Abstract "Ten people with nine hemorrhoids" means that there are more patients suffering from hemorrhoids, but most people's hemorrhoids are asymptomatic and can be treated as a sub-health state. Follow the motherland's medical principles of disease prevention, actively intervene and regulate from the perspective of sub-health, block the development of sub-health to disease, focus on prevention, and go to work to treat the disease, which has positive medical and social significance for preventing the onset of hemorrhoids.
Key words hemorrhoids, sub-health, prevention of disease, intervention and regulation
Hemorrhoids is an ancient disease unique to human beings. It is a common and frequently-occurring disease. In most cases, hemorrhoids are in an asymptomatic manifestation, and sub-health is a non-disease and unhealthy transition between health and disease. State is a dynamic process. Therefore, asymptomatic hemorrhoids can be considered as a sub-healthy state. The correlation between them is now discussed.
1 Hemorrhoids and sub-health meaning
1.1 The meaning of hemorrhoids Chinese medicine has known hemorrhoids for a long time. Hemorrhoids are considered to be "post disease", which refers to the disease of the posterior vagina and anus. However, the ancients said hemorrhoids have a very broad meaning, not just referring to hemorrhoids. Most of the lesions that occur in the anus are included in the category of hemorrhoids, such as polyps, anal fissures, anal papillary hypertrophy, rectal cancer, etc. In 1975, Thomson first proposed the modern concept of anal cushion and hemorrhoids, expounding the theory of anal cushion downward movement in hemorrhoid formation. Anal cushions are normal, and hemorrhoids are diseases. In the past few years, the academic circles have discussed the right or wrong of the understanding of "anal cushions are hemorrhoids", and gradually reached a consensus, and developed a modern definition, that is, hemorrhoids are pathological Masses formed by hypertrophy, displacement, and stagnation of blood flow in the subcutaneous vascular plexus perianal. When there are no clinical symptoms, internal hemorrhoids of degree I are difficult to define with the anal cushion.
1.2 The meaning of sub-health In the second half of the 1980s, the international medical community proposed sub-health as a new medical thinking model. Now the medical community has listed it as the number one enemy that affects human health in this century. Sub-health refers to a transitional state between disease and health. It is caused by the intersection of physical, psychological, and social factors. At this time, there may be subjective discomfort, but it does not affect the exercise of social functions. According to estimates from incomplete statistics, 70% of the population in China is currently sub-healthy, but whether it is correct or not is questionable. In 2003, a statistics report on the health examination of community residents in Beijing showed that among the top ten diseases of 1,476 sub-healthy people, hemorrhoids ranked third, which is in line with the folk saying of "ten people and nine hemorrhoids", and there are no symptoms of hemorrhoids. It is universal.
2 Sub-healthy manifestations of hemorrhoids
Sub-health is an intermediate state between health and disease, namely health, sub-health, and disease. Sub-health is a "common problem" faced by contemporary society. Its symptoms are manifested in the psychological and physical aspects, involving a very wide range of symptoms, and the main body systems are dysfunctional, such as cardiovascular, digestion, bones and joints, nerves, and spirits. Psychology, sleep, urinary, etc. may have more or less symptoms. As an anal hemorrhoid, there may be slight anal discomfort or asymptomatic in sub-health state. Sometimes there may be a slight bloody wiping during stool, and the anus is slightly swollen and moist and sticky. Most people do not treat it as a disease for clinical diagnosis and treatment, and do not perform clinical medication. Rest and warm water bath to clean the anus can often relieve it. Asymptomatic hemorrhoids are relative. Internal hemorrhoids can be divided into 4 degrees. They can also show prolapse when there is no bleeding. People often ignore their existence; connective tissue external hemorrhoids have anal skin tags and varicose external hemorrhoids during defecation. Protrusion can make the anus wipe dirty after defecation, and people don't take it as a clinical symptom. Therefore, we can consider the hemorrhoids, which have no obvious clinical symptoms and are often overlooked at this time, as a sub-health state of hemorrhoids, and re-understand the treatment of hemorrhoids from the perspective of sub-health, which will have important clinical and preventive medicine significance.
3 Treatment of hemorrhoids
The 2006 Hemorrhoids Clinical Diagnosis and Treatment Guidelines describes the treatment principles of hemorrhoids. Asymptomatic hemorrhoids do not require treatment. The purpose of treatment is to eliminate and relieve the symptoms of hemorrhoids. Relieving the symptoms of hemorrhoids is more meaningful than changing the size of hemorrhoids, and should be regarded as the standard of treatment effect. "No need for treatment" here should be understood as clinical medication and surgery. Sub-health is a special form of the so-called "pre-diseased" in Chinese medicine. As hemorrhoids in sub-healthy state, we should deal with it from the perspective of "preventive treatment". Pre-preventive treatment is an important prevention and treatment idea of the motherland medicine. "Four Qi Tiao Shen Da Lun" states that "the saint does not cure the disease before the disease is cured, and he does not cure the disease before the disease." The idea of "preventing disease" in the "Internal Classics" has deep connotations such as prevention before disease, prevention of micro-grading, and prevention of existing disease. . "No disease" runs through the various periods of disease-free state, concealment of the disease, and onset without transmission. For patients with hemorrhoids, prevent symptoms from occurring when hemorrhoids are asymptomatic, and avoid the agitation of hemorrhoid symptoms when the anus is slightly uncomfortable. Hemorrhoids, as a disease, should be prevented from complicating other diseases. This is the "treatment of hemorrhoids in a sub-healthy state." "Three levels of understanding. If we can actively intervene and control, so that patients suffering from hemorrhoids can stay asymptomatic for a long time. Although hemorrhoids cannot be eradicated, hemorrhoids in sub-healthy state can reach a healthy state to the limit. .
4The significance of coping with sub-healthy hemorrhoids
"Huainanzi" says: "A good doctor always cures a disease that is not diseased, so there is no disease; a sage always cures a disease that is not diseased, so there is no disease." Yin calms yang secrets, and the spirit is the cure. If the yin and yang are unbalanced, the healthy balance will be broken, and obvious clinical symptoms will appear in sub-healthy hemorrhoids. Therefore, active and active health control interventions, pay attention to life, work, diet and daily life, take positive measures to respond, be optimistic, work and rest, do not sit for a long time; daily life, reasonable diet, do not eat spicy and stimulating Fishy food; develop good bowel habits, defecate regularly and quickly, do not squat for a long time, and read the newspaper while defecation; keep the anus partly clean, wash the anus with warm and cool water after defecation, and avoid repeatedly wiping the anus with toilet paper. These measures can effectively prevent the transformation of hemorrhoids under sub-health state to hemorrhoids under disease state. In addition, exercise to strengthen the body and strengthen the ability to resist diseases. For example, Sui Chaoyuan’s "On the Sources of Diseases and Hemorrhoids" has a guiding method: "Step on the ground with one foot, bend the knees with one foot, hug the calf under the nose with both hands, and pull toward the body. In extreme situations, you can change the left and right sides for four or seven to remove hemorrhoids. This qigong guiding method can be practiced. The levator anus therapy can be performed at any time, 3 to 5 times a day, about 20 times each time; according to clinical verification, it can also kneel on the bed every night (knee-thoracic position). The effect is remarkable. The levator anus can promote the blood and lymph circulation in the anus, relieve and eliminate the fatigue and spasm of the anal sphincter, and can prevent the acute attack of sub-healthy hemorrhoids. For the three types of people who are most approachable to "sub-health", white-collar workers, college students, and partial eclipses should intervene and regulate hemorrhoids, not only to prevent hemorrhoid symptoms from onset, but also to eliminate other sub-health manifestations. Medical and social significance.