What treatments are effective for hemorrhoids and anal fissures?

Hemorrhoids and anal fissures are also relatively common anorectal diseases. When symptoms of anal fissures appear, patients are in great pain, which seriously affects their daily work and life. Patients often suffer from unbearable pain and become restless. Timely treatment is required at this time. For patients with recurrent attacks, Chinese medicine can be used to treat them. In addition, some topical medications should be used to relieve pain and swelling.

1. Traditional Chinese medicine internal treatment:

Traditional Chinese medicine classifies anal fissure into different types, and each type has different treatment methods. When heat accumulates in the intestines, the treatment principle is to clear away heat and promote bowel movements, nourish yin and cool blood. The representative prescription is the Liangxue Dihuang Changma Ren Wan. For those with damp-heat in the lower body, the treatment principle is to clear away heat and dampness, and the painkiller Rushen Decoction can be used with modifications. For those with Yin deficiency and dry intestines, the treatment principle is to nourish Yin and produce body fluid, moisten the intestines and promote bowel movements. Zengye Decoction can be used with modifications. For those with blood deficiency and dry intestines, the medicine is used to replenish blood and nourish yin, moisten the intestines and promote bowel movements. Runchang Pills are often used with modifications.

2. External treatment:

It mainly includes two methods: sitting bath and external application of medicine, both of which have good effects.

(1) Sitz bath: A warm water sitz bath before defecation can relax the anal sphincter and reduce the impact of feces on anal fissures. A sitz bath after defecation can wash away fecal residues, reduce foreign body stimulation, and relieve sphincter spasms and anal pain. You can choose to use Chinese herbal medicine for fumigation and sitz bath or use 1:5000 potassium permanganate solution for sitz bath.

(2) External medication: Use Chinese and Western medicines to prepare anti-inflammatory and analgesic ointments, which can be applied directly to the fissures to relieve pain and sphincter spasms. Pain-relieving suppositories can also be used. Generally speaking, fresh anal fissures can be treated with Shengji Powder and Jiuhua Paste; old anal fissures can be treated with Hongshengdan to remove the putrefactive substance, and then Shengji Paste or Baiji Paste can be used for treatment.

3. Anal dilation therapy:

It is required to be performed under local anesthesia, and the tight pecten membrane bands are torn with fingers to relax the spasmodic sphincter, improve the local blood circulation of the anus, and achieve the purpose of curing anal fissure.

4. Massage therapy:

It is a common method of treating anal fissure in traditional Chinese medicine. By massaging specific acupoints, it can promote intestinal peristalsis, relieve constipation and alleviate symptoms. It is suitable for the treatment of anal fissures at all stages and has a certain effect. The most commonly used acupuncture point is Tianshu.

Block therapy: Suitable for the treatment of patients with early simple anal fissures. Methylene blue procaine injection is used as a long-acting anesthetic for local injection into the anal fissure base and surrounding tissues, and the fingers are gently massaged.