Diagnostic basis, symptom classification, efficacy assessment of prolapse Prolapse mainly refers to the mucosa of the rectum or the rectum prolapse, a small number of partial sigmoid colon prolapse can occur, also known as rectal prolapse. 1.Diagnostic basis (1) Mostly seen in defecation or struggle, rectal mucosa prolapse, color reddish, length less than 100px, soft, non-bleeding, can be self-recovery after defecation, anal function is good, for incomplete prolapse. (2) When defecation or abdominal pressure increases. The whole rectum is prolapsed, red in color, 4~200px in length, conical in shape, soft in texture, and the surface is ring-like with layers of mucous membrane folds. After defecation, the rectum needs to be reset by manipulation, and the anal sphincter function decreases, which is complete prolapse. (3) When defecating or increasing abdominal pressure, the whole rectum or part of the sigmoid colon prolapses, the length is more than 200pxi, cylindrical, the funeral surface has shallow ring-like folds, touching is very thick, need to maneuver to reset, the anus is loose, the sphincter function obviously decreases, for the severe prolapse. 2.Classification of symptoms (1) Spleen deficiency and qi trapping: anal mass prolapse during bowel movement, varying in severity and color, light red, accompanied by anal swelling, blood in stool, fatigue, loss of appetite, or even dizziness, tinnitus, lumbar and knee pain and weakness. The tongue is pale, the moss is thin and white, and the pulse is weak. (2) Dampness-heat injection: prolapse of anal swelling, purplish-dark or deep red color, or even partial ulceration of the surface, vesicles, anal pain, burning sensation on anal fingertip examination. The tongue is red, the moss is yellow and greasy, and the pulse is stringy. (1) Cure: disappearance of symptoms and signs, good anal sphincter function. (2) Improvement: symptoms and signs improve. (3) Uncured: no change of symptoms and signs.