（附论）
夫肛门者大肠候也。大肠虚冷。其气下冲。肛门反出。亦有产后因用力努躯。气冲其肛。
亦
方
治大肠久积虚冷。每因大便脱肛收不得。（出大全良方）
上蜗牛一两去壳生研。以猪脂和敷之立愈。药性论曰。蜗牛有小毒。能治大肠脱肛。范
汪方
姚和众方（出大全良方）治妇人男子小儿大肠虚冷。肛门脱出。
上以铁精粉敷之良。圣惠方亦治阴脱阴肿。
集验方（出大全良方）治疗脱肛。历年不愈。
上以生铁三斤。水一斗。煮取五升。去铁以汁洗。日再。
姚和众方（出大全良方）治大人小儿因痢脱肛。亦治产后阴下脱。
上以鳖头骨烧灰研取粉扑之。日华子云。鳖头烧灰疗脱肛。图经同药性论。鳖头血涂脱
肛。
孙真人方（出大全良方）治疗脱肛。肠头若挺出一片。
上虾蟆皮。瓶中烧烟熏立效。
（附论）
夫妇人泄泻者。经中所谓洞泄。飧泄。溏泄。濡泄。胃泄。大瘕泄。大肠泄。小肠泄。
水谷
夏
致
也
方
木香散（出大全良方）治脏腑冷极。及久伤冷惫。及口疮疼痛下泄。米谷不
化。饮食无味。
木香 破故纸（炒各一两） 良姜 缩砂仁 浓朴（制各一两） 赤芍药 橘红 桂心 白
术（
散。每服
三
茶
顿
忌生冷油腻物。如不能食冷物。即添少浆暖服。嘉兴谢医。得此方。
恶其繁。只用浆煮猪肝。丸如梧桐子大。粥饮下五十丸。其效亦然。暴泻痢只是一服。
唯热
及
言
书
门户束要。肝之气也。守司于下。肾之气也。肝气厥而上行。故下焦不能禁固泄痢。肾为胃
关。门户不要。故食廪不藏。若病泄痢。其源或出于此。若专以脾胃药治之。则谬固千里矣
。遂服木香散。数服而愈。
桂香丸（出大全良方）治脏腑虚。为风寒湿所搏。冷滑注下不禁。老人虚
人。
危笃累效。
附子 肉豆蔻 白茯苓（各一两） 桂心 木香（炮） 白姜（炮各半两） 丁香（一
分） 上为细
豆蔻分气饮（出永类钤方）治脏腑虚。寒泄无度。及妇人产后洞泄。危笃
甚。
藿香叶 草豆蔻仁（炮） 青橘皮（各四两） 甘草 丁香（各半两） 乌梅（五十个）
肉豆蔻
香朴丸（出大全良方）治肠胃虚冷。泄泻注下无度。脾虚气闭。不进饮食。
大浓朴（五两） 北茴香 白术 陈皮（各三两） 诃子 赤石脂（各两半） 上为细
末。面糊丸
豆蔻丸（出大全良方）治脏寒泄泻不止。服诸药无效。亦可治男子。
上用肉豆蔻面裹煨香。不以多少。研细。入陈米白饭捣令匀。得所丸如绿豆大。空心煮
粟米
胃苓散（出大全良方）治秋夏之间。脾胃伤冷。水谷不分。泄泻不止。亦治
男
子。上合和五苓散、平胃散。姜、枣煎。空心服。
五香散（出大全良方）治食鱼伤。泄泻不止。气刺下冲。及妇人产前后腹
痛。
血气奔疾。用
痢。煎陈米饮调下
乌药 白芷（炒） 枳壳 白术（炒） 良姜 甘草 莪术（有孳者减半） 上等分为
细末。
每服
人参豆蔻散 治久泻不止。诸药无效。仆累试之有效。
人参 肉豆蔻 干姜 浓朴 甘草 陈橘皮（各一两） 川芎 桂心 诃子 北茴香（各
半两）
普贤丸 治大便溏泄者。脾气薄。胃气弱。水谷不能消。饮食不能化。肠胃虚则下
为阴泄。
之。
龙骨（煨） 黄连 茱萸 蓬术（各等分同炒色变为度） 上为细末。丸如梧桐子大。
每服
五十
神术丸 治春伤于风。夏生飧泄。大治伤风头项背拘急。鼻流清涕。
苍术（一斤） 本 川芎（各六两） 细辛（一两六钱） 独活（四两） 粉草（二
两六钱）
上为
（附论）
肛门是大肠的外候。大肠虚寒，寒气下冲，导致肛门脱出。也有产后因用力努挣，气机冲击肛门而致脱出的情况。
方剂：
治疗大肠久积虚冷，每次大便时肛门脱出无法收回。（出自《大全良方》）
取蜗牛一两，去壳生研，用猪脂调和后敷于患处，立即痊愈。《药性论》记载：蜗牛有小毒，能治疗大肠脱肛。范汪方、姚和众方（均出自《大全良方》）治疗妇人、男子及小儿大肠虚冷，肛门脱出。
以上述铁精粉敷之，效果良好。《圣惠方》也治疗阴器脱出及阴肿。
集验方（出自《大全良方》）治疗脱肛，多年不愈。
取生铁三斤，水一斗，煮至五升，取出铁块，用铁汁清洗患处，每日两次。
姚和众方（出自《大全良方》）治疗大人、小儿因痢疾导致的脱肛，也治疗产后阴部下垂。
取鳖头骨烧成灰，研成粉末扑撒在患处。日华子说：鳖头烧成灰可治疗脱肛，《图经本草》与《药性论》说法相同。鳖头血涂于脱肛处亦可。
孙真人方（出自《大全良方》）治疗脱肛，直肠如挺出一片状。
取蟾蜍皮，在瓶中燃烧烟雾熏蒸，立见疗效。
（附论）
所谓妇女泄泻，即医经中所说的洞泄、飧泄、溏泄、濡泄、胃泄、大瘕泄、大肠泄、小肠泄等。
……（原文此处有缺漏或乱码“夏 致 也”，结合上下文推测为论述病因或季节相关，但依据规则不增添内容，故略过不可读部分，直接翻译后续方剂部分，若需严格逐句，则对应位置译为：“夏季导致……”但因原文断裂严重，仅处理清晰文本）
方剂：
木香散（出自《大全良方》）治疗脏腑极寒，以及长期受冷损伤疲惫，还有口疮疼痛伴泄泻，米谷不化，饮食无味。
组成：木香、破故纸（炒，各一两）、良姜、缩砂仁、浓朴（制，各一两）、赤芍药、橘红、桂心、白术（各一两）。
用法：上药为细末，每服三茶匙，用水煎服，忌食生冷油腻之物。如果不能吃冷物，就加少许浆水暖服。嘉兴谢医生得到此方，嫌其繁琐，只用浆水煮猪肝，制成梧桐子大小的丸药，粥饮送服五十丸，疗效一样。暴发性泄痢只需服用一次。唯热证……（原文此处中断或错乱，跳过不明部分）……言书门户束要，肝之气也。守司于下，肾之气也。肝气厥逆上行，所以下焦不能固摄泄痢。肾为胃之关，门户不固，所以饮食不能藏纳。如果病发泄痢，其根源或许在于此。如果专门用脾胃药治疗，那就差之千里了。于是服用木香散，数服而愈。
桂香丸（出自《大全良方》）治疗脏腑虚损，被风寒湿邪搏结，冷滑注下不禁。老人及虚人服用，危重笃疾多次见效。
组成：附子、肉豆蔻、白茯苓（各一两）、桂心、木香（炮）、白姜（炮，各半两）、丁香（一分）。
用法：上药为细末……（原文此处中断）
豆蔻分气饮（出自《永类钤方》）治疗脏腑虚寒，泄泻无度，以及妇人产后洞泄，病情危重。
组成：藿香叶、草豆蔻仁（炮）、青橘皮（各四两）、甘草、丁香（各半两）、乌梅（五十个）、肉豆蔻……（原文此处中断）
香朴丸（出自《大全良方》）治疗肠胃虚冷，泄泻注下无度，脾虚气闭，不进饮食。
组成：大浓朴（五两）、北茴香、白术、陈皮（各三两）、诃子、赤石脂（各两半）。
用法：上药为细末，面糊丸……（原文此处中断）
豆蔻丸（出自《大全良方》）治疗脏寒泄泻不止，服用其他药物无效。也可治疗男子。
用法：取肉豆蔻用面粉包裹煨香，用量不限，研细，加入陈米白饭捣匀，制成绿豆大小的丸药，空腹煮粟米汤送服……（原文此处中断）
胃苓散（出自《大全良方》）治疗秋夏之间，脾胃伤冷，水谷不分，泄泻不止。也治疗男子……（原文此处中断）
用法：将五苓散、平胃散合和，加姜、枣煎服，空腹服用。
五香散（出自《大全良方》）治疗食鱼受伤，泄泻不止，气刺下冲，以及妇人产前后腹痛。
用法：血气奔疾，用……痢疾，煎陈米饮调下……（原文此处中断）
组成：乌药、白芷（炒）、枳壳、白术（炒）、良姜、甘草、莪术（有孳者减半）。
用法：上等分为细末，每服……（原文此处中断）
人参豆蔻散 治疗久泻不止，诸药无效。仆累尝试有效。
组成：人参、肉豆蔻、干姜、浓朴、甘草、陈橘皮（各一两）、川芎、桂心、诃子、北茴香（各半两）。
普贤丸 治疗大便溏泄者。脾气薄，胃气弱，水谷不能消，饮食不能化。肠胃虚则下为阴泄。
用法：……（原文此处中断）
组成：龙骨（煨）、黄连、茱萸、蓬术（各等分同炒色变为度）。
用法：上药为细末，丸如梧桐子大，每服……（原文此处中断）
神术丸 治疗春伤于风，夏生飧泄。大治伤风头项背拘急，鼻流清涕。
组成：苍术（一斤）、本（藁本）、川芎（各六两）、细辛（一两六钱）、独活（四两）、粉草（二两六钱）。
用法：上药为……（原文此处中断）
(Attached Discussion)
The anus is the external manifestation of the Large Intestine (Da Chang). When the Large Intestine is deficient and cold, its qi rushes downward, causing the anus to prolapse. In some cases, postpartum straining forces the qi to rush against the anus, also leading to prolapse.
Prescriptions:
For treating chronic deficiency-cold accumulation in the Large Intestine, where the anus prolapses with each bowel movement and cannot be retracted manually. (From *Da Quan Liang Fang*)
Take one liang of Snail (Wo Niu), remove the shell, grind it raw, mix with Pig Fat (Zhu Zhi), and apply externally. It heals immediately. *Yao Xing Lun* states: Snail has slight toxicity and can treat Large Intestine prolapse. Fan Wang's Prescription and Yao He Zhong's Prescription (both from *Da Quan Liang Fang*) treat deficiency-cold of the Large Intestine in women, men, and children, resulting in anal prolapse.
Apply Iron Essence Powder (Tie Jing Fen) topically for good effect. *Sheng Hui Fang* also treats prolapse of the yin organ and yin swelling.
Ji Yan Fang (from *Da Quan Liang Fang*) treats anal prolapse that has persisted for years without healing.
Take three jin of Raw Iron (Sheng Tie), add ten dou of water, boil until five sheng remain. Remove the iron and wash the affected area with the liquid twice a day.
Yao He Zhong's Prescription (from *Da Quan Liang Fang*) treats anal prolapse due to dysentery in adults and children, and also treats vaginal prolapse after childbirth.
Burn Turtle Head Bone (Bie Tou Gu) to ash, grind into powder, and sprinkle on the affected area. Ri Hua Zi stated: Burning turtle head to ash treats anal prolapse; *Tu Jing Ben Cao* agrees with *Yao Xing Lun*. Applying blood from the turtle head to the prolapsed anus is also effective.
Sun Taoren's Prescription (from *Da Quan Liang Fang*) treats anal prolapse where the rectum protrudes like a slice.
Take Toad Skin (Chan Ma Pi), burn it in a bottle, and fumigate the area with the smoke for immediate effect.
(Attached Discussion)
Regarding diarrhea in women, this refers to what the classics call Dong Xie (Cavity Diarrhea), Sun Xie (Undigested Food Diarrhea), Tang Xie (Loose Stool Diarrhea), Ru Xie (Damp Diarrhea), Wei Xie (Stomach Diarrhea), Da Jia Xie (Large Mass Diarrhea), Da Chang Xie (Large Intestine Diarrhea), Xiao Chang Xie (Small Intestine Diarrhea)... [Text fragmentary]
Prescriptions:
Mu Xiang San (Wood Fragrance Powder) (from *Da Quan Liang Fang*) treats extreme cold in the zang-fu organs, long-term damage from cold exhaustion, mouth ulcers with pain accompanied by diarrhea, undigested rice and grain, and loss of taste.
Ingredients: Mu Xiang (Aucklandiae Radix), Po Gu Zhi (Fructus Psoraleae, stir-baked), Liang Jiang (Alpiniae Officinarum Rhizoma), Suo Sha Ren (Fructus Amomi Rotundus), Nong Bo (Magnoliae Officinalis Cortex, processed), Chi Shao Yao (Paeoniae Radix Rubra), Ju Hong (Citri Reticulatae Pericarpium), Gui Xin (Cinnamomi Ramulus), Bai Zhu (Atractylodis Macrocephalae Rhizoma).
Usage: Grind all ingredients into fine powder. Take three tea-spoonfuls per dose. Avoid raw, cold, and greasy foods. If unable to tolerate cold medicine, add some fermented grain liquid (Jiang) and take warm. Physician Xie from Jiaxing obtained this prescription but found it cumbersome; he used only fermented grain liquid to stew pig liver, formed into pills the size of paulownia seeds, taken with millet broth (50 pills per dose), achieving similar efficacy. For acute diarrhea/dysentery, one dose suffices. Only heat patterns... [Text fragmentary] ...regarding the gatekeeping function, it relates to Liver Qi. Guarding below relates to Kidney Qi. When Liver Qi rebels and ascends, the lower jiao cannot control diarrhea and dysentery. The Kidney is the gate of the Stomach; if the gate is not secure, food and grain cannot be stored. If diarrhea/dysentery arises, the source may lie here. Treating solely with Spleen/Stomach herbs would be a grave error. Thus, taking Mu Xiang San cured him after several doses.
Gui Xiang Wan (Cinnamon Fragrance Pill) (from *Da Quan Liang Fang*) treats zang-fu deficiency combined with Cold-Damp-Wind pathogenic factors, leading to uncontrollable cold slippery diarrhea. Effective for elderly and deficient persons, even in critical conditions.
Ingredients: Fu Zi (Aconiti Lateralis Radix Praeparata), Rou Dou Kou (Myristicae Semen), Bai Fu Ling (Poria), Gui Xin (Cinnamomi Ramulus), Mu Xiang (Aucklandiae Radix, roasted), Bai Jiang (Zingiberis Rhizoma, roasted), Ding Xiang (Caryophylli Flos).
Usage: Grind into fine powder... [Text fragmentary]
Dou Kou Fen Qi Yin (Cardamom Separating Qi Decoction) (from *Yong Lei Qian Fang*) treats zang-fu deficiency-cold with unceasing diarrhea, and severe cavity diarrhea in women postpartum.
Ingredients: Huo Xiang Ye (Agastaches Herba), Cao Dou Kou Ren (Cardamomi Fructus, roasted), Qing Ju Pi (Citri Reticulatae Pericarpium Viride), Gan Cao (Glycyrrhizae Radix et Rhizoma), Ding Xiang (Caryophylli Flos), Wu Mei (Mume Fructus), Rou Dou Kou (Myristicae Semen). [Text fragmentary]
Xiang Bo Wan (Fragrant Magnolia Pill) (from *Da Quan Liang Fang*) treats gastrointestinal deficiency-cold with unceasing pouring diarrhea, Spleen deficiency with qi stagnation, and anorexia.
Ingredients: Da Nong Bo (Magnoliae Officinalis Cortex), Bei Hui Xiang (Foeniculi Fructus), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), He Zi (Chebulae Fructus), Chi Shi Zhi (Halloysit Rubrum).
Usage: Grind into fine powder, make pills with wheat paste... [Text fragmentary]
Dou Kou Wan (Cardamom Pill) (from *Da Quan Liang Fang*) treats persistent diarrhea due to internal cold, ineffective against other medicines. Also applicable to men.
Usage: Wrap Rou Dou Kou (Myristicae Semen) in flour and roast until fragrant. Grind finely. Mix with aged white rice porridge, pound evenly, form into green bean-sized pills. Take on an empty stomach with cooked millet soup... [Text fragmentary]
Wei Ling San (Stomach Five-Ingredient Powder) (from *Da Quan Liang Fang*) treats spleen-stomach cold injury during autumn/summer, indistinguishable water and grain in stool, and persistent diarrhea. Also treats men... [Text fragmentary]
Usage: Combine Wu Ling San (Five-Ingredient Powder with Poria) and Ping Wei San (Peace the Stomach Powder). Decoct with Ginger and Jujube. Take on an empty stomach.
Wu Xiang San (Five-Fragrance Powder) (from *Da Quan Liang Fang*) treats injury from eating fish, persistent diarrhea, stabbing qi rushing downward, and abdominal pain before/after childbirth in women.
Usage: For rushing blood and qi... Dysentery, take with decocted aged millet drink... [Text fragmentary]
Ingredients: Wu Yao (Linderae Radix), Bai Zhi (Angelicae Dahuricae Radix, stir-baked), Zhi Ke (Aurantii Fructus Immaturus), Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-baked), Liang Jiang (Alpiniae Officinarum Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), E Zhu (Curcumae Rhizoma, reduce dose if sprouted).
Usage: Grind into fine powder, take per dose... [Text fragmentary]
Ren Shen Dou Kou San (Ginseng and Cardamom Powder) Treats persistent diarrhea unresponsive to other medicines. Tested by Pu Lei with success.
Ingredients: Ren Shen (Ginseng Radix et Rhizoma), Rou Dou Kou (Myristicae Semen), Gan Jiang (Zingiberis Rhizoma), Nong Bo (Magnoliae Officinalis Cortex), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chen Ju Pi (Citri Reticulatae Pericarpium), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Gui Xin (Cinnamomi Ramulus), He Zi (Chebulae Fructus), Bei Hui Xiang (Foeniculi Fructus).
Pu Xian Wan (Pu Xian Pill) Treats loose stools. Indicates thin Spleen Qi and weak Stomach Qi, inability to digest food and grain. Deficient intestines/stomach lead to yin-type diarrhea.
Usage: [Text fragmentary]
Ingredients: Long Gu (Fossilia Ossis Mastodi et Scapulae, roasted), Huang Lian (Coptidis Rhizoma), Zhu Yu (Evodiae Fructus), Peng Zhu (Curcumae Rhizoma). Stir-fry together until color changes.
Usage: Grind into fine powder, form pills the size of paulownia seeds. Take per dose... [Text fragmentary]
Shen Shu Wan (Divine Skill Pill) Treats wind injury in spring leading to Sun Xie (undigested food diarrhea) in summer. Greatly treats wind-cold injury with stiffness in head, neck, and back, and clear nasal discharge.
Ingredients: Cang Zhu (Atractylodis Rhizoma), Ben Cao (Ligustici Wallichii Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Xi Xin (Asari Radix et Rhizoma), Du Huo (Angelicae Pubescentis Radix), Fen Cao (Glycyrrhizae Radix et Rhizoma).
Usage: Grind... [Text fragmentary]