Perianal abscess, often called anal carbuncle in Chinese medicine, refers to acute or chronic purulent infectious diseases that occur around the anus, anal canal and rectum. It is usually divided into low abscess and high abscess, and is a frequently-occurring clinical disease , Common diseases. The main clinical symptoms of
: severe pain, persistent high fever, increased number of white blood cells and neutrophils. With the continuous improvement of material living standards and the improvement of the quality of life, people’s daily diet structure has undergone tremendous changes compared with the past, gradually forming a preference for fat and sweet taste, spicy fishy mutton, and eating less fresh fruits and vegetables, coarse grains, etc. is harmful to health. Unfavorable eating habits. With the acceleration of the pace of social life, the intensity of mental labor replaces physical labor, and people's life and mental stress are becoming more and more serious, resulting in insomnia, depression, anxiety, depression, emotional loss and other negative emotions, affecting people's physical and physical health . The above factors are undoubtedly important reasons for the onset of perianal abscess, and ultimately lead to an increasing incidence of perianal abscess.
1. How to prevent perianal abscess? To prevent perianal abscess disease, people must first pay attention to the rationality of their daily diet, correct bad eating habits, and avoid or try to eat less greasy or spicy foods that are light, easy to digest, and nutritious. Mainly, eat more fresh vegetables and fruits, and prohibit eating bad foods to avoid intestinal infectious diseases. At the same time, work and rest regularly, rest more, and ensure the quality of sleep. Don’t let yourself be in a state of excessive fatigue. Adhere to daily exercise and exercise to improve the body’s immunity. In summer, you can eat more watermelon and other heat-reducing fruits, and you will have constipation while replenishing body fluids. , Diarrhea prevention, which can effectively prevent the occurrence of perianal abscess. In addition, people should pay great attention to the hygiene and cleanliness of the anus, change underwear frequently, and clean the anus after going to the toilet. If there are diseases such as anal solitary inflammation, diarrhea, diabetes or conjunctivitis, treat it in time to avoid inducing perianal abscess. If you have anal discomfort, you should go to the hospital for medical treatment in time and follow the doctor's prescription for medication after diagnosis.
2. Integrated Chinese and Western medicine treatment of perianal abscess
(1) Western surgical treatment 1. One-time incision and radical resection of perianal abscess. Clinical studies have shown that after a one-time incision and radical resection is used to treat patients with perianal abscess, The majority of patients disappeared within 7 days after the operation. The average wound healing time was about 24 days, and the cure rate was about 98%. Only a few patients received a second operation due to the formation of anal fistula. Another scholar’s study showed that 69 patients with perianal abscess were treated with surgical methods. A total of 47 patients received a one-time incision and radical resection of the abscess, 12 patients were treated with a one-time incision and radical resection plus suture, and the other 10 patients It is a one-time incision and thread-hanging and pair-to-mouth drainage treatment. The course of treatment for all patients is 7 to 32 days, and there are no complications after the operation, and they are eventually cured with high safety [1]. According to the results of the investigation and follow-up, the patient’s anus The functions have returned to normal.
2. Perianal abscess incision and drainage This surgical method is mostly used for the treatment of patients with high complex abscess above the levator ani muscle and low abscess of the lower internal orifice of the levator ani muscle. Although it can shorten the treatment period, it has obvious therapeutic effect. [2] However, the probability of recurrence of anal fistula and abscess after operation is relatively high. 3. Horseshoe-shaped abscess incision and drainage. In a study, 126 patients with horseshoe-shaped perianal abscess were treated with horseshoe-shaped abscess incision and drainage. The average length of stay of all patients was 3 weeks, and all patients expressed their opinions about the results of the operation. satisfaction. Another study showed that after 30 patients were treated with horseshoe-shaped abscess incision and drainage, they were all cured, and only one patient had symptoms of incomplete anal incontinence, and it returned to normal one year after the operation.
(two) Chinese medicine adjuvant treatment
1. Perianal abscess treatment based on syndrome differentiation Early abscess: Perianal abscess belongs to the category of "anal carbuncle", early in the perianal abscessDuring the period, patients mostly manifested as heat syndrome and empirical evidence [3], and treatment methods such as dispersing blood stasis and cooling blood, dissipating masses and softening firmness, detoxification and clearing heat should be the main treatment methods. Studies have shown that using Xianfang Huoming Yin plus or minus to treat postoperative perianal abscess patients (184 cases in total), a total of 183 patients were cured at one time. The average wound healing time was about 12 days. Follow-up after treatment for more than 6 months , It was found that only 1 patient had the disease recurred within 3 months after surgery, and was completely cured after another operation. Mid-term abscess: Patients with mid-term abscess should be treated with the method of strengthening the body and supporting the poison. A study was conducted on 211 patients with perianal abscesses in the pyogenic period. The results found that the local swelling and pain symptoms of the patients were obvious after oral administration of Chinese medicine, and it would promote the maturation of the abscess. On this basis, implement disposable abscess After resection, incision and drainage, the disease was completely cured. Another study showed that patients with perianal abscess were given the traditional Chinese medicine Qiwei Duiyin and Touyu Powder orally, 81 of the 113 patients were completely cured, accounting for 73% of the total number of cases. Late abscess: Patients in the late stage of abscess, who are weak and toxic, should be treated with liver and kidney nourishment, nourishment of qi and blood, and dampness and spleen therapy. During the treatment period, tonic is the main method. Studies have used Shengji oil ointment for external use and Bazhen decoction for oral use in the treatment of patients with perianal abscesses, and the use of Rumei Shengji ointment gauze for dressing treatment. The results show that the drying time of the patient’s wound and the time of swelling and pain are shortened, and the treatment effect Improve, fast physical recovery.
2. In addition to hemostasis and infection control treatment for patients with perianal abscess after surgery, the use of traditional Chinese medicine sitz bath treatment will increase the quality of treatment. The advantage of traditional Chinese medicine sitz bath is that the medicine can directly contact the patient’s wound and accelerate the blood flow through heat Circulation will eventually eliminate pus and blood, relieve pain and inflammation, smooth stools, remove decay and build muscle, detoxify and clear away heat, which is more conducive to the early healing of patients’ wounds. Some scholars have studied the effect of traditional Chinese medicine sitz bath in the treatment of perianal abscess. The results showed that all 65 patients were cured. After a 2-year follow-up, no sequelae of anal fistula was found, indicating that the perianal abscess was treated with traditional Chinese medicine after surgery. Simple and convenient, high safety, can promote physical recovery.
