论曰气痔者,因便下血,或肛头肿凸,良久乃收,风也。此由邪毒瓦斯蕴积肠间,及恚怒
不节,酒食过伤,令下部气涩壅结而成。
治肠风下血,及脱肛等疾,久不瘥者。栝蒌丸方
栝蒌(大者二枚) 皮(大者二枚以上二味盛于瓶内烧令存性) 白矾 绿矾(二味
各于
姜同杵烂捏
十五枚瓶内烧存性
上一十二味,捣罗为末,以米醋煮面糊和丸,梧桐子大。每服二十丸,米饮下,日三。
治气痔,大便秘涩,下血脱肛。乌蛇黄 丸方
乌蛇(酒浸炙取肉五两) 黄 (一两半) 大黄(锉炒) 大麻子仁(炒各二两) 独
活(去
一两半) 羚
上一十二味,捣罗为末,炼蜜和丸,小豆大。空心温酒下二十丸,以利为度,未快利,
即加丸数。
治气痔,下部肿痛生疮,脱肛不收。 皮丸方
皮(烧灰三两) 续断 槐实(微炒) 黄 (切焙) 白矾(熬令汁尽) 连翘(各
三分) 生干地黄(焙) 当归(切焙各一两半) 干姜(炮) 附子(炮裂去皮脐各半两)
上一十味,捣罗为末,炼蜜和丸,梧桐子大。每服二十丸,陈米饮下,日三五服。
治大肠热结,成气痔。黄 散方
黄 (锉二两半) 苦参 玄参(各三两) 附子(炮裂去皮脐一两半) 大黄(锉炒
一两半)
(一具烧焦)
上一十味,捣罗为散,每服二钱匕,空心米饮调下,日晚再服。
治肠风五痔下鲜血,多秘结疼痛,成气痔者。槐豆散方
槐豆(炒二两) 皂荚子(仁三分炒) 枳壳(去瓤麸炒) 防风(去叉) 桑耳(各
一两)
上五味,捣罗为散,每服二钱匕,煎樗根汤调下,日三。
治气痔,大便涩。威灵仙丸方
威灵仙(去土) 乳香(研) 枳壳(去瓤麸炒各一两)
上三味,捣罗为末,以粟米饭和丸,梧桐子大。每服十五丸,米饮下,日三。
治因气成痔 。卷柏散方
卷柏 枳壳(去瓤麸炒) 猪牙(皂荚各一两)
上三味,入一小藏瓶内,以盐泥固济,慢火烧透,去火和瓶于湿地上,用黄土罨一复时
,取出药入麝香一钱,同研极细。每服二钱匕,温酒调下,不拘时候。
治气痔。 皮散方
皮(一枚烧焦) 桂(去粗皮一两) 磁石(火烧醋淬十遍四两)
上三味,捣罗为散,空心米饮调下二钱匕,日晚再服。
治气痔下血,肛边疼痛。圣功丸方
鸡冠花(焙) 臭椿皮(炙锉各二两)
上二味,捣罗为末,炼蜜和丸,梧桐子大。每服二十丸,黄 汤下,不拘时。
治气痔下浓血。白矾丸方
白矾(熬令汁枯) 附子(炮裂去皮脐各一两)
上二味,捣罗为末,炼蜜和丸,梧桐子大。空心温酒下十丸,日晚再服。
治气痔脱肛不收,或生鼠乳,时复血出,久不瘥者。必效丸方
枳壳(去瓤麸炒) 黄 (锉各一两)
上二味,捣罗为末,以陈米饭和丸,梧桐子大。空心食前米饮下三十丸。
治气痔脱肛。熏熨方
枳壳(去瓤麸炒) 防风(去叉各一两) 白矾(熬令汁枯一分研)
上三味,除白矾外,捣为粗末,入白矾拌匀,水三碗,煎至二碗,乘热熏之,仍以软帛
蘸汤熨之,通手即淋洗。
治气痔脱肛良久乃收。掺药方
海螵蛸(研) 染燕脂(研各半两)
上二味,各为末,仍同研匀,先以温汤洗略拭,干掺药少许。
治大肠风壅,积滞不通,变成气痔疼痛。黄 汤方
黄 (锉半两) 当归(切焙) 大黄(锉焙) 槟榔(煨锉各一两) 枳实(炒) 防
己木香
上八味,粗捣筛,每服五钱匕,水一盏半,煎至八分,去滓温服。
论述说:所谓气痔,是因为排便时出血,或者肛门肿起突出,很久才能回纳,这属于风邪所致。这是由于邪毒之气蕴结积聚在肠道之间,加上愤怒情绪没有节制,饮酒饮食过度损伤,导致下部气机涩滞、壅塞郁结而形成的。
治疗肠风下血,以及脱肛等疾病,长期不愈的。栝蒌丸方
栝蒌(大的两枚) 蛇蜕(大的两枚以上这两味药盛放在瓶内烧至保留药性) 白矾 绿矾(这两味药各与生姜一同捣烂捏碎,放入瓶内烧至保留药性)
以上十二味药,捣碎过筛成粉末,用米醋煮面糊调和做成丸剂,大小如梧桐子。每次服用二十丸,米汤送服,每日三次。
治疗气痔,大便秘结涩滞,便血脱肛。乌蛇黄丸方
乌梢蛇(酒浸后炙取肉五两) 黄芪(一两半) 大黄(锉碎炒制) 火麻仁(炒制各二两) 独活(去芦头一两半) 羚羊角(...原文此处有缺漏,依上下文推测为药材之一,但根据“上一十二味”及前文列举,此处仅列出部分或原文残缺,按现有文本翻译)
以上十二味药,捣碎过筛成粉末,用炼蜜调和做成丸剂,大小如小豆。空腹时用温酒送服二十丸,以大便通畅为度,如果未感到畅快,就增加丸数。
治疗气痔,下部肿痛生疮,脱肛不能回纳。蛇蜕皮丸方
蛇蜕皮(烧成灰三两) 续断 槐实(微炒) 黄芪(切后焙干) 白矾(熬至汁液尽) 连翘(各三分) 生干地黄(焙干) 当归(切后焙干各一两半) 干姜(炮制) 附子(炮裂去皮脐各半两)
以上十味药,捣碎过筛成粉末,用炼蜜调和做成丸剂,大小如梧桐子。每次服用二十丸,陈米汤送服,每日三到五次。
治疗大肠热结,形成气痔。黄芪散方
黄芪(锉碎二两半) 苦参 玄参(各三两) 附子(炮裂去皮脐一两半) 大黄(锉碎炒制一两半) ...(原文此处有缺漏,依“上一十味”推断还有其他五味,但文本中仅列出一具烧焦之物,可能是某动物药或植物药,依原文直译) (一具烧焦)
以上十味药,捣碎过筛成散剂,每次服用二钱匕,空腹时用米汤调下,晚上再服一次。
治疗肠风五痔下鲜血,多伴有秘结疼痛,形成气痔的。槐豆散方
槐树种子(炒制二两) 皂荚子(仁三分炒制) 枳壳(去瓤麸炒) 防风(去叉枝) 桑耳(各一两)
以上五味药,捣碎过筛成散剂,每次服用二钱匕,煎煮樗根汤调下,每日三次。
治疗气痔,大便涩滞。威灵仙丸方
威灵仙(去泥土) 乳香(研细) 枳壳(去瓤麸炒各一两)
以上三味药,捣碎过筛成粉末,用粟米饭调和做成丸剂,大小如梧桐子。每次服用十五丸,米汤送服,每日三次。
治疗因气滞形成的痔疮。卷柏散方
卷柏 枳壳(去瓤麸炒) 猪牙皂(皂荚各一两)
以上三味药,放入一个小瓷瓶内,用盐泥密封固定,慢火烧透,去掉火源后将瓶子放在湿地上,用黄土覆盖一个时辰,取出药物加入麝香一钱,共同研磨极细。每次服用二钱匕,温酒调下,不拘时间。
治疗气痔。蛇蜕皮散方
蛇蜕皮(一枚烧焦) 桂枝(去粗皮一两) 磁石(火烧后醋淬十遍四两)
以上三味药,捣碎过筛成散剂,空腹时用米汤调下二钱匕,晚上再服一次。
治疗气痔下血,肛门周围疼痛。圣功丸方
鸡冠花(焙干) 臭椿皮(炙后锉碎各二两)
以上两味药,捣碎过筛成粉末,用炼蜜调和做成丸剂,大小如梧桐子。每次服用二十丸,黄芪汤送服,不拘时间。
治疗气痔下脓血。白矾丸方
白矾(熬至汁液枯干) 附子(炮裂去皮脐各一两)
以上两味药,捣碎过筛成粉末,用炼蜜调和做成丸剂,大小如梧桐子。空腹时用温酒送服十丸,晚上再服一次。
治疗气痔脱肛不能回纳,或者生长鼠乳(痔核),时常出血,长期不愈的。必效丸方
枳壳(去瓤麸炒) 黄芪(锉碎各一两)
以上两味药,捣碎过筛成粉末,用陈米饭调和做成丸剂,大小如梧桐子。空腹饭前用米汤送服三十丸。
治疗气痔脱肛。熏熨方
枳壳(去瓤麸炒) 防风(去叉枝各一两) 白矾(熬至汁液枯干一分研细)
以上三味药,除白矾外,捣成粗末,加入白矾拌匀,用水三碗,煎至二碗,趁热气熏蒸患处,仍用软布蘸药汤熨烫患处,温度适宜即淋洗。
治疗气痔脱肛很久才能回纳。掺药方
海螵蛸(研细) 染燕脂(研细各半两)
以上两味药,分别研成粉末,然后共同研磨均匀,先用温水清洗并稍微擦干,撒上少许药粉。
治疗大肠风邪壅盛,积滞不通,变成气痔疼痛。黄芪汤方
黄芪(锉碎半两) 当归(切后焙干) 大黄(锉碎焙干) 槟榔(煨后锉碎各一两) 枳实(炒制) 防己 木香
以上八味药,粗捣过筛,每次服用五钱匕,用水一盏半,煎至八分,去渣温服。
Discourse states: The so-called Qi Hemorrhoids (Qi Zhi) are characterized by bleeding during defecation or prolapse of the anus that takes a long time to retract, which is attributed to Wind pathogen. This condition arises from the accumulation and stagnation of toxic qi in the intestines, combined with uncontrolled anger and excessive consumption of alcohol and food, leading to sluggishness, obstruction, and knotting of qi in the lower body.
Formula for Gualou Wan (Trichosanthes Pill) for treating Intestinal Wind bleeding and diseases such as rectal prolapse that have persisted for a long time without cure.
Gualou (large ones, two pieces), She Tui (Snake Slough, large ones, two pieces or more; these two ingredients are placed in a bottle and burned until their medicinal properties are preserved). Baifan (Alum), Lvfan (Green Alum; these two ingredients are each pounded together with fresh ginger until mushy, then placed in a bottle and burned until their medicinal properties are preserved).
The above twelve ingredients are crushed, sieved into powder, and mixed with a paste made from rice vinegar and flour to form pills the size of Sophora seeds (Wutongzi). Take twenty pills per dose, swallowed with rice water, three times a day.
Formula for Wushe Huangqi Wan (Black Snake and Astragalus Pill) for treating Qi Hemorrhoids, constipation with dry stools, bleeding, and rectal prolapse.
Wushe (Black Snake meat, soaked in wine and roasted, five taels), Huangqi (Astragali Radix, one and a half taels), Dahuang (Rhei Rhizoma, sliced and stir-fried), Damazi Ren (Cannabis Seed, stir-fried, two taels each), Duhuo (Angelicae Pubescentis Radix, removed rhizome, one and a half taels), Lingyangjiao (Saiga Antelope Horn, [text incomplete]).
The above twelve ingredients are crushed, sieved into powder, and mixed with refined honey to form pills the size of adzuki beans. Take twenty pills per dose with warm wine on an empty stomach, adjusting the dosage until bowel movement becomes smooth. If not sufficiently effective, increase the number of pills.
Formula for Shetu Pi Wan (Snake Slough Pill) for treating Qi Hemorrhoids with swelling, pain, and sores in the lower body, and irreducible rectal prolapse.
Shetu Pi (Snake Slough, burnt to ash, three taels), Xuduan (Dipsaci Radix), Huaishi (Fructus Sophorae, slightly stir-fried), Huangqi (Astragali Radix, sliced and dried), Baifan (Alum, boiled until juice is gone), Lianqiao (Forsythiae Fructus, three fen each), Sheng Gan Dihuang (Rehmanniae Radix, dried and roasted), Danggui (Angelicae Sinensis Radix, sliced and dried, one and a half taels each), Ganjiang (Zingiberis Rhizoma, processed), Fuzi (Aconiti Lateralis Radix Praeparata, processed, cracked, skin and umbilicus removed, half a tael each).
The above ten ingredients are crushed, sieved into powder, and mixed with refined honey to form pills the size of Sophora seeds. Take twenty pills per dose with aged rice water, three to five times a day.
Formula for Huangqi San (Astragalus Powder) for treating heat accumulation in the large intestine resulting in Qi Hemorrhoids.
Huangqi (Astragali Radix, sliced, two and a half taels), Kushen (Sophorae Flavescentis Radix), Xuanshen (Scrophulariae Radix, three taels each), Fuzi (Aconiti Lateralis Radix Praeparata, processed, cracked, skin and umbilicus removed, one and a half taels), Dahuang (Rhei Rhizoma, sliced and stir-fried, one and a half taels), [Missing Ingredient] (one unit, burnt until charred).
The above ten ingredients are crushed, sieved into powder. Take two qianbi per dose, mixed with rice water on an empty stomach, and taken again in the evening.
Formula for Huaidou San (Sophora Seed Powder) for treating Intestinal Wind and the Five Hemorrhoids with bright red blood, often accompanied by constipation and pain, resulting in Qi Hemorrhoids.
Huaidou (Sophora Seed, stir-fried, two taels), Zhaojiazi (Gleditsiae Sinensis Fructus Kernel, kernel three fen, stir-fried), Zhike (Aurantii Fructus, pith removed, bran-stir-fried), Fangfeng (Saposhnikoviae Radix, twigs removed), Sang'er (Tremellae Aurantii, one tael each).
The above five ingredients are crushed, sieved into powder. Take two qianbi per dose, mixed with decoction of Chugen (Buckthorn Root), three times a day.
Formula for Weilingxian Wan (Clematis Pill) for treating Qi Hemorrhoids with dry stools.
Weilingxian (Clematidis Radix et Rhizoma, cleaned of soil), Ruxiang (Olibanum, ground), Zhike (Aurantii Fructus, pith removed, bran-stir-fried, one tael each).
The above three ingredients are crushed, sieved into powder, and mixed with millet rice to form pills the size of Sophora seeds. Take fifteen pills per dose with rice water, three times a day.
Formula for Juanbai San (Selaginella Powder) for treating hemorrhoids caused by Qi stagnation.
Juanbai (Selaginellae Herba), Zhike (Aurantii Fructus, pith removed, bran-stir-fried), Zhuya (Gleditsiae Sinensis Fructus, one tael each).
The above three ingredients are placed in a small porcelain bottle, sealed with salt mud, and slowly fired through. Remove from fire, place the bottle on wet ground, cover with yellow earth for one shichen (two hours), take out the medicine, add Shexiang (Moschus, one qian), and grind together extremely finely. Take two qianbi per dose, mixed with warm wine, at any time.
Formula for Shetu Pi San (Snake Slough Powder) for treating Qi Hemorrhoids.
Shetu Pi (Snake Slough, one piece, burnt until charred), Gui (Cinnamomi Ramulus, bark removed, one tael), Cishi (Magnetitum, fired and quenched in vinegar ten times, four taels).
The above three ingredients are crushed, sieved into powder. Take two qianbi per dose mixed with rice water on an empty stomach, and taken again in the evening.
Formula for Shenggong Wan (Holy Merit Pill) for treating Qi Hemorrhoids with bleeding and pain around the anus.
Jiguanhua (Celosiae Cristatae Flos, dried), Chouchunpi (Toosendan Cortex, roasted and sliced, two taels each).
The above two ingredients are crushed, sieved into powder, and mixed with refined honey to form pills the size of Sophora seeds. Take twenty pills per dose with Huangqi Decoction, at any time.
Formula for Baifan Wan (Alum Pill) for treating Qi Hemorrhoids with pus and blood discharge.
Baifan (Alum, boiled until dry), Fuzi (Aconiti Lateralis Radix Praeparata, processed, cracked, skin and umbilicus removed, one tael each).
The above two ingredients are crushed, sieved into powder, and mixed with refined honey to form pills the size of Sophora seeds. Take ten pills per dose with warm wine on an empty stomach, and taken again in the evening.
Formula for Bixiao Wan (Must-Efficacious Pill) for treating Qi Hemorrhoids with irreducible rectal prolapse, formation of "rat breasts" (hemorrhoidal nodules), intermittent bleeding, and chronic non-healing.
Zhike (Aurantii Fructus, pith removed, bran-stir-fried), Huangqi (Astragali Radix, sliced, one tael each).
The above two ingredients are crushed, sieved into powder, and mixed with aged rice to form pills the size of Sophora seeds. Take thirty pills per dose with rice water before meals on an empty stomach.
Moxibustion and Fomentation Formula for treating Qi Hemorrhoids with rectal prolapse.
Zhike (Aurantii Fructus, pith removed, bran-stir-fried), Fangfeng (Saposhnikoviae Radix, twigs removed, one tael each), Baifan (Alum, boiled until dry, one fen, ground).
Except for Baifan, the above three ingredients are crushed into coarse powder, mixed evenly with Baifan. Add three bowls of water, boil down to two bowls. Use the steam to fumigate the affected area, then use soft cloth dipped in the hot liquid to foment the area. Wash with the liquid when the temperature is tolerable.
Powder Formula for treating Qi Hemorrhoids with rectal prolapse that takes a long time to retract.
Haipiaoxiao (Sepiae Endoconcha, ground), Ranyanzhi (Minium, ground, half a tael each).
The above two ingredients are each ground into powder, then mixed thoroughly. First wash with warm water and pat dry, then apply a small amount of the powder.
Decoction Formula for treating large intestine wind obstruction, accumulation and stagnation not passing, transforming into painful Qi Hemorrhoids.
Huangqi (Astragali Radix, sliced, half a tael), Danggui (Angelicae Sinensis Radix, sliced and dried), Dahuang (Rhei Rhizoma, sliced and dried), Binglang (Arecae Semen, baked and sliced, one tael each), Zhishi (Aurantii Fructus Immaturus, stir-fried), Fangji (Stephaniae Tetrandrae Radix), Muxiang (Aucklandiae Radix).
The above eight ingredients are coarsely crushed and sifted. Take five qianbi per dose, add one and a half bowls of water, boil down to eight-tenths, remove dregs, and take warm.