TCM Diagnosis for Hemorrhoids, red tongue, thin yellowish coating

Hemorrhoids

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TCM Diagnosis for Hemorrhoids

In TCM, a disease or a symptom might be caused by one pathogenic factor, even two or three pathogenic factors. When diagnosing a disease or a symptom, TCM doctors must follow the principle of "Syndrome Differentiation", and then "Suit the Remedy to the Case". In order to gain a right and valuable diagnosis, it's important and necessary for the doctor to learn the detailed health information of the patient, including his/her disease duration, age, sex, height, weight, family history, urine, stool, diet, sleep, sweat, energy, mood (emotion), as well as the tongue conditions and the palm conditions, etc. If you would want our expert to create a TCM diagnosis, please fill out the health form as requested.

Diagnostic Essentials for Hemorrhoids in Chinese medicine:
1. Internal Hemorrhoid
It is mostly seen in the adults. Primarily, painless hematochezia is a main symptom. Blood is not mixed with stool and hemorrhage is intermittent. It is often induced or aggravated by alcohol drinking, fatigue and constipation. A hemisphere eminence and congestion can be seen on the mucous membrane above the dentate line in examination. Mter hemorrhoid is enlarged, it can come out of the anus in defecation. If it does not come back promptly, it is possible to form an incarceration and even necrosis. It is often divided into three phases in accordance with different severity.

Phase I: Hemorrhoid is comparatively small and does not come out of the anus, mainly characterized by hematochezia.
Phase II: Hemorrhoid is comparatively large and may come out of the anus in defecation and come back by itself after defecation, manifested by more or less hematochezia.
Phase III: Hemorrhoid is more larger and can come out of the anus in defecation, and even in walking, cough, sneezing and standing. It cannot come back by itself and must be pushed back by a hand, or horizontal position and warm compress, characterized by little hematochezia or no hemorrhage.

2. External Hemorrhoid of Connective Tissue
It is formed by proliferation and hypertrophy of the connective tissue in the skin of the plicae of the anal border. There is no varicose plexus inside hemorrhoid and a sensation of foreign body in the anus is its main symptom.

3. Varicose External Hemorrhoid
It is formed by blood stasis, varicosis, dilation and proliferation occurring in the venous plexus outside hemorrhoid, to form a round or ovary or rectangle lump in the partial skin of the anal border. It is mostly accompanied by internal hemorrhoid.

4. Thrombotic External Hemorrhoid
It is formed by rupture, clot coagulation and thrombosis in the veins outside hemorrhoid, characterized by sudden serious pain and dark purple lump in the anus.

5. Mixed Hemorrhoid
It is caused by varicosis and convergence of external and internal hemorrhoids with the symptoms of both external and internal hemorrhoids.