夫痔肛边生核寒热者。由大肠风虚。中焦积热。蕴蓄既久。不得宣通。下攻肛肠。结聚
生核。疼痛下血肿硬。或有头不消。故令寒热。亦曰肠痔也。
治痔肛边生结核。发寒热。及疼痛不止。丹参散方。
丹参（三分） 皮〔一两炙令香（黄）焦〕 蛇蜕皮（一两烧灰） 当归（三分锉微
炒） 露
蜂
房（三分微炒） 木香（三分） 猪后悬蹄甲（一两炙令焦） 鳖甲（三分涂醋炙令黄去裙
）
上件药。捣细罗为散。每于食前。以黄 汤调下二钱。
治痔。肛边生结核。肿硬疼痛。发歇寒热。葫荽子散方。
葫荽子（一两微炒） 枳壳（一两麸炒微黄去瓤） 当归（一两锉微炒） 皂荚子仁（一
两微
炒） 郁李仁（一两汤浸去皮微炒别研入）
上件药。捣细罗为散。每于食前。以粥饮调下二钱。
治痔。肛边生结核。疼痛寒热。鳖甲散方。
鳖甲（一两涂醋炙令黄去裙 ） 皮（一两炙令微黄） 蛇蜕皮（三分烧灰） 露蜂
房（三
分微炙） 槟榔（三分） 麝香（一分细研）
上件药。捣细罗为散。每于食前。以粥饮调下二钱。
治痔疾。肛边生核。有头。牵引疼痛。寒热。 皮丸方。
皮（一两炙令焦黄） 槐木耳（一两微炒） 附子（一两炮裂去皮脐） 当归（一两
锉微炒）
赤芍药（一两） 桑根白皮（一两锉） 白矾（一两烧灰） 楮树根白皮（一两锉）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每于食前。以粥饮下三十丸。
治痔疾。肛边有结核。寒热疼痛。日夜不歇。皂荚丸方。
皂荚〔四枚（挺）去黑皮及子〕 栝蒌（一枚） 皮（二两） 白矾（二两）
上件药。都锉碎。入瓷瓶子内。烧令烟尽。冷了研为末。炼蜜和丸。如梧桐子大。每于
食前。以温水下二十丸。
治痔疾。肛门边结核。寒热。疼痛不可忍。天灵盖散（贴）方。
天灵盖（半两炙黄） 桃仁（半两汤浸去皮尖双仁研） 薰陆香（半两） 麝香（一分
细研）
上件药。捣细罗为散。以猪脂。取萎葱根一分。研调如膏。涂于故帛上贴之。
治痔疾。肛边生结核。楚痛。寒热不可忍。坐药方。
当归（一两锉微炒） 杏仁（三分煮软去皮别研如膏） 白芷（一两） 桂心（三分） 芸
苔子
（一两微炒）
上件药。捣细罗为散。以醋面和作饼子。坐之。五七度瘥。
治肺脏虚寒劳损。肠中生痔。肛边有结核。疼痛。发作增寒壮热。肠多挺出。良久
（乃）缩。宜服此膏方。
猪后悬蹄甲（三枚炙令焦） 梧桐白皮（二两） 龙胆（一两去芦头） 桑根白皮（一
两） 蛇
蜕皮（一两烧灰为末） 雄黄（半两细研） 青竹茹（三分） 柏白皮（一两） 露蜂房（三
分炙微
黄） 川椒（半两去目及闭口者微炒去汗） 皮（一两炙令黄） 附子（一两炮裂去皮脐）
杏仁（半两汤浸去皮尖双仁捣如膏）
上件药。都细锉。用绵都包裹。以酽醋三升。浸一宿出之。以炼成猪脂三升。入药绵包
子。及蛇皮雄黄杏仁。微火煎之。可减一半以来。沥干药包子。收膏于不津器中。每于食前
。以温粥饮调下半匙。
又方。
鳖头（一分炙令黄） 铁精（一分） 麝香（半钱）
上件药。都研如粉。日三五度。贴于痔上。
又方。
砒霜（一分） 甜葶苈（一分微炒令香） 蜣螂（一两微炙取腹下肉）
上件药。都研为末。炼蜜和丸。如莲子大。绵裹一丸。纳下部。不觉急逼。但且忍之。
待苦急。可上盆子泻下恶脓。去病根本。
痔疮伴有肛周生核、寒热症状的成因，是由于大肠风虚，中焦积热，蕴蓄日久，不得宣通，下攻肛肠，结聚生核，导致疼痛、下血、肿硬。有的痔核有头而不能消退，因此引起寒热症状，这也称为肠痔。
治疗痔疮肛边生结核，发作寒热，以及疼痛不止的丹参散方：
丹参（三分） 黄皮（一两，炙至香焦黄） 蛇蜕皮（一两，烧成灰） 当归（三分，锉碎微炒） 露蜂房（三分，微炒） 木香（三分） 猪后悬蹄甲（一两，炙至焦） 鳖甲（三分，涂醋炙至黄色，去裙边）
以上药物，捣细过筛为散剂。每次在饭前，用黄酒调服二钱。
治疗痔疮，肛边生结核，肿硬疼痛，间歇性发作寒热的葫荽子散方：
葫荽子（一两，微炒） 枳壳（一两，麸炒微黄，去瓤） 当归（一两，锉碎微炒） 皂荚子仁（一两，微炒） 郁李仁（一两，汤浸去皮，微炒，另研入药）
以上药物，捣细过筛为散剂。每次在饭前，用米粥汁调服二钱。
治疗痔疮，肛边生结核，疼痛寒热的鳖甲散方：
鳖甲（一两，涂醋炙至黄色，去裙边） 黄皮（一两，炙至微黄） 蛇蜕皮（三分，烧成灰） 露蜂房（三分，微炙） 槟榔（三分） 麝香（一分，细研）
以上药物，捣细过筛为散剂。每次在饭前，用米粥汁调服二钱。
治疗痔疾，肛边生核，有头，牵引疼痛，寒热的黄皮丸方：
黄皮（一两，炙至焦黄） 槐木耳（一两，微炒） 附子（一两，炮裂，去皮脐） 当归（一两，锉碎微炒） 赤芍药（一两） 桑根白皮（一两，锉碎） 白矾（一两，烧成灰） 楮树根白皮（一两，锉碎）
以上药物，捣罗为末，炼蜜和丸，如梧桐子大小。每次在饭前，用米粥汁送服三十丸。
治疗痔疾，肛边有结核，寒热疼痛，日夜不停歇的皂荚丸方：
皂荚（四枚，挺状，去黑皮及子） 栝蒌（一枚） 黄皮（二两） 白矾（二两）
以上药物，都锉碎，放入瓷瓶内，烧至烟尽，冷却后研为末，炼蜜和丸，如梧桐子大小。每次在饭前，用温水送服二十丸。
治疗痔疾，肛门边结核，寒热，疼痛不可忍受的天灵盖散（贴）方：
天灵盖（半两，炙黄） 桃仁（半两，汤浸去皮尖，双仁者研） 薰陆香（乳香）（半两） 麝香（一分，细研）
以上药物，捣细过筛为散剂，用猪脂，取萎葱根一分，研调如膏状，涂在旧帛上贴敷患处。
治疗痔疾，肛边生结核，剧烈疼痛，寒热不可忍受的坐药方：
当归（一两，锉碎微炒） 杏仁（三分，煮软去皮，另研如膏） 白芷（一两） 桂心（三分） 芸苔子（油菜籽）（一两，微炒）
以上药物，捣细过筛为散剂，用醋面和作饼子，坐于其上。五到七次可痊愈。
治疗肺脏虚寒劳损，肠中生痔，肛边有结核，疼痛，发作时增寒壮热，肠多挺出，良久乃缩的情况，宜服此膏方：
猪后悬蹄甲（三枚，炙至焦） 梧桐白皮（二两） 龙胆（一两，去芦头） 桑根白皮（一两） 蛇蜕皮（一两，烧灰为末） 雄黄（半两，细研） 青竹茹（三分） 柏白皮（一两） 露蜂房（三分，炙微黄） 川椒（半两，去目及闭口者，微炒去汗） 黄皮（一两，炙至黄） 附子（一两，炮裂，去皮脐） 杏仁（半两，汤浸去皮尖，双仁捣如膏）
以上药物，都细锉，用绵包裹，用浓醋三升，浸泡一夜取出。用炼成的猪脂三升，放入药绵包，以及蛇皮、雄黄、杏仁，微火煎之，药液可减少一半左右。滤干药包，将膏收在不透水的容器中。每次在饭前，用温粥汁调服半匙。
又一方：
鳖头（一分，炙至黄） 铁精（一分） 麝香（半钱）
以上药物，都研如粉，每日三到五次，贴于痔上。
又一方：
砒霜（一分） 甜葶苈（一分，微炒令香） 蜣螂（一两，微炙取腹下肉）
以上药物，都研为末，炼蜜和丸，如莲子大小。用绵裹一丸，纳入下部（肛门），不觉急迫，暂且忍耐。待感到苦急时，可上盆子泻下恶脓，去除病根。
The etiology of hemorrhoids with perianal nodules and alternating chills and fever lies in wind-deficiency of the Large Intestine (Large Intestine) and accumulated heat in the Middle Jiao (Middle Burner). After prolonged accumulation, the pathogenic factors fail to diffuse and unblock, attacking downward into the anal canal. This leads to knotting and aggregation, forming nodules, resulting in pain, hematochezia (blood in stool), swelling, hardness, and sometimes persistent heads that do not resolve, thereby causing chills and fever. This condition is also known as Intestinal Hemorrhoids (Chang Zhi).
Formula for Dan Shen San (Salvia Miltiorrhiza Powder) to treat perianal nodules in hemorrhoids, accompanied by chills and fever, and unceasing pain:
Dan Shen (Radix Salviae Miltiorrhizae) (3 fen), Huang Pi (Cortex Phellodendri / or specific bark context, likely referring to a specific bark given the recurrence, but literally "Yellow Skin/Bark") (1 liang, roasted until fragrant and scorched yellow), She Tui Pi (Exuvia Bombycis / Snake Slough) (1 liang, burnt to ash), Dang Gui (Radix Angelicae Sinensis) (3 fen, sliced and lightly stir-fried), Lu Feng Fang (Nidus Vespae / Hornet's Nest) (3 fen, lightly stir-fried), Mu Xiang (Radix Aucklandiae) (3 fen), Zhu Hou Xuan Ti Jia (Calcar Unguis Porci Posterioris / Hind Hoof Nail of Pig) (1 liang, roasted until scorched), Bie Jia (Carapax et Plastrum Testudinis / Turtle Shell) (3 fen, coated with vinegar and roasted until yellow, remove apron edges).
Crush the above ingredients finely, sift through a fine sieve to make a powder. Before meals, take 2 qian mixed with yellow wine (Huang Jiu).
Formula for Hu Sui Zi San (Coriander Seed Powder) to treat hemorrhoids with perianal nodules, swelling, hardness, pain, and intermittent chills and fever:
Hu Sui Zi (Fructus Coriandri Sativi) (1 liang, lightly stir-fried), Zhi Qiao (Fructus Aurantii Immaturus) (1 liang, bran-stir-fried until slightly yellow, remove pith), Dang Gui (Radix Angelicae Sinensis) (1 liang, sliced and lightly stir-fried), Zao Jia Zi Ren (Semen Gleditsiae Sinensis) (1 liang, lightly stir-fried), Yu Li Ren (Semen Pruni Persicae) (1 liang, soaked in water, skin removed, lightly stir-fried, separately ground and added).
Crush the above ingredients finely, sift through a fine sieve to make a powder. Before meals, take 2 qian mixed with rice broth (Zhou Yin).
Formula for Bie Jia San (Turtle Shell Powder) to treat hemorrhoids with perianal nodules, pain, and chills/fever:
Bie Jia (Carapax et Plastrum Testudinis) (1 liang, coated with vinegar and roasted until yellow, remove apron edges), Huang Pi (Bark) (1 liang, roasted until slightly yellow), She Tui Pi (Exuvia Bombycis) (3 fen, burnt to ash), Lu Feng Fang (Nidus Vespae) (3 fen, lightly roasted), Bing Lang (Arecae Semen / Betel Nut) (3 fen), She Xiang (Moschus / Musk) (1 fen, finely ground).
Crush the above ingredients finely, sift through a fine sieve to make a powder. Before meals, take 2 qian mixed with rice broth.
Formula for Huang Pi Wan (Bark Pills) to treat hemorrhoidal disease with perianal nodules, heads, traction pain, and chills/fever:
Huang Pi (Bark) (1 liang, roasted until scorched yellow), Huai Er Mu (Auricularia Auricula-Judae on Locust Tree) (1 liang, lightly stir-fried), Fu Zi (Radix Aconiti Lateralis Preparata) (1 liang, processed until cracked, skin and navel removed), Dang Gui (Radix Angelicae Sinensis) (1 liang, sliced and lightly stir-fried), Chi Shao Yao (Radix Paeoniae Rubra) (1 liang), Sang Gen Bai Pi (Cortex Mori Radicis) (1 liang, sliced), Bai Fan (Alumen / Alum) (1 liang, burnt to ash), Chu Shu Gen Bai Pi (Cortex Cudrania Tricuspidatae Radicis) (1 liang, sliced).
Grind the above ingredients into powder, mix with refined honey to form pills the size of Sophora seeds. Before meals, take 30 pills with rice broth.
Formula for Zao Jia Wan (Gleditsia Pills) to treat hemorrhoidal disease with perianal nodules, chills, fever, and pain that does not cease day or night:
Zao Jia (Fructus Gleditsiae Sinensis) (4 pods, remove black skin and seeds), Gua Lou (Fructus Trichosanthis) (1 fruit), Huang Pi (Bark) (2 liang), Bai Fan (Alumen) (2 liang).
Coarsely chop all ingredients, place in a porcelain bottle, burn until smoke ceases. Cool and grind into powder. Mix with refined honey to form pills the size of Sophora seeds. Before meals, take 20 pills with warm water.
Formula for Tian Ling Gai San (Human Skull Cap Powder) for external application to treat hemorrhoidal disease with perianal nodules, chills, fever, and unbearable pain:
Tian Ling Gai (Os Cranium Humanum / Human Skull Cap) (0.5 liang, roasted yellow), Tao Ren (Semen Pruni Persicae) (0.5 liang, soaked in water, skin and tips removed, double-kernel ones used, ground), Xun Lu Xiang (Resina Olibani / Frankincense) (0.5 liang), She Xiang (Moschus) (1 fen, finely ground).
Crush the above ingredients finely, sift through a fine sieve. Use lard (Zhu Zhi), take 1 fen of Wei Cong Gen (Radix Allii Tuberosi), grind together into a paste-like consistency. Apply onto old silk cloth and patch it over the affected area.
Formula for Sit Yao (Sitting Medicine) to treat hemorrhoidal disease with perianal nodules, severe pain, and unbearable chills/fever:
Dang Gui (Radix Angelicae Sinensis) (1 liang, sliced and lightly stir-fried), Xing Ren (Semen Pruni Armeniacae) (3 fen, boiled soft, skin removed, separately ground into paste), Bai Zhi (Radix Angelicae Dahuricae) (1 liang), Gui Xin (Cinnamomi Cortex / Cinnamon Bark Heart) (3 fen), Yun Tai Zi (Semen Brassicae Chinensis / Rapeseed) (1 liang, lightly stir-fried).
Crush the above ingredients finely, sift through a fine sieve. Mix with vinegar dough to make cakes. Sit on them. It will heal after 5-7 applications.
For lung deficiency-cold and consumptive damage leading to intestinal hemorrhoids, perianal nodules, pain, exacerbating chills and high fever, prolapse of intestines that retract slowly, this ointment is suitable:
Zhu Hou Xuan Ti Jia (Calcar Unguis Porci Posterioris) (3 pieces, roasted until scorched), Wu Tong Bai Pi (Cortex Firmianae Plantanifoliae) (2 liang), Long Dan (Radix Gentianae) (1 liang, remove radicle), Sang Gen Bai Pi (Cortex Mori Radicis) (1 liang), She Tui Pi (Exuvia Bombycis) (1 liang, burnt to ash), Xiong Huang (Realgar) (0.5 liang, finely ground), Qing Zhu Ru (Caulis Bambusae in Taenia) (3 fen), Bai Bai Pi (Cortex Platycladi) (1 liang), Lu Feng Fang (Nidus Vespae) (3 fen, roasted until slightly yellow), Chuan Jiao (Sichuan Pepper) (0.5 liang, remove eyes and closed-mouth ones, lightly stir-fried to remove moisture), Huang Pi (Bark) (1 liang, roasted until yellow), Fu Zi (Radix Aconiti Lateralis Preparata) (1 liang, processed until cracked, skin and navel removed), Xing Ren (Semen Pruni Armeniacae) (0.5 liang, soaked in water, skin and tips removed, double-kernel ones ground into paste).
Finely chop all ingredients, wrap in cotton. Soak in 3 sheng of strong vinegar overnight, then remove. Add 3 sheng of refined lard. Place the cotton-wrapped herbs, along with snake skin, realgar, and almonds, into the lard. Simmer over low fire until the liquid reduces by half. Strain out the herb packet. Store the ointment in a non-porous container. Before meals, take half a spoonful mixed with warm rice broth.
Another formula:
Bie Tou (Caput Testudinis / Turtle Head) (1 fen, roasted until yellow), Tie Jing (Ferrum / Iron Essence), She Xiang (Moschus) (0.5 qian).
Grind all ingredients into powder. Apply to the hemorrhoid 3-5 times daily.
Another formula:
Pi Shuang (Arsenic Trioxide / Arsenolite) (1 fen), Tian Ting Li (Semen Lepidii Desseinati) (1 fen, lightly stir-fried until fragrant), Qiang Lang (Stercus Scarabaei / Dung Beetle) (1 liang, lightly roasted, use meat from abdomen).
Grind all ingredients into powder. Mix with refined honey to form pills the size of lotus seeds. Wrap one pill in cotton and insert into the lower orifice (anus). Do not feel urgency; endure it temporarily. When feeling intense discomfort, defecate onto a basin to expel foul pus, thereby removing the root of the disease.