Anus Prolapse in Traditional Chinese Medicine

Understanding different anus prolapse patterns according to TCM theory

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1
TCM Pattern
2
Formulas
Overview
What causes it 1 TCM pattern documented
How to recognize Symptoms specific to each anus prolapse pattern
Classical remedies 2 herbal formulas documented

TCM attributes anus prolapse to two primary patterns: Large Intestine collapse and Qi Collapsing or Qi Sinking. Large Intestine collapse is characterized by symptoms like chronic diarrhea, hemorrhoids, and general fatigue, often linked to weakened Qi in the large intestine.

Qi Collapsing or Sinking involves a broader spectrum of symptoms, including prolapse of various organs, bearing down sensation in the abdomen, and frequent urination, all indicative of a general weakness in the body’s vital energy. These patterns are seen as disruptions in the body's natural energy flow, leading to the physical manifestation of prolapse.

TCM Patterns for Anus Prolapse

Each pattern represents a distinct underlying imbalance that can cause anus prolapse

Symptoms 7
Formulas 1

Diagnostic signs

Pulse

Deep (Chen), Weak (Ruo), Fine (Xi)

Tongue

The tongue is characteristically pale, soft, and puffy, often with scalloped edges from the teeth pressing into its swollen surface. The coating is white and slippery (wet-looking), reflecting internal Cold and Dampness from Yang deficiency. In more severe or prolonged cases, the tongue body may appear slightly dusky-pale. The overall appearance conveys a picture of depleted warmth and accumulated fluid that the body cannot transform.

Accompanying symptoms you may experience

Chronic diarrhea Hemorrhoids Generalized fatigue Cold extremities Loss of appetite Mental exhaustion Craving for hot beverages

Recommended herbal formulas

Symptoms 13
Formulas 2

Diagnostic signs

Pulse

Empty (Xu), Weak (Ruo)

Tongue

The tongue is typically pale and may appear puffy or tender with teeth marks along the edges, reflecting underlying Spleen Qi weakness. The coating is thin and white, and the tongue body may appear slightly moist or wet. There is generally no redness, stasis spots, or other markings. In cases where Qi Sinking has been present for a long time and begins to affect Blood production, the tongue may appear even paler.

Accompanying symptoms you may experience

Uterine prolapse Prolapsed bladder Stomach prolapse Nephroptosis Bearing down sensation in abdomen Hemorrhoids Chronic diarrhea Frequent and urgent urination

Recommended herbal formulas

Symptoms 2
Formulas 1

Diagnostic signs

Pulse

Weak (Ruo), Empty (Xu), Deep (Chen)

Tongue

The tongue is typically pale, reflecting the underlying Qi deficiency and poor nourishment of tissues. It tends to be puffy and soft (tender) rather than firm, and teeth marks along the edges are common, indicating that weakened Spleen Qi cannot properly transform fluids, leading to slight swelling of the tongue body. The coating is usually thin and white, without signs of Heat or Dampness transformation in the base pattern. If the pattern is long-standing, the tongue may appear slightly shorter or less vigorous in its extension.

Accompanying symptoms you may experience

Loss of appetite Slight abdominal distension after eating

Recommended herbal formulas

Herbal Formulas for Anus Prolapse

Traditional Chinese Medicine formulas used to address anus prolapse

Bu Zhong Yi Qi Tang

Addresses these anus prolapse patterns:

Qi Sinking

Du Shen Tang

Addresses these anus prolapse patterns:

Qi Sinking