Traditional treatment of hemorrhoids

surgical treatment

Those who have not healed for a long time or have formed a large area of mixed hemorrhoids or garland hemorrhoids should be treated surgically. The purpose is to remove the hemorrhoid core or embolize or collapse it by mechanical methods such as suture. Electrocoagulation or laser irradiation is also very effective. Acute thrombosis of external hemorrhoids requires immediate incision and removal of blood clots. General external hemorrhoids do not need special treatment. In recent years, a new technique for the treatment of hemorrhoids-prolapse and hemorrhoids with stapler, also known as PPH operation, has emerged. Its theoretical basis is mainly based on the new understanding of the pathogenesis of hemorrhoids. PPH operation is a special instrument called "PPH stapler", which excises prolapse of rectal mucosa on hemorrhoid in a circular way. During the operation, the anus was dilated and the rectal mucosa was annularly sutured about 4 cm above the dentate line (the dividing line between rectum and anal canal). Then the PPH stapler is inserted into the anus, and the stapler is fired after suture and ligation, so that the prolapsed mucosal belt can be taken out. The whole operation process only takes about half an hour. Because the rectal mucosa above the dentate line is innervated by visceral nerves, patients can hardly feel pain after operation; Moreover, because the operation not only removed the prolapse of rectal mucosa, but also blocked the anastomotic branch of the artery and vein at the end of rectum, the root of hemorrhoids was eliminated and the effect was ideal. PPH surgery also has a good effect on some hemorrhoids that are very difficult to treat with traditional therapy, such as mixed hemorrhoids, circular hemorrhoids, severe hemorrhoid prolapse, proctoptosis and so on. In addition, PPH surgery has a disadvantage that it is expensive. This is mainly because PPH stapler can not be produced in China, and it is completely dependent on imports at present.

Internal Medicine, Surgery and Patch Therapy

Conservative treatment of internal medicine, external medicine and sticking medicine can improve symptoms, which is not only slow, but also difficult to eliminate and incomplete. Long-term drug use is expensive and has side effects on the body.

Ultra-low temperature and ultra-high temperature therapy

Therapeutic instruments such as liquid nitrogen freezing, laser, microwave, electron (including low frequency, radio frequency, capacitance field, iontophoresis and electrodynamic oscillation), etc. Its therapeutic principle is to use ultra-low temperature or ultra-high temperature to produce cold or thermal effect, and oscillating iontophoresis penetrates biophysical effect and electric field capacitance effect, etc., so as to achieve the therapeutic purpose of protein coagulation, vascular embolization, electrocautery hemostasis, cutting, tissue degeneration, necrosis and atrophy of the focus tissue.

Ligation and ligation therapy

It will hinder the blood circulation in the anus, and it is easy to produce congestion, edema, pain and difficulty in defecation.

Endoscopic injection therapy

At present, injection therapy is widely used at home and abroad, that is, injecting drugs into hemorrhoid nucleus to treat hemorrhoids. There are two kinds of injections commonly used in clinic: sclerosing and atrophic agents and necrotizing agents for hemorrhoids. Sclerosing agent is suitable for all stages of internal hemorrhoids and is commonly used in clinic at present. However, after the aseptic inflammatory reaction caused by drugs disappears, the contraction and extrusion of fibrosis are gradually relieved, and hemorrhoids are easy to recur. If the injection site is too shallow, it will easily lead to mucosal ulceration and mucosal abscess, and if it is too deep, it will easily lead to tissue sclerosis. If the dose is too large, it will cause necrosis and massive bleeding. If the liquid medicine seeps out of dental floss, it will cause severe pain, edema or thrombosis in anus. Excessive dosage of necrosis agent can often cause necrotic bleeding or ulcer on the infected necrotic surface after operation, especially large-area tissue necrosis or infection, which not only takes a long time to treat, but also scar contraction can cause sequelae of anal stenosis.

Traditional Chinese Medicine Painting Red Therapy and Nail Therapy for Dry Hemorrhoids

Because of its side effects, great pain to patients and long course of treatment, it is rarely used in clinic now. Even if the injection therapy of internal hemorrhoids and dry hemorrhoids is improved on this basis, sclerotherapy and dry hemorrhoid therapy are not ideal treatments.

needle therapy

1. Basic therapy

The treatment is to clear away heat and promote diuresis, remove blood stasis and stop bleeding. Mainly in the Foot Sun Meridian and Du Meridian.

The most important point is the mountain, and the second point is white and strong.

Acupoint constipation, plus hook, big comfortable; For those with spleen deficiency and qi stagnation, tonify spleen Shu and Baihui.

All acupoints are operated by purgation, and those with spleen deficiency and qi stagnation should use tonic method and moxibustion.

Cheng Yi Chengshan point and Ciwan point are both bladder meridian points, and the foot sun enters the anus through Chengshan point. Therefore, the purgation method can not only regulate bladder gasification to clear damp-heat, but also dredge local qi and blood in anus, which belongs to "meridian dredging, indication reaching". Du meridian also passes through anus, and Changqiang point belongs to Du meridian and is located near anus. Puncture can directly reach the affected area, clearing away damp heat. Erbai is an experience point for treating hemorrhoids.

2. Other treatments

Hemorrhoids were found from both sides of the seventh thoracic vertebra to the lumbosacral region by triangular needle method, which were red papules, one or several of which were different and their positions were inconsistent. Choose one hemorrhoid spot at a time, prick it with a thick needle, and squeeze out blood beads or mucus for about 7 days, 1 time.

Common folk prescription secret recipe of hemorrhoids

[Party A]

Pollen Typhae, Cortex Phellodendri, Radix Paeoniae Rubra and Cortex Moutan each 30g, Semen Persicae 20g, Rhizoma Smilacis Glabrae 30g and Radix Angelicae Dahuricae15g. Decoct with water for external use, 65,438+0 dose per day, 2-3 times per day, first add 2,500-3,500 ml of water, boil, filter to remove residue, pour the liquid medicine into a common basin, each time for 65,438+05-30 minutes, and smoke and wash the patient while it is hot.

This prescription is Zou's prescription, which has the effects of clearing away heat and toxic materials, removing dampness and swelling, cooling blood and removing blood stasis, and is suitable for hemorrhoids.

[second party]

Sulfur and realgar 10g, camphor 3g, and proper amount of sesame oil. Grinding the prodrug into fine powder, mixing with sesame oil, and rubbing the affected part.

This product is suitable for hemorrhoids caused by damp heat.

[Third Party]

Mume and gallnut10g, Sophora flavescens10g, Belamcanda rhizome and pangolin scales10g, 30g of calcined oyster, and Fructus Cannabis10g. Decoct with water, daily 1 dose, twice a day.

This prescription is Lingchaoguang prescription, which has the functions of clearing away heat and toxic materials, moistening intestines and relaxing bowels, and is suitable for hemorrhoids.

[fourth party]

Duckweed is suitable. Decoct with water and scrub the affected area while it is hot.

This prescription is suitable for patients with hemorrhoid scratches and bleeding.

[Wu Fang]

Flos Sophorae Immaturus and Sanguisorba officinalis each10g, Herba et Gemma Agrimoniae, Eclipta prostrata and Platycladus orientalis each15g, Fructus Aurantii10g, Scutellariae Radix 5g, Sesame15g and Amaranth 30g. Decoct with water, daily 1 dose, twice a day. In addition, you can also use this decoction to fumigate and wash the anus.

This prescription is Huang Hongkun's prescription, which has the functions of clearing intestine, promoting diuresis and stopping bleeding, and is suitable for hemorrhoids.

[Sixth Party]

30 grams of oak leaves. Mash and apply to the affected area.

This prescription originated from the Handbook of Common Chinese Herbal Medicines in Heilongjiang, and is suitable for hemorrhoids.

[Fang Qi]

Liu and gallnut share equally. Grind into fine powder, put it under hollow wine, and finally apply it, so it heals.

This prescription originated from Zhu Ji and other prescriptions for hemorrhoids.

[Eighth Party]

Raw bean curd residue, stir-fry until dry, 9 grams each time, with white sugar soup, 3 times a day.

This prescription originated from Wei Fang and is suitable for blood hemorrhoids.

[Fang Jiu]

Luffa, burnability, grinding, 6 g wine.

This prescription is mainly used to treat long-term anal hemorrhoids.