Summary of case history

HE

female

86 years old. The main complaint was "Ring prolapse of internal anal mass with incarceration pain for 3 days". The patient had an anal tumor prolapsed in an annular shape after defecation 3 days ago. The tumor could not be retracted

and the pain was severe. She could not walk. The stool was hard and difficult to pass. No mucus

pus or blood in the stool. No chills or fever

and urination was difficult. Now: The anal tumor prolapsed in an annular shape

with a dark purple color and a size of about 7 cm×8 cm; severe pain

the swelling is obvious

dark purple tongue

yellow fur

and stringy and thin pulse. After receiving the patient

Professor YE Ling diagnosed the patient with ectectal disease caused by Qi stagnation and blood stasis

and treated her with methods of promoting blood circulation and removing blood stasis

promoting Qi and relieving pain. She was given manual reduction treatment assisted by Ziji Oil

sitz bath with Taohong Huayu lotion

and oral Taohong Huayu Decoction. The pain was slightly relieved after reduction

and significantly reduced after 3 days. The prolapsed mass during defecation shrank and turned bright red in color

and could be returned to the anus on its own after defecation. The pain disappeared after 1 week

the mass did not protrude during defecation

and all symptoms were relieved.

TCM diagnosis

　Ectectal disease

syndrome of Qi stagnation and blood stasis.

Western medicine diagnosis

　Incarcerated rectal prolapse.

Therapeutic methods

Including manual reduction

external application of Ziji Oil

sitz bath with Taohong Huayu lotion

and oral administration of Taohong Huayu decoction.

Clinical outcomes

　The pain was slightly relieved after reduction

and significantly reduced after 3 days. The prolapsed swelling during defecation shrank and became bright red in color

and

could be returned to the anus by itself after defecation. The pain disappeared after 1 week

the swelling did not protrude again during defecation

and all symptoms were relieved.