Chinese medicine identification treatment for bleeding hemorrhoids

Patient Liu XX, female, 88 years old. She was admitted to the hospital with “mixed hemorrhoids” as an outpatient due to “recurrent intermittent blood in the stool for 4 years, aggravated for 4 days”. The patient had long-standing blood in the stool, weakness and weakness, accompanied by hard and uncomfortable stool, and the hemorrhoid nucleus prolapsed during stool, which needed to be retracted after rest. On anal examination, the anterior hemorrhoid nucleus was seen to be congested and elevated, and then prolapsed out of the anus with the anoscope. The patient had multiple previous illnesses, including hypertension grade 3, a very high risk group, cervical spondylosis, and lumbar disc herniation. Considering the patient’s old age and frailty, we gave the patient conservative treatment. Based on the tongue and pulse, the patient was identified as having blood deficiency with wind injury to the intestinal ligaments. We prescribed: Diyu charcoal 30g Dihuang 18g Scutellaria baicalensis 12g Rhubarb 10g Peach kernel 10g Fire marijuana 30g Sophora japonica 15g Phellodendron spp. 30g Astragalus 30g Palm charcoal 15g Dangpi 10g Glycyrrhiza glabra 10g White peony 15g 5 doses, blood decreased after the medicine. The second prescription Diyu Char 30g Dihuang 18g Scutellaria 12g Rhubarb 6g Sophora japonica 20g Fire Hemp Seed 30g Sophora Flora 15g Phellodendron Bark 30g Astragalus 30g Palm Char 15g Tiger Balm 18g Glycyrrhiza Glabra 10g Deerbit 18g Xianhecao 15g 5 doses, the blood stopped after the medicine. The patient was satisfied with the therapeutic effect.