Although anal swelling, pain and incomplete defecation can be seen in a variety of diseases, but the clinical is still the most common proctitis, anal sinusitis, proctitis often have anal swelling (or distension, pain, pain), incomplete defecation, poor or unpleasant performance and abdominal pain, cramps and other manifestations, the etiology is unknown, recurrent episodes. Microscopic features: in the acute stage, the mucosa is often swollen and hypertrophic, with rough granules on the surface and may be erosion with mucus; in chronic proctitis, the mucosa is dry and grayish, and a vascular network is visible under the mucosa. In the case of exclusion of organic lesions we can target treatment: a. Western medicine treatment: according to the specific circumstances of the patient, such as rectal irritation symptoms can be used as appropriate antibiotics, with oral medication to regulate intestinal function to improve the distribution of intestinal flora, such as bifidus trituberculosis capsules 2-3, 3 times / day. Optional suppositories 1-2 times/day. Some patients need to be treated with medication to adjust the neurological function. 1, damp-heat injection: Mostly seen in long diarrhea and dysentery, after wine and meat, after anorectal surgery. Damp heat in the intestine is not cleared, or stagnation in the anus, the Qi is not smooth, so the anus is swollen, the urgency is heavy, the number of bowel movements increases, the desire to defecate is not solved or incomplete, sometimes with red and white sticky jelly. Damp-heat obstructs the Qi flow, so the chest and epigastrium are full and stuffy; damp-heat steams upward, so the mouth is dry and bitter; damp-heat injects downward, so the urine is yellow and red. The tongue is yellow and greasy, and the pulse is slippery. Treatment is to clear heat and dampness, the formula with Gentiana Macrophylla Cangzhi combined with Gentian Liver Diarrhea Tang plus or minus, commonly used drugs: (please apply under the guidance of doctors) Gentiana Macrophylla 10g, Saponaria 12g, Cangzhi 10g, Fangfeng 15g, Huangbai 15g, wine Angelica 20g, Zeligia 10g, Penelope 10g, Shu Dahuang 5g, Diyu 10g, Houpu 10g, Bai Shao 15g, Penelope 10g, Qiangwu 1. 2, Qi stagnation and blood stasis. Most often seen after anal surgery, or hemorrhoids hair swelling and pain, the symptoms are seen in anal cramps. Qi stagnation is irregular bowel movements, with astringent pulse; blood stasis is dark blood in the stool, or with blood clots, purple and dull tongue, with petechiae and astringent pulse. The treatment is to move Qi and invigorate Blood, and the formula is Blood Mansions and Blood Stasis Tang with addition and subtraction. Commonly used drugs: 10g of peach kernel, 12g of soapberry, 10g of atractylodes, 15g of wind, 10g of cypress, 20g of angelica, 10g of zedoary, 10g of betel nut, 6g of cooked rhubarb, 10g of mitsubishi, 10g of curcuma. 3, liver qi stagnation: mostly caused by depression and anger, liver failure to regulate, qi loss of drainage, resulting in liver qi stagnation. Emotional disorders, liver depression suppressing the spleen, loose stools or frequent stools, or laxatives sour, pasty, mixed with mucus, dullness, chest tightness, sour belching, withered face, fatigue. The tongue is pale, with greasy or white coating and a weak or slippery pulse. The treatment is to harmonize the spleen and stomach, promote clearing and lowering turbidity. The formula is Ginseng and Atractylodes Macrocephalae with addition and subtraction, and Shengyang and Dampness Removal Soup. Qiangwu 10, pig ling 10, poria 10, carpenter 15 packets, atractylodes 20, asclepias 10, paper shell 10, cinnamon 10, party ginseng 15, licorice 6 4, liver depression spleen deficiency: liver qi stagnation, dysfunctional drainage, can lead to stagnation of qi and blood, or cross grams of spleen earth, spleen loss of health, water and dampness phlegm drink blocking the intestinal tract, qi and blood stagnation and the development of anal cramps. It can be seen as follows: abdominal pain, diarrhea, diarrhea but not smooth, pain decreases after diarrhea, thin stool or mucus, intestinal tinnitus and vexation, painful distension in the chest and dizziness, and joyful tai-hui, the condition often changes due to mental factors. The tongue is thinly coated with white fur and the pulse is stringent or thin. Treatment is to dredge the liver and regulate qi, relieve depression and benefit the intestines. This formula is based on the formula for pain and diarrhea with addition and subtraction. Chen Pi 10, Feng Feng 15, Bai Zhu 20, Bai Shao 30, Chai Hu 10, Xiang Shen 10 5, spleen and kidney deficiency: kidney division before and after the two yin, the spleen is the main health, but with the help of kidney Yang warmth, so there is “spleen Yang root in the kidney” said, its pathology is often mutual influence, mutual cause and effect. The deficiency of both spleen and kidney is caused by internal cold, water-dampness and phlegm-drink are not transformed, and they are injected into the intestinal tract and cause anal swelling, which can be seen as follows: pain in the umbilicus and abdomen before dawn, diarrhea with intestinal sounds, mucus in the stool, or mucus in the finished grain, and peace after diarrhea, cold form and cold limbs, white face, continuous abdominal pain, warmth and pressure, soreness and weakness of the waist and knees, not thinking about eating and drinking, light mouth and no thirst. The tongue is pale with white or greasy coating and the pulse is sunken and feeble. This formula is based on Zhen Zhen Yang Dou Tang and Si Shen plus and minus. Drug composition: yam 15, astragalus 30, codonopsis 15, lotus seed 10, atractylodes 10, gorgonian 10, peony 15, bone marrow 10, roasted licorice 6, muxiang 10, cinnamon 4, fried lai-fu ying 10. 6, lung loss of declamation and descent: the lung is the main declamation and descent, through the water channel, the lung and large intestine through the meridians for each other, and become the relationship between the surface, the lung loss of declamation and descent, the intestines make the large intestine conduction function is not normal, and diarrhea. The deficiency of lung qi will lead to the deficiency of cathartic and purgative function of the large intestine, and diarrhea. The deficiency of lung qi will lead to dysfunction of propagation and surrender, resulting in stagnation of qi and blood in the intestinal tract, stagnation of water, dampness, phlegm and drinks, and loss of nourishment in the large intestine, resulting in anal swelling. The identification of the evidence combined with the products that promote the lung and lower the qi, such as orris, almond, aster, etc.. Fourth, the combination of Chinese and Western medicine enema: can be used with Chinese medicine or with Western medicine mixed retention enema, the clinical verification of the acute phase of mucosal edema more satisfactory results. 1.Western medicine: 100ml of saline, 5g of stannous, 160,000 units of gentamicin. Retention enema, 1 time / day temperature to maintain about 38 degrees, retention time of not less than 2 hours. 2, or Chinese medicine: Scutellaria baicalensis, Huanglian, Phellodendron, Severus, Phellodendron, Hauppauge, Paeonia 3 decoction reserved enema, 1 time / day temperature to maintain appropriate, retention time of not less than 2 hours. Fifth, other treatment: such as nutritional diet: can be given high nutrition, low fat, less slag easy to digest diet, yam, white lentils, coix, etc. can be used as food therapy; wine, too spicy, cold and other stimulating food should be controlled. Some patients may have anxiety, depression, tension, insomnia and other psychological changes, serious cases can be given antidepressant treatment. Warm water sitz bath before bedtime after stool. We sometimes give patients moderate amounts with oral Dextran, etc., but because some patients have adverse reactions or contraindications, the dosage and course of treatment need to be recommended according to the patient’s specific situation. Morning dose. Most hospitals above the second level have a neurology department, and patients with insomnia are recommended to be seen at their local hospital. Chinese medicine treatment needs to be combined with the clinical classification of the symptoms and requires information on the tongue, pulse, stool characteristics, etc. The treatment of anal bloating sometimes does require a process. It is a very common condition in anorectal medicine, and there are many patients with the first complaint of anal bloating in the outpatient clinic. Patients often go to the toilet frequently, have incomplete bowel movements, and feel very painful afterwards. Diagnosis: male urinary tract diseases, female pelvic adnexal diseases, vertebral canal and sacrococcygeal, presacral tumors and other diseases need to be excluded. In addition, the most common clinical cause of anal swelling is inflammatory lesions of the anal sinus and rectum, while internal hemorrhoids, internal rectal prolapse, external hemorrhoid prolapse, anal papillomatous hypertrophy, anal papilloma, anorectal neurosis, fecal impaction and low rectal polyps, rectal cancer and other anorectal diseases can be accompanied by symptoms of anal swelling, and even after surgery for anorectal diseases, some patients may also have transient swelling. If the symptoms of anal swelling appear, you should seek early medical attention, go to the anorectal department of the hospital for examination, clear diagnosis and timely treatment to avoid prolongation or worsening of the condition.