薛立斋曰∶脱肛属大肠气血虚而兼湿热。凡湿热胜者，升阳除湿汤。血热者，四物加条
芩、槐花。血虚者，四物加白术、茯苓。兼痔而痛者，四物加槐花、黄连、升麻。久痢者，
补中益气汤加酒炒芍药。中气虚陷者，前汤加半夏、炮姜、五味、茯苓。肾虚者，六味
丸。虚寒者，八味丸。
一方 用五倍子末三钱，明矾末二钱，水二碗，煎沸热洗，立收。
一方 治脱肛三五寸者，先用五倍矾汤洗过，次用赤石脂为末，以油纸托上，四围皆掺
之，妙。
一方 用桑叶、桃叶煎汤，入矾末，洗之则愈。或以蓖麻子捣膏药贴顶心，则不下脱。
一方 用锻石炒热，以帛包裹，令患人坐其上，冷即易之。
长强穴（灸三壮愈）、脐中（随年壮）、百会（灸三壮，治小儿脱肛）。
四君子汤（补一） 五君子煎（新热六） 大补元煎（新补一） 温胃饮（新热五） 四物汤（
补八） 大厘清饮（新寒五） 补中益气汤（补三十） 胃关煎（新热九） 六物煎（新因二十）
升阳除湿汤（和一七九） 举元煎（新补十七） 六味丸（补百二十） 五味异功散（补四） 理阴
煎（新热三） 殿胞煎（新因十） 八味丸（补一二一） 补阴益气煎（新补十六） 抽薪饮（新寒
三） 约营煎（新寒二十）
薛立斋说：脱肛属于大肠气血虚弱，同时兼有湿热。凡是湿热偏盛的，用升阳除湿汤。血热的，用四物汤加条芩、槐花。血虚的，用四物汤加白术、茯苓。兼有痔疮且疼痛的，用四物汤加槐花、黄连、升麻。久痢的，用补中益气汤加酒炒芍药。中气虚弱下陷的，用前方（补中益气汤）加半夏、炮姜、五味子、茯苓。肾虚的，用六味丸。虚寒的，用八味丸。
一方：用五倍子末三钱，明矾末二钱，水两碗，煎沸后趁热清洗，立刻收敛。
一方：治疗脱肛三五寸长的，先用五倍子和明矾煎汤清洗，然后用赤石脂研成粉末，用油纸托住肛门，在四周撒上药粉，效果奇妙。
一方：用桑叶、桃叶煎汤，加入明矾末，清洗即可痊愈。或者将蓖麻子捣成膏药贴在头顶心（百会穴），则不会再次脱出。
一方：用煅石膏炒热，用布包裹，让患者坐在上面，冷了再更换。
长强穴（灸三壮可愈）、脐中（随年龄决定灸壮数）、百会穴（灸三壮，治疗小儿脱肛）。
四君子汤（补一） 五君子煎（新热六） 大补元煎（新补一） 温胃饮（新热五） 四物汤（补八） 大厘清饮（新寒五） 补中益气汤（补三十） 胃关煎（新热九） 六物煎（新因二十） 升阳除湿汤（和一七九） 举元煎（新补十七） 六味丸（补百二十） 五味异功散（补四） 理阴煎（新热三） 殿胞煎（新因十） 八味丸（补一二一） 补阴益气煎（新补十六） 抽薪饮（新寒三） 约营煎（新寒二十）
Xue Lizhai stated: Prolapse of the rectum belongs to deficiency of Qi and Blood in the Large Intestine, accompanied by Damp-Heat. For cases where Damp-Heat is predominant, Sheng Yang Chu Shi Tang (Raising Yang and Expelling Dampness Decoction) is used. For Heat in the Blood, Si Wu Tang (Four Substances Decoction) is modified with Tiao Qin (Scutellariae Radix) and Huai Hua (Flos Sophorae). For Blood deficiency, Si Wu Tang (Four Substances Decoction) is modified with Bai Zhu (Atractylodis Macrocephalae Rhizoma) and Fu Ling (Poria). For cases complicated by hemorrhoids and pain, Si Wu Tang (Four Substances Decoction) is modified with Huai Hua (Flos Sophorae), Huang Lian (Coptidis Rhizoma), and Sheng Ma (Cimicifugae Rhizoma). For chronic dysentery, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) is used with Jiu Chao Shao Yao (Wine-fried Paeoniae Radix Alba). For sinking of Spleen Qi due to deficiency, the aforementioned formula (Bu Zhong Yi Qi Tang) is modified with Ban Xia (Pinelliae Rhizoma), Pao Jiang (Zingiberis Rhizoma Preparatum), Wu Wei Zi (Schisandrae Fructus), and Fu Ling (Poria). For Kidney deficiency, Liu Wei Wan (Six-Ingredient Pill with Rehmannia Root) is used. For deficiency-cold, Ba Wei Wan (Eight-Ingredient Pill with Rehmannia Root) is used.
One prescription: Use San Qian (three qian) of powder of Galla Chinensis (Wu Bei Zi) and Er Qian (two qian) of powder of Alum (Ming Fan), with two bowls of water; boil until hot and wash immediately, resulting in prompt retraction.
Another prescription for treating prolapse of three to five cun: First wash with a decoction of Galla Chinensis (Wu Bei Zi) and Alum (Ming Fan); then use powder of Halloysit Rubra (Chi Shi Zhi), support the anus with oiled paper, and sprinkle the powder around all sides. This is effective.
Another prescription: Boil leaves of Morus alba (Sang Ye) and Prunus persica (Tao Ye) in water, add powder of Alum (Ming Fan), and wash. The condition will heal. Alternatively, apply a paste made from Ricinus communis seed (Bi Ma Zi) to the vertex (Baihui point), preventing further prolapse.
Another prescription: Stir-fry calcined gypsum (Duan Shi) until hot, wrap it in cloth, and have the patient sit on it. Replace when it cools.
Changqiang (GV1) acupoint (moxibustion, three moxa cones leads to cure), Shenque (CV8) acupoint (moxibustion, number of cones based on age), Baihui (GV20) acupoint (moxibustion, three moxa cones, treats pediatric rectal prolapse).
Si Jun Zi Tang (Four Gentlemen Decoction) [Bu Yi] Wu Jun Zi Jian (Five Gentlemen Decoction) [Xin Re Liu] Da Bu Yuan Jian (Great Tonify Origin Decoction) [Xin Bu Yi] Wen Wei Yin (Warm Stomach Infusion) [Xin Re Wu] Si Wu Tang (Four Substances Decoction) [Bu Ba] Da Li Qing Yin (Great Clear and Separate Infusion) [Xin Han Wu] Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) [Bu San Shi] Wei Guan Jian (Stomach Gate Decoction) [Xin Re Jiu] Liu Wu Jian (Six Substances Decoction) [Xin Yin Er Shi] Sheng Yang Chu Shi Tang (Raising Yang and Expelling Dampness Decoction) [He Yi Qi Ji] Ju Yuan Jian (Raise Origin Decoction) [Xin Bu Shi Qi] Liu Wei Wan (Six-Ingredient Pill with Rehmannia Root) [Bu Bai Er Shi] Wu Wei Yi Gong San (Five Ingredients to Enhance Function Powder) [Bu Si] Li Yin Jian (Regulate Yin Decoction) [Xin Re San] Dian Bao Jian (Support Womb Decoction) [Xin Yin Shi] Ba Wei Wan (Eight-Ingredient Pill with Rehmannia Root) [Bu Yi Er Yi] Bu Yin Yi Qi Jian (Tonify Yin and Augment Qi Decoction) [Xin Bu Shi Liu] Chou Xin Yin (Draw Down Fire Infusion) [Xin Han San] Yue Ying Jian (Contract Intestines Decoction) [Xin Han Er Shi]