Hemorroids

Question 1

chinese name:

Answer 1

Zhi Chuang

Question 2

definition:

Answer 2

variscosities of the veins in the rectum (internal) or on it (external) that are often inflamed and thrombosed and have a tendency to bleed

Question 3

patterns:

Answer 3

1) Dry-heat
2) D-H
3) Qi/blood stg
4) sinking of Qi

Question 4

piles which possibly protrude beyond anus, difficult deification of stools, explosive discharge of fresh red blood from anus, constipation with dry stools, ab distension, dry mouth, thirst, dark-yellow urine

Answer 4

Dry-heat

Question 5

dry-heat T/P

Answer 5

T- red, little fluids, dry yellow coat

P- rapid

Question 6

Dry-heat points

Answer 6

ST-44, K-6, SJ-6, LI-11

Question 7

protruding hemorrhoids when defecating, discharge of blood, sagging, distended, painful anus, dark swollen mixed hemorrhoids which are comparatively large with severe pain, difficult defecation, abdominal, distension and fullness

Answer 7

Qi and blood stg

Question 8

Qi and blood stg T/P

Answer 8

T- dark, purple

P- wiry, choppy

Question 9

QI/blood stg points

Answer 9

SP-6, SJ-6, UB-25

Question 10

protruding hemorrhoids, when defecating or when walking/coughing/sneezing/standing a long time, non-returning piles unless helped by hands or lying flat, discharge of a large or small amount of pale colored blood, forceless defecation, enduring diarrhea or frequent defecation, fatigue, lassitude of spirit, lusterless facial expression

Answer 10

Sinking Qi

Question 11

Sinking Qi T/P

Answer 11

T- pale

P- thready, weak

Question 12

Sinking Qi points

Answer 12

DU-20, ST-36, RN-6

Question 13

Swollen, severely painful, protrusion which looks dull red and ulcerated, anal discharge of turbid blood, difficult defecation, hot burning sagging distended feeling in anus, especially during defecation, itchy anus, tenesmus, ab distension, poor appetite, heavy body, fatigue

Answer 13

D-H

Question 14

D-H T/P:

Answer 14

T- yellow gresy coat

P- slippery, rapid

Question 15

D-H points:

Answer 15

SP-9, ST-37

Question 16

basic points:

Answer 16

DI-1, UB-57/35, Erbai

Question 17

another western name:

Answer 17

piles

Question 18

POT:

Answer 18

reg, QI and blood
remove stg
clear heat

use UB points
tonify, moxa

Question 19

ALT remedies:

Answer 19

1) auricular (low rectum, sympathetic, LU, LI, SP, adrenal, subcortex)
2) pricking method (T-7–>S-4 “hemorrhoids pts”), look for red/brown/grey dots near spine, just use one point, 1/week, can do bleeding cupping after
3) “Cutting Method” prick to bleed DU-28- look for white growth
4) plumblossom (lumbar sacral, bleeding cupping after)
5) prick to bleed/bleed cupping UB-25/55
6) electro (UB-57, zhi shu, DU-1/25), 2-3x/week

Question 20

EDU

Answer 20

1) reg. diet (more fiber, less meat)
2) drink lots of water
3) reg. bowel movement habits
4) tx other related disease (prevent diarrhea)
5) personal hygeine (clean before bed and after every bowel movement)
6) Sitz Bath

Question 21

Differentiate

Answer 21

Polyps

Anal Prolapse

Cancer

Gastric/duodenum Ulcer

Question 22

Causes

Answer 22

Pregnancy
Diet
Constipation
Infection/unsanitary
Structure Damage
Occupational
Liver cirrhosis
Heart Condition

Question 23

Western Test

Answer 23

“Clock Method”

Question 24

Western Tx

Answer 24

Surgery
Anti inflammatory
Pain killer

Question 25

Pectinate/Dentate Line

Answer 25

Above line = internal
Below line = external
By the line = mixed

*Divides the upper 2/3 and lower third of anal canal

Question 26

Swollen pain around anus

Answer 26

UB 54/58

Question 27

Burning around anus

Answer 27

PC 8

Question 28

Bleeding

Answer 28

Du 4
Sp 6
Erbai
UB 57

Question 29

Prolapse

Answer 29

Moxa Du 20 and Ren 8

Question 30

4 Surgical Classifications

Answer 30

1st degree: bleeding but don’t protrude
2nd degree: protrude when passing stool but go back inside
3rd degree: manually put back in
4th degree: can’t be manually put back in and tissue becomes
Strangulated and thrombosed