What are the common methods of external treatment of hemorrhoids in traditional Chinese medicine?

Symptoms are bright red blood in stool, excessive amount, anal swelling and pain, constipation, dry mouth, red tongue and strong pulse.

The prescription for cooling blood and relaxing bowels is cooling blood and relaxing bowels decoction, which is prepared from Radix Rehmanniae, Cortex Moutan, Radix Scrophulariae, Scutellariae Radix, Fructus Gardeniae, Radix et Rhizoma Rhei (bottom), Natrii Sulfas (bottom), Fructus Sophorae and Glycyrrhrizae Radix. For those with mild symptoms, Chang Xie Feng Re San is used to clear away heat and purge fire, dispel wind and stop bleeding, and honeysuckle, forsythia and Sanguisorba are used as medicines. Schizonepeta charcoal, licorice.

Damp heat type

Symptoms include dark blood in the stool, excessive amount, anal swelling, erosion of water, pain, which may be accompanied by fever, headache, sticky stool, red tongue, yellow and greasy fur and slippery pulse.

The prescription for clearing away heat and promoting diuresis comprises decoction for clearing away heat and promoting diuresis, Flos Lonicerae, Radix Angelicae Sinensis, Herba Taraxaci, Flos Sophorae Immaturus, Pericarpium Citri Tangerinae, Poria, Semen Plantaginis and Glycyrrhrizae Radix. Herba Schizonepetae and Herba Menthae are added for those with aversion to cold and fever; Bupleuri Radix, Scutellariae Radix and Cortex Phellodendri are added for patients with severe fever and swelling and pain; Add adzuki bean and cogongrass rhizome for wet patients.

Heat-toxic type

The symptoms are severe pain and swelling of anus, purple necrosis of hemorrhoid core, persistent carrion, foul smell of pus and blood, poor defecation, anal prolapse, high fever and headache, sweating and thirst, red, yellow and greasy tongue, and rapid pulse.

The prescription is Jiedu Xiao Zhong Decoction, Flos Lonicerae, Herba Taraxaci, Fructus Forsythiae, Poria, Semen Plantaginis, Fructus Aurantii, Radix Angelicae Sinensis, Cortex Phellodendri, Radix Paeoniae Rubra, Radix Bupleuri, Pericarpium Citri Tangerinae and Radix Glycyrrhizae. Radix Isatidis, Rhizoma Paridis, and Radix Gentianae are added for toxic heat; Gypsum Fibrosum, Trichosanthis Radix and Rhizoma Anemarrhenae are added for fever and thirst; Using frankincense, myrrh, rhizoma corydalis and radix aucklandiae to relieve pain is very heavy; Carthami Flos, Saviae Miltiorrhizae Radix, Oletum Trogopterori, and Pollen Typhae are added for blood stasis and swelling.

Blood stasis type

Symptoms include bloody stool, red or dark blood color, anal swelling, dark or purple mass, unfavorable defecation, dark purple tongue and strong and astringent pulse.

Huayu Sanjie recipe comprises Huoxue Sanyu Decoction, Flos Lonicerae, Radix Angelicae Sinensis, Flos Carthami, Pericarpium Citri Tangerinae and Radix Glycyrrhizae. Those with severe swelling and pain should reuse honeysuckle, and add frankincense and myrrh. For constipation, Flos Sophorae Immaturus and Semen Raphani are added. The lump does not need to be added with three ridges and calligraphy.