治大肠疼痛不可忍叔和云积气生于脾脏傍大肠疼痛阵难当渐交稍泻三焦火莫谩多方立纪
纲
羌活(一两) 郁李仁(汤浸去皮另研一两五钱) 大黄(八钱煨) 槟榔 桂(去皮) 木香
川芎(各五钱)
上除郁李仁另研入外共为细末炼蜜为丸如梧桐子大每服三五十丸白汤下食前取大便微利
一服而愈切禁不得多利大便其痛滋甚
治痔漏每日大便时发疼痛如无疼痛者非痔漏也此药主之
秦艽 防风 当归身 白术(各一钱五分) 炙甘草 泽泻(各六分) 黄柏(五分) 大黄
(煨) 橘皮(各三分) 柴胡 升麻(各二分) 桃仁(三十个) 红花(少许)
上锉如麻豆大都作一服水三盏煎至一盏去渣稍热空心服之避风寒忌房事酒湿面大辛热物
治痔漏成块下垂不任其痒
羌活(一钱二分) 秦艽 黄 (各二钱) 防风(七分) 升麻 炙甘草 麻黄 柴胡(各
五分) 本(三分) 细辛(少许) 红花(少许)
上锉如麻豆大都作一服水二盏煎至一盏去渣空心服之忌风寒处大小便
治痔漏大便硬努出大肠头下血苦痛不能忍
郁李仁 皂角仁(各一钱) 枳实(七分) 秦艽 麻仁 当归梢 生地黄 苍术(各五分)
大黄(煨) 泽泻(各三分)
上锉如麻豆大除皂角仁另为末水三盏煎至一盏去渣入皂角仁末调空心食前服之忌如前
治疗大肠剧烈疼痛，难以忍受。王叔和曾说：“积气生于脾脏旁边，大肠阵发性疼痛难以承受，逐渐加剧并伴有轻微腹泻，这是三焦火邪所致。”不要随意使用多种药物，应确立准则。
羌活（一两）、郁李仁（汤浸去皮后单独研磨，一两五钱）、大黄（八钱，煨制）、槟榔、桂枝（去皮）、木香、川芎（各五钱）。
以上药材除郁李仁单独研磨外，其余共同研为细末，用炼蜜制成梧桐子大小的丸剂。每次服用三五十丸，饭前用白开水送服，以大便微通利为度。一服药即可痊愈，切记不可让大便过度通利，否则疼痛会加剧。
治疗痔漏，每日排便时发作性疼痛；如果没有疼痛感，则不是痔漏。此药主治此类病症。
秦艽、防风、当归身、白术（各一钱五分）、炙甘草、泽泻（各六分）、黄柏（五分）、大黄（煨制）、橘皮（各三分）、柴胡、升麻（各二分）、桃仁（三十个）、红花（少许）。
以上药材锉碎如麻豆大小，通常作为一剂服用。加水三盏，煎煮至一盏，去渣滓，稍温热后空腹服用。需避风寒，忌房事、酒、湿面及大辛热食物。
羌活（一钱二分）、秦艽、黄芪（各二钱）、防风（七分）、升麻、炙甘草、麻黄、柴胡（各五分）、藁本（三分）、细辛（少许）、红花（少许）。
以上药材锉碎如麻豆大小，通常作为一剂服用。加水二盏，煎煮至一盏，去渣滓，空腹服用。忌在风寒处停留，忌大小便失禁或用力。
治疗痔漏大便干硬，努挣导致直肠脱出（大肠头下血），痛苦难忍。
郁李仁、皂角仁（各一钱）、枳实（七分）、秦艽、火麻仁、当归梢、生地黄、苍术（各五分）、大黄（煨制）、泽泻（各三分）。
以上药材锉碎如麻豆大小，除皂角仁单独研为细末外，其余加水三盏，煎煮至一盏，去渣滓，加入皂角仁末调匀，空腹饭前服用。禁忌事项同上。
To treat unbearable pain in the Large Intestine. He Shuhe (Wang Shuhe) stated: "Accumulated Qi arises beside the Spleen; paroxysmal pain in the Large Intestine is difficult to bear. As it gradually worsens with slight diarrhea, it indicates Fire of the Triple Burner." Do not indiscriminately use multiple prescriptions; establish a standard protocol.
Qiang Huo (Notopterygii Rhizoma et Radix, 1 liang), Yu Li Ren (Prunus humilis Seed, soaked in water, skin removed and ground separately, 1.5 liang), Da Huang (Rhei Radix et Rhizoma, 8 qian, stir-baked), Bing Lang (Arecae Semen), Gui Zhi (Cinnamomi Ramulus, bark removed), Mu Xiang (Aucklandiae Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma, each 5 qian).
Except for Yu Li Ren which is ground separately, all other herbs are finely powdered. Form pills the size of Sophora japonica seeds using refined honey. Take 30-50 pills per dose before meals, washed down with warm water. The goal is slight loosening of the bowels. One dose cures it. Strictly avoid excessive purging, as this will exacerbate the pain.
To treat hemorrhoids and fistulas (Zhi Lou), characterized by paroxysmal pain during daily defecation. If there is no pain, it is not hemorrhoids or fistula. This prescription treats such conditions.
Qin Jiao (Gentianae Macrophyllae Radix), Fang Feng (Saposhnikoviae Radix), Dang Gui Shen (Angelicae Sinensis Radix body), Bai Zhu (Atractylodis Macrocephalae Rhizoma, each 1.5 qian), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), Ze Xie (Alismatis Rhizoma, each 6 fen), Huang Bo (Phellodendri Cortex, 5 fen), Da Huang (Rhei Radix et Rhizoma, stir-baked), Ju Pi (Citri Reticulatae Pericarpium, each 3 fen), Chai Hu (Bupleuri Radix), Sheng Ma (Cimicifugae Rhizoma, each 2 fen), Tao Ren (Persicae Semen, 30 pieces), Hong Hua (Carthami Flos, a small amount).
Chop the herbs into sizes resembling hemp or soybeans. Typically decocted as one dose. Add three cups of water, boil down to one cup, remove dregs, and drink slightly warm on an empty stomach. Avoid wind and cold. Abstain from sexual intercourse, alcohol, damp-producing wheat products, and pungent-hot foods.
To treat hemorrhoids forming masses that prolapse, accompanied by unbearable itching.
Qiang Huo (Notopterygii Rhizoma et Radix, 1.2 qian), Qin Jiao (Gentianae Macrophyllae Radix), Huang Qi (Astragali Radix, each 2 qian), Fang Feng (Saposhnikoviae Radix, 7 fen), Sheng Ma (Cimicifugae Rhizoma), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), Ma Huang (Ephedrae Herba), Chai Hu (Bupleuri Radix, each 5 fen), Ben Cao (Ligustici Wallichii Rhizoma et Radix, 3 fen), Xi Xin (Asari Radix et Rhizoma, a small amount), Hong Hua (Carthami Flos, a small amount).
Chop the herbs into sizes resembling hemp or soybeans. Typically decocted as one dose. Add two cups of water, boil down to one cup, remove dregs, and take on an empty stomach. Avoid exposure to wind and cold. Avoid straining during urination and defecation.
To treat hemorrhoids where hard stools cause straining, leading to rectal prolapse (protrusion of the large intestine head) and bleeding, causing unbearable suffering.
Yu Li Ren (Prunus humilis Seed), Zao Jiao Ren (Gleditsiae Sinensis Spina fruit pulp, each 1 qian), Zhi Shi (Aurantii Fructus Immaturus, 7 fen), Qin Jiao (Gentianae Macrophyllae Radix), Ma Ren (Canavaliae Semen, Dang Gui Shao (Angelicae Sinensis Radix tip), Sheng Di Huang (Rehmanniae Radix), Cang Zhu (Atractylodis Lanceae Rhizoma, each 5 fen), Da Huang (Rhei Radix et Rhizoma, stir-baked), Ze Xie (Alismatis Rhizoma, each 3 fen).
Chop the herbs into sizes resembling hemp or soybeans. Except for Zao Jiao Ren which is ground into powder separately, add three cups of water to the remaining herbs, boil down to one cup, remove dregs, mix in the Zao Jiao Ren powder, and take on an empty stomach before meals. Contraindications are the same as above.