1 GENERAL OBJECTIVE
– The surface of the anal canal is divided into 3 parts in sequence from the outside to the inside: the skin part, the transition part and the mucosa part.
If the venous sinuses of the superior hemorrhoid (upper rectum) swell, hemorrhoids form above the dentate line and are called internal hemorrhoids. If the venous sinuses of the lower hemorrhoid (lower rectum) swell, hemorrhoids form below the dentate line and are called external hemorrhoids.
Due to the connection between the superior hemorrhoidal veins and the inferior hemorrhoidal veins, the increase in pressure in the superior hemorrhoidal sinuses will inevitably lead to an increase in pressure in the inferior venous sinuses.
- According to traditional medicine, hemorrhoids are described in the scope of "spill damage". The lord is about the body and the limbs, so when the spleen is damaged, it will cause prolapse, including hemorrhoids.
2 SMALL INDICATIONS
- Grade 1 and 2 hemorrhoids.
3 CONTRAINDICATIONS
- Grade 3 hemorrhoids, anal infection
4 PREPARATION
4.1. Practitioners Doctors and medical practitioners trained in the specialty of traditional medicine shall be granted practice certificates in accordance with the law on medical examination and treatment.
4.2. Vehicle
– 6 – 8 sterile acupuncture needles, 5 – 10 cm long, for individual use
– Two-frequency magnifying machine, description.
– Enamel tray, cotton, alcohol 70 degrees, clip with clip.
4.3. Patient
- To be examined and make medical records according to regulations
- The patient's position is prone or supine
5 PROCESSING STEPS
5.1. Acupressure regimen: Bach Hoi, Four divine powers, Tuc Tam Ly. Tam Yin Giao, Quan Nguyen, Qi Hai, Truong Cuong, Pi Du.
5.2. Tips
– Step 1 Identify and disinfect the skin of the acupoint
– Step 2 Insert the needle into the acupoint according to the following tenses
– Then 1 Left hand uses thumb and index finger to press and stretch the skin of the acupoint; The right hand inserts the needle quickly through the skin of the acupoint.
– Then 2 Push the needle slowly to the acupoint, stimulate the needle until it reaches “Dac qi” (the patient has a feeling of tension, pressure, moderate weight, no pain in the acupuncture point just inserted, the doctor feels the needle sucking the needle. tight at the acupoint).
– Step 3. Stimulating acupoints by electroacupuncture Connect the pair of wires of the electroacupuncture machine with the needle inserted into the acupoint according to the complementary frequency of the electroacupuncture machine.
– Frequency (set frequency fixed) Description frequency from 5 to 10Hz, Tuning frequency from 1 to 3Hz.
– The intensity gradually increases from 0 to 150 microAmpere (depending on the patient's tolerance level).
+ Time of 20 - 30 minutes for an electrocautery.
– Step 4. Withdraw the needle, disinfect the skin of the acupuncture point just inserted.
5.3. Treatment course
– Electrostimulation once a day
– A course of treatment from 10 to 20 times of electroacupuncture.
6 TRACKING AND TREATMENT OF HAZARDS
6.1. Full status tracking
6.2. Disaster Management
– Vocabulary
Symptoms: The patient is dizzy, dizzy, sweating, rapid pulse, pale face.
– Treatment: Turn off the electrocautery, remove the needle immediately, wipe the sweat, keep warm, drink hot sugar tea, rest in place. Day acupressure points Taiyang, Neiguan. Monitor pulse and blood pressure.
– Bleeding when removing the needle, use sterile dry cotton pressed on the spot, do not rub
