夫肛门有虫者。由胃弱肠虚。而蛲虫下乘之也。肛门为大肠候。蛲虫者九虫之一虫也。
在胃
轻
蜣螂丸（出圣惠方）治肛门痒。或出脓血。傍有虫生孔窍内。
蜣螂（七枚五月五日收去足翅炙为末） 新牛粪（半两） 好肥羊肉（一两炒令香） 上
都捣
如膏
度。
又方（出圣惠方）
白蒺藜（半两炒） 硫黄（一分细研） 猪牙皂角（一两烧灰） 上为末。入硫黄同研
匀。用
葱薤
又方（出圣惠方）
雄黄 胡粉（各半两） 上研以枣肉。丸如莲子大。以绵裹一丸。纳下部中。日再易之。
夫肛门大肠之候。其气虚。为风热所乘。热气击搏。故令肛门赤痛也。
槟榔散（出圣惠方）治大肠风壅。气毒攻肛门。赤肿疼痛。
槟榔 川大黄（炙各一两） 沉香 赤芍药 防风（去芦） 芎 犀角屑 甘草（炙
锉各
半
服。
牛蒡子散（出圣惠方）治大肠风毒。肛门赤痛。令人烦热。坐卧不安。
牛蒡子（炒） 川大黄（锉炒各一两） 黄 （锉） 白蒺藜（炒去刺） 枳壳（麸炒
去瓤三分）
当
滓
食前温服。
大黄散（出圣惠方）治大肠风热所攻。肛门赤肿。
川大黄（锉炒） 黄芩 黄 玄参（各一两） 丹参（三分） 赤芍药（半两） 枳
壳（一两
麸炒
治大肠风壅。气毒攻肛门。赤肿疼痛。（出圣惠方）
枳壳（麸炒去瓤） 芎 沉香（各半两） 川朴硝（一两五钱） 川大黄（一两锉炒）
甘草
（
又方（出圣惠方）
皂荚树白皮（一两涂酥炙） 甘草（半两炙锉） 枳壳（二分麸炒去瓤） 上为末。每
服二
钱。食
治 谷道。赤肿痛。又痒方。
用杏仁杵作膏敷之。一方熬令黄。捣。以绵涂导之。
又方（出本草）
用雄黄涂在上良。
治肛门肿痛。
用木鳖子去壳取肉。四五枚。研如泥。安新瓷器或木盆内。以沸汤冲动熏洗了。取少许
涂患
又方（出海上名方）
用枳壳烧熏。煎枳壳洗。服枳壳末为上药。
地榆散（出御药院方）治肛门痛痒或肿。
地榆 荆芥穗 蛇床子 蒴 苦参（各等分） 上 咀。每用药一匙。水一碗。煎二
三
沸
三黄丸（出危氏方）治肛门肿痛。或下鲜血。
黄连 黄芩 大黄 上为末。炼蜜丸。如梧桐子大。每服四十丸。熟水吞下。
肛门有虫，是由于胃气虚弱、肠道空虚，导致蛲虫下行侵袭所致。肛门是大肠的外候部位。蛲虫是九种寄生虫之一。
【蜣螂丸】（出自《圣惠方》）治疗肛门瘙痒，或者流出脓血，旁边孔窍内有虫滋生。
配方：蜣螂（七枚，五月五日采集，去掉足和翅膀，炙烤后研成粉末）、新牛粪（半两）、优质肥羊肉（一两，炒至香气四溢）。以上药物都捣烂如膏状。
又一方（出自《圣惠方》）
白蒺藜（半两，炒制）、硫黄（一分，细研）、猪牙皂角（一两，烧成灰）。以上药物研成粉末，加入硫黄共同研磨均匀。用葱薤汁调和。
又一方（出自《圣惠方》）
雄黄、胡粉（各半两）。以上药物研磨，用枣肉做粘合剂，制成如莲子大小的药丸。用棉布包裹一丸，纳入下部（肛门）中，每天更换两次。
肛门是大肠的外候部位。如果此处气虚，被风热邪气侵袭，热气相互搏击，就会导致肛门红肿疼痛。
【槟榔散】（出自《圣惠方》）治疗大肠风壅，气毒攻冲肛门，导致红肿疼痛。
配方：槟榔、川大黄（炙，各一两）、沉香、赤芍药、防风（去芦头）、川芎、犀角屑、甘草（炙，锉碎，各半两）。以上药物捣筛为散，每次服用二钱，用水一盏，煎至六分，去渣，温服。
【牛蒡子散】（出自《圣惠方》）治疗大肠风毒，肛门红肿疼痛，使人烦热，坐卧不安。
配方：牛蒡子（炒制）、川大黄（锉碎炒制，各一两）、黄芪（锉碎）、白蒺藜（炒制，去刺）、枳壳（麸炒，去瓤，三分）。以上药物捣筛为散，每次服用二钱，用水一盏，煎至六分，去渣，食前温服。
【大黄散】（出自《圣惠方》）治疗大肠风热所攻，肛门红肿。
配方：川大黄（锉碎炒制）、黄芩、黄芪、玄参（各一两）、丹参（三分）、赤芍药（半两）、枳壳（一两，麸炒）。以上药物捣筛为散，每次服用二钱，用水一盏，煎至六分，去渣，温服。
治大肠风壅，气毒攻冲肛门，红肿疼痛。（出自《圣惠方》）
配方：枳壳（麸炒，去瓤）、川芎、沉香（各半两）、川朴硝（一两五钱）、川大黄（一两，锉碎炒制）、甘草（炙，锉碎，半两）。以上药物捣筛为散，每次服用二钱，用水一盏，煎至六分，去渣，温服。
又一方（出自《圣惠方》）
皂荚树白皮（一两，涂酥炙烤）、甘草（半两，炙烤锉碎）、枳壳（二分，麸炒，去瓤）。以上药物研成粉末，每次服用二钱，食前温水送服。
治疗谷道（肛门），红肿疼痛，又发痒的方子。
用杏仁捣成膏敷在患处。另一方法是将杏仁熬至黄色，捣碎，用棉布包裹涂抹导入。
又一方（出自《本草》）
用雄黄涂抹在患处，效果良好。
治疗肛门肿痛。
用木鳖子去壳取肉，四五枚，研成泥状，放入新的瓷器或木盆内，用沸水蒸汽冲动熏洗患处。取少许药泥涂抹患处。
又一方（出自《海上名方》）
用枳壳烧烟熏，煎煮枳壳水清洗，服用枳壳粉末为上等药法。
【地榆散】（出自《御药院方》）治疗肛门痛痒或肿胀。
配方：地榆、荆芥穗、蛇床子、蒴藋、苦参（各等分）。以上药物切碎，每次用药一匙，加水一碗，煎煮二三沸，去渣，温洗。
【三黄丸】（出自《危氏方》）治疗肛门肿痛，或者下鲜血。
配方：黄连、黄芩、大黄。以上药物研成粉末，炼蜜为丸，如梧桐子大小。每次服用四十丸，用熟水吞服。
When there are worms in the anus, it is due to weak stomach Qi and empty intestines, allowing Ascaris lumbricoides (pinworms) to descend and invade. The anus is the external manifestation of the Large Intestine. Pinworms are one of the nine types of parasites.
[Qianglang Wan] (from *Shenghui Fang*) treats anal itching, or discharge of pus and blood, with worms breeding in the surrounding orifices.
Ingredients: Qianglang (Seven dung beetles, collected on the fifth day of the fifth lunar month, legs and wings removed, roasted and ground into powder), Xin Niufen (Half tael of fresh cow dung), Hao Fei Yangrou (One tael of good fatty mutton, stir-fried until fragrant). All ingredients are pounded into a paste-like consistency.
Another prescription (from *Shenghui Fang*)
Bai Jili (Half tael, stir-fried), Liuhuang (One fen, finely ground), Zhuya Zaojiao (One tael, burned to ash). Grind all ingredients into powder, mix evenly with Liuhuang. Mix with juice from Congxie (Scallion and leek).
Another prescription (from *Shenghui Fang*)
Xionghuang (Realgar), Fufen (Lead carbonate, half tael each). Grind the ingredients, use jujube flesh as a binder to form pills the size of lotus seeds. Wrap one pill in cotton, insert into the lower orifice (anus), and replace twice daily.
The anus is the external manifestation of the Large Intestine. If the Qi here is deficient, it is invaded by Wind-Heat pathogenic factors. The Heat qi clashes and combats, causing redness and pain in the anus.
[Bangling San] (from *Shenghui Fang*) treats Wind obstruction in the Large Intestine, where Qi toxicity attacks the anus, causing redness, swelling, and pain.
Ingredients: Banglang (Areca nut), Chuan Dahuang (Rhubarb root, roasted, one tael each), Chenxiang (Agarwood), Chi Shaoyao (Red Peony root), Fangfeng (Saposhnikovia root, remove rhizome), Xiong (Ligusticum chuanxiong), Xijiao Xie (Rhinoceros horn shavings), Gancao (Licorice root, roasted and cut, half tael each). Pound and sieve the ingredients into a powder. Take two qian per dose, add one bowl of water, decoct to six-tenths volume, remove dregs, and take warm.
[Niuzi San] (from *Shenghui Fang*) treats Wind-toxin in the Large Intestine, causing redness and pain in the anus, leading to irritability, heat sensation, and restlessness in sitting or lying down.
Ingredients: Niuzi (Burdock fruit, stir-fried), Chuan Dahuang (Rhubarb root, cut and stir-fried, one tael each), Huangqi (Astragalus root, cut), Bai Jili (Tribulus terrestris, stir-fried, remove spines), Zhike (Aurantium fruit, bran-roasted, remove core, three fen). Pound and sieve the ingredients into a powder. Take two qian per dose, add one bowl of water, decoct to six-tenths volume, remove dregs, and take warm before meals.
[Dahuang San] (from *Shenghui Fang*) treats the attack of Wind-Heat in the Large Intestine, causing redness and swelling of the anus.
Ingredients: Chuan Dahuang (Rhubarb root, cut and stir-fried), Huangqin (Scutellaria root), Huangqi (Astragalus root), Xuanshen (Rehmannia root, one tael each), Danshen (Salvia miltiorrhiza root, three fen), Chi Shaoyao (Red Peony root, half tael), Zhike (Aurantium fruit, one tael, bran-roasted). Pound and sieve the ingredients into a powder. Take two qian per dose, add one bowl of water, decoct to six-tenths volume, remove dregs, and take warm.
To treat Wind obstruction in the Large Intestine, where Qi toxicity attacks the anus, causing redness, swelling, and pain. (From *Shenghui Fang*)
Ingredients: Zhike (Aurantium fruit, bran-roasted, remove core), Xiong (Ligusticum chuanxiong), Chenxiang (Agarwood, half tael each), Chuan Puxiao (Mirabilite, one tael five qian), Chuan Dahuang (Rhubarb root, one tael, cut and stir-fried), Gancao (Licorice root, roasted and cut, half tael). Pound and sieve the ingredients into a powder. Take two qian per dose, add one bowl of water, decoct to six-tenths volume, remove dregs, and take warm.
Another prescription (from *Shenghui Fang*)
Zaojiao Shu Baipi (White bark of Gleditsia sinensis tree, one tael, coated with su [animal fat] and roasted), Gancao (Licorice root, half tael, roasted and cut), Zhike (Aurantium fruit, two fen, bran-roasted, remove core). Grind all ingredients into powder. Take two qian per dose, swallow with warm water before meals.
Prescription for treating the Gu Dao (anal opening) with redness, swelling, pain, and itching.
Use Xingren (Apricot seed) pounded into a paste and applied externally. Another method is to boil until yellow, pound, wrap in cotton, and apply/insert.
Another prescription (from *Bencao*)
Apply Xionghuang (Realgar) to the affected area; this is excellent.
To treat anal swelling and pain.
Remove the shell of Muguezi (Momordica charantia seed), take the meat of four or five seeds, grind into a paste, place in a new porcelain vessel or wooden basin. Use boiling water steam to fumigate and wash the affected area. Take a small amount of the paste and apply to the lesion.
Another prescription (from *Haishang Mingfang*)
Burn Zhike (Aurantium fruit) for fumigation, decoct Zhike for washing, and take Zhike powder internally as the superior treatment.
[Diyu San] (from *Yuyao Yuan Fang*) treats anal pain, itching, or swelling.
Ingredients: Diyu (Sanguisorba root), Jingjie Sui (Schizonepeta spike), Chuangzi (Cnidium fruit), Shuodi (Polygonum multiflorum vine), Kushen (Sophora flavescens root, equal parts). Cut the ingredients. Use one spoonful of medicine per dose, add one bowl of water, boil for two or three boils, remove dregs, and wash warm.
[Sanhuan Wan] (from *Wei Shi Fang*) treats anal swelling and pain, or passage of fresh blood.
Ingredients: Huanglian (Coptis rhizome), Huangqin (Scutellaria root), Dahuang (Rhubarb root). Grind into powder, bind with refined honey to form pills the size of Sophora seeds. Take forty pills per dose, swallow with cooked water.