槐花(炒) 侧柏叶 荆芥穗 枳壳(麸炒,等分)
共为末,每服三钱,空心下。
肠风、脏毒下血,此方主之。
槐花、侧柏能凉大肠之血,荆芥、枳壳能疗大肠之风。风热相搏者治之良。
黄连(十二两) 好酒(五升)
煮干,为末作丸。每服三钱。
湿热酒毒令人便血者,此方主之。
黄连,苦寒枯燥之物也。苦寒故能胜热,枯燥故能胜湿。而必煮以酒者,非酒不能引之
入血也。
侧柏叶(一味,春东、夏南、秋西、冬北取来。)
烧灰调下三钱。
脏毒下血不止者,此方主之。
脏毒之初宜凉血,凉血皆苦寒之药,久久则气寒,而血益不固矣。法曰∶涩可以固脱,
故用柏灰之涩以止之。四时采之,必辨其方者,取其得气之浓也。他如干柿饼烧灰亦良。
人参(去芦) 樗根白皮(等分)
每末三钱。
脏毒挟热下血,日久不止者,此方主之。
脏毒,肠毒也。挟热者,谓挟客热与饮酒之类也。日久不止,则气亦虚,而不足以固血
矣,故用人参之甘以补气,樗根之涩以固血。补以举之,涩以劫之,杂霸之治也。
叙曰∶脱肛,一也,有寒热之判焉。又能进之而辨气血中之寒热,则精艺者也。今考古
方三首,表其要者尔。
人参 黄 川芎 当归 升麻
久泻脱肛者,此方主之。
泻久则伤气,下多则亡阴,是气血皆亏矣,故令广肠虚脱。气不足者,补之以甘温,故
用参、 。阴不足者,养之以浓味,故用芎、归。下者举之,故用升麻。
槐花(炒制)、侧柏叶、荆芥穗、枳壳(麸炒,各等份)
共同研磨成粉末,每次服用三钱,空腹时送服。
肠风、脏毒引起的便血,此方主治。
槐花、侧柏能清泄大肠之血热,荆芥、枳壳能疏理大肠之风邪。对于风热相搏结的病证,治疗效果好。
黄连(十二两)、好酒(五升)
煮至酒干,研磨成粉末制成丸剂。每次服用三钱。
湿热与酒毒导致的大便下血,此方主治。
黄连,是苦寒且枯燥的药物。苦寒所以能胜热,枯燥所以能胜湿。而必须用酒煮的原因,是因为非酒不能引导药力进入血分。
侧柏叶(单味药,春季从东方采、夏季从南方采、秋季从西方采、冬季从北方采。)
烧成灰后调服三钱。
脏毒引起的大便下血不止者,此方主治。
脏毒初起宜凉血,凉血多用苦寒药物,久用则寒气伤气,导致血液更加不固。医法说:涩味可以固摄脱失,所以用侧柏灰的涩性来止血。四季采集时,必须辨别方位,是为了获取其得气浓郁的特性。其他的如干柿饼烧成灰也良好。
人参(去芦头)、樗根白皮(各等份)
研为细末,每次服用三钱。
脏毒挟热引起的大便下血,日久不止者,此方主治。
脏毒,即肠道毒素。挟热,是指挟带客热或饮酒等因素。日久不止,则正气亦虚,不足以固摄血液,所以用人参的甘味以补气,樗根的涩味以固血。补益以提升清气,涩敛以劫夺止血,这是杂霸的治疗方法。
叙曰:脱肛,是一种病,但有寒热之分。若能进一步辨别气血中的寒热,则是精通医术的表现。现在考证古方三首,列出其主要内容罢了。
人参、黄芩(原文“黄”疑为黄芩或黄芪,结合语境及常见配伍,此处依原文译作“黄”,但在中医知识中通常指代具体药材,鉴于后文有“川芎 当归”,前文“人参 黄”极可能漏字,根据《医方考》原书及补中益气汤意,多为黄芪或黄芩,此处严格按原文“黄”处理,但需知其在方剂中常指黄芪或黄芩,考虑到“久泻脱肛”多属气虚下陷,常用黄芪,然原文仅一字,故译为“黄”)、川芎、当归、升麻
久泻导致的脱肛,此方主治。
腹泻日久则损伤正气,下部出血过多则亡阴,导致气血皆亏,从而使广肠(直肠)虚脱。气不足者,用甘温之品补益,所以用人参、黄。阴不足者,用浓味之品滋养,所以用川芎、当归。下陷者提升举之,所以用升麻。
Huaisheng (Stir-fried with heat), Cebaiye (Biota Tops), Jingjiesui (Schizonepeta Spikes), Zhike (Aurantium Fructus, stir-baked with bran, equal parts)
Grind all into powder. Take 3 qian per dose, administered on an empty stomach.
This formula is indicated for hematochezia caused by Changfeng (Intestinal Wind) and Zangdu (Visceral Toxin).
Huaisheng and Cebaiye can cool the blood of the Large Intestine; Jingjie and Zhike can treat wind in the Large Intestine. It is effective for conditions where wind and heat struggle against each other.
Huanglian (Coptidis Rhizoma, 12 liang), Haojiu (Good wine, 5 sheng)
Boil until the wine is dry, grind into powder, and make into pills. Take 3 qian per dose.
This formula is indicated for hematochezia caused by damp-heat and alcohol toxin.
Huanglian is a bitter, cold, and drying substance. Its bitterness and coldness overcome heat; its dryness overcomes dampness. The reason it must be boiled with wine is that only wine can guide the medicine into the blood level.
Cebaiye (Single herb: harvested from the East in Spring, South in Summer, West in Autumn, North in Winter.)
Burn to ash, mix with water or appropriate liquid, and take 3 qian.
This formula is indicated for persistent hematochezia due to Zangdu (Visceral Toxin).
In the early stage of Zangdu, cooling blood is appropriate. Cooling blood agents are mostly bitter and cold; prolonged use leads to cold qi, making the blood even less secure. The method states: "Astringency can consolidate prolapse." Therefore, the astringent property of Biota ash is used to stop bleeding. When harvesting in four seasons, directions must be distinguished to obtain the concentrated qi. Dried persimmon cake burned to ash is also good.
Renshen (Ginseng Radix et Rhizoma, rhizome removed), Chugenbaipi (Toosendan Cortex albus, equal parts)
Grind into fine powder. Take 3 qian per dose.
This formula is indicated for hematochezia due to Zangdu with heat, persisting for a long time.
Zangdu refers to intestinal toxin. "With heat" implies carrying external heat or factors like drinking alcohol. If it persists for a long time, qi becomes deficient and insufficient to secure the blood. Therefore, the sweetness of Renshen is used to tonify qi, and the astringency of Chugen is used to secure blood. Tonification lifts, astringency seizes; this is a mixed/hegemonic treatment method.
Preface: Rectal proluo (Tuogang) is one disease, but there is a distinction between cold and heat. One who can further distinguish cold and heat within qi and blood is considered highly skilled. Here, three ancient formulas are examined, and their essentials are presented.
Renshen (Ginseng Radix et Rhizoma), Huang (likely Huangqi or Huangqin, literally "Yellow"), Chuanxiong (Ligusticum Rhizome), Danggui (Angelicae Sinensis Radix), Shengma (Cimicifugae Rhizome)
This formula is indicated for rectal prolapse due to chronic diarrhea.
Chronic diarrhea injures qi; excessive lower loss destroys yin, leading to deficiency of both qi and blood, causing the Guangchang (Large Intestine/Rectum) to vacate and prolapse. For qi deficiency, tonify with sweet-warm substances; thus, Renshen and Huang are used. For yin deficiency, nourish with rich/flavorful substances; thus, Chuanxiong and Danggui are used. For sinking conditions, lift them up; thus, Shengma is used.