What is the Chinese medicine method for treating anal fissure?

Anal fissure is a condition in which the entire layer of skin of the anal canal is longitudinally cracked or ulcerated. It is common in young and middle-aged people. Clinically, the main characteristics of anal fissure are periodic anal pain, bleeding, and constipation. How does Traditional Chinese Medicine treat anal fissure? Traditional Chinese Medicine can use internal and external treatments to dialectically treat anal fissure.

(1) Internal treatment:

1. Qi stagnation and blood stasis syndrome:

Symptoms: Obvious stinging pain in the anus, especially during and after defecation; the anus is tightened and the fissure is dark purple; the tongue is dark purple and the pulse is stringy or astringent.

Treatment method: Regulate Qi and activate blood circulation, moisten the intestines and promote bowel movements.

Prescription: Liumo Decoction plus safflower, peach kernel, red peony root, etc.

2. Yin deficiency and fluid deficiency syndrome:

Symptoms: Dry and hard stools, which occur every few days; painful bowel movements, spotting of blood, and dark red fissures; dry mouth and throat, and fever in the five parts of the body; red tongue with little or no coating, and a thready and rapid pulse.

Treatment method: Nourish yin, clear heat and moisten the intestines.

Prescription: Intestinal Runchang Decoction.

3. Blood heat and intestinal dryness syndrome:

Symptoms: Defecation is frequent every two to three days, the stool is hard and dry, there is pain in the anus during defecation, blood drips during defecation or toilet paper is stained with blood, and the tear is red; the abdomen is bloated, the urine is yellow; the tongue is reddish, and the pulse is stringy and rapid.

Treatment method: Clear away heat, moisten the intestines and promote bowel movements.

Prescription: Liangxue Dihuang Decoction combined with Piyue Ma Ren Pills.

(2) External treatment:

1. Chronic anal fissure: Apply corrosive drugs such as Qisandan or Kuzhisan to the fissure. After 2-3 days, use Shengji Baiyu Gao or Shengjisan to close the fissure. Or apply 5% carbolic acid glycerin to the affected area, and then wipe it off with 75% ethanol.

2. Early anal fissure: Dip Shengji Yuhong ointment in Shengji powder and apply it to the fissure, 1 to 2 times a day. After defecation every day, you can take a sitz bath in 1:5000 potassium permanganate solution. You can also take a sitz bath in Sophora flavescens decoction or pepper and salt water. It can promote blood circulation, keep local area clean and reduce irritation.

The above is an introduction to "How does Traditional Chinese Medicine treat anal fissures?" Traditional Chinese Medicine uses syndrome differentiation and treatment to treat anal fissures, relieving many patients of the pain. If anal fissure occurs, go to a regular hospital for treatment. During the treatment process, attention should be paid to preventing constipation and relieving sphincter spasms to interrupt the vicious cycle and promote the healing of anal fissure.