肠僻为痔。如大泽中有少山突出为痔。凡人于九窍中但有小肉突起,皆曰痔,不特于肛
门边生者名之。亦有鼻痔、眼痔、牙痔等。其状不一。方分五种∶曰牡、曰牝、曰胍、曰肠、
曰气。牝痔者,肛门边生疮,肿突出,一日数枚,脓溃即散;牡痔者,肛门边发,露肉珠状
如鼠奶,时时滴溃脓血;胍痔者,肠口颗颗发累,且痛且痒,血出淋漓;肠痔者,肛门内结
核有血,寒热往来,登溷脱出;气痔者,遇恐怒则发,肛门肿痛,气散则愈;又有酒痔,每
遇饮酒发动,疮即肿痛而流血;血痔者,每遇大便则血出不止,宜解热、调血、顺气为主。
若久而不愈,必至穿穴为漏矣。
治痔油药
苏合油 熊胆各五分 头生鸡子二个(用清,煎油)
三味匀和,敷之神效。 有一赵姓者,患痔垂死,用此立愈。(《灵秘丹药》)
药水
片脑一分 朴硝五分 熊胆三分 蜗牛 螺肉各十两 橄榄核(烧灰)五钱
捣烂入药,浸一夜取水并药敷疮,无不断根。(同上)
痔漏
犀角 象牙各末 乳香 没药各一两 明矾 黄占各五钱
铜器溶化占,入药,丸梧子大。取连翘、金银花二味贮瓶中,入好酒煎半日,去渣,酒
服廿
一用胡连一两(末),甲片(麻油炙)、石决明( ) 槐花(炒)各五钱,蜜丸。早晚
各
一用青苔(青石上出)焙末,加生矾少许,再研听用。先将瓦花一把水煎滚,加盐卤一
碗,坐上浴洗,其痔渐渐缩小,揩干,将药抹上。但要痛三、四次即愈,永不再发。(《外科
秘录
肠僻(指肠道病变)导致痔疮。就像大沼泽中突起的小山包一样形成痔疮。凡是人体九窍中有小肉突起,都称为痔,不仅仅是在肛门边生长的才叫痔。也有鼻痔、眼痔、牙痔等。其症状表现不一。方剂分为五种:叫做牡痔、牝痔、胍痔、肠痔、气痔。牝痔,是在肛门边生疮,肿胀突出,一天发作数次,脓液溃破后消散;牡痔,是在肛门边发生,露出肉珠状如鼠奶,时常滴漏脓血;胍痔,是直肠口颗粒状增生堆积,既痛又痒,血液淋漓流出;肠痔,是肛门内结块伴有出血,寒热往来,排便时脱出;气痔,遇到惊恐愤怒则发作,肛门肿痛,气机疏散后痊愈;又有酒痔,每次饮酒后发动,疮口即肿痛而流血;血痔,每次大便时血液不止,治疗宜以清热、调血、顺气为主。如果久治不愈,必定会导致穿孔成为漏症。
治疗痔疮的油药:
苏合油五分,熊胆五分,新鲜鸡蛋清两个(取蛋清,煎制成油)。
将三味药均匀调和,外敷效果神奇。有一位赵姓患者,患痔疮垂危,使用此方立刻痊愈。(出自《灵秘丹药》)
药水:
片脑(冰片)一分,朴硝五分,熊胆三分,蜗牛十两,螺肉十两,橄榄核(烧成灰)五钱。
捣烂混合入药,浸泡一夜,取水及药渣敷于疮口,无不能断根的。(同上)
痔疮漏管:
犀角末,象牙末各一两,乳香一两,没药一两,明矾五钱,黄占(蜂蜡)五钱。
用铜器溶化蜂蜡,加入药物,制成梧桐子大小的丸药。取连翘、金银花两味药贮存在瓶中,加入好酒煎煮半天,去渣,用酒送服二十丸。
另一方用胡黄连一两(研末),穿山甲片(用麻油炙烤)、石决明(未注明炮制方法)、槐花(炒制)各五钱,蜂蜜为丸。早晚各服用一次。
另一方用青苔(生长在青石上的)焙干研末,加入少许生明矾,再次研磨备用。先将瓦花一把用水煎滚,加入一碗盐卤,坐上浴洗,痔疮渐渐缩小,擦干后,将药涂抹上。只要疼痛三、四次即可痊愈,永不再发。(出自《外科秘录》)
Changpi (intestinal pathology) leads to hemorrhoids. It is like a small mountain protruding from a large marsh, forming hemorrhoids. Any small fleshy protrusion in the nine orifices of the human body is called hemorrhoid, not only those growing at the anus. There are also nasal hemorrhoids, ocular hemorrhoids, and dental hemorrhoids, etc. Their manifestations vary. Formulas are classified into five types: named Mu Hemorrhoids (Male Hemorrhoids), Pin Hemorrhoids (Female Hemorrhoids), Gua Hemorrhoids, Chang Hemorrhoids (Intestinal Hemorrhoids), and Qi Hemorrhoids (Qi-related Hemorrhoids). Pin Hemorrhoids occur as sores at the anal verge with swelling and protrusion, occurring several times a day, dissipating after pus rupture; Mu Hemorrhoids manifest as exposed fleshy nodules resembling mouse milk at the anal verge, frequently dripping pus and blood; Gua Hemorrhoids present as granular hyperplasia at the rectal opening, accompanied by pain and itching, with dripping blood; Chang Hemorrhoids involve intrarectal nodules with bleeding, alternating chills and fever, and prolapse during defecation; Qi Hemorrhoids flare up upon fear or anger, causing anal swelling and pain, resolving when Qi disperses; there is also Jiu Hemorrhoids (Alcohol-induced Hemorrhoids), which trigger upon drinking alcohol, causing sore swelling and bleeding; Xue Hemorrhoids (Blood Hemorrhoids) involve continuous bleeding during defecation, treated primarily by clearing heat, regulating blood, and smoothing Qi. If untreated for a long time, it will inevitably perforate and become a fistula.
Oil Medicine for Treating Hemorrhoids:
Suhe Oil (Styrax Oil) 5 fen, Xiong Dan (Bear Bile) 5 fen, two fresh chicken eggs (using the egg white, fried into oil).
Mix the three ingredients evenly and apply externally for miraculous effect. A patient surnamed Zhao, suffering from severe hemorrhoids nearing death, was cured immediately using this prescription. (From *Lingmi Danshan*)
Medicated Water:
Pian Nao (Borneol) 1 fen, Pu Xiao (Mirabilite) 5 fen, Xiong Dan (Bear Bile) 3 fen, Wo Niu (Snail) 10 liang, Luo Rou (Conch Meat) 10 liang, Gan Lan He (Olive Pit, burnt to ash) 5 qian.
Pound into a paste, mix with medicine, soak overnight, take the water and medicinal residue to apply to the sore, ensuring no recurrence. (Same source)
Hemorrhoidal Fistula:
Xi Jiao (Rhinoceros Horn) powder, Xiang Ya (Elephant Tusk) powder each 1 liang, Ru Xiang (Frankincense) 1 liang, Mo Yao (Myrrh) 1 liang, Ming Fan (Alum) 5 qian, Huang Zhan (Yellow Beeswax) 5 qian.
Melt the beeswax in a copper vessel, add the medicines, and roll into pills the size of a Chinese quince seed. Store Lian Qiao (Forsythia Fruit) and Jin Yin Hua (Honeysuckle Flower) in a bottle, decoct with good wine for half a day, strain, and take 20 pills with wine.
Another formula uses Hu Lian (Coptis Rhizome) 1 liang (powdered), Jia Pian (Pangolin Scales, fried in sesame oil), Shi Jue Ming (Abalone Shell), and Huai Hua (Sophora Flower, stir-fried) each 5 qian, formed into honey pills. Take once in the morning and once in the evening.
Another formula uses Qing Tai (Green Moss, growing on bluestone), baked and powdered, mixed with a small amount of raw alum, and ground again for use. First, boil one handful of Wa Hua (Tile Flower) in water until boiling, add one bowl of Yan Lu (Salt Brine), sit in the bath to wash, the hemorrhoids will gradually shrink. Wipe dry, then apply the medicine. Pain will occur three or four times before healing, with no recurrence thereafter. (From *Waike Milu*)