Journal of Clinical Medicine Research

Objective: Based on the theory of "neutrality circulation" in Four Sages Study , Huang Yuanyuan of Qing Dynasty put forward his unique personal views on the etiology, pathogenesis and treatment of hemorrhoids. Methods: The authors had read all the literature related to Huang Yuanyu’s theory and explains his views by exploring the theoretical basis. Results: The chapter Root Cause of hemorrhoids in Four Sages Study specifically discussed hemorrhoids disease, and the sections "Yin and Yang", "viscera formation" and "neutrality" also involved the causes of hemorrhoids disease. Conclusion: (1) The root cause of hemorrhoids is the sinking of spleen, and the pathogenesis is lack of neutrality and descent of small intestine. This paper proposes a method of nourishing "yang" and suppressing "yin", combined with clearing heat and resolving dryness, and adjusting the prescription according to the specific condition of the patient. (2) Huang Yuanyu’s academic thought is a significant guidance for the research and treatment of hemorrhoids in later generations.