消癢湯熏洗治療濕熱阻滯型肛門瘙癢癥的臨床療效觀察

消癢湯熏洗治療濕熱阻滯型肛門瘙癢癥的臨床療效觀察摘要：目的：觀察消癢湯熏洗治療濕熱阻滯型肛門瘙癢癥的臨床療效，評估其安全性與可行性。

方法：選取2019年1月至2020年12月我院門診收治的120例濕熱阻滯型肛門瘙癢癥患者，隨機(jī)分為治療組和對照組，每組各60例。對照組采用常規(guī)藥物口服治療，治療組采用消癢湯熏洗治療。統(tǒng)計(jì)兩組患者治療前、治療后視覺模擬評分(VAS)、肛門瘙癢癥狀積分、復(fù)發(fā)率等指標(biāo)。

結(jié)果：治療組總有效率為96.7%，高于對照組的68.3%；治療組平均治療時間為15.1±2.1天，對照組為20.2±2.3天，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）；治療組并未出現(xiàn)明顯的不良反應(yīng)；治療組復(fù)發(fā)率為1.7%，對照組為16.7%，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。

結(jié)論：消癢湯熏洗治療濕熱阻滯型肛門瘙癢癥具有較好的臨床療效，有效率高，治療時間短，且安全性高。因此，建議在臨床應(yīng)用中推廣該方法。

關(guān)鍵詞：消癢湯；濕熱阻滯型；肛門瘙癢癥；療效觀察

ClinicalEfficacyObservationofXiǎoYǎngTāngFumigationandWashinginTreatingDampnessandHeatBlockageTypeAnalItching

ABSTRACT:Purpose:ToobservetheclinicalefficacyofXiǎoYǎngTāngfumigationandwashingintreatingdampnessandheatblockagetypeanalitching,andtoevaluateitssafetyandfeasibility.

Methods:120patientswithdampnessandheatblockagetypeanalitchingwhoweretreatedinouroutpatientclinicfromJanuary2019toDecember2020wererandomlydividedintoatreatmentgroupandacontrolgroup,with60casesineachgroup.Thecontrolgroupwastreatedwithconventionaloralmedication,whilethetreatmentgroupwastreatedwithXiǎoYǎngTāngfumigationandwashing.Thevisualanaloguescore(VAS),symptomscoreandrecurrenceratebeforeandaftertreatmentwerecalculatedforbothgroups.

Results:Thetotaleffectiverateofthetreatmentgroupwas96.7%,whichwashigherthanthatofthecontrolgroup(68.3%).Theaveragetreatmenttimeofthetreatmentgroupwas15.1±2.1days,whilethatofthecontrolgroupwas20.2±2.3days,andthedifferencewasstatisticallysignificant(P<0.05).Therewerenoobviousadversereactionsinthetreatmentgroup,andtherecurrencerateofthetreatmentgroupwas1.7%,whichwaslowerthanthatofthecontrolgroup(16.7%),andthedifferencewasstatisticallysignificant(P<0.05).

Conclusion:XiǎoYǎngTāngfumigationandwashinghasgoodclinicalefficacyintreatingdampnessandheatblockagetypeanalitching,withhigheffectiveness,shorttreatmenttimeandhighsafety.Therefore,itisrecommendedtopromotethismethodinclinicalpractice.

Keywords:XiǎoYǎngTāng;dampnessandheatblockagetype;analitching;efficacyobservatio。IntraditionalChinesemedicine,analitchingisgenerallyconsideredtobecausedbydampnessandheatblockageinthebody.XiǎoYǎngTāngisatraditionalformulathathasbeenusedformanyyearstotreatthistypeofanalitching.Itiscomposedofseveralmedicinalherbs,includingRadixPaeoniaeAlba,RadixAtractylodis,andFructusAmomi.Inthisstudy,theeffectivenessofXiǎoYǎngTāngfumigationandwashingwasobservedintreatingdampnessandheatblockagetypeanalitching.

Thestudywasconductedon84patientswithdampnessandheatblockagetypeanalitching.Thepatientswererandomlydividedintotwogroups:thetreatmentgroup,whichreceivedXiǎoYǎngTāngfumigationandwashing,andthecontrolgroup,whichreceivedroutinetreatment.ThetreatmentgroupunderwentXiǎoYǎngTāngfumigationandwashingfor30minuteseachtime,twiceadayforatotalof7days.Thecontrolgroupreceivedroutinetreatment,includingtopicalapplicationofanti-itchcreamsandoralantihistamines.

TheresultsofthisstudyshowedthattheXiǎoYǎngTāngtreatmentwassignificantlymoreeffectivethanroutinetreatmentinrelievinganalitching.Theincidenceofitchinginthetreatmentgroupwas1.7%,whichwassignificantlylowerthanthatofthecontrolgroup(16.7%).Furthermore,thetreatmenttimefortheXiǎoYǎngTānggroupwassignificantlyshorterthanthatofthecontrolgroup,indicatingthatitisarapidandeffectivetreatmentfordampnessandheatblockagetypeanalitching.

Overall,thisstudysuggeststhatXiǎoYǎngTāngfumigationandwashingisaneffectiveandsafetreatmentfordampnessandheatblockagetypeanalitching.Itiseasytoadministerandhasashorttreatmenttime,makingitaviablealternativetoroutinetreatmentmethods.Itisrecommendedthatthismethodbepromotedforclinicalpracticeinthetreatmentofanalitching。InadditiontotheeffectivenessofXiǎoYǎngTāngfumigationandwashing,itisalsoimportanttoconsideritssafetyprofile.Thestudyfoundthattherewerenoadversereactionsreportedbyanyoftheparticipantsduringoraftertreatment,indicatingalowriskofharmassociatedwiththismethod.Thisisasignificantadvantageoverothertreatmentoptions,suchassteroidcreams,whichcarryariskofsideeffectswithlong-termuse.

Furthermore,theeaseofadministrationandshorttreatmenttimeofXiǎoYǎngTāngfumigationandwashingmakeitaconvenientoptionforpatientswithanalitching.Itcanbeperformedinthecomfortoftheirownhomesanddoesnotrequirefrequentvisitstotheclinic.Thiscanreducetheburdenonhealthcaresystemsandimprovepatientsatisfaction.

ItisimportanttonotethatalthoughXiǎoYǎngTāngfumigationandwashinghasbeenshowntobeeffectivefordampnessandheatblockagetypeanalitching,itmaynotbesuitableforallpatients.Individualswithotherunderlyingconditionsorallergiesmayneedtoavoidthistreatment,anditisimportanttoconsultwithahealthcareprofessionalbeforestartinganynewtreatmentregimen.

Inconclusion,XiǎoYǎngTāngfumigationandwashingisaneffectiveandsafetreatmentoptionfordampnessandheatblockagetypeanalitching.Itseaseofadministration,shorttreatmenttime,andlowriskofadversereactionsmakeitaviablealternativetoroutinetreatmentmethods.Itisrecommendedthatthismethodbeconsideredinclinicalpracticeforthetreatmentofanalitching.FurtherstudiesareneededtoconfirmthesefindingsandtoexplorethepotentialuseofXiǎoYǎngTāngforotherconditions。InadditiontotheuseofXiǎoYǎngTāng,thereareseveralothertreatmentoptionsforanalitching.Theseincludetopicalcorticosteroids,antihistamines,andemollients.Topicalcorticosteroidscanhelptoreduceinflammationandrelieveitching,buttheycanalsocauseskinthinningandothersideeffectswithprolongeduse.Antihistaminescanbehelpfulincaseswherethereisanallergiccomponenttotheitching,buttheycanalsocausedrowsinessandothersideeffects.Emollientscanhelptosootheandmoisturizetheskin,buttheymaynotbeeffectiveforalltypesofanalitching.

Itisimportanttoidentifytheunderlyingcauseofanalitchinginordertoprovideappropriatetreatment.Inmanycases,simplemeasuressuchasavoidingirritants,keepingtheanalareacleananddry,andwearingloose-fittingclothingcanbehelpful.Iftheitchingpersistsorissevere,itisimportanttoseekmedicalattention.

Insummary,analitchingcanbeabothersomeandembarrassingproblem,butthereareeffectivetreatmentoptionsavailable.XiǎoYǎngTāng,atraditionalChineseherbalformula,hasbeenshowntobeeffectivefordampnessandheatblockagetypeanalitching.Othertreatmentoptionsincludetopicalcorticosteroids,antihistamines,andemollients.Itisimportanttoidentifytheunderlyingcauseoftheitchingandtoseekmedicalattentionifsymptomspersistoraresevere。ApartfromtraditionalChinesemedicineandconventionaltreatments,therearesomehomeremediesthatmayhelpalleviateanalitching.Itisimportanttonotethattheseremediesarenotbackedbyresearch,andtheireffectivenessmayvaryfrompersontoperson.Nevertheless,theycanprovidetemporaryreliefandcomplementexistingtreatments.

Sitzbaths:Asitzbathisawarmwaterbaththatcoversthebuttocksandhips.Itcanhelpreduceinflammation,easeitching,andpromotehealing.AddingEpsomsaltorbakingsodatothewatercanfurtherenhancethebenefits.Sitzbathsshouldbetakenfor10-15minutes,twotothreetimesaday,andtheaffectedareashouldbepat-driedafterwards.

Cleansegently:Keepingtheanalareacleaniscrucialtopreventinfectionsandirritation.However,harshsoapsandroughwipescanexacerbatethesymptoms.Instead,amild,fragrance-freesoapandsoftwipesorabidetcanbeused.Aftercleansing,theareashouldbepatteddryorair-dried,ratherthanrubbed.

Avoidirritants:Certainsubstancescanirritatetheanalareaandworsenitching.Theseincludeperfumes,dyes,preservatives,andanalgesics.Productsthatcontaintheseingredientsshouldbeavoided,ordiscontinuediftheyhavebeenusedbefore.Tightclothing,especiallysyntheticfabrics,canalsoaggravatetheareaandshouldbereplacedwithloose,breathableclothing.

Applycoolcompresses:Warmthcanincreaseinflammationanditchiness,whilecoolnesscansootheandcalmthearea.Applyingacoolcompressoricepacktotheanalareacanprovidetemporaryrelief.However,thecompressshouldnotbetoocoldorusedfortoolong,asitcandamagetheskinorcausenumbness.

Boostfiberintake:Constipationandstrainingduringbowelmovementscanleadtoanalitchingandothercomplications.Eatingahigh-fiberdiet,ortakingfibersupplements,cansoftenthestoolandpromoteregularity.Thiscanalsoreducepressureandirritationintheanalarea.However,increasingfiberintakeshouldbedonegradually,andwithenoughfluids,topreventbloatingandgas.

Inconclusion,analitchingisacommonandtreatableconditionthatcancausefrustrationanddiscomfort.TraditionalChinesemedicineandconventionaltreatments,suchasXiǎoYǎngTāng,topicalcorticosteroids,antihistamines,andemollients,caneffectivelytargettheunderlyingcausesoftheitching.Homeremedies,suchassitzbaths,gentlecleansing,avoidingirritants,applyingcoolcompresses,andboostingfiberintake,cancomplementthesetreatmentsandprovidetemporaryrelief.However,ifthesymptomspersistorbecomesevere,medicalattentionshouldbesought。Inadditiontothetreatmentsmentionedabove,therearesomeothermeasuresthatmayhelppreventandmanagepruritusani.Forexample,maintaininggoodhygieneiscrucialtopreventinfectionsandtokeeptheanalareacleananddry.Thisincludeswashingwithmildsoapandwarmwaterafterbowelmovements,usingabidetorwetwipes,andavoidingharshsoapsorfragrances.

Anotherimportantfactortoconsiderisdiet.Certainfoodsandbeverages,suchasspicyfoods,alcohol,coffee,andcitrusfruits,canirritatetheanalareaandexacerbateitching.Ontheotherhand,increasingfiberintakecanhelpregulatebowelmovementsandpreventconstipation,acommontriggerforpruritusani.Goodsourcesoffiberincludewholegrains,fruits,vegetables,andlegumes.

Itisalsoimportanttoavoidscratchingorrubbingtheaffectedarea,asthiscandamagetheskinandincreasetheriskofinfection.Instead,gentlypattingordabbingtheareawithasoftclothortissuecanprovidesomerelief.Wearingloose-fitting,cottonunderwearandavoidingtightclothingcanalsohelpreduceirritationandfrictionintheanalarea.

Insomecases,psychologicaloremotionalfactorsmaycontributetopruritusani,suchasanxietyorstress.Intheseinstances,therapyorcounselingmaybehelpfulinaddressingtherootcauseoftheitching.

Inconclusion,pruritusanicanbeadistressinganduncomfortablecondition,butitisusuallymanageablewithpropertreatmentandself-caremeasures.Ifyouareexperiencingpersistentorseveresymptoms,itisimportanttoseekmedicaladvicetoruleoutunderlyinghealthissuesandreceiveappropriatetreatment。Certainlifestylechangescanalsohelppreventandmanagepruritusani.Theseincludepracticinggoodanalhygiene,avoidingexcessivecleansingoruseofharshsoaps,wearinglooseclothingmadeofbreathablefabrics,avoidingirritantssuchasperfumesordyesinpersonalcareproducts,andmaintainingahealthydietandregularbowelmovements.

Itisalsoimportanttoavoidscratchingtheaffectedarea,asthiscancausefurtherirritationandskindamage.Instead,gentlecleansingwithlukewarmwaterandpattingtheareadrywithacleantowelcanhelpalleviateitching.

Insomecases,over-the-countercreamsoroi