验方（李常山） 梧桐叶煎汤熏洗。
提肛散 久痔气虚，肛门下坠及脱肛便血，脾胃虚弱。
人参 白术 川芎 黄 陈皮 当归 甘草（各一钱） 柴胡 升麻 条芩 黄连 白芷（各五分）
水煎，食远服，渣再煎。
通治脱肛主方（《活人录》）
生黄 （三钱） 人参 当归（各一钱五分） 白术 川芎 陈皮（各一钱） 柴胡 防风（各七分） 升麻（五分）
甘草（二分）
水煎，空心午前服。（补中益气汤，加防风、川芎于至阴之中，升提清阳之气，达于腠理，不外地气
上腾之义。若地气上腾，则天气自然下降矣。真气虚寒而自脱者，加附子五分，血枯液竭燥结下坠，及老年产
后血燥者，加松子泥五钱，生地三钱，减黄 一钱五分，去白术、川芎、防风，服益血润肠丸，或滋燥养血润肠
丸。阳明燥火自亢，实热下坠者，加黄连一钱五分，生地三钱，白芍二钱，去参、 、术、芎、防。服搜风顺
气丸，或润下丸。脾胃气虚，泄痢而脱者，加茯苓一钱五分，白术、肉果各一钱，去芎、归，服培元固本启脾
丸，或香连固本丸。小儿久痢久泻，湿热下迫而虚脱者，加白芍一钱，黄连三分，减黄 一钱五分，人参五分，去
芎归，服香连健脾丸，或香连固本丸。）
脱肛 人参、黄 、当归身、升麻、川芎，水二碗，煎八分，食前服。血虚加
芍药、熟地，血热加炒黄柏，虚寒加炒黑干姜。外以五倍子末托而上之。
又方 剃头店荡刀旧青布 灰，托之即上。
又方 以手托上，用烘热旧鞋底熨之即上。
又方 番木鳖子去壳取仁，用冰麝油磨汁扫上，即缩入。
因久痢脱肛 蜗牛烧灰，猪油和敷立缩。
脱肛因久患泻痢所致者 葱汤熏洗令软送上。或以五倍子末敷之，频频托入。或煎汤洗亦可
又方 生鳖头烧存性研细，香油调敷托上。
小儿脱肛 黄狗一只，将绳捆狗四足后，将狗倒挂，候其口中流出粘涎搽上，其肛即收矣。
脱肛 白矾三分，童便二盏，炖热洗之即上。
龙骨散 小儿大肠虚肛门脱出。
龙骨（二钱五分） 诃子（煨，去核） 没石子（各二个） 赤石脂 罂粟壳（去盖带穣醋炒，各二钱）
为极细末，米饮调化，食前服。
伏龙肝散 治小儿阴证脱肛。
伏龙肝（一两） 鳖头骨（五钱） 百药煎（二钱五分）
为细末。用紫苏煎浓候温和，清油同敷。
又方 五倍子（二钱，研） 白矾（一钱）同煎汤洗。
又方 木贼草烧灰存性为末，掺肛门上，按入即愈。
又方 浮萍为末干贴。
又方 陈壁土泡汤，先熏后洗。
提肛散：适用于长期痔疮导致气虚、肛门下坠及脱肛伴便血，以及脾胃虚弱的情况。
处方组成：人参、白术、川芎、黄芪、陈皮、当归、甘草（各一钱），柴胡、升麻、黄芩、黄连、白芷（各五分）。
用法：加水煎煮，在饭后较长时间服用，药渣再次煎煮服用。
通治脱肛主方（出自《活人录》）：
处方组成：生黄芪（三钱）、人参、当归（各一钱五分）、白术、川芎、陈皮（各一钱）、柴胡、防风（各七分）、升麻（五分）、甘草（二分）。
用法：加水煎煮，空腹且在中午之前服用。（此方即补中益气汤，加入防风、川芎，旨在至阴之中升提清阳之气，使其达于腠理，这符合地气上腾的道理。如果地气上腾，天气自然会下降。）
加减法：若因真气虚寒而自行脱出者，加附子五分；若因血枯液竭、燥结下坠，以及老年或产后血燥者，加松子泥五钱、生地三钱，减去黄芪一钱五分，去掉白术、川芎、防风，同时服用益血润肠丸，或滋燥养血润肠丸。若因阳明燥火自盛、实热导致下坠者，加黄连一钱五分、生地三钱、白芍二钱，去掉人参、黄芪、白术、川芎、防风，同时服用搜风顺气丸，或润下丸。若因脾胃气虚、泄痢导致脱肛者，加茯苓一钱五分、白术和肉豆蔻各一钱，去掉川芎、当归，同时服用培元固本启脾丸，或香连固本丸。若小儿因久痢久泻，湿热下迫导致虚脱者，加白芍一钱、黄连三分，减去黄芪一钱五分、人参五分，去掉川芎、当归，同时服用香连健脾丸，或香连固本丸。
治疗脱肛：用人参、黄芪、当归身、升麻、川芎，加水两碗，煎至八分，饭前服用。若属血虚，加芍药、熟地黄；若属血热，加炒黄柏；若属虚寒，加炒黑干姜。外用五倍子粉末托举并敷于患处。
又一方：取理发店磨刀用的旧青布烧成的灰，用来托举敷贴，肛门即可复位。
又一方：用手将肛门托回，然后用烘热的旧鞋底熨烫患处，即可复位。
又一方：取番木鳖子去壳取仁，用冰片和麝香的油研磨成汁，涂抹于患处，肛门即可缩回。
因长期痢疾导致的脱肛：将蜗牛烧成灰，用猪油和匀敷贴，肛门立即收缩。
脱肛因长期患腹泻痢疾所致者：用葱汤熏洗使局部变软，然后送还复位。或用五倍子粉末敷贴，频繁托入。也可以煎汤清洗。
又一方：将生鳖头烧至存性（保留部分原质），研成细粉，用香油调匀敷贴并托举复位。
小儿脱肛：取一只黄狗，用绳子捆住四只脚的后部，将狗倒挂，待其口中流出粘涎，涂抹在患儿肛门上，肛门即可收回。
龙骨散：用于治疗小儿大肠虚弱导致的肛门脱出。
处方组成：龙骨（二钱五分）、诃子（煨制，去核）、没石子（各二个）、赤石脂、罂粟壳（去盖带瓤醋炒，各二钱）。
用法：研成极细粉末，用米饮调化，饭前服用。
伏龙肝散：治疗小儿阴证类型的脱肛。
处方组成：伏龙肝（一两）、鳖头骨（五钱）、百药煎（二钱五分）。
用法：研成细末。用紫苏煎煮浓汁，待温度温和后，与清油混合外敷。
Prescription (Li Changshan): Decoct leaves of Firmiana simplex (Wutongye) to make a decoction for fumigation and washing.
Tigan San (Hemorrhoid-Lifting Powder): Indicated for chronic hemorrhoids causing Qi deficiency, prolapse of the anus, hematochezia due to rectal prolapse, and Spleen-Stomach Qi deficiency.
Ingredients: Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Rhizoma), Chuan Xiong (Ligusticum Chuanxiong Rhizoma), Huang Qi (Astragali Radix), Chen Pi (Citri Reticulatae Pericarpium), Dang Gui (Angelicae Sinensis Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 1 qian); Chai Hu (Bupleuri Radix), Sheng Ma (Cimicifugae Rhizoma), Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Bai Zhi (Angelicae Dahuricae Radix) (each 0.5 qian).
Administration: Decoct in water, take well after meals; decoct the dregs again for subsequent use.
Main Prescription for General Treatment of Rectal Prolapse (from *Huoren Lu*):
Ingredients: Sheng Huang Qi (Raw Astragali Radix) (3 qian), Ren Shen (Ginseng Radix), Dang Gui (Angelicae Sinensis Radix) (each 1.5 qian), Bai Zhu (Atractylodis Rhizoma), Chuan Xiong (Ligusticum Chuanxiong Rhizoma), Chen Pi (Citri Reticulatae Pericarpium) (each 1 qian), Chai Hu (Bupleuri Radix), Fang Feng (Saposhnikoviae Radix) (each 0.7 qian), Sheng Ma (Cimicifugae Rhizoma) (0.5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (0.2 qian).
Administration: Decoct in water, take on an empty stomach before noon. (This formula is Bu Zhong Yi Qi Tang [Supplement the Middle and Augment the Qi Decoction] with added Fang Feng and Chuan Xiong. Its purpose is to raise clear Yang Qi within the Yin, directing it to the Cou Li [interstices], following the principle of Earth Qi ascending. If Earth Qi ascends, Heaven Qi naturally descends.)
Modifications: For prolapse due to deficiency-cold of True Qi, add Fu Zi (Aconiti Lateralis Radix Praeparata) 0.5 qian. For prolapse due to exhaustion of blood and fluids, dryness accumulation, or blood dryness in the elderly or postpartum women, add Song Zi Ni (Pine Seed Paste) 5 qian, Sheng Di Huang (Rehmanniae Radix) 3 qian; reduce Huang Qi by 1.5 qian; remove Bai Zhu, Chuan Xiong, and Fang Feng; concurrently administer Yi Xue Run Chang Wan [Nourish Blood and Moisten Intestines Pill] or Zi Zao Yang Xue Run Chang Wan [Moisten Dryness, Nourish Blood, and Moisten Intestines Pill]. For prolapse due to hyperactive Yangming dryness-fire and excess heat, add Huang Lian (Coptidis Rhizoma) 1.5 qian, Sheng Di Huang (Rehmanniae Radix) 3 qian, Bai Shao (Paeoniae Radix Alba) 2 qian; remove Ren Shen, Huang Qi, Bai Zhu, Chuan Xiong, and Fang Feng; concurrently administer Sou Feng Shun Qi Wan [Search Wind and Smooth Qi Pill] or Run Xia Wan [Moisten and Purge Pill]. For prolapse due to Spleen-Stomach Qi deficiency with diarrhea and dysentery, add Fu Ling (Poria) 1.5 qian, Bai Zhu (Atractylodis Rhizoma) and Rou Dou Kou (Myristicae Semen) each 1 qian; remove Chuan Xiong and Dang Gui; concurrently administer Pei Yuan Gu Ben Qi Pi Wan [Support Origin, Solidify Root, and Inspire Spleen Pill] or Xiang Lian Gu Ben Wan [Aromatic and Coptis Solidify Root Pill]. For children with chronic dysentery/diarrhea leading to deficiency-prolapse due to downward pressure of damp-heat, add Bai Shao (Paeoniae Radix Alba) 1 qian, Huang Lian (Coptidis Rhizoma) 0.3 fen; reduce Huang Qi by 1.5 qian, Ren Shen by 0.5 qian; remove Chuan Xiong and Dang Gui; concurrently administer Xiang Lian Jian Pi Wan [Aromatic and Coptis Strengthen Spleen Pill] or Xiang Lian Gu Ben Wan [Aromatic and Coptis Solidify Root Pill].
Treatment for Rectal Prolapse: Use Ren Shen (Ginseng Radix), Huang Qi (Astragali Radix), Dang Gui Shen (Body of Angelicae Sinensis Radix), Sheng Ma (Cimicifugae Rhizoma), Chuan Xiong (Ligusticum Chuanxiong Rhizoma). Decoct in two bowls of water until reduced to 0.8 bowl; take before meals. For blood deficiency, add Bai Shao (Paeoniae Radix Alba) and Shu Di Huang (Prepared Rehmanniae Radix); for blood heat, add Chao Huang Bo (Fried Phellodendri Cortex); for deficiency-cold, add Chao Hei Gan Jiang (Fried Black Zingiberis Rhizoma). Externally, apply powder of Wu Bei Zi (Galla Chinensis) to support and lift.
Another prescription: Use ash from old blue cloth used for sharpening knives in barbershops; apply to support the prolapse, which will then retract.
Another prescription: Manually reduce the prolapse, then apply a hot, old shoe sole as a compress to facilitate reduction.
Another prescription: Remove the shell of Fan Mu Bie (Strychnos nux-vomica seed), take the kernel, grind with oil containing Bing Pian (Borneolum Syntheticum) and She Xiang (Moschus), and smear on the area; the anus will retract immediately.
For rectal prolapse caused by chronic dysentery: Burn Snail (Wo Niu) to ash, mix with Pig Fat (Zhu You), and apply; the anus will contract immediately.
For rectal prolapse caused by chronic diarrhea and dysentery: Fumigate and wash with Scallion Decoction (Cong Tang) to soften the tissue, then manually reduce. Alternatively, apply Wu Bei Zi (Galla Chinensis) powder and frequently reduce manually. Washing with decoction is also acceptable.
Another prescription: Burn fresh Soft-shelled Turtle Head (Bie Tou) until carbonized but retaining properties, grind into fine powder, mix with Sesame Oil (Xiang You), apply, and manually reduce.
Pediatric rectal prolapse: Take one yellow dog, tie its four hind legs, hang the dog upside down, wait for sticky saliva to flow from its mouth, and apply this saliva to the child's anus; the prolapse will retract.
Treatment for rectal prolapse: Use Bai Fan (Alumen) 0.3 fen and Tong Bian (Child's Urine) two cups; heat by stewing and wash the area; reduction will occur immediately.
Longgu San (Dragon Bone Powder): Indicates pediatric rectal prolapse due to Large Intestine deficiency.
Ingredients: Long Gu (Fossilia Ossis Mastodi et Femoris) (2.5 qian), He Zi (Terminalia Chebulae Fructus) (roasted, pitted), Mei Shi Zi (Myrobalan) (each 2 pieces), Chi Shi Zhi (Halloysit Rubrum), Ying Su Qiao (Papaveris Capsicum) (cover removed, bran retained, stir-fried with vinegar, each 2 qian).
Administration: Grind into extremely fine powder, mix with Rice Drink (Mi Yin) to dissolve, take before meals.
Fulonggan San (Cooked Earth Powder): Treats pediatric Yin-type rectal prolapse.
Ingredients: Fu Long Gan (Caulis Argillae Ustae) (1 liang), Bie Tou Gu (Bone of Soft-shelled Turtle Head) (5 qian), Bai Yao Jian (Pilula Fermentata) (2.5 qian).
Administration: Grind into fine powder. Decoct Zi Su (Perilla Leaf) to make a strong decoction, let cool to warm temperature, mix with clear oil, and apply externally.
Another prescription: Wu Bei Zi (Galla Chinensis) 2 qian (ground) and Bai Fan (Alumen) 1 qian; decoct together for washing.
Another prescription: Burn Mu Zei Cao (Equiseti Herba) to ash while retaining properties, grind into powder, sprinkle on the anus, and press in for cure.
Another prescription: Apply powder of Fu Ping (Spirodela Polyrrhiza) dry.
Another prescription: Soak Chen Bi Tu (Old Wall Soil) in water; fumigate first, then wash.