Anal fistula is a common disease, often occurring, commonly known as "fistula sore" in the people. The full name of anal fistula is anal rectal fistula. As the name suggests, there is outside the anus and connected to the anal rectum.
So, you may ask what is going on with anal fistula?
To answer this question, you need to briefly introduce the basic structure of the anus. There is a mucosa and skin at 1.5cm inside the anus of the human body, which is called a tooth-like line in medicine. This line is the intersection of the inner and ectoderm of the human body. There is a corresponding gland below the tooth-like line. It is clinically called anal gland. Under normal circumstances, the anal gland has the effect of secretory gland fluid moistening the intestinal cavity.
What are the common causes of anal fistula?
Traditional Chinese medicine calls anal fistula anal leakage, which is believed to be caused by eating more fatty, sweet, spicy, alcohol, etc., and damp heat is poured into the anus, and the qi and blood flow are not smooth, and it becomes a carbuncle and pus, which is left after ulceration.
Modern medicine believes that anal fistula is the sequelae of abscess around the anus. After the pus is ruptured by itself or artificially incising and opening the pus, the abscess cavity gradually atrophy, forming a fistula that connects the inside and outside the anus. There is a sentence in the great revolutionary slogan - a spark can start a prairie fire, and the inflammation caused by anal crypts and anal valves is like this spark, and then they gradually spread and spread, and there is a prairie fire. Gradually, the infection increased day by day, forming perianal anorectal inflammation. If inflammation cannot be controlled, it may invade the tissue gap with weak resistance to disease to form a perianal abscess. After the perianal abscess ruptures by itself or after incision and drainage and replacement, although the abscess cavity gradually shrinks, the ulcer does not close for a long time. At this time, the cavity wall has formed a hard duct wall for connective tissue hyperplasia, and the space left in the middle. This is the fistula. The pus often flows out of the fistula, repeatedly infects, recurs, and occurs repeatedly. It cannot heal itself for a long time, and becomes a fistula.
Who is prone to this disease?
This disease may be affected by any age, but it decreases with age. What are the symptoms of
?
Then with this extra channel, you will not feel comfortable. The following symptoms often occur: pain, constipation, blood on the surface of the stool, blood in the toilet or toilet paper after going to the toilet, burning or itching around the anus, and odorous liquid is excreted.
What are the treatment methods of traditional Chinese medicine?
oral administration, fumigation and surgery.
Oral administration: According to the syndrome differentiation of anal fistula in traditional Chinese medicine, it is divided into damp heat accumulation, qi stagnation and blood stasis, and yin deficiency and heat evaporation. However, it is often common in clinical practice to accumulate damp heat, which is manifested as: swelling, painful, falling anus, leaking yellow and white pus, with a large amount of pus and smelly pus, poor stool, short and red urine; yellow and greasy tongue coating, and heavy pulse. Even if the body is hot and chills, and if you are thirsty, you will not want to drink. Traditional Chinese medicines for clearing heat and removing dampness and detoxification: such as Viagra Sushi Decoction plus Huaduhuhushi Decoction plus subtraction, or Viagra Binqing Pills.
Fumigation and washing: Traditional medicines are used to relieve anal pain. Commonly used drugs are anorectal fumigation agents or Chinese medicine homemade agents. Specifically: brew with hot water, wait for the water temperature to 35 to 40 degrees, sit in warm water for 10 minutes, and then apply Ma Yinglong ointment to the anus to relieve inflammation.
externally washes the affected area, and is also treated with oral decoctions based on syndrome differentiation. In addition, there are corresponding external and oral Chinese medicines after anal fistula, which can promote the shedding of necrotic tissue on the wound of the fistula and the growth of fresh tissue. For patients after fistula surgery, oral decoctions will continue to be taken to promote scar softening, reduce the recurrence of anal fistula after surgery, and improve the efficacy of anal fistula.
Surgery: Traditional Chinese medicine therapy occupies an important position in the treatment of anal fistulas. Such as hanging line therapy, cannula drainage method, cotton padding method, etc., are all used in the current clinical practice. Among them, hanging line therapy can cure anal fistulas and not cause anal incontinence. It is still the only effective treatment method for treating high-level complex anal fistulas .
Adjust your lifestyle, develop good bowel movements, and keep your bowel movements smooth. Have a light diet and pay attention to dietary hygiene. It is advisable to eat more light and easy-to-digest foods as well as fresh fruits and fresh vegetables. Avoid eating spicy and irritating foods, such as wine, onions, garlic, chili, etc.; eat less fried, smoked and roasted foods.
Sun Qiong The attending physician
has been engaged in the anorectal department of traditional Chinese medicine for more than 20 years, and has mastered the diagnosis and treatment of various undergraduate diseases, including mixed hemorrhoids , anal fistula, anal fissures, and skin diseases around the anus. Traditional Chinese medicine has achieved good results in the treatment of syndrome differentiation and treatment, combined with traditional Chinese and Western medicine, and various surgical treatments.
Clinic time: Monday to Friday all day
Author: Sixth People's Hospital Affiliated to Shanghai Jiaotong University Attendant physician Sun Qiong
correspondent: Gu Haiying
Editor: Huang Mengmei
Review: Chen Shirui
Release: Xie Tao
Issued: Xie Tao
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