痔疮是一种十分常见的疾病，在我们的生活中有很多男男女女都会得此病，而其中发病率最多的则是混合痔，而混合痔则是内痔和外痔的统称，临床常见便血，痔块脱垂，疼痛，瘙痒等。
Hemorrhoidsare so common that many men and women will suffer from them. The most common anorectal disorder is mixed hemorrhoids, whichis the collective termfor internal and external hemorrhoids. Common clinical symptoms include blood in the stool, prolapse of hemorrhoids, pain, itchiness, etc.
本病主要是由于饮食不节，过食醇酒厚味、辛辣生冷刺激，或饥饱失常，或因起居失慎，久坐久立，或房室过度，长期便秘，妊娠生产，腹部肿瘤压迫等。
The conditionis mainly caused by improper diet, excessive consumption of alcohol,stimulation from pungent,spicy,raw or cold food, irregular quantity of food intake, overly-casual lifestyle, sedentariness, prolonged standing, excessive sexual intercourse, long-term constipation, pregnancy and parturition, compression by abdominal tumor, etc.
目前对痔的认识已基本统一，I、II期痔适宜对症治疗，一般予清热祛风，凉血收敛之剂，如消痔膏，痔疮栓外塞，内服药即可改善痔的症状；
At present, the understanding of hemorrhoids has basically been unified.Symptomatic treatment is suited for patientswith first- and second-degree hemorrhoids. Administering external medicationfor eliminating internal heat, relieving rheumatism, cooling blood and converging – such as Xiaozhi cream andhemorrhoids suppository – and internal medicineshould alleviate the symptoms.
III、IV期痔多宜采取手术治疗，如痔结扎切除术，以阻断痔的血供，促使痔核的脱落，外用中药熏洗等以促使创面愈合。
Patients with third- and fourth-degreehemorrhoids are advised to undergo surgical treatment such as hemorrhoid ligation and excision to block the blood supply of the hemorrhoids and prompt the shedding of the hemorrhoid nuclei.External Chinese medicine isused to fumigate and wash the wound to promote healing.
痔疮的自我调摄也同样重要，具体如下
Self-careis just asimportantfor patients.Details are as follows
1
良好的生活习惯养成，每天定时排便，选择时间相对固定，排便时不要看书玩手机等，每次排便时间不能太长，每日清洗肛门一次。
Form healthy living habits. Set a relatively regular time each day to defecate.Do not do things such as read books or play with mobile phones during defecation.Duration of each defecation should not be too long.The anus should be cleaned once a day.
2
饮食上平时以蔬菜、水果和粗粮等清淡高纤维食物为主，每天多喝水。
Eat more light, high-fiberfoods such asvegetables, fruits and whole grains,and drink plenty of water every day.
3
肛门温水坐浴可以缓解肛门瘙痒等不适，同时进行提肛、放松等动作。
A tepid sitz bathcan relieve itching and other discomforts.Lift and relaxthe anusduring the bath.
4
工作时避免长时间坐着不动，以免增加腹压，每过一小时建议站起来活动活动，但也不能久站，平时多参加体育活动，生活要有规律，心情要愉悦。
Avoid sedentary positions during worktoprevent increase of abdominal pressure. Getting up every hour to move about is recommended. Prolongedstanding should also be avoided. Play sports, have a regular daily routine, and stay happy.
专家介绍
李丽 主任医师
从事医疗、教学、科研工作30余年
现任同仁医院中医科行政主任
上海市中医肛肠学会副主任委员
上海市中医外科委员会委员
擅长：
1、各类肛门疾病的中医治疗。治疗混合痔、肛瘘、肛旁脓肿等
2、中医辨证施治的特色治疗、中医失眠疗法
3、各种常见的、多发的内、外科疾病
特需门诊时间：周三下午
Li Li, chief physician
She has been engaged in medical treatment, teaching and scientific research for more than 30 years
Now she is the administrative director of traditional Chinese medicine department of Tongren Hospital
Vice chairman of Shanghai Traditional Chinese medicine Anorectal Society
Member of Shanghai Traditional Chinese Medicine Surgery Committee
Specialties:
1. TCM treatment of various anal diseases.Treatment of mixed hemorrhoids, anal fistula, perianal abscess, etc
2. TCM characteristic treatment based on syndrome differentiation and TCM insomnia therapy
3. Various common and multiple internal and surgical diseases
Vip clinic time: Wednesday afternoon
预 约
供稿：李丽；编辑、翻译：何濛濛
