Hemorroids Flashcards
chinese name:
Zhi Chuang
definition:
variscosities of the veins in the rectum (internal) or on it (external) that are often inflamed and thrombosed and have a tendency to bleed
patterns:
1) Dry-heat
2) D-H
3) Qi/blood stg
4) sinking of Qi
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
Dry-heat
dry-heat T/P
T- red, little fluids, dry yellow coat
P- rapid
Dry-heat points
ST-44, K-6, SJ-6, LI-11
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
Qi and blood stg
Qi and blood stg T/P
T- dark, purple
P- wiry, choppy
QI/blood stg points
SP-6, SJ-6, UB-25
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
Sinking Qi
Sinking Qi T/P
T- pale
P- thready, weak
Sinking Qi points
DU-20, ST-36, RN-6
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
D-H
D-H T/P:
T- yellow gresy coat
P- slippery, rapid
D-H points:
SP-9, ST-37
basic points:
DI-1, UB-57/35, Erbai
another western name:
piles
POT:
reg, QI and blood
remove stg
clear heat
use UB points
tonify, moxa
ALT remedies:
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
EDU
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
Differentiate
Polyps
Anal Prolapse
Cancer
Gastric/duodenum Ulcer
Causes
Pregnancy Diet Constipation Infection/unsanitary Structure Damage Occupational Liver cirrhosis Heart Condition
Western Test
“Clock Method”
Western Tx
Surgery
Anti inflammatory
Pain killer
