治痔疾并痔漏有脓血大便燥硬而作疼痛不可忍
秦艽(去芦) 桃仁(汤浸去皮尖) 皂角仁(烧存性各一两) 当归梢(酒浸) 泽泻 枳实
(麸炒黄) 白术(各五钱) 地榆(三钱)
上为细末和桃仁泥研匀煎热汤打麦糊为丸如鸡头仁大令药光滑焙干每服五七十丸白汤下
空心
服待少时以美膳压之忌生冷硬物冷水冷菜之类并湿面酒及辣辛热大料物之类犯之则药无验也
治痔疾若破谓之痔漏大便秘涩必作大痛此由风热乘食饱不通气逼大肠而作也受病者燥气
也为
病者胃湿也胃刑大肠则化燥火以乘燥热之实胜风附热而来是湿热风燥四气而合故大肠头成块
者湿也作大痛者风也若大便燥结者主病兼受火邪热结不通也去此四者其西方肺主诸气其体收
下亦助病为邪须当破气药兼之治法全矣以锉汤与之其效如神
秦艽(去 ) 桃仁(汤浸去皮另研) 皂角仁(烧存性另研各一钱) 苍术(制) 防风(各
七分
)黄柏(去皮酒洗五分) 当归梢(酒洗) 泽泻(各三分) 梭身槟榔(一分另研) 大黄(少许
虽大便过涩亦不可多用)
上除槟榔桃仁皂角仁三味外余药 咀如麻豆大都作一服水三盏煎至一盏二分去渣入槟榔
等三
味末再上火煎至一盏空心热服待少时以美膳压之不犯胃气也服药日忌生冷硬物及酒湿面大料
物干姜之类犯之则其药无效
如有白脓加白葵花头五朵去萼心青皮半钱不去白入正药中同煎木香三分为细末同槟榔等
三味根据前煎服饵古人治此疾多以岁月除之此药一服则愈
治疗痔疮疾病以及伴有脓血、大便干燥坚硬且疼痛难忍的痔疮漏症。
秦艽（去除芦头）一两，桃仁（热水浸泡后去皮尖）一两，皂角仁（烧至存性）一两，当归梢（酒浸），泽泻，枳实（麸炒至黄色），白术（各五钱），地榆（三钱）。
将上述药物研成细末，与桃仁泥混合研磨均匀，用热汤调和麦糊制成如鸡头米大小的药丸，使药丸表面光滑，焙干。每次服用五七十丸，用温开水送服。空腹服用。服药后稍待片刻，用美味的食物压住药力。忌食生冷、坚硬之物、冷水、冷菜等，以及湿面、酒类及辛辣辛热的大料物等，如果触犯这些禁忌，则药物无效。
治疗痔疮疾病，如果破溃则称为痔漏。大便秘结涩滞，必然产生剧烈疼痛。这是由于风热之邪侵袭，因饮食过饱导致气机不通，逼迫大肠而发病。患病者的体质表现为燥气盛；致病的原因在于胃中有湿。胃中的湿邪刑克大肠，从而化生燥火以乘袭燥热之实证，风邪依附热邪而来，因此湿热、风、燥四种邪气相合。所以，大肠头部形成肿块是由于湿邪所致；产生剧烈疼痛是由于风邪所致；如果大便干燥结块，则是主病兼受火邪热结不通所致。去除这四种邪气，西方肺脏主管诸气，其体性收敛下降，也会助长病邪成为致病因素，因此必须配合使用破气药物，治疗方法才算完备。用煎好的汤药给予患者，效果神奇。
秦艽（去芦头）一钱，桃仁（热水浸泡去皮另研）一钱，皂角仁（烧至存性另研）一钱，苍术（制），防风（各七分），黄柏（去皮，酒洗）五分，当归梢（酒洗），泽泻（各三分），梭身槟榔（一分，另研），大黄（少许，即使大便过于涩滞也不可多用）。
除槟榔、桃仁、皂角仁这三味药外，其余药物切碎如麻豆大小，通常作为一剂服用。用水三盏，煎煮至一盏二分，去渣，加入槟榔等三味的药末，再次上火煎煮至一盏。空腹热服。服药后稍待片刻，用美味食物压住药力，以免损伤胃气。服药期间每日忌食生冷、坚硬之物及酒、湿面、大料物、干姜等，如果触犯这些禁忌，则药物无效。
如果有白色脓液排出，加白葵花头五朵（去除萼心），青皮半钱（不去白），放入正药中共同煎煮。木香三分，研成细末，同槟榔等三味药一起按照前面的方法煎服。古人治疗此疾多以岁月来消除它，而此药服用一次即可痊愈。
Treatment for hemorrhoidal diseases and hemorrhoidal fistulas presenting with pus and blood, dry and hard stools, and unbearable pain.
Qinjiao (Gentianae Radix et Rhizoma, remove rhizome) 1 liang, Taoren (Persicae Semen, soak in hot water, remove skin and tips) 1 liang, Zaojiaoren (Gleditsiae Fructus Spina, burn until carbonized but retain efficacy) 1 liang, Danggui Shao (Angelicae Sinensis Radix tip, soak in wine), Zexie (Alismatis Rhizoma), Zhishi (Aurantii Fructus Immaturus, stir-fried with bran to yellow), Baizhu (Atractylodis Macrocephalae Rhizoma, each 5 qian), Diyü (Sanguisorbae Radix) 3 qian.
Grind the above herbs into a fine powder, mix evenly with Persicae Semen paste, use hot water to blend wheat starch paste to form pills the size of a corn kernel, ensuring the surface is smooth, then bake dry. Take 50–70 pills per dose, administered with warm water. Take on an empty stomach. After taking the medicine, wait a short while and follow with a nutritious meal. Avoid raw, cold, hard foods, cold water, cold vegetables, damp flour, alcohol, and pungent, spicy, or hot spices. Violation of these dietary restrictions will render the medicine ineffective.
Regarding the treatment of hemorrhoids, if they ulcerate, it is called hemorrhoidal fistula. Constipation and涩滞 (obstruction/stagnation) inevitably cause severe pain. This arises from wind-heat pathogens invading due to overeating leading to qi stagnation, which forces the large intestine to malfunction. The patient's constitution is characterized by excess dryness; the pathogenic factor involves dampness in the stomach. Stomach dampness penalizes the large intestine, transforming into dry fire to attack the existing dry-heat excess. Wind attaches to heat, resulting in the combination of four pathogens: dampness, heat, wind, and dryness. Therefore, the formation of masses at the head of the large intestine is due to dampness; severe pain is due to wind; if stools are dry and knotted, it indicates the primary disease combined with fire-heat accumulation and obstruction. To eliminate these four pathogens, one must consider that the Lung (Metal/West) governs all qi and has a contracting and descending nature, which may also aid the pathogen as an evil factor. Thus, qi-breaking herbs must be added, completing the treatment method. Administer the decoction, and the effect will be miraculous.
Qinjiao (Gentianae Radix et Rhizoma, remove rhizome) 1 qian, Taoren (Persicae Semen, soak in hot water, remove skin, grind separately) 1 qian, Zaojiaoren (Gleditsiae Fructus Spina, burn until carbonized, grind separately) 1 qian, Cangzhu (Atractylodis Rhizoma, processed), Fangfeng (Saposhnikoviae Radix, each 7 fen), Huangbai (Phellodendri Cortex, remove bark, wash with wine) 5 fen, Danggui Shao (Angelicae Sinensis Radix tip, wash with wine), Zexie (Alismatis Rhizoma, each 3 fen), Suoshen Binglang (Arecae Semen, 1 fen, grind separately), Dahuang (Rhei Radix et Rhizoma, a small amount; even if constipation is severe, do not use excessively).
Except for Arecae Semen, Persicae Semen, and Gleditsiae Fructus Spina, chop the remaining herbs into pieces the size of hemp seeds. Usually, this constitutes one dose. Use three cups of water, decoct to one cup and two fen, strain, add the powders of Arecae Semen and the other two herbs, return to heat, and decoct to one cup. Take hot on an empty stomach. After taking the medicine, wait a short while and follow with a nutritious meal to prevent damage to stomach qi. Daily during medication, avoid raw, cold, hard foods, alcohol, damp flour, spices, and dried ginger. Violation of these restrictions will render the medicine ineffective.
If white pus is present, add five heads of Bai Kuihua (Abutilonis Indici Flos, remove calyx), Qingpi (Citri Reticulatae Pericarpium Viride, 5 qian, keep the white pith), and decoct together with the main herbs. Muxiang (Aucklandiae Radix, 3 fen) should be ground into a fine powder and taken according to the previous decoction method along with Arecae Semen and the other two powders. Ancient physicians treated this disease over years, but this single dose can cure it.