Name of formula: Dahuang Yuanming Decoction
【Function and Indications】
Clears heat and dries dampness, activates blood circulation and relieves pain. Used for anal sinusitis. 【Formula Composition】
Dahuang (rhubarb) 20 grams, Yuanmingfen (mirabilite) 50 grams, Huang Lian (Coptis) 20 grams, Huang Bai (Phellodendron bark) 20 grams, Ru Xiang (frankincense) 20 grams. Decoct to yield 400 ml. Administer via enema twice daily, 40–60 ml each time, retain in rectum for 20 minutes.
【Differential Diagnosis and Modification】
No modifications needed.
【Clinical Efficacy】Treated 10 cases, all recovered.
【Source of Formula】Zheng Rixin, Traditional Chinese Medicine Hospital of Tongliao City, Inner Mongolia Autonomous Region.
【Comment】Anal sinusitis is a common origin of various anorectal diseases; improper management may lead to perianal abscess, hemorrhoid fistula, anal papillitis, or anal fissure. Using traditional Chinese medicine retention enema for anal sinusitis delivers medication directly to the site, allowing direct absorption by intestinal mucosa, achieving rapid therapeutic effect compared to oral administration, and simpler than surgical treatment, thus more acceptable to patients.
<Anal Sinusitis>