First, Traditional Chinese Medicine Treatment
1Internal Treatment
Damp-heat descending, anal prolapse or itching discomfort, or burning pain, pain加重 during defecation, anal dampness; jaundice, dry mouth and bitter taste, yellow greasy fur, slippery and rapid pulse.
Differential diagnosis: The pathogenic factors of damp-heat are retained in the intestines and stomach, and descend to the anal area. Qi and blood are not smooth, causing anal prolapse, dampness and itching, and even pain; tenesmus of stool causes further stasis of Qi and blood, causing increased pain; jaundice, dry mouth and bitter taste, yellow greasy fur, slippery and rapid pulse are all signs of damp-heat.
Treatment Method: Clear heat and promote diuresis.
Formula: Add or subtract the Pain Relieving Miracle Decoction.
2External Treatment
Boil Sophora flavescens decoction, first fumigate and then wash.
After fumigation and washing with Sophora flavescens decoction, insert hemorrhoid plugs into the anal canal, or apply Huanglian powder ointment to the anal canal.
Second, Western Medicine Treatment
1Non-surgical Treatment
Soften stools, use after defecation and every night1:5000 Potassium permanganate solution sitz bath, locally use anti-inflammatory analgesic suppositories such as metronidazole suppositories, compound Yuhong suppositories, etc. Each compound Yuhong suppository contains1000 particles composition: purple grass6.0g, Sophora flavescens12.0g, rosin30.0g, areca6.0g, sesame oil170.0g, sulfapyridine powder25.0g, diclofenac5.0g, cortisone2.5g.
2Surgical Treatment
For chronic or recurrent cases, anal flaps can be removed under local anesthesia to facilitate drainage. If there are hypertrophic anal papillae, they should be removed at the same time, and then continue with non-surgical treatment.5~7Expand the anal canal with the finger inside.
If the anal sinus has become purulent or is accompanied by hypertrophy of the anal papillae, hidden fistula (internal blind fistula), surgical treatment should be performed.
(1Surgical Incision Drainage Method
Indications: Simple anal cryptitis that has become purulent; or with hidden fistula.
The operation method is to take the lithotomy position or the lateral position, locally disinfect the perianal area, locally anesthetize the anal area, expose the lesion under the double-leaf anal scope, make a longitudinal incision along the anal sinus to ensure smooth drainage, compress the incision with Vaseline gauze, take a sitz bath after defecation, and apply Huanglian powder ointment or Mayinglong hemorrhoid ointment or other hemorrhoid ointment.
(2Surgical Excision Method
Indications: This disease is accompanied by hypertrophy of the anal papillae.
The preparation method is the same as above. Expose the lesion under the double-leaf anal scope, and remove the anal sinuses, anal folds, and anal papillae together. Apply Vaseline gauze to compress the wound. Change the medicine once a day after the operation.