Professor Zhao Baoming Experience Of Treating Rectum Prolapse Constipation

Internal rectal prolapse (IRP) also known as stealth rectal prolapse, first proposed by Tuttle in1903, refers to the process of defecation full-thickness rectal proximal to the distal end of intestine or anal fold into without the anus, intussusception intestinal obstruction in the intestine. Typing the anterior wall of the rectum prolapse, rectal ring prolapse (rectal intussusception) and anal rectal prolapse.Professor Zhao Baoming engaged in clinical anorectal disease more than thirty years, with in-depth research and extensive clinical experience in the treatment of rectal prolapse disease, and summarizes the unique treatment ideas. Inherited theories and methods of traditional Chinese medicine treatment, combined with modern medical theory and treatment through their own clinical practice, to break the traditional single therapeutic approach, the proposed TCM solid off treatment of rectal prolapse insights, stressed that the overall treatment of internal and external. Through literature analysis of the Progress of the treatment of rectal prolapse, combined with experience in the treatment of mentors to explore the most effective and reasonable treatment.By the literature review<one> rectal prolapse defecation disorders caused by the treatment of this literature review<two> Chinese medicine treatment of rectal prolapse due to defecation disorders and Professor Zhao Baoming treatment of rectal prolapse due to defecation disorders The experience of three parts.The first part, the author through a large number of domestic and foreign literature, books, reading, analysis, summarized from Western medicine, of rectal prolapse typing, etiology, pathogenesis, clinical manifestations, diagnosis and differential diagnosis, clinical treatment system discussed. The pathogenesis of rectal prolapse is not clear the pathogenic doctrine contending awareness of the disease and sub-classified difficult to unify a large number of clinical observations reported in the literature, the author collected by finishing a comprehensive analysis, in order to objectivity discusses the understanding of the latest research of rectal prolapse. Rectal prolapse treatment methods varied, from the general treatment, medication, injection therapy, biofeedback, to a new surgical treatment, in order to understand all aspects of rectal prolapse the latest advances in treatment, clinical treatment. Through a lot of literature reading screening found that most clinical studies the small sample size, there is no uniform standard on the the rectal prolapse efficacy evaluation, lead to an objective assessment of a variety of surgical treatment and medical treatment, the treatment efficacy and safety of require more extensive clinical evidence is still more scientific research collection.The second part, from a medical point of view the etiology and pathogenesis of rectal prolapse, the dialectical type, treatment, nursing a comprehensive analysis of the current Chinese medicine conservative treatment of mild rectal prolapse can get a better therapeutic effect, but the clinical literature less, how to establish control observation for typing and staging of rectal prolapse clinical samples and different treatment methods, objectively confirmed the efficacy and safety of traditional therapy still requires a lot of research.The third part introduces the tutor of Professor Zhao Baoming treatment experience three aspects.①the clinical treatment ideas, Zhaolao that rectal prolapse due to constipation, to the main deficiency of spleen qi depression, blood deficiency and dryness of the intestine, kidney failure photo. Advocates a holistic treatment, treatment to permit the trial and due to the dialectical theory of governance, then fill the empty, give the tune a yin and yang of to gas line.②traditional conservative treatment, advocates the use of solid off both inside and outside, a corrections gas to strengthening the economy, two more sour drugs to grabbing yin solid off. Traditional Chinese Medicinal devaluation acid convergence, astringent solid off "traditional Chinese medicine theory, to use Xiaozhiling injection in the treatment of this disease.③in combination therapy, in patients with for severe rectal mucosa prolapse, the poor results of conservative treatment, Professor Zhao Baoming advocate the use of PPH joint straight the submucosal Xiaozhiling injection treatment.In short, rectal prolapse is the exception of the rectum anatomical structures, leading to outlet obstruction defecation disorders and related clinical symptoms, is both the cause and the result. Most patients with rectal prolapse is accompanied by pelvic floor lesions synergies between pathogenic. Reasonable choice of treatment depending on the stage of onset, treatment is necessary to attach importance to the advantages of traditional Chinese medicine treatment, a need for reasonable use of surgical treatment.