RESUMO
Objective:To analyze the medication law of Traditional Chinese Medicine (TCM) fumigation and washing to promote postoperative healing of hemorrhoids by data mining technology.Methods:The clinical literature about TCM fumigation and washing to promote postoperative healing of hemorrhoids was retrieved from the databases of CNKI, Wanfang, VIP, PubMed from the establishment of the databases to March 10, 2022. The frequency efficacy attributes, core medicinal pairs and core prescriptions of TCM were analyzed by using the Ancient and Modern Medical Records Cloud Platform (V2.3.5).Results:A total of 299 articles were included, involving 200 kinds of Chinese materia medica. The drugs used at high frequency ≥40 were Sophorae Flavescentis Radix, Phellodendri Chinensis Cortex, Natrii Sulfas, Galla Chinensis and Rhei Radix et Rhizoma and so on. The main efficacy was to clear heat and reduce dampness; cold, warm and slightly cold were the main medicinal properties, and the tastes were mainly bitter, pungent, sweet and sour, and most of the drugs return to the liver meridian, stomach meridian, heart meridian, large intestine meridian and so on. A total of 22 rules were obtained by correlation analysis. Five groups of drugs were obtained by clustering analysis. The core prescription drugs obtained by complex network analysis included Sophorae Flavescentis Radix, Phellodendri Chinensis Cortex, Natrii Sulfas, Galla Chinensis, Rhei Radix et Rhizoma, Taraxaci Herba, Borneolum Syntheticum, Sanguisorbae Radix, Atractylodis Rhizoma, Carthami Flos, Scutellariae Radix, Olibanum, Myrrha, and Lonicerae Japonicae Flos. Conclusion:TCM fumigation and washing can promote the postoperative healing of hemorrhoids mainly by clearing heat and reducing dampness and detoxification, as well as promoting blood circulation and removing blood stasis, reducing swelling and relieving pain, restraining sore and generating muscle.
RESUMO
Fecal incontinence is common. It may have dramatic negative impacts on patients' quality of life. During the past two decades, new treatments with effective outcomes and less complications have been developed. Non-operative treatments include dietary modifications, medications, and biofeedback therapy. Operative treatments include repair (sphincteroplasty), stimulation (sacral nerve stimulation), artificial bowel sphincter implantation, muscle transposition and fecal diversion. The latest reported treatments such as radiofrequency energy delivery and injectable materials are still controversial. But those therapies, having a minimal invasive profile, may be the options before considering a surgery in some patients with mild fecal incontinence. In general, physicians have to make an individualized choice of treatment considering anal function, the quality of life and potential complications. A more invasive operative treatment must be seriously selected in patients with severe fecal incontinence. Indications, outcomes and strategy of current treatments for fecal incontinence are sufficiently discussed by authors in this article.