Research Progress About Chinese And Western Medicine Treatment Of Anal Fissure

Since ancient times.a record of the anal fissure have been included in the category of hemorrhoids.the ancient people believe that it is a form of hemorrhoids.Originally called pulse hemorrhoid.nest’s "theory of various pathogenic syndrome" first discusses the itch pain, bleeding are the symptoms of the disease.To Qing dynasty QiKun hemorrhoid24poems called hook the bowel hemorrhoid, in the description of the disease and symptoms and was close to the modern form.And Qing dynasty Ma Guojie markov anal fistula families seventy-two species, with crack naevus of records, has been very close to the disease of anal fissure.On the etiology and pathogenesis, the ancients view basic consistent, etiology is mainly dry fire. Yin deficiency, blood stasis, syndrome differentiation treatment, the cure is given priority to, within external treatment is complementary, internal and external governance.The surgical method to gist of hemorrhoids cause nothing more than "wind hot dry wet source", is the ancient hemorrhoids diseases (including anal fissure) best summarization.The acupuncture treatment, the Jin dynasty by party a and party b has earlier described Cuanzhu acupoint to treat hemorrhoids pain.On the basis of clinical cases of statistical analysis, to treat modern anal fissure is mainly divided into three type, namely good Joe dry blood, Yin jin kui, qi and blood stasis type, with cold blood, nourish Yin. blood and qi and nourishing Yin, give priority to treatment, the main parties respectively is Liangxue dihuang decoction, Runchang pill. Liumo decoction.In addition, some clinicians applied specially designed drug therapy, such as Yulie decoction, Shaoyao gancao decoction, also has obtained the good curative effect, but now this kind of study is less, further large sample study is needed.ln addition to the treatment, Chinese medicine external treatment more rich, since the application effect is directly, and quick effect. Chinese medicine external treatment method of anal fissure can be divided into Chinese medicine external treatment, anus, fume wash hip bath, acupuncture and massage, hanging line, etc.. within a certain indications can obtain satisfactory therapeutic effect.Of traditional Chinese medicine external treatment, anus, fume wash hip bath the three laws, the most common in ancient times there is more, the modern application is more extensive, such as external treatment with various manufacturers of hemorrhoid creams, anus tai ointment, powder and so on. the anus products in addition to the external use ointment, there are a wide variety of hemorrhoids suppositories and self-made bolt on the market, the fumigation sitz bath cured in ancient times that have special wash fang, modern common remove toxic soup, etc.Western medicine research on the cause of the disease, including these theories:anus injury, local infection, muscle spasms, anus anatomical factors, such as political science and puts forward the theory of embedded plug, think the anus for embedded plug, hinder bowel movements, when defecate is excessive extrusion anal canal, that cause anal fissure.Pathologically, anal fissure is an ischemic ulcers, mainly because of back muscle spasm induced within the anus caused by shortage of blood supply, due to the formation of ischemia spasm-a vicious cycle of more ischemia, and easy to become chronic.Modern classification of anal fissure is varied, there is no unified view in the world.General according to the length of the course, classification, etiology, symptoms and tear properties including phase ii classification stage, three classification, four classification, five type classification, seven kinds of classification, etc.Anal fissure domestic now often divided into acute or chronic anal fissure or early, chronic anal fissure.In2002. held in Xiamen anorectal standing director of professional committee of China association of Chinese medicine as a result of the discussion, anal fissure can be divided into I, II.III three period.In the treatment of western medicine can be divided into non-surgical treatment and surgery.Non-surgical treatment can be divided into local medication, injections, auxiliary therapy.Surgical treatment includes anal sphincter cut, anal fissure resection, expanding anus therapy, sliding skin graft.autologous fat transplantation surgery, etc., including more severe complications of anal incontinence problems for a patient.In recent years, non-surgical therapy research further developed, and the commonly used drugs have botulinum toxin, nitroglycerin, and calcium channel blockers, foreign studies have shown that these treatments can be used as a first-line treatment, most patients can often avoid surgery.Comprehensive above, anal fissure mechanism of etiology is unclear, although there are many theories, but cannot completely explain the formation of all kinds of anal fissure.Polittcal science according to the theory of embedded plug may put into the category of hemorrhoids, anal fissure as complications of hemorrhoids, which is similar to ancient Chinese medicine point of view.Chen theory research can be further discussed, hope to eventually have a good explanation.On treatment, non-operative therapy is more and more attention, western medicine for external use has showed good effect, the doctor of traditional Chinese medicine has some discussions in this aspect, such as party, specially medicine application, but it remains to be further TCM doctor us research.