The definition of hemorrhoids: hemorrhoids and hemorrhoids are conceptually different, hemorrhoids are normal human tissue, is the end of the rectum under the mucous membrane and the anal canal under the skin of the venous plexus; only when the venous plexus is dilated and flexed to form soft venous masses become hemorrhoids, there are internal hemorrhoids, external hemorrhoids, mixed hemorrhoids, there is a serrated line between the anus and rectum called the dentate line, above the dentate line hemorrhoids called internal hemorrhoids, below the dentate line hemorrhoids called The hemorrhoids above the dentate line are called internal hemorrhoids and those below the dentate line are called external hemorrhoids. The reason: 1, anatomical factors: rectal and anal venous blood is from the bottom upward reflux, when people stand, the anorectum is in a low position, due to the role of gravity, impede the venous blood upward reflux. So there is a view that: animals that walk upright will grow hemorrhoids. 2, genetic factors: genetics determine the weakness of the vein wall, resistance to tension performance is poor, easy to expand. 3, physical factors: sedentary, long-term weight-bearing, long squatting toilet time, etc. are obstructing venous reflux. Such as cab drivers, IT personnel sedentary; salesman, teachers standing; mountain farmers with heavy distances and so on. 4, stool irregularities: defecation difficulties, chronic diarrhea are prone to induce hemorrhoids, anatomical and genetic factors are endogenous, stool difficulties are the biggest external cause of hemorrhoid attacks. 5.Dietary disorders: over-eating spicy and stimulating, fried and baked foods, excessive alcohol consumption, etc. 6.Women’s pregnancy, production force. 7, chronic diseases: cirrhosis, cardiac insufficiency, hypertension, coronary heart disease, chronic cough, abdominal tumors, etc. cause portal hypertension and increased intra-abdominal pressure, which hinders venous return. 8, anal infection: proctitis, diarrhea, urinary tract infection, prostatitis can trigger hemorrhoid attacks. Third, the clinical manifestations of hemorrhoids: three major symptoms: blood in stool, pain, and protruding swelling; anemia, internal hemorrhoid ton, mucus outflow, and anal itching are secondary symptoms. Internal hemorrhoids: Internal hemorrhoids are divided into four stages according to their condition. Stage I: just bright red blood in the stool, no swelling protrusion and anal pain. Stage II: Fresh blood under the stool, and the protruding swelling in the anus can be retracted by itself without obvious pain. Stage III: Fresh blood in the stool, prolapsed anal masses need to be held back by hand, and there is discomfort of anal swelling or itching with anal mucus. Stage IV: anal swelling cannot be retracted, edema, swelling and pain. External hemorrhoids: There are connective tissue external hemorrhoids, varicose veins external hemorrhoids, thrombosed external hemorrhoids, inflammatory external hemorrhoids. 1.Connective tissue external hemorrhoids: also known as dermal external hemorrhoids, usually no obvious discomfort symptoms, do not need treatment. 2, varicose veins type external hemorrhoids: usually no obvious symptoms, do not need treatment. 3.Thrombosed external hemorrhoids: the swelling is a subcutaneous thrombus, with painful sensation. 4.Inflammatory external hemorrhoids: Inflammation and edema of connective tissue external hemorrhoids or varicose veins external hemorrhoids cause painful swelling of the swelling. The hemorrhoid is a mixture of both internal and external hemorrhoids. The actual fact is that you will find a lot of people who are not able to get a lot of money for the money. Chinese medicine treatment can overcome these shortcomings, after more than 20 years of clinical verification, 80% of hemorrhoids do not need surgery, through conservative treatment of symptom relief, to achieve the purpose of treatment. Chinese medicine treatment is preferred for elderly and frail patients with multiple chronic diseases, poor heart, liver and kidney function, women with hemorrhoids during pregnancy and lactation, and patients with contraindications to surgery. The biggest feature of Chinese medicine treatment of hemorrhoids is the combination of internal and external treatment. The internal treatment method of Chinese medicine is based on the principle of identification and treatment of Chinese medicine, setting different experience agreement prescriptions, according to the clinical manifestations of hemorrhoids into four types of evidence, respectively set the hemorrhoids Ⅰ, hemorrhoids Ⅱ, hemorrhoids Ⅲ, hemorrhoids Ⅳ. 1.Internal treatment method Wind injury to intestinal ligament type: in order to down fresh blood as the main symptom, in the form of drops, anal pain, swelling prolapse is not obvious, young qi, accompanied by constipation and dry mouth, etc. Treatment: clearing heat and draining wind, cooling blood and stopping bleeding – Hemorrhoid No. Ⅰ formula, applicable to patients with stage I and II internal hemorrhoid bleeding. Spleen deficiency and qi weakness type: the main symptom is prolapse of swelling, or with anemia, fatigue, more common in old age and weakness, treatment: benefit qi to promote, nourish blood to stop bleeding — hemorrhoids Ⅱ formula, suitable for patients with stage II and III internal hemorrhoids. Damp-heat type: thin and soft stools, increased frequency, poor discharge, or sticky and unpleasant, bright-colored blood in stool, dripping down, red tongue, yellow and greasy tongue coating, slippery pulse, mostly accompanied by chronic colitis, whenever there is dietary indiscretion, then diarrhea, blood in stool attacks, treatment: clear heat and dampness, cool blood to stop bleeding — Hemorrhoid No. III formula, for patients with stage I and II internal hemorrhoids bleeding. Damp-heat stagnation type: The main feature is that the swelling cannot be retracted, the nucleus of the hemorrhoid is congested and swollen and painful, or the external hemorrhoid is infected and swollen. Treatment: Clearing heat and dampness, dispelling blood stasis and relieving pain—Hemorrhoid IV formula, for stage IV internal hemorrhoids, inflammatory external hemorrhoids and thrombosed external hemorrhoids. 2, external treatment method: is local medication, the effect is more direct, for hemorrhoid treatment is very important, I mainly use Chinese medicine oral combined with Chinese medicine fumigation sitz bath, Chinese medicine cream external or anal plug these methods to treat hemorrhoids. The actual fact is that you will be able to get a lot more than just a few of the most popular and popular items. External application: clear heat and detoxification, reduce swelling and pain effect, there are Ma Yinglong hemorrhoid cream, eliminating hemorrhoid cream, hemorrhoid pain relief cream (my patent medicine), etc., mainly for inflammatory hemorrhoids, thrombosed hemorrhoids, stoned hemorrhoids. Anal plugs: swelling and pain relief, hemostasis and muscle production effect, there are taining plugs, Ma Yinglong musk hemorrhoid plugs, etc., mainly for internal hemorrhoids bleeding patients. Injection: Sclerosing agent such as eliminating hemorrhoid spirit is injected into the internal hemorrhoid area to treat internal hemorrhoid stage I or internal hemorrhoid II, cannot be used for external hemorrhoids Lancing: Lancing with a skin ring is applied to the root of the hemorrhoid nucleus to make it necrotic and fall off. It is suitable for the treatment of internal hemorrhoids stage II and III, and is prohibited for external hemorrhoids. Acupuncture: Take acupuncture points on the basis of evidence. Commonly used acupuncture points are: Zanzhu, Gum Jiao, Baihuan Yu, Changqiang, Chengshan, suitable for all types of hemorrhoids. Pricking: A treatment method to find the ayurvedic point or hemorrhoid point in the caudal sac, disinfect it and then prick the subcutaneous fibers and squeeze out a little blood, which is effective for bleeding internal hemorrhoids of blood heat type. Dilation: It is usually finger dilation under local anesthesia, easy and effective, and is adapted to internal sphincter spasm type of internal hemorrhoid bleeding. V. Surgical treatment: Hemorrhoid surgery has to have strict indications and contraindications. Indications: Internal hemorrhoids stage II, III, fibrous internal hemorrhoids, mixed hemorrhoids and circumferential mixed hemorrhoids for which conservative treatment is ineffective; Contraindications: 1. embedded hemorrhoids, perianal skin infections; 2. hemophilia, thrombocytopenia, poor coagulation, severe anemia, leukemia patients; 3. hypertension, heart disease, poor cardiac function; 4. abnormal liver and kidney function, nephritis uremia, cirrhosis ascites, hypoproteinemia; 5. Women during pregnancy and lactation; 6. Cold and fever, infectious diarrhea; 7. Infectious diseases such as: tuberculosis, hepatitis A, etc.