Efficacy of auricular point triple therapy combined with traditional Chinese medicine fumigation and sitting bath on syndrome of downward flow of damp-heat dampness of anal fistula cases after surgery
YUAN Ya-li,ZHENG Xue-ping,WANG Ke-wei
Department of Anorectal Center, Nanjing Hospital of Traditional Chinese Medicine, Nanjing 210009, China
Abstract:
Objective To analyze the efficacy of auricular point triple therapy combined with traditional Chinese medicine fumigation and sitting bath on syndrome of downward flow of damp-heat dampness of anal fistula cases after low simple anal fistula (LSAF) surgery. Methods A total of 122 patients who underwent LSAF surgery in Nanjing hospital of Chinese medicine from January of 2023 to January of 2025 were selected and randomly divided into two groups with 61 patients in each group. Participants in both groups received LSAF surgery and were given anti-infection, hemostasis, and other conventional drugs after surgery. The control group received auricular point triple therapy on the 2nd day after operation. The combined group was treated with three auricle points as the control group and self-made preparation "detumescence lotion" traditional Chinese medicine fumigation and sitting-bath on the 2nd day after operation. The two groups were observed for 14 days. The perianal pain visual analogue scale (VAS) and anal edema score, the time for pain and edema to disappear, wound healing time, treatment effect and serum level of vascular endothelial growth factor (VEGF) were compared between the two groups. Results On day 7 and 14 after operation, VAS scores and scores of anal edema in both groups were evidently reduced, and the reduction was more evident in the combined group (P <0.05). Compared with the control group, the time for pain and edema to disappear in the combined group was evidently reduced (P <0.05). The wound healing time in combination group (14.33±3.16) d was evidently shorter than that in control group (16.93±3.44) d (P < 0.05). Serum level of VEGF in the two groups were evidently increased at 7 and 14 days after operation, and the cases in the combined group were evidently increased (P <0.05). The total effective rate of the combined group (93.44%) was evidently higher than control group (78.69%) (P <0.05). Conclusion Auricular point triple therapy combined with Chinese herbal fumigation and sitting-bath can evidently reduce pain after LSAF surgery, improve anal edema, promote wound healing, has an evident efficacy, and increase serum level of VEGF.
