肛痈源流考

Awareness and Treatment of Anorectal Abscess

肛痈一般是指肛门直肠周围感染化脓到肛管直肠周围形成的脓肿,任何年龄均可发病,但以20~40岁青壮年多见,婴儿、老年人发病较少,男性多于女性。本文通过对肛痈相关古籍文献查阅梳理,从病名、病因病机、治法入手考其源流。按历史脉络梳理肛痈病名,总结历代医家对本病病因病机之认识,整理讨论肛痈之治法,清其脉络,溯本求源,以期为临床研究提供新思路,更好指导临床实践。

Anorectal abscess generally refers to an abscess that is formed around the anorectal area from infection to the anorectal area.The disease can occur at any age,but it is more common in young and middle-aged people aged 20~40.Infants and the elderly are less affected,and there are more male patients than female.In this article,related ancient literatures of anorectal abscess were reviewed and combined to research the awareness and treatment anorectal abscess,starting with the name of the disease,its etiology,pathogenesis,and treatment methods.The name of anorectal abscess was sorted out according to the historical context,the understanding of the etiology and pathogenesis of the disease by the doctors of the past dynasties were summarized,and the treatment of anorectal abscess were organized and discussed to clear the context and seek its source,in order to provide new ideas for clinical research and better guide clinical practice.