1. 生理概述
痔瘡，通常被稱為“堆積(piles)”，在醫學著作中被定義為：由於直腸及肛門的各部分組織之間的互相壓迫，而使該部分的血管呈現腫脹擴張的狀態。（摘自道蘭醫學字典Dorland's Medical Dictionary，第24版）
痔瘡體實際是由淋巴和血管組成的，而且通常形成於控制直腸與外界實現開關的從屬於括約肌的兩圈膜結構的連接處位置。這些突出物通常會被擠壓到肛門外部。有時，痔瘡會形成在直腸內較高於排泄孔的位置並保留在其內部。特別是當直腸口內膜受到壓迫或者內膜變薄時，痔瘡會更容易導致留血現象的發生。有時會流到痔瘡體內，在痔瘡內形成血栓，這是比較棘手的。
對於痔瘡患者來說，瘙癢和留血是兩個非常顯著的症狀，而且還通常伴有疼痛感。
回顧以往凱西針對於65位患病個體給出的多達104條解讀,其中有一條主線是不變的：
所有患者，在生理學平衡上，都存在著潛在的機能紊亂。常見的紊亂症狀如下：
1.過多的酸性物質存在於體內(身體呈現過酸性)；
2.肝臟血液循環的紊亂及其相關神經系統的失衡；
3.緊張，擔心，激動，焦慮，憤怒——我們通常歸結為“壓力”；
4.便秘（通常也有其自身的形成原因）；
在一個案例中，一名34歲的中年婦女（98）由於長時間站立，導致了痔瘡病症的形成；當然也有其他的一些致病因素存在。以往的一次脊椎骨“外傷”經歷，血液循環不暢，這些都會為個體痔瘡的形成埋下伏筆。發生在腰椎神經第6，7節的外傷所產生的影響，並且也反映在第5，9節處。正如解讀中所描述的那樣，“血液系統沒有及時的清除體內垃圾---因為這種能力被阻滯了，也沒能消化吸收那些對身體構建有益的物質，以及很好地調節各器官的生理機能，這些都是致病的原因。也就是說，胰腺，脾臟，肝臟及其血液循環的缺失（98-1）。”以上這些因素到頭來會引發其他交感神經的問題，從而對身體的各部分組織產生刺激（包含直腸區域）。
其實，整個身體狀態都和痔瘡的形成與發展息息相關。一旦身體清除廢物的能力被削弱，機體對於攝入食物的吸收消化也就隨之減少了，導致營養物質的匱乏，使腺體內分泌液減少，產生憂慮情緒，更糟的是，這會加速身體的酸化。由於淋巴腺受到抑制，紊亂產生；體內體表的血液循環和神經系統互不協調；使得肝臟的血液循環和體內排泄平衡受到干擾和破壞。
儘管體內失衡的表現豐富多樣，但每個個體仍然可以注意到一些症狀的表現，如極度的焦慮，各種程度的失眠，輕微的體重增加和痔瘡初期引起的生理症狀。所有這些變化都是真實的，具有破壞性的，如果任其發展，將會給個體帶來更多的嚴重破壞，直到我們去扭轉這種狀況。以下文字摘錄於凱西的解讀：
保持肝臟內部血液循環與發生在肝臟內的各種生理活動相協調，不單單是機體排泄系統的一個組成部分，對身體系統來說，作為一個腺體或器官，它也是一種神秘的力量，體內失衡的狀態經常與肝臟有關聯。
隨著體內酸性的上升，肝臟血液循環的降低會造成消化道內的淋巴液循環動力來源的缺失，這會影響到整個系統內的排除通道。因此，一旦這種情況發生了，紊亂會通過機體系統的運作而影響到腺體系統的各項正常活動，也會干擾到腎臟在排除過程中的作用。
由於淋巴腺體的功能上的缺失以及對於系統內代謝廢渣排除能力的下降，因此身體呈現過度的酸性有時會導致括約肌中心和消化道下部出現褶層，而引發機體內部紊亂。
為此個體我們反复表明,對於身體適時地採取水療的方法是有必要的；那些可以刺激體表血液循環，協調體表、體內深層循環互相配合的行為，通過刺激整個有關機體排除廢物的腺體機能，來獲得發生在消化道內的更好的同化作用，更好的呼吸和排汗作用，以及對排泄器官和體表及皮膚腺體的刺激。由此可見，構成整個生理活動過程中的每個部分都是不可或缺的。（解讀257-199）
凱西給一位38歲的男性患者（555-7）這樣描述：機體呈現酸性會導致一系列的紊亂發生，當腸道下部的肌肉組織過度疲勞，並在括約肌下部的肌肉區域形成褶層，使其脫離血液供給，從而形成血腫塊。這樣，一個存在血栓的痔瘡形成了。
儘管很難掌握對於生理上焦躁形成機理的相關信息，解讀中仍在盡可能詳盡地說明這樣的事實：有的時候，焦躁情緒的的確確導致了這些紊亂狀態。（257-172）生氣，受挫，和這一類的壓力，確實會導致集體酸性程度的上升，因此，所發生一系列的過程才得以呈現出來。
在妊娠期間，來自於個體腸道和直腸下部的壓力可能會導致痔瘡。然而，對於來源於孕婦體內胎兒頭部造成的壓力是否是病症形成的唯一因素，這點還是可疑的。可能還存在一些其他的誘導因素，只不過我們沒有在意罷了。
毫無疑問，來自生活的壓力、長期的酸性飲食習慣和便秘，這三者是導致痔瘡形成的最常見致病因素。
2. 治療原理
如果個體想要對於成功治療痔瘡的方法有更好地理解，那個體必須要將患者的整體狀況加以考慮。在65個凱西解讀案例中，有2個（2701-1,5327-1），凱西建議他們進行外科手術。這2名女性患者都達到60歲以上，並正遭受著很多種病痛的折磨。患者亟需盡快從嚴重的痔瘡疾病中解脫，外科手術的辦法會使她們從中受益。對於其他的63個案例，凱西給出這樣的指導：如果在整個治療過程中，指導意見能夠被嚴格執行，那麼將徹底根治痔瘡疾病，或者至少會使個體回歸到接近正常人的狀態。
問-2：難道不用採取其他措施，單單憑藉Tim（在解讀中被給出的一種混合物）療法就可以使痔瘡萎縮，從而治愈它嗎？
答-2：是的，只有患者堅持使用這種治療方法，因為它不但可以清除致病因，而且還能根除痔瘡外在的生理表現。（257-200）
正如我們所發現的，儘管看起來個體在身體各方面的表現都保持良好，但對個體來說，在構建自身機體免疫機能方面仍然有許多要求需要得到滿足，以達到一個更加協調的消化系統。
如果消化系統能夠和血液供給，神經機能，以及肝臟、脾臟、胰腺、腎臟的各種生理活動協調配合，那麼對於我們能夠擁有一個正常的生理狀態將是大有裨益的。（1102-6）
問-7：能否可以更進一步的給出有關於減輕病痛，糾正身體狀態的建議？
答-7：就像已經被給出的建議那樣，如果身體的這些需求可以得到滿足，那麼將會引導個體至正常的身體狀態。但至於怎樣去滿足它們，具體如何做，這些問題還沒有被問及。在滿足機體需求的過程中，保持個體生理和心理活動上的步調一致是必要的。在飲食和日常的生理活動中，要注意維持體內排除和吸收作用的相對平衡。這目標的實現需要個體長久的堅持不懈，而不只是個體僅在理論上了解維持身體健康狀況的必要性就足夠了。
堅持做下去，會看到效果的。（654-3）
在65名患者中（年齡從19歲到76歲的不等），按照年齡梯度分組，每個年齡段都有。我們得出一個明顯的結論：年齡大的個體要比那些20-30歲的個體更容易遭受這個普遍化的疾病的困擾。對於每個正遭受痔瘡折磨的個體，都會出現下列症狀，特定區域的瘙癢，局部的刺激，痔瘡體的外漏和流血。正如在解讀中所描述的那樣，生理疾病表現出來的背後肯定還潛伏著更深層的的因素——系統內部的紊亂，例如便秘，不合理的飲食，偏向酸性的體質，來自生活的壓力，神經系統的失衡，腸道下部的酸性環境，肝臟血液循環的不暢以及體表、體內循環系統的互不協調。
正如凱西對於案例257-200所說的：眾多的案例驗證，僅僅憑藉Tim的使用來祛除病根，治愈痔瘡是不夠的。在所有針對於減輕病症的治療過程中，堅持不懈都是實現這一目標的必要保證。這是一種了不起的一種品質，保持個體在治療過程中的耐心，對於疾病的治愈是很重要的。
考慮到大多數患病個體在起初階段都致力於緩解疾病的臨床表現，而不是著手解決導致症狀出現的根本原因——身體機能的失調。因而凱西在他的解讀中提供給患者許多用來應對那些刺激、瘙癢、凸出以及流血的解決辦法。然而在此過程中，凱西選擇的治療手段遠超過他所處時代的其他同類方法，因而，對比那些已經被使用的治療方案，凱西的方法是更有幫助的。
起初Tim是一種在凱西解讀中專門針對於緩解痔瘡的產品。正如這些年來凱西在解讀中所描述的，Tim的配方組合多種多樣。相對比較，Tim被建議的使用次數要比其他任何一種治療痔瘡的手段都要頻繁，具體操作如下：在體表塗抹或用球狀注射器（或類似的東西）將Tim藥劑注入到肛門內，使其和直腸及肛門內的粘膜接觸。
最早有關Tim藥劑的構成的描述出現在給（294）的解讀中。Tim名字的來源可能源於其原始的組成成分：T—煙草，I—碘酒，M—（曼秀雷敦mentholatum）。
向1/4磅的奶油（新鮮的牛奶脂肪）中，加入以下材料：
1打蘭磨成粉狀的煙草或燭花
2滴，mentholatum或者其精油
1滴碘酒酊
把配好的混合物當作是一種藥膏或外用藥水，塗抹在體內外的患處。將這種配方應用在身體上，整個身體會受益，在亞健康狀態以及非正常狀態下，身體會配合。（解讀294-24）
有2條相關的建議來自於解讀953-9：
奶油
薄荷膏 4盎司
3滴被磨成粉狀的煙草（精油）， 6格令
白色橄欖香皂， 2格令
解讀4709-5：
奶油（牛奶的脂肪） 3盎司
Berton 的燭花 15格令
樟腦精油 1滴
桉樹精油 2滴
以下是Tim藥劑的成分及配比：
隨著Tim藥劑在許多患者的治療過程中的應用，我們發現了一種相比原有成分組合更適合的搭配方式。以下是更好的成分配比：
奶油 1盎司
安息香膠酊 10滴
原子碘 5滴（或者是碘酒，原子碘酒去除了輕微毒性-普通碘酒相對Atomidine比較為便宜）
被磨成粉末狀的煙草或燭花,（燭花更好）這種粉末Atomidine 3Grain
充分攪拌混合物使其混合。不要將藥劑放入錫製器皿內，而應放在瓷器或玻璃容器內保存；最好放在一個重量在1盎司至1.25盎司的六邊形罐子內。建議指導將Tim作為一種藥膏，塗抹於患處，每日1-2次。治療結束後讓個體得到充分休息，休息過程中保持雙腳高於頭部。這樣，個體會逐漸被治愈！（解讀1800-20）
這種藥劑（1800-20）不只是一種藥膏（不僅僅包含了燭花或煙草在其中），也可能是惟一的一種通過外部治療的手段。在早期給出的成分配比中並不包含mentholatum。因此很難確定哪一種被建議的藥物組成配方是最好的。
凱西向一些前來諮詢的患者推薦：一種叫做Pazo的藥膏或栓劑，目前這種藥膏可以在市場上買到並且包含有效成分。藥膏成分包含：苯坐卡因benzocaine和麻黃鹼硫酸鹽的混合物，氧化鋅，樟腦和軟化劑。除此之外，當前也有其他的可用的藥物，包括Rectal Medicone（苯坐卡因benzocaine，oxyquinoline sulphate，氧化鋅，薄荷醇，秘魯可可油香膏）；Nurses Brand suppositories and 軟膏（苯坐卡因benzocaine，氧化鋅，bismuth subgallate，para-cholormeta-xylenol，秘魯香膏）；和Preparation H（活酵母細胞分泌物，2000單位的phenylmercuric nitrate，鯊魚肝油）等等。
各種藥劑名稱豐富多彩，然而有趣的是，它們的構成是非常相近的。但是這些藥劑都缺少奶油和粉末狀的煙草，可是Tim中有，Pazo可能是最接近Tim的了。毫無疑問，Tim中獨有的物質成分在患者體內發揮著減輕病症，舒張出現褶皺的粘膜並使之正常的功效。
除以上之外，凱西還建議經常將一種混合液加入或註射進肛門口內，混合液組成如下：甘油，碳酸（carbolic acid）和Nujol或Usoline(俄羅斯白油)。儘管3種物質在不同案例中含量不等，可是它們的功效是一致的。這種物質搭配，其藥效和Tim也不完全相同。在對於一位前來詢問並有過流血經歷的50歲婦女的解讀中，凱西認為採取這種混合物治療對患者說是最好的。
由於結腸囊內的惡性環境已經形成，因此我們考慮排空它以改善其生理環境。考慮到灌腸劑的功效特點，它的使用不但會修復疾病給身體造成的損傷，阻止粘膜褶皺的再次形成，而且可以調節身體紊亂狀態，避免粘膜破損進而再次導致失衡。（解讀404-8）
在混合這些物質的過程中，凱西特別強調：在加入the Nujol之前，甘油和碳酸必須被充分的混合攪拌。以下是在不同解讀中凱西建議的物質配比：
甘油 1盎司 1 1 1 1 1 1
碳酸（Carbolic acid） 7滴 2 3 5 2 4 2
Nujol (or Usoline) 16 盎司 1 3 4 4 4 2
最常使用的組合是：1盎司甘油，2滴碳酸（carbolic acid），2盎司Nujol。在解讀中，這種組合曾9次被提及到。在曾經的案例中，用球狀注射器將混合液送至第1、2括約肌，注射量為1-1.5盎司每次，時間跨度從每週一次到每月一次不等。“用注射器推入，此時身體應蜷曲狀，用膝蓋和肘部，或者肩部著地。”（解讀404-8）
在解讀中另一種有效地治療方式是一種特殊的身體練習。在一個案例中，凱西對一位19歲的患者說：“每天都堅持做幾次這種練習，緩慢地，逐步地提升括約肌，如此以來痔瘡狀況會得到改善。”（解讀3678-1）
該項練習的指導說明有一些複雜。綜合各種注意事項後，建議個體這樣做：
首先，盡可能的少穿衣服。然後，筆直的站立的同時，緩慢的抬起腳跟，腳趾著地，同時用鼻子吸氣並緩慢地向上抬升你的胳膊至頭部以上，保持手掌朝前。然後用嘴呼氣，緩慢將身體向前彎曲，保持你的手仍然在你的頭部以上，最後用手去觸碰地面，在此過程中，始終保持用腳趾站立。然後，放平腳掌。保持你的手臂始終在頭部上方的同一位置，當用腳趾提升身體的同時用鼻子吸氣，直到你的身體再次處於垂直。然後像所描述的那樣，身體重複向前彎曲。每天的早晚，緩慢地做這一系列動作5-6次（當然如果個體願意的話，可以多做幾次）。然而最關鍵的是，個體要在每天固定的時間段內堅持不懈地做下去，直至痔瘡的生理症狀完全消失，致病原因被徹底根除。否則的話，同樣的致病機理會導致痔瘡的複發。
對於那些正忍受由痔瘡引發劇烈疼痛的患者來說，也可以用冰袋敷於患處的方法來減輕患者痛苦。此外，熱水袋也有類似的效果。在以往的治療經驗中，我們發現蓖麻油敷袋可以緩解症狀並且有助於痔瘡體的平息。
但是，對於疾病潛在的致病因素也可以用其他的方法來解決。在這些情況中，發生在腰骶骨的區域神經系統間（腦脊髓和自律神經）的不協調狀態是最劇烈的，但有時，也會涉及到整個脊椎。由於骶骨副交感神經的傳導控制著腸道下部，所以這一區域應該非常注意。
整骨療法在糾正身體機能方面扮演著很重要的角色。在解讀654-3中，凱西告知女患者：“只要按照解讀中給出的那樣使用Tim藥膏，配合著在腰椎和骶骨區域的適當的整骨糾正，將會徹底地消除症狀”
個體需要做大量的上文曾到過到的練習；然而，一名女性患者沒能堅持到底，後來不得不使用整骨療法和脊椎指壓治療法。（解讀288-47）
一個35歲的女患者被建議採取每週一次的背部整骨治療。“每兩次治療結束後，都應該配合一次全面輕度的按摩，按摩區域應覆蓋貫穿於腦脊髓神經系統的各個中心，不要忽略骶骨和尾臀骨（解讀98-1）。”一名整骨治療師被告知，應對背部區域影響到肝臟活動的第3、4、9節採取治療手段。(416-14)還有一個治療解讀說：甘油和碳酸的混合物被使用過後，將鹽水熱敷袋在患者的後背下部，緊接著進行連續3天的結腸清洗。最後進行整脊治療。（解讀462-14）
在一個案例中，紫外線曾被建議使用。在整骨療法完成後，用紫外線沿著脊椎兩側照射15分鐘。在解讀106-12中，以上操作被建議實施，旨在“通過對身體某一部分進行此類操作使得體內關鍵中心所影響的區域得到放鬆，尤其是背部第7、8節至腰椎第4節這部分區域。”
因此，大多數常見性的身體機能失調都應該引起個體的重視。凱西推薦：在上一操作完成後，緊接著將熱的瀉鹽（Epson）敷袋或者是蓖麻油敷袋放在腰椎和骶骨區域來緩解緊張，幫助康復。在288-47案例中，建議使用由少量的羊脂，等量的松節油和樟腦精油組成的混合液——在後背部的一小塊地方進行輕度的揉搓，然後將熱敷袋放在背部。在另一個案例中，患者被建議使用透熱療法，即“在腦脊髓和交感神經系統之間提供少量熱量。”（337-23）
膳食一直都是維持機體處於平衡狀態的重要組成部分。我們建議減少高酸性物質的攝入。一個食物反應呈現鹼性的膳食習慣對機體健康是很十分重要的。對於大多數人而言，我們都應該少量食用糖、澱粉；加一點魚，家禽和羔羊肉，但要禁止吃紅肉。可以少量飲用咖啡、茶類，但不要飲用可可粉、精製奶品。全麥的麵包是有益的，但不要與啤酒或其他含酒精類的飲料同時食用。禁止食用油炸類的各種食物。調味品，醃製類和其他類似食品會妨礙淋巴液至腹部下部區域的循環；因此，由於淋巴液的缺失導致酸性物質積累，整個環境的酸性加劇，從而致使痔瘡形成。新鮮的綠葉蔬菜不僅會有助於體內廢物的排出，也會幫助對那些構建和補充機體所需的必要物質的吸收。在案例（257）中，對於患者俱有針對性的提問，凱西解答說，無論是生的還是罐裝的番茄，對機體而言，都是有好處的。
凱西也建議，偶爾將小劑量的橄欖油當做食物來攝入體內，對調節機體和改善腸道都是有幫助的。儘管沒有在這一類的解讀中被特別提及，但是大蒜給腸道帶來巨大好處的事實是很顯然的。
為了實現機體獲得一個更好的排除能力，結腸清洗常常被建議，灌腸也不錯。飲用含有少量的甜味白芬劑（Glyco-Thymolione）的水溶液被驗證常常是對身體有益的。Eno鹽的使用效果和結腸清洗是相同的。以下2部分談論的就是有關於這種特殊清腸品的相關信息：
問-9：我現在使用的這種幫助排便的鹽產品，Carlsbad鹽，對於我的身體系統是否有好處？
答-9：Eno鹽要比Carlsbad鹽更好，更適宜個體。它們的區別在於以下：Eno鹽份來源於蔬菜或水果自身的鹽分，而Carlsbad來源於鹽礦。因此，Eno鹽通過空腸上部帶動大量的淋巴液循環，從而對十二指腸產生更多的刺激。通過了解和分析我們已給出的解讀，對於在消化的各種過程中淋巴腺的變化，我們得知，源自於水果中的鹽成分是更有益的，有時也可以是某一種油。（解讀257-200）
問-6：對於機體來說，什麼是一種好的瀉藥？
答-6：對機體而言，Eno鹽是最好的瀉藥，因為它源於大自然的水果當中，而不是鹽礦藏——這會通過加重胃，和肝腎的各種活動負擔，而引起機體紊亂。Eno鹽應該每天都以小劑量的攝入，每次攝入要持續一周左右——這對身體很有好處。（解讀462-13）
看起來，這種源於水果的瀉藥似乎可以促進淋巴液在同化作用發生地，也就是腸道上端的流動；然而，源於礦物的瀉藥會通過增加臟器的負擔的方式來使得消化吸收過程變得更加困難。對於營養物質的消化吸收異常會導致包括各種器官在內的整個機體失調，因此在治愈痔瘡疾病的過程中，這是一個必需要跨越的障礙。
在痔瘡形成的初期階段，只需要履行伸展練習並堅持做下去，就可以校正在生理上的反應。但當是由於身體重要機能的失調而引發這種情況出現時，那些潛在的因素必須要被處理解決，否則痔瘡頑疾不會被治愈。
痔瘡的治療應該從局部開始，然後再尋找和處理潛在的致病因。隨著案例中患者情況的不同，治療方法當然也相應的進行跟中變化，我們將凱西經常遵循的治療過程進行了簡化。以下闡述的攝生法只是最基本的，只是將前文提及過的物質原料一一列出，針對於某些特殊個體的治療方案會有所改變。
局部處理
1.在每次腸道排便後，都使用Tim（推薦），Pazo或者一種相近的產品。以上物質可以直接被用於痔瘡患處，也可以通過使用球狀注射器從肛門口直接注入，兩者均可。當採用球狀注射器這一方法時，可以將1或2茶匙劑量的溶液直接注入到括約肌上部的區域。這時，不用Tim，而是使用其他的藥劑通過外敷的方式對個體進行內部調理。這種治療方法應該被堅持使用，直至痔瘡體消失，身體康復。
2.對於那些遭受劇烈疼痛的痔瘡患者來說，可以直接對患處使用冰敷袋，冷水袋，然後熱水袋，坐浴，或者蓖麻油敷袋。
3.由於這種混合液（由甘油，碳酸水，Nujol組成）在避免粘膜損傷和減緩刺激方面是有幫助的，所以也有助於減少直腸流血症狀的發生次數；最好每週進行1次，直到流血症狀和產生的刺激完全消失。
4.對於上文提到的練習（踮起腳進行的伸展，身體向前彎曲），患者應該在每天的早晚，動作緩慢地，各做5-6次。患者應該堅持這項練習直到由痔瘡引發的所有生理病症完全消失，或者至少至致病因的確定。
綜合治療方案
1.飲食；一個易於引發身體反應呈現鹼性的飲食習慣，食物包括綠色蔬菜，各種水果，各種蔬菜汁和水果汁，魚類，家禽類以及羔羊肉。個體應當避免攝入過多的澱粉，脂肪，各種油炸食品，豬肉和牛肉，各種香料，各種調味品，啤酒以及各種酒精類飲料。這些是保持身體鹼性的基本要求。自己去研讀飲食類的有關書籍，會發展出一個新的飲食習慣，並重新思考和定位我們的日常飲食的重要性。
2.在採取整骨和脊椎指壓的治療方法時，操作者要特別注意從腰-骶骨-尾骨的這段區域。在進行脊椎其他部分的操作時也需要注意——應當按照不同患者的需要和醫師能力來區別對待。目的在於將存在於在腦脊髓和自律神經系統之間的反常狀態得到糾正。
3.在這些解讀中，便秘的糾正常被專門提到，可以通過兩種方式：1.定期的進行結腸清洗。2.使用瀉鹽，如Eno鹽。個人的體驗是在入睡前，口服幾滴蓖麻油，排便效果更佳。
4.覆蓋於背下部的敷袋——在家中或者在徒手治療（通常指的是整骨療法，脊椎指壓治療法）之前，使用熱Epsom鹽敷袋或者熱蓖麻油敷袋，只要痔瘡體仍然存在，這種方法就會是有效果的。以上所說的方法和飲食，徒手治療以及休息，它們的目的都在於改善體內的酸性環境，復原腸道內的正常狀態。將被熱溶液浸透的法蘭絨敷在患者的腰骶骨區域，其中溶液可以是Epsom鹽溶液（2杯或者1夸脫水）或蓖麻油。結果證明，這種方法的藥效很強。然後，用塑料袋鋪在敷袋上，在塑料袋上放置一個加熱墊，這樣可以使敷袋保持恆定溫度，保持1-1.5小時。如果個體在家中治療的話，每周可以進行2次。
5.個體應該指定一個大致的鍛煉計劃（在解讀中提到，散步是最好的），然後把它當做是生活中的一部分堅持下去。
6.壓力是源於個體對在其一生中所選擇的種種經歷的反抗。因此也就是反抗自己。有多種方法可以改善精神狀態和情緒。一直以來，凱西建議將靈性的果實，諸如和善，仁慈，寬恕，忍耐，理解和類似的精神活動結果當做面對自己，了解自己的一種方式。讀書會（如探索上帝讀書會），可以促進個體的進步。在生命歷程中的某些時候，理想的設定是一件必須的事。這由個體自己來做出選擇；思想可以帶來障礙，也可以通向成功，同樣也需要個體做出選擇。
也許在這篇有關於闡述通過清除日常積累的體內廢物來治療疾病的文章結尾，最好的結束方式就是引用凱西針對於其中2名經歷痔瘡痛苦的患者的解讀：
問-12：還有任何其他的建議嗎？
答-12：保持精神和心智始終以建設性的方式去思考；因為，思想才是身體的建造者。（462-13）
始終保持目的是具有正確地創造性的；不要去評價任何人，但是要保持自身與我偉大的創造力源泉相協調。（解讀2823-2）
度量衡換算：
1盎司=28.349523125克 1美製加侖=3.785411784立方分米
1格令=0.0648克 1打蘭=1.7718451953125克
1磅=0.454千克
原文：
OVERVIEW OF HEMORRHOIDS
I. Physiological Considerations
Hemorrhoids, more commonly called "piles," are defined in medical literature as varicose dilatations of veins of the superior or inferior hemorrhoidal plexus. (Dorland's Medical Dictionary, 24th ed.)
Hemorrhoids are sac-like developments filled with lymph and blood vessels, and always located in conjunction with the two rings of sphincter muscle tissue that guard the opening of the rectum to the outside. The sacs often extrude out of the anus. Sometimes hemorrhoids are located higher in the canal and stay inside. They often bleed, especially when the lining of the anal orifice is irritated and thinned. And they sometimes bleed into the sac and cause a thrombosed hemorrhoid, this being the most troublesome.
Itching and bleeding are the two most significant symptoms, although often there is also pain associated with the condition.
In reviewing some 104 readings given for 65 different individuals, one finds a consistent story:
There is always an underlying disturbance of function in the physiological balance. The most common disturbances are:
Excess acidity in the body (superacidity)
Disturbance of the hepatic circulation and related autonomic nervous system imbalances
Nervousness, worry, emotions, anxiety, irritation - those things that we usually term "stresses"
Constipation, which usually has its own set of predisposing factors.
In one instance, [98] was on her feet too much, helping to bring on the condition in this 34-year-old woman but there were other factors involved. An osteopathic "lesion," circular in type, had laid the foundation. The lesion was in the sixth and seventh dorsal sympathetic center, reflexed to the fifth and ninth. As the reading described it, "The blood supply does not carry the eliminations properly neither does that assimilated build properly, and the functioning of the organs - as has been hindered - is the cause of same. Namely, the pancreas and the spleen, with the liver and hepatic circulation." (98-1) These in turn produced other sympathetic problems and irritations in various parts of the body, including the rectal area.
It seems as if the entire body is involved in the development of a hemorrhoid. When eliminations are decreased, the assimilation of foodstuffs into the body is lessened, the lack of nutrient elements creates glandular deficiencies, anxieties, and often an increased acidity. The lymph is suppressed, irritations arise incoordinations develop between parts of the nervous system and the deep and superficial circulation the hepatic circulation and the balance between the eliminatory channels are all upset.
Throughout this happening, the homeostasis of the body is so magnificent that all an individual might notice is a greater anxiety, perhaps loss of sleep to a degree, a slight weight gain and the beginning of hemorrhoids. But the change is all very real, destructive in nature, and promising more destructive things to come unless there is a turnabout. The following extract tells the story in Cayce's words:
In the activity of the liver, as coordinant with the hepatic circulation as these are a part of the excretory as well as the secretive forces of the system this as a gland or an organ gradually becomes involved the more often there arises this unbalanced condition.
With the superacidity produced, the reaction to the lower portion of the hepatic circulation is to cause a lack of the lymph circulation through the alimentary canal as related to eliminating channels of the system.
Thus, as has arisen, when there arises this disturbance, its reaction through the system is to affect the activity of the glandular system as related to the kidneys in their elimination.
Hence an excess of acidity has at times caused the folds of the sphincter centers, and the lower portion of the alimentary canal, to become involved in the disturbance because of the very lack of the lymph and the elimination through the proper channels of the excess drosses in the system.
Then, as has been indicated again and again for the body: There are the needs for the hydrotherapy treatments occasionally that is, those that stimulate the superficial circulation and that make for a better coordinant activity between the superficial and deeper circulation, by stimulating the whole of the glandular force as related to the eliminations through not only the alimentary canal but the better respiratory reaction, the better perspiratory reaction, the better stimulation for the emunctory and gland forces of the superficial or the skin itself All of these become necessary as a part of the activity. (257-199)
Cayce described to a 38-year-old man (555-7) the manner in which an excess of acidity in the system creates these distresses, by "producing a strain by the activity at the time in the muscular forces of the lower portion of the intestinal tract this forming folds in the lower sphincter muscular forces, segregation of the blood supplies, and producing the form of a blood tumor." A thrombosed hemorrhoid!
Although it is difficult to ferret out the information dealing with the mechanism of anxiety-generated problems of physiology, the readings are explicit about the fact that "anxiety has caused and does cause those disturbances at times." (257-172) Anger, frustration, or stresses of that nature do create greater acidity in the system, and thus more opportunity for the process already described.
In pregnancy, pressure to the lower bowel and rectum may apparently cause hemorrhoids. It is questionable, however, whether the pressure of the child's head is the only factor. There may be other predisposing causes not readily discernible.
Perhaps it is safe to say that life stresses, a constant acid-reacting diet, and constipation are the three most common problems bringing on the condition.
II. Rationale Of Therapy
In gaining an understanding of an approach to successful treatment of hemorrhoids, one must be aware that the general condition of the whole person must be taken into consideration. In two instances of the 65 individuals, surgery was advised. (2701-1 and 5327-1) Both were women past 60 years of age and afflicted with numerous problems. They needed immediate relief from the severe hemorrhoids and would benefit from surgery. The other 63 were all given indications that, if a therapy program were followed as suggested, permanent cure would be the result, or at least a condition "nearer normal."
Q-2. Will Tim [a compound recommended in the readings] cure or dry up these hemorrhoids without any other action?
A-2. Consistently used, it will not only remove the cause but remove hemorrhoids. (257-200)
As we find, while conditions are good in many respects, there is still much that might be desired in the body building resistances, and for a better coordination of the assimilating system.
However, with the assimilating system made to coordinate with the blood supply, the nerve energy, and the activity of the liver as related to spleen, pancreas and kidneys, we would have a much nearer normal condition. (1102-6)
Q-7. Any further questions for the relief or cure of this body?
A-7. These as have been given, if met properly, would bring near normal conditions. As to how to meet these, this has not been given or asked for. In meeting these, there is necessity of more consistency with the mental and physical activities of this body. In the diet, in the nominal activities, keep the body near equalized in elimination and assimilation. This will be accomplished more by consistency than any definite outline, other than knowing that it is necessary to keep these conditions nominal for the body.
Do that. (654-3)
Among these 65 patients (from 19 years of age, a young man, to a woman 76), the age grouping was well distributed. Each decade was represented. There is obviously much more likelihood of generalized troubles of the body in the older age group than in those in their 20s or 30s. But in every individual afflicted with hemorrhoids, there are those specific localized symptoms of itching, local irritation, frequent protrusion of the sac and sometimes bleeding. And, as described in these readings given, there must be underlying disorders bringing the specific problem into focus-such as constipation, improper diet, "superacidity," life stresses, incoordination of the nervous systems, lower intestinal acidity, and hepatic circulation imbalances as well as an incoordination between the deep and superficial circulation.
Obviously, use of Tim only in all instances will not bring removal of both the cause and the hemorrhoid, as Cayce indicated might happen for 257-200. But consistency is a part of that promise and needs to be a part of all therapy programs that are planned for relief of this problem. This is a spiritual quality, related closely to patience, wherein one possesses his soul. Thus its importance.
Most individuals are interested primarily in the relief of symptoms and unfortunately do not follow through on clearing up the systemic malfunctions that brought the symptoms into being. Cayce was not unaware of that in his information, and gave much material on caring for those irritations, the itching, the protrusion and the bleeding. In the course of doing this, however, he chose treatments that were more far-reaching and thus more helpful than many that might be used.
Tim is a product which was originally described in the readings specifically for the relief of hemorrhoids. There were numerous variations in its composition as Cayce described its formulation over the years. It was suggested more often than any other one therapy for treatment of hemorrhoids and was to be used both externally and injected with a bulb syringe (or such) into the anus and into contact with the rectal and anal mucosa.
One of the early descriptions of the formulation of Tim was for [294]. It probably derived its name from some of its original contents: T-tobacco, I-iodine, M-mentholatum.
To the oil as would be found from 1/4 pound of butterfat (fresh) add:
1 dram pulverized tobacco or snuff, with
2 minims mentholatum, or oil of same, with
1 drop or minim of tincture iodine.
This to be used as salve or lotion for such conditions or abrasions, internal or external. Apply that to the body. We will bring better relief and relations to the whole physical body, with the action of the physical when in the subconscious or subnormal condition. (294-24)
Two other suggestions of interest came from reading 953-9:
Butter rendered,
4 ounces Mentholatum,
3 minims Pulverized tobacco, 6 grains
White Castile soap, 2 grains
And 4709-5:
Butterfat, 3 ounces
Berton's snuff, 15 grains
Spirits camphor, 1 minim
Eucalyptol, 2 minims
This the proportion in the preparation of Tim:
As we find, there are other properties much preferable in the use of same than the old formula. Here's the better formula:
To 1 ounce of oil of butterfat, add:
Tincture of benzoin, 10 minims
Atomidine, or atomic iodine, 5 minims (or iodine, though atomic iodine is that with the poison out-but plain iodine is not as expensive as the Atomidine)
Powdered tobacco or snuff, preferably the snuff-the powdered, 3 drams
Stir well together. Preferable that this never be put in tin, but rather in the porcelain or glass and should be in an ounce or ounce and a quarter hexagon-shaped jar, preferably. The directions would be to apply as an ointment to affected portions once or twice each day. Rest as much as possible after application, with the feet elevated above the head. It'll cure it! (1800-20)
This preparation (1800-20) is more of an ointment, with more of the snuff or tobacco in it, and is probably meant only as an external application. It lacks the mentholatum, present in earlier formulations. It is not easy to determine which of the suggested formulas is best to use consistently.
Cayce suggested for some of his questioners an ointment or suppository called Pazo. It is still on the market and has as active ingredients: a combination of benzocaine and ephedrine sulphate, zinc oxide, and camphor in an emollient base. Other currently available products include Rectal Medicone (benzocaine, oxyquinoline sulphate, zinc oxide, menthol, balsam of Peru and cocoa butter) Calmol 4 (Norwegian cod liver oil, zinc oxide, bismuth subgallate, balsam of Peru and cocoa butter) Nurses Brand suppositories and ointment (benzocaine, zinc oxide, bismuth subgallate, para-cholormeta-xylenol and balsam of Peru) and Preparation H (live yeast cell derivative, 2000 units skin respiratory factor per ounce of suppository, shark liver oil and phenylmercuric nitrate) among others.
It is interesting to look at the composition of these various substances and see how similar they are. All of them lack the butterfat and the pulverized tobacco found in Tim, but Pazo is probably the closest to the Tim formulation. These substances no doubt work as a soothing agent as well as an astringent, making the folds of the tissues retract and become more normal.
Cayce suggested also quite frequently another substance which always was to be inserted or injected into the anal orifice, a combination of glycerin, carbolic acid, and Nujol or Usoline (Russian white oil). The three substances were always the same although in differing quantities at different times. The action of this formulation was not the same as Tim. It was described best for a 50-year-old woman who had just experienced bleeding and asked the question as to why:
The conditions that formed in the lymph pocket, thus allowing for the emptying of same. Thus the character of enema indicated is not only to act as a healing influence and to prevent the folds reforming, but is to allay the disturbance and prevent the tissue that has broken from becoming scar tissue and again causing disturbance. (404-8)
In giving instructions regarding the compounding of this substance, Cayce was specific in insisting that the glycerine and carbolic acid be very thoroughly mixed before being combined with the Nujol. Here are some of the differences from several readings in compounding the substance:
Glycerine 1 ounce 1 1 1 1 1 1
Carbolic acid 7 drops 2 3 5 2 4 2
Nujol (or Usoline) 16 ounces 1 3 4 4 4 2
The most frequent combination was one ounce of glycerin, two drops of carbolic acid and two ounces of Nujol. It was suggested nine times in the readings. This was to be injected with a bulb syringe, forcefully enough to go above the first and second sphincter muscles usually about one to one-and-a-half ounces at a time, and about once a week up to once a month. ";Use this in syringe that may force same, as a pump, you see with the body reclining upon the knee and the elbow, or knee and shoulders."; (404-8)
Another direct therapy described in the readings is a specific exercise. Cayce told a 19-year-old young man what he might expect from using this exercise: ";This done several times each day, very slowly, will gradually lift the sphincter muscle and thus remedy the hemorrhoid condition."; (3678-1)
Directions were somewhat complicated. To put together several suggestions, it would go something like this: First, wear as few clothes as possible. Then, while standing erect, slowly rise on your toes, inhaling through your nose, and at the same time, bring your arms slowly upwards till the hands are high above your head, your palms toward the front. Then, while exhaling through your mouth, slowly bend forward, keeping your hands still above your head, finally touching them to the floor, while still on tip toe. Then, again flat on both feet. Then still keeping your hands in the same position above your head, inhale again through your nose as you rise once more on your toes till you have again become upright. Then repeat the bending as described. Do this five or six times, very slowly, both morning and evening, more often if desired. But continue the frequency chosen consistently until the condition has cleared up and the underlying causes have been eradicated. Otherwise, the same forces that brought hemorrhoids into being the first time will cause them to recur.
For very painful acute hemorrhoids, ice can be used directly on the protruding part. Cold, then hot packs are also useful. In our own experience, castor oil packs can be very soothing and help the swelling to subside.
The underlying causes, however, are to be dealt with in other ways. Incoordination between the nervous systems (cerebrospinal and autonomic) becomes most acute in these conditions in the lumbosacral area, but sometimes involves the whole spine. Since it is the sacral parasympathetic outflow that controls the lower bowel, it is then this area that deserves the most attention.
Osteopathy plays an important role in correcting the body. In reading 654-3, Cayce told a woman: "Use Tim ointment as has been given for such conditions. This applied, with the proper manipulation in the lumbar and sacral region, will permanently relieve this body of such conditions."
Exercises, however, do much of this and another woman who had failed to do her exercises needed the osteopathic or chiropractic corrections afterward. (288-47)
A 35-year-old woman, [98], was advised to have osteopathic treatments to the dorsal region-once a week only. Every other treatment, however, "should be a full gentle massage, manipulating all of the centers throughout the cerebrospinal system not neglecting the sacral and coccyx." (98-1) One osteopath was directed to treat the third, fourth, and ninth dorsal areas especially concerning liver activity. (416-14) Another direction was to have treatments after the glycerin-carbolic acid combination was used and salt heat was applied across the lower back-then colonics in three days. And then, the manipulations. (462-14)
The violet ray was to be used for 15 minutes along both sides of the entire spine in one instance, immediately after the osteopath had finished. In reading 106-12, manipulations were suggested to "relax the body from the centers that radiate through this portion of the body, or specifically from the seventh and eighth dorsal to the fourth lumbar."
So it can be seen that more general malfunctions of the body need attention. Hot Epsom salt packs or hot castor oil packs were recommended to be used across the lumbar and sacral areas to relieve tension and aid when manipulations were given. In one instance (28847), gentle rubs were suggested to be given across the small of the back with mutton tallow, spirits of turpentine and spirits of camphor equal parts-with a hot pack placed over the back afterwards. And in another instance, diathermy was to be applied "giving low heat between cerebrospinal and sympathetic systems." (337-23)
Diet is always important in keeping the body balanced. Here it is advised to keep down the acidity which is often very high. An alkaline-reacting diet then is most important. Less sugars, less starch fish, fowl, or lamb, but no red meats. Little coffee or tea-rather Ovaltine or cocoa for most individuals. Whole wheat bread is OK but cut out beer especially, and liquors. No fried foods. Condiments or pickles or the like hinder the flow of lymph through the lower portions of the abdominal area with hemorrhoids, it is in that area that lymph is absent and acidity is highest. Fresh green vegetables help the eliminations, which in turn aid in the assimilation of substances which build and replenish the physical body. In specific questions asked by [257] both raw and canned tomatoes were said to be well for the body.
Olive oil in small amounts was suggested several times as food for the body and helpful to the intestinal tract. Although not in this particular set of readings, it is present elsewhere that garlic is highly beneficial to the intestines.
For better eliminations, colonics were frequently suggested, as well as ordinary enemas. Glyco-Thymoline added to the water was often seen to be beneficial. Eno salts were suggested as alternatives to the colonics. Two selections describe interesting information about this particular laxative:
Q-9. Is it good for the system to soften the stool with a salt which I am now using? Carlsbad Salts?
A-9. The use of the Eno salts would be preferable. Here is the variation: Eno is a vegetable or fruit salts, while Carlsbad is a mineral - and hence [the Eno is] active more upon the upper portion of the duodenum and through the upper portion of the jejunum in creating a great quantity of the lymph circulation.
And read or study that which we have indicated, as to what takes place with the lymph in the activities of assimilation. The fruit salts would be the better, and occasionally an oil. (257-200)
Q-6. What is a good laxative for this body?
A-6. Eno salts is the best laxative for this body, for this is of the fruit nature and not mineral-that would cause disturbance or hardening activities through the conditions in the stomach, as well as through those activities in the liver and the kidneys. This also should be taken in just small doses, almost every day, for periods of a week at a time - and will be most beneficial. (462-13)
It would seem that the fruit laxative increases the flow of lymph in the walls of the upper intestines where assimilation takes place whereas a mineral laxative would make assimilation more difficult through a "hardening" process. Improper assimilation of nutrients affects not only the organs involved but the entire body, and in this instance is a hindrance to the process of overcoming the hemorrhoids.
To correct hemorrhoids in the early stages, simply treat the local condition with an application and follow through with the stretching exercise. But when significant body malfunction has brought about the condition, the underlying causes must also be attended to, or the hemorrhoids will not be resolved.
III. Suggested Therapeutic Regimen
Therapy for hemorrhoids should be directed first at the local condition, then at the underlying causes. A simplified program of therapy is the procedure Cayce followed most often, with many variations, of course. The following regimen might be termed a basic approach, with deviations made according to the needs of the particular individual, and in line with the material already presented in the earlier part of this commentary.
Local Treatment
Use Tim (preferably) or Pazo or a similar substance after each bowel movement. It can be used directly on the hemorrhoid or injected with a bulb syringe into the anal orifice, or both. When used with bulb syringe, one to two teaspoonfuls may be inserted into the area above the sphincters. Preparations other than Tim are now available with applicators for use internally. This should be used consistently, then, until the hemorrhoid is gone and the body returned to normal.
For acute, very painful, hemorrhoids, ice can be applied directly or cold, then hot, sitz baths or castor oil packs directly to the hemorrhoid.
The glycerin-carbolic acid-Nujol mixture is helpful in preventing scar tissue and in alleviating irritation, so is very useful for rectal bleeding this best used once a week until all signs of bleeding or irritation have disappeared.
The exercise - stretching on tiptoe and bending forward should be done in every case of hemorrhoids five or six times, very slowly, morning and evening, and should be continued until all evidence of this trouble can no longer be found, and until the causative factors have at least been addressed.
General Care
Diet. An alkaline-reacting diet, including green vegetables, fruits, vegetable and fruit juices, fish, fowl and lamb. Avoid too much starch, fats, fried foods, pork and beef, spices and condiments, beer and liquor. These are the basic rules. Studying diet books helps to develop a new way of eating and thinking about foods.
Manipulative treatments by osteopath or chiropractor-with special attention to the lumbo-sacral-coccygeal area. The rest of the spine may also need attention-this to be according to the need of the specific body and the capabilities of the physician. Abnormal relationships between the cerebrospinal and the autonomic nervous system need to be corrected.
Correction of constipation, either through colonics, given regularly, by having manipulations, or by using laxatives, such as Eno salts, which were mentioned specifically in these readings. It has been my experience also that several drops of castor oil on the tongue at bedtime provides for better regularity of the bowels.
Packs across the low back - hot Epsom salts or hot castor oil used either at home or prior to manipulative treatments would be helpful as long as the hemorrhoids persist. They - as well as the diet, the manipulations and the rest - aid in correcting the high acidity and lack of normalcy in the rectal area. Soaking a flannel pack in a strong solution of Epsom salts (two cups to a quart of water) or castor oil then applying hot over the lumbo-sacral area. Then, placing plastic over the pack and a heating pad over that will continue the heat for the next hour or hour and a half. These packs can be applied twice a week, if used at home.
A general exercise program should be adopted (walking is the best, according to the readings), and then continued as a regular part of one's life.
Stresses are usually the result of one's rebellion against what one has chosen to meet in this lifetime. Thus rebellion is really against oneself. There are many ways to work at the level of the mind and the emotions. Cayce always suggested the fruits of the spirit in one's life as a way of facing oneself. gentleness, kindness, forgiveness, longsuffering, understanding and the like. Study Group work (Search for God Groups) is one way of strengthening one's approach in this manner. Ideals must be set at some point in life, and this is always a choice. The mind builds either obstructions or a way of success: and it is ours to choose.
Perhaps the best way to end a commentary on a problem so close to the manner in which we eliminate the drosses in our bodily life is to quote Edgar Cayce's spiritual injunctions to two of these people who suffered from hemorrhoids:
Q-12. Any other advice?
A-12. Keep the mental and spiritual attitudes in constructive ways of thought for, the mind is the builder. (462-13)
Keep the purpose right-creative ever judging no one, but keeping self in that attunement to Creative Forces. (2823-2)
[Note: The preceding overview was written by William A. McGarey, M.D. and is excerpted from the Physician's Reference Notebook, Copyright © 1968 by the Edgar Cayce Foundation, Virginia Beach, VA.]
» See stretching exercise for Hemorrhoids.
Note: The above information is not intended for self-diagnosis or self-treatment. Please consult a qualified health care professional for assistance in applying the information contained in the Cayce Health Database.
【註：上述文章由William A. McGarey撰寫，摘自醫生參考手冊（Physician's Reference Notebook），版權所有屬於愛德加凱西基金會，弗吉尼亞海濱】
注意：以上信息不是鼓勵用於自行診斷和自行治療。請向合格的衛生保健醫療等相關專業人士在參閱凱西健康資料庫後諮詢。
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