Constipation and defecation difficulties are not only difficult to relieve dry stools, but also common clinical defecation disorders such as incomplete defecation and poor defecation, often accompanied by intractable anal swelling, and many patients with the first complaint of anal swelling, incomplete defecation, and heavy weight after urgency in the clinic. Whether from the perspective of the pelvic floor, functional diseases or inflammatory bowel disease, defecation disorders have been one of the most difficult diseases studied in the past two decades, and various tests and treatments of pelvic floor function have been carried out, and even surgical treatment has been promoted for a period of time, but in fact, domestic research has been in a “fragmented But in fact, the domestic research has been in a “separate” state and the results are not uniform. Lu Jie, Department of Anorectal Medicine, Nantong Hospital of Traditional Chinese Medicine For such conditions, first of all, male urinary tract diseases, female pelvic adnexal diseases, vertebral canal and presacral tumors should be excluded. In addition, the most common clinical causes of dyspareunia and anal swelling are inflammatory lesions such as colitis and proctitis, anal sinusitis, etc. At the same time, pelvic floor dysfunction such as internal rectal prolapse, anorectal neurosis, perineal descent pelvic floor spasm, fecal impaction, 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, pain and swelling. Therefore, if symptoms of anal swelling, defecation and defecation disorders appear, you should seek medical attention promptly and early. In addition to sphincter loss and pelvic floor spasm, which sometimes require surgical intervention, a large proportion of patients can be treated or have their symptoms reduced through Chinese medicine. 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 and intestines, 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 not finished, 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 should be to clear heat and dampness, to gentian diarrhea liver soup, Sanmiao Wan and other additive reduction 2, qi stagnation and blood stasis: mostly seen in the anus after surgery, or hemorrhoids hair swelling and pain, symptoms see anal pain. If Qi stagnation is present, the stool is not smooth and unpleasant, and the pulse is stringent; if Blood stasis is present, the blood in the stool is dark, or there is blood clot, the tongue is purple and dull, there are petechiae, and the pulse is astringent. The treatment is to move Qi and invigorate Blood, and the formula is Blood Mansions and Blood Stasis Tang with addition and subtraction. 3, Liver Qi stagnation: Mostly caused by depression and anger, liver loss of regulation, Qi loss of drainage, resulting in liver Qi stagnation. The symptoms include discomfort in the anus, poor bowel movement, depression, fullness in the chest and sighing, etc. The treatment should be to dredge the liver and relieve depression, the formula is selected from Chai Hu Liver Dredging, Prosperity Pill plus or minus. 4, spleen deficiency dampness stagnation: water dampness phlegm drink stagnation intestinal tract, damage the intestinal ligament and develop anal swelling. It can be seen as abdominal pain, diarrhea, diarrhea and unpleasant, yaggy loose stools or frequent stools, or diarrhea sour and rotten, the quality of many paste, mixed with mucus, dullness, chest tightness, belching sour and rotten, the face is atrophy and weak, 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 Ling Bai Zhu San and Sheng Yang De Damp Tang plus or minus. 5, liver depression, spleen deficiency: liver qi stagnation, dysfunctional drainage, can cause stagnation of qi and blood, or cross the spleen earth, spleen loss of health, water, dampness, phlegm and drink stagnation of the intestinal tract, qi and blood stagnation and the development of anal swelling. 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. 6, spleen and kidney deficiency: kidney division before and after the two yin, the spleen is the main health, but must be warmed by the kidney Yang, 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. The formula is Zhen Zhen Yang Dou Tang and Si Shen plus or minus. 7, the lung is not declaring and descending: the lung is responsible for declaring and descending, regulating the water channel, the lung and the large intestine through the meridians for each other, and the relationship between the surface and the inside, the lung is not declaring and descending, the intestines make the large intestine conductive function is not normal, and diarrhea occurs. 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 bloating. Identify the evidence and combine the products that promote the lung and lower the qi, such as mandarin, almond and apricot.