截肠者脱肛症也。气虚者用参、 、归、术。血虚者用归、芍。第虚热者加以黄柏。下陷者佐以升麻。外用薄
荷煎汤洗之。陈年酱萝卜切片托之。自效。但其所异者。有已收些须。余者渐渐结痂。偶尔脱落者。截肠
症也。无妨。脱落自愈。
便痈生小腹之下。夹缝之间。乃精气所出之道路。属足厥阴肝经之分野。又为冲任督三经之隧道。其
经多血。故名血疝。俗呼便毒。为不便处而生毒也。破为鱼口。为行动开合。如鱼口也。若横 则生于夹
缝之上矣。前贤云。因触景动心。梦而不泄。由精血交滞而成。孙为果如此论。则僧尼、官人、旷夫、孀妇。多
患此耶。盖此症必由野合。妓女阴器不洁。淫火传染所致。或有云。因劳倦虚火冲动。精气移外。交滞而
成者。若因劳倦而得者。则行立作痛。坐卧则止为异耳。虽然。劳倦者百中一二而已。由野合者。宜先散
腠肤所感之邪。透骨搜风散。次去肝肾经络之毒。加味神授散。外以阳燧锭子灸之。绀珠膏贴之。如已
成者托之。芙蓉内托散。或补中益气汤。加射干。溃而不穿者。加味透脓散。溃而不敛者。加味大补汤。因
劳倦而得者。补中益气汤加穿山甲。因房劳不节者。六味地黄汤加桃仁倍牛膝。因强固其精者。五苓
散（白术茯苓猪苓泽泻肉桂各一钱）加牛膝二两。水煎。加酒服。
脾血痛者。妇人之症也。其状则小腹结块。或如所梗。或两拗与人门俱肿。小便淋漓者是也。宜双解散。
如经脉不调。内热口渴。食少肋胀。盗汗白带。寒热往来。脉细而数者。虚也。加味逍遥散、加味归脾汤调
理。小腹重坠者。补中益气汤加青皮、栀子、茯苓、车前子。
截肠症即脱肛证。气虚者使用人参、[缺字]、当归、白术。血虚者使用当归、白芍。若有虚热则加入黄柏。若伴有中气下陷则辅以升麻。外用薄荷煎汤清洗患处，用陈年酱萝卜切片托举肛门，自有疗效。但其中有所不同的情况是：部分已回纳，其余逐渐结痂，偶尔脱落的是截肠症，无妨碍，可自行愈合脱落。
便痈生于小腹之下，两腿夹缝之间，这是精气排出的通道，归属于足厥阴肝经的循行部位，又是冲脉、任脉、督脉三条经脉的交通要道。该处经络多血，所以称为血疝，俗称便毒，意为在隐蔽不便之处生毒。破溃后形如鱼口，因行走时开合如同鱼口而得名。若是横生的便痈，则生于夹缝之上。前贤说：因触景动心，做梦而未泄精，导致精血交结阻滞而成。如果孙真人果真是这样论述的，那么僧尼、官员、单身男子、寡妇岂不是大多患此病吗？大概这种病症必定是由野外苟合所致，妓女阴器不洁，淫火传染引起。也有人说，因劳累疲倦导致虚火冲动，精气移于外，交结阻滞而成。如果是因劳累疲倦而得的，那么站立行走时疼痛，坐卧时停止，只是表现不同罢了。虽然如此，因劳累疲倦而得的仅占百中一二。由野外苟合引起的，宜先疏散腠理肌肤所感受的邪气，用透骨搜风散；其次清除肝肾经络中的毒邪，用加味神授散。外用阳燧锭子灸治，贴敷绀珠膏。如果已经成脓，则用芙蓉内托散托毒外出，或用补中益气汤加射干。溃破但未穿透者，用加味透脓散。溃破后伤口不收敛者，用加味大补汤。因劳累疲倦而得的，用补中益气汤加穿山甲。因房事不节制而得的，用六味地黄汤加桃仁，倍量牛膝。因强行固摄精气（禁欲）而得的，用五苓散（白术、茯苓、猪苓、泽泻、肉桂各一钱），加牛膝二两，水煎服，加酒送服。
脾血痛是妇女特有的病症。其症状是小腹结块，或者感觉有梗塞感，或者两侧大腿根部与肛门周围都肿胀，小便淋漓不尽。宜用双解散。如果月经不调，内有热象口渴，饮食减少，胁肋胀满，盗汗，白带多，寒热往来，脉细而数，属于虚证。用加味逍遥散、加味归脾汤调理。小腹沉重坠胀者，用补中益气汤加青皮、栀子、茯苓、车前子。
Jiechang syndrome (Intercalation Syndrome) is prolapse of the rectum. For Qi deficiency, use Renshen (Ginseng), [missing character], Danggui (Angelica Sinensis), and Baizhu (Atractylodes Macrocephala). For Blood deficiency, use Danggui (Angelica Sinensis) and Shaoyao (Peony). If there is deficient heat, add Huangbai (Phellodendron Bark). If there is sinking of Qi, assist with Shengma (Cimicifuga Rhizome). Externally, wash with a decoction of Bohe (Mint). Place slices of aged pickled radish to support the anus; this yields effective results. However, there are differences: if part has already retracted and the rest gradually forms scabs, occasionally falling off, it is Jiechang syndrome (Intercalation Syndrome); this is harmless and will heal and fall off spontaneously.
Bianyong (Perineal Abscess) arises below the lower abdomen, in the perineal cleft. This is the pathway where essence exits, belonging to the territory of the Foot-Jueyin Liver Meridian, and is also a tunnel for the Chong, Ren, and Du meridians. These meridians are rich in blood, hence named Xueshan (Blood Hernia), commonly called Biandu (Genital Swelling), meaning a toxin arising in an inconvenient place. When it ruptures, it resembles a fish's mouth; due to its opening and closing during movement like a fish's mouth, it gets this name. If it grows horizontally, it arises above the cleft. Former sages stated: "Due to being moved by scenery, dreaming without ejaculation, resulting from the stagnation of essence and blood." If Sun Simiao indeed argued thus, would monks, nuns, officials, bachelors, and widows not mostly suffer from this? Essentially, this syndrome must be caused by illicit intercourse; unclean genitalia of prostitutes transmit "libidinal fire." Some say it is caused by fatigue and exhaustion stirring up deficient fire, causing essence to shift outward and stagnate. If obtained through fatigue, pain occurs upon standing and walking, ceasing when sitting or lying down; this is merely a difference in presentation. Although so, cases due to fatigue account for only one or two in a hundred. For those caused by illicit intercourse, first disperse pathogens felt in the cou-li (skin and interstices) using Tougu Soufeng San (Bone-Penetrating Wind-Searching Powder); then remove toxins from the Liver and Kidney meridians using Jiawei Shenshou San (Modified Divine Bestowal Powder). Externally, moxa-burn with Yangsui Dingzi (Yang-Sun Moxa Plug) and apply Zhanzhu Gao (Green Pearl Ointment). If pus has formed, use Furong Neituo San (Hibiscus Internal-Expulsion Powder) or Buzhong Yiqi Tang (Middle-Warmer Boosting Qi Decoction) plus Shegan (Belamcanda Rhizome). If ulcerated but not perforated, use Jiawei Tonong San (Modified Puncture-Pus Powder). If ulcerated but not healing, use Jiawei Dabu Tang (Modified Great-Nourishing Decoction). For those caused by fatigue, use Buzhong Yiqi Tang (Middle-Warmer Boosting Qi Decoction) plus Chuanshanjia (Pangolin Scales). For those caused by sexual excess, use Liuwei Dihuang Tang (Six-Ingredient Rehmannia Pill) plus Taoren (Peach Kernel), doubling the dose of Niuxi (Achyranthes Root). For those caused by forced retention of essence (abstinence), use Wuling San (Five-Ingredient Powder) [Baizhu, Fuling, Zhuling, Zexie, Rougui each 1 qian], plus Niuxi (Achyranthes Root) 2 liang, decocted in water, taken with wine.
Pixuetong (Spleen-Blood Pain) is a condition specific to women. Its presentation involves a mass in the lower abdomen, or a sensation of obstruction, or swelling of both thighs near the entrance and the anus, accompanied by dribbling urination. Use Shuangjie San (Double-Release Powder). If menstruation is irregular, with internal heat, thirst, poor appetite, hypochondriac distension, night sweats, leukorrhea, alternating chills and fever, and a fine, rapid pulse, it is a deficiency pattern. Regulate with Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) and Jiawei Guipi Tang (Modified Heart-Spleen Nourishing Decoction). For heavy bearing sensation in the lower abdomen, use Buzhong Yiqi Tang (Middle-Warmer Boosting Qi Decoction) plus Qingpi (Green Tangerina Peel), Zhizi (Gardenia Fruit), Fuling (Poria), and Cheqianzi (Plantago Seed).