I. Overview Anal cryptitis is an acute and chronic inflammatory disease of the anal sinus and anal valve, also known as sinusitis. Due to the chronic stimulation of inflammation, it is often complicated by anal papillitis and anal papilla hypertrophy. Its clinical characteristics are anal discomfort, moisture, pain, and secretion. Because the symptoms are mild and inside the anal canal, it is easy to be ignored by patients and doctors. Anal cryptitis is the main infection foci causing anorectal diseases, according to statistics, about 85% of anal carbuncle, anal leakage, anal fissure, anal papilloma, etc. is caused by anal sinus infection, so the early diagnosis and treatment of this disease has a positive significance. 2. Etiology 1. Dampness-heat infiltration is often caused by uncontrolled diet, excessive consumption of alcoholic beverages, spices, spicy and spicy biscuits, frequent admonition of Len, and constipation, which may cause damage and poisoning. Yin deficiency and internal heat are caused by heat and toxins that burn the fluids, resulting in a loss of yin and fluids. Western doctors believe that the cause of anal cryptitis is due to the anatomical characteristics of the anus caused by the anal sinus is prone to inflammation. The structure of the anal sinus is cup-shaped, with the opening facing upward, which not only has poor drainage, but also is easy to accumulate fecal sludge, so that the secretion of the anal glands is obstructed. Easy bacterial reproduction, bacteria from the bottom of its invasion to the anal glands, causing inflammation of the anal sinus, followed by other anorectal diseases. Diagnosis (a) Clinical manifestations The disease can occur at any age, mainly in young adults, more women than men. 1.Anal discomfort Patients have no obvious symptoms in the early stage, but often have the feeling of incomplete defecation, foreign body sensation in the anus and a sense of falling, accompanied by a sense of urgency and heaviness in serious cases. 2.Pain There may be stabbing pain, when defecation due to fecal pressure on the anal sinus, may feel the anal pain aggravated, usually not very intense, disappear within a few minutes. If the sphincter muscle is stimulated by inflammation and contracture, the pain will be intensified, and there may be a short period of paroxysmal stabbing pain, or the pain lasts for several hours, and in severe cases, it may spread to the buttocks and the posterior side of the femur. 3, moisture, secretion Due to the inflammation of the anal sinus, anal valve to increase secretion; inflammatory edema of the surrounding tissues, resulting in anal atresia incomplete exudation. Make the anus moist and itchy. Acute phase is often accompanied by constipation, feces often with a little mucus, this mucus in the feces before the outflow, sometimes mixed with blood. If the complication of papillary hypertrophy, and prolapse from the anus, can make the anus moist and itchy aggravated. 4, rectal fingerprinting can be found in the anal opening tightness, burning sensation in the anus. There is obvious pressure, hardness or depression at the inflamed anal sinus, and the enlarged and painful anal papilla can be touched. (B) other auxiliary examination 1, anoscopy can be seen inflamed anal sinus and anal valve congestion, edema, swollen anal papillae, crypts have purulent secretion or red granuloma swelling. 2.Probe examination When the anal sinus is probed with a probe, it can be probed into the deeper part of the anal sinus and pus is discharged. Treatment Early on, it is advisable to clear away dampness and heat, diarrhea and detoxification, and antibiotics can be added if necessary. If the disease recurs, the formation of local abscess, surgery should be used to cure. (A) internal treatment 1, damp-heat injection Symptoms: anal swelling discomfort, or burning pain, exacerbated by defecation, fecal folder sticky jelly, may be accompanied by anxiousness, anal wet itching, accompanied by dry mouth, constipation; tongue red, moss yellow and greasy, pulse slippery or stringy. Treatment: clearing away heat and removing dampness, activating blood circulation and relieving pain. Prescription: Add subtractions of Pain Relieving Ruoshen Tang. Dry stool with rhubarb, flaxseed and peach kernel. 2, Yin deficiency and internal heat Symptoms: anal discomfort, vague pain, aggravated by defecation, anal mucus overflow; night sweating, dry mouth, constipation; red tongue, yellow moss or less moss, fine pulse. Treatment: nourish Yin, clear heat, cool Blood and relieve pain. Prescription: Cooling the Blood, adding subtractions to Di Huang Tang. (B) external treatment method 1, fumigation with bitter ginseng soup, dispel poison soup, thorns and other decoction, first smoked and then washed, 2 times a day. 2, plugging various kinds of hemorrhoid suppositories such as anti-inflammatory pain suppositories (indomethacin), hemorrhoids Ning suppositories (beauty of ZuoZhouDong), PuJi hemorrhoids suppositories, taiNing suppositories (Angle pickled fat), MaYingLong hemorrhoid suppositories, anus tai suppositories, etc., daily after the bath into the anus, 2 times a day, or with red oil cream, jiu hua cream, comfrey ointment (comfrey, blood exhaustion, dahuric dahurica, angelica, and other made of ointment), anus tai ointment, taiNing ointment (Angle Pickled fat), ma yinglong musk Hemorrhoidal ointment, Longzhu ointment, moist burns cream, etc., 1~2 times a day, applied into the anus. （Surgery is recommended for those who have become pus in the anal sinus, or those who are accompanied by papillae hypertrophy or hidden fistula. 1, incision and drainage method is suitable for simple anal cryptitis into pus; or hidden fistula. 2, excision method for anal cryptitis with anal papilla hypertrophy. (D) other therapies 1, antibiotic anal cryptitis is usually caused by Escherichia coli infection, but also Mycobacterium avium subspecies, Mycobacterium tuberculosis and so on. According to the different kinds of infected bacteria, the corresponding drugs can be given, and drug sensitivity test can be done if necessary. 2, Chinese medicine retention enema to clinicians in long-term clinical practice screened out the effective formula as the basis, clinical evidence with the evidence of addition and subtraction of the use of, such as flavored Huanglian detoxification soup, self-proposed bitter ginseng diwuaijiao soup, self-proposed red ice soup and other enemas for the treatment of sinusitis, the therapeutic effect is satisfactory. Chinese medicine retained enema, can avoid gastrointestinal malabsorption caused by the decline in efficacy and drug stimulation of gastrointestinal stimulation of adverse reactions than the oral cavity to the gastrointestinal absorption is more rapid, so that the drug directly to the place of disease, to achieve the purpose of recovery. 3, acupuncture, massage, etc. Take Changqiang, by the waist Yu (waist Yu point next to the open 1 inch, each side of a point), the second s, Chengshan, large intestine Yu acupuncture treatment of sinusitis, the first needle Changqiang point, the tip of the needle and the sacral caudal bone parallel to the stab into the 1.5-2 inches, there must be a feeling of numbness and distension radiated towards the rectal part. After obtaining qi from paracolic acupuncture, 2cm moxa sticks were inserted into the needle handle and warm moxibustion was performed for 1-2 strengths, and the remaining yu points were needled once in 5 minutes after obtaining qi, and the needles were left in place for 40 minutes. After starting the needle in the second s, the side of the waist Yu points on the piercing cupping, stay cupping 10 minutes, treatment every other day, 10 times for a course of treatment. Can also be used to massage therapy for the treatment of sinusitis, the patient to take the lateral position, liquid paraffin as a lubricant, the left and right thumbs alternately for the anus localized circular kneading, the technique from light to heavy, with the kneading with the anal gently pushed, the degree of lightness and severity of the technique in order to the patient’s sense of comfort or can tolerate to the degree. Each time 30min, 5d for 1 course of treatment, general treatment 1-3 courses. 4.Physical therapy Using Kant CW-II microwave therapy instrument (Shenzhen McMann Medical Instrument Co., Ltd.) treatment: the microwave probe coated with paraffin oil is inserted into the anus about 6-7cm, with a power of 25W, 30min/times, 1 time/d, 1 week for a course of treatment. Physiotherapy head should be fixed in the appropriate position, adjust the dose so that the patient feels warm and comfortable appropriate, there should be no burning sensation. Can also use 2GZ-straight intelligent anorectal therapy machine (produced by Hefei microcomputer) treatment, 40min / times, 1 time / d, set the temperature of 44 ℃, after the treatment of the anus into the homemade Jiuhua cream. 1 time / d, 10 times for a course of treatment. V. Prevention and conditioning The disease can be cured if it is properly treated at the early stage. If early failure to timely treatment, or improper treatment, inflammation is not controlled can be secondary to anal carbuncle, anal leakage, anal fissure, anal papilloma and other diseases. Prevention and care: 1, keep the bowel movement and anal cleanliness. 2, timely treatment of constipation, diarrhea and other diseases. 3, anal hemorrhoids, anal fissure, anal leakage lesions should be timely treatment.