1 Contribution of Traditional Chinese Proctology 1
1.1 Disease Name and Its Origin 1
Notes 1
1.2 Historical Study of the Anorectal Anatomy 2
1.3 Historical Study of the Anorectal Physiology andPathology 3
1.4 Understanding of the Etiology of Hemorrhoid 4
1.5 Differentiation of Syndromes 5
1.5.1 Classification 5
1.5.2 Symptoms and Signs,Pulse and the Diseased Meridians 7
1.6 Treatment 8
1.6.1 Internal Treatment 8
1.6.2 External Treatment 14
1.6.3 Acupuncture,Moxibustion and Daoyin 18
1.7 Care and Prevention 19
2.1.1 Lateral Position 21
2.1.2 Prone Position 21
2.1.3 Lithotomy Position 21
2 Examination for Anal-Rectum Diseases 21
2.1 Position of Patients 21
2.1.4 Knee-Chest Position or Knee-Elbow Position 22
2.1.5 Flexed-Knee Supine Position 22
2.1.6 Squatting Position 22
2.1.7 Standing-Bowing Position 22
2.1.8 Inverted Position 22
2.1.9 Ride-prone Position 23
2.2 Procedure for Examination 23
2.2.1 Asking 23
2.2.4 Anoscopy 24
2.2.5 Probing Examination 24
2.2.2 Looking 24
2.2.3 Finger Diagnosis 24
2.2.6 Localization of the Internal Opening of theCryptus Hook 25
2.3 Case Writing Record and Examination Record 26
2.3.1 Special Case History Record form Can Be Used 26
2.3.2 Requirement for Case History Record 26
2.3.3 Diagrams Commonly Used for Partial Examination,Code and Its Meaning 29
3.1.3 Method 31
3.1.1 Point Selection 31
3.1.2 Preparation before Acupuncture Anesthesia 31
3.1 Acupuncture Anesthesia 31
3 Anesthesia of Anus and Rectum 31
3.1.4 Advantage and Drawback 32
3.2 Local Anesthesia 32
3.2.1 Suitable for Hemorrhoid and Fistula Operationin Generai 32
3.2.2 Method of Anesthesia 32
3.3.3 Anesthetic Method 33
3.3.2 Commonly Used Anesthetics 33
3.3.1 Indications 33
3.3 Yaoshu (DU2)Anesthesia 33
3.2.4 Advantage and Disadvantage 33
3.2.3 Requirements 33
3.3.4 Anesthetic Effect 34
3.3.5 How to Apply Anesthesia to Yaoshu (DU2) 35
3.4 Other Kinds of Anesthesia 41
3.4.1 Lumbar Anesthesia 41
3.4.2 Lumbosacral Epidural Anesthesia of Spinal Cord 41
3.4.3 Refrigeration Anesthesia and General Anesthesia 41
3.4.4 Intravenous Anesthesia and General Anesthesia 41
4.1.1 Pre-Operative Preparation 42
4.1 Pre-and-Post-Operative Management of Anorectal Surgery 42
4 Pre-and-Post-Operative Management of Anorectal Surgery and Handling of Post-Operative Reaction and Complications 42
4.1.2 Ptst-Operative Management 43
4.2 Handling the Post-Operative Reaction and Complications 46
4.2.1 Pain 46
4.2.2 Bearing-Down Pain 47
4.2.3 Urinating Disturbance 48
4.2.4 Hemorrhage 50
4.2.5 Fever 58
4.2.8 Slow Healing of the Wound 59
4.2.7 Eczema and Dermatitis 59
4.2.6 Local Swelling 59
4.2.9 Stricture of Anus and Fecal Incontinence 60
5 Hemorrhoid 61
5.1 Etiology and Pathogenesis 61
5.1.1 Integrated Internal Factors 61
5.1.2 Local External Factors 61
5.2 Clinical Manifestations 62
5.2.1 Classification 62
5.2.2 Symptoms and Signs 65
5.3 Diagnosis and Differential Diagnosis 66
5.2.3 The Involved Meridians and Their Relationship 66
5.4 Clinical Treatment 67
5.4.1 Internal Treatment 67
5.4.2 External Treatment 68
5.4.3 Acupuncture and Magnetic Therapy 99
6 Anorectal Peripheral Abscess 100
6.1 Etiology and Pathogenesis 100
6.2 Clinical Manifestations 101
6.3.2 External Treatment 102
6.3.1 Internal Treatment 102
6.3 Treatment 102
7 Anal Fistula 103
7.1 Etiology and Pathogenesis 103
7.2 Clinical Manifestations- 104
7.2.1 Classification 104
7.2.2 Symptoms and Signs 107
7.3 Diagnosis and Differential Diagnosis 108
7.3.1 Asking 108
7.3.2 Looking 108
7.3.3 Palpation 110
7.3.5 Anoscopy and Anal Crypt Hook Examination 112
7.3.4 Probe Examination 112
7.3.6 Fistulous Pipe Staining Method 114
7.3.7 Roentgenography 115
7.3.8 Rules to Know the Relation between the Inner and OuterOpenings and the Trend of Fistula 116
7.3.9 Pathological Section Examination 118
7.4 Clinical Treatment 120
7.4.1 Internal Treatment 120
7.4.2 External Treatment 120
8.1 Etiology and Pathogenesis 135
8 Anal Fissure 135
8.1.1 Factors of Anatomy 136
8.1.2 Inflammation 136
8.1.3 Mechanical Injury 136
8.1.4 Other Factors 137
8.2 Clinical Manifestations 137
8.2.1 Stage Classification 137
8.2.2 Symptoms and Signs 138
8.3 Diagnosis and Differential Diagnosis 139
8.4.1 Internal Treatment 140
8.4 Clinical Treatment 140
8.4.2 External Treatment 143
8.4.3 Acupuncture and Magnetotherapy 150
9 Proctoptoma 151
9.1 Etiology and Pathogenesis 151
9.1.1 The Theory of Sliding Hernia 151
9.1.2 The Theory of Intussusception 152
9.2.1 Classification 153
9.2 Clinical Manifestations 153
9.2.2 Symptoms and Signs 156
9.3 Diagnosis and Differential Diagnosis 158
9.3.1 Diagnosis 158
9.3.2 Differential Djagnosis 163
9.4 Clinical Treatment 164
9.4.1 Internal Treatment 164
9.4.2 External Treatment 164
9.4.3 Acupuncture Therapy 176
10.2.1 Classifications 177
10.2 Clinical Manifestations 177
10 Rectal Polyp 177
10.1 Etiology and Pathogenesis 177
10.2.2 Symptoms and Signs 180
10.3 Diagnosis and Differential Diagnosis 180
10.4 Clinical Treatment 182
10.4.1 Internal Treatment 182
10.4.2 External Treatment 182
11.1.1 Physical Exercises 185
11.1.3 Proper Diet 185
11.1.2 Keeping off Anget and Worry 185
11.1 Prevention of Hemorrhoids 185
11 Prevention of Anorectal Diseases 185
11.1.4 Having Regular Bowel Movements Every Day 186
11.1.5 Keep Hygiene of the Anus 186
11.1.6 Massage and Anus-Lifting Exercise 186
11.1.7 Daoyin 190
11.2 Prevention of Anal Fistula 190
11.3 Prevention of Anal Fissure 191
11.4 Prevention of Prolapse of Rectum 192
11.5 Prevention of Rectal Polyp Formula Index 194
The English-Chinese Encyclopedia of Practical TCM (Booklist) 390