Coptis and Atractylodes Decoction，From *Lan Shi Mi Cang*, Volume 2.，Wind-heat, combined with a full stomach and stagnation, forces qi into the large intestine, leading to hemorrhoids and anal fistulas, as well as dry, hard stools, which inevitably cause severe pain.
Coptis and Atractylodes Decoction
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Formulas Name : Coptis and Atractylodes Decoction
Chinese Name : 秦艽苍术汤
Drug Formulation
Qinjiao (stems removed) 1 qian, Peach Kernel (soaked in hot water, skinned, and ground separately) 1 qian, Soapberry Seed (charred until only the essence remains, and ground separately) 1 qian, Atractylodes (processed) 7 fen, Fangfeng 7 fen, Phellodendron Bark (peeled and washed with wine) 5 fen, Angelica Root Tips (washed with wine) 3 fen,Alisma 3 fen, Spindle-shaped Areca Nut 1 fen (ground separately), a small amount of Rhubarb.
Source
From *Lan Shi Mi Cang*, Volume 2.
Processing
Except for the three ingredients—areca nut, peach kernel, and soapberry kernel—the remaining herbs should be coarsely crushed (by the father) to the size of a sesame seed or soybean, and taken all at once as a single dose.
Benefits
Wind-heat, combined with a full stomach and stagnation, forces qi into the large intestine, leading to hemorrhoids and anal fistulas, as well as dry, hard stools, which inevitably cause severe pain.
Instructions for Use
Boil 3 zhan of water until reduced to 1 zhan and 2 fen; strain out the residue; add the powdered mixture of the three ingredients (including areca nut); return to the heat and boil until reduced to 1 zhan; take while hot on an empty stomach. Wait a short while before consuming a light meal to settle the stomach, so as not to disturb the stomach qi.
Note
On the day of taking the medicine, avoid raw, cold, or hard foods, as well as alcohol, wet noodles, heavily spiced foods, and dried ginger; also avoid fruits such as peaches, plums, apricots, and cherries, as well as oils and pepper.
Copyright: Excerpt from From *Lan Shi Mi Cang*, Volume 2., Copyright belongs to the Original Author and all original sources, This article was shared by DeDe on August 30, 2026, Please credit the source and include a link to the original article when reposting.
Terminology Proofreading: [Cheng Bo] | August 30, 2026 Reviewed by: [Wang Zhongxiang, Associate Chief TCM Physician (China)] | August 30, 2026
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Coptis and Atractylodes Decoction,Wind-heat, combined with a full stomach and stagnation, forces qi into the large intestine, leading to hemorrhoids and anal fistulas, as well as dry, hard stools, which inevitably cause severe pain.