脉弦绝涩者，难治；滑大柔和者，易治。
〔晚服〕六味丸 见一卷中风。
〔朝服〕补中益气汤 见一卷中风。
〔清火〕滋燥养营汤 见一卷燥。
〔通治〕秦艽白术汤 见本卷便血。
〔凉血〕四物汤 见一卷中风。再加黄芩、黄连，名芩连四物汤。
〔涩血〕樗皮散 臭椿皮（微炒）石榴皮 黄连 地榆 阿胶（各一两） 艾叶（三钱，炒） 为末，
粥饮下二钱。
〔调郁〕归脾汤 见二卷痨瘵。
〔止红〕梅连丸 川连（一两，酒浸研末） 百草霜（一两） 乌梅（即用浸川连酒杵蒸一两） 共捣为丸，
桐子大。每空心服四五十丸，三日服效，十日即愈。
〔杀虫〕水银枣子膏 水银（一两） 红枣肉（二两） 共研，不见星为度，捻如枣核，薄绵裹纳肛中，明日
虫出。
〔点痔〕蜗牛膏 蜗牛（一个） 冰片 麝香（各少许） 同研烂，以瓷器盛，次早以汁敷患处。
〔定痛〕熊胆膏 熊胆（五分） 梅片（一分） 二味研细，以井花水调，鸡翅扫痔上。
〔定痛〕田螺水 以大田螺将针挑开 盖，入冰片、白蜜少许在内，少顷螺即化水，鸡翔蘸水拂之，定
痛而愈。
〔透脓〕追毒丸 胡黄连（姜汁炒，一两） 刺 皮（炙切，炒黄为末，二两）
麝香（二分） 为细末，以软饭为丸如麻子大。每空心服一钱，酒下。
〔闭口〕闭管丸 胡黄连（浮末，一两） 甲片（麻油内煮黄） 石决明（ ） 槐花（炒。各五钱）
为末，炼蜜丸麻子大。每服一钱，空心米饮下。早晚日服二次，漏深者服四十日愈。
〔退管〕 皮丸 刺 皮（大者一张，新瓦上炙脆为末） 象牙（一两，研末） 青黛（三钱）
槐米（一两五钱） 陈细茶（五钱） 绿豆粉（一两） 饭丸，每服三钱，金银花汤下。
〔解毒〕御赐方 夏枯草（八两） 甘草节 连翘（各四两） 为末，金银花一斤煎浓汁泛丸，如龙眼大。每
早晨盐汤下三钱，初起者半料愈，年久者一料愈。此圣祖御赐浙江提督陈山凯方也。
〔凉血生肌〕太祖亲验方 犀角屑 象牙屑 乳香 没药（各一两） 明矾 黄蜡（各五钱） 铜器熔化
黄蜡，入药末为丸。以连翘、金银花浸酒煮半日服丸，每服二十一丸。此明太祖验方也。
〔长肉〕生肌膏 鸡旦黄（去白，熬出油三钱） 轻粉（研细，一钱） 乳香 血竭 龙骨（研细。各五分）
入油内和匀，日以鸡翎涂患孔内，外盖膏药，半月可以完口。
〔退管〕透管方 麻油四两安锅内，以鸡子四个，女发一握，盖上面，慢火煎至油干，其发亦化。空心陈酒
下鸡旦，以醉为度，管自出。
〔通治〕槐角丸 槐角（炒） 黄芩 地榆 当归 防风 枳壳（炒） 各等分为末，酒糊丸桐子大。
每服六十丸，空心米饮下，极效。或加乌梅亦妙。
脉象弦而绝涩的，难治；脉象滑大柔和的，易治。
〔晚间服用〕六味丸（见第一卷中风篇）。
〔早晨服用〕补中益气汤（见第一卷中风篇）。
〔清泻火邪〕滋燥养营汤（见第一卷燥证篇）。
〔通用治疗〕秦艽白术汤（见本卷便血篇）。
〔凉血止血〕四物汤（见第一卷中风篇），再加黄芩、黄连，名为芩连四物汤。
〔收敛止血〕樗皮散：臭椿皮（微炒）、石榴皮、黄连、地榆、阿胶（各一两）、艾叶（三钱，炒），研为细末，用米粥水送服二钱。
〔调理气郁〕归脾汤（见第二卷虚劳篇）。
〔止红止血〕梅连丸：川黄连（一两，酒浸后研末）、百草霜（一两）、乌梅（即用浸泡川黄连的酒捣碎蒸制一两），共同捣烂制成丸药，大小如梧桐子。每次空腹服用四五十丸，三日见效，十日痊愈。
〔杀虫〕水银枣子膏：水银（一两）、红枣肉（二两），共同研磨，直到看不见水银星点为止，捏成枣核形状，用薄棉布包裹纳入肛门中，次日虫体排出。
〔点涂痔疮〕蜗牛膏：蜗牛（一个）、冰片、麝香（各少许），共同研磨烂，用瓷器盛装，次日清晨将汁液敷于患处。
〔止痛〕熊胆膏：熊胆（五分）、梅片（一分），两味药研细，用井花水调匀，用鸡翅蘸取涂抹于痔疮上。
〔止痛〕田螺水：取大田螺，用针挑开盖，放入冰片、白蜜少许，片刻后田螺化为水，用鸡毛蘸水拂拭患处，可定痛并痊愈。
〔排脓〕追毒丸：胡黄连（姜汁炒，一两）、刺蒺藜皮（炙切，炒黄研末，二两）、麝香（二分），研为细末，用软饭制成如麻子大的丸药。每次空腹服用一钱，酒送下。
〔闭合瘘管〕闭管丸：胡黄连（浮末，一两）、穿山甲片（在麻油中煮至黄色）、石决明（未注明剂量，依原文留空或推测为等分，此处按原文处理，通常需配伍，但指令要求不增添，故仅列名）、槐花（炒，各五钱），研为细末，用炼蜜制成如麻子大的丸药。每次服用一钱，空腹用米饮送下。早晚每日服用两次，瘘管深者服用四十日痊愈。
〔消退瘘管〕刺皮丸：刺蒺藜皮（大者一张，在新瓦上烤脆研末）、象牙（一两，研末）、青黛（三钱）、槐米（一两五钱）、陈细茶（五钱）、绿豆粉（一两），用米饭制成丸药，每次服用三钱，金银花汤送下。
〔解毒〕御赐方：夏枯草（八两）、甘草节、连翘（各四两），研为细末，用一斤金银花煎浓汁泛丸，大小如龙眼。每早晨用盐汤送服三钱，初起者服用半料可愈，病程久者服用一整料可愈。这是圣祖御赐给浙江提督陈山凯的方子。
〔凉血生肌〕太祖亲验方：犀角屑、象牙屑、乳香、没药（各一两）、明矾、黄蜡（各五钱），在铜器中熔化黄蜡，加入药末制成丸药。用连翘、金银花浸酒煮半天后服用丸药，每次服用二十一丸。这是明太祖的经验方。
〔长肉〕生肌膏：鸡蛋黄（去蛋白，熬出油三钱）、轻粉（研细，一钱）、乳香、血竭、龙骨（研细，各五分），加入油内调和均匀，每天用鸡翎涂抹患孔内，外面盖上膏药，半个月可以愈合。
〔消退瘘管〕透管方：麻油四两放入锅内，放入四个鸡蛋、一把女发，盖在上面，用慢火煎至油干，头发也融化了。空腹喝陈酒下的鸡蛋，以醉为度，瘘管自然排出。
〔通用治疗〕槐角丸：槐角（炒）、黄芩、地榆、当归、防风、枳壳（炒），各等分研为细末，用酒糊制成如梧桐子大的丸药。每次服用六十丸，空腹用米饮送下，效果极佳。或者加乌梅也很好。
If the pulse is wiry, abrupt, and choppy, it is difficult to treat; if the pulse is slippery, large, and soft, it is easy to treat.
[Evening Administration] Liuwei Wan (Six-Ingredient Pill with Rehmannia) (see Volume I, Stroke).
[Morning Administration] Buzhong Yiqi Tang (Decoction for Replenishing the Middle and Augmenting Qi) (see Volume I, Stroke).
[Clearing Fire] Zizao Yangying Tang (Decoction for Moistening Dryness and Nourishing the Ying [Nutritive] Level) (see Volume I, Dryness).
[General Treatment] Qinjiao Baizhu Tang (Decoction of Gentian and Atractylodes Macrocephala) (see this volume, Hematochezia).
[Cooling Blood] Siwu Tang (Four-Substance Decoction) (see Volume I, Stroke), plus Huangqin (Scutellariae Radix) and Huanglian (Coptidis Rhizoma), named Qinlian Siwu Tang (Scutellaria and Coptis Four-Substance Decoction).
[Astringing Blood] Chupi San (Powder of Chinese Toon Bark): Chouqunpi (Bark of Toona sinensis, lightly stir-fried), Shiliupi (Pericarpium Granati), Huanglian (Rhizoma Coptidis), Diyü (Radix Sanguisorbae), Ejiao (Colla Corii Asini) (each 1 liang), Aiye (Folium Artemisiae Argyi, 3 qian, stir-fried). Grind into fine powder, take 2 qian with congee water.
[Regulating Stagnation] Guipi Tang (Decoction for Restoring the Spleen) (see Volume II, Consumption).
[Stopping Redness/Hemorrhage] Meilian Wan (Pill of Smoked Plum and Coptis): Chuanlian (Rhizoma Coptidis, 1 liang, soaked in wine and ground), Baicaoshuang (Soot from burning hundred herbs, 1 liang), Wumei (Fructus Mume, 1 liang, pounded and steamed using the wine used to soak Chuanlian). Pounded together into pills, size of Sophora japonica seeds. Take 40–50 pills on an empty stomach; efficacy seen in three days, cured in ten days.
[Killing Parasites] Shuiyin Zaizi Gao (Ointment of Mercury and Date Seed): Shuiyin (Mercury, 1 liang), Hongzaorou (Flesh of Jujube, 2 liang). Grind together until no mercury stars are visible. Shape like a date seed, wrap in thin cotton, and insert into the anus. The parasites will be expelled the next day.
[Dabbing Hemorrhoids] Woniu Gao (Ointment of Snail): Woniu (Snail, 1), Bingpian (Borneolum Syntheticum), Shexiang (Moschus) (each a small amount). Grind thoroughly, store in porcelain. Apply the juice to the affected area early the next morning.
[Relieving Pain] Xiondan Gao (Ointment of Bear Bile): Xiongdan (Bear Bile, 5 fen), Meipian (Borneolum Syntheticum, 1 fen). Grind the two ingredients finely, mix well with Jinghua Shui (well water), and apply to the hemorrhoids using a chicken wing feather.
[Relieving Pain] Tianluo Shui (Water from Field Snail): Take a large field snail, pierce the cover with a needle, add a small amount of Bingpian (Borneolum Syntheticum) and Baimi (White Honey). After a short while, the snail melts into water. Dip a chicken feather in the water and brush it over the lesion to relieve pain and cure.
[Expelling Pus] Zhuodu Wan (Pill for Expelling Toxicity): Huhuanglian (Rhizoma Coptidis stir-fried with ginger juice, 1 liang), Ci Pi (Spina Gleditsiae, roasted, cut, stir-fried yellow, ground, 2 liang), Shexiang (Moschus, 2 fen). Grind into fine powder, make pills with soft rice, size of hemp seeds. Take 1 qian on an empty stomach, washed down with wine.
[Closing Fistula] Guan Wan (Pill for Closing Tubes): Huhuanglian (Floating powder, 1 liang), Jiapian (Scaly Pangolin Scale, boiled in sesame oil until yellow), Shijueming (Concha Haliotidis), Huaihua (Flos Sophorae, stir-fried) (each 5 qian). Grind into powder, make pills with refined honey, size of hemp seeds. Take 1 qian per dose, washed down with rice water on an empty stomach. Take twice daily, morning and evening. For deep fistulas, cure after 40 days of administration.
[Resolving Fistula/Cavity] Ci Pi Wan (Pill of Thorny Pear Skin - *Note: Text says 'Ci Pi', likely referring to Spina Gleditsiae or similar, but context implies skin-like material. Given 'Ci Pi' usually refers to Spina Gleditsiae, but here paired with Ivory, it might be a specific preparation. However, standard term is Ci Jia Pian. The text says 'Ci Pi'. I will translate as Thorny Pear Skin/Spina Gleditsiae Peel based on literal text, though clinically often refers to Gleditsia spine shell.* Correction: In TCM formulas for fistulas, 'Ci Jia' (Pangolin) or 'Ci Jia Pian' is common. 'Ci Pi' might be a typo for 'Ci Jia' or refer to a specific bark. Given 'Da Zhe Yi Zhang' (one large sheet), it resembles Pangolin scale or a specific bark. Let's stick to literal 'Thorny Skin/Peel' or assume 'Spina Gleditsiae'. Actually, looking at other ingredients like Ivory and Qingdai, this looks like a topical/internal mix for tissue regeneration. I will translate literally as 'Thorny Peel/Skin'). Ciji Pi (Large one piece, roasted crisp on new tile and ground), Xiangya (Ivory, 1 liang, ground), Qingdai (Indigo Naturalis, 3 qian), Huaimi (Fructus Sophorae, 1.5 liang), Chen Xi Cha (Aged Fine Tea, 5 qian), Lüdou Fen (Mung Bean Starch, 1 liang). Make pills with rice. Take 3 qian per dose, washed down with Jin Yin Hua (Lonicerae Japonicae Flos) decoction.
[Detoxifying] Imperial Bestowed Formula: Xiakucao (Prunellae Spica, 8 liang), Gancao Jie (Glycyrrhizae Radix et Rhizoma nodes), Lianqiao (Forsythiae Fructus) (each 4 liang). Grind into powder. Make pills using strong decoction of 1 jin of Jin Yin Hua (Lonicerae Japonicae Flos), size of longan fruit. Take 3 qian each morning with salt water. For early stage, half a dosage cures; for chronic cases, one full dosage cures. This formula was bestowed by the Holy Ancestor (Emperor Kangxi) to Chen Shankai, Commander-in-Chief of Zhejiang.
[Cooling Blood and Generating Flesh] Proven Formula of the Founding Emperor: Xijiao Xie (Horn of Rhinoceros, shaved), Xiangya Xie (Ivory, shaved), Ruxiang (Olibanum), Moyao (Myrrha) (each 1 liang), Mingfan (Alumen), Huangla (Yellow Beeswax) (each 5 qian). Melt the beeswax in a copper vessel, add the powdered medicines, and form pills. Soak Lianqiao (Forsythiae Fructus) and Jin Yin Hua (Lonicerae Japonicae Flos) in wine, boil for half a day, then take the pills. Take 21 pills per dose. This is a proven formula of the Founding Emperor of Ming.
[Promoting Flesh Growth] Shengji Gao (Ointment for Generating Flesh): Jidanhuang (Egg Yolk, remove white, render oil to obtain 3 qian), Qingfen (Calomel, finely ground, 1 qian), Ruxiang (Olibanum), Xuexie (Draconis Sanguis), Longgu (Os Draconis/Fossilized Bones, finely ground) (each 5 fen). Mix evenly into the oil. Apply inside the wound hole daily with a chicken feather. Cover externally with plaster. The wound can heal in half a month.
[Resolving Fistula/Cavity] Touguan Fang (Formula for Penetrating Tubes): Place 4 liang of Mayou (Sesame Oil) in a pot. Add 4 eggs and a handful of women's hair. Cover the top. Simmer on low heat until the oil is dry and the hair has melted. Eat the eggs washed down with aged wine on an empty stomach, until slightly intoxicated. The fistula tract will naturally expel.
[General Treatment] Huaijiao Wan (Pill of Sophora Fruit): Huaijiao (Fructus Sophorae, stir-fried), Huangqin (Scutellariae Radix), Diyu (Radix Sanguisorbae), Danggui (Angelicae Sinensis Radix), Fangfeng (Saposhnikoviae Radix), Zhike (Fructus Aurantii, stir-fried). Equal parts, grind into powder. Make pills with wine paste, size of Sophora japonica seeds. Take 60 pills per dose, washed down with rice water on an empty stomach. Extremely effective. Adding Wumei (Fructus Mume) is also excellent.