2021年2月5日星期五

hemorrhoids how to treat,Clinical Observation on the Treatment of Thrombotic External Hemorrhoids by Xunxifang

    Yuan Yangyang Wang Donghai Chang Qiqi (Chinese Medicine Hospital of Baofeng County, Henan Province 467400)

    【Abstract】 Objective: To observe the effect of self-made Xunxifang on thrombotic external hemorrhoids. Method: 55 cases in the treatment group used self-made fumigation and washing prescription to fumigate the affected area twice a day for 20 minutes each time; 55 cases in the control group used 1:5000 potassium permanganate solution to sit in a bath, twice a day, 20 minutes each time; 2 weeks is a course of treatment. Results: The cure rates of the treatment group and the control group were 70.9% and 41.8%, and the total effective was 96.36% and 80%, respectively; the difference between the two groups was statistically significant (P<0.05). Conclusion: Self-made Xunxi Decoction has a significant effect on thrombotic external hemorrhoids.

    [Abstract] Objective: To observe the effect of fumigation treatment of thrombotic external hemorrhoids effect. Method: 55 cases were treated with self-made xunxifang affected area 2 times, each time 20min, daily; the control group of 55 cases using 1:5000 Potassium Permanganate solution bath, two times daily, every 2 weeks for 1 courses of 20min. Results: the treatment group and the control group, the cure rate was 70.9% and 41.8%, the total effective respectively 96.36% and 80%; there were significant differences between two groups (P <0.05). Conclusion: the self-made fumigation treatment of thrombotic external hemorrhoids has remarkable curative effect.

    [Keywords] self-made fumigation and washing prescription thrombotic external hemorrhoids fumigation and washing

    1. Objects and methods

    1.1 Object information

    1.2 Method

    The treatment group used self-made fumigation and washing prescription, and the medicine consisted of 20g Sophora flavescens, 20g Angelica dahurica, 20g Yuanhu, 20g angelica, 30g purslane, and 10g Chinese pepper. Add all the medicines to water and fry three times, add 1000ml of water each time and fry for about 10 minutes, and fry the filtrate; mix the three times of decoction and divide into two parts, one part each in the morning and one at night, boil the fumigation lotion and place it in a suitable basin , First use steam to fumigate the affected area for about 5 minutes, and wait until the temperature of the liquid medicine is appropriate (not too hot to prevent scalding) before taking a bath for the affected area for about 15 minutes. The control group simply used 1:5000 potassium permanganate solution to sit in the bath, twice a day for 20 minutes each time. Two weeks is a course of treatment.

    1.3 Matters needing attention

    Matters needing attention in both groups. Pay attention to rest; eat more fruits and vegetables, avoid alcohol and spicy food; keep the stool smooth; control the defecation time within 5 minutes; avoid sitting, standing, and squatting for a long time.

    1.4 Efficacy evaluation

    Cure: the symptoms disappear and the hemorrhoids disappear; improvement: the symptoms improve and the hemorrhoids shrink; not healed: the symptoms and signs are unchanged.

    2. Results

    In the treatment group, 39 cases were cured and 14 cases improved, with a cure rate of 70.9% and a total effective rate of 96.36%; in the control group, 23 cases were cured and 21 cases improved, with a cure rate of 41.8% and a total effective rate of 80%; two No adverse reactions occurred in the group. The cure rate and effective rate of the treatment group were significantly higher than those of the control group, and the difference between the two groups was statistically significant (P<0.05). See table below

    Table Comparison of clinical efficacy between the two groups (cases)

    Group

    Number of cases cured

    Not healed

    therapy group

    Control group

    55 39 14 2

    55 23 21

    11

    P-0.004 0.152 0.018

    3 Discussion

    Thrombotic external hemorrhoids are a common type of external hemorrhoids. Western medicine believes that hemorrhoids are venous masses formed by congestion, enlargement and varicose of the venous plexus at the lower end of the rectum, anal canal and anal margin. Blood is caused by intravascular thrombosis in the inferior rectal venous plexus, or rupture of blood in the veins at the anal margin due to defecation and exertion. Penetrate to the subcutaneous tissue, causing local tissue to form a mass. Most of its clinical manifestations are that after defecation or strenuous activity, there is a protruding lump in the anus, severe pain and burning sensation, and limited activity. As early as two thousand years ago, the "Huang Di Nei Jing" of the Chinese Medicine recorded that the cause of hemorrhoids was "therefore, the cause of hemorrhoids was full, the muscles and veins were loosened, and the intestines became hemorrhoids." It clearly pointed out the formation of hemorrhoids and unclean diet, regular daily life, It is related to feelings of heat and humidity. The occurrence of hemorrhoids is not simply a local cause, but more importantly, it is caused by the imbalance of yin and yang of the human body, plus external feelings and internal injuries. Improper posture such as sitting, standing, and squatting for a long time; improper diet such as excessive drinking, overeating and spicy; improper bowel habits such as constipation, chronic diarrhea, etc. can cause the occurrence of hemorrhoids [2]. Therefore, the treatment of thrombotic external hemorrhoids is mainly based on promoting blood circulation, reducing swelling, and relieving pain. At the same time, patients need to pay attention to posture, diet, and defecation habits to enhance the effect and prevent recurrence.

    Sophora flavescens, Portulaca oleracea to clear away heat and swelling in self-made fumigation and washing prescriptions, Angelica dahurica, Angelica, Yuanhu promote blood circulation and relieve pain, and peppercorns relieve pain. The combined use of various drugs has the effects of clearing away heat and swelling, dredging qi and blood, removing blood stasis and relieving pain. Modern medical research has shown that Sophora flavescens and purslane have antibacterial and antimicrobial effects. Angelica dahurica, Angelica sinensis and Yuanhu have antithrombotic and anticoagulant effects. Angelica dahurica, Angelica sinensis, Yuanhu and Zanthoxylum bungeanum have activating blood, reducing swelling and calming effects. Pain and other effects. Through fumigation and washing, the medicinal effect can reach the affected area. The active ingredients in the liquid can be absorbed through the skin or granulation tissue of the wound to exert pharmacological effects. The warm liquid can warm the local qi and blood meridians and relax the anal sphincter. , Promote blood supply, enhance the disease resistance of local tissues, effectively relieve local pain, control disease, promote blood circulation, accelerate thrombus absorption, and promote wound healing [3].

    Observation on the treatment of thrombotic external hemorrhoids with self-made Xunxifang, the results show that: self-made Xunxifang can relieve pain in a short period of time, has good curative effect, high safety, no adverse reactions, easy to use, and avoids Surgery is easy for patients to accept. It is an ideal method for conservative treatment of thrombotic external hemorrhoids and is worthy of promotion.

    【references】

    1. State Administration of Traditional Chinese Medicine. Standards for the diagnosis and efficacy of traditional Chinese medicine diseases[S]. Nanjing: Nanjing University Press, 2004; 131-132.

    2. An Ayue. Anorectology. Beijing: People's Medical Publishing House, 2005.

    3. Editor-in-Chief Huang Naijian. Chinese Medicine Anorectology. Jinan: Shandong Science and Technology Press, 1996.51.

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