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| Experience of professor Chen Min-fan in treatment of anal fistula |
| WANG Jing1 WANG Zhao-chu2 ZHONG Ling-yan2 SHI Rong1▲ |
1.Department of Proctology,the People′s Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fujian Province,Fuzhou 350003,China;
2.Graduate School,Fujian University of Traditional Chinese Medicine,Fujian Province,Fuzhou 350122,China |
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Abstract Anal fistula is common and difficult disease in anorectal department,especially high-grade fistula and complicated fistula,which is challenging for surgeons.Surgery is often confused about how to balance the anal sphincter function with the removal of the lesion.In his more than 60 years of teaching,research and clinical work in anorectal department,Professor Chen Min-fan has unique insights on the diagnosis and treatment and prevention of anal fistula,and summarized a complete ideological system.Professor Chen believes that anal fistula from the etiology of the mechanism more blamed on Damp-Heat,so anal fistula identification is mostly from Damp-Heat.The treatment of anal fistula should focus on both internal and external treatment,internal treatment to identify the evidence,external treatment to identify the disease.For the majority of patients with dampness and heat,Professor Chen added and subtracted on the basis of Er Miaosan,creating effective prescriptions such as Yellow White Mixture,Qing Toxin Drink and Qing Anus Drink.It has been found to have the effect of clearing heat and dampness,cooling blood and detoxification,reducing swelling and pain,and has developed anti-inflammatory ointment for external use.In terms of surgical treatment,Professor Chen Minfan put forward the idea of “saving the body with little loss” in the surgery of anal fistula,that is,focusing on the protection of anal morphology.The minimally invasive traditional chinese medicine concept of“preserving function and preserving shape” is realized by the combination of the characteristic hanging thread and skin-retention bridge.
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Received: 10 June 2020
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