The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
권호 표지
DOI QR코드

DOI QR Code

Korean Medicine Treatment for Patients with Grade I-III Hemorrhoids (Goligher Classification): A Case Series

Goligher 분류상 1기-3기에 해당하는 항문질환 환자의 한의치료 증례군보고

  • Kim, Chan-young (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Daejeon University) ;
  • Seoung, Kang-uk (Haniro Network of Korean Medicine Clinic) ;
  • Ahn, Hae-in (Guideline Center for Korean Medicine, National Institute for Korean Medicine Development) ;
  • Yoon, Young-heum (Guideline Center for Korean Medicine, National Institute for Korean Medicine Development) ;
  • Kim, Nam-kwen (Guideline Center for Korean Medicine, National Institute for Korean Medicine Development)
  • 김찬영 (대전대학교 한의과대학 심계내과학) ;
  • 성강욱 (하니로 한의원 네트워크) ;
  • 안해인 (한국한의약진흥원 한의표준임상진료지침개발사업단) ;
  • 윤영흠 (한국한의약진흥원 한의표준임상진료지침개발사업단) ;
  • 김남권 (한국한의약진흥원 한의표준임상진료지침개발사업단)
  • Received : 2020.11.30
  • Accepted : 2020.12.28
  • Published : 2020.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Background: Hemorrhoid surgery is a frequently performed surgery in Korea, second only to cataract surgery. However, it has serious complications, including bleeding, infection, anal stenosis, and urinary retention, so active conservative therapies are in need at an early stage. Case summary: Thirteen patients with anal disease complained of main symptoms of pain, bleeding, and prolapse, with additional complaints of itching and mucus discharge. An herbal medicine mixture of Eulja-tang and Hwangryeonhaedok-tang was administered twice daily, and dry cupping therapy, acupuncture, and hot pack placements were administered on pelvic and sacral regions once weekly for four weeks. The symptoms were evaluated before and each week after the treatments. The treatments had statistically significant therapeutic effects. Conclusion: Korean medicine treatment-effectively alleviating the symptoms of anal disease, such as pain, bleeding, and prolapse-may represent an alternative therapy for conservative treatments in the early stages of anal disease.

Keywords

References

  1. Lee DY, Yoo IH, Park JG. Clinical Observation of Post-Hemorrhoidectomy Course. Ann Surg Treat Res 1982;24(11):1225-32.
  2. Kim KS, Park GS. A Clinico-Statistical Analysis of Various Anal Disorders. Ann Surg Treat Res 1989;36(4):522-8.
  3. Rhyu HY, Kim JH, Kang NP. A Clinical Observation on 143 Cases of Hemorrhoids. Ann Surg Treat Res 1991;41(1):100-6.
  4. National Health Insurance Service. Main Surgery Statistical Yearbook for 2018. 2019.
  5. Lorenzo-Rivero S. Hemorrhoids: Diagnosis and current management. Am Surg 2009;75(8):635-42. https://doi.org/10.1177/000313480907500801
  6. Rivadeneira DE, Steele SR, Ternent C, Chalasani S, Buie WD, Rafferty JL. Practice parameters for the management of hemorrhoids (Revised 2010). Dis Colon Rectum 2011;54(9):1059-64. https://doi.org/10.1097/DCR.0b013e318225513d
  7. Im SU. Literary Studies on Treatment of Hemorrhoid. J Orient Med surgery, Ophthalmol Otolaryngol 1992;5(1):121-9.
  8. Kim PS, Roe SS. A Literature Study on Haemorrhoid and Fistula ani. J Orient Med surgery, Ophthalmol Otolaryngol 1995;8(1):99-112.
  9. No HC, No SS. A Literatural study on the hemorrhoids and hemorrhoids complicated by anal fistula. J Orient Med surgery, Ophthalmol Otolaryngol 1997;10(1):284-305.
  10. Lee SU, Ko WS. A litertatual studies on the chi-jil. J Orient Med surgery, Ophthalmol Otolaryngol 1999;12(1):313-37.
  11. Lee SY, Seo HS. The Literatual Study on the external therapy and irrigation-therapy of hemorrhoids. J Korean Orient Med Ophthalmol Dermatology 2006;19(3):90-102.
  12. Chung SY, Kim YB. Two Cases of Hemorrhoid Treated with SaAhm Acupuncture. J Orient Med Ophthalmol Otolaryngol Dermatology 2003;16(3):252-9.
  13. Yang JM, Seung JH, Kim D Il, Lee, Tae K. A case report about enlarged hemorrhoid in pregnency and delivery. J Orient Obstet Gynecol 2003;16(4):220-6.
  14. Lee SI, Cho MS, Lee SJ, Jeong JK. A Case Study of Chronic Anal Fissure Treated With Chijasi-tang and Counseling. Herb Formula Sci 2015;23(1):161-9. https://doi.org/10.14374/HFS.2015.23.1.161
  15. Lee JH, Oh MJ. A Case Study of Four Hemorrhoid Patients Treated by Korean Medical Treatment. J Intern Korean Med 2018;39(2):209-16. https://doi.org/10.22246/jikm.2018.39.2.209
  16. Hong HJ, Lee SK, Lee HB, Lee CW. The Analysis of Korean Medicine treatment for Ptosis. J Korean Orient Ophthalmol 2019;32(1):1-15.
  17. Park SG, Kim HG. A clinical study of hemorrhoids. Ann Surg Treat Res 1992;43(2):591-9.
  18. Goligher JC. Surgery of the Anus, Rectum and Colon. 4th editio. London, United Kingdom: Bailliere Tindall; 1980.
  19. Banov LJ, Knoepp LJ, Erdman L, Alia R. Management of hemorrhoidal disease. J S C Med Assoc 1985;81(7):398-401.
  20. Khan MA, Chowdri NA, Parray FQ, Wani RA, Mehraj A, Baba A, et al. Coloproctology hemorrhoids. J Coloproctology 2020;40(4):398-403. https://doi.org/10.1016/j.jcol.2020.05.012
  21. Junior CWS, de Almeida Obregon C, da Silva E Sousa Junior AH, Sobrado LF, Nahas SC, Cecconello I. A new classification for hemorrhoidal disease: The creation of the "BPRST" staging and its application in clinical practice. Ann Coloproctol 2020;36(4):249-55. https://doi.org/10.3393/ac.2020.02.06
  22. Rorvik HD, StyrK, Ilum L, McKinstry GL, Dragesund T, Campos AH, et al. Hemorrhoidal disease symptom score and short health scaleHD: New tools to evaluate symptoms and health-related quality of life in hemorrhoidal disease. Dis Colon Rectum 2019;62(3):333-42. https://doi.org/10.1097/dcr.0000000000001234
  23. Michele Rubbini SA. Classification and guidelines of hemorrhoidal disease: Present and future. World J Gastrointest Surg Submit 2019;11(3):117-21. https://doi.org/10.4240/wjgs.v11.i3.117
  24. Otake M, Yoshimura A, Maeda H, Ito Y, Ueda K, Dokura J, et al. A Case of Inflammation of the Lips Successfully Treated with Otsujito. Kampo Med 2013;64(5):261-4. https://doi.org/10.3937/kampomed.64.261
  25. Suzuki T, Saito T, Soeta N, Kaneko A, Iseki C, Sahashi Y, et al. Otsujito Found Effective in Enterocutaneous Fistula after Trying Other Kampo Treatments. Kampo Med 2017;68(2):127-33. https://doi.org/10.3937/kampomed.68.127
  26. Kim DH, Park SJ, Jung JY, Kim SC, Byun SH. Anti-inflammatory Effects of the Aqueous Extract of Hwangnyeonhaedok-tang in LPS-activated Macrophage Cells. Korean J Herbol 2009;24(4):39-47.
  27. Ha SH, Park CA, Park SJ. Antibacterial effect of Hwangnyeonhaedok-tang on mircoorganisms. J Ease-West Med 2018;43(2):9-17.
  28. Doo HK, Park HJ. A Pharmaological Study of Whangryonhaedoktang. Kyung Hee Univ Orient Med J 1982;5:102-14.
  29. Park BC, Kim HY, Kim KY, Yang JH, Kim KH, Do HJ, et al. A Comparative Clinical Study on the Effect of Hwangryunhaedok-tang in Gastritis Treatment. Herbal Formula Science 2020;28(2):157-67. https://doi.org/10.14374/HFS.2020.28.2.157
  30. An JH, Choi EY, Lee SH, Park IS, Lim SW. Effects of Hwangryunhaedoktang on DDS-induced Colitis. J Korean Med 2006;27(2):182-95.
  31. Gan T, Li Y, Wang Y, Yang J. Traditional Chinese medicine herbs for preventing bleeding from haemorrhoids. Cochrane Database Syst Rev 2010;(10):CD006791.
  32. Jensen L, Harling H, Tange G. The natural history of symptomatic haemorrhoids. Int J Colorectal Dis 1989;4(1):41-4. https://doi.org/10.1007/BF01648549
  33. Mott T, Latimer K, Edwards C. Hemorrhoids: Diagnosis and Treatment Options. Am Fam Physician 2018;97(3):172-9.
  34. Alonso-Coello P, Guyatt GH, Heels-Ansdell D, Johanson JF, Lopez-Yarto M, Mills E, et al. Laxatives for the treatment of hemorrhoids. Cochrane Database Syst Rev 2005;(4):CD004649.
  35. Lang DSP, Tho PC, Ang ENK. Effectiveness of the Sitz bath in managing adult patients with anorectal disorders. Japan J Nurs Sci 2011;8(2):115-28. https://doi.org/10.1111/j.1742-7924.2011.00175.x
  36. Yeo D, Tan KY. Hemorrhoidectomy-making sense of the surgical options. World J Gastroenterol 2014;20(45):16976-83. https://doi.org/10.3748/wjg.v20.i45.16976
  37. Altomare DF, Giuratrabocchetta S. Conservative and surgical treatment of haemorrhoids. Nat Rev Gastroenterol Hepatol 2013;10(9):513-21. https://doi.org/10.1038/nrgastro.2013.91

Cited by

  1. A Literature Review on the Evidence that Hemorrhoids Were Included in the Efficacy of LU6 vol.38, pp.4, 2020, https://doi.org/10.14406/acu.2021.024