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Beth Conroy Compendium - Rectal Discomfort - Traditional Chinese Medicine

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Home Protocols Asymptomatichemorrhoidsarepresentinhalfofthepopulationoverfiftyyearsold.Itisnot commonbetweentheagesof2550,withtheexceptionofwomenafterpregnancy. Symptomatichemorrhoidsresultinbleeding,prolapseandsometimespain,tovariousdegrees. Othersymptomscouldbe"fecalsoilage",mucusproduction,itchingandlocalizedinfection. Symptomsusuallyresolvethemselvesspontaneouslywithinseveraldaystoseveralweeksbut mostpatientdeveloprecurrentepisodes.Treatmentwillusuallyaimatrelievingsymptoms, whileallowingspontaneousrecovery.Amoreaggressiveintervention,includingsurgery,is requiredincaseofseverepain,severebleeding(morearesultofafissure)orhemorrhoidsthat donotresolve. Thehemorrhoidalveinsprovideapathwayofcommunicationbetweenthesystemicvenous systemandtheportalvenoussystem.Theseveins,whichduetotheirlocationgounder tremendouspressuresandstrains,haveatendencytodilateanddevelopintoatwistedand turnedplexus.Theanalcushionsareapartofthenormalanatomyoftheanalcanal.These cushions,containingthehemorrhoidalveins,thearterialplexuses,smoothmusclesand connectivetissue,permitthepassageofvariablesizesofstools,withoutdisruptionoftheof therectalmucosa.Hemorrhoidaldiseaseisthoughttobearesultofthedisplacementofoneor moreofthreevascularanalcushions,mainly:therightanteriorcushion,therightposterior cushionandtheleftlateralportionoftheanalcanal.thereareexternalandinternal hemorrhoids: externalhemorrhoidsarisefromtheinferiorhemorrhoidalplexus,exteriortotheanalverge. Theyarecoveredbyalayerofskin,whichisverysensitivetopain.Thrombosisinthis structuremaycauseaseverepain. Internalhemorrhoidshavefourcategories: Firstdegreeabulgingintothelumenoftheanalcanalthatcausesbleeding Seconddegreeaprolapseduringdefecationthatreducesspontaneously Thirddegreeaprolapsethatrequiresmanualreduction FourthdegreeAprolapsesoseverethatitcannotbereduced SOURCES Barker,L.R,Burton,J.RandZieve,P.D,PrincipalsofAmbulatoryMedicine,fourthedition, pages:13511352 Deadman,PandAlKhafaji,MwithBaker,K.(2007)AManualofAcupuncture Flaws,B.andSionneau,P.(2001)TheTreatmentofModernWesternMedicalDiseaseswith ChineseMedicine,2ndEdition OConnor,J.andBenskyD.editors(1981)Acupuncture:AComprehensiveText Image:http://www.hemroidharry.com/blog/71/hemorrhoidshometreatment/ CLINICALMANIFESTATIONPatternsofDisharmony
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Beth Conroy Compendium - Rectal Discomfort - Traditional Chinese Medicine

RectalDiscomfort,Hemorrhoid BloodStasis,QiStagnation. Mayinclude:Heat,DampnessorDryness,LiverDepression,CollapsedSpleenQi TREATMENTPRINCIPLES MoveBloodandQi, ClearHeat,ResolveDamporDry,SootheLiverQi,RaiseSpleenQi TREATMENTPoints Primarytreatment:Bl57,ErBai,GV1toraiseqiandcirculatebloodtotheregion Additionalpointsmayinclude: St44toclearheat Sp9todrainifdamp Sp6,Kd6tomoistenifdry Lv3tomoveLiverqi Sp3totonifySpleenqi TH6toregulatetheqiinthethreeheaters PATIENTEDUCATION/RECOMMENDATIONS Patientisrecommendedtoavoidextendedsittingorstanding.Kegels,orexercisesthat strengthenthepelvicfloorareprescribed. PROGNOSIS Treatmentcanbeextremelyeffective.

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