Internal Hemorrhoids

Hemorrhoids, TCM diseases based on the occurrence of a tooth above the anal veins clumps surface covered with mucous membrane, often blood in the stool, hemorrhoids prolapse constipation.

Hemorrhoids are seen as the primary manifestation of diseases.

Hemorrhoids anorectic disease is the most common disease.

Hemorrhoids occur in the lithotomic position 3,7,11 points, also known as female hemorrhoid area, the rest of the occurrence of hemorrhoids are called sub hemorrhoid.

If early treatment of the disease were made; the general prognosis looks good. But there are some patients, the course associated with anemia and other complications.

TCM scientific name

Hemorrhoids

Diseased parts

Tooth above the anus, rectum sub-mucosal end

Western medicine-related diseases

Hemorrhoids

The main cause

Wind damage intestinal collaterals, damp, spleen depression

Other names

Hemorrhoids, Hemorrhoids

Multiple groups

Mainly in adults

Classification of Diseases

Surgery – anorectic disease subjects

Infectiousness

No

Glossary

Refers to the occurrence of a tooth above the anal veins clumps, surface covered with mucous membrane, often blood is seen in the stool, hemorrhoids prolapsed, constipation, hemorrhoids and other diseases as the main performance mainly in adults.

Relations with the Western disease name

According to the clinical features of the disease, hemorrhoids and Western disease name means the same and know to be alike also.

Etiology and Pathogenesis

Hemorrhoids occur majorly due to congenital vein wall weakness; and improper diet, over eating spicy wine, forcing down the large intestine, and sedentary long-squatting, weight-bearing journey, constipation.

Women with childbearing issues like excessive abdominal, pelvic mass, caused by poor blood deposition, thermal competing with blood, blood aspect, tendons and staggered junction stagnation linger.

Diagnosis is base on

Clinical manifestations

Hemorrhoids mainly seen in adults, usually as blood (painless) in the stool is the usual symptoms, blood and stool do not mix and a lot of blood during defecation or ejection. Bleeding is intermittent; because every drinking, fatigue, constipation or diarrhea.

With blood in the stool, the reoccurrence becomes worse.

Anemia can cause severe bleeding.

Check to see when the tooth line anal mucosa was hemispherical with a bulge, color red, dark red or gray. With increased hemorrhoids; anal prolapsed in coughing or defecation outside, if not timely return to Namibia, can form hemorrhoids incarcerated and overflow discharge, anal; depending on the severity of the disease, it can be divided into three phases:

  1. Ⅰ of small hemorrhoids, such as soybeans or large, color red, soft, not anal prolapse, stool or blood.
  2. Ⅱ period: hemorrhoids larger, the shape of dates, dark red color, anal stool prolapse, and after can also accept their own, more or stool blood ejection line arrow.
  3. Ⅲ period: large hemorrhoids, such as eggs or larger, color gray, anal prolapse during bowel movements or walking outside, you cannot also accept their own, usually no bleeding, the bleeding was sprayed once, if not as soon as possible after the hemorrhoids prolapse also satisfied, it is easy to incarceration and strangulation swelling, erosion and necrosis.

Identification of Diseases

  1. Hemorrhoids and rectal prolapse

Rectal prolapse extractions annular or spiral, 2-100n length or longer, smooth surface, the color pink or red, no varicose veins, usually no bleeding.

  1. Hemorrhoids and rectal polyps

Rectal polyps more commonly seen in children may have a small amount of blood or stool, no ejection, extractions single pedicle, smooth surface, hard texture hemorrhoids.

  1. Hemorrhoids and colorectal cancer

Colorectal cancer is more prevalent in middle-aged, often with pus and blood in the stool clip, mucus, he plays more, stool deformed, rectal touch cauliflower-like lumps or uneven ulcers seizure, hard, pushing the inalienable.

  1. Hemorrhoids and anal papillae hypertrophy

Nipple mast near the line for the conical teeth, gray skin, bulge, hard, generally not bleeding. When anal papillae hypertrophy, and after can be outside the anus.

  1. Hemorrhoids and lower gastrointestinal bleeding

Lower gastrointestinal bleeding ulcer colitis, Crohn’s disease, rectal hemangioma, diverticulosis, polyposis can have different degrees of blood in the stool, the need for fiber sigmoidoscopy or colonoscopy before identification.

The relevant checks

Diagnosis can also be base on routine examination hemorrhoids include Anal palpation, anal visual examination, digital rectal examination, and anoscopy.

First, anal visual examination means first look around the anus area without blood, pus, feces, mucus, tumor and fistula mouth, etc., to determine the nature of the lesion.

Having seen around the anus as hemorrhoids, polyps emerge, whether external hemorrhoids, fistula mouth, and eczema.

Insert Slowly the middle finger to the anus gently parted naturally, anal eversion, observe whether the lesions such as hemorrhoids location, number, size, color, with or without bleeding, with or without anal fissure, etc. or with a special glass suction anal hemorrhoids will suck out the inspection, this visual examination in the diagnosis of anal fissures and hemorrhoids, and sometimes more accurate than anoscopy.

Second, anal palpation to touch the skin around the anus temperature, elasticity is normal, in the case of disease, such as anal abscess, one can touch around the anus swelling, skin burning, lesions were diffuse swelling, flat, soft texture, hardness and depression, whether central which mean flu, such as anal fistula whether palpable cord-like indurations, outside the mouth from the anus length, size and depth.

Dialectical theory of governance

Treatment principles

The disease mainly done via surgery is seen as the main principle. If damp syndrome, homeostasis should be given to heat and dampness; if Spleen Qi depression syndrome, spleen Qi therapy should be given; if the wind damage intestinal network card should be given Qingreliangxue expelling treatment.

Treatment Category

The governing law

  1. Wind damage intestinal network card

Main symptoms: stool, or blood spray out, bloody red; or with dry mouth, constipation; red tongue, yellow, pulse.

Governing law: heat and cooling blood chills.

Representative side: cooling decoction.

Common side: gardenia benevolence, skullcap, Imperata, altogether, bellflower, licorice, Oriental Arborvitae, red peony.

  1. Damp Syndrome

Main symptoms: Bloody stool fresh, a relatively high amount, hemorrhoids prolapse incarcerated, pain, swelling or erosion necrosis; not want to drink dry mouth, mouth pain, yellow urine; greasy yellow moss, pulse a few Pan.

Governing law: heat and dampness to stop bleeding.

Representative Party: pain as a god decoction.

Common side: Gentiana, peach, saponins son, herb, wind, Treats, Angelica tail, Alisma, betel nuts, cooked rhubarb.

  1. Spleen qi depression syndrome

Main symptoms: Anal, hemorrhoids prolapse, also required Satisfy, stool, bright red or pink color, duration of the course of time; looking Shaohua, lassitude, less satisfied pond; pale tongue white, pulse weak.

Governing Law: Spleen Qi.

Representative Party: Buzhongyiqitang subtraction.

Commonly used drugs: Astragalus, licorice, ginseng, angelica, orange peel, Cimicifuga, Bupleurum, Atractylodes.

  1. The fumigation method applicable to all hemorrhoids and internal hemorrhoids prolapse, the drug add boiling water, smoked after the first wash, or wet. Convergence relieves pain and other effects, commonly garlic soup, Sophora soup.
  2. The dressing method is suitable for all hemorrhoids after surgery and medication, ointment or drug powder Fury affected the area, with swelling and pain or bleeding or convergence myogenic shut role. Drugs commonly used Mayinglong hemorrhoid cream. Peach Powder, myogenic Yuhong ointment.
  3. The law applies to all plug drug hemorrhoids, the drug into suppositories, inserted into the anus with swelling and pain, homeostasis, such as hemorrhoid suppository.

Other therapies

Injection Therapy

(1) Indications: Ⅰ, Ⅱ, Ⅲ internal hemorrhoids both anemia; hemorrhoids not surgery; partially mixed hemorrhoids.

(2) Contraindications: external hemorrhoids, perianal chronic inflammation associated with hemorrhoids or diarrhea; hemorrhoids with severe hypertension, kidney and blood diseases; hemorrhoids and labor in pregnant women because of the abdominal tumor caused.

Insert drug therapy (Kuzhi nail therapy)

(1) Indications: hemorrhoids and mixed portions of hemorrhoid.

(2) Contraindications: a variety of acute disease, severe chronic diseases, acute inflammation of the anus and rectum, diarrhea, cancer, bleeding tendencies.

Ligation therapy

(1) Indications: Suitable for internal hemorrhoids or mixed hemorrhoid, rubber band ligation for smaller hemorrhoids, silk Ligation for large hemorrhoids, ligation applies throughout King hemorrhoids.

(2) Contraindications: acute perianal abscess or eczema, acute and chronic diarrhea, abdominal tumors and disease because of labor in pregnant women, severe tuberculosis, hypertension, kidney and liver disease or blood lesions.

Outcome prognosis

If the early diagnosis of the disease, righteousness strong, mild, early treatment, the prognosis is usually good. If the patient is in critical condition, the more upright weakness in some patients, the course may be associated with complications such as anemia.

Preventive nursing

  1. To maintain smooth stool, develop a daily regular bowel habit, the temporary toilet should not be long-squatting efforts to select.
  2. Note that the conditioning diet, drink plenty of water, eat more fruits and vegetables, Eat spicy, wine, Sunburn Hiroyuki goods.
  3. Avoid sedentary lying, appropriate exercise.