Prolapsed Rectum Flashcards
What are the local SX?
1) bearing down sensation around anus
2) itching (bc of mucous)
3) frequent urination
what are the psychological SX?
1) kids with prolapse have developmental problems
2) neurothenia/schizophrenia
Differentiation: (1/2/3 degree)
1st degree: mild= mucous layer (3-5cm), not easily bled, easy to go back
2nd degree: moderate= muscle layer (5-10cm), could have some bleeding, will need to put back
3rd degree: severe= whole rectum/zygmoid (10cm+), needs help putting them back, happens easily and frequently
Patterns:
1) Qi/blood xu
2) D-H
Acute dysentary, inflamed hemorrhoids, with bearing down sensation around anus, tenesmus, red swollen anus with burning pain and itching
D-H
D-H T/P:
T- red, yellow greasy coat
P- soft, slippery
D-H points:
Li-11, SP-9, UB-39
Slow onset, start with distending and draggling sensation of rectum during defecation, and returning to normal after the bowel movement. It is sustained without proper Tx, recurrence may happen by overstrain and the prolapsed rectum fails to return spontaneously without the aid of hand, sallow complexion, fatigue, SOB, palpitations, dizziness
Qi/blood Def
Qi/blood Def T/P
T- pale, thin white coat
P- soft, thin
Qi/blood Def points
ST-36, RN-6, UB-20, UB-23
Basic points
DU-20, DU-1, UB-25, UB-57
ALT remedies:
moxa (Du-20, RN-6, ST-36) 5-10 min
EDU
1) prevent chronic diarrhea
2) tx cough/asthma to reduce ab pressure
3) exercise ab muscles during remission
4) kiegal exercises 20x/day
when is the best stage for TX?
TX as early as possible
is acupuncture effective?
works well for 1/2 degree
3 degree needs herbs
