Effect of Sitz Bath with Modified Xianfang Huoming Decoction(仙方活命饮)on Postoperative Wound in Patients with Perianal Abscess of Toxic Heat Flourishing Type
CHEN Hongxia
CHEN Zhaohui
ZHANG Ruifang
LI Yixiong
FAN Yongqiang
Abstract：Objective:To explore the effect of sitz bath with modified Xianfang Huoming Decoction(仙方活命饮)combined with Hongyou ointment gauze on wound healing after surgery for perianal abscess of toxic heat flourishing type.Methods:A total of 120 patients with perianal abscess of toxic heat flourishing type who underwent perianal abscess surgery were divided into observation group and control group by the simple randomization method,60 patients in each group.Both groups were given Hongyou ointment gauze dressing.Besides,the control group was given sitz bath with potassium permanganate solution,while the observation group was given sitz bath with modified Xianfang Huoming Decoction.Both groups were given postoperative treatment for 14 days.The clinical efficacy in each groups was evaluated,and traditional Chinese medicine(TCM)syndromes score and visual analogue score(VAS)before treatment and after 14 days of treatment,postoperative wound conditions(wound secretion volume,wound healing rate,time of appearance of new epithelium on wound surface,and wound healing time 3 days and 7 days after surgery),and anal function(anal canal resting pressure,anal canal contraction pressure)before treatment and 3 months after treatment were compared between two groups.Results:Fourteen days after treatment,TCM symptom score and VAS score in both groups were reduced compared with those before treatment(P＜0.05),and the above scores in the observation group were lower than those in the control group(P＜0.05).Three days after surgery,there was no statistically significant difference in the wound surface between two groups(P＞0.05).The 7th day after surgery,the wound secretion volume in the two groups was significantly reduced,and it in the observation group were less than that in the control group(all P＜0.05);the wound healing rate in the two groups was improved,and it in the observation group were higher than that in the control group(all P＜0.05);the time of new epithelium appearance on wound surface and wound healing time in the observation group were shorter than those in the control group(all P＜0.05).Three months after treatment,the anal canal resting pressure and anal canal contraction pressure in both groups were reduced compared with those before treatment(P＜0.05),and the two indicators were lower in the observation group than in the control group(P＜0.05).Fourteen days after treatment,the total effectiveness rate in the observation group was 95.0％,and 83.3％in the control group.In the clinical efficacy,the observation group was better than the control group(P＜0.05).Conclusion:Sitz bath with modified Xianfang Huoming Decoction combined with Hongyou ointment gauze can significantly improve the postoperative wound healing,shorten the wound healing time,with significant long-term effect.
Keywords：Xianfang Huoming DecoctionHongyou ointment gauzefumigation and washingsitz bathperianal abscesswound healingtoxic heat flourishing
Publication Date：2023-10-05
Online Publishing Date：2026-05-22(First online date of this platform, not the publication date of the document)
Pages：6( 1080-1085 )