Hemorroids Flashcards Preview

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Flashcards in Hemorroids Deck (30):
1

chinese name:

Zhi Chuang

2

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

3

patterns:

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

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

Dry-heat

5

dry-heat T/P

T- red, little fluids, dry yellow coat
P- rapid

6

Dry-heat points

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

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

Qi and blood stg

8

Qi and blood stg T/P

T- dark, purple
P- wiry, choppy

9

QI/blood stg points

SP-6, SJ-6, UB-25

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

Sinking Qi

11

Sinking Qi T/P

T- pale
P- thready, weak

12

Sinking Qi points

DU-20, ST-36, RN-6

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

D-H

14

D-H T/P:

T- yellow gresy coat
P- slippery, rapid

15

D-H points:

SP-9, ST-37

16

basic points:

DI-1, UB-57/35, Erbai

17

another western name:

piles

18

POT:

reg, QI and blood
remove stg
clear heat

use UB points
tonify, moxa

19

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

20

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

21

Differentiate

Polyps

Anal Prolapse

Cancer

Gastric/duodenum Ulcer

22

Causes

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

23

Western Test

"Clock Method"

24

Western Tx

Surgery
Anti inflammatory
Pain killer

25

Pectinate/Dentate Line

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

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

26

Swollen pain around anus

UB 54/58

27

Burning around anus

PC 8

28

Bleeding

Du 4
Sp 6
Erbai
UB 57

29

Prolapse

Moxa Du 20 and Ren 8

30

4 Surgical Classifications

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