Integrated Traditional Chinese and Western Medicine for the Treatment of Hemorrhoidal Fistula The Shanghai Fourth Hospital has a number of district-level non-hereditary inheritors

Oriental Network reporter Wang Yongjuan, correspondent Chen Xiaqiong and Xiao Xin reported on December 13: "I must write it down myself, otherwise I can't express my gratitude to the doctors!" A few days ago, Mr. Fu, a 60-year-old who lives in Shanghai's Baoshan District, came to the Shanghai Fourth People's Hospital affiliated to Tongji University and gratefully sent a letter of thanks written with a brush to Liang Linjiang and Zhong Shenglan, director of the Anorectal Department of Traditional Chinese Medicine of the hospital.

It turned out that Mr. Fu had pain and discomfort without obvious causes 3 months ago, and after two weeks of treatment in various hospitals, he did not see any improvement, and his symptoms gradually worsened and had a certain impact on urination and defecation, which was unbearable. Later, he was introduced by a friend to the Department of Anorectal Medicine of Traditional Chinese Medicine of Shanghai Fourth Hospital. The 5th generation of the Hemorrhoids of The Collins, Shanghai grassroots famous traditional Chinese medicine, the development consultant of the Department of Anorectal Science of Traditional Chinese Medicine Liang Linjiang, after Mr. Fu's physical examination, was diagnosed with an anorectal periorectal abscess, but the patient's perianal surface skin is not abnormal, considering that the abscess is located in the deep perianal part of the anus, the condition is very complicated, and surgical treatment is required after magnetic resonance imaging.

It is understood that disease to hemorrhoids, fistula, fissures as common, according to China's latest epidemiological statistics of anorectal disease, China's adult population over 18 years old disease incidence of 50.1%, hemorrhoid prevalence of 49.1%, compared with the British (13-36%), the United States (5%) and other developed countries have a higher prevalence. The cognitive rate of patients with anorectal diseases in China is only 48.1%, and the medical treatment rate is only 28%. 78% of the residents have not been exposed to the scientific knowledge of anorectal health, 46% of patients think that hemorrhoids are minor diseases that do not need to be fussed, 24% of patients think that hemorrhoids involve privacy and are embarrassed to seek medical treatment, up to 64.8% of patients have not taken any treatment measures after the onset of the disease, and 81% of patients with anorectal diseases (including: rectal polyps, rectal cancer and other diseases) have a family history of diseases.

Director Liang said that complicated fistula is a difficult disease in diseases, and improper treatment can easily lead to treatment failure and recurrence, or cause damage to function and appearance deformation. According to the literature, 5% to 10% of complicated fistulas cannot be cured. The Department of Traditional Chinese Medicine Anorectal Medicine of Shanghai Fourth People's Hospital originated from the Lin's Hemorrhoid department with a century-old heritage, known for the surgical treatment of complex fistula, and was awarded the certificate and medal of the former Ministry of Health in 1958 for its characteristic technology and outstanding curative effect. Lin's hemorrhoids are bold and sophisticated in the treatment of complex fistula, the treatment method is adapted with the evidence, and the flexible use of hanging threads (including rubber bands), sutures, bridges, truncation and other methods with pipe incision, the cure rate of low-level complex fistula is 100%, the cure rate of high-level complex fistula is more than 95%, and there are no sequelae of incontinence after surgery.

After Mr. Fu was admitted to the hospital, the MAGNETIC resonance examination found that the abscess crossed the external sphincter to the isagus rectal fossa at 1 cm of the tooth line and involved part of the gluteus major muscle, and the abscess also extended upward along the sphincter space, involving the left levator ani muscle; the inner mouth was located at the 6-point tooth line, which was clearly diagnosed as a left transsphincter-type high complex fistula.

Director Liang introduced that the difficulty of Mr. Fu's treatment is that the pipeline has a large range of influence, the extension position of the branch tube is high, and improper treatment will cause incontinence and deformation. After full discussion, the TCM anorectal team formulated a low-level incision and high-level hanging line for it, with a fractional surgical treatment plan for oral drainage. The operation was presided over by Director Liang Linjiang, and the medical team was formed by the 6th generation of Lin's Hemorrhoids, Chief Physician Zhong Shenglan, Chief Physician of the Department of Proctology of Traditional Chinese Medicine, and Dr. Xu Hao, the backbone of young physicians.

The first surgery was successfully completed as planned, and with the analgesia of the anesthesiology department, Mr. Fu spent the night of the operation safely. At the same time, the team gave full play to the advantages of external medicine of traditional Chinese medicine, and used the special external drugs of the department (with the effect of removing saprophytic muscle and promoting the healing of sores) to change the medicine regularly, the traditional Chinese medicine sitz bath and wash, and the oral detoxification, detoxification, blood and gas of the traditional Chinese medicine to escort the healing of the wound. In the postoperative recovery process, the department adheres to the characteristics and advantages of traditional Chinese medicine, attaches equal importance to internal and external use, and creates good physical conditions for rapid recovery. Subsequently, Mr. Fu completed two surgical treatments, and finally completely removed the fistula, and ensured the patient's function and good appearance.

Throughout the treatment process, the medical team solved the problems of postoperative pain, incision of incision canal drainage, protection of function and shape, so that Mr. Fu came with doubts and worries, and returned satisfied.

Director Zhong Shenglan told reporters that Director Liang Linjiang has been engaged in traditional Chinese medicine anorectal clinical for 56 years, and has implemented nearly 50,000 cases of diseases such as hemorrhoids, fistulas and fissures, and has formed a complete and unique set of integrated traditional Chinese and Western medicine surgical treatment methods, especially for cyclic mixed hemorrhoids and complex fistulas. At present, the traditional hemorrhoidal fistula treatment of Lin's Hemorrhoids has been included in the intangible cultural heritage protection project of Hongkou District, and the Lianglinjiang Shanghai Grassroots Famous Chinese Medicine Studio has been established, the inheritance team is gradually expanding, and the traditional technology is also being further promoted, hoping to better relieve the pain of disease patients.

【Source: Orient Network】