title: [Treatment of hemorrhoid of III, IV stage by four steps injection of xiaozhiling].
abstract: OBJECTIVE
  To find a new method of non-operation treatment of hemorrhoid in III, IV stage.
  
  
  METHODS
  Based on the principle "sore herbs can astringent and the puckery can control prolapse" and precious experience in treating hemorrhoid, four step injections of Xiaozhiling (XZL, preparation made from gallnut and alum chiefly) were injected into the branches of rectal superior artery, the submucosa, the mucous lamina propria and the sinusoid veins, to cause sclerosis and atrophy of hemorrhoid by obliterating branches of rectal superior artery.
  
  
  RESULTS
  21,361 cases were treated from 1987 to 1996. Among them 21,148 (99.00%) were cured, 203 (0.95%) improved and 10 (0.05%) ineffective and for whom surgical operation was used. Of the 620 cases who were followed up for 3 years, only 6 cases (0.97%) relapsed.
  
  
  CONCLUSIONS
  This method is a relative ideal non-operative approach in the treatment of hemorrhoid of stage III and IV.
authors.affiliation: Guang'anmen Hospital, China Academy of TCM, Beijing 100053.
authors.forename: Z
authors.initials: Z
authors.lastname: Shi
mesh_terms: D000328:Adult; D000368:Aged; D004365:Drugs, Chinese Herbal / Q000008:administration & dosage*; D005260:Female; D006484:Hemorrhoids / Q000188:drug therapy*; D006801:Humans; D007269:Injections, Intra-Arterial / Q000379:methods; D007275:Injections, Intravenous / Q000379:methods; D008297:Male; D008875:Middle Aged; D012007:Rectum / Q000098:blood supply*; D012597:Sclerosing Solutions / Q000008:administration & dosage
chemical_list: D004365:Drugs, Chinese Herbal; D012597:Sclerosing Solutions