جستجوی مقالات مرتبط با کلیدواژه « بواسیر » در نشریات گروه « پزشکی »

Anal pain is as a common clinical complaint, which occurs due to various causes. In Persian Medicine (PM), anal disorders have been explained in detail. The aim of this study is to investigate the viewpoint of PM regarding anal pain in order to achieve new, less complicated and effective treatments for this condition. Accordingly, one of the most important sources of treatments in PM, the book Exir-e Azam, was reviewed. Electronic databases such as Google Scholar, PubMed and SID were also searched. According to PM, anal pain is sometimes caused by factors in the anus and preanal region, such as hemorrhoid and fissure. Sometimes, it occurs due to causes outside the anus such as “Rih al-Bavasir”- a referred pain from the kidneys, and also intestinal ulcers. Moreover, causes of anal pain can be divided into two categories: physical factors such as fissures, and chemical agents such as passing feces containing burning substances through the anus. As a conclusion, categorizing types and causes of anal pain and based on the similarities with findings of modern medicine, along with easy, less complicated and diverse medicinal treatments that are found in PM sources such as Exir-e Azam, promise finding potential new treatments.

In 431 AH, after a 13-year struggle with the Ghaznavids, the Seljuk Turkic dynasty succeeded in defeating them decisively in the battle of Dandanqan and laying the foundation of a government that lasted until 590 AH. During the 159 years of Seljuk rule in Iran, 15 members of this dynasty officially came to power. Most of the rulers of this dynasty died as a result of various diseases. Some of them were killed during internal conflicts in order to gain power or in the process of confronting the foreign enemies of the monarchy. With a few exceptions, the deaths of both groups, and especially of the sultans who died an unnatural death, occurred at a young age. This caused most of the rulers of this dynasty to have an unstable monarchy. In the present study, an attempt has been made to study the manner of death of the Seljuk sultans and the relationship between the type of death of these rulers and their reign and life.

In the present study, using statistical methods, the most important sources of the Seljuk era have been studied and analyzed in order to achieve the objectives of the research.

Most kings who died a natural death had a history of various diseases; but they died as a result of a certain disease. The most important of these diseases were colic, hemorrhoids, tuberculosis, inflammatory fever, smallpox, diarrhea and sexually transmitted diseases. The group that died of abnormal deaths also sometimes had a history of certain diseases; however, before they died of the disease, they were killed by their opponents and rivals. The lifespan of those rulers who died a natural death was longer than the second group.

In the process of conducting this research, while observing the principle of fidelity in the use of resources, non-scientific and biased analyzes have been refused.

Out of 15 Seljuk sultans, 10 died due to various diseases. Colic with three cases, tuberculosis and fever with two cases each and other diseases with one case, caused the death of this group of kings. The average age of this group is 38 years and their average reign is 15.3 years. Although two of the other five Seljuk sultans had a previous illness, all five were killed abnormally by their opponents. Three of them were poisoned by the claimants to power, and two others were killed by swords in battle with foreign opponents of the monarchy. The average age of this group was 36 years and their average reign was 9.03 years.

According to opinion of the scientists of Iranian traditional medicine, hemorrhoid is anal lump that is created on the vessels and its factor is soda humor. Treatment of this disease in Iranian traditional medicine is to clear excess soda humor from the body and prevent its formation through modifying the organs involved in its production and finally remove soda humor from the anal vessels.
Case report: Patient is a 69-year-old man with basic tempered of phlegm and yellow bile that had external 6 Pack Level 4 hemorrhoids without bleeding. According to Iranian traditional medicine classification, hemorrhoid was from palm group. The patient was completely cured during the three sessions of 6 weeks. Medical interventions such as soda reducing diet, vasoconstrictors (hemorrhoid constricting) agents, hepatic clearance and laxatives were used. Also, hirudotheraphy was used for removing soda from the side of anal.
With the expansion of education and research in the field of Iranian traditional medicine therapies can be developed based on traditional medicine, effective, non-invasive and low cost according to individual patient basis (based on the patient's tempered which is important in the quality of life. Therefore, it is necessary to do more researches to consider measures and treatments based on Iranian traditional medicine in order the scientific evidences continue to grow.

Background and objectives Local pain and painful defecation are common patients complaints after anal surgery. Topical diltiazem a calcium channel blocker can decrease the tonicity of smooth muscles of anal sphincter and probably decrease the aforementioned painful condition. This study evaluates the efficacy of topical diltiazem gel on these complaints. Methods In this double-blind randomized placebo-controlled study patients received either diltiazem gel or placebo (a gel not containing diltiazem) in inch at the site of operation twice per day. All patients were followed up on 2nd and 7th postoperative days for scoring of complaints. Results The pain and painful defecation decreased significantly in second day in patients received diltiazem. Pain was completely alleviated in all patients received diltiazem in 7th postoperative day. But in the placebo group pain was reported by some of the patients in this day. No unwanted effect was reported in patients received diltiazem. Conclusion Topical 2% diltiazem gel is effective on alleviation of pain and pain during defecation after standard anal surgery.