Abstract
PATIENT PROFILE
Mr. Ye, male, 40 years old, first consultation on April 10, 2021. The patient reported a sudden onset of perianal redness, swelling, and pain 2 days prior, accompanied by chills and fever, as well as constipation with hard stools.
PERIANAL EXAMINATION
At the 2 o’clock position in the lithotomy position, the anal margin was red, slightly elevated, tender to touch, with no palpable fluctuation. The tongue was red with a yellow and greasy coating, and the pulse was taut and tight.
MERIDIAN EXAMINATION
No reactive points were found near Yinjiao (GV 28), but two small, millet-grain-sized pustules were observed on the acupoints of Danshu (BL 19) and Sanjiaoshu (BL 22). These pustules were slightly raised and displayed a deep red hue.
PRELIMINARY DIAGNOSIS
Hemorrhoids (due to the accumulation of damp-heat and toxic pathogenic factors in the perianal area).
TREATMENT
The picking treatment was performed with a three-edged needle at the acupoints of Danshu (BL 19) and Sanjiaoshu (BL 22), where additional fibrous tissue was punctured and a small amount of blood was expressed. Subsequently, moxibustion was applied at the Changqiang (GV 1) point for a duration of 20 minutes.
On April 11th, there was a noticeable reduction in the perianal swelling and discomfort, yet the stools remained dry and hard, accompanied by the presence of a small amount of fresh blood. Acupuncture was performed at the Erbai (EX-UE 2) points, followed by cupping and bloodletting at the Dachangshu (BL 25) area post-acupuncture.
By April 13th, the perianal redness, swelling, and pain had markedly diminished, with no further observation of fresh blood in the stool. Acupuncture with 40 mm needles was deeply inserted bilaterally at the Ciliao (BL 32) and Zhibian (BL 54) points to reinforce the therapeutic outcome, with the needle tips directed towards the affected areas and applying strong stimulation. The stool consistency was normal, and there were no further episodes reported up until October 2023.
This research was funded by