通讯作者: 王辰, 568112785@qq.com

DOI：10.12201/bmr.202602.00038

The Effects of Danqing Formula Combined with Zengye Chengqi Decoction (Modified) Based on Fumigation and Washing Therapy on Postoperative Pain and Difficult Defecation in Mixed Hemorrhoids, and an Exploration of the Mechanism of Action of the Fumigation and Washing Therapy (Danqing Formula)

• 摘要：目的：研究薰洗疗法（丹卿方）联合增液承气汤加减对混合痔术后疼痛、排便困难的影响及探讨薰洗疗法（丹卿方）的作用机制。方法：收治2024.1至2024.12本院肛肠科的120例混合痔患者，随机分为对照组和治疗组2组，各60例。对照组术后常规治疗+高锰酸钾薰洗+乳果糖口服液，治疗组术后常规治疗的基础上加薰洗疗法（丹卿方）+增液承气汤加减。两组治疗持续2周，对比治疗2周前后的临床疗效，并对排便困难，便秘临床症状（粪便性状，排便费力，排便时间，下坠、不尽、胀感），创面疼痛、渗液、水肿、肉芽生长情况进行评估以及深度探讨薰洗疗法（丹卿方）的作用机制。结果：治疗组的临床疗效比较于对照组有明显改善。其中两组治疗后排便困难情况较前改善（（P＜0.05），治疗组相较于对照组便秘临床症状改善更明显（P＜0.05），创面疼痛、渗液、水肿、肉芽生长评分均明显低于对照组（（P＜0.05）。结论：薰洗疗法（丹卿方）联合增液承气汤加减可以有效缓解混合痔术后疼痛及排便困难，薰洗疗法（丹卿方）从瘀论治，祛瘀生新，缓解疼痛，促进愈合。

  关键词： 薰洗疗法; 增液承气汤; 混合痔术后; 疼痛; 排便困难

   

  Abstract: The effects of fumigation therapy (Danqing formula) combined with Zengye Chengqi Decoction on postoperative pain and defecation difficulty in mixed hemorrhoids were studied and The mechanism of action of fumigation therapy (Danqing formula) was discussed.Method: From 2024.1 to 2024.12, 120 cases of mixed hemorrhoids were treated in the Anorectal Department of our hospital,The random division was divided into 2 groups: control group and treatment group,Each 60 cases.The control group received routine postoperative treatment + potassium permanganate fumigation + lactulose oral solution,In addition to the routine postoperative treatment, the treatment group was treated with fumigation and washing therapy (Danqing formula) + Zengye Chengqi Decoction.The two groups of treatment lasted for 2 weeks to compare the clinical efficacy before and after 2 weeks of treatment.The defecation difficulty, stool characteristics, defecation effort, defecation time, feeling of heaviness, incomplete defecation, bloating, wound pain, exudation, edema and granulation growth were evaluated and And discuss the mechanism of action of fumigation therapy (Danqing formula).Result: The clinical efficacy of the treatment group was significantly improved compared with the control group.Two groups of patients had improved defecation difficulties after treatment (P<0.05).The improvement of clinical symptoms of constipation in the treatment group was more significant than that in the control group (P<0.05),The scores of wound pain, exudation, edema and granulation growth were significantly lower than those of the control group (P<0.05).Conclusion: Xunxi therapy (Danqing formula) combined with Zengye Chengqi Decoction can effectively relieve postoperative pain and defecation difficulty of mixed hemorrhoids.Fumigation therapy (Danqing formula) treats from the theory of stasis, removes stasis and promotes new life, relieves pain and promotes healing.

  Key words: :Fumigation and washing therapy; Zengye Chengqi Decoction; After the operation for mixed hemorrhoids; pain; Difficulty in defecation

  提交时间：2026-02-10

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• 序号	提交日期	编号	操作
  1	2026-01-04	10.12201/bmr.202602.00038V1	下载

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