Wang To compiled “The Secret Essentials of Wai Tai”, which summarizes the prescriptions and experimental remedies for various diseases before the early Tang Dynasty, including, of course, anal diseases.
It contains “12 prescriptions for five hemorrhoids”, “six prescriptions for five hemorrhoids that do not heal for several years”, “two prescriptions for five prolapsed hemorrhoids”, “15 prescriptions for intestinal hemorrhoids “The first one is for hemorrhoids, and the second one is for hemorrhoids that do not heal for several years. “Two prescriptions for moxibustion of hemorrhoids”, “Five prescriptions for miscellaneous treatment of hemorrhoids”, “Three prescriptions for prolapse of anus”, “Three prescriptions for protrusion of anus” The first 99 formulas in total are: “Six formulas for prolapse of the bowels”, “Two formulas for both bowel and anus” and “Three formulas for prolapse of the anus that has not healed over the years”. In addition to the prescriptions, the pathogenesis and clinical manifestations of anorectal diseases are also described in detail. It is of great significance for future generations to study the diagnosis and treatment of anorectal diseases and the history of their development.
1. Anatomy, physiology, pathology and treatment of the anus
1.1 The anatomy of the anus In terms of anatomy, the “Secret Essentials of Wai Tai” cites the theory of the deletion of flourishing formula that the anus “weighs 12 taels, is one foot two inches long and two inches two minutes wide”. This is the same as what was recorded in the Anal Theory of the “Thousand Gold Essentials” in a similar era. However, it is the same as that recorded in the Anus of the Difficult Classic: “The anus weighs twelve taels, is eight inches large, two and a half inches in diameter, two feet and eight inches long, and receives nine liters and three eighths of grain,” which is one foot and two inches shorter.
Combined with the “Ling Shu intestine and stomach theory” “wide intestine Fu ridge, to receive ileum, left ring leaf ridge, up and down open, large eight inches, diameter two inches of the greater half, long two feet and eight inches”, “Ling Shu flat people extinct valley” of “wide intestine large eight inches, diameter two inches of the greater half, long two feet and eight inches, receive grain nine liters of three eighths of one It is clear from the record that the “anus” mentioned in the “Secret Essentials of Wai Tai” only includes the rectum of the anal canal but not the sigmoid colon, which is further than the “Ling Shu” and “Difficult Classic”.
1.2 The physiology of the anus In terms of physiology, the “Secret Essentials of Wai Tai” cites the deletion of the traditional formula that “the anus is the main stool channel. The lung, the large intestine, is also the history of the order of things”, “should be 12 times”. This is the same as what is recorded in the Anal Theory of the Thousand Gold Essentials. In the “Inner Jing”, there is “the clear yang out of the upper orifice, the cloudy yin out of the lower orifice”, the “Five Organs”, there is “the pelvic door is also the five organs, water and grain can not be hidden for a long time”, the “Linglan Secret Code”, there is “the large intestine, the official of the transmission, change The six sections of the “six sections of the dirty elephant” have “the five flavors of the entrance, hidden in the gastrointestinal, taste has hidden, to feed the five qi”, etc., can be said to be a lineage.
1.3 The pathology of the anus In terms of pathology, the “Secret Principles of Wai Tai” cites the deletion of prosperous formulae that “if the collection of fever, that is, the anus is closed, the stool does not pass, or the swelling is indented, and sores are born”, and “if the internal organs are cold, then the anus is cold, the stool is cavernous and diarrhea, and the anus protrudes for a long time. It is basically the same as that recorded in the Anal Theory of the Thousand Gold Essentials, with only slight differences in the text: “If the internal organs are injured by heat, that is, the anus is occluded, the large line does not pass, or swelling and shrinkage into the sores; if the internal organs are injured by cold, the anus is wide open, the large line hole diarrhea, the anus protrudes for a long time into”, where “large line “that” is “stool”.
It can be seen that the lesions of the internal organs can be reflected in the anus, and the lesions of the anus are first reflected in the change of the function of the anus, i.e., the change of stool discharge, such as constipation and diarrhea; further development, the anus itself can have organic lesions, such as sores and prolapse.
1.4 Understanding of anal diseases The “Secret Essentials of Wai Tai” considers that there are five hemorrhoids, and the five hemorrhoids have different clinical manifestations, which are derived from the “Treatise on the Origin of the Diseases”, the same as the “Thousand Gold Essentials”, while the intestinal hemorrhoids are specifically mentioned. Its greatest contribution is the classification of hemorrhoids into internal and external hemorrhoids, citing Xu Renze’s treatise, which is the earliest recorded classification of internal and external hemorrhoids. In prolapsed anus disease, it is observed in detail that it is different in new and long time and different in lightness and severity.
1.5 Treatment principles of anal diseases In terms of treatment, it is emphasized that anal diseases should follow the treatment principle of “if it is hot, pass it on; if it is cold, supplement it; if it is not deficient, adjust it according to the meridians”. This is the same as what is written in the treatise on the anus of the “Thousand Gold Essentials”.
2. Treatments of anal diseases
2.1 Hemorrhoids
2.1.1 Classification and clinical manifestations of hemorrhoids
2.1.1.1 There are five hemorrhoids. The five hemorrhoids are considered to include peony hemorrhoids, wine hemorrhoids, intestinal hemorrhoids, blood hemorrhoids and gas hemorrhoids. Unlike the “Thousand Gold Essentials”, it is “one is peony hemorrhoid, two is female hemorrhoid, three is pulse hemorrhoid, four is intestinal hemorrhoid and five is blood hemorrhoid”. In the “secret of the external platform” cited Cui said: “Where the hemorrhoid disease there are five, if the anal side of the flesh like rat milk, out of the hole, when the pus and blood out of the peony hemorrhoids; if the anal side of the swelling and pain sores, the name of wine hemorrhoids; if the anal side of the nucleus, disease and cold and heat, the name of intestinal hemorrhoids; if the stool turns clear blood out of the name of blood hemorrhoids; if the stool is difficult, the anal long willing to enter the name of gas hemorrhoids. ” However, in the “Secret of Wai Tai” cited set of tests also discussed to the female hemorrhoids, pulse hemorrhoids. “Mare hemorrhoids, longitudinal, the hole in the external swelling, five or six days collapse out of pus and blood”, “pulse hemorrhoids, changing clothes out of clear blood”. As you can see, the five hemorrhoids actually include seven hemorrhoids, namely, male hemorrhoids, female hemorrhoids, wine hemorrhoids, intestinal hemorrhoids, pulse hemorrhoids, blood hemorrhoids and gas hemorrhoids, summarized below.
The skin of the anal edge is red and swollen, and the swelling in the anus is small, like a rat’s milk, which often comes out and affects defecation. It is equivalent to the inflammatory external hemorrhoids and the second degree internal hemorrhoids of today’s mixed hemorrhoids. This is the “hemorrhoid” that is found in the anus. In the words of Chih Ching and Chien Jin, “the flesh of peony hemorrhoids is like the milk of a rat in the hole, which is quite visible outside and hinders changing clothes”. Another symptom description seems to be a manifestation of anal leakage, such as the deletion of prosperous “deficiency cold, dysentery more than, the anal side of the turning of meat, such as rat’s milk, in the large hole next to the pus out of time, called peony hemorrhoids. The female hemorrhoid: around the anus superfluous skin, anal swelling and pain during the attack, swelling out, 5 or 6 days later, can break out of pus and blood. It is equivalent to today’s mixed hemorrhoids of internal hemorrhoids prolapsed and embedded, and external hemorrhoids edema. This is the “female hemorrhoid” of the “Thousand Gold Essentials”, and the “breast on the side of the anus, this female hemorrhoid” of the “Ancient and Modern Records”.
The clinical manifestations of wine hemorrhoids are the same as those of female hemorrhoids, except that there are often typical triggers for drinking alcohol. It is a painful condition in the anus due to the pain of the blood in the anus. The name is also known as “wine hemorrhoids” if the anal edge is swollen and sore.
Intestinal hemorrhoids: the skin of the anal edge is granularly elevated, sometimes painful, and the anal prolapse during stool is difficult to retract on its own, often requiring rest or hand support to retract, along with the symptom of more blood after stool. It is equivalent to mixed hemorrhoids stage 3 internal hemorrhoids. It is called “intestinal hemorrhoids, which are shrunken after a long time of dressing” and “intestinal hemorrhoids, which are called intestinal hemorrhoids, have a nucleus by the anus and are painful, and are good for a long time to shrink after getting cold and heat, and the sores are born”, and “if there is a nucleus by the anus and the disease is cold and hot, the sore is shrunken” by Cui. The name is also called intestinal hemorrhoids if there is a nucleus at the anus and the disease is cold or hot. The pulsed hemorrhoids: anal itching, sometimes painful, and fresh blood coming out of the anus during stool. It is equivalent to early hemorrhoids. It is a very good idea to take a look at the “Itchy and painful” and the “Blood hemorrhoids” from the “Thousand Gold Essentials”.
Blood hemorrhoids: bleeding during stool, bright red in large amount, no pain, often contaminated underwear. It is equivalent to a stage of internal hemorrhoids, bleeding more. It is also known as blood hemorrhoids, which is the name of Cui’s “If the blood comes out of the stool, it is also called blood hemorrhoids” and “The blood comes out of the stool, which follows the stool and stains the clothes. Qi hemorrhoids: They are usually asymptomatic, but every time they flare up due to cold, warmth, labor, and humidity, they have difficulty in passing stool, poor discharge, and elevated anal skin. It is equivalent to varicose veins external hemorrhoids. It is called “gas hemorrhoid” in the “Thousand Gold Essentials”, and “if it is difficult to pass stool and the anus is willing to enter for a long time, it is called gas hemorrhoid” in the Cui’s, Jizhi’s, and Qiu Hou’s.
2.1.1.2 Hemorrhoids are divided into internal and external As early as in the “Thousand Gold Wing Formula” there are records of external hemorrhoids. However, the history of Chinese medicine surgery agrees that the Secret Essentials of Wai Tai was the first to contain the division of internal and external hemorrhoids. The basis for this is that Xu Renze was quoted in the “Secret Essentials of Wai Tai” as saying, “There are internal and external hemorrhoids in this disease. The internal hemorrhoids, every stool that there is blood, the lower blood is very much, the lower blood thrown into the ground into the hole, bleeding too much, the body does not repeat the blood color, there is pain, there is no pain” of the statement. In fact, the concept of internal and external hemorrhoids is completely different from that of today.
2.1.1.3 There are male and female hemorrhoids. In the “Secret Guide to Wai Tai”, it is quoted that Master Shen said, “Dry and wet hemorrhoids, there are male and female hemorrhoids, they are bitter and violent, there are dry and swollen and painful ones, there are countless ones with collapsed blood, there are rat milk attached to the nucleus, and there are annoying and itchy ones in the intestines.” It is the same as the formula of “Thousand Gold Essentials”, which has the formula of “Sophora Pills for dry and damp hemorrhoids, hemorrhoids with both male and female”. The latter is “dry, swollen and painful for dryness, blood loss for wetness, rat milk with nucleus for female, itchy in the intestines for male”.
2.1.2 The pathogenesis of hemorrhoids Five hemorrhoids in the “Secret Guide to Wai Tai”, cited in the deletion of flourishing formula said: “This is all sitting in the cold and damp, or room disorder, or drunkenness and fullness, at that time is not a problem, a long time does not get sick, and eventually can be due to people.” Intestinal hemorrhoids, peony hemorrhoids in the “secret of the external Taiwan” quoted ancient and modern record of experience said: “are full of labor gas born.” The intestinal hemorrhoids are deleted and described as “lung deficiency labor, cold loss, to the intestine in the production of hemorrhoids, called intestinal hemorrhoids. Mud hemorrhoids delete prosperous “deficiency labor cold, dysentery more than, anal side of the turn to produce meat, such as rat milk, in the big hole next to, when the pus out, called mud hemorrhoids”, may be referring to the anal leakage. The “wine hemorrhoid” is deleted from the traditional “kidney deficiency labor, or drunkenness when the wind, the damage to the kidney disease, the wine hemorrhoid, anal swelling, sores, because of wine labor injury hair, diarrhea clear blood, anal pain”.
2.2 Prolapse
2.2.1 The etiology and pathogenesis of prolapse In “The Secret of Wai Tai”, it is believed that the main etiology and pathogenesis of prolapse is cold in the large intestine, coupled with prolonged diarrhea and dysentery, the anus does not hold and prolapse. The source of disease said: “prolapse, anal prolapse. Mostly due to long dysentery, large intestine deficiency cold. The anus for the large intestine of the waiting, large intestine deficiency and injury in the cold, dysentery and gas, pharyngeal and gas down, the health is anal prolapse, because the so-called prolapse.” Quoted from the deletion of the Fang Shuan theory “if the internal organs of typhoid, the anal cold, the bowel hole diarrhea, anal protrusion for a long time is into”. “If the large intestine is cold, it should be cold in the anus, and then the cavity diarrhea protrudes.
2.2.2 Clinical manifestations of prolapse The clinical manifestations of prolapse are observed in great detail in the Secret Essentials of Wai Tai. It is believed that there is a difference in the severity of prolapse, with the lighter case being “anal protrusion” or “anal emergence” and the heavier case being “intestine and anus with emergence”. Prolapse”, and “prolapse for many years”. The main accompanying symptom of prolapse is “cavity diarrhea”. If the prolapse is serious, “the intestine and anus are out”, specifically “the intestine is out with the anus” or “the intestine is out with the anus, turning wide, and cannot be entered, one foot to the person”.
3.Treatment of anal disease
The treatment of anal diseases in the “Secrets of Wai Tai” is mainly characterized by the obvious direction of symptoms, including common symptoms such as blood in stool, anal swelling and pain, anal itching, and prolapse, which still have reference significance for today’s treatment.
3.1 Treatment of Blood in the Stool as the Main Evidence
3.1.1 Guangji’s formula for the treatment of five hemorrhoids with bleeding more than once (1) Name of formula: None. Composition: Sophora japonica 6 parts, keel 6 parts, quercus leaves 6 parts, dry ginger 6 parts, rhizome 6 parts, angelica 6 parts, cyperus 6 parts, wu huo 6 parts, white creeper 5 parts, gunner’s sophora 5 parts, astragalus 8 parts, rhubarb 10 parts, pig suspension nail 14, hair ash 4 parts. Usage: Honey pills such as wutongzi large, empty stomach, water drink orally, twice a day, 20-40 pills each time. Indications: Five hemorrhoids bleeding more than once. Effects: Tonifying the blood, stopping bleeding and laxative. Contraindications: fish, hot noodles, etc. (2) Name of formula: Huang Qi Wan. Provenance: Guang Ji. Composition: Astragalus 3 taels, Citrus astragali 3 taels, Ocimum sanctum 2 taels, Angelica sinensis 2 taels, Red stone fat 2 taels, Hedgehog bark 2 taels. Usage: Honey pills such as paulownia seeds big, fasting wine to send oral, two times a day, each time 20 pills. Indications: Hemorrhoids bleeding.
3.1.2 Vignettes for the treatment of bleeding from five hemorrhoids
(1) Formula name: Five Hemorrhoids San. Source: Xiaopin, the same as Wen Zhong, Preparedness and Medicine. Composition: 4 parts of adzuki bean, 3 parts of astragalus, 1 part of gunner’s sophora, 1 part of white creeper, 1 part of guixin, 2 parts of peony, 2 parts of baicalin. Usage: Dispersion, served with wine, 3 times a day, each time square inch dagger. Indications: Lower middle and evening holes, rising and living with blood coming out vertically and horizontally. Effects: Stopping bleeding is very effective.
(2) Name of formula: Purple Ginseng Pill. Provenance: Small product, the same as Jijing, Beijian and Qianjin. Ingredients: Purple ginseng 1 tael, gentiana 1 tael, milk hair ash 1 tael, asterix 1 tael, thick park 1 tael, gao ben 2 taels, lei pills half a liter, dahurica 1 tael, stinging insects half tael, guan zong 3 taels, pig hind hoof nail 14, gadfly half tael, stone south half tael. Usage: Decocted with half a liter of sheep spinal cord and pig fat, as a pill as big as a paulownia seed, before meals, wine to take orally, two times a day, each time 15 pills. Main treatment: clear blood out of the anal side of the stool. Also treats prolapse, prolapse. Effect: 4 days, the anal side of the itch to stop; 8 days pus and blood, the rat milk all healed; 60 days for life.
3.1.3 Ancient and modern prescriptions for the treatment of bleeding from the anus
(1) Name of formula: No source: Ancient and Modern Recorded Experiments. Ingredients: Rhubarb 10 taels, talcum 7 taels, mannite 3 taels, mulberry bark 2 taels, jujube 30 pieces, scutellaria 5 taels, almond 2 taels. How to use: soup, with a bucket of wine two liters of decoction into 2 liters, taken orally. Indications: Bleeding from the anus like chicken liver. Effects: Stopping bleeding by diarrhea.
(2) Name of formula: BAIYUAN. Provenance: Ancient and Modern Records. Ingredients: Radix Astragali 4, Radix Astragali 3, Radix Paeoniae 2, Radix Bupleurum 2, Radix Scutellariae 3, Radix Cinnamomum 3, Radix Polygonum 2, Radix Oyster 2. Usage: Dispersion, wine delivery, 3 times a day, each time a square inch dagger. Indications: Ten-year hemorrhoids, such as rat’s milk, pus out, blood in the stool, drama. Effects: A formula suspected of treating anal leakage.
3.1.4 Qianjin’s formula for treating bleeding from five hemorrhoids See formula for treating anal swelling and pain.
3.1.5 Cui’s formula for treating bleeding from all hemorrhoids
(1) Name of formula: Allium soup. Provenance: Cui Shi. Ingredient: Allium sativum, seven heaps, one liter of sheep kidney fat. How to use: Decoction with water, taken orally. Indication: Intestinal hemorrhoids bleeding after stool. Effects: Pus and blood will be recovered when it is reconciled with feces.
(2) Name of formula: None. Provenance: Cui Shi. Ingredients: 1 tael each of alum, gunner’s sophora and dried ginger. Dosage: Honey pills, taken orally. Indications: Intestinal hemorrhoids that bleed after defecation.
(3) Name of formula: None. Provenance: Cui’s. Ingredients: Astragalus membranaceus 2 1/2, Citrus aurantium 2 1/2, alum stone 1 tael. How to use: for the end, and honey for pills, fasting wine delivery, two times a day, each time 20-30 pills. Indications: all hemorrhoids and bleeding, turn weak and frail. Contraindications: buckwheat, pork, garlic, fish, labor. Effect: It is not ineffective to take it. Long-term use, a year and a half to cure, good test.
(4) Name of the formula: None. Ingredients: Rhubarb 5 points, Gansui 3 points, Scutellaria 2 points, dry ginger 4 points, gunpowder 4 points, peach kernel 21 pieces, onion 7 stems. Usage: Decoction with water for oral intake. Indications: Urgent removal of blood from the stool, or to a liter of several, two less blood color. This is the internal wind and cold, the accumulation of many years change into hemorrhoids. Contraindicated: pork, etc. Effect: But 3 doses, disease.
3.1.6 Xu Renze’s formula for treating hemorrhoids with persistent bleeding Name: Huang Qi X Wei San. Provenance: Xu Renze. Composition: Astragalus membranaceus 5 taels, bitter ginseng 6 taels, xuan shen 6 taels, cannon root 3 taels, rhubarb 3 taels, dry ginger 2 taels, hedgehog bark 2 taels, Huang Lian 4 taels, acacia seeds 6 together, pig suspension nail 1 set. Contraindicated: pork, cold water.
3.1.7 Fan Wang’s formula for the treatment of hemorrhoids with bleeding The formula name: Huang Lian Qu San. Ingredients: Huang Lian 2 taels, Qu 1 tael. How to use: Thin honey as a powder, taken orally before eating, 3 times a day, half an inch dagger each time, can be increased to a square inch dagger.
3.1.8 Treatment of blood in the stool is the main evidence of the single prescription after the elbow contains Pu Huang water taken orally, alum stone, gunpowder with seeds honey pills taken orally, carp, carp, eel food treatment for intestinal hemorrhoids of every stool often have blood, the preparation of urgent, Qian Jin, Wen Zhong, ancient and modern records of the same test. The main reason for this is that it is a good idea to take a decoction of snake meat orally to treat blood in the hemorrhoids. It is effective to use the decoction of straw ashes for hot impregnation, and Qianjin to use peach skin, plum skin, flat cucumber and bitter ginseng for juice impregnation.
3.2 Treatment of anal swelling and pain as the main evidence
3.2.1 Qianjin Sophora Bark Paste Composition: Sophora Bark 2 taels, foxglove half taels, Xinyi half taels, licorice half taels, Angelica dahurica half taels, kudzu 6 baht, croton 7, lacquer 6, peach kernel 10, pig fat half catty. Usage: Decoction of pig fat, nano-anus, 4 or 5 times a day. Zhang Wenzhong used as a sitting medicine. Main treatment: anal pain and itching, bleeding. Effect: The worm is dead, and the pain and itching is greatly improved.
3.2.2 Delete and flourish beehive ointment Composition: 3 taels of beehive, 10 taels of raw acacia bark, 50 lotus seeds, 50 peach kernels, 2 taels of dahurica dahurica, 1 heap of adzuki beans, 1.5 liters of pig paste and 1 liter of bitter wine. How to use: Decocted into paste, take apricot seeds big, and put inside the anus. It can also be taken orally with wine, one square inch dagger each time. Indications: Anal swelling and sores of alcoholic hemorrhoids, due to alcoholic strain and injury, diarrhea of clear blood and anal pain.
Usage: Decocted on a light fire into a thin sugar-like consistency and applied externally. It can also be taken orally with wine, each time as big as a date kernel. Treatment: Intestinal hemorrhoids have a nucleus on the anal side, painful, cold and hot to get it, good quite out, a long time to shrink, and the sore is born.
3.2.4 Guang Ji Fang Wu Ming Composition: Bright sand, musk (when Siemens), snake skin equal parts of each. Usage: Powdered and applied externally with honey. Indications: Hemorrhoids, fistulas, gangrene, sores.
3.2.5 Single prescription for the treatment of painful hemorrhoids Cui’s contains a decoction of onion with hair to sit and soak, the root and stem leaves of Bian Cao with water scopole coated with date flesh in the anus, ginger orally, dead bamboo burned ashes orally, civet meat food therapy, all can relieve pain.
3.3 Treatment of anal itching as the main evidence
3.3.1 Small product Sophora Bark Paste Composition: Sophora Bark 5 taels, licorice 2 taels, angelica 2 taels, angelica 2 taels, angelica dahurica 2 taels, tempeh 50 grains, peach kernel 50 grains, adzuki beans 2 together, pig fat 2 liters. Usage: Formed into a paste and applied externally. Indications: Itchy and painful hemorrhoids in the valley. The same set of tests.
3.3.2 Treatment of anal itch single prescription test prescription behind the elbow containing Hu powder, mercury with date paste, mix, nano-anus, belonging to the guide method, effective, Cui the same; with cuscuta seeds boiled black into a paste after adding chicken seed yellow external application, set test, prepare urgent, Wen Zhong, Fan Wang the same; almond boiled black into a paste, external application, set test, prepare urgent, Wen Zhong, Cui the same; hedgehog skin or pork belly burned ash external application, Cui the same. Wenzhong carries peach leaves (or add umeboshi) or Wu Juju pounding juice fumigation, the same as the Queen of the Elbow, Cui’s, and Beijian; 1 liter of pinto beans and 5 liters of bitter wine, boiled dry as the powder, taken orally, the same as Cui’s and Beijian; 1 liter of pig pepper seeds with 1 liter of wine after 5 days to drink, Cui’s.
3.4 Treatment of pus as the main evidence Delete and prosper the turtle nail formula. Composition: turtle nail 7 points, dried groundnut 7 points, Huanglian 7 points, forsythia 7 points, guavas 6 points, astragalus 6 points, dry ginger 6 points, honeycomb 5 pieces, hedgehog skin 5 points, sequesters 5 points, sapodilla 4 points, acacia 4 points, alum stone 4 points. Usage: Honey for pills such as sycamore seeds big. 20 pills twice a day, each time, can be increased to 30 pills. Treatment: Piles of peony due to deficiency of cold, dysentery more than, the anal side of the meat, such as rat milk, in the large hole next to, when the pus out.
3.5 Treatment of prolapse as the main evidence
3.5.1 Treatment of sudden prolapse during defecation. Use doujiaoqing with wine for external application behind the elbow (the same as Wenzhong and Beijian), and burn tiger bone powder for oral administration. Fan Wang Chung green mulberry snail burned end with pig fat applied externally (the same as Wen Zhong). Thousand gold with Pu Huang combined with pig fat applied externally (Wen Zhong, the same as the emergency).
3.5.2 Treatment of anal protrusion (1) Censored pig’s liver (the same as Qianjin): pig’s liver 1 catty, Huanglian 2 taels, Agaricus 2 taels, rhizome 2 taels, Wu Mei meat 5 taels, mugwort 1 tael, usage: for the powder, taken orally. (2) thousand gold wall earth. Composition: 1 liter of soil from the eastern wall of the old house, 3 pinches of saponaria. Usage: for the scattered, wrapped anus. Qianjin hemp cushion bottom pressed into the formula composition: hemp cushion bottom 1, turtle head 1, usage: turtle head for external application, hemp cushion bottom pressed iron.
3.5.3 Treatment of severe prolapse behind the elbow with raw guavas pounding juice orally, add pork juice to wash hands, with suppression pressed from the get into (Fan Wang, Xiaopin, Wen Zhong, Bijian, Qian Jin the same). Prepared for urgent with lime boiling hot cloth wrapped ironing method, with the press order into (Xiaopin, prepared for urgent, Wenzhong the same).
3.5.4 Treatment of prolapsed anus for a long time Set test with 3 kg of raw iron decocted in water for external washing (Fan Wang, Xiaopin, Wenzhong, Bijian, Qianjin the same). Thousand gold with dead turtle head 1 burned ashes to the anus, the hand pressed into, plus moxibustion crossbone 100 Zhuang; or the use of refined iron powder applied externally, with the hand pressed into.
3.6 General formula
3.6.1 Guangji Five Hemorrhoids Formula Composition: 5 points of raw acacia decoction, 2 taels of soap horn, 2 points of musk, 2 points of staminaria, 2 points of scopolamine, 2 points of clove, 2 points of wood incense. How to use: Make 5 pills, smoked, nano-anal method, 1 pill each time. Main treatment: Five hemorrhoids. Contraindications: fish, hot bran, etc. Effect: Immediate effect.
3.6.2 Guangji Hedgehog Skin San Ingredients: Hedgehog Skin 6 points, Tortoise Nail 6 points, Angelica Sinensis 6 points, Astragalus 8 points, Sophora Japonica 8 points, Snake Skin 5 inches, Lu Hifang 5 points, Ligustrum 5 points, Gui Xin 5 points, 14 pig hind hanging hoof nails. Usage: Take orally twice a day, one square inch dagger each time, can be increased to one square inch dagger and a half. Note: No diarrhea after use.
3.6.3 The Five Hemorrhoids Formula Composition: Snake skin, turtle nail, hedgehog skin, beehive, pig left hanging hoof nail each equal parts. How to use: The main medicine is 3 times as different as the five hemorrhoids. Take it orally 1-5 times a day, each time with a square inch dagger. It can also be taken into the anus and applied to the sores. Main treatment: Five hemorrhoids. Contraindications: Do not have intercourse within 100 days after recovery. Note: The “Thousand Gold Essentials” discusses in detail, according to the supplement prohibiting cold, pork, fish and intercourse.
3.6.4 Shen Shi Sophora Pill Ingredients: Sophora seeds 4 taels, dried lacquer 4 taels, mugen bark 4 taels (linden seeds), dogwood 2 taels, gentiana 2 taels, scutellaria 2 taels, white creeper 2 taels, green mullein 2 taels, oyster 2 taels, dragon bone 2 taels, cannon fungus 2 taels, anise 2 taels, leiwan 2 taels, tribulus terrestris 2 taels, dahurica 2 taels, guixin 2 taels, chicken tongue 2 taels, astragalus 2 taels. Usage: Honey pills, taken orally. Indications: Dry damp hemorrhoids. Remark: Same as Sophora seeds pills of the “Thousand Gold Essentials”.
3.6.5 Qianjin Xiaohuaishi Pill Ingredients: Sophora japonica 3 catties, keel 10 taels, alum stone 1 catty, sulfur 1 catty, sugar 2 catties, rhubarb 10 taels, dried lacquer 10 taels. Dosage: as pills, taken orally. Note: Deep division.
3.6.6 Jiqi hedgehog skin pill Composition: Sophora japonica 3 taels, cannon root 2 taels, angelica 2 taels, forsythia 2 taels, dried groundnut 5 taels, dry ginger 2 taels, alum stone 2 taels, sequestra 1 taels, astragalus 1 taels, hedgehog skin 1 set. Usage: Honey pills such as paulownia seeds, oral, 2 times a day, 15 pills each time, can be increased to 30 pills. Indications: Hemorrhoids, fistula. Effect: Commonly used in great experiment. Note: The same as the following: Hou Qiao, Bei Qiao, Wen Zhong, Delete and flourish, Qian Jin, Ancient and Modern Records.
3.6.7 Ancient and Modern Record and Experimentation Huangqi Pill Composition: Astragalus membranaceus 5 points, green rice seeds 5 points, leaking reed 5 points, roasted turtle nail 5 points, wolfsbane 5 points, cypress 4 points, rhinoceros horn 8 points, spotted fungus 4 points, hedgehog bark 4 points, alum 10 points, coriander 10, ground urchin 10, centipede 10, pig suspension nail 7. Usage: Honey pills as big as sycamore seeds, 2 times a day, 2 pills each time, can be increased. Effect: Increase until the bowels are clear.
3.6.8 Single prescription
(1) peach leaf steaming hemorrhoids formula composition: peach leaf 1 dendro, fine bran 1 bucket, horsetail 1 bucket. Usage: fumigation effect: worm out when dead.
(2) The composition of the formula for five hemorrhoids: 3 fingers of hedgehog bark, 1 bed of cooked moxa. Usage: fumigation method. Effect: Three days will rest, more fumigation 3 degrees, permanent disease. Contraindications: Do not commit wind and cold thick taste, caution chicken, pork, fish, raw and cold.
(3) Sophora wine composition: 1 stone of Sophora southeast branch, 2 stones of Sophora southeast root, 1 stone of Sophora white bark, 1 stone of Sophora seed, 2 stones of seasonal rice, 2 stones of Qu. Usage: Take clear drink, 3 or 4 times a day. Contraindicated: raw water.
(4) Wen Zhong intestinal hemorrhoids formula: Sophora fungus, pounding the end, drink square inch dagger, three times a day. White rose 2 points, wolfberry root 2 points, pounding sieve for the end, three times a day. Raw earth 1 catty, wine 2 buckets, appropriate amount to drink. Hovenia root bark powder each serving square inch dagger, three times a day.
(5) Preparation of acute intestinal hemorrhoids formula: shells, compresses, guide method, Wen Zhong, Cui the same. Sophora alba bark appropriate amount, sit in the bath but three, worms out. Sophora bark powder guide method, Wenzhong, Cui’s, Qianjin the same. The dregs of the medicine burned ash, alum stone for powder. Wenzhong, Cui’s, Fan Wang the same.
(6) hedgehog bark pills: raw acacia bark 10 taels, bullet big, nano-anus, big effect, prepare urgent, Qianjin with, acacia red chicken (acacia glutinous) 1 kg orally.
(7) Thousand gold hemorrhoids divine formula: source: help urgent, Cui’s, ancient and modern records of the same. Sophora seeds, decoction, as big as rat shit, nano-anal main treatment: hemorrhoids, fistulas, a hundred kinds of sores.
(8) Cui’s hemorrhoids formula: carp intestines, sitting method, worm exhaustion.
(9) Nameless (paste) provenance: small products, ancient and modern records of the same test. Quinoa, rhubarb, Huang Lian each half a tael, chainwood 14, peach kernel 14, croton 4, nettle (dog hedgehog) 14. Preparation: Pig fat into a paste. Apply externally.
4.Summary of the treatment of anal diseases in the “Secrets of Wai Tai
4.1 Internal medicine is rich in dosage forms, and there are specialties in medicine. Long-term use of medicine should be pill such as Sophora pill, Qianjin small Sophora pill, purple ginseng pill, Astragalus pill, etc., and in case of emergency, use bulk such as five hemorrhoids, Huanglianqu, Baijiao, Astragalus ten flavors, etc., soup is rarely used, but also take the soup with the function of cleaning, such as Allium soup. Analysis of the use of each drug, the characteristics are obvious, the drug has expertise. Treatment of five hemorrhoids inherited the experience of using Sophora in the “Thousand Gold Essentials”, containing Sophora decoction Sophora pill, small Sophora solid pill, Sophora wine, Sophora paste, etc. Later generations formed on the basis of this Sophora pill, still widely used.
It also mentioned centipede, stinging insect, dragon bone, oyster, crucian carp, carp, eel, sturgeon and intestine, etc., which had an enlightening effect on the use of animal protein to treat anal diseases in later times.
The good use of mineral medicine, such as alum stone, mannite, talc and sulfur, provides sufficient evidence for the development of alum preparations to treat hemorrhoids in later times. The precise combination is a model for later generations. Astragalus and Angelica are commonly used for bleeding and blood loss, which is in line with the meaning of Angelica blood tonic soup in later times and is used to this day. To treat the cause of the disease, the combination of cold and heat, often using Citrus Aurantium, Rhubarb and Scutellaria with Gunner’s Pillow, Ginger and Gui Xin, in order to collect the function of warming the organs and dipping heat, that is, the method of “profit” and “disadvantage” mentioned in the text, such as Hedgehog Skin San “disadvantage The “hemorrhoid” is “beneficial”, and the “hemorrhoid” is “when down”.
4.2 The external use is very effective and has been handed down to future generations. At present, although the drugs used are no longer the same, this method is widely used in anorectal diseases and has become one of the main methods of treatment of anal diseases. Smoke method, with peach leaves, fine bran, caraway, molasses bark, scopolamine, straw, etc., burning smoke smoked anus, mainly used to treat worm hemorrhoids, etc.. At present, it is used less, mainly because of medical conditions and environmental restrictions. Ironing method, mainly with large and small beans or hedgehog heated and put into the sac, sitting on it to iron and steam. In modern times, it has been replaced by various anal physiotherapy devices such as infrared and microwave.
External application method, the drug is ground into a fine powder and mixed with pig fat or pig bone marrow to make an ointment to be applied externally to the anal area to treat anal diseases, such as acacia bark ointment, beehive ointment and Qinglong Wusheng ointment. It became the main treatment for anal diseases in the future. Sitting medicine, different drugs such as locust seeds, locust white skin, carp intestines, shells or compound are made into suitable sized and shaped plugs, some as big as rat droppings, some as big as apricots, some as big as projectiles, some as big as jujube kernels, and put into the anus to clear heat and detoxify, drain heat and laxative, astringent and stop bleeding, and reduce swelling and pain, such as hedgehog skin pill. Modern has developed into a variety of different components of the suppository, widely used in clinical.
4.3 Moxibustion method special to be explored The two methods of Cui’s moxibustion for hemorrhoids are recorded in detail. The first is “to rest the patient’s neck with a rope, so that the two heads lean on each other, spread the rope, from the large vertebrae in the middle of the measure, hanging rope a head, when the ridge is under, with ink point finished. Also measure the head of the two kisses of the patient’s mouth, and connect the head of the rope with the former mouth kiss, and point it again, and look to make the equivalent of the three places, and down the fire, the heavier each 500 strong, the lighter 300 strong, then cured.
One for “make the patient sit flat undress, to rope more from the large vertebrae down to the tip of the caudal vertebrae finished, and then fold the rope more from the tip of the caudal vertebrae up to measure, when the rope is under the head, that is, point, high Guozhou initial moxibustion to 100 strong to get disease, after three years recurrence, and moxibustion, then broken. In addition, the treatment of prolapse for years does not heal, you can “moxibustion crossbone one hundred strong”.