直肠切诊辨便秘（Rectal palpation on constipation）.docVIP

直肠切诊辨便秘（Rectal palpation on constipation） Rectal palpation on constipation Chinese Journal of traditional Chinese medicine, April 6, 2011 - History of anorectal Renjie Jiangsu Province Traditional Chinese Medicine Hospital The traditional Chinese medicine pulse includes two parts and the pulse palpation, the pulse diagnosis is part of the pulse diagnosis, palpation is the main site of skin, limbs, chest and abdomen, perianal. The palpation of the rectum has no record of ancient and modern Chinese medicine. The author realized rectal examination data can provide the basis for TCM treatment of constipation, is a supplement to the traditional Chinese medicine pulse. The basic content of rectal palpation Rectal palpation should pay attention to the collection of relevant information from the rectal mucosa, rectal wall and wall mass, rectal cavity, sphincter and surrounding organs, warm, sensitive, pain. Rectovaginal protrusion Most women of the anterior wall of the rectum projecting over a knuckle, most people have no difficulty in defecation. Rectal examination when the rectovaginal septum forward depression more than 1.5 knuckles (about 3cm), way to help defecation, then the rectovaginal septum bulging have clinical significance. Intramural mass of rectum The rectal mucosa or intestinal wall mass, are the common causes of hemorrhoids sclerotherapy in the treatment of residual induration after inflammation or thrombosis, hemorrhoids, hemorrhoids electric clamp after treatment of rectal submucosal abscess or high muscle abscess, occasionally in rectal stromal tumor, rectal leiomyoma or rhabdomyoma and endometriosis. These masses have certain clinical morphologic features and require a combination of medical history and pathology to make a definitive diagnosis. The mass in the rectum wall is often accompanied by an anal distention, which can cause sensation or defecation. Rectal cavity According to the author statistics, the general anorectal clinic patients with rectal