Patient: Description of condition (onset, main symptoms, hospital visited, etc.): Female, 33 years old, in good health, thin! Thinking about it for 2-3 years, daily bowel movements after waking up and then having to have another one after an hour or so. 2 times a day in the morning. The stool is not shaped, not digested, each time squeeze out finger thick length. one morning in December after the second stool get up, anal drip out of fresh blood, a lot, bright red. The stool was not dry, not dry, soft each time: the anal part was untouchable and painful that night, recovering a day later. The last few days have become more and more uncomfortable, at least 3 times in the morning, each time a little comes out, it feels like it’s not finished. The anal area is like something pressing on it. I:1, December 7, ’11 to the local people’s hospital to do electronic colonoscopy. The results are: the mucosa of the posterior wall of the rectum is spotted with congestion, edema, vascular texture is blurred, there is a small amount of dotted erosion, there seems to be external pressure signs, no ulcers and neoplasms are seen. The mucosa of the remaining intestinal segment was bare, with clear vascular texture, and no obvious ulcers, polyps or tumors were seen. Proctitis! 2 External pressure signs on the posterior rectal wall (nature to be determined)? 3 Review if necessary II: After a few days in the People’s Hospital to play ultrasound, liver, biliary, pancreatic, uterus, bilateral adnexa, no abnormalities III: After going to the Chinese hospital for treatment, the specialist said that the rectal posterior wall external pressure sign, suggesting that I take CT. CT results are: good bladder filling, uniform wall, no abnormal density foci and occupying lesions, uterus morphology size and density is normal, no abnormal density shadow. The rectal canal wall was slightly thickened. The pelvic soft tissue space was clear, the pelvic lymph nodes were not enlarged, and no effusion was seen in the pelvis. The wall of the rectal canal is slightly thickened. Further examination is recommended. Please combine with the clinical follow-up. IV: Check the stool, yellow and soft, no abnormalities Want to consult Professor Guan: 1 Is that bleeding from the anus the rectal area? Bright red blood. The doctor examined no internal hemorrhoids. 2 Why is the wall of the rectal canal slightly thickened? Is it cancerous? I don’t know if inflammation of the rectum will cause it to thicken? Do I need to go back for a colonoscopy biopsy? (I had a very painful colonoscopy) 3 What should I do to treat my proctitis? The local doctor only prescribed cephalosporin, bacillus subtilis, and oxybutynin tablets, and after half a month of eating, no change was seen. Today went to the People’s Hospital, the doctor only prescribed baicalin capsules, clostridium typhimurium live tablets. 4 The doctor said this disease is difficult to treat, can it be improved? Doctor: Proctitis treatment: 50ml enema of compound yellow cypress liquid, once a day for 15 days can be, conditions can be oral Chinese medicine. Contact again after treatment Patient: Thank you Professor Guan for replying to me early in the morning in the middle of a busy day! In the morning, I used a bottle of cork mixture to suck up cypress liquid and insert it into my anus for an enema (twice, about 15ml at a time), and now it itches inside my anus, but I can tolerate it. I don’t know if it will be effective? The key is other methods I won’t. In addition, Professor Guan can give me the prescription of Chinese medicine here, I go to the pharmacy to grab the medicine decoction, thank you very much! Doctor: 1, the bottle with the open plug can be, but pay attention to a little sesame oil or hemorrhoid cream first coated, can lubricate the anus inside to prevent irritation. 2, proctitis Chinese medicine prescription: Gentiana macrophylla 9g Phellodendron 6g Atractylodes 6g Zelenia 9g Fenfeng 15g Betel nut 9g Saponaria 10g Chai Hu 6g Angelica 6g Safflower 6g Sheng Ma 6g Citrus aurantium 6g Sophora 9g 6 doses, water decoction, 1 dose a day. Patient: Thank you! Can you tell me if Gentiana macrophylla 9g Radix et Rhizoma Atractylodis Macrocephalae 6g Atractylodis Macrocephalae 9g Fructus Anemarrhenae 15g, is this the amount of one dose or 6 doses? Doctor: One dose. Patient: Professor Guan, I followed your instruction and took the infusion tube enema of compound Phellodendron for more than half a month, and at the same time took Scutellaria capsules orally for 10 days and Allium capsules for 12 days, and my condition has improved very much. Dry vomiting and bloating disappeared. The feeling of anal swelling is 90% better. Only the stool was very soft, indigestible, with a little mucus, and there were occasionally 3-4 tiny blood streaks inside the stool that were not easily detectable. After I stopped taking the medication, I still had a small amount of stool in my anus even though I was having a bowel movement once a day! I know that the disease is not yet stable and the fecal occult blood test is negative. Can you please continue to guide me on how to treat it? Do I need to continue with the compound cypress liquid enema? Or should I take any western medicine? Or should I take oral Chinese medicine? The Chinese herbal remedy you gave above is not convenient to boil during the Chinese New Year, do I still need to change it for this symptom? I would like to ask Professor Guan for guidance, thank you! Doctor: re-check the stool routine to see if the occult blood is positive, if negative, you can take oral Chinese medicine, if positive, you need another colonoscopy.