2 English reference mixed hemorrhoids [Chinese medicine terminology examination and approval Committee. Terminology of Traditional Chinese Medicine (2004)]
3. Summarize mixed hemorrhoids [1] as the disease name [2]. It means that the veins of internal hemorrhoid and external hemorrhoid bend in the same direction and communicate and anastomose with each other through tooth lines to form an integral hemorrhoid [3]. That is, the rectal venous plexus under the submucosa at the end of rectum and under the skin of anal canal expands and varicose, forming a soft venous plexus [2]. When this vein group communicates and anastomoses with each other at the tooth line, the internal hemorrhoid part and the external hemorrhoid part form a whole, which is called mixed hemorrhoid [2]. Mixed hemorrhoids have double manifestations of middle and external hemorrhoids.
4 Etiology and Pathogenesis of Mixed Hemorrhoids Most of the mixed hemorrhoids are caused by the failure to treat internal hemorrhoids in time in stages II and III, repeated prolapse, pregnancy and childbirth, and long-distance weight-bearing travel, resulting in lateral dissolution of tendons and veins and stagnation of qi and blood, leading to the occurrence of this disease.
5 diagnosis of mixed hemorrhoids: blood drops or spurts during defecation, and massive bleeding. There is a tumor protruding during defecation. If combined with poisoning, it will be swollen and painful, and it can't be returned. * * * has a foreign body feeling. Anal examination showed that mixed hemorrhoids mostly occurred at 3, 7, 1 1 point of lithotomy position. Internal hemorrhoid and external hemorrhoid are connected into a whole at the same time across the tooth line, and the internal hemorrhoid part, such as the thumb of an adult or larger, is purple or gray.
6 Treatment of mixed hemorrhoids 6. 1 Treatment based on syndrome differentiation refers to the treatment of internal hemorrhoids and external hemorrhoids.
6.2 External hemorrhoid dissection and internal hemorrhoid ligation is feasible for severe mixed hemorrhoids:
6.2. 1 Mixed hemorrhoids with serious indications.
6.2.2 Operation method: Take the lithotomy position or lateral position, routinely disinfect the * * * part, and perform local infiltration anesthesia to fully expose the hemorrhoid nucleus and make the external hemorrhoid part. V-shaped or spindle-shaped incision: cut the skin to peel off the venous plexus to a point below the tooth line, then clamp the root of the internal hemorrhoid with an arc hemostatic forceps, then tie or penetrate the internal hemorrhoid with 10 or No.7 silk thread, and then cut off the external hemorrhoid. Treat other hemorrhoids in the same way.
6.2.3 Note: 1. Generally, no more than four hemorrhoid nuclei are peeled off at a time, otherwise * * * will be narrowed, the stool will be difficult to get out, and the silk thread will easily slip off.
2. External hemorrhoid peeling incision should not be too close, otherwise it will easily lead to postoperative bleeding. In addition, the skin and mucosa of anal canal should be preserved as much as possible during operation to prevent postoperative rectal stenosis.
7 The daily health care of patients with mixed hemorrhoids should first keep the stool unobstructed and defecate regularly, and don't be too responsible for defecation for a long time.
Second, timely treatment of acute and chronic intestinal inflammation.
Third, keep the * * * department clean, and take a bath with cold boiled water after defecation.
Fourth, eat less spicy crystals and eat more fruits and vegetables.
8 About hemorrhoids (hemorrhoids [1]) is the name of the disease [4]. Also known as hemorrhoids, hemorrhoids [5]. "Huangdi Neijing Su Jingwen Qi Tian Tong Lun": "Make the foot, tendons and veins transverse, and intestinal addiction is hemorrhoids." . Refers to internal hemorrhoids, external hemorrhoids and mixed hemorrhoids [1]. That is, the soft venous plexus [4] formed by the expansion of rectal terminal and subcutaneous anal submucosa and varicose veins, or the connective tissue [3] formed by thrombosis and proliferation under anus. Men, women and children will be affected. Therefore, there is a saying that "ten people have nine hemorrhoids", among which young people account for the majority. Hemorrhoids are divided into internal hemorrhoids, external hemorrhoids and mixed hemorrhoids according to the different parts of the disease.
Chinese medicine has long known about hemorrhoids. The ancients said that "hemorrhoids are the origin of hemorrhoids". In ancient times, hemorrhoids meant protrusion. People with small flesh protruding from the nine orifices are called hemorrhoids, and they are not born on the side of * * * *, such as nasal hemorrhoids, eye hemorrhoids and tooth hemorrhoids. But now hemorrhoids refer to hemorrhoids.
See hemorrhoid strip for details.
nine