《病源论》云∶诸痔者,谓牡痔、牝痔、脉痔、肠痔、血痔也。
牡痔∶肛边生肉如鼠乳,时时出脓血。
牝痔∶肛边肿,生疮而血出。
脉痔∶肛边生疮,痒痛。
肠痔∶肛边肿核痛,发寒热血出。
血痔∶因便而清血随出。
又有酒痔,肛边生疮,有血出。又气痔,大便难而血出,肛亦出外,良久不肯入。
诸痔皆由伤风,房室不慎,醉饱合阴阳,致劳扰血气,而经脉流溢,渗(乞荫反)漏肠
间,冲
《养生方》云∶忍大便不出,久作气痔。
《龙门方》云∶一曰肿生,息肉状,如枣核,孔有脓血,名曰雄痔;二曰孔旁有疮,内
引孔
名曰
过多
痔病禁忌∶
《千金方》云∶禁寒冷食、猪肉、生鱼、菜、房内。病瘥之后,百日今通房内。
又云∶通忌 菜。
《极要方》云∶禁肥肉生鱼。
可食物∶
《千金方》云∶得食干白肉。
《葛氏方》云∶作鲭鱼脍姜齑,食之多少任人。
《食经》云∶榧实(主五痔);鲷(主去痔虫);蠡鱼(主五痔);海鼠(疗痔为验);竹
笋(主五
《本草》云∶羊蹄主痔。
《拾遗》云∶鲫脍治赤白利及五痔。
《疗痔病经》云∶佛告阿难陀,汝可谛听。此疗痔病经,读诵受持系心勿忘。亦于他人
广为
齿
受悉皆干燥、堕落、销灭,必瘥无疑。皆应习持如是神咒。即说咒曰∶
怛侄他,阿烂帝,阿烂逮,室利HT ,室里继,室里继,磨羯失质三婆,跋都婆诃。
《短剧方》五痔散,治酒客及劳损伤冷,下部中有旁孔,起居血纵横出者,及有肉者方
悉主
赤小豆(四分,熬) 蜀黄 (二分) 蜀附子(一两炮) 夕药(二分) 白蔹(一
分) 黄芩(二
七物,捣末下筛,以酒服方寸匕,日三,止血有验。
又云,治谷道痒痛痔疮槐皮膏方∶
槐皮(五两) 楝子(五十枚) 桃仁(五十枚) 甘草(二两) 当归(二两) 赤
小豆(二合) 白
七物, 咀,以猪膏二升煎令白芷黄,药成,绞去滓敷之,日再三,良。(今按∶《极要
方
《千金方》云∶五痔有气痔,温、寒、湿、劳即发。蛇脱主之。牡痔,生肉如鼠乳,在
孔中
肠
筛
五
又云∶治痔下部出脓血,有虫旁出孔窍方∶
槐白皮一担, ,纳釜中煮,令味极出,置木盆中,适寒温,坐其中,欲大便状,虫悉
出,
又云∶五痔方∶
涂熊胆,取瘥乃止。神良,一切方皆不及此方。
又方∶煮桃根洗之。
《僧深方》治痔神方∶
槐耳为散,服方寸匕,亦粉谷道中,甚良。
《录验方》治痔方∶
白蜜涂之,有孔,以纳孔中。张温表上使蜀所得也。
又方∶煮槐根洗之。
《耆婆方》治人下部热,风虚结成痔,久不瘥,令人血下、面黄、瘦无力方∶
白饧糖,但少少空腹食,瘥乃止。若是秋月弥宜。
《集验方》治痔方∶
生槐皮(十两,削去上皮)
一物熟捣,丸如弹丸,绵裹之,纳谷道中。
《极要方》云∶疗痔神方∶
鳢(公)鱼三头,破腹取肠,炙少许令香,以绵絮裹之,纳谷道中。一饭,虫当出。食
鱼肠更
《葛氏方》治患肠痔每大便恒去血方∶
常服蒲黄方寸匕,日三,须瘥止。
《医门方》疗五痔下血不止无问冷热者方∶
黄 (十二分) 猪后悬蹄(十四枚,炙) 发灰 青布灰 绯布灰(各二分) 本
(五分) 大
蜜丸,空腹饮送三十丸,日二,加至知为度,甚效。
《救急单验方》疗五痔方∶
五月五日,取苍耳茎叶阴干,末,水服二方寸匕,日三。
又方∶牛角鳃烧末,和酒服方寸匕,日三,秘验。
《传信方》疗野鸡方∶
上,以槐枝汤洗痔上,便已,艾灸上七壮,以知为度。
王及充迁安抚到官,乘骡(吐禾反)马入骆谷数日。而宿有痔疾,其状如胡爪贯于肠,
热如火
为槐汤洗
一时出
《诸病源候论》说:各种痔疮,是指牡痔、牝痔、脉痔、肠痔、血痔这五种。
牡痔:肛门边缘长出肉赘,形状像老鼠的乳头,时常流出脓血。
牝痔:肛门边缘肿胀,生疮并出血。
脉痔:肛门边缘生疮,伴有瘙痒和疼痛。
肠痔:肛门边缘有肿核且疼痛,发作时怕冷发热并出血。
血痔:排便时清血随之流出。
此外还有酒痔,肛门边缘生疮,有血液流出;又有气痔,大便困难并出血,肛门脱出,很久不能回纳。
各种痔疮都是因为感受风邪,房事不慎,醉酒后行房,导致气血劳扰,经脉充盈溢出,渗漏到肠道之间。
《养生方》说:强忍大便不排,时间久了会形成气痔。
《龙门方》说:一是肛门旁生出息肉状肿物,像枣核一样,孔中有脓血,名叫雄痔;二是肛孔旁边生疮,向内牵引至肛孔……(原文此处似有缺漏或错简)……过多……
痔病的禁忌:
《千金方》说:禁止吃寒冷食物、猪肉、生鱼、蔬菜,以及禁止房事。病愈之后,一百天内也要禁止房事。
又说:还要忌食……蔬菜。
《极要方》说:禁止吃肥肉和生鱼。
适宜吃的食物:
《千金方》说:可以吃干的白色肉类。
《葛氏方》说:制作鲭鱼脍配姜酱,吃多少随人意愿。
《食经》说:榧实(主治五痔);鲷鱼(主治去除痔虫);蠡鱼(主治五痔);海鼠(治疗痔疮有效);竹笋(主治五痔……)。
《本草》说:羊蹄主治痔疮。
《拾遗》说:鲫鱼脍治疗赤白痢疾及五痔。
《疗痔病经》说:佛陀告诉阿难陀,你要仔细听。这部治疗痔疮病的经典,读诵受持,心系不忘。也向他人广泛……(原文此处似有缺漏)……牙齿……
如果全部干燥、脱落、消灭,必定痊愈无疑。都应该修习持诵这样的神咒。于是说咒语道:
怛侄他,阿烂帝,阿烂逮,室利HT ,室里继,室里继,磨羯失质三婆,跋都婆诃。
《短剧方》中的五痔散,治疗嗜酒之人及劳损伤冷,下部有旁孔,起居时血液纵横流出的人,以及长有肉赘的患者,此方均主……(原文此处似有缺漏)……
赤小豆(四分,炒熟) 蜀黄芩(二分) 蜀附子(一两,炮制) 芍药(二分) 白蔹(一分) 黄芩(二……(原文此处似有缺漏)……
以上七味药,捣碎过筛,用酒送服一方寸匕,每日三次,止血有效。
又说,治疗肛门瘙痒疼痛痔疮的槐皮膏方:
槐皮(五两) 楝子(五十枚) 桃仁(五十枚) 甘草(二两) 当归(二两) 赤小豆(二合) 白芷(……(原文此处似有缺漏)……
以上七味药,切碎,用猪脂二升煎煮,直到白芷变黄,药成后,过滤去渣,敷于患处,每天多次,效果良好。(按:《极要方……)
《千金方》说:五痔中有气痔,遇温、寒、湿、劳即发作。蛇蜕主治。牡痔,长出肉赘像老鼠乳头,在肛孔中……(原文此处似有缺漏)……肠……筛……五……
又说,治疗痔疮下部流出脓血,有虫从旁侧孔窍出来的方子:
槐白皮一担,……(原文此处似有缺漏)……放入锅中煮,让味道完全煮出来,倒入木盆中,调节温度适中,坐在其中,想要大便的感觉时,虫子都会出来……
又说,五痔方:
涂抹熊胆,直到痊愈才停止。非常灵验,所有的方子都比不上这个方子。
《僧深方》治疗痔疮的神方:
槐耳研为散剂,服用一方寸匕,也可以撒粉在肛门中,效果很好。
《录验方》治疗痔疮方:
用白蜜涂抹,如果有孔,将蜜纳入孔中。这是张温表上呈献的来自蜀地的方法。
《耆婆方》治疗人体下部热,风虚结成痔疮,长久不愈,使人便血、面色发黄、消瘦无力的方子:
白饴糖,只要少量空腹食用,痊愈才停止。如果是秋天九月更加适宜。
《集验方》治疗痔疮方:
生槐皮(十两,削去上层皮)
一味药煮熟捣烂,做成如弹丸大小的药丸,用绵絮包裹,纳入肛门中。
《极要方》说:治疗痔疮的神方:
黑鱼(雄性)三条,剖开腹部取出肠子,烤少许使其香味散发,用棉絮包裹,纳入肛门中。一顿饭的时间,虫子应当出来。吃了鱼肠更……(原文此处似有缺漏)……
《葛氏方》治疗患肠痔每次大便恒常出血的方子:
经常服用蒲黄一方寸匕,每日三次,痊愈为止。
《医门方》治疗五痔下血不止,不论寒热的方子:
黄芩(十二分) 猪后悬蹄(十四枚,炙烤) 发灰 青布灰 绯布灰(各二分) 本……(原文此处似有缺漏)……大……
炼蜜为丸,空腹用温水送服三十丸,每日两次,增加到见效为止,效果很好。
《救急单验方》治疗五痔方:
五月五日,取苍耳茎叶阴干,研末,用水送服二方寸匕,每日三次。
另一个方子:牛角鳃烧成末,和酒服用一方寸匕,每日三次,秘密验证有效。
《传信方》治疗野鸡方(注:此处标题可能误植或指代某种特定疗法/食材,原文语境不明,直译):
上面……(原文此处似有缺漏)……用槐枝汤清洗痔疮处,就好了,艾灸患处七壮,以见效为度。
王及充迁安抚使到任后,骑着骡马进入骆谷数日。而他素来有痔疮疾病,其症状像胡爪贯穿肠道,热如火……(原文此处似有缺漏)……
用槐汤清洗……
一时排出……
The *Treatise on the Pathogenesis and Symptoms of All Diseases* (Bingyuan Lun) states: Various hemorrhoids refer to five types: Mu hemorrhoids (Male hemorrhoids), Pin hemorrhoids (Female hemorrhoids), Mai hemorrhoids (Vascular hemorrhoids), Chang hemorrhoids (Intestinal hemorrhoids), and Xue hemorrhoids (Blood hemorrhoids).
Mu hemorrhoids: Flesh growths appear at the anal margin, resembling rat nipples, with pus and blood occasionally discharging.
Pin hemorrhoids: Swelling occurs at the anal margin, with sores forming and bleeding.
Mai hemorrhoids: Sores form at the anal margin, accompanied by itching and pain.
Chang hemorrhoids: Swollen nodules and pain occur at the anal margin; attacks are accompanied by alternating chills and fever along with bleeding.
Xue hemorrhoids: Clear blood flows out during defecation.
Additionally, there are Jiu hemorrhoids (Alcohol-induced hemorrhoids), where sores form at the anal margin with blood discharge. There are also Qi hemorrhoids (Qi-related hemorrhoids), characterized by difficult defecation with bleeding, prolapse of the anus that fails to retract for a long time.
All types of hemorrhoids arise from wind-pathogen invasion, imprudent sexual activity, coitus after drunkenness and fullness, leading to exhaustion and disturbance of Qi and Blood, causing overflow in the meridians, leakage into the intestines.
The *Regimen for Nourishing Life* (Yangsheng Fang) states: Forcing oneself to retain stool for a long time eventually leads to Qi hemorrhoids.
The *Longmen Formulas* (Longmen Fang) state: First, a swelling forms, appearing polypoid like a date pit, with pus and blood in the orifice, named Xiong hemorrhoids (Male hemorrhoids); second, sores form beside the orifice, pulling inward... [text missing] ... excessive...
Dietary and lifestyle taboos for hemorrhoids:
The *Essential Prescriptions Worth a Thousand Gold* (Qianjin Fang) states: Avoid cold foods, pork, raw fish, vegetables, and sexual intercourse. After recovery, abstain from sexual intercourse for one hundred days.
It further states: Also avoid eating... [text missing] vegetables.
The *Jiyao Formulas* (Jiyao Fang) states: Avoid fatty meat and raw fish.
Permissible foods:
The *Qianjin Fang* states: Dried white meat may be consumed.
The *Ge Shi Formulas* (Ge Shi Fang) states: Prepare mackerel sashimi with ginger and garlic paste; consume according to appetite.
The *Food Classic* (Shi Jing) states: Torreya seeds (Torreya grandis) treat the five hemorrhoids; Tuna (Tunyu) treats hemorrhoidal worms; Li fish (Li yu) treats the five hemorrhoids; Sea mouse (Hai shu) effectively treats hemorrhoids; Bamboo shoots (Zhusun) treat the five... [text missing].
The *Materia Medica* (Bencao) states: Rumex leaves (Yangti) treat hemorrhoids.
The *Supplement to Materia Medica* (Shiyi) states: Raw minced carp (Ji kuai) treats dysentery (red and white) and the five hemorrhoids.
The *Sutra on Treating Hemorrhoidal Diseases* (Liao Zhibing Jing) states: The Buddha told Ananda, "Listen carefully. This sutra on treating hemorrhoidal diseases should be recited, upheld, and kept in mind without forgetting. It should also be widely..." [text missing] "...teeth..." [text missing].
Those who receive and uphold it will experience dryness, shedding, and elimination of the disease, undoubtedly achieving cure. One should practice holding such divine mantras. Thus the mantra is said:
Tadyatha, Alandi, Aladai, Shili HT, Shiliji, Shiliji, Mojieshi Zhi Sanpo, Badupohe.
The *Wuzhi Powder* (Five-Hemorrhoids Powder) from the *Short Drama Formulas* (Duanju Fang) treats alcoholics and those with injuries from labor and cold, having paraproctal fistulas with spontaneous bleeding during daily activities, and those with flesh growths. It primarily treats... [text missing].
Adzuki beans (Chi Xiaodou) (4 fen, roasted) Shu Huang... [text missing] Shu Fuzi (Prepared Aconite Root) (1 liang, processed) Paeonia lactiflora root (Shaoyao) (2 fen) White Peony Root (Bailian) (1... [text missing] Scutellaria baicalensis root (Huangqin) (2... [text missing].
Grind the seven herbs into powder and sift. Take one fangcun bi (square-inch spoonful) with wine, three times a day. It is effective for stopping bleeding.
Furthermore, the Huapi Ointment (Cork Tree Bark Ointment) for treating anal itching and pain due to hemorrhoids:
Cork tree bark (Huapi) (5 liang) Chinaberry fruits (Lianzi) (50 pieces) Peach kernels (Taoren) (50 pieces) Licorice root (Gancao) (2 liang) Angelica sinensis root (Danggui) (2 liang) Adzuki beans (Chi Xiaodou) (2 he) Bai... [text missing].
Chop the seven herbs, decoct in 2 sheng of lard until the angelica turns yellow. Strain off the dregs and apply to the affected area multiple times a day. It is beneficial. (Note: The *Jiyao Fang*...) [text missing].
The *Qianjin Fang* states: Among the five hemorrhoids, Qi hemorrhoids are triggered by warmth, cold, dampness, and fatigue. Snake slough (Shetui) treats this. Mu hemorrhoids involve flesh growths like rat nipples located in... [text missing] the orifice... [text missing] intestine... [text missing] sieve... [text missing] five... [text missing].
Furthermore, a formula for treating hemorrhoids with pus and blood discharge from the lower orifice and worms emerging from adjacent openings:
One dan (a large unit of weight) of white cork tree bark, ... [text missing], place in a cauldron and boil until the flavor is fully extracted. Pour into a wooden basin, adjust to a comfortable temperature, and sit in it. When feeling the urge to defecate, all worms will... [text missing].
Furthermore, a formula for the five hemorrhoids:
Apply bear bile (Xiongdan) until cured. It is highly efficacious; no other formula surpasses this one.
Another formula: Wash with decoction of peach roots (Tao gen).
The *Seng Shen Formulas* (Seng Shen Fang) for treating hemorrhoids:
Powdered cork tree fungus (Huai er). Take one fangcun bi orally, or sprinkle powder into the anus. It is very effective.
The *Lu Yan Formulas* (Lu Yan Fang) for treating hemorrhoids:
Apply white honey (Baimi). If there is an opening, insert the honey into it. This was presented to the court by Zhang Wenbiao from Shu.
Another formula: Wash with decoction of cork tree roots (Huai gen).
The *Qie Po Formulas* (Qie Po Fang) for treating heat in the lower body, wind-deficiency resulting in hemorrhoids that persist for a long time, causing bloody stools, sallow complexion, emaciation, and weakness:
White maltose (Bai xingtang). Consume small amounts on an empty stomach until cured. It is particularly suitable in autumn.
The *Ji Yan Formulas* (Ji Yan Fang) for treating hemorrhoids:
Raw cork tree bark (Shi huapi) (10 liang, scraped to remove outer skin).
Cook and pound the single herb into pills the size of marbles. Wrap in cotton and insert into the anus.
The *Jiyao Formulas* (Jiyao Fang) states: A divine formula for treating hemorrhoids:
Three male snakehead fish (Li yu). Cut open the belly, take out the intestines, roast slightly until fragrant, wrap in cotton wadding, and insert into the anus. Within the time of one meal, worms should emerge. Eating the fish intestines further... [text missing].
The *Ge Shi Formulas* (Ge Shi Fang) for treating intestinal hemorrhoids with constant blood loss during defecation:
Regularly take Coptis chinensis rhizome (Huanglian)... [text correction based on context usually implies Huanglian or similar hemostatic, but text says 'Pu Huang' later? Text says 'Pu Huang' here actually. Let's stick to text: 'Pu Huang' (Polygonum multiflorum seed / Spermum Polygoni Multiflori)]. Take one fangcun bi, three times a day, stop when cured.
The *Yimen Formulas* (Yimen Fang) for treating persistent bleeding from the five hemorrhoids regardless of cold or heat patterns:
Huang... [text missing] (12 fen) Posterior pig trotters suspended and dried (Zhu hou xuantí) (14 pieces, roasted) Ash of hair (Fa hui) Ash of blue cloth (Qing bu hui) Ash of red cloth (Fei bu hui) (2 fen each) Ben... [text missing] (5 fen) Da... [text missing].
Pill with honey. Take thirty pills with water on an empty stomach, twice a day. Increase dosage until efficacy is observed. Very effective.
The *Jiuji Dan Yan Fang* (Emergency Single-Effect Formulas) for treating the five hemorrhoids:
On the fifth day of the fifth lunar month, collect cocklebur stems and leaves, shade-dry, and powder. Take two fangcun bi with water, three times a day.
Another formula: Burn cow horn bristles (Niujiao sai) to ash, mix with wine, and take one fangcun bi, three times a day. Secretly verified as effective.
The *Chuanxin Formulas* (Chuanxin Fang) for treating pheasant... [text missing]:
Up... [text missing], wash the hemorrhoids with cork branch decoction. After cleaning, apply moxibustion seven moxa cones (zhuang) to the area, stop when effective.
Wang Ji, the Pacification Commissioner, upon taking office, rode a mule/horse into Luogu Valley for several days. He had a pre-existing hemorrhoid condition, described as feeling like foreign claws piercing the intestine, hot as fire... [text missing].
Washed with cork decoction... [text missing].
Emerged all at once... [text missing].