凡治病有五，若肛边生肉如鼠乳出孔外，时时脓血出者，名牡痔也；若肛边肿痛生疮者，
名酒痔也；若肛边有核痛及寒热者，名肠痔也；若大便辄清血出者，名血痔也；若大便难，
肛良久不肯入者，名气痔也。此皆坐中寒湿，或房室失节，或醉饱过度所得，当时不为患，
久久不瘥，终能困人，别有大方，今单行亦要便宜，根据按用之。（《外台》卷二十六）
治五痔，有气痔，温寒湿劳即发，蛇蜕皮主之；牡痔，生肉如鼠乳在孔中颇见外，妨于
更衣，鳖甲主之；牝痔，从孔中起外肿，五、六日自溃出脓血， 皮主之；肠痔，更衣挺出，
久
上所主药，皆下筛，等分，随病倍其所主药为三分，旦早以井华水服方寸匕，病甚者旦
暮服之，亦可至四、五服。唯得食干白肉，病瘥之后，百日乃近房室。又用药内下部，有疮
内中，无疮
又方
野葛（末）
上一味，以刀圭内药中服，五日知，二十日若三十日愈。（《外台》卷二十六）
又方
煮槐根洗之。（《外台》卷二十六）
又方
煮桃根洗之。（《外台》卷二十六）
治五痔不以年月日久新方。
枳实为末，炼蜜丸如桐子大，空心饮下二十丸。（《证类本草》卷十三）
五痔散，主酒客劳及损伤，治下部中傍孔，起居血纵横出方。
赤小豆（四分熬） 黄 （三分） 附子（包） 白蔹 桂心（各一分） 芍药 黄芩
（各二分）
上七味，捣分散，以酒服方寸匕，日三。止血大验。（《外台》卷二十六）
治五痔，大便肛边清血出，紫参丸，治不瘥，服之无不瘥方。
紫参 秦艽 乱发灰 紫菀 浓朴（炙以上各一两） 本（二两） 雷丸（半升） 白
芷（一两） 虫（半两熬） 贯众（三两去毛） 猪后悬蹄甲（十四枚炙） 虻虫（半两
去翅足熬） 石南（半
上十三味捣筛，以羊脊骨中髓合猪脂各半升煎，和丸如梧子，未食酒服十五丸，日再，
亦可饮下，剧者夜一服。四日肛边痒止，八日脓血尽，鼠乳悉愈，满六十日，终身不复发，
久服益善。有痔病十八年，肛出长三寸，服此方即愈，亦治脱肛。有人热可除羊髓，以赤蜜
代。（《外台》卷二十六）
治痔， 皮丸方。
槐子（三两） 附子（炮二两） 当归（二两） 连翘（二两） 干地黄（五两） 干
姜（二两） 矾石（二两烧令汁尽） 续断 黄 （各一两） 皮（一具，细切，熬令
上十味，捣筛，蜜丸，饮服十五丸如梧子，日再，加至三十丸，亦可主痔。常用大验。
（《外台》卷二十六）
又方
以生槐皮十两削去黑皮，熟捣，丸如弹子，绵裹内下部中，大效。（《外台》卷二十六）
又方
以槐赤鸡一斤为散，饮服方寸匕。（《外台》卷二十六）
治痔疾下血，疼痛不止方。
以玩月砂不限多少，慢火熬，令黄色为末，每二钱入乳香半钱，空心温酒调下，日三、
四服瘥。砂即兔子粪是也。（《证类本草》卷十七）
洗痔方
以连翘煎汤洗，讫，刀上飞绿矾入麝香贴之。（《证类本草》卷十一）
治谷道中痒痛、痔疮，槐皮膏方。
槐皮（五两） 甘草 当归 白芷（各二两） 陈豉 桃仁（各五十粒去皮） 赤小豆
上七味，锉，以猪脂二升煎，候白芷黄膏成，去滓，以涂之，日三度。（《外台》卷二十
六）
治谷道赤痛方。
菟丝子熬令黄黑，和以鸡子黄，以涂之，日三。（《医心方》卷七）
又方
取杏仁熬令黄，捣作脂涂之。（《医心方》卷七）
治虫食下部方。
胡粉、雄黄分等，末，着谷道中。（《医心方》卷七）
治 虫杏仁汤方。
杏仁五十枚，苦酒三升，盐一合，煮取五合，顿服之。（《医心方》卷七）
凡是治病有五种情况，如果肛门旁边长出像老鼠乳房一样的肉赘突出到孔外，时常流出脓血，叫做牡痔；如果肛门旁边肿痛生疮，叫做酒痔；如果肛门旁边有硬结疼痛并伴有寒热症状，叫做肠痔；如果大便时总是流出鲜血，叫做血痔；如果大便困难，肛门脱出后很久不能回纳，叫做气痔。这些病症都是因为久坐受寒湿侵袭，或房事不节制，或醉酒饱食过度所致，当时并不造成大患，但久久不愈，最终会困扰人体，另有大型方剂，现在单独列出也简便易行，按照此法使用即可。（出自《外台秘要》卷二十六）
治疗五种痔疮：对于气痔，因感受寒湿劳累而发作，用蛇蜕皮主治；对于牡痔，生长出像老鼠乳房一样的肉赘在肛孔中且颇见外露，妨碍排便，用鳖甲主治；对于牝痔（注：原文前文未定义牝痔，此处直接出现），从孔中向外肿胀，五、六天后自行溃破流出脓血，用某皮（原文缺字，推测为某种树皮或药名）主治；对于肠痔，排便时挺出体外，以上所主药物，都经过筛子过滤，等量混合，根据病情加倍其所主药物的分量作为三分，早晨用井华水（清晨第一次打取的井水）送服一方寸匕的药量，病重的早晚各服一次，也可以服用四、五次。只能吃干燥的白色肉类食物，病愈之后，一百天内才接近房事。另外用药纳入下部，如果有疮口纳入其中，无疮口则……（原文此处似有残缺）
又一方：
野葛（研末）
以上一味药，用刀圭（古代量器）取少量纳入药中服用，五天见效，二十天或三十天痊愈。（出自《外台秘要》卷二十六）
又一方：
煮槐根煎汤清洗患处。（出自《外台秘要》卷二十六）
又一方：
煮桃根煎汤清洗患处。（出自《外台秘要》卷二十六）
治疗五种痔疮，不论年月久新适用的方剂。
枳实研为粉末，炼蜜制成梧桐子大小的丸药，空腹时用温水送下二十丸。（出自《证类本草》卷十三）
五痔散，主治嗜酒者劳累及损伤，治疗下部旁孔出血纵横流出的方剂。
赤小豆（四分，炒制） 黄芪（三分） 附子（包裹） 白蔹 桂心（各一分） 芍药 黄芩（各二分）
以上七味药，捣碎过筛成散剂，用酒送服一方寸匕，每日三次。止血效果显著。（出自《外台秘要》卷二十六）
治疗五种痔疮，大便及肛门边流出鲜血，紫参丸，治疗不愈，服用此方无不治愈的方剂。
紫参 秦艽 乱发灰 紫菀 厚朴（炙，以上各一两） 藁本（二两） 雷丸（半升） 白芷（一两） 䗪虫（半两，炒制） 贯众（三两，去毛） 猪后悬蹄甲（十四枚，炙） 虻虫（半两，去翅足炒制） 石南（半……
以上十三味药捣碎过筛，用羊脊骨中的骨髓和猪脂各半升煎煮，调和制成梧桐子大小的丸药，饭前用酒送服十五丸，每日两次，也可以用温水送服，病情严重的夜间加服一次。四天后面部肛门边瘙痒停止，八天脓血排尽，鼠乳状肉赘全部痊愈，满六十日，终身不再复发，长期服用更好。有人患痔疮病十八年，肛门脱出长三寸，服用此方即愈，也治疗脱肛。有人热症可去除羊髓，用赤蜜代替。（出自《外台秘要》卷二十六）
治疗痔疮，某皮丸方。
槐子（三两） 附子（炮制二两） 当归（二两） 连翘（二两） 干地黄（五两） 干姜（二两） 矾石（二两，烧至汁液流尽） 续断 黄芪（各一两） 某皮（一具，细切，炒制令……
以上十味药，捣碎过筛，炼蜜制成丸药，用水送服十五丸如梧桐子大小，每日两次，加量至三十丸，也可以主治痔疮。常用效果显著。（出自《外台秘要》卷二十六）
又一方：
取生槐皮十两削去黑皮，熟捣，制成弹子大小的丸药，用绵布包裹纳入下部中，效果显著。（出自《外台秘要》卷二十六）
又一方：
将槐赤鸡一斤制成散剂，用水送服一方寸匕。（出自《外台秘要》卷二十六）
治疗痔疾下血，疼痛不止的方剂。
取玩月砂不限多少，慢火熬制，变成黄色后研为粉末，每二钱加入乳香半钱，空腹用温酒调服，每日三、四次，病愈为止。玩月砂就是兔子粪便。（出自《证类本草》卷十七）
洗痔疮方：
用连翘煎汤清洗，完毕后，将刀上刮下的飞绿矾粉末加入麝香贴敷患处。（出自《证类本草》卷十一）
治疗谷道中痒痛、痔疮，槐皮膏方。
槐皮（五两） 甘草 当归 白芷（各二两） 陈豉 桃仁（各五十粒，去皮） 赤小豆
以上七味药，切碎，用猪脂二升煎煮，等到白芷变黄、膏体形成，滤去渣滓，涂抹患处，每日三次。（出自《外台秘要》卷二十六）
治疗谷道红肿疼痛方：
菟丝子炒至黄黑色，与鸡蛋黄调和，涂抹患处，每日三次。（出自《医心方》卷七）
又一方：
取杏仁炒至黄色，捣碎成脂状涂抹患处。（出自《医心方》卷七）
There are five types of diseases to treat. If flesh grows around the anus like a rat's teat protruding outside the orifice, with frequent discharge of pus and blood, it is called *Mu Zhi* (Male Hemorrhoids); if there is swelling, pain, and ulceration around the anus, it is called *Jiu Zhi* (Alcohol Hemorrhoids); if there are nodules around the anus causing pain accompanied by chills and fever, it is called *Chang Zhi* (Intestinal Hemorrhoids); if defecation is always accompanied by fresh bleeding, it is called *Xue Zhi* (Blood Hemorrhoids); if defecation is difficult and the anus prolapses and fails to retract for a long time, it is called *Qi Zhi* (Qi Hemorrhoids). These conditions arise from sitting in cold and dampness, irregular sexual activity, or excessive drinking and overeating. Although they may not cause immediate severe harm, if left untreated for a long time, they will eventually afflict the person. There are other major prescriptions available; the current single prescription is also convenient and practical. Apply according to this method. (From *Waitai Miyao*, Vol. 26)
To treat the five types of hemorrhoids: For *Qi Zhi*, which flares up due to cold-dampness and fatigue, use snake skin (*Shetui*) as the main treatment; for *Mu Zhi*, where flesh grows like a rat's teat inside the orifice and protrudes outward, interfering with defecation, use turtle shell (*Biejia*) as the main treatment; for *Pin Zhi* (Female Hemorrhoids), which swells outward from the orifice and spontaneously ruptures after five to six days discharging pus and blood, use [missing character] skin as the main treatment; for *Chang Zhi*, which prolapses during defecation. The aforementioned main medicines should all be sifted into powder. Mix equal parts, then double the amount of the specific main medicine for each condition to create three portions. Take one *fangcunbi* (a traditional Chinese measuring spoon) with well water in the morning. For severe cases, take twice daily (morning and evening), or up to four or five doses. Only consume dry white meat. After recovery, abstain from sexual activity for one hundred days. Additionally, insert medication into the lower part; if there is an ulcer, insert it into the ulcer; if no ulcer... (Text fragment missing here)
Another prescription:
*Yege* (Caulis Akebiae, powdered)
Take one unit of the above ingredient using a *daogui* (ancient measuring tool) and mix with medicine to take orally. Symptoms improve within five days, and cure occurs within twenty to thirty days. (From *Waitai Miyao*, Vol. 26)
Another prescription:
Boil root of Sophora japonica (*Huagen*) and wash the area. (From *Waitai Miyao*, Vol. 26)
Another prescription:
Boil root of peach tree (*Taogen*) and wash the area. (From *Waitai Miyao*, Vol. 26)
Prescription for treating the five types of hemorrhoids, regardless of duration or novelty.
Grind *Zhishi* (Fructus Aurantii Immaturus) into powder, make pills with refined honey the size of paulownia seeds. Take twenty pills on an empty stomach with warm water. (From *Zhenglei Bencao*, Vol. 13)
*Wuzhi San* (Five Hemorrhoids Powder): Mainly treats fatigue and injury in alcohol drinkers, and bleeding from the lower orifices.
*Chixiaodou* (Semen Phaseoli Radiati, 4 fen, roasted) *Huangqi* (Radix Astragali, 3 fen) *Fuzi* (Radix Aconiti Lateralis Preparata, wrapped) *Bailian* (Rhizoma Belamcandae) *Guixin* (Cortex Cinnamomi, 1 fen each) *Shaoyao* (Radix Paeoniae Alba/Rubra) *Huangqin* (Radix Scutellariae, 2 fen each)
Crush the above seven ingredients into a powder. Take one *fangcunbi* with wine, three times a day. Highly effective for stopping bleeding. (From *Waitai Miyao*, Vol. 26)
*Zishen Wan* (Purple Ginseng Pill): Treats the five types of hemorrhoids with fresh blood flowing from the anus during defecation. For cases that do not heal, taking this pill ensures recovery.
*Zishen* (Radix Codonopsis/Pseudostellaria - note: context suggests specific herb, often Radix Codonopsis or similar in ancient texts, but literally Purple Ginseng) *Qinjiao* (Radix Gentianae Macrophyllae) *Luancha Hui* (Ash of tangled hair) *Ziwan* (Radix Asteris) *Houpo* (Cortex Magnoliae Officinalis, prepared, 1 liang each) *Gaoben* (Radix Ligustici Chuanxiong) (2 liang) *Leiwang* (Sclerotium Polypori) (0.5 sheng) *Baizhi* (Radix Angelicae Dahuricae, 1 liang) *Tiechong* (Asiatic Ground Beetle, 0.5 liang, roasted) *Guanzhong* (Rhizoma Cyrtomii) (3 liang, de-haired) *Zhuhou Xuantijia* (Hoof nail of pig's hind leg, 14 pieces, roasted) *Mengchong* (Blue Bottle Fly Larva, 0.5 liang, de-winged and de-footed, roasted) *Shinan* (Folium Nandinae) (0.5...)
Grind the above thirteen ingredients into powder. Simmer marrow from sheep spine and lard (each 0.5 sheng) together. Mix with the powder to form pills the size of wu zi (paulownia seeds). Take fifteen pills with wine before meals, twice a day. Can also be taken with water. For severe cases, take once at night. Itching around the anus stops in four days, pus and blood cease in eight days, and rat-teat-like growths heal completely. After sixty days, recurrence is lifelong prevented; long-term use is beneficial. A case of eighteen-year hemorrhoid disease with three-cun prolapse was cured by this formula; it also treats rectal prolapse. In cases of heat, sheep marrow can be replaced with red honey. (From *Waitai Miyao*, Vol. 26)
[Missing Character] Pi Wan (Skin Pill) for treating hemorrhoids.
*Huai Zi* (Semen Gleditsiae Sinensis, 3 liang) *Fuzi* (Radix Aconiti Lateralis Preparata, processed, 2 liang) *Danggui* (Radix Angelicae Sinensis, 2 liang) *Lianqiao* (Fructus Forsythiae, 2 liang) *Gan Dihuang* (Radix Rehmanniae Preparata, 5 liang) *Ganjiang* (Rhizoma Zingiberis, 2 liang) *Fanshi* (Alumen, 2 liang, burned until liquid runs out) *Xuduan* (Radix Dipsaci) *Huangqi* (Radix Astragali, 1 liang each) [Missing Character] Pi (One piece, finely cut, roasted...)
Grind the above ten ingredients into powder. Make pills with honey. Take fifteen pills the size of paulownia seeds with water, twice a day, increasing to thirty pills if necessary. Also effective for hemorrhoids. Long-term use yields significant results. (From *Waitai Miyao*, Vol. 26)
Another prescription:
Take ten liang of raw Sophora japonica bark (*Huai Pi*), scrape off the black outer layer, pound thoroughly, and form pills the size of a marble. Wrap in cotton and insert into the lower orifice. Highly effective. (From *Waitai Miyao*, Vol. 26)
Another prescription:
Grind one jin of *Huai Chi Ji* (likely a specific bird or insect related to Sophora) into powder. Take one *fangcunbi* with water. (From *Waitai Miyao*, Vol. 26)
Prescription for hemorrhoidal bleeding and unceasing pain.
Take *Wanyuesha* (Moon-gazing Sand, i.e., rabbit feces) in any amount. Slow-roast until yellow, then grind into powder. Mix two qian of powder with half a qian of *Ruxiang* (Olibanum/Frankincense). Take on an empty stomach with warm wine. Three to four times a day until healed. (From *Zhenglei Bencao*, Vol. 17)
Washing Prescription for Hemorrhoids:
Decoct *Lianqiao* (Fructus Forsythiae) and wash the area. Afterwards, apply powder scraped from knives (Flying Green Vitriol/Calculated Alum) mixed with *Shexiang* (Moschus/Musk) as a patch. (From *Zhenglei Bencao*, Vol. 11)
*Huai Pi Gao* (Sophora Bark Ointment) for itching and pain in the anal orifice and hemorrhoids.
*Huai Pi* (Cortex Sophorae Japonicae, 5 liang) *Gancao* (Radix Glycyrrhizae) *Danggui* (Radix Angelicae Sinensis) *Baizhi* (Radix Angelicae Dahuricae, 2 liang each) *Chendi* (Fermented Soybean Paste) *Taoren* (Semen Persicae, 50 grains, peeled) *Chixiaodou* (Semen Phaseoli Radiati)
Chop the above seven ingredients. Decoct in two sheng of lard. When *Baizhi* turns yellow and the ointment forms, strain. Apply to the affected area three times a day. (From *Waitai Miyao*, Vol. 26)
Prescription for redness and pain in the anal orifice:
Roast *Tusizi* (Semen Cuscutae) until yellow-black. Mix with egg yolk and apply. Three times a day. (From *Yixin Fang*, Vol. 7)
Another prescription:
Roast *Xingren* (Semen Pruni Armeniacae) until yellow, grind into a paste, and apply. (From *Yixin Fang*, Vol. 7)
Prescription for parasites infesting the lower orifice:
Mix *Hufen* (Cerussa/White Lead) and *Xionghuang* (Realgar) in equal parts, grind into powder, and insert into the anal orifice. (From *Yixin Fang*, Vol. 7)
*Xingren Tang* (Apricot Kernel Decoction) for treating pinworms:
Fifty *Xingren* (Semen Pruni Armeniacae), three sheng of *Ku Jiu* (Vinegar/Bitter Wine), one ge of salt. Boil to obtain five he. Take in one dose. (From *Yixin Fang*, Vol. 7)