When external hemorrhoids occur, patients usually feel very painful, especially during defecation, when there will be very strong pain, which is unbearable and may even cause damage to their blood vessels. Therefore, surgical treatment is currently the best treatment method, which can make the local lumps gradually subside and avoid pain again. (1) Thrombosed external hemorrhoids are named because the hemorrhoids are small, the blood vessels are damaged, and the blood clots form thrombi. The patient has severe pain in the anus. 7 to 10 days after the onset of the disease, the pain will be relieved after treatment, but if the local lump is hard and persists, surgery is required to remove the blood clot. For some patients who are not suitable for surgery or do not want surgery, non-surgical treatment will continue to be used. The commonly used internal treatment method is to clear heat and cool blood with clearing as the main focus. The Liangxue Dihuang Decoction is used with added ingredients. Commonly used medicines include raw rehmannia, moutan bark, sophora japonica, scutellaria baicalensis, raw sanguisorba officinalis, etc. Commonly used medicines include Qingjie Tablets, 5 tablets each time, 3 times a day, orally. Commonly used external treatment methods include fumigation and washing with Sophora flavescens decoction combined with Gallnut decoction, or sitting bath with potassium permanganate hot water, each time for 20 minutes. After fumigation and washing, apply hemorrhoid ointment or golden ointment externally, and change it once a day. (2) Varicose external hemorrhoids Varicose external hemorrhoids can be treated with both surgical and non-surgical methods. Generally, surgical method is used to dissect the external hemorrhoidal venous plexus. ① Operation method: Take the lateral decubitus or lithotomy position, routinely disinfect and lay the towel, and apply local anesthesia. Make a radial incision in the middle of the skin tag, remove the skin flaps on both sides, and trim the skin edges to form a fusiform or radial wound. Apply hemostatic powder externally and place Vaseline gauze to apply pressure and fix. ②Postoperative treatment: Use Sophora flavescens decoction or 1:5,000 potassium permanganate hot solution for sitting bath every day after surgery, and then change the dressing until recovery. If there is infection and inflammation, symptomatic treatment should be given. Non-surgical treatment uses the method of clearing away heat and dampness, promoting blood circulation and dispersing blood stasis. The combination of Dihuangshe Shenshi Decoction and Tongjing Huoxue Decoction is chosen for oral administration. Commonly used drugs include Dihuangshe, Alisma, Phellodendron, Scutellaria, Moutan Bark, Red Peony Root, Angelica, Achyranthes, and Chuanxiong. Or you can use Chinese patent medicines such as Ma Ren Wan and Run Chang Pian to keep the patient's bowel movements smooth. Do not struggle when going to the toilet. After defecation, press the anus lightly several times and contract the anus 20 times. Those without inflammation do not need external treatment. If there is inflammation and edema, you can use Sophora flavescens decoction or potassium permanganate sitz bath for fumigation and washing, and then apply hemorrhoid ointment externally after fumigation and washing, once a day. |
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