↑ reinforcing ↓ reducing ⊥ even method — technique below follows standard Excess/Deficiency treatment principle for each pattern, not tied to a specific point-by-point source.
Clinical manifestations: Burning pain in the anus; dark or sticky, foul-smelling stools; heaviness in the legs and lower body; thirst with little desire to drink; brought on by a diet heavy in greasy, spicy, or alcoholic food, or damp weather; eased by cooling foods and a drier environment.
Tongue: Red with a yellow greasy coating, thickest at the root. Pulse: Slippery, Rapid, possibly Soggy, more pronounced at the Chi (rear) position.
Treatment principle: Clear Damp-Heat from the lower burner, strengthen the Spleen.
Note: no moxa.
2. Heat in the Large Intestine
Clinical manifestations: Fresh red bleeding that drips or spurts; constipation with dry, hard stools; a burning sensation in the anus; thirst with a craving for cold drinks; afternoon tidal fever; abdominal fullness and pain that worsens with pressure; brought on by a diet of spicy, rich, or heating food, or chronic constipation; eased by cool fluids and softer stools.
Tongue: Red with prickly papillae, thick dry yellow coating. Pulse: Deep, full and forceful, Rapid.
Treatment principle: Clear Heat, cool the Blood, stop bleeding in the Large Intestine.
Note: no moxa. This site's Large Intestine Heat slides describe constipation and fever without the hallmark hemorrhoid bleeding, so no pattern link is given here.
3. Qi and Blood Stagnation
Clinical manifestations: Prolapsed hemorrhoids that are dark purple, hard, and tender; fixed, stabbing pain that worsens with pressure; dark-colored bleeding; worsened by prolonged sitting or constipation; brought on by long-standing untreated stagnation, or a sedentary lifestyle; eased by gentle movement and avoiding prolonged sitting.
Tongue: Dark purple with stasis spots, distended sublingual veins. Pulse: Wiry, Choppy.
Treatment principle: Invigorate Blood, dispel stasis, relieve pain by moving local circulation.
Note: no moxa. The closest candidates on this site — Large Intestine Qi stagnation and Liver-Blood stasis — are either pure Qi stagnation with no bleeding or purple-tongue signs, or gynecological/hepatic-framed with no anal/prolapse content, so no pattern link is given here.
Clinical manifestations: A bearing-down or dragging sensation in the anus; prolapse requiring manual reduction; pale, oozing blood rather than fresh red spurting; chronic fatigue and weak limbs; poor appetite and abdominal bloating after eating; brought on by chronic Spleen weakness, prolonged standing or straining, or long-term overwork; eased by rest and lying down.
Tongue: Pale, puffy, tender, tooth-marked, thin white coating. Pulse: Weak and forceless, especially at the right middle (Guan) position.
Treatment principle: Tonify Spleen-Qi, raise sinking Qi to lift the prolapsed tissue.
Note: moxa applicable.