Anal fissure is a fissure or chronic ulcer that reaches the whole skin under the anal canal dentate line. Anal fissure mostly occurs in the midline of anal canal. Because the intestinal cavity bends forward, when dry feces pass through, it bears the greatest pressure and is easy to be injured. Or anal fissure caused by abscess and ulceration caused by the spread of anal sinusitis and anal papillitis.

The main symptoms are constipation, severe pain and bleeding. When the dry and hard stool just emerges from the anus, it will cause severe pain, and then it will stick to the outside. Anal sphincter reflex spasm can cause severe pain such as anal burning. After the first discharge of hard stool bleeding, the blood covers the surface of the stool or is in the form of blood drops. Anal canal examination showed radial oval or fissure wound with neat edge and red bottom. The edge of chronic anal fissure is uneven, and the bottom is deep and grayish white.

Early fresh anal fissure can usually be cured by non-surgical conservative treatment, such as keeping feces soft and applying anti-inflammatory and analgesic ointment locally. The specific methods of integrating traditional Chinese and western medicine are as follows:

1) Internal treatment is based on the general principle of TCM syndrome differentiation and treatment, and the methods are as follows:

1. Heat accumulates in the intestine. Taking purging heat and relaxing bowels, nourishing blood and cooling blood as the treatment principle, the representative prescription is Maren Pill for cooling blood and radix rehmanniae;

2. Gambling on damp heat, clearing away heat and promoting diuresis is the rule, and the pain can be reduced to ginseng soup;

3. For patients with yin deficiency and intestinal dryness, nourishing yin and promoting fluid production, moistening intestines and relaxing bowels are the therapeutic principles, and zengye decoction can be used to add and subtract;

4. For those with blood deficiency and intestinal dryness, Runchang Pills are commonly used to replenish blood and nourish yin, and moisten the intestines to relieve constipation.

2) external treatment of anus and local drug treatment, the method is as follows:

1. Sit bath: Sit bath with warm water before defecation to relax anal sphincter and reduce the impact of feces on anal fissure; Sitting bath after defecation can wash away fecal residue, reduce foreign body stimulation, and relieve sphincter spasm and anal pain. Chinese herbal medicine can choose fumigation and sitz bath or 1: 5000 potassium permanganate solution sitz bath.

2. External use: Chinese and western medicines are made into anti-inflammatory and analgesic ointment, which is directly applied to the fissure to relieve pain, relieve sphincter spasm, and can also be used as an analgesic suppository. Generally speaking, raw muscle powder and Jiuhua ointment are used for fresh anal fissure; Chronic anal fissure is treated with Hongshengdan Qufu Shengji Plaster or Bletilla Bletilla Plaster. The anus-relieving ointment developed by Gu of the Fourth Military Medical University has anti-inflammatory and analgesic effects and can be used to treat acute and chronic anal fissure.

3) Blocking therapy is suitable for early simple anal fissure. Methylene blue procaine injection is used as a long-acting anesthetic for local injection of anal fissure. Inject the liquid medicine into the anal fissure base and surrounding tissues, and gently massage with your fingers.

4) Anal expansion therapy Recamier reported that anal expansion was used to treat anal fissure as early as 1829. It is required to tear the constrained comb-like membrane band with fingers under local anesthesia to relax the spasmodic sphincter, improve the local blood circulation of anus and achieve the purpose of curing anal fissure.

5) Massage therapy can promote intestinal peristalsis, relieve constipation and relieve symptoms by massaging specific Tianshu points, which is suitable for the treatment of anal fissure in various stages and has necessary curative effect.

6) "It is a drug containing three toxic ingredients". The following is the secret recipe of dietotherapy for successfully curing constipation (anal fissure):

1. Take whole-grain soybean1000g, salt100g, add appropriate amount of water for heating, and add salt for soaking. Then dry the beans and fry them. Chew about 60 tablets every day before meals and before going to bed at night. If you have bad teeth, you can crush the beans before eating.

2. After washing every morning, swallow 49 black beans raw. Methods: Wash the beans with cold boiled water, and then take them with warm boiled water. Beans do not digest in the stomach and are excreted with the stool the next day. In addition to treating constipation, this prescription can also improve eyesight and tonify kidney after long-term administration.

3. Take 30 grams of Gleditsia sinensis (ground into fine powder after removing seeds) and appropriate amount of honey (boiled with slow fire), mix with Gleditsia sinensis powder while it is hot, and make 15 pills for later use. When in use, the pill is sent to the anus 2-3 cm with fingers, and it will pass after about 1 hour.

4. Wash and chop the spinach roots, add 20 grams of honey, and eat and drink after cooking. Eating for 2 weeks can cure constipation. People with diabetes can cook for free.

5. Wash potatoes, squeeze juice on a meat grinder, filter with gauze, and drink half a cup on an empty stomach before breakfast and lunch every day. This method not only treats constipation, but also has necessary curative effect on gastric and duodenal ulcer, cholecystitis and hemorrhoids.

6. Use laver 10g, 2 teaspoons of sesame oil, a few drops of soy sauce and 0.5g of monosodium glutamate, and brew a bowl with boiling water half an hour before dinner every day.

7. Take 250 grams of fresh spinach, wash and chop it, put it in boiling water for 3-5 minutes, take it out and dip it in sesame oil to eat. Even taking it can relieve constipation.

8. Use fat mutton 150g, dried ginger 10g and angelica 15g. After cooking, take out dried ginger and angelica, eat mutton and take it with soup to relieve constipation.

9. Take 500 grams of spinach, wash and chop it, and cook it with lard. It will be effective for several days.

10. Eat 2-3 spoonfuls of honey before going to bed every night, persevere, and the effect is very good.

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