Hemorrhoids

//Western Diagnosis// varicosities of veins of hemorrhoidal plexus

often with inflammation, thrombosis, bleeding 1. may be internal or external a. above or below anorectal line b. internal from superior hemorrhoidal plexus c. external from inferior hemorrhoidal plexus

Etiology
1. weakness of veins 2. inc intra-abdominal pressure ---constipation, pregnancy, heavy lifting 3. liver disease - esp. internal ---drainage superior to anorectal line through portal system ---drainage inferior to anorectal line through portal or caval systems

Signs & Symptoms
1. itching, burning, pain, swelling, bleeding 2. often protrude a. manually replaced 3. thrombosis a. painful, hard swelling

Diagnosis
1. inspection 2. rectal exam 3. anoscopy

Treatment
1. add fiber and water to diet: psyllium seed & husk 2. treat liver 3. Kesey technique - positive galvanism: pushes fluids out of the tissue 4. vitamins. E, C, A 5. bioflavonoids 6. herbal washes 7. surgery

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Acupuncture
Er Bai, GV-1, GV-20

General Treatment
-Hot Sitz Bath followed by cold bath -Cold Compress

Dietary Recommendations
High fiber diet to keep stools soft.

Phytotherapeutic Recommendations
-Ginkgo Biloba

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Prescription
Morning: Sorbus Domestica D1, 50-75 drops Evening: Aesculus D1, 50-150 drops