枯痔水澄膏 如神千金方 三品锭子 羊胆膏 熊胆膏外 水银枣子膏 蜗牛膏
一方∶凡痔疮初起，痛痒不止，以旧布鞋底烘热，频频熨之，冷则再烘再熨，其痛痒则止。
命门灸七壮，治五种痔漏。长强灸，随年壮，治五痔便血最效。
一法∶治痔疾大如胡瓜，贯于肠头，发则疼痛僵仆，先以荆芥汤洗之，次以艾灸其上三五壮
，若觉一道热气贯入肠中，必大泻鲜血秽血，一时许觉痛甚，后其疾乃愈。
凡跌打损伤，或从高坠下，恶血流于内，不分何经之伤，皆肝之所主。盖肝主血也，故
凡败血凝滞，从其所属而必归于肝，多在胁肋小腹者，皆肝经之道也。若其壅肿痛甚，或发
热自汗，皆当酌其虚实，而以调血行经之药治之。
脉法∶如《内经》曰∶肝脉搏坚而长，色不青，当病坠。若搏因血在胁下，令人呕逆。
《金匮》云∶寸口脉浮微而涩，然当亡血，若汗出。设不汗出者，当身有疮，被刀斧所伤，
亡血故也。《脉经》云∶金疮出血太多，其脉虚细沉小者生，浮数实大者死。砍刺出血不止
，其脉来大者，七日死，滑细者生。从高颠仆，内有瘀血，腹胀，脉坚强者生，小弱者死。
破伤有瘀血在内者，脉坚强实则生，虚小弱则死。若血亡过多者，脉细小则生，浮大数实则死
。皆为脉病不相应故也。
一、治法∶凡胸满胁胀者，宜行血。老弱者，宜行血活血。腹痛者，宜下血。瘀血不溃，或
溃而不敛，宜大补气血。若打扑坠堕稍轻，别无瘀血等证，而疼痛不止者，惟和气血，调经
脉，其痛自止。更以养气血，健脾胃，则无有不效。亦有痛伤胃气作呕，或不饮食者，以
四君子汤加当归、砂仁之类调之。若有瘀血不先消散，而加补剂，则成实实之祸。设无瘀血
而妄行攻利，则致虚虚之祸。故凡此证，须察所患轻重，有无瘀血，及元气虚实，不可概行
攻下，致成败证。盖打扑坠堕，皮肉不破，肚腹作痛者，必有瘀血在内，宜以复元活血汤攻
之。老弱者，四物汤加红花、桃仁、穿山甲，补而行之。若血去多而烦燥，此血虚也，名曰
亡血，宜补其血。如不应，当以独参汤补之。一、凡损伤不问老弱，及有无瘀血停积，俱宜服
童便。以酒佐之，推陈致新，其功甚大。若胁胀，或作痛，或发热烦燥，口干喜冷，惟饮热
童便一瓯，胜服他药。他药虽亦可取效，但有无瘀血恐不能尽识，反致误人，惟童便不动脏
腑，不伤气血，万无一失。尝询之诸营操军，常有坠马伤者，何以愈之。俱对曰，惟服热童
便即愈。此其屡试之验亦明矣。然惟胃虚作呕，及中寒泄泻者，不可服。大凡肿痛，或伤损
者，以葱捣烂炒热罨之，或用生姜葱白同捣烂，和面炒热罨之尤妙。或用生姜陈酒糟同捣烂
，炒热罨之亦可。外治损伤诸方，如秘传正骨丹、没药降圣丹、当归导滞散、黑丸子、本事
接骨方、十味没药丸、洗损伤等十余方，俱有妙用，所当详察。
立斋曰∶予于壬申年，被重车碾伤，闷瞀良久复苏，胸满如筑，气息不通。随饮热童便
一碗，胸宽气利，惟小腹作痛。吾乡银台徐东濠先生，与复元活血汤一剂，便血数升，肿痛
悉退，更服养血气药而痊。戊辰年，公事居庸，见覆车被伤者七八人，仆地呻吟，一人未苏
，予俱令以热童便灌之，皆得无事。
枯痔水澄膏、如神千金方、三品锭子、羊胆膏、熊胆膏之外，还有水银枣子膏、蜗牛膏。
一方：凡是痔疮初起，疼痛瘙痒不止，用旧布鞋底烘热，频繁熨烫患处，冷了再烘再熨，其疼痛瘙痒就会停止。
命门穴灸七壮，治疗五种痔漏。长强穴灸，按患者年龄决定壮数（随年壮），治疗五痔便血最为有效。
一法：治疗痔疮大如胡瓜，脱出肛门（贯于肠头），发作时疼痛剧烈甚至昏倒，先用荆芥汤清洗，然后在患处艾灸三五壮，如果感觉一股热气进入肠道，必定会大量排出鲜血和污血，约一小时后觉得疼痛加剧，随后疾病痊愈。
凡是跌打损伤，或从高处置坠落，恶血流入体内，不论哪条经络受伤，都由肝脏所主。因为肝主藏血，所以凡是败血凝滞，顺着肝的所属关系必然归于肝，多在胁肋和小腹部位，这些都是肝经的循行路线。如果肿胀疼痛严重，或发热自汗，都应当斟酌患者的虚实情况，使用调血行经的药物进行治疗。
脉法：如《内经》所说：肝脉搏动坚实而长，面色不青，应当是坠伤所致。如果搏动因血液在胁下，令人呕吐逆气。《金匮要略》说：寸口脉浮微而涩，应当是失血，或者汗出。如果不汗出，应当身上有疮疡，被刀斧所伤，是因为失血的原因。《脉经》说：金疮出血过多，脉象虚细沉小的能生，浮数实大的会死。砍刺出血不止，脉象来势大的，七天死，滑细的能生。从高处置坠落，内有瘀血，腹胀，脉象坚强者能生，小弱者会死。破伤有瘀血在内者，脉象坚强实则能生，虚小弱则死。如果失血过多者，脉细小则能生，浮大数实则死。这都是因为脉象与病情不相适应的缘故。
一、治法：凡是胸满胁胀的，宜于行血。年老体弱的，宜于行血活血。腹痛的，宜于下血（攻下瘀血）。瘀血不散，或溃破而不愈合，宜于大补气血。如果是打扑坠堕稍轻，没有其他瘀血等证候，而疼痛不止的，只需调和气血，调理经脉，疼痛自然停止。再用药物滋养气血，健运脾胃，就没有不有效的。也有因痛伤胃气导致呕吐，或不思饮食的，用四君子汤加当归、砂仁之类调治。如果有瘀血不先消散，就加入补剂，就会造成“实实”之祸（使实证更实）。如果没有瘀血而妄用攻利药物，就会导致“虚虚”之祸（使虚证更虚）。所以凡是这类证候，必须察看病患轻重，有无瘀血，以及元气虚实，不可一概使用攻下法，以致变成坏证。大概打扑坠堕，皮肉未破，肚腹作痛的，必有瘀血在内，宜用复元活血汤攻逐。年老体弱者，用四物汤加红花、桃仁、穿山甲，补益的同时兼以行血。如果失血多而烦躁，这是血虚，名叫亡血，宜补血。如果无效，当用独参汤补益。一、凡是损伤不问老弱，及有无瘀血停积，都宜服用童便（童子尿）。以酒佐助，推陈致新，功效很大。如果胁胀，或作痛，或发热烦躁，口干喜冷，只饮热童便一碗，胜过服用其他药物。其他药物虽然也可取效，但有无瘀血恐怕不能尽识，反而误人，只有童便不动脏腑，不伤气血，万无一失。曾询问各营操练军队的人，常有坠马伤者，如何治愈。都回答说，只服热童便即愈。这也是屡试不爽的证明。然而只有胃虚作呕，及中寒泄泻者，不可服用。大凡肿痛，或损伤者，用葱捣烂炒热敷贴，或用生姜葱白同捣烂，和面炒热敷贴尤其妙。或用生姜陈酒糟同捣烂，炒热敷贴也可以。外治损伤诸方，如秘传正骨丹、没药降圣丹、当归导滞散、黑丸子、本事接骨方、十味没药丸、洗损伤等十余方，都有妙用，应当详细考察。
立斋（薛己）说：我在壬申年，被重车碾伤，昏迷良久才苏醒，胸部胀满如筑墙般难受，气息不通。随即饮用热童便一碗，胸宽气顺，只是小腹作痛。我家乡银台徐东濠先生，给予复元活血汤一剂，便血数升，肿痛全部消退，再服用养血气的药物而痊愈。戊辰年，因公事居庸关，见翻车受伤者七八人，仆倒在地呻吟，一人未苏醒，我都让他们灌服热童便，都得以无事。
Kuzhi Shuicheng Gao (Mummifying Hemorrhoid Water-Clear Ointment), Rushen Qianjin Fang (Miraculous Thousand-Gold Formula), Sanpin Dingzi (Three-Grade锭状 Medicine), Yangdan Gao (Sheep Gallbladder Ointment), Xiongdan Gao (Bear Gallbladder Ointment), in addition to these, there are Shuiyin Zaozi Gao (Mercury Date-shaped Ointment) and Woniu Gao (Snail Ointment).
One prescription: Whenever hemorrhoids first appear, with unceasing pain and itching, take an old cloth shoe sole, heat it by roasting, and frequently apply it as a hot compress to the affected area. When it cools, roast and apply again; the pain and itching will then cease.
Mingmen (GV4, Gate of Life) acupoint moxibustion, seven moxa cones, treats five types of hemorrhoids and fistulas. Changqiang (GV1, Long Strong) acupoint moxibustion, using the number of moxa cones corresponding to the patient's age (Sui Nian Zhuang), is most effective for treating hematochezia from the five types of hemorrhoids.
One method: To treat hemorrhoids large like a cucumber, prolapsing from the anus, which upon onset causes severe pain and even collapse, first wash with Jingjie Tang (Schizonepeta Decoction), then apply moxibustion three to seven cones on the lesion. If one feels a stream of hot qi penetrating into the intestine, there will be a massive discharge of bright red blood and foul blood. After about an hour, when the pain intensifies, the disease will subsequently heal.
For all cases of traumatic injury or falling from heights, where evil blood flows into the interior, regardless of which meridian is injured, they are all governed by the Liver. This is because the Liver governs blood storage; thus, whenever defeated blood stagnates, following its association, it inevitably returns to the Liver. Locations such as the hypochondrium and lower abdomen are pathways of the Liver Meridian. If swelling and pain are severe, or if fever and spontaneous sweating occur, one must assess deficiency and excess, and treat with herbs that regulate blood and promote meridian circulation.
Pulse Diagnosis: As stated in *Neijing* (Classic of Internal Medicine): If the Liver pulse is firm and long, but the complexion is not green, it indicates a fall injury. If the pulsation is due to blood accumulation under the ribs, it causes vomiting and regurgitation. *Jingui Yaolue* (Essential Prescriptions of the Golden Cabinet) states: If the Cun (Inch) position pulse is floating, faint, and choppy, it indicates blood loss or sweating. If there is no sweating, there should be sores on the body caused by knife or axe wounds, due to blood loss. *Maijing* (Pulse Classic) states: For open wounds with excessive bleeding, if the pulse is deficient, fine, deep, and small, survival is likely; if floating, rapid, full, and large, death ensues. For hacking/stabbing wounds with unceasing bleeding, if the pulse comes in strongly/largely, death occurs within seven days; if slippery and fine, survival is likely. From high falls causing internal blood stasis and abdominal distension, if the pulse is firm and strong, survival is likely; if small and weak, death ensues. For broken injuries with internal blood stasis, if the pulse is firm, strong, and full, survival is likely; if deficient, small, and weak, death ensues. If blood loss is excessive, if the pulse is fine and small, survival is likely; if floating, large, rapid, and full, death ensues. These are all instances where the pulse does not correspond to the disease.
Treatment Methods: For chest fullness and hypochondriac distension, promoting blood circulation is appropriate. For the elderly and weak, promoting and invigorating blood circulation is appropriate. For abdominal pain, purging blood (removing blood stasis via purgation) is appropriate. For blood stasis that does not dissipate, or ulcers that do not heal, major tonification of Qi and Blood is appropriate. If the trauma or fall is slight, without other signs of blood stasis, yet pain persists, only harmonizing Qi and Blood and regulating meridians is needed, after which the pain will cease naturally. Further nourishing Qi and Blood and strengthening the Spleen and Stomach will ensure efficacy. In cases where pain injures Stomach Qi causing vomiting or anorexia, Sijunzi Tang (Four Gentlemen Decoction) added with Danggui (Angelicae Sinensis Radix) and Sharen (Amomi Fructus) can be used for regulation. If blood stasis is not first dissipated before adding tonics, it creates a "double excess" disaster (exacerbating excess conditions). If there is no blood stasis but aggressive purgatives are wrongly administered, it leads to a "double deficiency" disaster (exacerbating deficiency conditions). Therefore, for such cases, one must examine the severity of the condition, the presence of blood stasis, and the strength of Yuan Qi (Original Qi). One must not indiscriminately use purgative methods, lest they transform into complicated/ruined syndromes. Generally, for blunt trauma or falls where the skin and flesh are intact but the abdomen hurts, there must be internal blood stasis, treated with Fuyuan Huoxue Tang (Restore Vitality and Invigorate Blood Decoction). For the elderly and weak, Siwu Tang (Four Substances Decoction) added with Honghua (Carthami Flos), Taoren (Persicae Semen), and Chuanshanjia (Manis Squama) is used to tonify while moving blood. If there is excessive blood loss accompanied by irritability, this is Blood deficiency, termed Wangxue (Loss of Blood); tonifying Blood is appropriate. If ineffective, Dushen Tang (Single Ginseng Decoction) should be used. Furthermore, for all injuries regardless of age or presence of blood stasis, Tongbian (Child Urine) is suitable. Administered with wine to push out the old and generate the new, its efficacy is great. For hypochondriac distension, pain, fever, irritability, dry mouth, and preference for cold drinks, drinking one bowl of hot Tongbian is superior to taking other medicines. Although other medicines may also be effective, since the presence or absence of blood stasis might not be fully recognized, they could mislead patients. Only Tongbian does not disturb the Zang-Fu organs nor injure Qi and Blood, ensuring safety. I once asked military personnel who often suffered horse-fall injuries how they healed. All replied that drinking hot Tongbian led to recovery. This repeated verification is clear. However, those with Spleen/Stomach deficiency causing vomiting, or Cold-deficiency diarrhea, must not take it. Generally, for swelling, pain, or injuries, crushed scallions roasted hot can be applied as a compress; alternatively, ginger and scallion whites crushed together, mixed with flour and roasted hot, are excellent. Ginger and aged rice wine lees crushed together and roasted hot for application are also acceptable. External formulas for trauma, such as Mituan Zhenggu Dan (Secretly Transmitted Bone-Setting Pill), Moyao Jiangsheng Dan (Myrrh Descending Sage Pill), Danggui Daozhi San (Angelica Guiding Stagnation Powder), Hei Wanzi (Black Pills), Ben Shi Jiegu Fang (Ability to Set Bones Prescription), Shiwei Moyao Wan (Ten-Ingredient Myrrh Pill), and Xing Sunshang (Washing Trauma), among over ten others, have wonderful uses and should be carefully examined.
Lizhai (Xue Ji) said: In the Ren Shen year, I was run over by a heavy cart, remaining unconscious for a long time before reviving. My chest felt full and tight like being beaten, and my breath was obstructed. I immediately drank a bowl of hot Tongbian, after which my chest relaxed and Qi flowed smoothly, though my lower abdomen still hurt. Mr. Xu Donghao, a Yintai (Censor) from my hometown, prescribed one dose of Fuyuan Huoxue Tang. I passed several shengs of bloody stool, and the swelling and pain completely subsided. I then took herbs to nourish Qi and Blood and recovered. In the Wu Chen year, while on official business at Juyong Pass, I saw seven or eight people injured in a carriage overturn, lying on the ground groaning, one unconscious. I had them all灌 (force-fed) hot Tongbian, and all were unharmed.