Exploration on the differentiation thoughts of external treatment for hemorrhoids based on ancient literature in Zhong Hua Yi Dian
10.3760/cma.j.cn115398-20241210-00100
- VernacularTitle:基于《中华医典》古籍文献探讨痔疮外治辨治思路
- Author:
Tingting MU
1
;
Hui XU
;
Nina HU
;
Yan MA
;
Qiujie CAI
Author Information
1. 中国中医科学院中医临床基础医学研究所2023级硕士研究生，北京 100700
- Keywords:
Ancient literature;
Hemorrhoids;
Traditional Chinese Medicine;
External treatment
- From:
International Journal of Traditional Chinese Medicine
2025;47(10):1461-1466
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the external treatment methods of hemorrhoids based on ancient books and documents; To guide clinical medication.Methods:The relevant articles on external treatment of hemorrhoids using Chinese materia medica included in Zhong Hua Yi Dian (5th edition) were retrieved. Excel 2021 was used to analyze the properties, tastes, meridian tropism, external treatment methods and drug efficacy of Chinese materia medica included in the prescriptions, and the relevant discussion contents were sorted out according to the classification of external treatment methods of hemorrhoids. Results:A total of 255 articles in ancient books were included, involving 165 prescriptions. 146 kinds of Chinese materia medica for external treatment of hemorrhoids were selected. The medicinal properties were mainly cold and warm, the main tastes were pungent, bitter and sweet, and the meridian tropism mainly involved the liver, spleen, stomach, heart, lung and large intestine meridians. Fumigation, application and application are the most widely used external treatment methods. Chinese materia medica efficacy mainly includes heat clearing drugs, surface relieving drugs, resuscitation drugs, astringent drugs, anti venom, anti insect and anti itching drugs, and tonic drugs.Conclusions:Ancient physicians treated hemorrhoids with both cold and heat, and paid equal attention to clearing heat and reducing fire, warming and activating blood circulation. They paid attention to the combination of local medication of lesions and the overall treatment of multiple meridians and multiple viscera, so as to achieve the simultaneous treatment of specimens. The treatment methods were rich, including fumigation and washing method to improve local microcirculation, application method using natural adhesive, coating method focusing on precise administration and ligation method of minimally invasive, forming a unique external treatment system, which can be used for modern clinical reference.
