There are several ways to treat anal fistula?

1. Western medicine

Surgical treatment: there are anal fistula incision or excision, anal fistula hanging wire surgery, sigmoidostomy, laser surgery and so on. Acute infection of anal fistula should not be practiced surgery. Crohn's disease, ulcerative colitis combined with anal fistula, must first cure the original disease.

Postoperative treatment: daily cleaning with hydrogen peroxide and saline, trauma cavity with oil gauze filling. Tuberculous anal fistula with streptomycin or remifentan solution for dressing. Hanging surgery should pay attention to the tightness of the rubber band, need to adjust the strangulation at any time.

Antibiotic treatment: acute infection, postoperative, are required to cast a sufficient amount of antibiotics, such as tetracycline, gentamicin and so on.

2. Traditional Chinese medicine treatment (with surgery)

Internal treatment

Damp-heat in the lower Jiao: localized redness, swelling and hot pain in the anus, constipation, urgency and heaviness in the back, short and red urine, thick pus, accompanied by fever, heavy body, red tongue, yellow fur, and slippery pulse.

Treatment: clearing away dampness and heat, promoting defecation and subduing swelling.

Prescription: cypress 15 grams, atractylodes macrocephala 10 grams, hyssop 10 grams, talcum 15 grams, mouton 10 grams, rhubarb 10 grams, gardenia 10 grams, castor seed 10 grams, dandelion 30 grams, fleabane 30 grams, dandelion 15 grams.

Dampness and toxicity: anus localized redness, swelling and heat pain, defecation pain aggravation, have fever feeling, ulcerated pus turbid thick smell, stool dryness and knotting, urine short red, accompanied by fever and fear of cold, dry and bitter mouth, fatigue, tongue red moss yellow and thick and dry, pulse stringy.

Treatment: clearing away heat and removing toxins, promoting dampness and eliminating swelling.

Prescription: 15 grams of Chai Hu, 15 grams of Gentian grass, 10 grams of raw rhubarb, 15 grams of Aloe vera, 10 grams of Huang Huang, 10 grams of Scutellaria baicalensis, 15 grams of Cyperus rotundus, 10 grams of Gardenia jasminoides, 30 grams of Honeysuckle, 30 grams of Taraxacum officinale, 10 grams of Mutong, 15 grams of Plantago asiatica (packet), and 30 grams of Di Ding.

Yin deficiency fire: anus local ulcers for a long time, redness, swelling, hot pain is not obvious, ulcerated pus thin, sometimes. Accompanied by fatigue and tiredness, sometimes low fever, dry mouth and little to drink, tongue reddish moss yellow and dry, pulse is fine.

Treatment: nourish Yin, clear heat and remove dampness.

Prescription: Artemisia annua 15 grams, 10 grams of raw earth, 10 grams of dibasic bark, 30 grams of turtle shell (first decoction), 10 grams of each of the pale white artemisia, 10 grams of cypress, 10 grams of hyssop, 15 grams of hu huanglian, 15 grams of yam, 15 grams of each of the Zelen laxative, 15 grams of dandeary, 5 grams of licorice, 15 grams of xiaku cao.

If the qi and blood are weak, you can take Chinese medicines such as ginseng yangrong pill, shiquan dazhuan pill and ginseng guisheng pill.

External treatment method

1. External lavage method: inflammation period: raw rhubarb 20 grams, 30 grams of bitter ginseng, 20 grams of snakebeds, 60 grams of Baibu, decoction water lavage.

2. external dressing: after fumigation, the first medicine twist or medicine ding inserted to the fistula mouth and then back a little, the external application of Huanglian cream, such as gold and yellow cream, red Dan, etc., outside the cover of the sterilized dressings fixed. Every other day, change the medicine once.