RECTAL PROLAPSE

Clinical Manifestations
  • Rectal prolapse often used to mean complete rectal prolapse (external rectal prolapse), where the rectal walls have prolapsed to a degree where they protrude out the anus and are visible outside the body. However, most researchers agree that there are 3 to 5 different types of rectal prolapse, depending on if the prolapsed section is visible externally, and if the full or only partial thickness of the rectal wall is involved.

    Rectal prolapse may occur without any symptoms, but depending upon the nature of the prolapse there may be mucous discharge (mucus coming from the anus), rectal bleeding, degrees of fecal incontinence and obstructed defecation symptoms.

    Rectal prolapse is generally more common in elderly women, although it may occur at any age and in both sexes. It is very rarely life-threatening, but the symptoms can be debilitating if left untreated.

Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Rectal prolapse
  • Chronic cough or
  • Dry cough
  • Insomnia
  • Night sweats
  • Spontaneous perspiration
  • Weakness
  • Palpitations
  • Shortness of breath
  • Fever
  • Irritability
  • T: Red and dry or Red and swollen
  • C: Little or None
  • P: Thready and weak
Treatment Principle
  • Replenish Qi and Yin
  • Generate Body Fluids
Herb Formulas
Points
Clinical Manifestations
  • Chronic dysentery or
  • Chronic diarrhea or
  • Rectal prolapse
  • Dull abdominal pain with liking for warmth and pressure
  • Borborygmus
  • Cold limbs
  • Poor appetite
  • Mental fatigue
  • T: Pale
  • C: White
  • P: Minute, thready and forceless
Treatment Principle
  • Benefit the Intestines
  • Consolidate and astringe
Herb Formulas
Points
Clinical Manifestations
  • Rectal prolapse
  • Loss of appetite
  • Chest, epigastric and abdominal focal distention
  • Acid regurgitation
  • T: Normal
  • C: White or Yellow and greasy
  • P: Deficient or Slippery
Treatment Principle
  • Tonify the Spleen
  • Reduce focal distention
Herb Formulas
Points
Clinical Manifestations
  • Rectal mucosa everts on exertion
  • Little pain
  • Prolapse of the rectum, especially after defecation
    Rectum does not retract
  • Pale face
  • Dyspnea
  • Sallow complexion
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Even or Soft and thready or Deep and weak
Treatment Principle
  • Strengthen the Spleen
  • Benefit Qi
  • Reinforce the Center
  • Invigorate Yang
Herb Formulas
Points
Clinical Manifestations
  • Constant diarrhea
  • Rectal prolapse after diarrhea
    Does not retract
  • Mild constant epigastric pain; relieved by warmth and pressure
  • Anorexia
  • Abdominal pain and fullness after meals
  • Nausea
  • Vomiting
  • Loose, unformed stools
  • Excessive salivation
  • Cold limbs
  • Lassitude
  • Weakness
  • Sallow or pale, dull complexion
  • Maybe edema
  • Maybe scanty urination
  • Maybe clear, watery, copious vaginal discharge
  • T: Pale
  • C: White and greasy
  • P: Deep, thready and forceless
Treatment Principle
  • Strengthen the Spleen
  • Warm Yang
  • Warm the Center
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Body cold
  • Limbs icy
  • Complexion white and shiny
  • Low back, knees and abdomen feel cold and painful
  • Lower abdomen feels cold and painful
  • Loose stools containing undigested food
  • “Cock-crow” diarrhea (occurs at about 5 am)
  • Edema of face and limbs
  • Dysuria
  • Severe:
    Abdominal ascites
  • T: Pale, moist and swollen
  • C: Thin and white or White and greasy
  • P: Deep, thready, weak and maybe slow
Treatment Principle
  • Warm and Reinforce the Spleen and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Rectal prolapse
  • Fever and chills
  • Headache
  • Thirst
  • Sore throat
  • Abdominal pain due to disharmony between the Liver and Stomach
  • Epigastric, hypochondriac or flank pain
  • Muscle spasms, pain and numbness
  • Chronic dysenteric disorders
  • Uterine prolapse
  • Vertigo
  • Dizziness
  • Thoracic and costal pain,
  • Menstrual irregularity
  • Five Sole Heat
  • T: Red
  • C: Little or None
  • P: Thready, wiry and rapid and maybe floating
Treatment Principle
  • Release the Exterior
  • Clear Heat
  • Relieve toxicity
  • Raise Yang and lift Sunken Qi
  • Spread Liver Qi
  • Relieve Stagnation
  • Nourish the Blood
Herb Formulas
Points
Clinical Manifestations
  • Lumbago: low back feels cold, weak and aching
  • Feeling chilled
  • Aversion to Cold
  • Cold limbs
  • General debility
  • Pale face
  • Urinary frequency with abundant, clear urine or
  • Oliguria with edema
  • Maybe nocturia
  • Lassitude
  • Withdrawn, subdued behavior
  • Knees feel cold and aching
  • Dizziness
  • Tinnitus
  • Impotence
  • Spermatorrhea
  • Premature ejaculation
  • Low libido
  • Female infertility ("uterus cold and infertile")
  • Maybe anorexia
  • Maybe loose stools
  • Maybe chronic diarrhea or "cock crow" diarrhea
  • T: Pale and swollen
  • C: Thin and white
  • P: Deep and thready - maybe slow
Treatment Principle
  • Warm and Reinforce Kidney Yang
Herb Formulas
Points
Clinical Manifestations
  • Anemia
  • Uterine bleeding
  • Cold extremities
  • Pale or sallow face
  • Dizziness
  • General fatigue
  • Coarse skin
  • Nocturnal emissions
  • Weak knees
  • Fatigue
  • Dyspnea
  • Night sweats
  • Irregular menstruation
  • Insomnia
  • Intolerance of Cold
  • Decreased eyesight after a prolonged illness
  • Anxiety
  • Intermittent fever
  • Jaundice
  • Deficient cough
  • Shortness of breath
  • Palpitations
  • Anorexia
  • Listlessness
  • Lassitude
  • Spontaneous sweating
  • Spermatorrhea
  • Continuous spotting
  • Leukorrhea
  • Weak legs and knees
  • T: Pale
  • C: Thin and white
  • P: Thready and weak
Treatment Principle
  • Replenish Yang
  • Warm and tonify Qi and Blood
Herb Formulas
Points
Clinical Manifestations
  • Rectal prolapse
  • Postpartum emaciation and weakness
  • Persistent, tight abdominal pain
  • Abdominal pain with spasms or radiates to back and waist
  • Cannot eat
  • Shortness of breath
  • Dyspnea
  • Pale face
  • Intermittent spasmodic abdominal pain which is better with Heat and pressure
  • Epigastric pain
  • Lusterless complexion
  • Fidgeting
  • Reduced appetite
  • Maybe low-grade fever
  • Palpitations
  • Irritability
  • Cold and sore extremities
  • Nonspecific discomfort
  • Dry mouth and throat
  • Nocturnal emission
  • Five Sole Heat
  • Debilitated constitution in children
  • Enuresis in children
  • Insomnia
  • Fatigue
  • Anemia
  • Bleeding
  • Abdominal weakness
  • Epistaxis
  • Habitual constipation
  • Maybe warm extremities
  • Night sweats
  • Tired limbs
  • Frequent urination
  • Night crying
  • Diarrhea in children
  • Habitual headache in children
  • Hernia pain in children
  • Chronic constipation
  • Purpura
  • Asthma
  • T: Pale
  • C: White
  • P: Weak and slow or Thready, wiry and even or Thready and weak
Treatment Principle
  • Warm and tonify the Spleen and Stomach
  • Nourish the Blood
Herb Formulas
Points
Clinical Manifestations
  • Rectal mucosa everts on exertion
  • The rectal mucosa appears dark purple or deep red, feels firm, and may be eroded or ulcerated
  • Rectal prolapse with a distended feeling
  • Tenesmus and/or a burning sensation in the anus
    Maybe bleeding
  • Violent pain like needle pricks
  • Red complexion
  • Fever or
  • Afternoon fever
  • Thirst
  • Halitosis
  • Fullness and discomfort of the chest and abdomen
  • Hypochondriac pain
  • Headache
  • Dizziness
  • Red sore eyes
  • Hearing loss
  • Swelling in the ears
  • Bitter taste in the mouth
  • Irritability
  • Short temper
  • Difficult and painful urination with a heat sensation in the urethra
  • Swollen and itchy genitalia
  • Yellow, foul smelling leukorrhea
  • Short menstrual cycle with reddish-purple blood
  • Ear discharge
  • Yellow urine
  • Chest pain
  • Dry stools
  • Constipation or
  • Incomplete bowel movements or
  • Chronic diarrhea or
  • Dysentery
  • Turbid urine
  • Dry mouth and throat
  • Hematuria
  • Dysuria
  • Pain in the armpits
  • Sweating in the groin
  • T: Red or Red edges
  • C: Yellow or Yellow and greasy
  • P: Wiry, Excess and rapid or Deep and slippery
Treatment Principle
  • Clear and Drain Damp-Heat from the Lower Jiao
Herb Formulas
Points
Clinical Manifestations
  • Lower abdominal distention and pain (usually on right)
  • Pain increases on pressure with rebound tenderness
  • Guarding of the abdominal musculature
  • Groin pain resembling urinary dysfunction without urinary difficulty
  • Groin pain relieved by flexing hip and knee
  • Groin pain intensified by extending hip
  • Perspiration
  • Irregular or intermittent fever followed by chills and perspiration
  • May be mass in lower right quadrant of abdomen
  • Aversion to Cold
  • Hard lumps
  • T: Pink
  • C: Thin, white or yellow and greasy
  • P: Slippery and rapid or Tight or Wiry and tight or Tight and rapid
Treatment Principle
  • Drain Heat
  • Break up Blood Stasis
  • Invigorate the Blood
  • Reduce swelling
Herb Formulas
Points