HEMORRHOIDS

Clinical Manifestations
Treatment Principle
Herb Formulas
Points
  • Bleed every Ahshi point on the back.
  • Bleed every dark spot on the back that does not lose color under pressure
  • Bleed every papule located on the frenulum of the upper lip.
  • Bleed every dark spot on the coccygeal area.
  • Bleed DU-28.
  • Bleed the hemorrhoid directly.
  • Moxa the hemorrhoid directly.
  • For hemorrhoids: DU-1, Erbai, LU-6, PC-4
  • For pain: UB-35, UB-52, UB-57, Yaoqi
Clinical Manifestations
  • Cough with thick, sticky, yellow sputum
  • Sore, red, swollen throat
  • Thirst with a desire to drink cold liquids
  • Runny or blocked nose with thick, yellow discharge
  • Fever with perspiration
  • Slight chills
  • Aversion to Wind
  • Headache
  • Maybe dyspnea with flared nostrils
  • Maybe chest pain
  • T: Red tip
  • C: Thin and yellow
  • P: Superficial and rapid
Treatment Principle
  • Expel Wind
  • Clear Heat
  • Ventilate the Lungs
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Red, sore eyes
  • Difficulty swallowing
  • Nasal congestion and infection
  • Thick, sticky nasal discharge and saliva
  • Bitter taste in the mouth
  • Dry mouth
  • Focal distention in the chest and diaphragm
  • Stifling sensation in the chest and diaphragm
  • Manic behavior
  • Carbuncles
  • Heat rash
  • Headache
  • Acne
  • Chills
  • High fever
  • Restlessness
  • Urticaria
  • Sore throat
  • Swelling of the throat
  • Coughing
  • Reddish urine
  • Dyspnea
  • Vertigo
  • Severe aversion to Cold
  • Skin rashes
  • Skin ruptures or ulcers
  • Tense abdomen
  • Shoulder stiffness
  • Numb extremities
  • Fatigue
  • Constipation
  • Dysuria with reddish urine
  • Dark, rough urination
  • Obesity
  • Fullness of the abdomen
  • Fullness of the epigastrium
  • Heaviness in the head
  • T: Red
  • C: White or Yellow and greasy
  • P: Flooding and rapid or Wiry and slippery or Floating, smooth and rapid or Floating, slippery, rapid and wiry or Floating, slippery, rapid and overflowing
Treatment Principle
  • Disperse Wind
  • Release the Exterior
  • Drain Heat
  • Unblock the bowels
Herb Formulas
Points

Clinical Manifestations
  • Hemorrhoids
  • Alternating chills and fever (not so likely)
  • Restlessness
  • Irritability
  • Continuous vomiting
  • Headache (side of head)
  • Hypochondriac pain
  • Epigastric pain
  • Bitter taste in mouth
  • Digestive disruption
  • Anorexia
  • Nausea
  • Acid regurgitation
  • Burning diarrhea or
  • Constipation
  • Menstrual problems
  • Dry throat
  • Heart pain with vomiting
  • Throat pain
  • Hip pain
  • T: Red
  • C: Thin yellow
  • P: Wiry, forceful
Treatment Principle
  • Harmonize the Liver and Gall Bladder
  • Purge Internal Heat
Herb Formulas
Points
Clinical Manifestations
  • Swelling
  • Slight suppuration
  • Muscle tension
  • Sore throat
Treatment Principle
  • Resolve Phlegm
  • Detoxify
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Dry stools
  • Knotted constipation
  • Mouth parched
  • Sensation of burning heat, swelling and pain of anus
  • Urine short and dark
  • T: Pink
  • C: Yellow and dry
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Purge constipation
Herb Formulas
Points
Clinical Manifestations
  • Knotted constipation or
  • Watery, thin diarrhea
  • Burning hot sensation in the anus
  • Abdominal distention and pain (dislikes pressure)
  • High fever or infantile tidal fever
  • Hands and feet dripping with perspiration
  • Vomiting
  • Irritating thirst
  • Delirium
  • T: Pink, maybe prickles or Red
  • C: Thick, yellow and dry
  • P: Deep and Excess
Treatment Principle
  • Clear Excess Heat with bitter, cold, strong purgative herbs
Herb Formulas
Points
Clinical Manifestations
  • Hemorrhoids with bleeding of fresh red Blood that may precede or follow defecation
  • If bleeding precedes defecation, it may be copious and forcefully ejected from the anus
  • The hemorrhoids may protrude, but are easily reduced
  • There may be pain, distention and/or fullness with defecation
  • Dry stools
  • Knotted constipation or bowel movements once a day
  • Difficulty passing stools
  • Dizziness
  • Bad breath
  • Mouth and throat dry
  • thirst
  • Dry skin
  • T: Red
  • C: Little or Dry and yellow
  • P: Thready and rapid
Treatment Principle
  • Lubricate the Intestines
  • Relieve constipation
Herb Formulas
Points
Clinical Manifestations
  • Bleeding of fresh Blood from the bowel which often precedes the bowel movement
  • The bleeding may follow the passage of stool
  • The bleeding may be alarmingly copious
  • Abdominal pain or
  • Absence of pain, itching, swelling or distention or
  • A burning sensation in the rectum and anus
  • Dry mouth
  • Tendency toward constipation
  • Dry or difficult stools
  • T: Red
  • C: Yellow
  • P: Slippery and rapid or Thready and rapid
Treatment Principle
  • Clear Heat from the Intestines
  • Cool the Blood
  • Stop bleeding
Herb Formulas
  • Huai Jiao Wan modified
  • Huai Hua San modified
  • Topical: Mix 3g Alumen Ming Fan in a little water, dissolve 30g petroleum jelly and mix in the Ming Fan. Place on sterile gauze and insert into the anal canal.
  • Chinese Patent Medicines:
    Yi Zi Tang
    Zheng Gan Zhi Gen Duan

    To stop bleeding:
    Yun Nan Bai Yao

    Shen Tian Qi Pian
    For Intestinal bleeding with Heat: Zhong Gan Zhi Gen Dan
    For Damp-Heat: Huang Lian Jie Du Wan
    With Spleen and Stomach Deficiency: Xiang Sha Yang Wei Wan
Points
  • Ahshi points, DU-1, Erbai, SP-1, ST-25, ST-37, UB-30, UB-32, UB-57
    With pain in the rectum or lower Intestine: + UB-2, UB-52
    With severe bleeding: + PC-4, SP-10
  • Ear:
    1. Large Intestine, Small Intestine, Distal Segment Rectum, Subcortex, Shenmen
    2. Hemorrhoids, Large Intestine, Distal Segment Rectum, Shenmen
Clinical Manifestations
  • Hemorrhoids with bleeding of pale or fresh red Blood
  • The volume of Blood is usually relatively scant, but may be copious on occasion
  • There may be little protrusion and little distention or discomfort
  • Sallow or pale complexion
  • Anorexia
  • Fatigue
  • Lethargy
  • Four limbs feel tired and heavy
  • Physical and mental exhaustion
  • Abdominal and epigastric distention after eating
  • Easily satiated
  • Maybe acid regurgitation or vomiting
  • Loose or unformed stools
  • Shortness of breath
  • Dizziness
  • Light-headedness
  • Blurred vision
  • Poor memory
  • Poor concentration
  • Insomnia
  • Palpitations
  • Anxiety
  • Panic attacks
  • Palpitations
  • Functional Uterine Bleeding
  • Purpura
  • Epistaxis
  • Hemafecia
  • Hematuria
  • Menorrhagia
  • Metrorrhagia
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Thready and weak or Hollow
Treatment Principle
  • Benefit Qi
  • Conserve Blood
Herb Formulas
Points
Clinical Manifestations
  • Protruding hemorrhoids when defecating or when walking, coughing, sneezing or standing for a long time
  • Non-returning hemorrhoids unless assisted manually or by lying down
  • Discharge of pale-colored Blood
  • Forceless defecation
  • Frequent defecation or
  • Enduring diarrhea
  • Fatigue
  • Lassitude
  • Prolapse of one or more organs
  • Sallow complexion
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Even or Soft and thready
Treatment Principle
  • Strengthen the Spleen
  • Benefit Qi
  • Reinforce the Center
  • Invigorate Yang
Herb Formulas
Points
Clinical Manifestations
  • Chronic loose stools or diarrhea which may contain undigested food
  • The stools may be urgent
  • Early morning diarrhea
  • Dark, purplish or pale Blood preceding, following or
  • Black, tarry or Blood-streaked loose stools (the bleeding may also be occult)
  • Dull, persistent abdominal or epigastric cold-pain which improves with warmth and pressure
  • Sallow complexion
  • Anorexia (maybe with vomiting)
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Intolerance to Cold
  • Shortness of breath
  • Cold abdomen
  • Cold limbs
  • Feeling chilled
  • Frequent, clear urination
  • Mental fatigue
  • Weakness
  • Exhaustion
  • Maybe scanty urine with edema
  • Maybe clear, watery vaginal discharge
  • T: Pale, wet and swollen with toothmarks
  • C: Thin and white
  • P: Deep and weak or Deep, weak and slow
Treatment Principle
  • Warm the Center
  • Dispel Cold
  • Nourish the Blood
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • Mild constant epigastric pain; relieved by warmth and pressure
  • Anorexia
  • Abdominal pain and fullness after meals
  • Nausea
  • Vomiting
  • Loose, unformed stools
  • Excessive salivation
  • Cold limbs
  • Lassitude
  • Weakness
  • Sallow or pale, dull complexion
  • Maybe edema
  • Maybe scanty urination
  • Maybe clear, watery, copious vaginal discharge
  • T: Pale
  • C: White and greasy
  • P: Deep, thready and forceless
Treatment Principle
  • Strengthen the Spleen
  • Warm Yang
  • Warm the Center
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Frequent pale, red Blood in the urine
  • Body cold
  • Limbs icy
  • Fatigue
  • Lassitude
  • Lack of strength
  • White and shiny or sallow, yellow facial complexion
  • Low back, knees and abdomen feel cold and painful
  • Lower abdomen feels cold and painful
  • Abdominal distention
  • Dizziness
  • Tinnitus
  • Anorexia
  • Loose stools containing undigested food or
  • “Cock-crow” diarrhea (occurs at about 5 am)
  • Edema of face and limbs
  • Dysuria
  • Bruises easily
  • Bleeding hemorrhoids
  • Melaena
  • Uterine bleeding
  • Severe:
    Abdominal ascites
  • T: Pale, moist and swollen
  • C: Thin and white or White and greasy
  • P: Deep, thready, weak and maybe slow or Soft and moderate
Treatment Principle
  • Warm and Reinforce the Spleen and Kidneys
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Irritability
  • Restlessness
  • Anxiety
  • Flushed face
  • Constipation
  • Abdominal distention
  • Delirious speech
  • Epigastric distention
  • Jaundice
  • Gastric distention
  • Dysenteric disorders
  • Hematemesis
  • Epistaxis
  • Red, swollen, painful eyes
  • Chest oppression
  • Red, swollen ears
  • Restlessness
  • Insomnia
  • Thirst
  • Dark, concentrated urine
  • Tinnitus
  • Hemoptysis
  • Vomiting
  • Shoulder stiffness
  • Suppurative skin infection
  • Tongue and mouth ulcerations
  • T: Red tip
  • C: Yellow and greasy
  • P: Rapid
Treatment Principle
  • Drain Fire
  • Relieve toxicity
  • Drain Dampness
  • Dispel noxious Heat and toxins from the Heart and Stomach
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Insomnia
  • Much dreaming
  • Easily startled
  • Poor memory
  • Four limbs tired and lethargic
  • Loss of appetite
  • Distention and fullness of the epigastrium and abdomen
  • Loose stools
  • Sallow complexion
  • Copious, pale menses
  • Uterine bleeding or
  • Light menstrual flow or
  • Amenorrhea
  • T: Pale
  • P: Thready and weak
Treatment Principle
  • Reinforce and Benefit the Heart and Spleen
Herb Formulas
  • Gui Pi Tang modified
  • Chinese Patent Medicines:
    Gui Pi Wan
    With Cold or Spleen Yang Deficiency: Li Zhong Wan
Points
Clinical Manifestations
  • Abdominal distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: White and greasy
  • P: Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Hemorrhoids
  • Severe, splitting headaches with dizziness
  • Sudden tinnitus or
  • Sudden deafness
  • Flushed face
  • Red, swollen, painful eyes
  • Irascibility with violent angry outbursts
  • Dry mouth
  • Bitter taste in mouth
  • Thirst
  • Vomiting sour or bitter liquid
  • Insomnia
  • Restlessness
  • Constipation or dry stools
  • Maybe rib pain
  • In severe cases:
    Mania
    Hemoptysis
    Hematemesis
    Epistaxis
  • Liver Fire Attacks the Lungs:
    Hemoptysis
    Rib pain which is severe when coughing
  • Liver Fire Attacks the Stomach:
    Hematemesis
  • T: Red tip and edges
  • C: Thick, yellow, dry and rough
  • P: Wiry, Excess and rapid
Treatment Principle
  • Clear the Liver
  • Purge Fire
Herb Formulas
Points
Clinical Manifestations
  • Chronic hemorrhoidal bleeding
  • Maybe hemorrhoidal pain
  • Dizziness
  • Tinnitus or deafness
  • Poor memory
  • Dry mouth
  • Thirst
  • Night sweats
  • Five Sole Heat
  • Malar flush
  • Low grade fever in the afternoon
  • Dry throat, maybe recurrent sore throat
  • Dry stools and/or
  • Constipation
  • Urine short and red
  • Heightened libido
  • Palpitations
  • Insomnia
  • Dry skin
  • Dry hair
  • Paleness
  • Fatigue
  • Scanty periods
  • T: Red or Pink and dry
  • C: Little or None or Thin, white and dry
  • P: Thready and rapid or Weak
Treatment Principle
  • Nourish Yin
  • Nourish Blood
  • Ease defecation
  • Stop bleeding
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Protruding hemorrhoids when defecating
  • Discharge of Blood
  • Sagging, distended and painful anus
  • Difficult defecation
  • Dark, swollen hemorrhoids which are comparatively large with severe pain
  • Abdominal distention and fullness
  • T: Dark purple
  • C: White
  • P: Choppy and wiry
Treatment Principle
  • Regulate Qi
  • Activate the Blood
  • Disperse swelling
  • Transform Stasis
Herb Formulas
  • Tao He Cheng Qi Tang modified
  • Xue Fu Zhu Yu Tang modified
  • Chinese Patent Medicine:
    Xue Fu Zhu Yu Wan
    For bleeding: + Sheng Tian Ji Pian
  • Topical:
    Chinese Patent Medicine:
    Chin Wang Hung
    She Xiang Zhi Chuang Gao
Points
Clinical Manifestations
  • Anemia
  • Uterine bleeding
  • Cold extremities
  • Pale or sallow face
  • Dizziness
  • General fatigue
  • Coarse skin
  • Nocturnal emissions
  • Weak knees
  • Fatigue
  • Dyspnea
  • Night sweats
  • Irregular menstruation
  • Insomnia
  • Intolerance of Cold
  • Decreased eyesight after a prolonged illness
  • Anxiety
  • Intermittent fever
  • Jaundice
  • Deficient cough
  • Shortness of breath
  • Palpitations
  • Anorexia
  • Listlessness
  • Lassitude
  • Spontaneous sweating
  • Spermatorrhea
  • Continuous spotting
  • Leukorrhea
  • Weak legs and knees
  • T: Pale
  • C: Thin and white
  • P: Thready and weak
Treatment Principle
  • Replenish Yang
  • Warm and tonify Qi and Blood
Herb Formulas
Points
Clinical Manifestations
  • Hemorrhoids with relatively severe or continuous anal pain, protrusion, distention and swelling
  • The pain is aggravated during defecation
  • the hemorrhoids a purple and quite large
  • Bleeding may be fresh red or plum colored
  • Dark or purplish spider naevi or broken vessels around the inner ankles and knee
  • Pain in the iliac fossa on palpation, especially around left ST-27
  • Hypochondriac pain, tension or discomfort
  • Dry mouth and throat with no desire to drink
  • Dry, scaly skin
  • A dull, sallow or darkish complexion
  • Dark or purplish lips and conjunctiva
  • Dark rings under the eyes
  • T: Purplish or with purple or brown petechiae with distended sublingual veins
  • C: Little or None
  • P: Thready and choppy
Treatment Principle
  • Activate the Blood
  • Break up Stagnation
  • Regulate Qi
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Hemorrhoids which may protrude beyond the anus
  • Dry stools
  • Difficult defecation
  • May an explosive discharge of fresh Blood from the anus
  • Constipation
  • Abdominal distention or fullness
  • A dry mouth
  • Thirst
  • Dark colored urine
  • T: Red and dry
  • C: Dry and yellow
  • P: Rapid
Treatment Principle
  • Clear Heat
  • Moisten Dryness
  • Cool the Blood
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • Swollen, severely painful hemorrhoids
  • Possible protrusion following defecation which looks dull red in color and ulcerated
  • The protrusion may reduce after defecation or may be manually reduced
  • Discharge of fresh, red or turbid, plum-colored colored Blood which may precede or follow defecation or may coat the stool
  • The hemorrhoids are small, soft and bright red or bluish-purple
  • The bleeding is often copious
  • Difficult defecation
  • A hot, itching or burning distended feeling in the anus, which is worse during defecation
  • Itchy anus
  • Tenesmus
  • Abdominal distention
  • Poor appetite
  • A heavy body
  • Fatigue
  • Thirst
  • Concentrated urine
  • A tendency toward constipation or sluggish, loose stools
  • T: Normal or Red or Red edges
  • C: Slimy and yellow
  • P: Slippery and rapid or Wiry and rapid
Treatment Principle
  • Clear Heat
  • Disinhibit Dampness
  • Dispel Stasis
  • Scatter nodulations
Herb Formulas
Points
Clinical Manifestations
  • Lower abdominal distention and pain (usually on right)
  • Pain increases on pressure with rebound tenderness
  • Guarding of the abdominal musculature
  • Groin pain resembling urinary dysfunction without urinary difficulty
  • Groin pain relieved by flexing hip and knee
  • Groin pain intensified by extending hip
  • Perspiration
  • Irregular or intermittent fever followed by chills and perspiration
  • May be mass in lower right quadrant of abdomen
  • Aversion to Cold
  • Hard lumps
  • T: Pink
  • C: Thin, white or yellow and greasy
  • P: Slippery and rapid or Tight or Wiry and tight or Tight and rapid
Treatment Principle
  • Drain Heat
  • Break up Blood Stasis
  • Activate the Blood
  • Disperse nodules
  • Reduce swelling
Herb Formulas
Points