Hemorrhoid’s are formed from the venous plexuses in the anal canal which help with stool control. In the physiological state, these vascular structures act as a cushion that aid the passage of stool. They become pathological when swollen or inflamed under higher and persistent local pressure. This higher pressure could be due to the continuous forced bowel movement (especially when in constipation), pregnancy, and big pelvic tumors. Anal gland and perianal infection can also cause periphlebitis, leading the loss of elasticity and the expansion into the hemorrhoid vein. The symptoms of haemorrhoids depend on the type present. Internal haemorrhoids usually present with painless rectal bleeding while external haemorrhoids present with pain in the area of the anus [[i]].
According to Chinese medicine, haemorrhoids can become symptomatic due to the following patterns [[ii]]:
- Damp-heat in the bladder channel: bleeding with fresh red blood, pain, redness and swelling, frequent, urgent, burning urination with dark/yellow/turbid urine, thirst with no desire to drink, hypogastric fullness and pain, a feeling of heat, thick, sticky-yellow tongue coating, and slippery, rapid pulse
- Qi stagnation and blood stasis in the bladder channel: bleeding with dark blood, pain and swelling, difficulties in passing motions, hypogastric distension and pain, purple tongue and wiry pulse.
- Spleen qi deficiency or spleen qi sinking: bleeding with fresh red blood, no pain but more a down bearing sensation, poor appetite, sight abdominal distension especially after eating, tiredness & lassitude, pale complexions, weakness of limbs, loose stools, possible organ prolapse, pale tongue and empty pulse.
- Liver-fire: bleeding with fresh or dark red blood, burning pain and swelling, headache, red face, dizziness, tinnitus, irritability, anger outbursts, thirst, bitter taste in the mouth, constipation, dark urine, red tongue with red sides, and dry yellow coating, wiry and rapid pulse.
The Treatment for Haemorrhoids Could Possibly Have Three Aspects:
- An internal treatment to balance Yin and Yang and hence stop the hemorrhoid’s from becoming symptomatic in the first place (constitutional treatment)
- A symptomatic treatment to stop bleeding, ease pain, improve bowel motions, and improve distension and other discomfort and
- An external, topical application to help the recovery of the local varicose veins, secretions, itching and inflammation.
We have recently created an external cream based on Chinese herbs to help ease the discomfort associated with hemorrhoid’s. Other natural external applications could be Witch Hazel, Horse Chestnut, Ginger Root and Butchers Broom as well as others.
There are good outcomes of Acupuncture treatments for hemorrhoids. Your local practitioner can give you more information on this topic. So, always mention to your practitioner that you are suffering from hemorrhoids as it helps greatly in making a Chinese medicine diagnosis more accurate.
 Diagnosis in Chinese Medicine: A Comprehensive Guide, Giovanni Maciocia, 2004