Recently young Wang brought his grandmother to the hospital. “My grandmother is 57 years old, usually she is usually relatively idle, and she likes to be alone, especially since her grandfather passed away, she has been in a very bad mood, especially recently, she always said dry stool, anal very uncomfortable, always feel something topping the anal opening, as if the stool is always not clean feeling, wake up at night and have The feeling of stool, in short, feel particularly uncomfortable around the anus, there is a kind of indescribable uncomfortable, and then take him to see a doctor, did a variety of tests, there is no problem, and finally said that it is phytocerebral syndrome, may I ask how this is what is going on?” Xiaowang’s grandmother’s symptoms belong to anorectal functional disorder. We are familiar with cardiac neurosis, gastrointestinal neurosis, and have a general understanding of pharyngeal neurosis, but few people are clear about anal neurosis. Anal neurosis is a neurological disorder that occurs in the vicinity of the anus, and today we will introduce the content of anal neurosis. Anorectal neurosis is a group of syndromes that occur in patients due to plant nerve dysfunction and anorectal nerve dysregulation. This disease is a functional disease of the nervous system with abnormal anorectal sensation as the main complaint. It is most common in people who are usually nervous and suspicious, moody, impatient, or introverted. Patients often feel pain in the anus, burning, swelling, perianal radiating pain, frequent bowel movements, some feel a sense of foreign body obstruction and rectal peristalsis, and in severe cases, anal pain is unbearable, with symptoms of paroxysmal episodes, good and bad, depression or impatience, or even wanting to lighten up, which seriously affects personal and family life, work and study. The most important characteristic of these patients is that although they complain of obvious symptoms, clinical examination of anorectal local examination such as finger examination, anal speculum, e-colonoscopy, pelvic ultrasound, lumbar spine or pelvic CT, magnetic resonance imaging (MRI) and a series of physical and laboratory tests do not show any organic pathological changes corresponding to the self-reported symptoms. Some patients may also have undergone multiple surgeries or local injection closure therapy, etc., but the efficacy is poor and none of them can relieve the symptoms concerned. Clinical case characteristics 1. Patients are often triggered or aggravated by psychological and social stressors. Some of them feel the sensation of crawling ants in the anus, or feel a special odor or dampness in the anus, but no corresponding positive signs and lesions can be found when relevant examinations are carried out. 2.The patient is conscious and thinks normally, and there is no behavioral disorder; however, the individual patient has poor psychological quality and is easily depressed, often accompanied by insomnia, dreaminess, headache, chest discomfort, sighing and other symptoms of neurological weakness and gastrointestinal disorders. 3, the course of the disease is long, the patient is conscious of the disease and actively request treatment, although the condition is long, but generally no significant wasting. The incidence of this type of disease is higher in women than in men, mostly seen in menopausal or near-menopausal women prone to occur. As such patients often due to anorectal disease in the examination, diagnosis and treatment process may have occurred errors, failure or repeated treatment is ineffective and the patient’s spirit stimulated by fear, pessimism, doubt and cause persistent mental tension, long-term internal conflict of mental factors, resulting in excessive tension in the central nervous activity and cause or aggravate the disease. To recover well, psychotherapy is important Patients should first understand the nature of the disease, and rule out tumors, ulcerative colitis, clonorchiasis, dysentery, intestinal tuberculosis and other diseases one by one through barium enema x-ray, endoscopy, stool bacteriological examination and other examinations. After the diagnosis of this disease is clear, the patient’s doubts should be relieved, and the burden of thought and mental tension should be reduced. Secondly, patients should establish an optimistic mood, a good living system, pay attention to the combination of work and rest, and ensure sufficient sleep. Participate in various cultural and recreational activities and physical exercise, such as walking, jogging, gymnastics, swimming, taijiquan, qigong, etc., can well adjust the function of the nervous system, improve the physical and mental state, which is very beneficial to the treatment of the disease. The vast majority of young patients can cure their disease on their own after understanding the disease, improving their mental state and living habits, without the need to take medication. If you don’t pay attention to the mental health, it may not be effective even if you take medicine, and you may easily relapse after being cured. Besides, when patients are nervous and restless, insomnia, they can take sedatives, such as Valium; when abdominal pain and diarrhea, antispasmodics can be used; for plant nerve dysfunction, vitamin B1 can be taken. Sacral nerve electrical stimulation has also achieved good results in the treatment of this disease. Chinese herbal medicine can also be used for symptomatic treatment, which also has good efficacy. In short, do not worry about suffering from this disease, timely correction is assured.