱落车局鸠五七个，火焙干为末，醋调刷上。
专以凉血为主。漏疮先服大剂补药，以生气血，参、 、归、术、芎为主，外以附子末，津和作饼，如钱浓，安
患处灸之，只令微热，不可令痛，干则易之，再以干者研末如前，作饼炙之。困倦且止，次日再炙，直至肉平为效，仍
用前补气血药煎膏药贴，或用附子片灸亦可。肢体上痈疽疮疖，久不收口者，亦宜用此法。痔疮大法，用条芩凉大
肠，人参、黄连、生地、槐角、凉血生血，芎归和血，枳壳宽肠，升麻升举，外用五倍、朴硝、桑寄生、莲篷，煎汤熏
洗。肿者，用木鳖子、五倍子为末敷。一方∶黄连二两煎膏，更加等分芒硝，冰片一钱加入，痔疮敷上即消。原
有痔漏，就肛门又生一块，皮浓肿作脓，就在痔孔出，作食积注下治之，黄连、阿魏、神曲、山楂、桃仁、连翘、槐
角、犀角作丸服之。痔头向上，是大肠热甚，收缩而上，四物汤解毒，加枳壳、白术、槐角、秦艽洗，用荆芥、朴
硝、桑寄生，定痛、去风、解毒、凉大肠热。如肿加五倍子、木鳖子。痔漏，凉大肠血，宽大肠，枳壳去穣入巴
豆，铁线缠煮透，去巴豆入药，用丸子捣烂，用煎药晒干用。一方漏疮∶川芎（五钱） 细辛 白芷（以上各二钱半
）上为末，每日作汤服之。病在下则食前服，病在上则食后服。看疮大小，取隔年黄麻根，刮去皮，捻成绳子入孔中，
至不可入则止，日浅疮外膏药贴之。一人肛门生痔后不收口，有针窍三孔，劳力有脓，黄条芩、连翘、秦艽，上末之，
曲
丸。治痔方∶雄、胆、片脑和匀贴之。治翻花痔，用荆
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∶用大蒜一片，以头垢捻成饼子，
先安头垢饼于痔头上，外安蒜片，艾灸之。取朽骨久疽，及痔漏中有孔者，取乌骨鸡胫骨，以上等砒霜实之，盐泥固
济，火 通红，取出，地上出火毒去泥，以骨研细为末饭丸，如粟大，以纸捻送入窍内，更以膏药贴之。
病邪独发于胃与大肠，治疗多用黄芩、秦艽、槐角、升麻、青黛。若兼有风邪，则用苍术、秦艽、芍药、香附。肠风方：由苍术、滑石、当归、生地、黄芩、甘草组成，常用于治疗定肠痛（注：原文“定肠痛”疑为衍文或特定称谓，此处直译）。另一首方剂：大黄（煨制三钱）、当归（半两）、桃仁（三钱，去皮尖）、[原文缺字，据方义推测可能为地榆或类似止血药，此处依原文留白或略过]皮（一两，炙）、黄连（一两，炒）、秦艽（一两）、槐角子（一两）、槟榔（半两）、皂角仁（五钱）、黄柏、荆芥穗（以上各五钱，炒）、枳壳（五钱）。上药研为细末，用糊丸制成梧桐子大小，每次服用五十粒，饭前用白开水送服。若下鲜血者，加棕榈毛灰、莲蓬灰，此方专治脏毒下血。若因湿热两感、起居不节导致的肠癖下血及泄泻肠澼，用凉血地黄汤。湿毒下血用当归和血散。治疗肠风脱落痔核，取局方中的“鸠”（注：原文“车局鸠”语意不明，疑为“局方”之误或特定药物别名，此处保留原词）五七个，火焙干后研为细末，醋调涂敷患处。
治疗原则专以凉血为主。漏疮先服用大剂量补益药，以生气血，以人参、[原文缺字，通常为黄芪]、当归、白术、川芎为主药；外用附子末，用唾液调和成饼，厚度如铜钱，置于患处施灸，只需令其微热，不可令其疼痛，干燥则更换，再将干燥的附子末研粉如前法做饼施灸。若患者困倦则停止，次日再灸，直至肌肉平复为有效，随后仍用前述补气血药煎膏贴敷，或用附子片灸亦可。肢体上的痈疽疮疖，久不收口者，也适宜用此法。痔疮的大法，用条芩清利大肠，人参、黄连、生地、槐角凉血生血，川芎、当归和血，枳壳宽肠，升麻升举阳气，外用五倍子、朴硝、桑寄生、莲篷煎汤熏洗。肿胀者，用木鳖子、五倍子研末外敷。另一首方剂：黄连二两煎膏，再加等分芒硝，冰片一钱加入，敷于痔疮上即消退。原有痔漏，在肛门处又生一块，皮肉浓肿化脓，从痔孔流出，按食积注下证治疗，用黄连、阿魏、神曲、山楂、桃仁、连翘、槐角、犀角制成丸剂服用。痔头向上，是大肠热甚，收缩而上行，用四物汤解毒，加枳壳、白术、槐角、秦艽煎洗，用荆芥、朴硝、桑寄生，以定痛、祛风、解毒、清大肠热。若肿胀加五倍子、木鳖子。治疗痔漏，清大肠血，宽大肠，将枳壳去瓤后纳入巴豆，用铁线缠绕煮透，去掉巴豆，将药丸捣烂，用煎好的药液晒干使用。另一首治疗漏疮的方剂：川芎（五钱）、细辛、白芷（以上各二钱半），研为细末，每日作汤剂服用。病在下则饭前服，病在上则饭后服。根据疮口大小，取隔年的黄麻根，刮去皮，捻成绳子插入孔中，至无法插入为止，每日在外贴膏药。有一人肛门生痔后不收口，有三个针眼大小的孔，劳累后有脓，用黄条芩、连翘、秦艽，研末为丸。治疗痔疮方：雄黄、胆矾、冰片混合均匀贴敷。治疗翻花痔，用荆芥、防风、朴硝煎汤清洗，其次用木鳖子、郁金研末，加入少许龙脑，水调外敷。又一方：用一片大蒜，以头垢（头发上的污垢）捻成饼状，先将头垢饼放在痔头上，外面放蒜片，艾灸之。取出朽骨久疽，以及痔漏中有孔者，取乌骨鸡胫骨，填入上等砒霜，用盐泥密封固定，火烧至通红，取出，在地上去除火毒并去掉泥，将骨头研细为末，用米饭制成丸剂，如粟米大小，用纸捻送入窍内，再用膏药贴敷。
For intestinal wind (Chang Feng, a condition characterized by intestinal bleeding) with bleeding occurring solely from the stomach and large intestine, Scutellariae Radix (Huangqin, Baical Skullcap Root), Gentianae Macrophyllae Radix (Qinjiao, Largeleaf Gentian Root), Sophorae Fructus (Huajiao, Pagoda Tree Fruit), Cimicifugae Rhizoma (Shengma, Largetrifoliolious Bugbane Rhizome), and Indigo Naturalis (Qingdai, Natural Indigo) are frequently used. For cases complicated by wind pathogen, Atractylodis Rhizoma (Cangzhu, Atractylodes Rhizome), Gentianae Macrophyllae Radix (Qinjiao), Paeoniae Radix Alba (Shaoyao, White Peony Root), and Cyperi Rhizoma (Xiangfu, Nutgrass Galingale Rhizome) are added. Intestinal Wind Formula: Atractylodis Rhizoma (Cangzhu), Talcum (Huashi, Talc), Angelicae Sinensis Radix (Danggui, Chinese Angelica), Rehmanniae Radix (Shengdi, Unprepared Rehmannia Root), Scutellariae Radix (Huangqin), and Glycyrrhizae Radix et Rhizoma (Gancao, Liquorice Root and Rhizome). This formula is often used for intestinal pain. Another formula: Rhei Radix et Rhizoma (Dahuang, Rhubarb Root and Rhizome, roasted, 3 qian), Angelicae Sinensis Radix (Danggui, 0.5 liang), Persicae Semen (Taoren, Peach Seed, 3 qian, peel and tip removed), Cortex (Pi, 1 liang, processed by roasting), Coptidis Rhizoma (Huanglian, Coptis Rhizome, 1 liang, stir-fried), Gentianae Macrophyllae Radix (Qinjiao, 1 liang), Sophorae Fructus (Huajiaozi, 1 liang), Arecae Semen (Binglang, Areca Seed, 0.5 liang), Gleditsiae Semen (Zaojiaoren, Chinese Honeylocust Abnormal Fruit, 5 qian), Phellodendri Chinensis Cortex (Huangbai, Amur Cork-tree Bark), Schizonepetae Spica (Jingjiesui, Fineleaf Schizonepeta Spike, each of the above 5 qian, stir-fried), and Aurantii Fructus (Zhiqiao, Bitter Orange, 5 qian). Grind the above into fine powder, make into pills using paste, the size of Firmianae Semen (Wutongzi, Phoenix Tree Seed). Take 50 pills each time with warm water before meals. For fresh blood in the stool, add Trachycarpi Petiolus Carbonisatus (Zongmaohui, Carbonized Fortune Windmill Palm Petiole Ash) and Nelumbinis Receptaculum Carbonisatum (Pengfanghui, Carbonized Lotus Receptacle Ash). The formula above specifically treats visceral toxin (Zang Du, heat toxin in the viscera) with bloody stool. For intestinal dispersion (Chang Pi, dysentery) with bloody stool due to dual affliction by dampness and heat, and irregular daily routine leading to postprandial diarrhea (Can Xie) and intestinal dispersion (Chang Pi), use Liangxue Dihuang Tang (Cool Blood Rehmannia Decoction). For damp toxin with bloody stool, use Danggui Hexue San (Chinese Angelica Harmonize Blood Powder). For intestinal wind prolapse (Chang Feng Tuoluo, prolapse of the rectum), use Che Ju Jiu (vehicle, bureau, dove? - likely a specific ingredient name) five to seven pieces, dry by roasting over fire, grind into powder, mix with vinegar, and apply by brushing on the affected area.
The therapeutic principle focuses primarily on cooling blood. For fistula (Lou Chuang, anal fistula), first administer a large dose of tonifying medicinals to generate qi and blood, mainly Ginseng Radix et Rhizoma (Renshen, Ginseng), Astragali Radix (Huangqi, Milkvetch Root), Angelicae Sinensis Radix (Danggui), Atractylodis Macrocephalae Rhizoma (Baizhu, Largehead Atractylodes Rhizome), and Chuanxiong Rhizoma (Chuanxiong, Szechuan Lovage Rhizome). Externally, use Aconiti Lateralis Radix Praeparata (Fuzi, Prepared Common Monkshood Daughter Root) powder, mix with saliva to make a cake, as thick as a coin, place on the affected area for moxibustion. Only induce mild warmth, avoid causing pain. Replace when dry. Then, use the dried powder as before, make a cake and apply moxibustion. Stop when feeling fatigued, resume moxibustion the next day. Continue until the flesh becomes level as a sign of efficacy. Still use the aforementioned qi and blood tonifying medicinals to decoct into a plaster for topical application. Alternatively, moxibustion with Aconiti Lateralis Radix Praeparata (Fuzi) slices is also acceptable. This method is also suitable for carbuncles, abscesses, sores, and boils on the limbs that do not heal for a long time. The general method for hemorrhoids (Zhi Chuang) is to use Scutellariae Radix (Tiaoqin, a type of Huangqin) to cool the large intestine; Ginseng Radix et Rhizoma (Renshen), Coptidis Rhizoma (Huanglian), Rehmanniae Radix (Shengdi), and Sophorae Fructus (Huajiao) to cool blood and generate blood; Chuanxiong Rhizoma (Chuanxiong) and Angelicae Sinensis Radix (Danggui) to harmonize blood; Aurantii Fructus (Zhiqiao) to relax the intestines; and Cimicifugae Rhizoma (Shengma) to lift yang. For external use, decoct Galla Chinensis (Wubeizi, Chinese Gall), Natrii Sulfas (Poxiao, Glauber's Salt), Taxilli Herba (Sangjisheng, Chinese Taxillus Herb), and Nelumbinis Receptaculum (Lianpeng, Lotus Receptacle) for fumigation and washing. For swelling, apply Momordicae Semen (Mubiezi, Cochinchina Momordica Seed) and Galla Chinensis (Wubeizi) powder topically. Another formula: Decoct Coptidis Rhizoma (Huanglian, 2 liang) into a paste, add an equal amount of Natrii Sulfas (Mangxiao, Mirabilite), and add Borneolum Syntheticum (Bingpian, Borneol, 1 qian). Apply to hemorrhoids to reduce swelling. For pre-existing hemorrhoids and fistula, if another lump grows near the anus, with thickened skin, swelling, and suppuration, discharging pus from the fistula opening, treat as food stagnation pouring downward. Take pills made from Coptidis Rhizoma (Huanglian), Ferulae Resina (Awei, Asafoetida), Massa Medicata Fermentata (Shenqu, Medicated Leaven), Crataegi Fructus (Shanzha, Hawthorn Fruit), Persicae Semen (Taoren), Forsythiae Fructus (Lianqiao, Weeping Forsythia Capsule), Sophorae Fructus (Huajiao), and Cornu Rhinocerotis (Xijiao, Rhinoceros Horn). If the hemorrhoid head points upward, it indicates excessive heat in the large intestine causing contraction upward. Use Siwu Tang (Four Substances Decoction) to resolve toxin, adding Aurantii Fructus (Zhiqiao), Atractylodis Macrocephalae Rhizoma (Baizhu), Sophorae Fructus (Huajiao), and Gentianae Macrophyllae Radix (Qinjiao) for washing. Use Schizonepetae Herba (Jingjie, Fineleaf Schizonepeta Herb), Natrii Sulfas (Poxiao), and Taxilli Herba (Sangjisheng) to relieve pain, dispel wind, resolve toxin, and cool heat in the large intestine. For swelling, add Galla Chinensis (Wubeizi) and Momordicae Semen (Mubiezi). For hemorrhoids and fistula, cool the blood of the large intestine and relax the large intestine. Remove the pulp from Aurantii Fructus (Zhiqiao), add Crotonis Semen (Badou, Croton Seed), wrap with iron wire, boil thoroughly, remove Crotonis Semen (Badou), and use the Aurantii Fructus (Zhiqiao) in medicinals. Mash with pills, dry with decoction, and use. Another formula for fistula: Chuanxiong Rhizoma (Chuanxiong, 5 qian), Asari Radix et Rhizoma (Xixin, Manchurian Wildginger, 2.5 qian), and Angelicae Dahuricae Radix (Baizhi, Dahurian Angelica Root, 2.5 qian). Grind the above into fine powder, decoct into a decoction for daily consumption. For diseases in the lower body, take before meals; for diseases in the upper body, take after meals. Depending on the size of the sore, take yellow hemp root from the previous year, scrape off the bark, twist into a rope, and insert into the hole until it cannot go further. For recent sores, apply plaster externally. One person had hemorrhoids near the anus that did not heal after formation, with three needle-sized holes discharging pus upon exertion. Use Scutellariae Radix (Huangtiaoqin, yellow Tiaoqin), Forsythiae Fructus (Lianqiao), and Gentianae Macrophyllae Radix (Qinjiao). Grind the above into powder, make into pills with Qu (likely Massa Medicata Fermentata, Shenqu). Formula for treating hemorrhoids: Realgar (Xionghuang), Fel (Dan, bile), and Borneolum Syntheticum (Bingpian, Piannao). Mix evenly and apply. For treating prolapsed hemorrhoids (Fan Hua Zhi), decoct Schizonepetae Herba (Jingjie), Saposhnikoviae Radix (Fangfeng, Divaricate Saposhnikovia Root), and Natrii Sulfas (Poxiao) for washing. Then apply powder made from Momordicae Semen (Mubiezi) and Curcumae Radix (Yujin, Turmeric Root Tuber) mixed with a small amount of Borneolum Syntheticum (Longnao, Borneol) and water. Another formula: Use one slice of Allii Sativi Bulbus (Dasuan, Garlic). Make a cake with scalp dirt (Tougou). First place the scalp dirt cake on the hemorrhoid head, then place the garlic slice on the outside, and apply moxibustion. To treat chronic abscess with sequestrum (Xiu Gu) and fistula with holes, take the tibia of a black-bone chicken, fill it with high-quality Arsenicum (Pishuang, Arsenic Trioxide), seal with salt mud, heat until red-hot, remove, place on the ground to eliminate fire toxin, remove the mud, grind the bone into fine powder, make into pills with cooked rice, the size of millet grains, insert into the hole using a paper spill, and apply plaster.