Research progress on the treatment of anal distension caused by qi deficiency and damp-heat type rectal mucosal prolapse with Huangqi Xiaozeng decoction fumigation and washing
黄芪消胀汤熏洗治疗气虚湿热型直肠粘膜脱垂致肛门坠胀的研究进展

摘要

直肠粘膜脱垂（IRP）为临床常见的一种难治性疾病，肛门坠胀为其主要症状，西医学认为发病与胃肠道功能紊乱、长期便秘等密切相关，中医认为其发病与肾气亏虚、中气下陷，湿热蕴结有密切关系。目前临床对于IRP所致肛门坠胀的治疗方法包括西医疗法、中医疗法，西医疗法虽然有一定效果，但存在易反复发作的情况，中医具有安全、疗效确切等优势。较多研究表示中药熏洗在缓解伤口疼痛、肿胀方面有积极作用，对促进患者康复十分重要。本文通过对自拟黄芪消胀汤熏洗治疗气虚湿热型IRP所致肛门坠胀的疗效进行综述，旨在为临床选择治疗方案提供参考，进一步促进患者康复，减少并发症发生。

Abstract

Rectal mucosal prolapse (IRP) is a common and challenging condition in clinical practice, characterized primarily by a sensation of heaviness in the anus. Western medicine attributes this condition to gastrointestinal dysfunction and chronic constipation, while Traditional Chinese Medicine (TCM) links it to kidney qi deficiency, sinking of middle qi, and damp-heat accumulation. Currently, treatments for IRP-induced anal heaviness include both Western and TCM approaches. While Western medicine has shown some effectiveness, it often recurs. In contrast, TCM offers advantages such as safety and proven efficacy. Numerous studies have demonstrated that herbal fumigation can effectively alleviate wound pain and swelling, which is crucial for patient recovery. This article reviews the therapeutic effects of a self-formulated Astragalus anti-hemorrhoidal soup fumigation on IRP-induced anal heaviness in patients with qi deficiency and damp-heat syndrome, aiming to provide a reference for selecting appropriate treatment plans, thereby promoting patient recovery and reducing complications.