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The following Chinese herbal formula(s) can treat or relief Very painful hemorrhoid:

Chinese Formula Actions Indications Symptoms related to very painful hemorrhoid
Hua Zhi Ling Wan
Hemorrhoids Marvellous Pill
Clears Damp-Heat; Clears Heat and relieves toxicity; Cools Blood; Eliminates Blood stasis; Resolves inflammation; Resolves swelling; Stops bleeding.   Hemorrhoids due to Heat or Damp-Heat in the Lower Burner.  Rectorrhagia; Very painful hemorrhoid with swelling and redness; Anal prolapse; Purple red tongue with a Greasy-Yellow coating to the root; Slippery-Rapid pulse (Hua Shu).  
Teng Long Tang
Moutan and Persica Decoction
Cools Blood; Disperses Blood stasis; Purges Heat from the Lower Burner.   Heat and Blood stasis in the genital area.  Constipation; Endometritis; Epididymitis; Orchitis; Peritonitis; Prostatitis; Very painful hemorrhoid; Uterus cancer, initial stage (Heat-type); Red tongue, dry-yellow or dry-maroon coating to the root; Rapid-Overflowing pulse (Shu Hong).  

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